ERCC1 Monoclonal Antibody

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Description

Definition and Functional Role of ERCC1 Monoclonal Antibodies

ERCC1 (Excision Repair Cross Complementation Group 1) is a key enzyme in nucleotide excision repair (NER) and inter-strand DNA crosslink repair, critical for resolving DNA damage caused by platinum-based chemotherapies like cisplatin . Monoclonal antibodies targeting ERCC1 are used to detect protein expression levels in tumor specimens, serving as potential biomarkers for predicting treatment response and prognosis .

Types of ERCC1 Monoclonal Antibodies and Specificity

Several ERCC1-specific antibodies have been developed, with varying specificity and clinical utility:

Antibody CloneHostEpitope TargetApplicationsKey Features
8F1MouseNon-specific bindingIHC, WBCross-reacts with PCYT1A (unrelated protein)
4F9MouseERCC1-specificIHC, WB, IFValidated for colorectal cancer; no cross-reactivity
EP219RabbitNuclear localizationIHC, WB, ELISADetects nuclear ERCC1; used in NSCLC and ovarian cancer
9D11MouseIsoforms 201/202/203IHCExcludes isoform 204; optimized for gastric cancer
FL297MouseERCC1-specificIHCUsed in head and neck squamous cell carcinoma (HNSCC) trials

Critical Note: Antibody 8F1, historically used in ERCC1 studies, has been shown to bind an unrelated protein (PCYT1A), leading to unreliable results . Newer clones like 4F9 and 9D11 demonstrate improved specificity .

Clinical Applications and Prognostic Value

ERCC1 monoclonal antibodies are primarily used to assess tumor response to platinum-based therapies:

Platinum Resistance and Prognosis

High ERCC1 expression is associated with resistance to cisplatin in cancers such as non-small cell lung cancer (NSCLC) and colorectal cancer (CRC) . Conversely, in some contexts (e.g., NSCLC without adjuvant therapy), ERCC1-positive tumors correlate with better survival .

Key Clinical Studies

Cancer TypeAntibody UsedFindingsClinical Implication
HNSCC4F9, FL297High ERCC1 = inferior progression-free survival (PFS) with cisplatin-radiotherapy ERCC1 expression predicts resistance to platinum-radiotherapy
Colorectal4F985% of specimens evaluable; ERCC1 low (46.7%) vs. moderate (35.0%) expression Validates 4F9 for ERCC1 assessment in CRC
Gastric9D11Detects isoforms 201/202/203; excludes isoform 204 Potential biomarker for cisplatin response in gastric cancer

Antibody Specificity and Validation

  • 4F9: Confirmed specificity via immunoblotting, IHC, and immunofluorescence in colorectal cancer models .

  • 9D11: Targets ERCC1 isoforms 201/202/203 but not 204, ensuring precise detection in gastric cancer .

  • 8F1: Cross-reactivity with PCYT1A undermines reliability; excluded from modern studies .

Scoring Guidelines for IHC

A standardized scoring system for ERCC1 expression using antibody 4F9 involves:

  1. Intensity: 0 (negative), 1 (weak), 2 (moderate), 3 (strong).

  2. Binary Classification: Low (0–1) vs. moderate/high (2–3) .
    Interobserver agreement for 4F9 in CRC was 91.7% (kappa = 0.83) when using binary scoring .

Future Directions and Research Gaps

  1. Isoform-Specific Antibodies: Development of antibodies targeting ERCC1 isoforms (e.g., 202, linked to cisplatin repair) could refine biomarker utility .

  2. Biomarker Integration: Combining ERCC1 protein expression with gene copy number or mRNA levels may improve predictive accuracy .

  3. Standardization: Harmonization of IHC protocols across studies is critical for reproducibility .

Product Specs

Buffer
Phosphate-buffered saline (PBS), pH 7.4, containing 0.02% sodium azide as a preservative and 50% glycerol.
Form
Liquid
Lead Time
Typically, we can ship products within 1-3 business days of receiving your order. Delivery time may vary depending on the purchasing method or location. Please consult your local distributors for specific delivery time estimates.
Synonyms
COFS 4 antibody; COFS4 antibody; DNA excision repair protein ERCC 1 antibody; DNA excision repair protein ERCC-1 antibody; DNA excision repair protein ERCC1 antibody; ERCC 1 antibody; ERCC1 antibody; ERCC1_HUMAN antibody; Excision repair cross complementation group 1 antibody; Excision repair cross complementing 1 antibody; Excision Repair Cross Complementing Rodent Repair Deficiency Complementation Group 1 antibody; Excision repair protein antibody; RAD 10 antibody; RAD10 antibody; UV 20 antibody; UV20 antibody
Target Names
Uniprot No.

Target Background

Function
ERCC1 is a non-catalytic component of a structure-specific DNA repair endonuclease that is responsible for the 5'-incision during DNA repair. In conjunction with SLX4, ERCC1 plays a crucial role in the initial step of interstrand cross-link (ICL) repair. It also participates in processing anaphase bridge-generating DNA structures, which arise from incompletely processed DNA lesions during the S or G2 phase and can lead to cytokinesis failure. Furthermore, ERCC1 is required for homology-directed repair (HDR) of DNA double-strand breaks, working in tandem with SLX4. ERCC1 is not involved in the nucleotide excision repair pathway.
Gene References Into Functions
  1. Lactacystin enhances cisplatin sensitivity in resistant human ovarian cancer cell lines by inhibiting DNA repair and ERCC-1 expression. PMID: 11936875
  2. Inter-individual variation, seasonal variation, and a close correlation of OGG1 and ERCC1 mRNA levels have been observed in full blood. PMID: 12189194
  3. ERCC1-transfected HCT-116 cells exhibited paradoxical behavior in vivo, with increased growth in mice treated with oxaliplatin compared to untreated mice. PMID: 30048976
  4. Patients with advanced non-small cell lung cancer (NSCLC) displaying low expression of excision repair cross-complementation group 1 (ERCC1) benefit from cisplatin-based chemotherapy. Conversely, high expression of ERCC1 indicates better progression-free survival in the treatment with erlotinib/bevacizumab, supporting its prognostic significance. PMID: 29905882
  5. Five single nucleotide polymorphisms (SNPs) acted as cis-eQTLs, being associated with the transcription of IREB2 (rs2568494, rs16969968, rs11634351, rs6495309), PSMA4 (rs6495309), and ERCC1 (rs735482), out of 10,821 genes analyzed in lung tissue. Experimental evidence of differential allelic expression in lung tissue was obtained for these three genes, suggesting the presence of in-cis genomic variants that regulate their transcription. PMID: 28181565
  6. Patients with positive ERCC1 expression and deficient (d)MMR status exhibited higher overall survival (OS) compared to those with either positive ERCC1 and proficient (p)MMR, negative ERCC1 and dMMR, or negative ERCC1 expression and pMMR status (OS 79 vs. 69 vs. 66 vs. 61%, hazard ratio (HR) 0.90, 95% confidence interval (CI) 0.80-1.00; p = 0.043). PMID: 29065415
  7. Gene expression studies alongside DNA sequence analysis demonstrate that different splicing isoforms of ERCC1 affect the expression of its overlapping genes CD3EAP and PPP1R13L. PMID: 29620255
  8. Common genetic variations in ERCC1/XPF genes have been associated with neuroblastoma risk, requiring further validation by ongoing studies. PMID: 29544698
  9. The ERCC1 rs3212986 CC genotype displayed a protective effect against radiotherapy-induced acute reactions. PMID: 29631685
  10. Research findings suggest a link between ERCC1 rs3212986 and the occurrence of late gastrointestinal toxicity. No association was found between the XRCC3 rs861539 polymorphism and any clinical toxicity event. PMID: 28708208
  11. ERCC1 overexpression is a significant phenotype linked to esophageal squamous cell carcinoma (ESCC) lymph node metastasis and advanced tumor clinical stages. ERCC1 expression may also inhibit ESCC cell apoptosis by regulating survivin expression, and overexpression of both ERCC1 and survivin are independent predictors of prognosis for ESCC patients receiving chemotherapy and/or radiotherapy. PMID: 30075571
  12. ERCC1 expression could be a useful predictive marker in patients with locoregionally advanced nasopharyngeal carcinoma undergoing cisplatin-based concurrent chemoradiotherapy. PMID: 29439312
  13. The current results indicate that EGFR mutation status, as well as thymidylate synthase (TS) and ERCC1 expression, can be used as predictors of overall survival after subsequent second-line treatments for adenocarcinoma non-small-cell lung cancer. PMID: 29200955
  14. While no association was found between the rs11615 and rs2276466 polymorphisms and colorectal cancer (CRC) susceptibility, data suggest that ERCC1 rs3212986 and rs2298881 polymorphisms may increase susceptibility to CRC. PMID: 29199611
  15. The polymorphisms of rs3212986 showed no association with the risk of preeclampsia in the Chinese Han population. However, the difference in the genotypic distribution between early-onset and late-onset preeclampsia suggests the need for future investigations. PMID: 29153678
  16. ERCC1 expression was not found to be prognostic in surgically resected oropharynx/oral cavity squamous cell carcinoma of the head and neck. PMID: 28645807
  17. A functional relationship between ERCC1 expression and genomic instability has been established in prostate cancer. PMID: 28747165
  18. In nasopharyngeal carcinoma patients, ERCC1 and BRCA1 may serve as predictors of response to platinum-based chemotherapy and concurrent radiochemotherapy. PMID: 28404895
  19. Relevant SNPs in DNA repair (ERCC1 and ERCC5) and apoptosis (MDM2 and TP53) genes may influence the severity of radiation-related side-effects in head and neck squamous cell carcinoma (HNSCC) patients. Prospective clinical SNP-based validation studies are needed on these bases. PMID: 28351583
  20. These studies revealed that carriers of the T allele of ERCC1 rs11615, XPC rs2228000, and rs50872, particularly in postmenopausal females, have an increased risk of breast cancer. PMID: 27768589
  21. Pretreatment ERCC1 expression status predicts tumor response and survival in patients with recurrent or metastatic uterine cervical cancer receiving platinum-based chemotherapy. PMID: 29390553
  22. ERCC1 could potentially be an effective predictor of response to FOLFIRINOX in metastatic pancreatic cancer. PMID: 27147577
  23. Methylation of both blood and tumor tissue MGMT and ERCC1 has been associated with cancer of the rectum. PMID: 29080834
  24. Data suggest that genetic variants of XRCC4 and ERCC1 may independently or jointly affect survival in chemotherapy-treated gastric cancer (GCa) patients by modulating gene expression in the tumors. PMID: 28796378
  25. Allelic variants in ERCC1 and ERCC2 are not associated with an increased risk of developing pre-senile cataract. However, the presence of Gln/Gln in XRCC1 in the pre-senile cataract group, compared to the group without cataract, is associated with a major risk of developing pre-senile cataract. PMID: 27668351
  26. ERCC1 polymorphism has been linked to colorectal cancer. PMID: 29153096
  27. We demonstrated an association between six previously published single nucleotide polymorphisms (rs15869 [BRCA2], rs1805389 [LIG4], rs8079544 [TP53], rs25489 [XRCC1], rs1673041 [POLD1], and rs11615 [ERCC1]) and subsequent central nervous system (CNS) tumors in survivors of childhood cancer treated with radiation therapy. PMID: 28976792
  28. Genetic polymorphism in the ERCC1 gene is associated with response to chemotherapy in osteosarcoma. PMID: 28388903
  29. ERCC1 was not detectable in the nucleus of XPF knockout cells, indicating the necessity of a functional XPF/ERCC1 heterodimer for ERCC1 to enter the nucleus. PMID: 28130555
  30. No association was found between the ERCC1 C19007T polymorphism and the effectiveness of platinum-based chemotherapy in ovarian cancer. The polymorphism did not have a significant impact on platinum-based chemotherapy in non-responders and responders. PMID: 28623887
  31. The T allele at ERCC1 rs11615 may interact with smoking and alcohol drinking status to determine individual susceptibility to colorectal cancer. PMID: 28476796
  32. Interestingly, the addition of the single-stranded DNA (ssDNA)-binding replication protein A (RPA) selectively restores XPF-ERCC1 endonuclease activity on this structure. The 5'-3' exonuclease SNM1A can load from the XPF-ERCC1-RPA-induced incisions and digest past the crosslink to quantitatively complete the unhooking reaction. PMID: 28607004
  33. ERCC1 mutation, along with BRCA1 mutation, confers chemoresistance in breast cancer. PMID: 28124401
  34. The authors have identified a major sub-pathway of conventional long-patch base excision repair involving the formation of a 9-nucleotide gap 5' to the lesion. This new sub-pathway is mediated by RECQ1 DNA helicase and ERCC1-XPF endonuclease in cooperation with PARP1 poly(ADP-ribose) polymerase and RPA. PMID: 28373211
  35. Based on structural models, nuclear magnetic resonance (NMR) titrations, DNA-binding studies, site-directed mutagenesis, charge distribution, and sequence conservation, it is proposed that the HhH domain of ERCC1 binds to double-stranded DNA (dsDNA) upstream of the damage, while XPF binds to the non-damaged strand within a repair bubble. PMID: 28028171
  36. Meta-analysis indicated that the ERCC1 rs3212986 polymorphism and two polymorphisms in the ERCC2 gene (rs13181 and rs1799793) contribute to the susceptibility of glioma. PMID: 28514298
  37. ERCC1-SNP, in combination with mRNA ERCC1, DPYD, and ERBB2 from pretherapeutic endoscopic biopsies, can predict minor response to chemoradiation, providing a basis for individualized therapy of advanced esophageal cancer. PMID: 27741011
  38. Reduced excision repair cross-complementation group 1 (ERCC1) and group 2 (ERCC2) RNA expressions were detected in 50 (78.1%) and 48 (75%) cases, respectively, while reduced proteins were detected in 48 cases (75%) for both ERCC1 and ERCC2. PMID: 28088319
  39. ERCC1 expression was identified as a prognostic marker for overall survival in the patient cohort with operable lesions. Collectively, these data identify ERCC1 as a disease marker in lung adenoma patients from Xuanwei and confirm the significance of resection for the subsequent effect of platinum treatment in these patients. PMID: 28260069
  40. ERCC1 is expressed in a significant proportion of upper tract urothelial carcinoma and is linked with tumor necrosis. However, its expression does not appear to be associated with prognosis following radical nephroureterectomy. PMID: 26658888
  41. RRM1 and ERCC1 expression levels did not show any relationship with overall survival. PMID: 26612755
  42. ERCC1 and BRCA1 were overexpressed in A549/DDP compared with A549 (P<0.05). ERCC1 and BRCA1siRNA transfection can significantly reduce ERCC1 and BRCA1 mRNA and protein expression (P<0.05). Downregulating ERCC1 and BRCA1 expression significantly inhibited cell proliferation and increased caspase 3 activity (P<0.05). Downregulation of ERCC1 and BRCA1 significantly decreased PI3K and AKT phosphorylation levels (P<0.05). PMID: 27289442
  43. The wild-type alleles of RRM1 and ERCC1 are risk-reducing factors for coronary artery disease (CAD). Additionally, carrying the RRM1 A allele might have a protective effect for smokers. PMID: 27566080
  44. Genetic polymorphisms of ERCC1-8092 are associated with the risk of hepatocellular carcinoma in the Guangxi Zhuang population of China. PMID: 27858866
  45. Immunohistochemical expression of ERCC1 and XRCC1 holds some predictive and prognostic value in patients with biliary tract cancer. Nuclear expression of ERCC1 and XRCC1 may be used to predict therapeutic response in patients undergoing gemcitabine monotherapy. PMID: 26763622
  46. ERCC1 rs3212986 gene polymorphism has a significant effect on the pharmacokinetics and treatment outcome of gastric cancer. No association was found between ERCC1 rs11615 and overall survival of gastric cancer. PMID: 27173253
  47. A study found that ERCC1 and RRM1 are not independent prognostic factors of recurrence in stage I non-small cell lung cancer patients. PMID: 26542178
  48. High ERCC1 expression is associated with poor response to platinum-based induction chemotherapy in head and neck cancer. PMID: 27165214
  49. The ERCC1 rs11615 (C>T) polymorphism was associated with therapeutic response in Caucasian patients, and the C allele of ERCC1 rs11615 could represent a genetic molecular marker to predict better patient response to radiochemotherapy (meta-analysis). PMID: 27100737
  50. Our results indicate that the ERCC1 codon 118 polymorphism may have predictive potential for chemotherapy treatment responses in late-stage bladder cancer patients. PMID: 27323074

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Database Links

HGNC: 3433

OMIM: 126380

KEGG: hsa:2067

STRING: 9606.ENSP00000013807

UniGene: Hs.435981

Involvement In Disease
Cerebro-oculo-facio-skeletal syndrome 4 (COFS4)
Protein Families
ERCC1/RAD10/SWI10 family
Subcellular Location
[Isoform 1]: Nucleus.; [Isoform 2]: Cytoplasm. Nucleus.; [Isoform 3]: Nucleus.; [Isoform 4]: Nucleus.

Q&A

What is ERCC1 and what role does it play in DNA repair?

ERCC1 (Excision Repair Cross-Complementing group 1) is a mammalian nucleotide excision repair (NER) enzyme encoded by the ERCC1 gene located on chromosome 19 . It plays a crucial role in repairing damaged DNA, particularly in the nucleotide excision repair pathway. ERCC1 is homologous to RAD10 in Saccharomyces cerevisiae and is required for mitotic intrachromosomal recombination and repair processes .

The protein functions by forming a heterodimer with XPF endonuclease, which is essential for the repair of DNA damage introduced by platinum compounds like cisplatin. ERCC1 specifically participates in the excision of damaged DNA segments during the repair process, making it particularly important in contexts where DNA damage occurs through crosslinking agents .

How does ERCC1 expression correlate with platinum-based chemotherapy resistance?

ERCC1 overexpression has been associated with poor prognosis after cisplatin (CDDP) treatment in various cancers, including gastric and non-small cell lung cancers . This correlation exists because high ERCC1 expression enhances the cell's ability to repair platinum-induced DNA damage, effectively neutralizing the cytotoxic effects of these chemotherapeutic agents.

Research has demonstrated that in advanced gastric cancer, elevated ERCC1 mRNA levels correlate with resistance to cisplatin and 5-fluorouracil-based therapy . Conversely, patients with tumors showing low ERCC1 expression typically demonstrate better disease control rates when treated with platinum-containing chemotherapy regimens . This relationship makes ERCC1 a valuable predictive biomarker for platinum-based chemotherapy efficacy across multiple cancer types.

What are the major ERCC1 isoforms and their functional differences?

The ERCC1 gene produces four main isoforms (201, 202, 203, and 204) through alternative splicing, with distinct functional characteristics:

  • Isoform 202 has been specifically implicated in cisplatin resistance in xenograft models of lung cancer cells

  • Isoform 204 notably lacks the exon 3 coding region, distinguishing it from the other major isoforms

  • Isoforms 201, 202, and 203 contain exon 3 coding regions and appear to be the predominant isoforms expressed in various cancer cell lines, particularly gastric cancer cell lines

This isoform diversity is significant because different antibodies may detect specific isoforms but not others, which can affect research outcomes and clinical interpretations. For instance, the 9D11 antibody described in search result specifically detects isoforms 201, 202, and 203, but not 204.

What techniques are most effective for detecting ERCC1 expression in clinical specimens?

Multiple techniques can be employed for ERCC1 detection in clinical specimens, each with specific advantages:

  • Immunohistochemistry (IHC): Most commonly used in clinical settings for its ability to directly visualize protein expression in tissue sections. The 9D11 antibody demonstrated clear nuclear staining patterns in clinical specimens of gastric cancers . Other antibodies like EP219 are also suitable for both paraffin-embedded and frozen tissues .

  • Western Blotting: Provides quantitative assessment of protein expression and can distinguish between different isoforms. In the study referenced, Western blotting analysis confirmed that all seventeen gastric cancer cell lines expressed either 201, 202, and/or 203 as major isoforms of ERCC1 .

  • qRT-PCR: Enables quantification of ERCC1 mRNA levels, which has shown correlation with platinum resistance in some studies. This technique was used to select stable cell lines expressing human ERCC1 in the referenced research .

  • ELISA: Useful for screening of antibody specificity and sensitivity, as demonstrated in the hybridoma screening process for the 9D11 antibody .

For clinical specimens, IHC remains the most practical approach, though researchers should be aware of potential variability in antibody performance over time, as noted in the 2021 study of NSCLC patients .

How can researchers validate the specificity of ERCC1 antibodies?

Validating antibody specificity is crucial for reliable ERCC1 detection. Recommended validation approaches include:

  • Expression of recombinant proteins: Test antibody specificity against various ERCC1 isoforms expressed in bacterial or human cell systems. In the referenced study, researchers used BL21 (DE3) to induce expression of ERCC1 isoforms and plasmids RC208787 and RC228204 to express the ERCC1 isoforms 201 and 203 with C-terminal Myc and FLAG tags in HeLa cells .

  • Western blotting with isoform controls: Compare detection patterns against known isoform expression profiles. This allows confirmation of which isoforms the antibody can detect .

  • Immunohistochemical controls: Include positive control tissues with known ERCC1 expression. Recommended control tissues include tonsil, testis, breast, prostate, fallopian tube, and various carcinomas .

  • Comparison with established antibodies: Benchmark new antibodies against previously validated ones (with awareness of their limitations). The 9D11 antibody development included comparison with other ERCC1 antibodies like 4F9 and FL297 .

  • Genetic knockdown/knockout validation: Confirm specificity by testing in ERCC1 knockdown or knockout models to verify signal reduction or elimination.

How do various ERCC1 monoclonal antibodies compare in terms of isoform specificity?

Different ERCC1 monoclonal antibodies exhibit varying isoform specificities, which can significantly impact experimental outcomes:

AntibodyIsoform SpecificityApplicationsNotes
9D11Detects isoforms 201, 202, 203 but not 204IHC, Western blottingSpecifically developed for clear nuclear staining in clinical specimens
EP219Not specified for specific isoformsIHC (paraffin, frozen)Rabbit monoclonal with nuclear localization
8F1Not specifically indicatedIHCIssues with cross-reactivity to unrelated proteins
5A2D1Targets AA 1-297WB, ELISA, IHC, FACSMouse monoclonal
1E5B3Targets AA 151-297ELISA, FACS, ICCMouse monoclonal
ERCC1-2318Targets AA 191-281IHC, StMMouse monoclonal
752CT13-2-5Targets C-Terminal (AA 268-297)WBMouse monoclonal

When selecting an antibody, researchers should consider which isoforms are relevant to their research question. For comprehensive detection of clinically relevant isoforms, antibodies that detect multiple isoforms containing exon 3 coding regions (like 9D11) may be preferable for most applications .

What challenges exist in standardizing ERCC1 expression evaluation for clinical use?

Several significant challenges have hindered the standardization of ERCC1 expression evaluation for clinical applications:

  • Antibody specificity issues: Some antibodies, like 8F1, have demonstrated cross-reactivity with unrelated proteins, compromising result reliability .

  • Changes in antibody performance over time: Research has shown that antibody performance can change, with testing done in 2012 and 2018 producing inconsistent results despite using the latest available antibodies at each time point .

  • Isoform-specific functionality: Evidence suggests that only specific isoforms (particularly 202) contribute significantly to cisplatin resistance, complicating the interpretation of total ERCC1 expression data .

  • Technical variability in detection methods: Different detection methodologies and scoring systems create difficulties in comparing results across studies.

  • Tissue fixation and processing variables: Differences in sample preparation can affect antibody binding and signal intensity, particularly in FFPE samples.

These challenges underscore the need for standardized technologies to evaluate ERCC1 expression, as highlighted in the 2021 study of NSCLC patients . Without such standardization, the clinical utility of ERCC1 as a predictive biomarker remains limited despite its strong biological rationale.

How can researchers address contradictory findings in ERCC1 biomarker studies?

Contradictory findings regarding ERCC1 as a biomarker are not uncommon. To address these discrepancies, researchers should:

  • Clearly specify antibody characteristics: Document the specific clone, manufacturer, and detection protocol used, as different antibodies may yield different results .

  • Evaluate multiple isoforms: Since different isoforms may have distinct functions in platinum resistance, analyzing specific isoform expression rather than total ERCC1 may provide more consistent results .

  • Implement rigorous validation: Include appropriate positive and negative controls, and validate antibody specificity through multiple methods .

  • Consider mixed prognostic/predictive effects: Be aware that ERCC1 may have both prognostic value (independent of treatment) and predictive value (treatment-dependent). For example, in surgically removed NSCLC tumors that receive no further therapy, ERCC1-positive tumors have better survival than ERCC1-negative ones, despite ERCC1 positivity predicting poorer response to platinum therapy .

  • Combine with other biomarkers: Integrating ERCC1 with other DNA repair markers may improve predictive accuracy compared to single-marker approaches.

  • Re-validate antibodies periodically: Given evidence of changing antibody performance over time, regular re-validation is advisable for longitudinal studies .

What novel approaches show promise for improving ERCC1 detection reliability?

Emerging approaches that may enhance ERCC1 detection reliability include:

  • Isoform-specific antibodies with improved validation: Development of highly specific monoclonal antibodies targeting individual ERCC1 isoforms, particularly isoform 202, which appears most relevant to platinum resistance .

  • Multi-epitope detection strategies: Using antibody panels targeting different ERCC1 epitopes to improve detection accuracy and reduce false positives.

  • Digital pathology and AI-assisted scoring: Automated quantification methods that could reduce inter-observer variability in IHC interpretation.

  • Combination of protein and mRNA detection: Correlating protein expression with mRNA levels for more comprehensive assessment.

  • Functional assays: Complementing expression analysis with functional readouts of ERCC1-dependent DNA repair capacity.

Recent efforts like the development of the 9D11 antibody demonstrate progress in creating more specific detection tools that recognize clinically relevant isoforms while maintaining clear staining patterns in clinical specimens .

How does ERCC1 expression pattern vary across different tumor types?

ERCC1 expression patterns show notable variation across cancer types, with important implications for its use as a biomarker:

  • Non-small cell lung cancer (NSCLC): ERCC1 expression has been extensively studied in NSCLC, where it has demonstrated both predictive value for platinum therapy response and prognostic value independent of treatment .

  • Gastric cancer: All seventeen human gastric cancer cell lines examined in one study expressed ERCC1 isoforms 201, 202, and/or 203, but not 204 . High expression has been associated with resistance to cisplatin and 5-fluorouracil-based therapy in advanced gastric cancer .

  • Squamous cell carcinoma of the head: High ERCC1 expression has been linked to tumor progression in this cancer type .

  • Ovarian and esophageal cancers: Both show associations between ERCC1 expression levels and tumor progression .

In clinical specimens, ERCC1 protein is typically exclusively detected in cell nuclei, with vascular endothelial cells often showing a moderate level of constant positivity that can serve as an internal control . This nuclear localization pattern is consistent across different tumor types when detected with validated antibodies.

What is the current consensus on optimal scoring methods for ERCC1 immunohistochemistry?

While no universally accepted scoring system exists for ERCC1 immunohistochemistry, several approaches have been employed:

  • H-score method: Used in the 2021 NSCLC study, which revealed significantly higher ERCC1 H-scores in patients with disease progression compared to those without progression after platinum-containing chemotherapy .

  • Nuclear staining assessment: Since ERCC1 is exclusively detected in nuclei of cells, scoring should focus on nuclear rather than cytoplasmic staining .

  • Internal control normalization: Using the relatively constant ERCC1 expression in vascular endothelial cells as an internal reference point can help standardize scoring across specimens .

  • Categorical scoring: Some studies use simpler positive/negative categorization based on percentage of stained tumor cells and staining intensity.

Researchers should select scoring methods based on their specific application while acknowledging the limitations of current approaches. The inconsistency in results between 2012 and 2018 evaluation in the NSCLC study highlights the need for standardized evaluation technology .

What controls should be included when using ERCC1 antibodies in experimental systems?

Robust control strategies for ERCC1 antibody experiments should include:

  • Positive tissue controls: Include tissues known to express ERCC1, such as tonsil, testis, breast, prostate, and fallopian tube .

  • Cellular internal controls: Vascular endothelial cells typically show moderate, constant ERCC1 positivity and can serve as internal controls in tissue sections .

  • Isoform expression controls: When testing isoform specificity, include cells transfected with plasmids expressing specific ERCC1 isoforms, as demonstrated with plasmids RC208787 and RC228204 for isoforms 201 and 203 .

  • Overexpression systems: Stable cell lines overexpressing ERCC1, such as the MKN45 cells transfected with pCDNA3 Hs-ERCC1 described in the literature, provide useful positive controls .

  • Negative controls: Include antibody diluent without primary antibody to detect non-specific binding of secondary detection systems.

  • Cross-reactivity controls: If available, include samples from ERCC1 knockout models to confirm antibody specificity.

Proper implementation of these controls helps ensure the reliability and reproducibility of ERCC1 detection across different experimental conditions.

How can researchers optimize ERCC1 immunohistochemistry protocols for different sample types?

Optimizing ERCC1 immunohistochemistry requires tailored approaches for different sample types:

  • Formalin-fixed paraffin-embedded (FFPE) tissues:

    • Ensure optimal antigen retrieval, as ERCC1 epitopes may be masked during fixation

    • Test multiple antibody dilutions to determine optimal signal-to-noise ratio

    • Consider using amplification systems for low-expressing samples

    • Validate staining patterns against known positive controls

  • Frozen tissues:

    • Adjust fixation protocols (typically briefer than for FFPE)

    • Optimize antibody concentration, which may differ from FFPE protocols

    • Control background staining, which can be more problematic in frozen sections

  • Cell lines:

    • For immunocytochemistry, standardize fixation methods (typically paraformaldehyde-based)

    • Consider permeabilization requirements for nuclear antigen access

    • Include both high and low ERCC1-expressing cell lines as controls

  • Tissue microarrays (TMAs):

    • Ensure inclusion of appropriate control tissues in each TMA

    • Consider potential heterogeneity in ERCC1 expression when interpreting TMA results

For all sample types, it's critical to validate that the selected antibody maintains its specificity and sensitivity in the specific application and fixation conditions being used.

These optimized protocols can significantly improve the reliability and reproducibility of ERCC1 detection across diverse research and clinical applications.

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