@article{TEXTUAL, recid = {10511}, author = {Catenacci, Daniel V. T. and Liao, Wei-Li and Thyparambil, Sheeno and Henderson, Les and Xu, Peng and Zhao, Lei and Rambo, Brittany and Hart, John and Xiao, Shu-Yuan and Bengali, Kathleen and Uzzell, Jamar and Darfler, Marlene and Krizman, David B. and Cecchi, Fabiola and Bottaro, Donald P. and Karrison, Theodore and Veenstra, Timothy D. and Hembrough, Todd}, title = {Absolute Quantitation of Met Using Mass Spectrometry for Clinical Application: Assay Precision, Stability, and Correlation with &lt;i&gt;MET&lt;/i&gt; Gene Amplification in FFPE Tumor Tissue}, journal = {PLOS ONE}, address = {2014-07-01}, number = {TEXTUAL}, abstract = {<p>Background: Overexpression of Met tyrosine kinase receptor is associated with poor prognosis. Overexpression, and particularly <em>MET</em> amplification, are predictive of response to Met-specific therapy in preclinical models. Immunohistochemistry (IHC) of formalin-fixed paraffin-embedded (FFPE) tissues is currently used to select for ‘high Met’ expressing tumors for Met inhibitor trials. IHC suffers from antibody non-specificity, lack of quantitative resolution, and, when quantifying multiple proteins, inefficient use of scarce tissue.</p><p>Methods: After describing the development of the Liquid-Tissue-Selected Reaction Monitoring-mass spectrometry (LT-SRM-MS) Met assay, we evaluated the expression level of Met in 130 FFPE gastroesophageal cancer (GEC) tissues. We assessed the correlation of SRM Met expression to IHC and mean <em>MET</em> gene copy number (GCN)/nucleus or <em>MET/CEP7 ratio</em> by fluorescence in situ hybridization (FISH).</p><p>Results: Proteomic mapping of recombinant Met identified <sup>418</sup>TEFTTALQR<sup>426</sup> as the optimal SRM peptide. Limits of detection (LOD) and quantitation (LOQ) for this peptide were 150 and 200 amol/µg tumor protein, respectively. The assay demonstrated excellent precision and temporal stability of measurements in serial sections analyzed one year apart. Expression levels of 130 GEC tissues ranged (<150 amol/µg to 4669.5 amol/µg. High correlation was observed between SRM Met expression and both <em>MET</em> GCN and <em>MET/CEP7</em> ratio as determined by FISH (n = 30; R<sup>2</sup> = 0.898). IHC did not correlate well with SRM (n = 44; R<sup>2</sup> = 0.537) nor FISH GCN (n = 31; R<sup>2</sup> = 0.509). A Met SRM level of ≥1500 amol/µg was 100% sensitive (95% CI 0.69–1) and 100% specific (95% CI 0.92–1) for <em>MET</em> amplification.</p><p>Conclusions: The Met SRM assay measured the absolute Met levels in clinical tissues with high precision. Compared to IHC, SRM provided a quantitative and linear measurement of Met expression, reliably distinguishing between non-amplified and amplified <em>MET</em> tumors. These results demonstrate a novel clinical tool for efficient tumor expression profiling, potentially leading to better informed therapeutic decisions for patients with GEC.</p>}, url = {http://knowledge.uchicago.edu/record/10511}, }