The quality of DNA isolated from autopsy formalin-fixed and formalin-fixed paraffin-embedded tissues: study of 1662

Katarina Vitošević1,2, Danijela Todorović3, Živana Slović4,5

  • 1Faculty of Medical Sciences, Department of Forensic Medicine, University of Kragujevac, Serbia, Kragujevac, Serbia. vitosevickatarina@gmail.com.

PubMed
Abstract

Insights

Formalin fixation and paraffin embedding significantly impact DNA yield and integrity. DNA quality degrades over time with prolonged fixation and archival storage, affecting downstream molecular analyses.

Area of Science:

  • Molecular Biology
  • Genomics
  • Biotechnology

Background:

  • Vast archives of formalin-fixed paraffin-embedded (FFPE) tissues exist for molecular analyses.
  • Formalin fixation poses challenges to DNA isolation due to DNA damage.
  • Understanding fixation and embedding effects on DNA is crucial for FFPE sample utility.

Purpose of the Study:

  • To assess DNA purity, yield, and integrity after formalin fixation and paraffin embedding.
  • To compare DNA quality from fixed tissues versus tissues embedded post-fixation.
  • To determine the impact of fixation duration and archival storage on DNA quality.

Main Methods:

  • Human heart, liver, and brain tissues were fixed in buffered and unbuffered formalin for varying durations (6 hours to 2 months).
  • Tissues were also embedded in paraffin blocks and stored for up to 30 years.
  • DNA yield and purity were measured spectrophotometrically; DNA integrity was assessed via PCR amplification of the hTERT gene.

Main Results:

  • DNA purity was generally satisfactory, but yields varied significantly.
  • PCR amplification success decreased sharply with fixation duration, dropping to 8.3% after 2 months.
  • Paraffin block storage up to 30 years also degraded DNA integrity, reducing PCR success to 3%.

Conclusions:

  • Prolonged formalin fixation, especially beyond 14 days, significantly reduces DNA yield.
  • DNA integrity is compromised by fixation duration, with unbuffered formalin showing effects after 6 days and buffered formalin after 28 days.
  • Archival storage of FFPE tissues impacts DNA integrity, evidenced by reduced PCR amplification success over time.