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Updated: Jan 31, 2026

Preparation of Formalin-fixed Paraffin-embedded Tissue Cores for both RNA and DNA Extraction
Published on: August 21, 2016
Structural Variation Detection by Proximity Ligation from Formalin-Fixed, Paraffin-Embedded Tumor Tissue
Christopher J Troll1, Nicholas H Putnam1, Paul D Hartley1
1Division of Research and Development, Dovetail Genomics, LLC, Santa Cruz, California.
Abstract:
The clinical management and therapy of many solid tumor malignancies depends on detection of medically actionable or diagnostically relevant genetic variation. However, a principal challenge for genetic assays from tumors is the fragmented and chemically damaged state of DNA in formalin-fixed, paraffin-embedded (FFPE) samples. From highly fragmented DNA and RNA there is no current technology for generating long-range DNA sequence data as is required to detect genomic structural variation or long-range genotype phasing. We have developed a high-throughput chromosome conformation capture approach for FFPE samples that we call Fix-C, which is similar in concept to Hi-C. Fix-C enables structural variation detection from archival FFPE samples. This method was applied to 15 clinical adenocarcinoma- and sarcoma-positive control specimens spanning a broad range of tumor purities. In this panel, Fix-C analysis achieves a 90% concordance rate with fluorescence in situ hybridization assays, the current clinical gold standard. In addition, novel structural variation undetected by other methods could be identified, and long-range chromatin configuration information recovered from these FFPE samples harboring highly degraded DNA. This powerful approach will enable detailed resolution of global genome rearrangement events during cancer progression from FFPE material and will inform the development of targeted molecular diagnostic assays for patient care.
Insights
A new Fix-C method detects genetic variations in fragmented DNA from FFPE cancer samples. This breakthrough enables structural variation detection and aids in developing targeted molecular diagnostics for improved patient care.
Area of Science:
- Oncology
- Genomics
- Molecular Biology
Background:
- Clinical management of solid tumors relies on detecting genetic variations.
- Formalin-fixed, paraffin-embedded (FFPE) samples contain fragmented and damaged DNA, hindering genetic analysis.
- Current technologies cannot generate long-range DNA sequence data from degraded DNA for structural variation detection.
Purpose of the Study:
- To develop a novel method for detecting genetic variations in FFPE samples.
- To enable structural variation detection and long-range genotype phasing from archival FFPE specimens.
- To overcome the limitations of analyzing fragmented DNA in FFPE samples for cancer diagnostics.
Main Methods:
- Development of a high-throughput chromosome conformation capture approach named Fix-C.
- Application of Fix-C to 15 clinical adenocarcinoma and sarcoma FFPE specimens.
- Comparison of Fix-C results with fluorescence in situ hybridization (FISH) assays.
Main Results:
- Fix-C achieved a 90% concordance rate with FISH assays, the clinical gold standard.
- Novel structural variations, previously undetected by other methods, were identified.
- Long-range chromatin configuration information was recovered from FFPE samples with highly degraded DNA.
Conclusions:
- Fix-C is a powerful approach for detecting structural variations in FFPE samples.
- This method enables detailed resolution of global genome rearrangement events in cancer progression.
- Fix-C will inform the development of targeted molecular diagnostic assays for patient care.
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