Abstract
Formalin-fixed paraffin-embedded (FFPE) tissues are a real treasure for retrospective analysis considering the amount of samples present in hospital archives, combined with pathological, clinical, and outcome information available for every sample. Although unlocking the proteome of these tissues is still a challenge, new approaches are being developed. In this review, we summarize the different mass spectrometry platforms that are used in human clinical studies to unravel the FFPE proteome. The different ways of extracting crosslinked proteins and the analytical strategies are pointed out. Also, the pitfalls and challenges concerning the quality of FFPE proteomic approaches are depicted. We also evaluated the potential of these analytical methods for future clinical FFPE proteomics applications.
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Addis MF, Tanca A, Pagnozzi D, Rocca S, Uzzau S (2009) 2-D PAGE and MS analysis of proteins from formalin-fixed, paraffin-embedded tissues. Proteomics 9(18):4329–4339
Ahram M, Flaig MJ, Gillespie JW, Duray PH, Linehan WM, Ornstein DK, Niu S, Zhao Y, Petricoin EF III, Emmert-Buck MR (2003) Evaluation of ethanol-fixed, paraffin-embedded tissues for proteomic applications. Proteomics 3(4):413–421
Amstalden van Hove ER, Smith DF, Heeren RM (2010) A concise review of mass spectrometry imaging. J Chromatogr A 1217(25):3946–3954
Angel PM, Caprioli RM (2013) Matrix-assisted laser desorption ionization imaging mass spectrometry: in situ molecular mapping. Biochemistry
Azimzadeh O, Barjaktarovic Z, Aubele M, Calzada-Wack J, Sarioglu H, Atkinson MJ, Tapio S (2010) Formalin-fixed paraffin-embedded (FFPE) proteome analysis using gel-free and gel-based proteomics. J Proteome Res 9(9):4710–4720. doi:10.1021/pr1004168
Bagnato C, Thumar J, Mayya V, Hwang SI, Zebroski H, Claffey KP, Haudenschild C, Eng JK, Lundgren DH, Han DK (2007) Proteomics analysis of human coronary atherosclerotic plaque: a feasibility study of direct tissue proteomics by liquid chromatography and tandem mass spectrometry. Mol Cell Proteomics 6(6):1088–1102
Balgley BM, Guo T, Zhao K, Fang X, Tavassoli FA, Lee CS (2009) Evaluation of archival time on shotgun proteomics of formalin-fixed and paraffin-embedded tissues. J Proteome Res 8(2):917–925
Bateman NW, Sun M, Bhargava R, Hood BL, Darfler MM, Kovatich AJ, Hooke JA, Krizman DB, Conrads TP (2011) Differential proteomic analysis of late-stage and recurrent breast cancer from formalin-fixed paraffin-embedded tissues. J Proteome Res 10(3):1323–1332
Becker KF, Mack H, Schott C, Hipp S, Rappl A, Piontek G, Hofler H (2008) Extraction of phosphorylated proteins from formalin-fixed cancer cells and tissues. Open Pathol J 2:46–52
Cheung W, Darfler MM, Alvarez H, Hood BL, Conrads TP, Habbe N, Krizman DB, Mollenhauer J, Feldmann G, Maitra A (2008) Application of a global proteomic approach to archival precursor lesions: deleted in malignant brain tumors 1 and tissue transglutaminase 2 are upregulated in pancreatic cancer precursors. Pancreatology 8(6):608–616
Chu WS, Liang Q, Liu J, Wei MQ, Winters M, Liotta L, Sandberg G, Gong M (2005) A nondestructive molecule extraction method allowing morphological and molecular analyses using a single tissue section. Lab Invest 85(11):1416-1428. doi:10.1038/labinvest.3700337
Cornett DS, Reyzer ML, Chaurand P, Caprioli RM (2007) MALDI imaging mass spectrometry: molecular snapshots of biochemical systems. Nat Methods 4(10):828–833
Craven RA, Cairns DA, Zougman A, Harnden P, Selby PJ, Banks RE (2012) Proteomic analysis of formalin-fixed paraffin-embedded renal tissue samples by label-free MS: assessment of overall technical variability and the impact of block age. Proteomics Clin Appl. doi:10.1002/prca.201200065
Crockett DK, Lin Z, Vaughn CP, Lim MS, Elenitoba-Johnson KS (2005) Identification of proteins from formalin-fixed paraffin-embedded cells by LC-MS/MS. Lab Invest 85(11):1405–1415
DeSouza LV, Taylor AM, Li W, Minkoff MS, Romaschin AD, Colgan TJ, Siu KW (2008) Multiple reaction monitoring of mTRAQ-labeled peptides enables absolute quantification of endogenous levels of a potential cancer marker in cancerous and normal endometrial tissues. J Proteome Res 7(8):3525–3534
DeSouza LV, Krakovska O, Darfler MM, Krizman DB, Romaschin AD, Colgan TJ, Siu KW (2010) mTRAQ-based quantification of potential endometrial carcinoma biomarkers from archived formalin-fixed paraffin-embedded tissues. Proteomics 10(17):3108–3116
Djidja MC, Francese S, Loadman PM, Sutton CW, Scriven P, Claude E, Snel MF, Franck J, Salzet M, Clench MR (2009) Detergent addition to tryptic digests and ion mobility separation prior to MS/MS improves peptide yield and protein identification for in situ proteomic investigation of frozen and formalin-fixed paraffin-embedded adenocarcinoma tissue sections. Proteomics 9(10):2750–2763
Donadio E, Giusti L, Cetani F, Da VY, Ciregia F, Giannaccini G, Pardi E, Saponaro F, Torregrossa L, Basolo F, Marcocci C, Lucacchini A (2011) Evaluation of formalin-fixed paraffin-embedded tissues in the proteomic analysis of parathyroid glands. Proteome Sci 9(1):29
Fowler CB, Chesnick IE, Moore CD, O'Leary TJ, Mason JT (2010) Elevated pressure improves the extraction and identification of proteins recovered from formalin-fixed, paraffin-embedded tissue surrogates. PloS One 5(12):e14253. doi:10.1371/journal.pone.0014253
Gamez-Pozo A, Sanchez-Navarro I, Calvo E, Diaz E, Miguel-Martin M, Lopez R, Agullo T, Camafeita E, Espinosa E, Lopez JA, Nistal M, Vara JA (2011) Protein phosphorylation analysis in archival clinical cancer samples by shotgun and targeted proteomics approaches. Mol BioSyst 7(8):2368–2374
Goodwin RJ, Dungworth JC, Cobb SR, Pitt AR (2008) Time-dependent evolution of tissue markers by MALDI-MS imaging. Proteomics 8(18):3801–3808
Groseclose MR, Massion PP, Chaurand P, Caprioli RM (2008) High-throughput proteomic analysis of formalin-fixed paraffin-embedded tissue microarrays using MALDI imaging mass spectrometry. Proteomics 8(18):3715–3724
Guo T, Wang W, Rudnick PA, Song T, Li J, Zhuang Z, Weil RJ, DeVoe DL, Lee CS, Balgley BM (2007) Proteome analysis of microdissected formalin-fixed and paraffin-embedded tissue specimens. J Histochem Cytochem 55(7):763–772
Gustafsson JO, Oehler MK, McColl SR, Hoffmann P (2010) Citric acid antigen retrieval (CAAR) for tryptic peptide imaging directly on archived formalin-fixed paraffin-embedded tissue. J Proteome Res 9(9):4315–4328
Güzel C, Ursem NT, Dekker LJ, Derkx P, Joore J, van DE, Ligtvoet G, Steegers EA, Luider TM (2011) Multiple reaction monitoring assay for pre-eclampsia related calcyclin peptides in formalin fixed paraffin embedded placenta. J Proteome Res 10(7):3274–3282
Hewitt SM, Lewis FA, Cao Y, Conrad RC, Cronin M, Danenberg KD, Goralski TJ, Langmore JP, Raja RG, Williams PM, Palma JF, Warrington JA (2008) Tissue handling and specimen preparation in surgical pathology: issues concerning the recovery of nucleic acids from formalin-fixed, paraffin-embedded tissue. Arch Pathol Lab Med 132(12):1929–1935
Hood BL, Darfler MM, Guiel TG, Furusato B, Lucas DA, Ringeisen BR, Sesterhenn IA, Conrads TP, Veenstra TD, Krizman DB (2005) Proteomic analysis of formalin-fixed prostate cancer tissue. Mol Cell Proteomics 4(11):1741–1753
Huang SK, Darfler MM, Nicholl MB, You J, Bemis KG, Tegeler TJ, Wang M, Wery JP, Chong KK, Nguyen L, Scolyer RA, Hoon DS (2009) LC/MS-based quantitative proteomic analysis of paraffin-embedded archival melanomas reveals potential proteomic biomarkers associated with metastasis. PLoSOne 4(2):e4430
Hwang SI, Thumar J, Lundgren DH, Rezaul K, Mayya V, Wu L, Eng J, Wright ME, Han DK (2007) Direct cancer tissue proteomics: a method to identify candidate cancer biomarkers from formalin-fixed paraffin-embedded archival tissues. Oncogene 26(1):65–76
Ikeda K, Monden T, Kanoh T, Tsujie M, Izawa H, Haba A, Ohnishi T, Sekimoto M, Tomita N, Shiozaki H, Monden M (1998) Extraction and analysis of diagnostically useful proteins from formalin-fixed, paraffin-embedded tissue sections. J Histochem Cytochem 46(3):397–403
Jain MR, Liu T, Hu J, Darfler M, Fitzhugh V, Rinaggio J, Li H (2008) Quantitative proteomic analysis of formalin fixed paraffin embedded oral HPV lesions from HIV patients. Open Proteomics J 1:40–45
Jiang X, Jiang X, Feng S, Tian R, Ye M, Zou H (2007) Development of efficient protein extraction methods for shotgun proteome analysis of formalin-fixed tissues. J Proteome Res 6(3):1038–1047. doi10.1021/pr0605318
Kawamura T, Nomura M, Tojo H, Fujii K, Hamasaki H, Mikami S, Bando Y, Kato H, Nishimura T (2010) Proteomic analysis of laser-microdissected paraffin-embedded tissues: (1) Stage-related protein candidates upon non-metastatic lung adenocarcinoma. J Proteomics 73(6):1089–1099
Klockenbusch C, O’Hara JE, Kast J (2012) Advancing formaldehyde cross-linking towards quantitative proteomic applications. Anal Bioanal Chem 404(4):1057–1067
Klopfleisch R, Weiss AT, Gruber AD (2011) Excavation of a buried treasure-DNA, mRNA, miRNA and protein analysis in formalin fixed, paraffin embedded tissues. Histol Histopathol 26(6):797–810
Lange V, Picotti P, Domon B, Aebersold R (2008) Selected reaction monitoring for quantitative proteomics: a tutorial. Mol Syst Biol 4:222
Lazova R, Seeley EH, Keenan M, Gueorguieva R, Caprioli RM (2012) Imaging mass spectrometry—a new and promising method to differentiate Spitz nevi from Spitzoid malignant melanomas. Am J Dermatopathol 34(1):82–90
Lemaire R, Desmons A, Tabet JC, Day R, Salzet M, Fournier I (2007) Direct analysis and MALDI imaging of formalin-fixed, paraffin-embedded tissue sections. J Proteome Res 6(4):1295–1305
Li Z, Adams RM, Chourey K, Hurst GB, Hettich RL, Pan C (2012) Systematic comparison of label-free, metabolic labeling, and isobaric chemical labeling for quantitative proteomics on LTQ Orbitrap Velos. J Proteome Res 11(3):1582–1590
Link AJ, Eng J, Schieltz DM, Carmack E, Mize GJ, Morris DR, Garvik BM, Yates JR III (1999) Direct analysis of protein complexes using mass spectrometry. Nat Biotechnol 17(7):676–682
McDonnell LA, Heeren RM, Andren PE, Stoeckli M, Corthals GL (2012) Going forward: increasing the accessibility of imaging mass spectrometry. J Proteomics 75(16):5113–5121
Metz B, Kersten GF, Hoogerhout P, Brugghe HF, Timmermans HA, de Jong A, Meiring H, ten HJ, Hennink WE, Crommelin DJ, Jiskoot W (2004) Identification of formaldehyde-induced modifications in proteins: reactions with model peptides. J Biol Chem 279(8):6235–6243
Metz B, Kersten GF, Baart GJ, de Jong A, Meiring H, ten HJ, van Steenbergen MJ, Hennink WE, Crommelin DJ, Jiskoot W (2006) Identification of formaldehyde-induced modifications in proteins: reactions with insulin. Bioconjug Chem 17(3):815–822
Minerva L, Ceulemans A, Baggerman G, Arckens L (2012) MALDI MS imaging as a tool for biomarker discovery: methodological challenges in a clinical setting. Proteomics Clin Appl 6(11–12):581–595
Morgan TM, Seeley EH, Fadare O, Caprioli RM, Clark PE (2013) Imaging the clear cell renal cell carcinoma proteome. J Urol 189(3):1097–1103
Morita Y, Ikegami K, Goto-Inoue N, Hayasaka T, Zaima N, Tanaka H, Uehara T, Setoguchi T, Sakaguchi T, Igarashi H, Sugimura H, Setou M, Konno H (2010) Imaging mass spectrometry of gastric carcinoma in formalin-fixed paraffin-embedded tissue microarray. Cancer Sci 101(1):267–273
Naidoo K, Jones R, Dmitrovic B, Wijesuriya N, Kocher H, Hart IR, Crnogorac-Jurcevic T (2012) Proteome of formalin-fixed paraffin-embedded pancreatic ductal adenocarcinoma and lymph node metastases. J Pathol 226(5):756–763
Nakatani S, Wei M, Ishimura E, Kakehashi A, Mori K, Nishizawa Y, Inaba M, Wanibuchi H (2012) Proteome analysis of laser microdissected glomeruli from formalin-fixed paraffin-embedded kidneys of autopsies of diabetic patients: nephronectin is associated with the development of diabetic glomerulosclerosis. Nephrol Dial Transplant 27(5):1889–1897
Nazarian J, Santi M, Hathout Y, Macdonald TJ (2008) Protein profiling of formalin fixed paraffin embedded tissue: Identification of potential biomarkers for pediatric brainstem glioma. Proteomics Clin Appl 2(6):915–924
Negishi A, Masuda M, Ono M, Honda K, Shitashige M, Satow R, Sakuma T, Kuwabara H, Nakanishi Y, Kanai Y, Omura K, Hirohashi S, Yamada T (2009) Quantitative proteomics using formalin-fixed paraffin-embedded tissues of oral squamous cell carcinoma. Cancer Sci 100(9):1605–1611
Nirmalan NJ, Harnden P, Selby PJ, Banks RE (2008) Mining the archival formalin-fixed paraffin-embedded tissue proteome: opportunities and challenges. Mol BioSyst 4(7):712–720
Nirmalan NJ, Hughes C, Peng J, McKenna T, Langridge J, Cairns DA, Harnden P, Selby PJ, Banks RE (2011) Initial development and validation of a novel extraction method for quantitative mining of the formalin-fixed, paraffin-embedded tissue proteome for biomarker investigations. J Proteome Res 10(2):896–906. doi:10.1021/pr100812d
Nishimura T, Nomura M, Tojo H, Hamasaki H, Fukuda T, Fujii K, Mikami S, Bando Y, Kato H (2010) Proteomic analysis of laser-microdissected paraffin-embedded tissues: (2) MRM assay for stage-related proteins upon non-metastatic lung adenocarcinoma. J Proteomics 73(6):1100–1110
Ono A, Kumai T, Koizumi H, Nishikawa H, Kobayashi S, Tadokoro M (2009) Overexpression of heat shock protein 27 in squamous cell carcinoma of the uterine cervix: a proteomic analysis using archival formalin-fixed, paraffin-embedded tissues. Hum Pathol 40(1):41–49
Ostasiewicz P, Zielinska DF, Mann M, Wisniewski JR (2010) Proteome, phosphoproteome, and N-glycoproteome are quantitatively preserved in formalin-fixed paraffin-embedded tissue and analyzable by high-resolution mass spectrometry. J Proteome Res 9(7):3688–3700
Palmer-Toy DE, Krastins B, Sarracino DA, Nadol JB Jr, Merchant SN (2005) Efficient method for the proteomic analysis of fixed and embedded tissues. J Proteome Res 4(6):2404–2411
Patel V, Hood BL, Molinolo AA, Lee NH, Conrads TP, Braisted JC, Krizman DB, Veenstra TD, Gutkind JS (2008) Proteomic analysis of laser-captured paraffin-embedded tissues: a molecular portrait of head and neck cancer progression. Clin Cancer Res 14(4):1002–1014
Perroud B, Ishimaru T, Borowsky AD, Weiss RH (2009) Grade-dependent proteomics characterization of kidney cancer. Mol Cell Proteomics 8(5):971–985
Picotti P, Aebersold R (2012) Selected reaction monitoring-based proteomics: workflows, potential, pitfalls and future directions. Nat Methods 9(6):555–566
Prieto DA, Hood BL, Darfler MM, Guiel TG, Lucas DA, Conrads TP, Veenstra TD, Krizman DB (2005) Liquid tissue: proteomic profiling of formalin-fixed tissues. Biotechniques Suppl 32–35
Ralton LD, Murray GI (2011) The use of formalin fixed wax embedded tissue for proteomic analysis. J Clin Pathol 64(4):297–302
Reimel BA, Pan S, May DH, Shaffer SA, Goodlett DR, McIntosh MW, Yerian LM, Bronner MP, Chen R, Brentnall TA (2009) Proteomics on fixed tissue specimens—a review. Curr Proteomics 6(1):63–69
Rezaul K, Murphy M, Lundgren DH, Wilson L, Han DK (2010) Combined mass spectrometry-and immunohistochemistry-based approach to determine protein expression in archival melanoma–proof of principle. Pigment Cell Melanoma Res 23(6):849–852
Ronci M, Bonanno E, Colantoni A, Pieroni L, Di IC, Spagnoli LG, Federici G, Urbani A (2008) Protein unlocking procedures of formalin-fixed paraffin-embedded tissues: application to MALDI-TOF imaging MS investigations. Proteomics 8(18):3702–3714
Seeley EH, Caprioli RM (2011) MALDI imaging mass spectrometry of human tissue: method challenges and clinical perspectives. Trends Biotechnol 29(3):136–143
Shi SR, Key ME, Kalra KL (1991) Antigen retrieval in formalin-fixed, paraffin-embedded tissues: an enhancement method for immunohistochemical staining based on microwave oven heating of tissue sections. J Histochem Cytochem 39(6):741–748
Shi SR, Liu C, Balgley BM, Lee C, Taylor CR (2006) Protein extraction from formalin-fixed, paraffin-embedded tissue sections: quality evaluation by mass spectrometry. J Histochem Cytochem 54(6):739–743
Sprung RW, Jr., Brock JW, Tanksley JP, Li M, Washington MK, Slebos RJ, Liebler DC (2009) Equivalence of protein inventories obtained from formalin-fixed paraffin-embedded and frozen tissue in multidimensional liquid chromatography-tandem mass spectrometry shotgun proteomic analysis. Mol Cell Proteomics 8(8):1988–1998
Sprung RW, Martinez MA, Carpenter KL, Ham AJ, Washington MK, Arteaga CL, Sanders ME, Liebler DC (2012) Precision of multiple reaction monitoring mass spectrometry analysis of formalin-fixed, paraffin-embedded tissue. J Proteome Res
Tanca A, Addis MF, Pagnozzi D, Cossu-Rocca P, Tonelli R, Falchi G, Eccher A, Roggio T, Fanciulli G, Uzzau S (2011a) Proteomic analysis of formalin-fixed, paraffin-embedded lung neuroendocrine tumor samples from hospital archives. J Proteomics 74(3):359–370
Tanca A, Pagnozzi D, Falchi G, Tonelli R, Rocca S, Roggio T, Uzzau S, Addis MF (2011b) Application of 2-D DIGE to formalin-fixed, paraffin-embedded tissues. Proteomics 11(5):1005–1011
Tanca A, Pagnozzi D, Addis MF (2012a) Setting proteins free: progresses and achievements in proteomics of formalin-fixed, paraffin-embedded tissues. Proteomics Clin Appl 6(1–2):7–21
Tanca A, Pagnozzi D, Burrai GP, Polinas M, Uzzau S, Antuofermo E, Addis MF (2012b) Comparability of differential proteomics data generated from paired archival fresh-frozen and formalin-fixed samples by GeLC-MS/MS and spectral counting. J Proteomics 77:561–576
Tanca A, Pisanu S, Biosa G, Pagnozzi D, Antuofermo E, Burrai GP, Canzonieri V, Cossu-Rocca P, De Re V, Eccher A, Fanciulli G, Rocca S, Uzzau S, Addis MF (2012c) Application of 2-D DIGE to formalin-fixed diseased tissue samples from hospital repositories: results from four case studies. Proteomics Clin Appl
Tian Y, Gurley K, Meany DL, Kemp CJ, Zhang H (2009) N-linked glycoproteomic analysis of formalin-fixed and paraffin-embedded tissues. J Proteome Res 8(4):1657–1662. doi:10.1021/pr800952h
Toews J, Rogalski JC, Clark TJ, Kast J (2008) Mass spectrometric identification of formaldehyde-induced peptide modifications under in vivo protein cross-linking conditions. Anal Chim Acta 618(2):168–183
Walch A, Rauser S, Deininger SO, Hofler H (2008) MALDI imaging mass spectrometry for direct tissue analysis: a new frontier for molecular histology. Histochem Cell Biol 130(3):421–434
Washburn MP, Wolters D, Yates JR III (2001) Large-scale analysis of the yeast proteome by multidimensional protein identification technology. Nat Biotechnol 19(3):242–247
Wisniewski JR, Ostasiewicz P, Mann M (2011) High recovery FASP applied to the proteomic analysis of microdissected formalin fixed paraffin embedded cancer tissues retrieves known colon cancer markers. J Proteome Res 10(7):3040–3049
Wisniewski JR, Dus K, Mann M (2012) Proteomic workflow for analysis of archival formalin-fixed and paraffin-embedded clinical samples to a depth of 10,000 proteins. Proteomics Clin Appl
Wu Q, Yuan H, Zhang L, Zhang Y (2012) Recent advances on multidimensional liquid chromatography-mass spectrometry for proteomics: from qualitative to quantitative analysis–a review. Anal Chim Acta 731:1–10
Xiao Z, Li G, Chen Y, Li M, Peng F, Li C, Li F, Yu Y, Ouyang Y, Xiao Z, Chen Z (2010) Quantitative proteomic analysis of formalin-fixed and paraffin-embedded nasopharyngeal carcinoma using iTRAQ labeling, two-dimensional liquid chromatography, and tandem mass spectrometry. J Histochem Cytochem 58(6):517–527
Xie R, Chung JY, Ylaya K, Williams RL, Guerrero N, Nakatsuka N, Badie C, Hewitt SM (2011) Factors influencing the degradation of archival formalin-fixed paraffin-embedded tissue sections. J Histochem Cytochem: official journal of the Histochemistry Society 59(4):356–365. doi:10.1369/0022155411398488
Ye X, Blonder J, Veenstra TD (2009) Targeted proteomics for validation of biomarkers in clinical samples. Brief Funct Genomic Proteomic 8(2):126–135
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The authors acknowledge the Flemish Institute for Technological Research (VITO), the Industrial Research Fund (KU Leuven) and the Institute for the Promotion of Innovation through Science and Technology in Flanders (IWT).
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Maes, E., Broeckx, V., Mertens, I. et al. Analysis of the formalin-fixed paraffin-embedded tissue proteome: pitfalls, challenges, and future prospectives. Amino Acids 45, 205–218 (2013). https://doi.org/10.1007/s00726-013-1494-0
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DOI: https://doi.org/10.1007/s00726-013-1494-0