Horm Metab Res 2010; 42(2): 93-101
DOI: 10.1055/s-0029-1241858
Original Basic

© Georg Thieme Verlag KG Stuttgart · New York

Evaluation of a Standardized Protocol for Processing Adrenal Tumor Samples: Preparation for a European Adrenal Tumor Bank

I. K. Johnsen1 , S. Hahner2 , J.-J. Brière3 , 4 , A. Ozimek5 , A. P. Gimenez-Roqueplo6 , 7 , 8 , C. Hantel1 , P. Adam9 , J. Bertherat7 , 10 , 11 , F. Beuschlein1 on Behalf of the European Network for the Study of Adrenal Tumors(ENS@T)*
  • 1Department of Medicine, University Hospital Innenstadt, Ludwig Maximilians University, Munich, Germany
  • 2Department of Medicine, Endocrine and Diabetes Unit, Julius-Maximilian University, Würzburg, Germany
  • 3INSERM, U676, Paris, France
  • 4Université Paris 7, Faculté de Médecine Denis Diderot, IFR02, Paris, France
  • 5Department of Surgery, University Hospital Innenstadt, Ludwig Maximilians University, Munich, Germany
  • 6Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Department of Genetics, Paris, France
  • 7Université Paris-Descartes, Faculté de Médecine, Paris, France
  • 8INSERM, U772, Collège de France, Paris, France
  • 9Institute of Pathology, Julius-Maximilian University, Würzburg, Germany
  • 10INSERM, U567, Institut Cochin, CNRS UMR 8104, Paris, France
  • 11Assistance Publique-Hôpitaux de Paris, Hôpital Cochin, Center for Rare Adrenal Diseases, Paris, France
Further Information

Publication History

received 05.06.2009

accepted 17.09.2009

Publication Date:
30 October 2009 (online)

Abstract

Storage and tissue handling of surgical tumor specimen have been recognized as critical steps that can potentially affect reproducibility and comparability of molecular endpoints between laboratories. In the preparation of adrenal tumor tissue banking, three different protocols that simulate warm ischemia upon tumor removal (protocol I), thawing and refreezing cycles (protocol II), as well as storage of vital tumor samples (protocol III) were applied. For the first two protocols, samples were subdivided and either snap frozen or treated with a RNA preserving agent (RPA) while in protocol III different storage media were compared. Following these procedures, recovery and integrity of DNA, RNA, and protein by means of pulsed field electrophoresis, long-range PCR, real-time PCR, immunoblot, and immunohistochemistry (protocol I and II) as well as cell viability and steroidogenic capacity (protocol III) were investigated. While DNA integrity was not influenced by different treatment modalities, expression levels of adrenal marker genes were more affected in samples after snap freezing in comparison to RPA pretreatment. Moreover, storage at room temperature before and after freezing could be demonstrated to decrease the relative amount of protein phosphorylation (ERK) and enzymatic activity (succinate cytochrome c reductase) while overall protein levels were not significantly affected. Similarly, morphological or immunohistochemical evaluation was comparable between groups. For primary cell cultures generated after storage of tumor samples similar rates of viability were observable while steroid output varied between the groups. Overall, on the basis of the presented endpoints standardized operational procedures can be defined for a proposed European adrenal tumor biobank.

References

  • 1 Young Jr WF. Clinical practice. The incidentally discovered adrenal mass.  New Engl J Med. 2007;  356 601-610
  • 2 Abecassis M, McLoughlin MJ, Langer B, Kudlow JE. Serendipitous adrenal masses: Prevalence, significance, and management.  Am J Surg. 1985;  149 783-788
  • 3 Hedeland H, Ostberg G, Hokfelt B. On the prevalence of adrenocortical adenomas in an autopsy material in relation to hypertension and diabetes.  Acta Med Scand. 1968;  184 211-214
  • 4 Grumbach MM, Biller BM, Braunstein GD, Campbell KK, Carney JA, Godley PA, Harris EL, Lee JK, Oertel YC, Posner MC, Schlechte JA, Wieand HS. Management of the clinically inapparent adrenal mass (“incidentaloma”).  Ann Intern Med. 2003;  138 424-429
  • 5 Mansmann G, Lau J, Balk E, Rothberg M, Miyachi Y, Bornstein SR. The clinically inapparent adrenal mass: update in diagnosis and management.  Endocr Rev. 2004;  25 309-340
  • 6 Mantero F, Terzolo M, Arnaldi G, Osella G, Masini AM, Ali A, Giovagnetti M, Opocher G, Angeli A. A survey on adrenal incidentaloma in Italy. Study Group on Adrenal Tumors of the Italian Society of Endocrinology.  J Clin Endocrinol Metab. 2000;  85 637-644
  • 7 Eisenhofer G, Bornstein SR, Brouwers FM, Cheung NK, Dahia PL, de Krijger RR, Giordano TJ, Greene LA, Goldstein DS, Lehnert H, Manger WM, Maris JM, Neumann HP, Pacak K, Shulkin BL, Smith DI, Tischler AS, Young Jr WF. Malignant pheochromocytoma: current status and initiatives for future progress.  Endocr Relat Cancer. 2004;  11 423-436
  • 8 Gimenez-Roqueplo AP, Lehnert H, Mannelli M, Neumann H, Opocher G, Maher ER, Plouin PF. Phaeochromocytoma, new genes and screening strategies.  Clin Endocrinol (Oxf). 2006;  65 699-705
  • 9 Mulatero P, Stowasser M, Loh KC, Fardella CE, Gordon RD, Mosso L, Gomez-Sanchez CE, Veglio F, Young Jr WF. Increased diagnosis of primary aldosteronism, including surgically correctable forms, in centers from five continents.  J Clin Endocrinol Metab. 2004;  89 1045-1050
  • 10 Arnaldi G, Angeli A, Atkinson AB, Bertagna X, Cavagnini F, Chrousos GP, Fava GA, Findling JW, Gaillard RC, Grossman AB, Kola B, Lacroix A, Mancini T, Mantero F, Newell-Price J, Nieman LK, Sonino N, Vance ML, Giustina A, Boscaro M. Diagnosis and complications of Cushing's syndrome: a consensus statement.  J Clin Endocrinol Metab. 2003;  88 5593-5602
  • 11 Lenders JW, Eisenhofer G, Mannelli M, Pacak K. Phaeochromocytoma.  Lancet. 2005;  366 665-675
  • 12 Agrawal S, Unterberg M, Koschmieder S, Zur Stadt U, Brunnberg U, Verbeek W, Buchner T, Berdel WE, Serve H, Muller-Tidow C. DNA methylation of tumor suppressor genes in clinical remission predicts the relapse risk in acute myeloid leukemia.  Cancer research. 2007;  67 1370-1377
  • 13 Chen HY, Yu SL, Chen CH, Chang GC, Chen CY, Yuan A, Cheng CL, Wang CH, Terng HJ, Kao SF, Chan WK, Li HN, Liu CC, Singh S, Chen WJ, Chen JJ, Yang PC. A five-gene signature and clinical outcome in non-small-cell lung cancer.  New Engl J Med. 2007;  356 11-20
  • 14 Rodland KD. Proteomics and cancer diagnosis: The potential of mass spectrometry.  Clin Biochem. 2004;  37 579-583
  • 15 Tu LC, Yan X, Hood L, Lin B. Proteomics analysis of the interactome of N-myc downstream regulated gene 1 and its interactions with the androgen response program in prostate cancer cells.  Mol Cell Proteomics. 2007;  6 575-588
  • 16 Liu R, Wang X, Chen GY, Dalerba P, Gurney A, Hoey T, Sherlock G, Lewicki J, Shedden K, Clarke MF. The prognostic role of a gene signature from tumorigenic breast-cancer cells.  New Engl J Med. 2007;  356 217-226
  • 17 Cardoso J, Boer J, Morreau H, Fodde R. Expression and genomic profiling of colorectal cancer.  Biochim Biophys Acta. 2007;  1775 103-137
  • 18 Johnsen IK, Slawik M, Shapiro I, Hartmann MF, Wudy SA, Looyenga BD, Hammer GD, Reincke M, Beuschlein F. Gonadectomy in mice of the inbred strain CE/J induces proliferation of sub-capsular adrenal cells expressing gonadal marker genes.  J Endocrinol. 2006;  190 47-57
  • 19 Lichtenauer UD, Duchniewicz M, Kolanczyk M, Hoeflich A, Hahner S, Else T, Bicknell AB, Zemojtel T, Stallings NR, Schulte DM, Kamps MP, Hammer GD, Scheele JS, Beuschlein F. Pre-B-cell transcription factor 1 and steroidogenic factor 1 synergistically regulate adrenocortical growth and steroidogenesis.  Endocrinology. 2007;  148 693-704
  • 20 Bain PA, Yoo M, Clarke T, Hammond SH, Payne AH. Multiple forms of mouse 3 beta-hydroxysteroid dehydrogenase/delta 5-delta 4 isomerase and differential expression in gonads, adrenal glands, liver, and kidneys of both sexes.  Proc Nat Acad Sci USA. 1991;  88 8870-8874
  • 21 Benit P, Goncalves S, Philippe Dassa E, Briere JJ, Martin G, Rustin P. Three spectrophotometric assays for the measurement of the five respiratory chain complexes in minuscule biological samples.  Clin Chim Acta. 2006;  374 81-86
  • 22 Betz MJ, Shapiro I, Fassnacht M, Hahner S, Reincke M, Beuschlein F. Peroxisome proliferator-activated receptor-gamma agonists suppress adrenocortical tumor cell proliferation and induce differentiation.  J Clin Endocrinol Metab. 2005;  90 3886-3896
  • 23 Lichtenauer UD, Shapiro I, Geiger K, Quinkler M, Fassnacht M, Nitschke R, Ruckauer KD, Beuschlein F. Side population does not define stem cell-like cancer cells in the adrenocortical carcinoma cell line NCI h295R.  Endocrinology. 2008;  149 1314-1322
  • 24 Huang J, Qi R, Quackenbush J, Dauway E, Lazaridis E, Yeatman T. Effects of ischemia on gene expression.  J Surg Res. 2001;  99 222-227
  • 25 Spruessel A, Steimann G, Jung M, Lee SA, Carr T, Fentz AK, Spangenberg J, Zornig C, Juhl HH, David KA. Tissue ischemia time affects gene and protein expression patterns within minutes following surgical tumor excision.  Biotechniques. 2004;  36 1030-1037
  • 26 Blackhall FH, Pintilie M, Wigle DA, Jurisica I, Liu N, Radulovich N, Johnston MR, Keshavjee S, Tsao MS. Stability and heterogeneity of expression profiles in lung cancer specimens harvested following surgical resection.  Neoplasia. 2004;  6 761-767
  • 27 Dash A, Maine IP, Varambally S, Shen R, Chinnaiyan AM, Rubin MA. Changes in differential gene expression because of warm ischemia time of radical prostatectomy specimens.  Am J Pathol. 2002;  161 1743-1748
  • 28 Oveland E, Fladmark KE, Wergeland L, Gjertsen BT, Hovland R. Proteomics approaches to elucidate oncogenic tyrosine kinase signaling in myeloid malignancies.  Curr Pharmaceut Biotechnol. 2006;  7 185-198
  • 29 Godl K, Gruss OJ, Eickhoff J, Wissing J, Blencke S, Weber M, Degen H, Brehmer D, Orfi L, Horvath Z, Keri G, Muller S, Cotten M, Ullrich A, Daub H. Proteomic characterization of the angiogenesis inhibitor SU6668 reveals multiple impacts on cellular kinase signaling.  Cancer Res. 2005;  65 6919-6926
  • 30 Roos-van Groningen MC, Eikmans M, Baelde HJ, de Heer E, Bruijn JA. Improvement of extraction and processing of RNA from renal biopsies.  Kidney Int. 2004;  65 97-105
  • 31 Mutter GL, Zahrieh D, Liu C, Neuberg D, Finkelstein D, Baker HE, Warrington JA. Comparison of frozen and RNALater solid tissue storage methods for use in RNA expression microarrays.  BMC Genomics. 2004;  5 88
  • 32 Loken SD, Demetrick DJ. A novel method for freezing and storing research tissue bank specimens.  Hum Pathol. 2005;  36 977-980
  • 33 Morente MM, Mager R, Alonso S, Pezzella F, Spatz A, Knox K, Kerr D, Dinjens WN, Oosterhuis JW, Lam KH, Oomen MH, van Damme B, van de Vijver M, van Boven H, Kerjaschki D, Pammer J, Lopez-Guerrero JA, Llombart Bosch A, Carbone A, Gloghini A, Teodorovic I, Isabelle M, Passioukov A, Lejeune S, Therasse P, van Veen EB, Ratcliffe C, Riegman PH. TuBaFrost 2: Standardising tissue collection and quality control procedures for a European virtual frozen tissue bank network.  Eur J Cancer. 2006;  42 2684-2691

1 See Acknowledgements for a listing of the ENS@T steering committee members.

Correspondence

F. BeuschleinMD 

Department of Medicine, Endocrine Research University Hospital Innenstadt

Ziemssenstraße 1

80336 Munich

Germany

Phone: +49/89/5160 2110 (2116)

Fax: +49/89/5160 4467

Email: felix.beuschlein@med.uni-muenchen.de