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The recent development of tissue microarray technology has potentiated
large-scale retrospective cohort studies using archival formalin-fixed,
paraffin-embedded tissues. A major obstacle to broad acceptance of microarrays
is that they reduce the amount of tissue analyzed from a whole tissue
section to a disk, 0.6 mm in diameter, that may not be representative
of the protein expression patterns of the entire tumor. In this study,
we examine the number to disks required to adequately represent the expression
of three common antigens in invasive breast carcinoma\Mestrogen receptor,
progesterone receptor, and the Her2/neu oncogene\Min 38 cases of invasive
breast carcinoma. We compared the staining of 2 to 10 microarray disks
and the whole tissue sections from which they were derived and determined
that analysis of two disks is comparable to analysis of a whole tissue
section in more than 95% of cases. To evaluate the potential for using
archival tissue in such arrays, we created a breast cancer microarray
of 8 to 11 cases from each decade beginning in 1932 to the present day
and evaluated the antigenicity of these markers and others. This array
demonstrates that many proteins retain their antigenicity for more than
60 years, thus validating their study on archival tissues. We conclude
that the tissue microarray technique, with 2-fold redundancy, is a valuable
and accurate method for analysis of protein expression in large archival
cohorts.
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