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

Neuroendocrine expression in metastatic prostate cancer: evaluation of high throughput tissue microarrays to detect heterogeneous protein expression.

Author(s): Mucci NR, Akdas G, Manely S, Rubin MA

Publication: Hum Pathol, 2000, Vol. 31, Page 406-14

PubMed ID: 10821485 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine if tissue microarrays can appropriately capture the case status of the heterogeneously expressed neuroendocrine markers chromogranin A (CGA) and synaptophysin (SYN) in prostate and metastatic tumors.

Conclusion of Paper

A lower incidence of positive immunostaining for neuroendocrine markers (CGA or SYN) was observed among TMA cores (2.5%) when compared to whole sections (13%); however, it is important to note that these percentages represent the number of slides or cores assessed (100 slides or 218-250 TMA cores) and not patients. While the percentage of neuroendocrine positive cases was reported for whole sections (13%), this information was not provided TMA cores. It is also noteworthy that of the 458 TMA cores placed into the array, only 46 to 55% could be analyzed for SYN and CGA expression, respectively, due to loss or the presence of normal adjacent tissue.

Studies

  1. Study Purpose

    The purpose of this study was to determine if a tissue microarray (TMA) composed of 0.6 mm diameter cores can appropriately capture expression of the heterogeneous neuroendocrine markers CGA and SYN in prostate and metastatic tumors when compared to whole tissue sections. A total of 50 metastatic prostate tumors located in prostate, bone, liver, lung, and adrenal gland were collected from twelve rapid autopsy cases. A single TMA was constructed from 458 cores.

    Summary of Findings:

    A lower incidence of positive immunostaining for neuroendocrine markers (CGA or SYN) was observed among TMA cores (2.5%) when compared to whole sections (13%); however, it is important to note that these percentages represent the number of slides or cores assessed (100 slides or 218-250 TMA cores) and not patients. While the percentage of neuroendocrine positive cases was reported for whole sections (13%), this information was not provided TMA cores. It is also noteworthy that of the 458 TMA cores placed into the array, only 46% and 55% could be analyzed for SYN and CGA expression, respectively, due to loss or the presence of normal adjacent tissue.

    Biospecimens
    Preservative Types
    • Formalin
    Diagnoses:
    • Autopsy
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    Protein Immunohistochemistry
    Protein Tissue microarray
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Aliquots and Components Type of slide Tissue microarray section
    Whole tissue section
    Immunohistochemistry Specific Targeted peptide/protein CGA
    SYN

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