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

Analytical performance of a qRT-PCR assay to detect guanylyl cyclase C in FFPE lymph nodes of patients with colon cancer.

Author(s): Beaulieu M, Desaulniers M, Bertrand N, Deschesnes RG, Beaudry G, Garon G, Haince JF, Houde M, Holzer TJ

Publication: Diagn Mol Pathol, 2010, Vol. 19, Page 20-7

PubMed ID: 20186008 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of specimen storage duration and temperature, fat clearing agent, fixative type and duration, specimen staining and amplicon size on real-time PCR amplification of Guanylyl cyclase C (GCC) mRNA in formalin-fixed paraffin embedded (FFPE) colon and associated lymph nodes.

Conclusion of Paper

Prior to fixation, specimens were stored for 24 h at RT or up to 6 days at 4 degrees C without a change in GCC quantification by real-time PCR. Fixation time did not impact GCC quantification, but fixatives other than 10% neutral buffered formalin (NBF) or 4% paraformaldehyde (PFA) resulted in decreased GCC amplification. No effect of fat clearing agent or tissue staining on amplification of GCC was observed. FFPE specimens were comparable to fresh in real-time PCR amplification of a 69 bp fragment of B-actin but longer fragments had higher CT values which increased further with specimen age. The authors conclude that real-time PCR can be used to accurately quantify GCC in paraffin embedded specimens, but that fixative type, storage duration and amplicon size can alter results.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of storage of FFPE lymph nodes (1 month-12 years) and colon (fresh-1d) on RNA size distribution by gel electrophoresis and amplification of B-actin by real-time RT-PCR.

    Summary of Findings:

    Storage of FFPE colon for 1 day resulted in degradation of RNA fragments greater than 1000 bp when compared to fresh frozen specimens. Similarly FFPE lymph nodes stored between 1 month and 1 year had loss of RNA greater than 1000 bp. In specimens archived between 1 and 12 years, further degradation was apparent with most specimens predominantly consisting of RNA between 50-300 bp. As expected based on the gel electrophoresis results, all FFPE specimens showed increasing cycle threshold (CT) numbers with larger amplicons. However, the magnitude of this change was greater in specimens archived for 10 years (approximately 15 CT's) then in specimens archived for 2-3 months (approximately 6 CTs). In contrast, CT values from fresh frozen specimens only increased by 2 CTs over the amplicon size range studied.

    Biospecimens
    Preservative Types
    • Formalin
    • Frozen
    Diagnoses:
    • Neoplastic - Carcinoma
    • Neoplastic - Normal Adjacent
    • Other diagnoses
    Platform:
    AnalyteTechnology Platform
    RNA Real-time qRT-PCR
    RNA Electrophoresis
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Storage duration 1 d
    1 month
    2 months
    3 months
    4 months
    5 months
    6 months
    1 year
    2 years
    3 years
    5 years
    8 years
    9 years
    11 years
    12 years
    Biospecimen Preservation Type of fixation/preservation Formalin (buffered)
    Frozen
    Biospecimen Acquisition Biospecimen location Colon lymph node
    Colon
    Real-time qRT-PCR Specific Length of gene fragment 69 bp
    80 bp
    98 bp
    149 bp
    167 bp
    223 bp
    241 bp
  2. Study Purpose

    The purpose of this study was to examine the effects of cold ischemia time at room temperature (6h to 7 d) or 4 degrees C (0 h to 7 d), fat clearing solution and prior specimen staining on amplification of GCC RNA by real-time RT-PCR.

    Summary of Findings:

    Cold ischemia times of up to 24 h at room temperature or 6 days at 4 degrees C did not affect amplification of GCC. Storage for 7 days at either room temperature or 4 degrees C resulted in 1% or fewer of the GCC copies being detected (p<0.01). No effect of tissue staining or fat clearing solution on GCC copy number determination was found.

    Biospecimens
    Preservative Types
    • Formalin
    Diagnoses:
    • Neoplastic - Normal Adjacent
    Platform:
    AnalyteTechnology Platform
    RNA Real-time qRT-PCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Acquisition Pathology ink Unstained
    Tissue marking dye
    Analyte Extraction and Purification Fat clearing NBF, 95% ETOH, 100% EtOH, methyl salicylate
    Acetone, methyl salicylate
    99% EtOH, xylene
    Lymph node revealing solution
    Glacial acetic acid-ethanol-distilled water-formaldehyde
    Biospecimen Acquisition Cold ischemia time 6 h
    24 h
    6 d
    7 d
  3. Study Purpose

    The purpose of this study was to determine the effects of fixative type and duration on GCC copy number in a single colon specimen by real-time PCR.

    Summary of Findings:

    Fixation for 1 or 2 days with either 10% NBF or 4% PFA gave similar results. All other fixatives resulted in a reduced GCC copy number. Fixing of the specimens in Bouin's solution after fixing in 10% NBF also resulted in a decline in GCC copy number. Specimens fixed with ethanol (70% or 100%), 10% non-buffered formalin and Tissue fix performed particularly poorly allowing for quantification of less than 0.1% of GCC copies.

    Biospecimens
    Preservative Types
    • Formalin
    • Other Preservative
    • Ethanol
    Diagnoses:
    • Neoplastic - Normal Adjacent
    Platform:
    AnalyteTechnology Platform
    RNA Real-time qRT-PCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Preservation Time in fixative 1 d
    2 d
    1 h
    2 h
    Biospecimen Preservation Type of fixation/preservation B-5 fixative
    Bouin's fixative
    Carnoy's solution
    Ethanol
    Formalin (buffered)
    Formalin (unbuffered)
    Formol saline
    Methacarn
    Modified Davidson's fluid
    Tissue fix

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