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

Intratumoral heterogeneity of microRNA expression in breast cancer.

Author(s): Raychaudhuri M, Schuster T, Buchner T, Malinowsky K, Bronger H, Schwarz-Boeger U, Höfler H, Avril S

Publication: J Mol Diagn, 2012, Vol. 14, Page 376-84

PubMed ID: 22704963 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of formalin-fixed paraffin-embedded (FFPE) breast tumor heterogeneity on microRNA (miRNA, miR) levels and ki-67 immunohistochemistry (IHC).

Conclusion of Paper

The number of 10 um sections, using four 5 um sections instead of two 10 um section, and extraction in 150 uL versus 240 uL did not affect miRNA expression profiles. The small nucleolar RNA U48 showed low intratumoral and intertumoral variation compared to U44, miR-16, and let-7a. The intratumoral heterogeneity was 30% for miR-10b, 33% for miR-210, 44% for miR-335, and 51% for miR-31. Within zone heterogeneity and between zone heterogeneity of all 4 miRNAs were similar. Generally, the intermediate zone showed less heterogeneity in miRNA levels and ki-67 IHC than the center and peripheral zones.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of tumor heterogeneity and section number and thickness on miRNA levels and the effects of tumor heterogeneity on ki-67 IHC in FFPE breast tumors and lymph node metastases. All primary breast tumors were >3 cm and contained >70% tumor. 2-3 samples, at least 5 mm apart from the periphery (within 5 mm of the edge), center (within 10 mm of center) and intermediate zones (between periphery and central), were taken, and RNA was extracted after proteinase K digestion using FFPE miRNeasy. When available (8 of 16 patients), RNA was also obtained from lymph node metastases.

    Summary of Findings:

    The number of sections, section thickness, and amount of extraction buffer used did not affect miRNA expression profiles. Further, a high degree of reproducibility in miRNA expression was found between repeat extractions from the same and replicate samples. The small nucleolar RNA U48 showed low intratumoral and intertumoral variation, but the small nucleolar RNA U44, and the miRNAs miR-16 and let-7a showed higher intratumoral heterogeneity (p=0.005). The intratumoral heterogeneity was 30% for miR-10b, 33% for miR-210, 44% for miR-335, and 51% for miR-31. Within zone heterogeneity and between zone heterogeneity led to similar variability in expression of all 4 miRNAs, but for miR-31, miR-10b, and miR-210, the intermediate zone showed less heterogeneity than the center and periphery. The authors report that tumor diameter, tumor cell content, or using primary tumor versus metastasis had no effects on the expression variability of miRNA levels, but miRNA expression differed greatly between the patients. Ki-67 immunostaining showed a coefficient of variance (CV) of 28% in primary tumors and 17% in lymph node metastases, and CVs of 5% in the intermediate zone, 22% in the center, and 23% in the periphery. Ki-67 expression was highly variable between patients (CV of 63-112%).

    Biospecimens
    Preservative Types
    • Formalin
    Diagnoses:
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    RNA Real-time qRT-PCR
    Protein Immunohistochemistry
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Aliquots and Components Biospecimen heterogeneity Biospecimen core
    Biospecimen periphery
    Between core and periphery
    Biospecimen Aliquots and Components Aliquot size/volume 2 sections
    4 sections
    5 um section
    10 um section
    Biospecimen Acquisition Biospecimen location Breast
    Lymph node metastasis
    Real-time qRT-PCR Specific Targeted nucleic acid miR-10b
    miR-210
    miR-31
    miR-335
    let-7a
    miR-16
    RNU33
    RNU48
    Immunohistochemistry Specific Targeted peptide/protein Ki-67
    Analyte Extraction and Purification Analyte isolation method 150 uL extraction buffer
    240 uL extraction buffer

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