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

Estimation of age-related DNA degradation from formalin-fixed and paraffin-embedded tissue according to the extraction methods.

Author(s): Watanabe M, Hashida S, Yamamoto H, Matsubara T, Ohtsuka T, Suzawa K, Maki Y, Soh J, Asano H, Tsukuda K, Toyooka S, Miyoshi S

Publication: Exp Ther Med, 2017, Vol. 14, Page 2683-2688

PubMed ID: 28962212 PubMed Review Paper? No

Purpose of Paper

This paper investigated the potential effects of extraction method (a silica membrane method versus total tissue DNA method) and the duration of room temperature storage of formalin-fixed, paraffin-embedded (FFPE) blocks (0.5-12 y) on DNA yield, purity, and fragmentation in lung adenocarcinoma specimens. Agreement in the detection of an EGFR mutation between five case-matched FFPE and frozen specimens that were stored for up to 12 y was also explored.

Conclusion of Paper

While mean DNA yield was significantly greater when FFPE lung adenocarcinoma sections were extracted using the WaxFree DNA Extraction Kit (WAX Kit) than the QIAamp DNA FFPE Tissue Kit (QIA Kit) when determined by spectrophotometry (10-fold greater, p<0.01), fluorometry (3.5-fold greater, p<0.01), and qPCR amplification of the 41 bp (but not 129 or 305 bp) fragment (2-fold greater, p<0.01), DNA purity was superior when extraction was with the QIA Kit than the WAX Kit (A260/280: 2.41 versus 1.13; p<0.01).  Extraction-specific differences in DNA fragmentation were also observed: Q129/Q41 scores (the ratio of the 129 to 41 bp amplicon) but not Q305/Q41 scores (the ratio of the 305 to the 41 bp amplicon) were significantly higher with the QIA Kit compared to the WAX Kit (0.27 versus 0.20, p<0.01).  The duration of FFPE block storage at room temperature did not significantly affect DNA yield (determined by spectrophotometry) or DNA purity (A260/280) when either extraction kit was used, but storage-dependent increases in DNA fragmentation were observed for both extraction methods. Significantly higher Q-scores for Q129/Q41 and Q305/Q41, which reflect more intact DNA, were observed for FFPE blocks stored for 0.5 y compared to those stored for 3 y (p<0.05 for all), and for 9 y compared to those stored for 12 y for both extraction kits (p<0.01 for all). There was 100% agreement in the detection of an EGFR L858R mutation in five pairs of FFPE specimens and case-matched frozen adenocarcinoma specimens, including one specimen pair stored for 12 y.

Studies

  1. Study Purpose

    This paper investigated the potential effects of extraction method (a silica membrane method versus total tissue DNA method) and the duration of room temperature storage of formalin-fixed, paraffin-embedded (FFPE) blocks (0.5-12 y) on DNA yield, purity, and degradation in lung adenocarcinoma specimens.  Agreement in the detection of an EGFR mutation between five case-matched FFPE and frozen specimens that were stored for up to 12 y was also explored. A total of 25 surgically resected lung adenocarcinoma tumor specimens (>10 mm diameter) were divided, and a portion was frozen at -80°C while the remainder of the specimen was fixed in 10% neutral buffered formalin (cold ischemia time not specified) overnight to 48 h at room temperature, embedded in paraffin, and stored as an FFPE block at room temperature.  Five blocks from different patients representing each storage duration timepoint (0.5, 3, 6, 9, or 12 y ) were randomly selected for the study. For each FFPE block, the area containing tumor was scraped from two 5 µm-thick slide-mounted sections into microtubes, and DNA was extracted using the silica membrane-based QIAamp DNA FFPE Tissue Kit or the WaxFree DNA Extraction Kit according to the respective manufacturer’s protocol. DNA was extracted from frozen specimens using phenol-chloroform after proteinase K digestion. DNA was quantified with a LabChip spectrophotometer (absorbance at 260 nm), the Qubit dsDNA Kit with a Qubit 2.0 fluorometer, and the Kappa QC Kit by qPCR of 41, 129, and 305 bp amplicons. DNA purity was determined by spectrophotometry (absorbance ratio of 260/280 nm) and integrity by qPCR (Q-score of amplicon sizes: Q129/Q41, the ratio of the 129 bp amplicon to the 41 bp amplicon and Q305/41, the ratio of the 305 bp amplicon to the 41 bp amplicon).  An EGFR L858R mutation was detected in DNA isolated from frozen and FFPE specimens by PCR-based sequencing of a 108 bp product.

    Summary of Findings:

    The mean DNA yield was significantly greater when FFPE lung adenocarcinoma sections were extracted using the WaxFree DNA Extraction Kit (WAX Kit) than the QIAamp DNA FFPE Tissue Kit (QIA Kit) when determined by spectrophotometry (10-fold greater, p<0.01), fluorometry (3.5-fold greater, p<0.01), and qPCR amplification of the 41 bp (but not 129 or 305 bp) fragment (2-fold greater, p<0.01). However, the purity of DNA was superior when extraction was with the QIA Kit than the WAX Kit, with significantly higher A260/280 values with the QIA Kit than the WAX Kit (2.41 versus 1.13, p<0.01).  Extraction-specific differences in DNA fragmentation were also observed, as Q129/Q41 scores (but not Q305/Q41 scores) were significantly higher after DNA extraction with the QIA Kit compared to the WAX Kit (0.27 versus 0.20, p<0.01).  The duration of FFPE block storage at room temperature did not significantly affect DNA yield (determined by spectrophotometry) or DNA quality (A260/280) when either extraction kit was used, but age-related increases in DNA fragmentation were observed for both extraction methods. FFPE blocks stored for 0.5 y had significantly higher Q-scores for Q129/Q41 and Q305/Q41 than blocks stored for 3 y when DNA was extracted using either the QIA or WAX Kit (p<0.05 for all).  FFPE blocks stored for 9 y also had significantly higher Q-scores for Q129/Q41 and Q305/Q41 than blocks stored for 12 y following DNA extraction with either the QIA or WAX Kit (p<0.01 for all).  There was 100% agreement in the detection of an EGFR L858R mutation in five pairs of FFPE specimens and case-matched frozen adenocarcinoma specimens, including one specimen pair stored for 12 y.

    Biospecimens
    Preservative Types
    • Frozen
    • Formalin
    Diagnoses:
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    DNA Spectrophotometry
    DNA Fluorometry
    DNA Real-time qPCR
    DNA Next generation sequencing
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Analyte Extraction and Purification Analyte isolation method QIAamp DNA FFPE Tissue Kit
    WaxFree DNA Extraction Kit
    Biospecimen Preservation Type of fixation/preservation Formalin (buffered)
    Frozen
    Real-time qPCR Specific Length of gene fragment 41 bp
    129 bp
    305 bp
    Storage Storage duration 0.5 y
    3 y
    6 y
    9 y
    12 y

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