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

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

  1. 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:
    AnalyteTechnology Platform
    RNA Real-time qRT-PCR
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(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

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