Journal: NPJ Precision Oncology
Article Title: Quantitative HER2 tissue and plasma profiling predicts the activity of trastuzumab deruxtecan for breast cancer
doi: 10.1038/s41698-026-01365-6
Figure Lengend Snippet: Samples are ordered by HER2 IHC subtype and TTNT from the start of T-DXd treatment. Clinical parameters displayed include HER2 IHC subtype (HER2-zero, HER2-low, HER2-positive), latest HER2 IHC prior to T-DXd, number of prior lines of chemotherapy, and receipt of sacituzumab govitecan before T-DXd. An asterisk on the TTNT bar indicates treatment is still ongoing. Bar plots show scores for each assay, and these values are also represented with color-coded squares, along with their corresponding quartiles for the HS-HER2 and RPPA HER2 assays. For HER2DX ERBB2, score groups are displayed based on the recommended cutoffs: Low (1–32), Med (33–50), and High (51–99) . Some cases are depicted as HER2-positive given prior HER2-positivity, despite the closest biopsy to T-DXd administration being formally HER2-negative (as suggested by the IHC score). HS-HER2, High Sensitivity-human epidermal growth factor receptor 2; RPPA, Reverse Phase Protein Array; T-DXd, trastuzumab deruxtecan; TTNT, time to next treatment. *did not experience TTNT event.
Article Snippet: The Leica BOND Rx autostainer protocol is as follows: deparaffinization with BOND dewax solution (AR9222), antigen retrieval with BOND HIER epitope retrieval solution 2 (AR9640) at 97 ° C for 20 min, blocking with ReadyProbes Endogenous HRP & AP blocking solution ( R37629 , Invitrogen) for 10 min and with BSA for 30 min, 1 h incubation with primary rabbit monoclonal HER2 antibody (clone 29D8, #2165, IgG, Cell Signaling) at optimal concentration of 1ug/ml mixed together with 1:100 concentration of pan-CK (Clones AE1/AE3, REF#M3515, Dako), amplification with Rabbit Envision+ System–HRP labeled polymer anti-Rabbit (K400311-2, Dako) mixed together with 1:100 dilution of a green-fluorescent Alexa Fluor 546 Goat-anti-Mouse IgG (H + L) Cross-Adsorbed Secondary Antibody (REF#A11003) for 1 h, staining with 1:50 dilution of a red-fluorescent Tyramide Signal Amplification (TSA) Cyanin 5 (SAT705A001EA, Akoya Biosciences) for 10 min and nuclear staining with 1:500 dilution of a blue-fluorescent 4′,6-diamidino-2-phenylindole (DAPI) for 10 min.
Techniques: Protein Array