The quality of DNA isolated from autopsy formalin-fixed and formalin-fixed paraffin-embedded tissues: study of 1662 samples.


Journal

Molecular biology reports
ISSN: 1573-4978
Titre abrégé: Mol Biol Rep
Pays: Netherlands
ID NLM: 0403234

Informations de publication

Date de publication:
Aug 2023
Historique:
received: 05 01 2023
accepted: 26 04 2023
medline: 31 7 2023
pubmed: 13 6 2023
entrez: 13 6 2023
Statut: ppublish

Résumé

There are enormous formalin-fixed paraffin-embedded tissue archives and a constantly growing number of methods for molecular analyses but, the isolation of DNA from this tissue is still challenging due to the damaging effect of formalin on DNA. To determine the extent to which DNA purity, yield and integrity depend on the process of fixation in formalin, and to what extent on the process of tissue paraffin embedding, we compared the quality of DNA isolated from fixed tissues and DNA isolated from tissues embedded in paraffin blocks after fixation. Heart, liver and brain tissues obtained from healthy people who suddenly died a violent death were fixed in 10% buffered formalin as well as in 4% unbuffered formalin for 6 h, 1-7 days (every 24 h), 10, 14, 28 days and 2 months. Additionally, the same tissues were fixed in 4% unbuffered formalin embedded in a paraffin block and stored from a few months to 30 years. The yield and purity of the DNA samples isolated from these tissues were measured using spectrophotometry. PCR amplification of the hTERT gene was performed to evaluate the degree of DNA fragmentation. Although the purity of the DNA isolated from almost all tissue samples was satisfactory, the DNA yields changed significantly. There was a decrease in successful PCR amplification of the hTERT gene in DNA samples isolated from tissue fixed in buffered and unbuffered formalin for up to 2 months from 100% to 8.3%. Archiving the tissue in paraffin blocks for up to 30 years also impacts the integrity of DNA, so there was a decrease in PCR amplification of the hTERT gene from 91% success to 3%. The largest decrease in DNA yield was observed after tissue formalin fixation after 14 days of fixation in buffered and unbuffered formalin. DNA integrity depends on the time of tissue formalin fixation, especially after 6 days for tissue fixed in unbuffered formalin, while for tissue fixed in buffered formalin the time is prolonged up to 28 days. The age of paraffin blocks also impacted DNA integrity, after 1 year and 16 years of archiving the paraffin blocks of tissues, there was a decrease in the success of PCR amplification.

Sections du résumé

BACKGROUND BACKGROUND
There are enormous formalin-fixed paraffin-embedded tissue archives and a constantly growing number of methods for molecular analyses but, the isolation of DNA from this tissue is still challenging due to the damaging effect of formalin on DNA. To determine the extent to which DNA purity, yield and integrity depend on the process of fixation in formalin, and to what extent on the process of tissue paraffin embedding, we compared the quality of DNA isolated from fixed tissues and DNA isolated from tissues embedded in paraffin blocks after fixation.
METHODS AND RESULTS RESULTS
Heart, liver and brain tissues obtained from healthy people who suddenly died a violent death were fixed in 10% buffered formalin as well as in 4% unbuffered formalin for 6 h, 1-7 days (every 24 h), 10, 14, 28 days and 2 months. Additionally, the same tissues were fixed in 4% unbuffered formalin embedded in a paraffin block and stored from a few months to 30 years. The yield and purity of the DNA samples isolated from these tissues were measured using spectrophotometry. PCR amplification of the hTERT gene was performed to evaluate the degree of DNA fragmentation. Although the purity of the DNA isolated from almost all tissue samples was satisfactory, the DNA yields changed significantly. There was a decrease in successful PCR amplification of the hTERT gene in DNA samples isolated from tissue fixed in buffered and unbuffered formalin for up to 2 months from 100% to 8.3%. Archiving the tissue in paraffin blocks for up to 30 years also impacts the integrity of DNA, so there was a decrease in PCR amplification of the hTERT gene from 91% success to 3%.
CONCLUSION CONCLUSIONS
The largest decrease in DNA yield was observed after tissue formalin fixation after 14 days of fixation in buffered and unbuffered formalin. DNA integrity depends on the time of tissue formalin fixation, especially after 6 days for tissue fixed in unbuffered formalin, while for tissue fixed in buffered formalin the time is prolonged up to 28 days. The age of paraffin blocks also impacted DNA integrity, after 1 year and 16 years of archiving the paraffin blocks of tissues, there was a decrease in the success of PCR amplification.

Identifiants

pubmed: 37310548
doi: 10.1007/s11033-023-08491-5
pii: 10.1007/s11033-023-08491-5
doi:

Substances chimiques

Formaldehyde 1HG84L3525
Paraffin 8002-74-2
DNA 9007-49-2

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

6323-6336

Subventions

Organisme : Faculty of Medical Sciences, University of Kragujevac, Serbia
ID : JP: 05/13

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer Nature B.V.

Références

Begum S, Prabhu V, Mohanty V, Upadhyaya KK, Abdulla R (2022) Unveiling the arcanum of formalin-fixed paraffin-embedded archival tissue blocks: a valuable resource for genomic DNA extraction. J Oral Maxillofac Pathol 26(2):289. https://doi.org/10.4103/jomfp.jomfp_424_20
doi: 10.4103/jomfp.jomfp_424_20 pubmed: 35968182 pmcid: 9364647
Viljoen R, Reid KM, Mole CG, Rangwaga M, Heathfield LJ (2022) Towards molecular autopsies: development of a FFPE tissue DNA extraction workflow. Sci Justice 62(2):137–144. https://doi.org/10.1016/j.scijus.2021.12.005
doi: 10.1016/j.scijus.2021.12.005 pubmed: 35277226
Gaffney EF, Riegman PH, Grizzle WE, Watson PH (2018) Factors that drive the increasing use of FFPE tissue in basic and translational cancer research. Biotech Histochem 93(5):373–386. https://doi.org/10.1080/10520295.2018.1446101
doi: 10.1080/10520295.2018.1446101 pubmed: 30113239
Gouveia GR, Ferreira SC, Ferreira JE, Siqueira SA, Pereira J (2014) Comparison of two methods of RNA extraction from formalin-fixed paraffin-embedded tissue specimens. Biomed Res Int. https://doi.org/10.1155/2014/151724
doi: 10.1155/2014/151724 pubmed: 25105117 pmcid: 4106052
Potluri K, Mahas A, Kent MN, Naik S, Markey M (2015) Genomic DNA extraction methods using formalin-fixed paraffin-embedded tissue. Anal Biochem 486:17–23. https://doi.org/10.1016/j.ab.2015.06.029
doi: 10.1016/j.ab.2015.06.029 pubmed: 26126956
Rabelo-Gonçalves E, Roesler B, Guardia AC, Milan A, Hara N, Escanhoela C, Almeida J, Boin I, Zeitune JM (2014) Evaluation of five DNA extraction methods for detection of H. pylori in formalin-fixed paraffin-embedded (FFPE) liver tissue from patients with hepatocellular carcinoma. Pathol Res Pract 210(3):142–146. https://doi.org/10.1016/j.prp.2013.11.003
doi: 10.1016/j.prp.2013.11.003 pubmed: 24355442
Lucena-Aguilar G, Sánchez-López AM, Barberán-Aceituno C, Carrillo-Ávila JA, López-Guerrero JA, Aguilar-Quesada R (2016) DNA source selection for downstream applications based on DNA quality indicators analysis. Biopreserv Biobank 14(4):264–270. https://doi.org/10.1089/bio.2015.0064
doi: 10.1089/bio.2015.0064 pubmed: 27158753 pmcid: 4991598
Cantagalli VD, Leite KRM, Srougi M, Gattas GJF (2011) Quality control of DNA from formalin fixed and paraffin embedded prostate biopsy for forensic analysis. Forensic Sci Int 3:e39–e40
Panchal NK, Bhale A, Chowdary R, Verma VK, Beevi SS (2020) PCR amplifiable DNA from breast disease FFPE section for mutational analysis. J Biomol Tech 31(1):1–6. https://doi.org/10.7171/jbt.20-3101-001
doi: 10.7171/jbt.20-3101-001 pubmed: 31695579 pmcid: 6822607
Seiler C, Sharpe A, Barrett JC, Harrington EA, Jones EV, Marshall GB (2016) Nucleic acid extraction from formalin-fixed paraffin-embedded cancer cell line samples: a trade off between quantity and quality? BMC Clin Pathol 16:17. https://doi.org/10.1186/s12907-016-0039-3
doi: 10.1186/s12907-016-0039-3 pubmed: 28649177 pmcid: 5477763
Sengüven B, Baris E, Oygur T, Berktas M (2014) Comparison of methods for the extraction of DNA from formalin-fixed, paraffin-embedded archival tissues. Int J Med Sci 11(5):494–499. https://doi.org/10.7150/ijms.8842
doi: 10.7150/ijms.8842 pubmed: 24688314 pmcid: 3970103
Gouvegia GR, Ferreira SC, Siqueira SAC, Pereira J (2016) Nucleic acids extraction from formalin-fixed and paraffin-embedded tissues. In: Larramendy ML, Soloneski S (eds) Nucleic acids-from basic aspects to laboratory tools. IntechOpen, UK, pp 27–36
Carlsson J, Davidsson S, Fridfeldt J, Giunchi F, Fiano V, Grasso C, Zelic R, Richiardi L, Andrén O, Pettersson A, Fiorentino M, Akre O (2018) Quantity and quality of nucleic acids extracted from archival formalin fixed paraffin embedded prostate biopsies. BMC Med Res Methodol 18(1):161. https://doi.org/10.1186/s12874-018-0628-1
doi: 10.1186/s12874-018-0628-1 pubmed: 30518332 pmcid: 6280346
Santos S, Sá D, Bastos E, Guedes-Pinto H, Gut I, Gärtner F, Chaves R (2009) An efficient protocol for genomic DNA extraction from formalin-fixed paraffin-embedded tissues. Res Vet Sci 86(3):421–426. https://doi.org/10.1016/j.rvsc.2008.08.007
doi: 10.1016/j.rvsc.2008.08.007 pubmed: 18926550
Ohmomo H, Komaki S, Ono K, Sutoh Y, Hachiya T, Arai E, Fujimoto H, Yoshida T, Kanai Y, Sasaki M, Shimizu A (2021) Evaluation of clinical formalin-fixed paraffin-embedded tissue quality for targeted-bisulfite sequencing. Pathol Int 71(2):135–140. https://doi.org/10.1111/pin.13054
doi: 10.1111/pin.13054 pubmed: 33333623
Bonin S, Stanta G (2013) Nucleic acid extraction methods from fixed and paraffin-embedded tissues in cancer diagnostics. Expert Rev Mol Diagn 13(3):271–282. https://doi.org/10.1586/erm.13.14
doi: 10.1586/erm.13.14 pubmed: 23570405
Lv Y, Li S, Li Z, Tao R, Shao Y, Chen Y (2020) Quantitative analysis of noncoding RNA from paired fresh and formalin-fixed paraffin-embedded brain tissues. Int J Legal Med 134(3):873–884. https://doi.org/10.1007/s00414-019-02210-1
doi: 10.1007/s00414-019-02210-1 pubmed: 31788707
Reid KM, Maistry S, Ramesar R, Heathfield LJ (2017) A review of the optimisation of the use of formalin fixed paraffin embedded tissue for molecular analysis in a forensic post-mortem setting. Forensic Sci Int 280:181–187. https://doi.org/10.1016/j.forsciint.2017.09.020
doi: 10.1016/j.forsciint.2017.09.020 pubmed: 29078160
Yi QQ, Yang R, Shi JF, Zeng NY, Liang DY, Sha S, Chang Q (2020) Effect of preservation time of formalin-fixed paraffin-embedded tissues on extractable DNA and RNA quantity. J Int Med Res 48(6):300060520931259. https://doi.org/10.1177/0300060520931259
doi: 10.1177/0300060520931259 pubmed: 32567435
Hewitt SM, Lewis FA, Cao Y, Conrad RC, Cronin M, Danenberg KD, Goralski TJ, Langmore JP, Raja RG, Williams PM, Palma JF, Warrington JA (2008) Tissue handling and specimen preparation in surgical pathology: issues concerning the recovery of nucleic acids from formalin-fixed, paraffin-embedded tissue. Arch Pathol Lab Med 132(12):1929–1935. https://doi.org/10.1043/1543-2165-132.12.1929
doi: 10.1043/1543-2165-132.12.1929 pubmed: 19061293
Ferruelo A, El-Assar M, Lorente JA, Nin N, Peñuelas O, Fernández-Segoviano P, Gonzalez C, Esteban A (2011) Transcriptional profiling and genotyping of degraded nucleic acids from autopsy tissue samples after prolonged formalin fixation times. Int J Clin Exp Pathol 4(2):156–161
pubmed: 21326810 pmcid: 3037201
Funabashi KS, Barcelos D, Visoná I, e Silva MS, e Sousa ML, de Franco MF, Iwamura ES, (2012) DNA extraction and molecular analysis of non-tumoral liver, spleen, and brain from autopsy samples: the effect of formalin fixation and paraffin embedding. Pathol Res Pract 208(10):584–591. https://doi.org/10.1016/j.prp.2012.07.001
doi: 10.1016/j.prp.2012.07.001 pubmed: 22920941
Vitošević K, Todorović M, Varljen T, Slović Ž, Matić S, Todorović D (2018) Effect of formalin fixation on PCR amplification of DNA isolated from healthy autopsy tissues. Acta Histochem 120(8):780–788. https://doi.org/10.1016/j.acthis.2018.09.005
doi: 10.1016/j.acthis.2018.09.005 pubmed: 30224244
Bass BP, Engel KB, Greytak SR, Moore HM (2014) A review of preanalytical factors affecting molecular, protein, and morphological analysis of formalin-fixed, paraffin-embedded (FFPE) tissue: how well do you know your FFPE specimen? Arch Pathol Lab Med 138(11):1520–1530. https://doi.org/10.5858/arpa.2013-0691-RA
doi: 10.5858/arpa.2013-0691-RA pubmed: 25357115
Skage M, Schander C (2007) DNA from formalin-fixed tissue: extraction or repair? That is the question. Marine Biol Res 3(5):289–295. https://doi.org/10.1080/17451000701473942
doi: 10.1080/17451000701473942
Ludyga N, Grünwald B, Azimzadeh O, Englert S, Höfler H, Tapio S, Aubele M (2012) Nucleic acids from long-term preserved FFPE tissues are suitable for downstream analyses. Virchows Arch 460(2):131–140. https://doi.org/10.1007/s00428-011-1184-9
doi: 10.1007/s00428-011-1184-9 pubmed: 22270699
Sarnecka AK, Nawrat D, Piwowar M, Ligęza J, Swadźba J, Wójcik P (2019) DNA extraction from FFPE tissue samples—a comparison of three procedures. Contemp Oncol (Pozn) 23(1):52–58. https://doi.org/10.5114/wo.2019.83875
doi: 10.5114/wo.2019.83875 pubmed: 31061638
Bonnet E, Moutet ML, Baulard C, Bacq-Daian D, Sandron F, Mesrob L, Fin B, Delépine M, Palomares MA, Jubin C, Blanché H, Meyer V, Boland A, Olaso R, Deleuze JF (2018) Performance comparison of three DNA extraction kits on human whole-exome data from formalin-fixed paraffin-embedded normal and tumor samples. PLoS ONE 13(4):e0195471. https://doi.org/10.1371/journal.pone.0195471
doi: 10.1371/journal.pone.0195471 pubmed: 29621323 pmcid: 5886566
Turashvili G, Yang W, McKinney S, Kalloger S, Gale N, Ng Y, Chow K, Bell L, Lorette J, Carrier M, Luk M, Aparicio S, Huntsman D, Yip S (2012) Nucleic acid quantity and quality from paraffin blocks: defining optimal fixation, processing and DNA/RNA extraction techniques. Exp Mol Pathol 92(1):33–43. https://doi.org/10.1016/j.yexmp.2011.09.013
doi: 10.1016/j.yexmp.2011.09.013 pubmed: 21963600
Farrugia A, Keyser C, Ludes B (2010) Efficiency evaluation of a DNA extraction and purification protocol on archival formalin-fixed and paraffin-embedded tissue. Forensic Sci Int 194(1–3):e25–e28. https://doi.org/10.1016/j.forsciint.2009.09.004
doi: 10.1016/j.forsciint.2009.09.004 pubmed: 19781880
Rich J, Dean DE, Powers RH (2005) Forensic medicine of the lower extremity. Humana Press, Totowa
doi: 10.1385/1592598978
Ferrer I, Armstrong J, Capellari S, Parchi P, Arzberger T, Bell J, Budka H, Ströbel T, Giaccone G, Rossi G, Bogdanovic N, Fakai P, Schmitt A, Riederers P, Al-Sarraj S, Ravid R, Kretzschmar H (2007) Effects of formalin fixation, paraffin embedding, and time of storage on DNA preservation in brain tissue: a BrainNet Europe study. Brain Pathol 17(3):297–303. https://doi.org/10.1111/j.1750-3639.2007.00073.x
doi: 10.1111/j.1750-3639.2007.00073.x pubmed: 17465988 pmcid: 8095589
Nam SK, Im J, Kwak Y, Han N, Nam KH, Seo AN, Lee HS (2014) Effects of fixation and storage of human tissue samples on nucleic Acid preservation. Korean J Pathol 48(1):36–42. https://doi.org/10.4132/KoreanJPathol.2014.48.1.36
doi: 10.4132/KoreanJPathol.2014.48.1.36 pubmed: 24627693 pmcid: 3950233
Legrand B, Mazancourt Pd, Durigon M, Khalifat V, Crainic K (2002) DNA genotyping of unbuffered formalin fixed paraffin embedded tissues. Forensic Sci Int 125(2–3):205–211. https://doi.org/10.1016/s0379-0738(01)00641-7
doi: 10.1016/s0379-0738(01)00641-7 pubmed: 11909665
Niland EE, McGuire A, Cox MH, Sandusky GE (2012) High quality DNA obtained with an automated DNA extraction method with 70+ year old formalin-fixed celloidin-embedded (FFCE) blocks from the indiana medical history museum. Am J Transl Res 4(2):198–205
pubmed: 22611472 pmcid: 3353536
Lin J, Kennedy SH, Svarovsky T, Rogers J, Kemnitz JW, Xu A, Zondervan KT (2009) High-quality genomic DNA extraction from formalin-fixed and paraffin-embedded samples deparaffinized using mineral oil. Anal Biochem 395(2):265–267. https://doi.org/10.1016/j.ab.2009.08.016
doi: 10.1016/j.ab.2009.08.016 pubmed: 19698695 pmcid: 2764035
Okello JB, Zurek J, Devault AM, Kuch M, Okwi AL, Sewankambo NK, Bimenya GS, Poinar D, Poinar HN (2010) Comparison of methods in the recovery of nucleic acids from archival formalin-fixed paraffin-embedded autopsy tissues. Anal Biochem 400(1):110–117. https://doi.org/10.1016/j.ab.2010.01.014
doi: 10.1016/j.ab.2010.01.014 pubmed: 20079706
Greytak SR, Engel KB, Zmuda E, Casas-Silva E, Guan P, Hoadley KA, Mungall AJ, Wheeler DA, Doddapaneni HV, Moore HM (2018) National Cancer Institute Biospecimen Evidence-Based Practices: harmonizing procedures for nucleic acid extraction from formalin-fixed, paraffin-embedded tissue. Biopreserv Biobank 16(4):247–250. https://doi.org/10.1089/bio.2018.0046
doi: 10.1089/bio.2018.0046 pubmed: 29920119 pmcid: 6080192
Robbe P, Popitsch N, Knight SJL, Antoniou P, Becq J, He M, Kanapin A, Samsonova A, Vavoulis DV, Ross MT, Kingsbury Z, Cabes M, Ramos SDC, Page S, Dreau H, Ridout K, Jones LJ, Tuff-Lacey A, Henderson S, Mason J, Buffa FM, Verrill C, Maldonado-Perez D, Roxanis I, Collantes E, Browning L, Dhar S, Damato S, Davies S, Caulfield M, Bentley DR, Taylor JC, Turnbull C, Schuh A (2018) Clinical whole-genome sequencing from routine formalin-fixed, paraffin-embedded specimens: pilot study for the 100000 Genomes Project. Genet Med 20(10):1196–1205. https://doi.org/10.1038/gim.2017.241
doi: 10.1038/gim.2017.241 pubmed: 29388947 pmcid: 6520241

Auteurs

Katarina Vitošević (K)

Faculty of Medical Sciences, Department of Forensic Medicine, University of Kragujevac, Serbia, Kragujevac, Serbia. vitosevickatarina@gmail.com.
Department of Forensic Medicine and Toxicology, University Clinical Center Kragujevac, Kragujevac, Serbia. vitosevickatarina@gmail.com.

Danijela Todorović (D)

Faculty of Medical Sciences, Department of Genetics, University of Kragujevac, Serbia, Kragujevac, Serbia.

Živana Slović (Ž)

Faculty of Medical Sciences, Department of Forensic Medicine, University of Kragujevac, Serbia, Kragujevac, Serbia.
Department of Forensic Medicine and Toxicology, University Clinical Center Kragujevac, Kragujevac, Serbia.

Tatjana Varljen (T)

Institute of Legal Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

Ivana Radaković (I)

Faculty of Medical Sciences, Department of Forensic Medicine, University of Kragujevac, Serbia, Kragujevac, Serbia.

Dušan Radojević (D)

Faculty of Medical Sciences, Department of Genetics, University of Kragujevac, Serbia, Kragujevac, Serbia.

Vanja Čanović (V)

Faculty of Medical Sciences, University of Kragujevac, Serbia, Kragujevac, Serbia.

Miloš Todorović (M)

Faculty of Medical Sciences, Department of Forensic Medicine, University of Kragujevac, Serbia, Kragujevac, Serbia.
Department of Forensic Medicine and Toxicology, University Clinical Center Kragujevac, Kragujevac, Serbia.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH