Abstract

Abstract
Microarray gene expression profiling of frozen samples has identified Indicator genes predictive outcome in diffuse
large B-cell lymphoma (DLBCL) and follicular lymphoma (FL) and there is a now a need to translate these to use in
routine clinical material. In order to evaluate the use of Indicator genes as a diagnostic tool in routinely processed
formalin fixed paraffin embedded tissue (FFPET), we used a simple, practical polyA PCR based method for analysis
of Indicator genes in DLBCL and FL, using parallel FFPET and frozen tissue lymph nodes. PolyA PCR was used to
generate polyA cDNAs from 42 archival FFPET lymph nodes and 42 parallel frozen tissue lymph nodes. These polyA
cDNAs were assayed by real-time PCR for 35 Indicator genes, identified from previous microarray studies, predictive
of outcome in FL and DLBCL, together with housekeeping genes. Housekeeping genes were detectable at high levels
in all cases, though the 35 Indicator genes were expressed at lower levels. There was statistically significant difference
in gene expression between DLBCL and FL for one of the Indicator genes, HSP27 (p ≤ 0.02). There was no correlation
between the Indicator gene expression levels in the FFPET and frozen lymph nodes. The results demonstrate that
gene expression in FFPET is altered from that in frozen tissue and that gene expression data from frozen tissue is
therefore not transferable for use in FFPET.

Keywords: Lymphoma; Indicator genes; Formalin fixed paraffin embedded tissue; PolyA PCR; Real-time PCR