OBJECTIVE: To study the feasibility of utilizing mRNA recovered front cytol
ogic Papanicolaou (Pay) specimens as a resource for gene expression studies
of normal and diseased cells.
STUDY DESIGN: To assess the effects of fixation on mRNA recovery and analys
is, fresh Pay samples were processed by three separate methods: (1) routine
cytologic fixation, (2) 70% ethanol fixation, and (3) air drying without f
ixation. One-week-old, 1-month-old, 1-year-old and 10-year-old samples were
studied to determine the quality of mRNA in archival samples. mRNA quality
was analyzed by RT-PCR for the HPRT gene, and by complete transcript ampli
fication. Both heterogeneous (whole slide scrapes) and microdissected cell
populations were studied.
RESULTS: Reverse transcriptase-polymerase chain reaction (RT-PCR)for the hy
poxanthine guanine phosphoribosil transferase gene teas positive in all fre
sh and archival samples and was not affected by fixative, processing method
ology or microdissection. Complete transcript amplification followed by gel
electrophoresis showed cDNA smears in all fresh samples with a maximum int
ensity between 1 and 2 kilobases (kb). Amplification of mRNA was Mot affect
ed by fixation. Smaller cDNA smears were seen in archival specimens with a
maximum intensity between 0.5 and 1.5 kb in both one-week-old and one-month
-old samples. Smears of approximately 500 base pairs were observed in the 1
-year-old and 10-year-old samples. Successful mRNA amplification was possib
le from microdissected cell populations.
CONCLUSION: Messenger RNA recovery and analysis is possible from archival c
ytologic specimens, suggesting that they call serve as a useful template fo
r RT-PCR analysis of individual genes as well as newly developing high-thro
ughput gene expression methodologies, such as microarrays. Cytologic sample
s may be particularly useful for study of archival samples as well as disea
ses from which tissue samples amenable to mRNA-based studies are not availa
ble.