Spontaneously occurring canine mammary gland tumors share many features with human breast cancer, including biological behavior and histologic features. Compared to transgenic murine model, canine models have advantages including naturally occurring models of human diseases and cancer. In humans, breast cancer is divided into molecular subtypes based on ER, PR, and HER2 expression. In contrast with humans, few studies have evaluated these subtypes in canine mammary gland tumors, including expression of HER2. HER2 expression in canine mammary tissues has been further complicated by controversy regarding the antibody's specificity. This study aimed to investigate c-erbB2 mRNA expression in retrospective formalin-fixed paraffin embedded samples, using RNA in situ hybridization with a novel quantitative assay and to compare this method with immunohistochemistry. Using 48 canine mammary tumor samples and 14 non-neoplastic canine mammary tissues, RNA in situ hybridization was performed with RNAscope ® using a canine-specific target gene probe (ERBB2), and quantitative measurement was performed using the housekeeping gene (POLR2A) to calculate the target gene/housekeeping gene ratio. The ratio of ERBB2/POLR2A was quantified using open-source image analysis programs and compared with the immunohistochemistry results. A significant correlation was observed between the HER2 immunohistochemistry score and ERBB2/ POLR2A RNA in situ hybridization (P < 0.001). When the HER2 immunohistochemistry score was 3+, significantly higher expression of HER2 mRNA was observed by RNA in situ hybridization. Interestingly, HER2 mRNA was also observed in non-neoplastic mammary tissues by RNA in situ hybridization. This assay potentially facilitates the reliable quantification of mRNA expression levels in retrospective formalin-fixed paraffin-embedded samples. Further studies are required to elucidate the role of HER2 in canine mammary gland tumors and to implement clinical trials in dogs.
Case selection and histopathological analysisForty-eight CMT samples and 14 non-neoplastic canine mammary tissue samples that were suspected tumors but diagnosed as mammary gland hyperplasia were selected from the archived FFPE database from 2017 to 2019 at the Department of Veterinary Pathology, Konkuk University. Simple random sampling was performed for CMT samples yielding HER2 IHC data (available from our previous data descriptor [21] and validation studies) with complete clinical data. During RNA-ISH, tissue samples not suitable for analysis were excluded Quantitative analysis of mRNA levels by RNA in situ hybridization in formalin-fixed paraffin-embedded samples PLOS ONE | https://doi.org/10.Quantitative analysis of mRNA levels by RNA in situ hybridization in formalin-fixed paraffin-embedded samples PLOS ONE | https://doi.