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

KRAS Mutation Detection in Paired Frozen and Formalin-Fixed Paraffin-Embedded (FFPE) Colorectal Cancer Tissues.

Author(s): Solassol J, Ramos J, Crapez E, Saifi M, Mangé A, Vianès E, Lamy PJ, Costes V, Maudelonde T

Publication: Int J Mol Sci, 2011, Vol. 12, Page 3191-204

PubMed ID: 21686179 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine if formalin-fixed paraffin-embedded (FFPE) specimens are suitable for determining the Kirsten rat sarcoma viral oncogene homolog (KRAS) mutation status of colorectal tumors.

Conclusion of Paper

While all specimens contained known KRAS mutations that were determined using matched frozen specimens, SNP detection by high resolution melting (HRM) missclassified 2 of 33 (6%) FFPE specimens as wildtype, and 2 others did not amplify properly. Using sequencing, 6 (18%) FFPE specimens were missclassified as wildtype and 3 (9.1%) showed mutations not identified in the corresponding frozen specimen. Of the 68 FFPE specimens that did not have a KRAS mutation identified using the matched frozen specimen, all were genotyped as wildtype, but in 4 cases, DNA failed to amplify.

Studies

  1. Study Purpose

    The purpose of this study was to compare KRAS mutation status in FFPE and frozen colorectal tumors. Each specimen was cut into two pieces, 1 of which was snap-frozen in liquid nitrogen and the other was processed for FFPE. DNA was extracted using the QIAamp kit from both types of specimens.

    Summary of Findings:

    DNA yield was similar from FFPE and frozen specimens, but FFPE specimens had higher average cycle threshold (CT) values and a larger range in CT values. Using 33 FFPE specimens with a known KRAS mutation determined using the matched frozen specimen, HRM missclassified 2 (6%) as wildtype, and 2 others did not amplify properly. After sequencing, 6 (18%) FFPE specimens were missclassified as wildtype, and 3 (9.1%) showed mutations not identified using the corresponding frozen specimen. Of the 68 FFPE specimens that did not have a KRAS mutation identified using the matched frozen specimen, all were genotyped as wildtype, but in 4 cases, DNA failed to amplify.

    Biospecimens
    Preservative Types
    • Formalin
    • Frozen
    Diagnoses:
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    DNA Spectrophotometry
    DNA Real-time qPCR
    DNA DNA sequencing
    DNA SNP assay
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Preservation Type of fixation/preservation Formalin (buffered)
    Snap frozen
    SNP assay Specific Targeted nucleic acid KRAS
    SNP assay Specific Technology platform HRM
    Sequencing

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