NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

A high frequency of sequence alterations is due to formalin fixation of archival specimens.

Author(s): Williams C, Pontén F, Moberg C, Söderkvist P, Uhlén M, Pontén J, Sitbon G, Lundeberg J

Publication: Am J Pathol, 1999, Vol. 155, Page 1467

PubMed ID: 10550302 PubMed Review Paper? No

Purpose of Paper

To determine if tissue fixation methods (frozen versus formalin fixed paraffin embedded (FFPE)) impacts sequence accuracy of PCR amplified DNA samples.

Conclusion of Paper

Nonreproducible (artifactual) mutations were limited to FFPE tissue and occurred once per 500 cells. Mutations included silent, missense, and nonsense mutations.

Studies

  1. Study Purpose

    To determine if PCR amplification efficiency is reduced when using DNA extracted from FFPE tissue in comparison to fresh frozen tissue.

    Summary of Findings:

    The number of microdissected cells from frozen tissue (10 to 200 cells per PCR reaction) did not affect successful PCR amplification, although amplification of longer products (350 bp) was unsuccessful with lower quantities of cells (10-20 cells per PCR reaction) microdissected from FFPE tissue.

    Biospecimens
    Preservative Types
    • Formalin
    • Frozen
    Diagnoses:
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    DNA PCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Preservation Type of fixation/preservation Snap frozen
    Formalin (buffered)
  2. Study Purpose

    To determine if the incidence of nonreproducible mutations is dependent upon tissue fixation method (FFPE versus fresh frozen tissue).

    Summary of Findings:

    Fixative-dependent effects were observed with DNA sequence analysis. While two known mutations were detected in frozen tissue, DNA extracted from FFPE tissue produced a total of 28 nonreproducible mutations that average 1 per 500 cells. These artifactual mutations included silent (28%) and missense or nonsense (72%) mutations.

    Biospecimens
    Preservative Types
    • Formalin
    • Frozen
    Diagnoses:
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    DNA DNA sequencing
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Preservation Type of fixation/preservation Formalin (buffered)
    Snap frozen

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