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Dharmais Surgical Oncology

National Cancer Centre

Dharmais Surgical Oncology

www.dharmais-surgonc.com

HER-2/NEU RECEPTOR GENE ISOLATION STUDY FROM INDONESIAN BREAST CANCER PATIENTS TISSUE

DESRIANI*1, RAMADHAN2 AND WIRSMA ARIEF HARAHAP3.


1Research Center For Biotechnology, Indonesian Institute of Sciences, Jl. Raya Bogor Km 46, Kec. Cibinong, Kab. Bogor, 16911. Indonesia. Phone: +62-21-8754587. 2Division of Surgical Oncology Dharmais Cancer Hospital, Jl. Letjend S. Parman No. 84-86 Slipi, Jakarta Barat. Indonesia. 3Division of Surgical Oncology Medical School of Andalas University -M.Djamil Hospital, Jl Perintis Kemerdekaan no 94, Padang. Indonesia. Phone: +62-0751-31746.

ABSTRACT


Breast  cancer  is  a  deadly  disease,  occupied  as  first  ranking  among  woman  patients cancer  in  Indonesia  (the  Hospital  Information  System,  2007).  20-30%  of  total  breast cancer  patients  having  HER-2/neu  overexpression.  Unfortunately  the  problem  of resistance  to  monoclonal  antibody  treatment,  trastuzumab,  was  found.  There  are several  theories  that  suspected  as  the  cause  of  trastuzumab  resistence  such  as polimorphisme, receptor dysfunction and so on. Thisresearch was conducted to study and to isolate of the HER-2/neu receptor gene in breast cancer patients Indonesia. The successful of the HER-2/neu receptor gene issolation is an important stage for the study and  analysis  of  HER-2/neu  receptor  in  Indonesia.  Research  methods  were  breast cancer tissue collection from Dharmais Cancer Hospital and M. Djamil Hospital Padang, RNA isolation, cDNA, PCR, sequencing. Of the total 110 samples, 20 samples of breast cancer  patients  identified  as  HER-2/neu+3  through  immunohistochemistry  (IHC) screening. Of the 20 samples,4 DNA fragments (2127bp) have successed isolated. This DNA  fragment  sequenced,  then   identified  as  a  gene  encoding  HER-2/neu  receptor using BLAST. Due to the variation of HER-2/neu overexpression in the tissue sample, while the part is taken as a source of RNA isolation is only a little of it, the possibility to use  of  non  HER-2/neu  overexpression  part  had  a  large,  and  other  reason  RNA  low stability  were  also  affected  to  the  success  of  a  gene  encoding  HER-2/neu  receptor issolation.


KEY WORDS: HER-2/neu Recepor gene, Breast Cancer, Trastuzumab, Resistance.

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