A Critical Issue in Lung Cancer Cytology and Small Biopsies: DNA and RNA Extraction from Archival Stained Slides for Biomarker Detection through Real Time PCR and NGS-The Experience in Pathological Anatomy Unit.

Autor: Zannini G; Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania 'Luigi Vanvitelli', Via L. Armanni 5, 80138 Naples, Italy., Tedesco I; Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania 'Luigi Vanvitelli', Via L. Armanni 5, 80138 Naples, Italy., Cozzolino I; Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania 'Luigi Vanvitelli', Via L. Armanni 5, 80138 Naples, Italy., Montella M; Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania 'Luigi Vanvitelli', Via L. Armanni 5, 80138 Naples, Italy., Clery E; Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania 'Luigi Vanvitelli', Via L. Armanni 5, 80138 Naples, Italy., Della Corte CM; Medical Oncology, Department of Precision Medicine, University of Campania 'Luigi Vanvitelli', Via S. Pansini 5, 80131 Naples, Italy., Morgillo F; Medical Oncology, Department of Precision Medicine, University of Campania 'Luigi Vanvitelli', Via S. Pansini 5, 80131 Naples, Italy., Accardo M; Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania 'Luigi Vanvitelli', Via L. Armanni 5, 80138 Naples, Italy., Franco R; Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania 'Luigi Vanvitelli', Via L. Armanni 5, 80138 Naples, Italy., Zito Marino F; Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania 'Luigi Vanvitelli', Via L. Armanni 5, 80138 Naples, Italy.
Jazyk: angličtina
Zdroj: Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2023 May 05; Vol. 13 (9). Date of Electronic Publication: 2023 May 05.
DOI: 10.3390/diagnostics13091637
Abstrakt: The handling of biomaterials is crucial for precision medicine in advanced-stage lung patients with only cytology or small biopsies available. The main purpose of the study was to evaluate the quantity and quality of nucleic acids extracted from mixed stained slides (MSSs), including H&E, IHC and FISH, compared to the extraction from unstained slides (USs). A series of 35 lung adenocarcinoma surgical samples was selected to set up the method and the technical approach was validated in a series of 15 small biopsies and 38 cytological samples. DNA extracted from MSSs was adequate in all samples and the Real Time PCR was successful in 30/35 surgical samples (86%), 14/15 small biopsies (93%), and 33/38 cytological samples (87%). NGS using DNA extracted from MSSs was successful in 18/35 surgical samples (51%), 11/15 small biopsies (73%), and 26/38 cytological samples (68%). RNA extracted from MSSs was unsatisfactory in all cases showing an inadequate degree of fragmentation. Our technical approach based on the recovery of stained slides could represent a strategic way forward for DNA-based biomarker testing in lung cancer cases without biomaterials. The RNA extracted from MSSs did not represent a successful approach.
Databáze: MEDLINE
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