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Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Published on: November 10, 2014
Ribonucleic acid microarray analysis from lymph node samples obtained by endobronchial ultrasonography-guided
Takahiro Nakajima1, Ricardo Zamel, Takashi Anayama
1Division of Thoracic Surgery, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.
The Annals of Thoracic Surgery
|November 27, 2012
Summary
Endobronchial ultrasonography-guided transbronchial needle aspiration (EBUS-TBNA) samples are feasible for messenger RNA (mRNA) and microRNA (miRNA) expression analysis. Microarray technology enables comprehensive gene and miRNA profiling from EBUS-TBNA specimens.
Area of Science:
- Pulmonary Medicine
- Molecular Biology
- Oncology
Background:
- Endobronchial ultrasonography-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive technique for obtaining lung tissue samples.
- Accurate molecular profiling of lung tumors is crucial for diagnosis and targeted therapy.
Purpose of the Study:
- To assess the feasibility of performing messenger RNA (mRNA) and microRNA (miRNA) expression analysis using microarray on EBUS-TBNA samples.
- To determine if EBUS-TBNA samples yield sufficient quality RNA for comprehensive molecular analysis.
Main Methods:
- Total RNA was isolated from 24 archived EBUS-TBNA samples.
- RNA quality was assessed, and samples meeting the threshold underwent whole transcript (WT) array for mRNA and miRNA expression array analysis.
- Statistical analyses, including ANOVA and hierarchical clustering, were performed to identify differentially expressed genes and miRNAs based on histologic subtypes.
Main Results:
- RNA from 17 out of 24 EBUS-TBNA samples (71%) met the quality threshold for analysis.
- Significant differences in gene expression (WT array) and miRNA expression were observed between histologic subtypes (p<0.01).
- Hierarchical clustering demonstrated discrete sample grouping by histologic subtype, with 16 WT genes and 4 miRNAs identified after multiple testing correction.
Conclusions:
- EBUS-TBNA samples are suitable for comprehensive mRNA and miRNA expression profiling using microarray technology.
- This validates EBUS-TBNA as a valuable source for molecular diagnostics and research in lung cancer.

