Effect of duration of fixation with formalin on mRNA expression using quantitative RT-PCR
Hajira Khatoon1, N S Sahana2, T Suresh2
1Department of Oral and Maxillofacial Pathology and Oral Microbiology, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India.
Journal of Oral and Maxillofacial Pathology : JOMFP
|July 24, 2025
Summary
Messenger RNA (mRNA) can be successfully extracted from archival formalin-fixed paraffin-embedded tissues. This method allows for quantitative analysis using RT-qPCR, enabling extensive research on preserved samples.
Area of Science:
- Molecular Biology
- Histopathology
- Biotechnology
Background:
- Analysis of messenger RNA (mRNA) in archival tissues using reverse transcription quantitative polymerase chain reaction (RT-qPCR) holds significant potential for diagnostics and research.
- Uncertainty exists regarding the feasibility of mRNA extraction and analysis from archival tissues.
- This study investigates the possibility of mRNA extraction, RT-qPCR analysis, and protocol standardization using formalin-fixed paraffin-embedded (FFPE) blocks.
Purpose of the Study:
- To assess the impact of 24-hour and 72-hour formalin fixation on mRNA quantity and quality in paraffin-embedded tissues.
- To compare the mRNA quantity and quality with that of fresh frozen tissues.
- To compare extracted mRNA expression levels using RT-qPCR across different tissue preservation methods.
Main Methods:
- Twelve tissue samples were divided into three groups: 24-hour formalin fixation, 72-hour formalin fixation, and fresh frozen (RNAlater, -80°C).
- Messenger RNA (mRNA) was extracted using the TRIzol method after routine tissue processing and wax removal for FFPE tissues.
- Extracted mRNA was quantified (Nanodrop spectrophotometer), quality-checked (mRNA TapeStation), and analyzed via cDNA synthesis followed by RT-qPCR.
Main Results:
- Satisfactory quantities of mRNA were isolated from all three preservation groups.
- Formalin-fixed tissues exhibited significantly lower mRNA quality compared to fresh frozen tissues.
- Despite quality differences, RT-qPCR results from formalin-fixed tissues were comparable to those from fresh frozen tissues (P = 0.00002).
Conclusions:
- Messenger RNA (mRNA) can be successfully extracted from archival paraffin-embedded tissue blocks.
- The extracted mRNA from FFPE tissues is suitable for extensive studies utilizing RT-qPCR.
- This validates the use of archival FFPE tissues for molecular research and diagnostics.


