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Updated: Feb 9, 2026

Preparation of Formalin-fixed Paraffin-embedded Tissue Cores for both RNA and DNA Extraction
Published on: August 21, 2016
A computational tool to detect DNA alterations tailored to formalin-fixed paraffin-embedded samples in cancer
Mamoru Kato1, Hiromi Nakamura2, Momoko Nagai1
1Department of Bioinformatics, National Cancer Center Research Institute, Chuo-ku, Tokyo, 104-0045, Japan.
Abstract:
Advanced cancer genomics technologies are now being employed in clinical sequencing, where next-generation sequencers are used to simultaneously identify multiple types of DNA alterations for prescription of molecularly targeted drugs. However, no computational tool is available to accurately detect DNA alterations in formalin-fixed paraffin-embedded (FFPE) samples commonly used in hospitals. Here, we developed a computational tool tailored to the detection of single nucleotide variations, indels, fusions, and copy number alterations in FFPE samples. Elaborated multilayer noise filters reduced the inherent noise while maintaining high sensitivity, as evaluated in tumor-unmatched normal samples using orthogonal technologies. This tool, cisCall, should facilitate clinical sequencing in everyday diagnostics. It is available at https://www.ciscall.org .
Insights
A new computational tool, cisCall, accurately detects DNA alterations in formalin-fixed paraffin-embedded (FFPE) samples. This breakthrough facilitates clinical sequencing and molecularly targeted drug prescription in cancer diagnostics.
Area of Science:
- Genomic Medicine
- Computational Biology
- Cancer Diagnostics
Background:
- Advanced cancer genomics utilizes next-generation sequencing for identifying DNA alterations and guiding targeted therapies.
- Clinical sequencing faces challenges with formalin-fixed paraffin-embedded (FFPE) samples, lacking accurate computational tools for DNA alteration detection.
- Accurate detection of genetic mutations in FFPE tissues is crucial for personalized cancer treatment.
Purpose of the Study:
- To develop a computational tool for precise detection of various DNA alterations in FFPE samples.
- To address the limitations of existing tools in analyzing FFPE-derived genomic data.
- To enhance the utility of FFPE samples in clinical cancer genomics.
Main Methods:
- Development of a novel computational tool, cisCall, specifically designed for FFPE sample analysis.
- Implementation of multilayer noise filters to improve accuracy and sensitivity in DNA alteration detection.
- Validation using orthogonal technologies on tumor-unmatched normal samples to assess performance.
Main Results:
- cisCall accurately detects single nucleotide variations, indels, fusions, and copy number alterations in FFPE samples.
- The tool's multilayer noise filters effectively reduce inherent noise while maintaining high sensitivity.
- Performance evaluation confirmed the tool's reliability for clinical applications.
Conclusions:
- cisCall is a valuable computational tool for accurate DNA alteration detection in FFPE samples.
- The tool is expected to significantly facilitate routine clinical sequencing and molecularly targeted drug prescription.
- cisCall is available to the research and clinical community at https://www.ciscall.org.
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