Acquisition of biologically relevant gene expression data by Affymetrix microarray analysis of archival formalin-fixed paraffin-embedded tumours
2008

Gene Expression Profiling of Archival Tumors

Sample size: 34 publication Evidence: moderate

Author Information

Author(s): Linton K M, Hey Y, Saunders E, Jeziorska M, Denton J, Wilson C L, Swindell R, Dibben S, Miller C J, Pepper S D, Radford J A, Freemont A J

Primary Institution: Cancer Research UK Department of Medical Oncology, Christie Hospital NHS Foundation Trust

Hypothesis

Can archival FFPET profiles be used to generate valid quantitative prognostic data?

Conclusion

Reliable clinically relevant data can be obtained from archival FFPET, but protocol amendments are needed to improve the sensitivity and broad application of this approach.

Supporting Evidence

  • FFPET sensitivity was low (∼50%) but specificity was high (95%).
  • RT–PCR validated the regulation pattern for 19 of 24 candidate genes.
  • Prognostic significance was confirmed for several genes including RECQL4, FRRS1, CFH, and MET.

Takeaway

Researchers found that they can get useful information from old tumor samples, but they need to improve their methods to get better results.

Methodology

The study used RNA extraction and Affymetrix microarray technology to analyze archival FFPET samples.

Potential Biases

Potential biases due to 'block effects' from tissue processing and storage conditions.

Limitations

The sensitivity of FFPET arrays was low (∼50%) compared to fresh-frozen tissue.

Participant Demographics

Patients with completely resected, localized extremity soft tissue sarcomas.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604316

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