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Updated: Aug 28, 2025

Optimization for Sequencing and Analysis of Degraded FFPE-RNA Samples
Published on: June 8, 2020
Quality control recommendations for RNASeq using FFPE samples based on pre-sequencing lab metrics and post-sequencing
Yuanhang Liu1, Aditya Bhagwate1, Stacey J Winham1
1Department of Quantitative Health Sciences, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA.
Formalin-fixed, paraffin-embedded (FFPE) tissues yield usable RNAseq data when RNA concentration and library qubit values meet specific thresholds. This study identifies key parameters for successful RNA extraction and library preparation from FFPE samples.
Area of Science:
- Biomarker discovery
- Molecular pathology
- Genomics
Background:
- Formalin-fixed, paraffin-embedded (FFPE) tissues are valuable for biomarker identification due to availability and long-term follow-up.
- RNA extracted from archival FFPE samples often has limited quality, posing challenges for molecular analysis.
- Identifying parameters for successful RNA extraction and RNA sequencing (RNAseq) from FFPE tissues is crucial.
Purpose of the Study:
- To identify critical parameters for successful RNA extraction, library preparation, and RNAseq data generation from FFPE samples.
- To optimize library preparation protocols specifically for FFPE tissues.
- To develop a predictive model for assessing the quality of FFPE samples for downstream bioinformatics analysis.
Main Methods:
- Optimized library preparation protocols for FFPE samples using FFPE and Fresh Frozen tissue pairs.
- Tested optimized protocols on 130 FFPE breast tissue biopsies.
- Collected RNA extraction and preparation metrics, compared them with bioinformatics sequencing data, and built a decision tree model to predict RNAseq quality control (QC) status.
Main Results:
- FFPE samples failing bioinformatics QC had low correlation, few mapped reads (<25 million), or few detectable genes (<11,400).
- QC-failed samples showed significantly lower median RNA concentration (18.9 ng/ul) and pre-capture library Qubit values (2.08 ng/ul) compared to QC-passed samples.
- A decision tree model using RNA concentration and library Qubit values achieved an F-score of 0.848 for predicting QC status.
Conclusions:
- Established bioinformatics quality control recommendations for FFPE breast tissue samples.
- Recommended minimums for successful RNAseq: 25 ng/ul FFPE-extracted RNA for library prep and 1.7 ng/ul pre-capture library output.
- These metrics ensure adequate RNAseq data for downstream bioinformatics analysis.
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