Clinical relevance of DNA microarray analyses using archival formalin-fixed paraffin-embedded breast cancer specimens
2011

Using Archived Breast Cancer Samples for Gene Profiling

Sample size: 39 publication 10 minutes Evidence: moderate

Author Information

Author(s): Sadi Al Muktafi, Wang Dong-Yu, Youngson Bruce J, Miller Naomi, Boerner Scott, Done Susan J, Leong Wey L

Primary Institution: University Health Network

Hypothesis

Can gene profiling using archival formalin-fixed paraffin-embedded (FFPE) breast cancer specimens provide reliable prognostic information?

Conclusion

FFPE specimens retain important prognostic information that can be identified using recent gene profiling technology.

Supporting Evidence

  • Over 80% of RNA samples from FFPE specimens were suitable for analysis.
  • Gene profiles from FFPE samples correlated well with those from fresh samples.
  • Specific gene expressions were linked to poor outcomes in breast cancer patients.

Takeaway

Researchers found that old breast cancer samples can still provide useful information about the disease, helping doctors predict how patients will do.

Methodology

RNA was extracted from FFPE samples and analyzed using a modified DASL assay and RT-qPCR to compare gene expression profiles with fresh samples.

Potential Biases

Potential bias due to the selection of samples and the inherent degradation of RNA in FFPE specimens.

Limitations

The study was limited by the degradation of RNA in FFPE samples, which may affect the accuracy of gene expression data.

Participant Demographics

The study included 39 breast cancer cases with varying ER and Her2 status.

Statistical Information

P-Value

0.0005

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2407-11-253

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