Objectives: There is a growing demand to perform apolipoprotein E (Apo
-E) genotyping on neuropathologic archive material. Due to the extreme
ly long fixation time, this material is unsuitable for routinely used
Apo-E genotyping methods. We present an investigation into the applica
bility of a new method. Design and Methods: An Apo-E genotyping method
was tested for use on formalin-fixed paraffin-embedded brain tissue,
using semi-nested PCR followed by hybridization with biotin-labeled al
lele-specific oligonucleotides, and chemiluminescent detection. The me
thod was applied to 88 archive samples of different neurologic disorde
rs. Results: With this technique 76% (67/88) of the samples could be g
enotyped. The crucial step is the semi-nested PCR. All the samples fro
m which a PCR product could be obtained, the Apo-E gene could be genot
yped without interpretation problems. Seventy-six percent of the sampl
es that could not be genotyped, were fixed in unbuffered formalin. Con
clusions: This technique offers a good Apo-E genotyping method applica
ble on neuropathological archive material in order to support in retro
spect clinical studies.