Comparison of formalin-free tissue fixatives a proteomic study testing their application for routine pathology and research

Hannelore Kothmaier, Daniela Rohrer, Elvira Stacher, Franz Quehenberger, Karl Friedrich Becker, Helmut H. Popper

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

Context.-Formalin-fixed, paraffin-embedded tissue is the routine processing method for diagnostics practiced in pathology departments worldwide. Objective.-To determine the potential value of non-cross-linking, formalin-free tissue fixation for diagnostics in pathology and proteomic investigations. Design.-We tested 3 commercially available, formalinfree tissue fixatives - FineFIX, RCL2, and HOPE-in lung cancer specimens from 10 patients. The fixatives were evaluated for their effects on tissue morphology, protein recovery, and immunoreactivity for a selected panel of proteins differently expressed in lung cancer, using immunohistochemistry and Western blotting. Results.-Tumor-cell analysis with hematoxylin-eosin worked equally well for all tested fixatives when compared with the standard formalin-fixed, paraffin-embedded procedure. Movat pentachrome stains showed comparable results for the different matrices and cellular proteins analyzed. The RCL2 (P = .01) and HOPE fixatives (P= .03) improved protein recovery when compared with formalinfixed, paraffin-embedded or frozen tissues. Our data clearly show that the fixatives evaluated influenced immunoreactivity to matched, formalin-fixed, paraffinembedded lung cancer tissue. In particular, membranebound proteins, such as epidermal growth factor receptor EGFR, can be detected more efficiently by immunohistochemistry and Western blotting. Conclusion.-We have demonstrated that formalin-free fixatives have the potential in routine pathology and research to replace formalin in histomorphology and protein preservation.

Original languageEnglish
Pages (from-to)744-752
Number of pages9
JournalArchives of Pathology and Laboratory Medicine
Volume135
Issue number6
StatePublished - Jun 2011

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