Polymerase Chain Reaction for the Detection of Helicobacter pyloriin FormaldehydeSublimate Fixed Paraffinembedded Gastric Biopsies

Autor: Scholte, G. H.A., Doorn, L. J. van, Quint, W. G.V., Lindeman, J.
Zdroj: Diagnostic Molecular Pathology; August 1997, Vol. 6 Issue: 4 p238-243, 6p
Abstrakt: To improve morphologic detail and immunohistochemical staining, mercuric chloride-containing fixatives such as formaldehyde-sublimate (FS) have been widely used as an alternative for neutral buffered formalin. FS-fixed, paraffin-embedded tissue, however, is considered to be an unreliable source of DNA. We used an adapted DNA-extraction method for FS-fixed, paraffin-embedded tissue. In all cases tested we obtained amplifiable DNA with the polymerase chain reaction (PCR), after FS-fixation and after fixation in neutral buffered formalin as well. A PCR assay for the 16S-rRNA region of Helicobacter pyloriwas developed amplifying a fragment of 145 bp. The specificity of this PCR assay was tested on a range of different microorganisms. PCR was performed on 46 archival FS-fixed paraffin-embedded gastric biopsies. The results were compared with histologic examination and with immunohistochemical detection using a polyclonal antibody against H. pylori. Both PCR and immunohistochemistry are very sensitive methods for the detection of H. pylori. A PCR offers the possibility of additional subtyping in archival FS-fixed, paraffin-embedded tissue.
Databáze: Supplemental Index