Discordant quantitative detection of putative biomarkers in nodal micrometastases of colorectal cancer: biological and clinical implications.
Author(s): Kong SL, Salto-Tellez M, Leong AP, Chan YH, Koay ES
Publication: J Clin Pathol, 2005, Vol. 58, Page 839-44
PubMed ID: 16049286 PubMed Review Paper? No
Purpose of Paper
The purpose of this paper was to determine the effects of preservation method and colorectal cancer (CRC) stage on the expression of carcinoembryonic antigen (CEA), cytokeratin 20 (CK20), and guanylyl cyclase C (GCC) in lymph nodes.
Conclusion of Paper
CEA expression, but not CK20 or GCC expression, showed substantial agreement between frozen and formalin-fixed paraffin-embedded (FFPE) Duke's C CRC specimens. Expression of CEA in FFPE and frozen specimens and expression of GCC in frozen specimens correlated highly with Duke's classification.
Studies
-
Study Purpose
The purpose of this study was to determine the effects of preservation method and CRC stage on the expression of CEA, CK20, and GCC in lymph nodes.
Summary of Findings:
In Duke's B CRC specimens, discordant mRNA levels of CEA, CK20 and GCC were found in 33.3% (p=0.008), 33.3% (p=0.008) and 44.4% (p=0.001) of matched FFPE and frozen specimens. For Duke's C CRC specimens, CEA, CK20, and GCC levels were discordant in 7.7% (p=0.487), 23.1% (p=0.025) and 38.5% (p=0.000) of matched FFPE and frozen specimens. GCC was not amplified, and CEA and CK20 amplified at low levels in Duke's A CRC specimens. Only expression of CEA in FFPE and frozen specimens and GCC in frozen specimens correlated highly with Duke's classification (p=0.001, p=0.002, and p=0.012, respectively).
Biospecimens
Preservative Types
- Formalin
- Frozen
Diagnoses:
- Neoplastic - Carcinoma
Platform:
Analyte Technology Platform RNA Real-time qRT-PCR Pre-analytical Factors:
Classification Pre-analytical Factor Value(s) Biospecimen Preservation Type of fixation/preservation Formalin (buffered)
Snap frozen
Preaquisition Diagnosis/ patient condition Duke's A colorectal cancer
Duke's B colorectal cancer
Duke's C colorectal cancer
Real-time qRT-PCR Specific Targeted nucleic acid CEA
CK20
GCC