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

Effects of processing delay, formalin fixation, and immunohistochemistry on RNA Recovery From Formalin-fixed Paraffin-embedded Tissue Sections.

Author(s): van Maldegem F, de Wit M, Morsink F, Musler A, Weegenaar J, van Noesel CJ

Publication: Diagn Mol Pathol, 2008, Vol. 17, Page 51-8

PubMed ID: 18303406 PubMed Review Paper? No

Purpose of Paper

This paper investigated the effects of pre-fixation delay (up to 48 h) and temperature and fixation duration, using snap frozen and formalin-fixed, paraffin-embedded (FFPE) tissue specimens, respectively, on RNA quality and reverse transcription polymerase chain reaction (RT-PCR) success. Procedural optimization for RNA isolation and RT-PCR analysis subsequent to immunohistochemical staining of FFPE tissue sections were also reported.

Conclusion of Paper

RNA degradation increased with prefixation delay, which was attenuated by storage at 4 degrees C versus room temperature after a delay of 12 h or longer. RT-PCR success was not dependent on the duration or temperature of the prefixation delay although, in general, RNA incubation at 70 degrees C for 2 h prior to reverse transcription improved results. The authors identified an optimal fixation duration of 8 to 16 h for RNA isolated from FFPE tissue sections. The authors report successful RT-PCR amplification of RNA subsequent to immunohistochemical staining when the use of sera was avoided and the AEC detection method was employed.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of a prefixation delay (0 to 48 h) at different temperatures (room temperature, 4 degrees C) on RNA quality and RT-PCR success of three housekeeping genes (hypoxanthine phosphoribosyltransferase, porphobilinogen deaminase, and beta-2-microglobulin) using normal liver and stomach and ovarian carcinoma specimens.

    Summary of Findings:

    The authors report a progressive deterioration in RNA quality with increasing time between tissue excision and freezing. This was only prevented by storage at 4 degrees C compared to room temperature after a delay of 12 h or longer. Degradation was more rapid in liver than ovary, which showed no discernable degradation even up to 18 hours at room temperature. Amplicons of appropriate sizes (157-753 bp) were obtained for all samples regardless of storage conditions with the exception of the specimen stored at room temperature for 48 h, which did not yield a PCR product longer than 331 bp.

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Not specified
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    RNA Automated electrophoresis/Bioanalyzer
    RNA RT-PCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Acquisition Cold ischemia time 0 h
    2 h
    4 h
    8 h
    12 h
    24 h
    48 h
    Storage Storage temperature 4 degrees C
    Room temperature
    Biospecimen Acquisition Biospecimen location Liver
    Ovary
    RT-PCR Specific Length of gene fragment 150 bp
    225 bp
    350 bp
    500 bp
    750 bp
  2. Study Purpose

    The purpose of this study was to determine the optimum fixation period for successful RT-PCR analysis of RNA isolated from FFPE tissue sections.

    Summary of Findings:

    RNA isolated from all FFPE tissue sections lacked distinct ribosomal bands regardless of fixation duration. RT-PCR success rate indicated that a fixation duration of 8 to 16 h was optimal, producing maximal length amplicons. Heat denaturation of RNA samples at 70 degrees C for 2 h prior to reverse transcription yielded the best RNA-PCR results for all tissues types analyzed (liver, ovary, stomach).

    Biospecimens
    Preservative Types
    • Formalin
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    RNA Automated electrophoresis/Bioanalyzer
    RNA RT-PCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Preservation Time in fixative 2 h
    4 h
    8 h
    16 h
    24 h
    48 h
    RT-PCR Specific RNA incubation temperature 65 degrees C
    70 degrees C
    80 degrees C
    RT-PCR Specific Incubation time 10 min
    2 h
    6 h
  3. Study Purpose

    The purpose of this study was to optimize immunohistochemical staining (for vimentin) using FFPE specimens to permit subsequent RNA isolation and RT-PCR analysis of stained tissue sections.

    Summary of Findings:

    The authors report successful RT-PCR amplification of RNA subsequent to immunohistochemistry when use of sera is avoided (slide mounting, blocking agents, antibody diluents) and detection using the 3-amino-9-ethylcarbazole (AEC) method is employed.

    Biospecimens
    Preservative Types
    • Formalin
    Diagnoses:
    • Not specified
    Platform:
    AnalyteTechnology Platform
    Protein Immunohistochemistry
    RNA RT-PCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Immunohistochemistry Specific Reaction solution Normal goat serum
    Bovine serum albumin
    Serum-free protein block
    No blocking solution
    Immunohistochemistry Specific Antibody dilution/concentration Antibody diluted in phosphate buffered saline
    Antibody diluted in normal antibody diluent
    Immunohistochemistry Specific Detection method Horseradish peroxidase
    3,3 diaminobenzidine (DAB)
    3-amino-9-ethylcarbazole (AEC)
    Fuschine acid
    Fast-Red
    Fast-Blue

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