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

Methodology for processing mastectomy and cryopreservation of breast cancer tissue in a resource- poor setting: A pilot study.

Author(s): Okoli UA, Okafor MT, Agu KA, Ndubuisi AC, Nwigwe IJ, Nna EO, Okafor OC, Ukekwe FI, Nwagha TU, Menkiti VC, Eze CO, Onyekwelu KC, Ikekpeazu JE, Anusiem CA, Mbah AU, Chijioke CP, Udeniya IJ

Publication: Cryobiology, 2020, Vol. 97, Page 179-184

PubMed ID: 32562613 PubMed Review Paper? No

Purpose of Paper

This paper investigated the effects of cold ischemia (20-45 min) and frozen storage duration (0, 7, or 14 days) on the morphology, cell viability, and RNA yield and purity of a single breast tumor tissue specimen.

Conclusion of Paper

Tissue morphology, cell viability, and RNA yield and purity of a breast tumor tissue specimen was unaffected by up to 45 min cold ischemia time in 4°C Hanks Balanced Salt Solution and up to 14 days of frozen storage at -80°C.

Studies

  1. Study Purpose

    This study investigated the effects of cold ischemia  (20-45 min) and frozen storage duration (0, 7, or 14 days) on the morphology, cell viability, and RNA yield and purity of a breast tumor tissue specimen. Specimens were collected from a woman diagnosed with invasive, ductal, triple negative breast cancer undergoing a mastectomy. Resected tumor tissue was cut into 2-3 mm3 pieces and fixed immediately in 10% buffered formaldehyde for histopathological review (details not provided) or placed in 4°C Hanks Balanced Salt Solution within 1 min to investigate effects of cold ischemia. To investigate effects of cold ischemia, 3 specimen pieces were snap-frozen after 3 minute intervals of cold ischemia (range: 20-45 min; 20, 23, 26, 29, 32, 35, 38, 42, and 45 min) in cryovials containing a freezing medium (10% Me2SO4 and 90% heat inactivated fetal bovine serum) in liquid nitrogen vapor, and then stored at -80°C for 0, 7, or 14 days. Tissue stored frozen for 7 and 14 days were fixed in 10% buffered formaldehyde, paraffin embedded, and H&E stained for histopathological analysis and results were compared to specimens fixed immediately after collection. Specimens stored frozen for 0, 7, and 14 days were assessed for tissue viability using a modified MTT Proliferation Assay Kit protocol.  RNA was extracted using the RNeasy Mini Kit, quantified by Qubit, and purity assessed by spectrophotometry (OD 260 nm/280 nm).

    Summary of Findings:

    Tissue morphology and viability of snap-frozen tumor specimens from a single patient subjected to up to 45 min cold ischemia and stored frozen for 7 or 14 days before analysis were comparable to tumor specimens processed immediately after collection. Overall, mean RNA yield per tissue was 8.47 ng/mg ± 2.28 (mean ± SD) and the A260/A280 ratios were between 1.7 and 1.9. RNA yield and purity of both the fresh and frozen breast tumor tissues from the patient did not differ significantly, regardless of cold ischemia time or frozen storage duration, (P>0.05, all).

    Biospecimens
    Preservative Types
    • Frozen
    • Formalin
    Diagnoses:
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    Cell count/volume Colorimetric assay
    RNA Spectrophotometry
    RNA Fluorometry
    Morphology H-and-E microscopy
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Acquisition Cold ischemia time 20 min
    23 min
    26 min
    29 min
    32 min
    35 min
    38 min
    42 min
    45 min
    Storage Storage duration 0 days
    7 days
    14 days
    Biospecimen Preservation Type of fixation/preservation Formaldehyde
    Snap frozen

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