Determination of Soluble HER-2/neu (sHER-2/neu) in Iranian Patients with Lung Cancer

Document Type: Original Article

Authors

1 Department of Internal Medicine

2 Department of Immunology

3 Shiraz Institute for Cancer Research, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background: The HER-2/neu gene is located on chromosome 17q21 and encodes a 185-kDa transmembrane glycoprotein with tyrosine kinase activity reported to be released in soluble form in various malignancies.
Objective: To evaluate the clinical significance of soluble Her-2/neu as a diagnostic marker in lung cancer.
Methods: Serum levels of soluble HER-2/neu were measured in 43 patients with lung cancer and 42 age and sex matched controls by an enzyme immunoassay method.
Results: Mean serum level of soluble Her-2/neu in cancer patients was 6.07±10.37 ng/ml which was significantly higher than the control group (P < 0.05). Cigarette smoking had no effect on the level of soluble HER-2/neu. A cut off value of 6.1ng/ml revealed a high specificity (95%) for diagnosis of lung cancer, but a very low sensitivity (14%).
Conclusion: The results of this study show an increased level of soluble HER-2/neu in the sera of lung cancer patients with a high specificity but low sensitivity for diagnosis of lung cancers.

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