Urologic Oncology: Seminars and Original Investigations
Original articlemiRNA analysis of prostate cancer by quantitative real time PCR: Comparison between formalin-fixed paraffin embedded and fresh-frozen tissue
Introduction
Identification of the molecular mechanisms related to the development and progression of neoplasms is a vast area of research and has resulted in enormous transformations in clinical practice, permitting the finding of new diagnostic and prognostic markers and, more interestingly, the development of specific target therapy. Ideal clinical specimens for molecular biology study are snap fresh-frozen tissues with preserved DNA, RNA, and proteins. However, this practice of snap freezing requires a special structure and organization that many hospitals and laboratories do not have [1].
The most common fixative for human samples is a formaldehyde solution at a concentration of 3.7%, which is referred to as 10% formalin and leads to extensive crosslinking of all tissue components. As a consequence, nucleic acids suffer different grades of fragmentation depending on the conditions of the tissue fixation, processing, and storing [2].
The archives of pathology laboratories are an enormous source of human samples, allowing for huge retrospective studies, which are important in the study of cancer since many years of follow-up are imperative to prove the role of a new molecular marker.
Micro RNA (miRNA) is a class of small noncoding RNA of 19 to 25 nucleotides, whose major role is the regulation of gene expression. Half of them are located in the so-called “fragile sites” of chromosomal DNA, which are frequently deleted, amplified, or rearranged in many cases of cancer. miRNAs have been shown to interfere in key cellular functions, such as cell proliferation, cell differentiation, and apoptosis, abnormalities that are hallmarks of cancer, which suggests that miRNA might be a new class of genes involved in human tumorigenesis [3].
Our aim is to study the possibility of using formalin fixed, paraffin embedded (FFPE) material from the archives to identify miRNA profiles. To achieve this goal, we compared the expression of 14 miRNAs in paired fresh-frozen and FFPE tissues representative of prostate carcinoma.
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Patients
Five patients underwent open radical prostatectomy to treat prostate cancer from December, 2007 to January, 2008. The median patient age was 70 years, and ranged from 54 to 77 years. The median prostate specific antigen (PSA) was 8.7 ng/mL, and ranged from 4.2 to 13.3 ng/mL. The median Gleason score was 8, and varied from 8 to 9, and the median tumor volume was 8 cm3, and ranged from 2.6 to 10.6 cm3. All patients were staged pT3.
The fresh surgical specimen was sent to the laboratory no longer
Quality of recovered RNA
The integrity and quantity of recovered miRNA was analyzed using a NanoDrop 1000 spectrophotometer (Thermo Scientific, Waltham, MA). As shown in Fig. 1, the concentration of miRNA was similar in both the frozen tissues and FFPE specimens. Additionally, the 260/280 absorbance ratio of absorbance was around 2.0 for both samples, indicating good quality miRNA. The 260/230 ratio was 1.26 for fresh tissue and 0.93 for paraffin embedded tissue. The 230 nm is related to solvent contaminants and, as
Discussion
The formalin-fixed, paraffin embedded clinical samples in the archives of pathology laboratories are a rich source of information regarding neoplasm behavior. The possibility of analyzing nucleic acid from these specimens makes research more flexible and less expensive, since it does not requires special specimen handling or infrastructure.
Rupp and Locker [10] were the first to extract RNA from paraffin embedded tissue for northern hybridization, and since their work a large amount of progress
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