A tissue fixative that protects macromolecules (DNA, RNA, and protein) and histomorphology in clinical samples

Vladimir Vincek1, Mehdi Nassiri, Mehrdad Nadji

  • 1Department of Pathology, Jackson Memorial Medical Center, University of Miami, Miami, Florida, USA. vvincek@med.miami.edu

Insights

A new universal molecular fixative (UMFIX) effectively preserves high-molecular-weight RNA and proteins in paraffin-embedded tissues, enabling reproducible molecular analysis alongside histology. This overcomes limitations of traditional formalin fixation for molecular studies.

Area of Science:

  • Biotechnology
  • Histology
  • Molecular Biology

Background:

  • Traditional tissue preservation methods like immediate freezing are ideal for macromolecules but impractical for archiving.
  • Formalin fixation allows for histological archiving but often degrades nucleic acids and proteins, limiting downstream molecular analysis.
  • Existing methods for preserving RNA in formalin-fixed, paraffin-embedded tissues lack reproducibility due to high-molecular-weight RNA degradation.

Purpose of the Study:

  • To evaluate a novel universal molecular fixative (UMFIX) for preserving macromolecules (DNA, RNA, proteins) in paraffin-embedded tissues.
  • To assess the compatibility of UMFIX with routine histology and rapid tissue processing (RTP) for molecular analysis.
  • To compare the preservation quality of UMFIX with traditional formalin fixation and fresh-frozen samples.

Main Methods:

  • Mouse and human tissues were fixed using UMFIX for durations ranging from 1 hour to 8 weeks.
  • Tissues underwent rapid tissue processing (RTP) and paraffin embedding.
  • Histomorphology, DNA, RNA, and protein quality/quantity were assessed using histology, PCR, RT-PCR, real-time PCR, expression microarrays, and antigenicity tests.
  • Formalin-fixed tissues and fresh-frozen samples served as comparative controls.

Main Results:

  • UMFIX preserved excellent histomorphology, comparable to formalin fixation.
  • High-molecular-weight RNA was successfully preserved in UMFIX-treated tissues stored for up to 8 weeks at room temperature.
  • Molecular analyses (PCR, RT-PCR, real-time PCR, microarrays) showed no significant differences between UMFIX-treated and fresh-frozen samples.
  • Protein preservation in UMFIX-treated tissues was comparable to fresh samples, while formalin fixation led to substantial degradation of both RNA and proteins.

Conclusions:

  • UMFIX, in conjunction with RTP, enables the simultaneous preservation of histomorphology and intact macromolecules in archival paraffin-embedded tissues.
  • This novel approach overcomes the limitations of formalin fixation, offering a reproducible method for molecular analysis from archived samples.
  • UMFIX represents a significant advancement for molecular pathology and biobanking, facilitating integrated diagnostic and research applications.

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