Clinical Chemistry
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Clinical Chemistry 55: 1719-1727, 2009. First published July 17, 2009; 10.1373/clinchem.2008.122572
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(Clinical Chemistry. 2009;55:1719-1727.)
© 2009 American Association for Clinical Chemistry, Inc.


Molecular Diagnostics and Genetics

RNA Extraction from Archival Formalin-Fixed Paraffin-Embedded Tissue: A Comparison of Manual, Semiautomated, and Fully Automated Purification Methods

Kerstin Bohmann1,2, Guido Hennig1,2, Uwe Rogel2, Christopher Poremba3, Berit Maria Mueller4, Peter Fritz5, Stephan Stoerkel6 and Karl-L. Schaefer2,a

1 Siemens Healthcare Diagnostics Products, Molecular Research Germany, Cologne, Germany; 2 Institute of Pathology, Heinrich-Heine University Duesseldorf, Duesseldorf, Germany; 3 Center for Histology, Cytology and Molecular Diagnostics, Trier, Germany, 4 Institute of Pathology, Charité Hospital, Campus Mitte, Berlin, Germany; 5 Institute of Pathology, Robert Bosch Hospital, Stuttgart, Germany; 6 Institute of Pathology, HELIOS Klinikum Wuppertal, Wuppertal, Germany.

aAddress correspondence to this author at: Institute of Pathology, Universitaetsklinikum Düsseldorf, Bldg. 14.79, Moorenstr. 5, D-40225 Duesseldorf, Germany. Fax +49-211-811-8353; e-mail L.Schaefer{at}med.uni-duesseldorf.de.

Background: Formalin-fixed paraffin-embedded (FFPE) tumor material represents a valuable resource for the analysis of RNA-based biomarkers, both in research laboratories and in routine clinical testing. A robust and automated RNA-extraction method with a high sample throughput is required.

Methods: We evaluated extraction performance for 4 silica-based RNA-extraction protocols: (a) a fully automated, bead-based RNA-isolation procedure; (b) its manual counterpart; (c) a semiautomated bead-based extraction system; and (d) a manual column-based extraction kit. RNA from 360 sections (90 sections per extraction method) of 30 FFPE tumor blocks up to 20 years of age was purified and analyzed by quantitative reverse-transcription PCR for ESR1 (estrogen receptor 1), PGR (progesterone receptor), ERBB2 [v-erb-b2 erythroblastic leukemia viral oncogene homolog 2, neuro/glioblastoma derived oncogene homolog (avian)], and RPL37A (ribosomal protein L37a).

Results: The semiautomated protocol gave the best yield. The 3 bead-based methods showed good across-method correlations in both yield and relative mRNA amounts (r = 0.86–0.95 and 0.98, respectively). In contrast, correlations between any of the bead-based methods and the manual column-based method were worse (r = 0.77–0.95 and 0.96, respectively). The fully automated method showed the lowest variation from section to section (root mean square error, 0.32–0.35 Cq, where Cq is the quantification cycle) and required the least hands-on time (1 h).

Conclusions: The fully automated RNA-purification method showed the best reproducibility in gene expression analyses of neighboring sections of tissue blocks between 3 and 20 years of age and required the least overall and hands-on times. This method appears well suited for high-throughput RNA analyses in both routine clinical testing and translational research studies with archived FFPE material.







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Copyright © 2009 by the American Association for Clinical Chemistry.