Abstract
BackgroundThe development of protocols for RNA extraction from paraffin-embedded samples facilitates gene expression studies on archival samples with known clinical outcome. Older samples are particularly valuable because they are associated with longer clinical follow up. RNA extracted from formalin-fixed paraffin-embedded (FFPE) tissue is problematic due to chemical modifications and continued degradation over time. We compared quantity and quality of RNA extracted by four different protocols from 14 ten year old and 14 recently archived (three to ten months old) FFPE breast cancer tissues. Using three spin column purification-based protocols and one magnetic bead-based protocol, total RNA was extracted in triplicate, generating 336 RNA extraction experiments. RNA fragment size was assayed by reverse transcription-polymerase chain reaction (RT-PCR) for the housekeeping gene glucose-6-phosphate dehydrogenase (G6PD), testing primer sets designed to target RNA fragment sizes of 67 bp, 151 bp, and 242 bp.ResultsBiologically useful RNA (minimum RNA integrity number, RIN, 1.4) was extracted in at least one of three attempts of each protocol in 86–100% of older and 100% of recently archived ("months old") samples. Short RNA fragments up to 151 bp were assayable by RT-PCR for G6PD in all ten year old and months old tissues tested, but none of the ten year old and only 43% of months old samples showed amplification if the targeted fragment was 242 bp.ConclusionAll protocols extracted RNA from ten year old FFPE samples with a minimum RIN of 1.4. Gene expression of G6PD could be measured in all samples, old and recent, using RT-PCR primers designed for RNA fragments up to 151 bp. RNA quality from ten year old FFPE samples was similar to that extracted from months old samples, but quantity and success rate were generally higher for the months old group. We preferred the magnetic bead-based protocol because of its speed and higher quantity of extracted RNA, although it produced similar quality RNA to other protocols. If a chosen protocol fails to extract biologically useful RNA from a given sample in a first attempt, another attempt and then another protocol should be tried before excluding the case from molecular analysis.
Highlights
The development of protocols for RNA extraction from paraffin-embedded samples facilitates gene expression studies on archival samples with known clinical outcome
In the set of ten year old samples (Tables 1 and 5), protocols 1, 2, 3, and 4 extracted RNA with a minimum RNA integrity number (RIN) of 1.4 in, respectively, 26, 26, 35, and 30 of the 42 triplicate RNA extraction procedures performed for each protocol
The quality of RNA extracted from ten year old formalin-fixed paraffin-embedded (FFPE) was similar to the RNA extracted from recently archived months old samples, the quantity, consistency and success rate was higher in the months old group
Summary
The development of protocols for RNA extraction from paraffin-embedded samples facilitates gene expression studies on archival samples with known clinical outcome. RNA extracted from formalin-fixed paraffin-embedded (FFPE) tissue is problematic due to chemical modifications and continued degradation over time. Most institutions have large paraffin-block archives that allow long-term follow up for all types of neoplasms, including rare tumors. These archives represent a valuable source for molecular studies. Immediate freezing of fresh tissue samples preserves good quality RNA for gene expression studies; this procedure is not routinely performed in most hospitals and there are few institutions worldwide that have large frozen-tissue banks associated with long term clinical followup. Tumor samples accrued into a frozen tissue bank are inherently biased in their collection: such tumors must be sufficiently large and palpable in order for tissue to be excised and frozen for the bank [1]
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