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

Comparison of gene expression profiles in core biopsies and corresponding surgical breast cancer samples.

Author(s): Zanetti-Dällenbach R, Vuaroqueaux V, Wight E, Labuhn M, Singer G, Urban P, Eppenberger U, Holzgreve W, Eppenberger-Castori S

Publication: Breast Cancer Res, 2006, Vol. 8, Page R51

PubMed ID: 16919157 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine if gene expression profiles found in core needle biopsies (CNB) are representative of the entire tumor and to determine whether obtaining a CNB prior to surgical resection affects gene expression in the surgical tumor tissue (ST).

Conclusion of Paper

Hierarchical clustering properly clustered CNB with the matched ST in 18 of 22 cases. Of the 60 genes analyzed, most were expressed similarly in CNB and ST specimens, but expression of plasminogen activator inhibitor 1 (PAI-1), cyclooexygenase 2 (COX-2), urokinase plasminogen activator receptor (uPAR), and matrix metalloproteinase 1 (MMP1) were higher in ST than in CNB specimens; however, when no CNB was taken prior to collection of the ST, expression of PAI-1 and COX-2 were similar to that found in CNB. The time between collection of the CNB and ST specimens had no effect on gene expression patterns or the expression of specific genes.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of biospecimen collection method, prior collection of a CNB, and time between collection of CNB and ST on gene expression profiles in breast carcinoma specimens. Surgical specimens were cryopreserved within 5 minutes and matched core needle biopsies were placed in RNAlater within 1 minute.

    Summary of Findings:

    Gene expression profiles separated patients based on the estrogen receptor status of the tumor. Generally hierarchical clustering properly clustered CNB with the matched ST specimens, but this was not true for 4 of the 22 patients. The time between collection of the CNB and ST specimens had no effect on the gene expression pattern or expression of specific genes. Of the 60 genes analyzed, most were expressed similarly in CNB and ST specimens, but expression of PAI-1, COX-2, uPAR, and MMP1 was higher in ST than in CNB specimens(p<0.001, p<0.001, p=0.03, and p=0.03, respectively). In 317 ST specimens from patients that did not have a prior CNB, expression of PAI-1 and COX-2 was similar to that found in CNB and lower than that found in surgical specimens obtained after a CNB had been acquired.

    Biospecimens
    Preservative Types
    • RNAlater
    • Frozen
    Diagnoses:
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    RNA Real-time qRT-PCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Acquisition Time of biospecimen collection 1 day after CNB
    2 days after CNB
    3 days after CNB
    5 days after CNB
    7 days after CNB
    8 days after CNB
    10 days after CNB
    11 days after CNB
    12 days after CNB
    13 days after CNB
    14 days after CNB
    16 days after CNB
    20 days after CNB
    21 days after CNB
    22 days after CNB
    Biospecimen Preservation Type of fixation/preservation Snap frozen
    RNAlater
    Preaquisition Surgical procedure type Previous core needle biopsy taken
    No previous core needle biopsy taken
    Biospecimen Acquisition Method of tissue acquisition Core needle biopsy
    Surgical resection

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