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

Evaluation of a DNA Extraction and Purification Protocol Using Archived Formalin-fixed Paraffin-embedded Tissues for BRAF Mutations Analysis in Papillary Thyroid Microcarcinomas.

Author(s): Nechifor-Boilă A, Loghin A, Descotes F, Decaussin-Petrucci M, Borda A

Publication: Appl Immunohistochem Mol Morphol, 2019, Vol. 27, Page 70-76

PubMed ID: 28549037 PubMed Review Paper? No

Purpose of Paper

This paper investigated the effects of formalin-fixed, paraffin-embedded (FFPE) block storage duration (1, 2, 3, or 4 years) and papillary thyroid tumor size on DNA concentration and purity and BRAF gene mutation detection by real-time RT-PCR. Differences in tumor size, block storage duration, DNA concentration, and DNA purity between BRAF-negative and BRAF-positive tumor specimens were also assessed.

Conclusion of Paper

DNA concentration, DNA purity, GAPDH crossing point (Cp) values, and BRAF gene Cp values were comparable between specimens from tumors ≤5 mm and tumors >5 mm and were not affected by FFPE block storage duration or BRAF mutation status.

Studies

  1. Study Purpose

    This study investigated the effects of FFPE papillary thyroid tumor block storage duration (1, 2, 3, or 4 years) and tumor size on DNA concentration and purity and BRAF gene mutation detection by real-time RT-PCR. Differences in tumor size, block storage duration, DNA concentration, and DNA purity between BRAF-negative and BRAF-positive tumor specimens were also assessed. Specimens from 25 patients with papillary thyroid microcarcinomas (PTMCs) undergoing surgery were immediately fixed in neutral buffered formalin for 48-72 hours (depending on the size of the specimen), paraffin embedded, and stored as blocks at room temperature for 1, 2, 3, or 4 years. Five 4-µm thick sections were obtained from each block, deparaffinized using xylene, and DNA was extracted using a MasterPure DNA Purification Kit. DNA yield (A260 nm) and purity (A260 nm/A280 nm) were assessed by spectrophotometry. The 15th exon of the BRAF gene and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) were amplified by real-time RT-PCR. The Cp was defined as the PCR cycle at which fluorescence was first detected. BRAF gene mutation status was assessed by high-resolution melting analysis and confirmed by Sanger sequencing.

    Summary of Findings:

    DNA concentration, DNA purity, GAPDH Cp values, and BRAF gene Cp values were comparable between specimens from tumors ≤5 mm and tumors >5 mm (P=0.400, P=0.470, P=0.520, and P=0.460; respectively) and were not affected by FFPE block storage duration (P=0.380, P=0.500, P=0.140, and P=0.300; respectively). BRAF mutation status was successfully determined in 24/25 cases and there were no significant differences between the BRAF-negative (n=16) and BRAF-positive (n=8) tumor specimens in tumor size, tumor block storage duration, DNA concentration, or DNA purity (P=0.693, P=0.282, P=0.243, and P=0.458; respectively).

    Biospecimens
    Preservative Types
    • Formalin
    Diagnoses:
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    DNA Real-time qPCR
    DNA DNA sequencing
    DNA Spectrophotometry
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Storage duration 1 year
    2 years
    3 years
    4 years
    Real-time qPCR Specific Targeted nucleic acid BRAF
    GAPDH
    Preaquisition Prognostic factor ≤5 mm tumor
    >5 mm tumor
    BRAF-positive tumor
    BRAF-negative tumor

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