, 2004) The Akt family of kinases, i e , Akt1, Akt2, and Akt3, p

, 2004). The Akt family of kinases, i.e., Akt1, Akt2, and Akt3, plays arolein processes that are well known as hallmarks of cancer, such as sustained angiogenesis, unlimited replicative potential, and tissue invasion and metastasis (Hanahan and Weinberg, 2011). Moreover, Akt activation mediates

the expression of N-cadherin and metalloproteinases and plays aroleintum or invasion and metastasis by inducing EMT (Park et al., 2001, Higuchi et al., 2001, Grille et al., 2003 and Wallerand et al., 2010). Recently, Steelman et al. (2011) demonstrated that the activation of AKT-1 increased the resistance of MCF-7 cells to radiation. Additionally, Toker and Yoeli-Lerner (2006) showed that Akt1 might have a dual role in tumorigenesis, not only promoting it by suppressing apoptosis but also inhibiting it by suppressing invasion and metastasis. The specific role of AKT in terms of cell motility and invasion seems check details to depend on the cell type and the pathways that are activated. Many of the enzymes that either mediate the

Akt signal, such as MDM2 (Zhou et al., 2001), or regulate Akt activity, such as the tumor suppressor PTEN (Li et al., 1997), are frequently mutated in human tumors. As such, Akt activity is up-regulated, thus increasing tumor cell growth and survival. In several mammalian systems, activated Akt1 correlates with cell migration and invasion. While constitutively active Akt1 can enhance the ability of some cells to invade (Steelman et al., 2011, Kim et al., 2001 and Arboleda et al., 2003), Akt1 can also have the Alectinib ic50 opposite effect

in normal or less invasive cells (Arboleda et al., 2003). Moreover, the increased activation of Akt1 correlates with increased proliferation and anchorage-independent growth. However, the effects of activated Akt1 on cell migration and invasiveness depend on the type of cells and tissues in which its action is being studied (Steelman et al., 2011, Kim et al., 2001, Arboleda et al., 2003, Enomoto et al., 2005, Irie et al., 2005 and Yoeli-Lerner et al., 2005). Yoeli-Lerner et al. (2005) and Toker and Yoeli-Lerner (2006) revealed that the expression of activated Gemcitabine Akt1 potently blocks the migration and invasion of three distinct breast cancer cell lines through Matrigel in vitro. In fibroblasts, Akt signaling enhances the activation of various small GTPases, leading to remodeling of the actin cytoskeleton and enhancing cell motility ( Enomoto et al., 2005). Similarly, the expression of activated Akt in fibrosarcoma or pancreatic cancer cells increases their ability to invade through Matrigel ( Park et al., 2001 and Kim et al., 2001). Liu et al. (2006) demonstrated that cells expressing activated Akt1 show increased proliferation and resistance to apoptosis. Additionally, the invasiveness and motility of the cells were substantially decreased by the down-regulation of Rho activity.

We feel that it is unlikely that the structural and functional di

We feel that it is unlikely that the structural and functional differences in these regions between the SLI group and the other two groups are due to age differences, but further study using larger samples is warranted. The structural and functional investigations into SLI provide useful insights into the neural differences which may underpin the language difficulties observed behaviourally. There Sorafenib mw is clear evidence of atypical structure and function in the left inferior frontal and superior temporal areas known to be involved in language production and

comprehension. Subcortical components including the caudate nucleus and putamen are also implicated, most likely due to their involvement with motor response

planning, selection, and preparation. Future investigations selleck chemical should aim to elucidate the developmental trajectories of structure and function, functionally assessing both receptive and expressive components independently. Between-group consideration of the task demands may also be important, attempting to minimise any influence of task difficulty. Furthermore, considering both left and right hemisphere specialisation and organisation, assessing prosodic speech aspects and regional connections will provide useful insights. We wish to thank all our participants for their continued cooperation with our research. We would also like to thank Marko Wilke for his friendly support with the LI-toolbox. This research was funded by the Medical Research Council UK G0400298 to KEW and the Wellcome Trust Programme Grant Nos. 053335/Z/98/Z and 082498/Z/07/Z to DVB. “
“There are a number of topographical structures in the Baltic

which, despite their small dimensions, play an essential role in the circulation and water exchange of this sea. The generally adopted division of the Baltic Sea is therefore based on bottom topography: this highlights the basins with clearly defined hydrographical parameters (Fonselius, 1969, Mikulski, 1987, HELCOM, 1990 and Omstedt, Rebamipide 1990). i.e. the Gulf of Bothnia, Bothnian Sea, Gulf of Finland, Gulf of Riga, Baltic Proper, Danish Straits and Kattegat. In terms of volume and surface area, the largest basin is the Baltic Proper (more than 50% of the volume and surface area of the Baltic Sea), which in turn consists of three smaller basins – the Bornholm Deep, Słupsk Furrow and Gdańsk Deep. The Gulf of Finland has no distinctive topographic sill; it is separated from adjacent basins by a strong hydrological front. Owing to the large river discharge and inflows of highly saline oceanic waters (Matthäus & Franck 1992), the Baltic Sea is characterized by very large horizontal and vertical salinity gradients. These contrasting processes, as well as solar radiation and heat exchange with the atmosphere, lead to the formation of a complex and variable thermohaline stratification.

2) Although small- and large-sized cladocerans had relatively si

2). Although small- and large-sized cladocerans had relatively similar responses (survival rates

were 81%, and 79% respectively), medium-sized D. magna were significantly more vulnerable to the crude oil (survival rate 70%) (ANOVA post hoc Bonferroni pmedium sized vs. other size groups < 0.05). The median lethal concentrations (LC50) at 24 h for small, medium and large size classes were Ipilimumab 1025, 610 and 900 mg L−1, respectively. At 96 h, however, the values were much lower at 210, 213 and 216 mg L−1. Furthermore, there was a significant interaction between cladoceran size and crude oil, i.e. different sized cladocerans responded differently on increasing crude oil concentration. The post hoc Bonferroni test indicated that most of the treatment levels above 100 mg L−1 were statistically different after 24 h but not after 96 h (Figure 3 and Figure 4). Specifically, none of the cladocerans, being in contact with oil concentrations above 100 mg L−1, showed recovering signs and died after 96 h even selleck kinase inhibitor if placed back

into their normal oil-free environment. In the control flasks all animals survived. Above 100 mg L−1 the survival rates of small- and large-sized D. magna decreased almost linearly with increasing oil concentrations: the large-sized specimens were more tolerant to the lowest dilution but their survival rate was decreasing more steeply with the raising oil concentration. However, medium size-class had lowest survival rates at all studied concentrations and declined nearly exponentially

with increasing oil concentration. Our experiments supported the hypotheses that an increasing crude oil concentration decreases the survival of D. magna and the crude oil having different effect on each of the cladocerans’ size-class was supported by current study. In contrast, the hypothesis that the interactive effect of crude oil concentration and the cladocerans’ life stage may dominate over the separate effect of crude oil concentration was not supported. We were also able to establish a threshold value of 100 mg L−1 below which the effects of crude oil on the cladocerans was negligible. In our study the Ribonuclease T1 overall LC50 values were considerably higher as compared to, e.g. Bobra et al. (1983). Such variation in LC50 values may be attributed to differences in, e.g. test methodology, test duration and crude oil type. The effects of oil pollution to plankton are complex involving many indirect and direct mechanisms. However, most effects are due to the increasing oil concentration. The indirect impact of oil pollution to plankton may result in the decrease of dissolved oxygen concentration and related degradation in water quality parameters (Harrel, 1985, Li and Boufadel, 2010 and Neff and Stubblefield, 1995). Very high concentrations of crude oil may eliminate primary producers from the area, thus decreasing the food resource for heterotrophs (Chao et al., 2012 and Karydis, 1982).

The slides were again placed in phosphate buffered saline (0 01 M

The slides were again placed in phosphate buffered saline (0.01 M PBS [pH 7.4]) and allowed HIF inhibitor to cool at room temperature for 30 min. All of the immunomarkers that were evaluated were examined on slides that underwent treatment for antigen retrieval. The endogenous biotin was blocked using 0.02 M PBS/0.3% Triton X100 (pH 7.4) and

5% skim milk for 4 h at room temperature. Incubation with anti-FasL rabbit polyclonal antibody (C-178, 1:500; Santa Cruz Biotechnology), anti-Fas rabbit polyclonal antibody (FL-335, 1:200; Santa Cruz Biotechnology), anti-cleaved caspase-8 mouse monoclonal antibody (AP1013, 1:100; Calbiochem), anti-cleaved caspase-3 rabbit polyclonal antibody (AP1027, 1:500; Calbiochem), anti-IDH1 rabbit polyclonal antibody (AP7454a, 1:50; Abgent), or anti-MGMT mouse monoclonal antibody (SPM287, 1:150; Santa Cruz Biotechnology) diluted in PBS with 1.0% bovine serum albumin (Sigma, USA) lasted for 12 h in a moist chamber at 4 °C. The slides were then washed in PBS and incubated

with secondary biotinylated antibody followed by streptavidin–biotin-peroxidase (anti-mouse or anti-rabbit Kit LSAB, DAKO) for 30 min each. Finally, to visualize the reactions, the slides were incubated with light-sensitive 3,3′-diaminobenzidine tetrahydrochloride (Sigma) in 0.05 M PBS (pH 7.6) and quickly FDA approved Drug Library counterstained with Harris hematoxylin. Coverslips were applied using Entellan (Sigma). A positive reaction was visualized as a brown deposit in the cell that indicated an area where the antigen–antibody reaction had occurred. Negative and positive controls were run simultaneously. Lymphoid tonsil tissue with follicular germinative centers was used as a positive control for FasL, Fas, cleaved caspase-8, Ceramide glucosyltransferase and cleaved caspase-3.

Placenta and normal colon, which had immunohistochemistry performed separately from the TMAs, were used as positive controls for IDH1 and MGMT, respectively. Negative controls consisted of slides that underwent the same procedure, except the incubation with primary antibody was eliminated. The staining patterns were analyzed according to their distribution and intensity, and the pathologists were blinded to the clinicopathological data of the GBM patients. A numerical scoring system consisting of 2 categories was used to assess FasL, Fas, cleaved caspase-8 and cleaved caspase-3 expression. Category A documented the number of immunoreactive cells (only ones with their respective nuclei inside were counted) as follows: 0 or negative (no immunoreactive cells or <10% immunoreactive cells), 1 (≥10% and <50% immunoreactive cells), or 2 (≥50% immunoreactive cells). Category B documented the intensity of the immunostaining as follows: 0 or 1 (no immunostaining or weak staining, respectively) or 2 (moderate or strong). The values for categories A and B were summed to provide an “immunoreactivity score”, which could range from 0 to 4.

Lastly, the biological and molecular functions of these genes wer

Lastly, the biological and molecular functions of these genes were explored in IPA. To understand which of the BaP-perturbed biological pathways are directly targeted by differentially expressed miRNA, the results were compared to the biological and molecular functions of those genes that were differentially altered in response to BaP but not identified as targets of any of the miRNA analysed. Serum chemistry was analysed to determine

the hepatic effects of BaP. The results are summarized in Table 1. Administration of 150 or 300 mg/kg BaP for three consecutive days by oral gavage resulted in a small decrease in serum inorganic phosphorous in both treatment groups. A decrease in serum glucose and alkaline phosphatase was seen in either 150 mg/kg

or 300 mg/kg group, respectively, at the 4 h time point. Total protein, uric acid, blood urea nitrogen, albumin and cholesterol did not Enzalutamide datasheet change in any of the groups compared to matched controls. A significant decrease in body weight was found for animals at the time of necropsy (from 24 g to 22.5 g; p < 0.01) but no apparent difference was observed in the specific liver weight for any of the dose groups (data not shown) ( Yauk et al., 2010). The formation of bulky mTOR inhibitor DNA adducts in lung and liver tissues of mice exposed to 150 and 300 mg/kg BaP was analysed by 32P-postlabelling 4 h after the last exposure. Exposure to BaP resulted in an increase in

stable DNA adducts in both lungs and livers in a dose-dependent manner (Table 2). Overall, DNA adduct levels in lungs were similar to the levels observed in liver for both the doses. BaP–DNA adducts were below detection limits in lungs and livers of mice exposed to vehicle control. Exposure to BaP by oral gavage caused a large response in pulmonary mRNA transcription. Approximately 558 and 1267 genes were differentially expressed with a fold change greater than 1.5 and a FDR adjusted p-value ≤ 0.05 in the 150 and 300 mg/kg exposure groups, respectively ( Supplementary Table 1). The complete microarray dataset is available through Calpain the Gene Expression Omnibus at NCBI (http://www.ncbi.nlm.nih.gov/geo/), accession number GSE24751. Hierarchical cluster analysis on differentially expressed genes revealed that samples within a treatment group were clustered ( Supplementary Figure 1), thus, a clear treatment effect was found as a result of exposure to BaP. A large fold induction was observed for a number of genes involved in the metabolism of BaP at both the doses, suggesting that the BaP reached the pulmonary system despite its administration by oral gavage. These genes included Cyp1b1 (25 fold and 50 fold), Cyp1a1 (25 fold and 30 fold), NAD(P)H dehydrogenase, quinone 1 (21 fold) and aryl-hydrocarbon receptor repressor (17 fold and 20 fold) for 150 and 300 mg/kg, respectively.

Despite literature pointing to an increase in aroma and flavour w

Despite literature pointing to an increase in aroma and flavour with addition of prebiotics, orange aroma and flavour

were not affected by addition of fructans. As this work, addition of 1 and 2 g/100 g of tagatose (prebiotic ingredient) in bakery products (cinnamon muffins, lemon cookies and chocolate cakes) resulted in a similar flavour to control products with added sucrose (Armstrong, Luecke, & Bell, 2009). The fructans did not affect crust uniformity, although oligofructose enhanced appearance uniformity of sponge cake in relation to cake with Y-27632 cell line sucrose (Ronda et al., 2005). It also did not affect sweet taste and moisture content, probably because of the high quantity of sugar already used in the cake formulations and because the standard cake was already GSK1120212 research buy moist, respectively. Zahn, Pepke, and Rohm (2010) added inulin Orafti®GR as a margarine replacer in muffins and applied the Quantitative Descriptive Analysis. This replacement had some similar effects on sensory profile in relation to our work: higher tough (intensity of a perceived chewing resistance) and similar smell (intensity

of product-typical smell, comprising fresh and sweetish), sweet (sweetness intensity) and dry (mouth-feel during chewing which gives an impression of missing moisture). In another work, the simplex-centroid design for mixtures of inulin, oligofructose and gum acacia was used to optimize a cereal bar formulation. The linear Resminostat terms of inulin and oligofructose influenced brightness (although did not change in our work), dryness, cinnamon odour, sweetness, hardness, crunchiness and chewiness, besides the interaction of inulin and oligofructose to cinnamon odour and chewiness (Dutcosky, Grossmann, Silva, & Welsch, 2006). The type of fructan used, only inulin or oligofructose/inulin, did not affect any attribute,

therefore, the sensory profile of the cakes with prebiotics is the same (Fig. 1). Both of the cakes with prebiotics were characterized by crust brownness, dough beigeness, hardness and stickiness, while the standard cake was characterized by crumbliness. Principal Component Analysis (Fig. 2) showed that the first and second principal components explained, respectively, 69.5 and 10.7% of the observed variation (80% in total), thus indicating that the panellists were able to discriminate satisfactorily between the samples analyzed, in relation to the descriptor terms. The cake with inulin presented higher reproducibility of the results, because the vertices of the quadrilateral were close, while the other two showed lower reproducibility. Again, the cakes with prebiotics presented similar sensory characteristics, but different from those of the standard cake, since the latter was distant from the other two in the vector space.

As the ultrasound exam is performed the fusion system continuousl

As the ultrasound exam is performed the fusion system continuously generates reformatted planes from the reference series matching the oblique imaging planes of the ultrasound transducer. The reformatted planes are displayed either as an overlay or side-by-side with the live ultrasound (Figure 1 and Figure 2). This display enhances

interpretation of ultrasound by enabling a direct comparison with the reference images from the same LDE225 chemical structure view angle. The combined use of different modalities for definitive diagnosis is common. Ultrasound, for instance, is useful to assess indeterminate lesions identified in CT or MRI. A confident diagnosis can be made if a clear correlation can be made between ultrasound and the preceding series. However, if a physician is not confident that ultrasound has found the correct lesion, the case may be further referred to another modality with increased time, cost and potentially mixed results. Fusion imaging enables greater confidence in establishing a clear correlation between modalities by visualizing the same anatomy from the same view angle. Ultrasound is also useful for guiding biopsies for definitive diagnosis. Once again, clear correlation with CT or MRI is required to confidently target a specific lesion. Fusion imaging also has potential as a training selleck tool, similarly allowing trainees to better understand

ultrasound in the context of CT or MRI. Fusion imaging

makes use of a tracking system to localize ultrasound transducers and other devices relative to the patient. Optical and electromagnetic systems are available, the latter being most commonly used. Various software tools are also used to bring the reference series into alignment with the tracking system for fusion display [3], [4], [5] and [6]. Research into these tools has been ongoing for approximately 20 years. Clinical implementation of fusion imaging has suffered, however, due to the time required to achieve adequate alignment using traditional methods. Recent advancements in automatic image analysis may potentially reduce this time greatly. Tracking sensors are also incorporated into some interventional devices such as introducers and ablation needles, enabling the display of needle Bcl-w location as an overlay on live ultrasound images (Fig. 2). This display can be useful for overcoming difficulties in visualizing needles during ultrasound-guided procedures [7]. Such devices may allow procedures to be completed more quickly and with fewer placement attempts, particularly for more complex cases (Fig. 3). Ultrasound fusion imaging can potentially apply to a wide range of specialty disciplines. In neurology, fusion imaging may facilitate the interpretation of vascular imaging, such as for multi-modality characterization of atherosclerosis.

The tanks are structurally complex and composed of interconnected

The tanks are structurally complex and composed of interconnected bays, longitudinal and transverse stringers/stiffeners to improve the strength of the vessel. The usual layout of ballast tanks on a bulk carrier consists of the tanks located at the fore peak, aft peak,

upper/topside wing, lower/hopper wing and bottom. The double bottom tank and hopper tank are unified and in some cases are connected with the upper wing/topside tanks by a trunk that allows the ballast water to flow between them. Fig. 1 shows a schematic of the ballast tanks of a bulk carrier. Other tankers have slimmer ballast water tanks along the ship and do not alternate. These ballast tanks are large with a simple box design, and have a capacity of 40,500 m3 FK866 manufacturer of water serviced by pumps with a flow rate of 3000 m3/h (or ~1 m3/s). Inside the double bottom tank, individual compartments are generated by crossing longitudinal and transverse stiffeners and frames with lightening holes. The Talazoparib solubility dmso neighbouring compartments are associated with lightening holes, stringers and limber holes, shown in Fig. 2. The ballast tank flushing is achieved either from the inlet as shown in Fig. 1(b) by the sequential (empty/refill) method or

through overflow arrangements by the flow through method. For the flow-through method, the overflow is achieved from two air/sounding pipes either on the deck or to the side, typically with a diameter of 0.15–0.2 m. The NIS that can be drawn into a ballast tank range from bacteria, plankton, fish eggs or crabs to fish (see Wonham and Carlton, 2005). Associated with these is a settling or swimming velocity, ranging from 0.1 to 150 mm/s (see Wong and Piedrahita, 2000 and Magill et

al., 2006). The smaller species are essentially advected with the flow and can be regarded as essentially passive during flushing. When the species are passive, the fraction of the original water that is flushed out of the ballast tank can be used as a proxy for estimating the removal of NIS from the tanks. The current legislation deals with the number of exchange volumes that are required to achieve a level of flushing. Future treatment strategies are likely to do with reflushing and cleaning while the Carteolol HCl ship is in transit, and again, knowledge of the distribution of treated ballast water will be useful. There are comparatively few theoretical studies of the flow within multi-compartment tanks. Wilson et al. (2006) and Chang et al. (2009) used CFD to examine the movement of fluid in a 1/3-scale double bottom tank and a full-scale ballast tank from a typical bulk carrier. When density contrast between the incoming seawater and the original freshwater was relatively large, the predicted flushing efficiency fell short of the required 95% replacement after three volumes exchange for both tanks, due to trappage in the tank tops.

, 2013) In contrast, the most comprehensive efforts to describe

, 2013). In contrast, the most comprehensive efforts to describe the global distributions of marine heterotrophic microbes have relied on only a few hundreds of samples (e.g. Brown et al., 2012 and Ladau et al., 2013). Second, of the many factors invoked to explain the existence of spatial biogeography, the nutritional aspect is often overlooked. This is because it is easier to correlate readily available physical parameters such as temperature or salinity with the structure and function of microbial communities, rather than spatially co-varying levels of nutrients that are not always part of the metadata collected in microbial studies. RG7204 research buy This is particularly true for some

macro-,

and micro-nutrients, such as NH4, Fe, Zn, Ni and Cu that are present in vanishingly small amounts and require specialist techniques for measurement. Resource-based selective pressure is not limited to resource availability but is the result of a tradeoff between metabolic cost for uptake and the resulting growth benefit. Moreover a conceptual framework for microbial biogeography has to take into account the role that underlying micropatchiness exerts on community structure (for example particle vs. free-living) leading to microscale resource partitioning and the evolution of very defined and contrasting trophic strategies (Lauro et al., 2009). Finally, most marine microbial ecology is still framed AZD1208 concentration in terms of “bottom-up” considerations, examining how communities assemble in relation to resource availability and abiotic

factors (Strom, 2008). Yet the selective pressure community interactions exert on the structure and function of microbial communities is evident in the continual reshaping of communities by mortality, allelopathy and symbiosis. A better understanding of these processes is emerging based on new sampling methods and analysis tools, including nano-SIMS (e.g. Thompson et al., 2012), in-situ sample collection (Shade et al., 2009 and Ottesen et al., 2013) and better quantitative measures of the relationships between gene expression at the transcriptional Arachidonate 15-lipoxygenase (transcriptomics) and translational levels (proteomics) (Waldbauer et al., 2012). However, even with these significant knowledge gaps, there is much to be learned from the study of marine microbial biogeography and the development of new sampling and analysis techniques will constantly be refining our view of this field. The authors thank the crew of the S/Y Indigo V for insightful discussions. MVB and FML are supported by fellowships from the Australian Research Council (DP0988002 and DE120102610). “
“Species-specific patterns of gene expression are predicted to correlate with their ecological niches and can now be compared and analyzed using global transcription analysis via RNA-seq.

Approximately 20% of breast cancers overexpress HER2, caused by a

Approximately 20% of breast cancers overexpress HER2, caused by amplification of the erbB2 oncogene [11], [12], [13] and [14]. As a marker of aggressive disease,

Ceritinib research buy HER2 overexpression is an independent predictor of decreased recurrence-free survival, breast cancer-related survival, and overall survival [15] and [16]. The development of HER2-targeting therapy has revolutionized the treatment of HER2-positive breast cancer such that we may consider HER2 overexpression a positive predictor of improved outcome. Studies worldwide have identified the significant benefit of first-line trastuzumab therapy in conjunction with surgery and cytotoxic chemotherapy for treating HER2-positive breast carcinoma [17] and [18]. Thus, accurate HER2 testing

to ensure that the right patient receives the right treatment is now more critical than ever [19], [20] and [21]. Currently, we evaluate HER2 status mainly with immunohistochemistry (IHC) or fluorescence in situ hybridization (FISH); IHC analysis is usually used as the primary assay, and reflex FISH is performed for a specific subset of IHC results (e.g., 1+ or 2+); other laboratories primarily use FISH [22] and [23]. The 2013 ASCO/CAP (American Society of Clinical Oncology/College 5-FU purchase of American Pathologists) guideline defines HER2-positive breast carcinoma as tumors containing >10% of cells with complete and intense membrane staining Phloretin by IHC. FISH-positive

breast carcinoma is defined as average HER2 copy number ≥ 6.0 signals/cell or average HER2 copy number ≥ 4.0 signals/cell and HER2/chromosome 17 centromere (CEP17) ratio ≥ 2.0 [24]. In comparison, the 2007 ASCO/CAP guideline uses a cutoff value of HER2/CEP17 ratio > 2.2 to define HER2 overexpression [24], [25] and [26]. The 2013 criteria benefits many more patients in terms of the targeted drugs they may potentially receive, especially patients with chromosome 17 polysomy (polysomy 17) as identified by dual-probe FISH. In terms of HER2 gene assessment, it has been proven that CEP17 amplification causes misleading HER2 FISH results [27], [28], [29], [30] and [31], precluding anti-HER2-based therapy for some patients. In this study, we used the 2013 ASCO/CAP scoring criteria to evaluate HER2 amplification status in breast carcinoma with polysomy 17. The study involved 175 cases with primary invasive breast cancer. Samples were obtained after the patients had provided informed consent; the Nanjing Drum Tower Hospital Ethics Committee approved the study. The HER2 IHC was determined and we reviewed the HER2 status of the archived samples, and analyzed the tumors according to the 2007 and 2013 ASCO/CAP guidelines. Each tissue sample was fixed immediately in 10% neutral buffered formalin for 6–48 h, and then paraffin-embedded.