Stenman J, Räsänen J, Tenkanen T, Haglund C, Salo J, Orpana A, Paju A
Department of Surgery, HUCH, Jorvi Hospital, Espoo, Finland.
Scand J Clin Lab Invest. 2006;66(7):597-606. doi: 10.1080/00365510600987736.
Although gene-expression profiling has an important part to play in the classification of tumours and premalignant conditions, reproducibility of the present polymerase chain reaction (PCR)-based quantitative techniques needs to be improved for diagnostic purposes and to enable analysis of gene expression in formalin-fixed paraffin-embedded (FFPE) tissue samples. We have developed reverse transcriptase-PCR-based technology for quantitative assessment of the relative content of multiple mRNA transcripts in small tissue or cell samples.
A multiplexed sequence modifying cDNA synthesis reaction is performed with this technique to create a 4-5 degrees increase in the melting temperature of subsequent short (56-64 bp) PCR amplicons. Each cDNA template is competitively co-amplified with genomic DNA, which serves as a universal internal standard. The relative amounts of cDNA and genomic DNA-derived amplicons are quantified in-tube by homogeneous melting curve analysis.
The dynamic range of the assay was three orders of magnitude, while the detection limit was 100 cDNA molecules. A prototype assay, consisting of the analysis of eight genes, displayed good reproducibility (inter-assay CV 5-20 %) compared to the TaqMan assay (inter-assay CV 7-43 %). Gene-expression analysis could be performed in 20 of 20 (100 %) archival frozen samples, in 30 of 35 (86 %) archival FFPE samples and in 26 of 27 (96 %) endoscopic biopsies.
We demonstrate that this new technique enables accurate analysis of mRNA expression in cultured cells and endoscopic tissue biopsies. Sensitive analysis FFPE tissue is also possible thanks to the short PCR amplicons.
尽管基因表达谱分析在肿瘤和癌前病变的分类中发挥着重要作用,但目前基于聚合酶链反应(PCR)的定量技术的可重复性仍需提高,以用于诊断目的,并能够分析福尔马林固定石蜡包埋(FFPE)组织样本中的基因表达。我们开发了基于逆转录酶PCR的技术,用于定量评估小组织或细胞样本中多种mRNA转录本的相对含量。
使用该技术进行多重序列修饰的cDNA合成反应,使后续短(56 - 64 bp)PCR扩增子的解链温度提高4 - 5摄氏度。每个cDNA模板与基因组DNA竞争性共扩增,基因组DNA作为通用内标。通过均一熔解曲线分析在管内对cDNA和基因组DNA衍生的扩增子的相对量进行定量。
该检测方法的动态范围为三个数量级,检测限为100个cDNA分子。一个由分析八个基因组成的原型检测方法与TaqMan检测方法相比显示出良好的可重复性(批间变异系数CV为5 - 20%,而TaqMan检测方法的批间变异系数CV为7 - 43%)。基因表达分析可在20个存档冷冻样本中的20个(100%)、35个存档FFPE样本中的30个(约86%)以及27个内镜活检样本中的26个(约96%)中进行。
我们证明这种新技术能够准确分析培养细胞和内镜组织活检中的mRNA表达。由于PCR扩增子较短,对FFPE组织进行灵敏分析也是可行的。