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Accurate diagnosis of breast cancer molecular subtypes is crucial for effective treatment planning. Immunohistochemistry (IHC) of estrogen receptor (ER), progesterone receptor (PR) and HER2 is commonly employed in clinical diagnosis of breast cancer subtypes. However, IHC has notable limitations, including the need of enzymes and variability in antibody specificity and sensitivity. In this project, we developed a one-step assay technique using a novel nucleic acid-ER/HER2 hybrid probe-primed hybridization chain reaction (HCR) for detecting ER and HER2 proteins simultaneously. The probes were modified with specific ligands or aptamers for ER or HER2 to ensure specificity when HCR was triggered. This technique successfully detected ER and HER2 protein expression through fluorescent imaging and signal quantification in both cell and tissue samples in situ with simple steps. The detection of ER and HER2 levels in tissue specimens was consistent with IHC findings, as evaluated by ROC analysis (for ER, n = 172, AUC = 0.727; for HER2, n = 174, AUC = 0.811). The HCR method was a one-step assay can be performed quickly without the need for enzymes, and the use of ligands or aptamers-modified probes ensures specificity. Our findings offered a streamlined and specific alternative to traditional methods. © 2025 Elsevier B.V.
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Sensors and Actuators B: Chemical
ISSN: 0925-4005
Year: 2025
Volume: 444
6 . 3 9 3
JCR@2018
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ESI Highly Cited Papers on the List: 0 Unfold All
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