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Preservation of biomolecules in breast cancer tissue by a formalin-free histology system.


ABSTRACT: BACKGROUND:The potential problems associated with the use of formalin in histology, such as health hazards, degradation of RNA and cross-linking of proteins are well recognized. We describe the utilization of a formalin-free fixation and processing system for tissue detection of two important biopredictors in breast cancer - estrogen receptor and HER2 - at the RNA and protein levels. METHODS:Parallel sections of 62 cases of breast cancer were fixed in an alcohol-based molecular fixative and in formalin. Molecular fixative samples were processed by a novel formalin-free microwave-assisted processing system that preserves DNA, RNA and proteins. Formalin-fixed samples were processed using the conventional method. Estrogen receptor was assessed by immunohistochemistry and real-time PCR. HER2 was assessed by immunohistochemistry, FISH, CISH and real-time PCR. RESULTS:The immunohistochemical reaction for estrogen receptor was similar in molecular- and formalin-fixed samples (Spearman Rank R = 0.83, p < 0.05). Also HER2 result was similar to that of formalin-fixed counterparts after elimination of antigen retrieval step (Spearman Rank R = 0.84, p < 0.05). The result of HER2 amplification by FISH and CISH was identical in the molecular fixative and formalin-fixed samples; although a shorter digestion step was required when using the former fixative. Real-time PCR for both estrogen receptor and HER2 were successful in all of the molecular fixative specimens. CONCLUSION:The formalin-free tissue fixation and processing system is a practical platform for evaluation of biomolecular markers in breast cancer and it allows reliable DNA and RNA and protein studies.

SUBMITTER: Nassiri M 

PROVIDER: S-EPMC2267798 | biostudies-literature | 2008 Jan

REPOSITORIES: biostudies-literature

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Preservation of biomolecules in breast cancer tissue by a formalin-free histology system.

Nassiri Mehdi M   Ramos Sharon S   Zohourian Hajir H   Vincek Vladimir V   Morales Azorides R AR   Nadji Mehrdad M  

BMC clinical pathology 20080129


<h4>Background</h4>The potential problems associated with the use of formalin in histology, such as health hazards, degradation of RNA and cross-linking of proteins are well recognized. We describe the utilization of a formalin-free fixation and processing system for tissue detection of two important biopredictors in breast cancer - estrogen receptor and HER2 - at the RNA and protein levels.<h4>Methods</h4>Parallel sections of 62 cases of breast cancer were fixed in an alcohol-based molecular fi  ...[more]

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