UE Biopathologie et Biobanking
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- Imogen Hood
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1 UE Biopathologie et Biobanking Modalités de l examen Trois questions rédactionnelles de 45 min (coefficient 3/4) 30 QCM (coefficient 1/4) Présence obligatoire (relevé de présence) Programme 2012 Cellules tumorales circulantes Biobanque: pourquoi et comment? (I) Biobanque: pourquoi et comment? (II) Technique en biopathologie (I) Techniques en biopathologie (II) Techniques en biopathologie (III) Pathologie moléculaire et médecine personnalisée Microscopie électronique Exemple de recherche translationnelle (I) Exemple de recherche translationnelle (II)
2 UE Biobanking & Biopathology Setting up criteria (including biospecimen quality controls) to evaluate the activity of a biobank Toward an «impact factor» for biobanks? Paul Hofman Laboratory of Clinical and Experimental Pathology & Human Biobank Nice Sophia Antipolis University, France
3 How to define a «good» biobank? Which indicators? Indicators showing that samples can be of good value for a research project Indicators of good research productivity Other indicators of strong interest
4 How to define a «good» biobank? Which indicators? Indicators showing that samples can be of good value for a research project Indicators of good research productivity Other indicators of strong interest
5 Indicators showing that samples can be of good value for a research project Quality of the samples Quality of DNA Quality of RNA Quantity of nucleic acids Associated mirror sample for morphological control Associated biological fluids to tissue samples Quality of associated clinical data General data Specific data for the pathology Efficiency for updating the data (including the follow up of the patients)
6 Indicators showing that samples can be of good value for a research project Quality of the samples Quality of DNA Quality of RNA Quantity of nucleic acids Associated mirror sample for morphological control Asssociated biological fluids to tissue samples Quality of associated clinical data General data Specific data for the pathology Efficiency for updating the data (including the follow up of the patients)
7 Parameters impacting the quality of samples Pre analytical time Frozen procedure versus fixatives Sample size Percentage of tumor cells Area of necrosis Matched healthy sample available Bottle necks
8 Parameters impacting the quality of samples Pre analytical time Frozen procedure versus fixatives Sample size Percentage of tumor cells Area of necrosis Matched healthy sample available Bottle necks
9 ? From the surgical room to the pathology laboratory and the biobank: How to get an «easy road»??
10 Improving molecular medicine research, «omic» projects, and clinical practice Archive frozen tissues & Archive paraffin embedded tissues But. How to control the Pre-Analytical Time Intervals (the «PATI»)? Impact on quality
11 Time Physicians Pathology Laboratory Biobanking Differences in tissue preservation Pre-Analytical Time Intervals Surgery Warm ischemia Hospital Organization Cold ischemia Transport to Pathology department How to avoid a labyrinth? Formalin New fixatives? Fixation Grossing Embedding Archive Sec-Hrs Sec-Hrs-Days Hrs-Days Days-Years
12 Time Physicians Pathology Laboratory Biobanking Differences in tissue preservation Pre-Analytical Time Intervals Surgery Warm ischemia Hospital Organization Cold ischemia Transport to Pathology department Bottle neck Need to get a visual control Frozen samples Visual control Archive Freezers Sec-Hrs Sec-Hrs-Days Hrs-Days Days-Years
13 The best and simple system: A pneumatic tube RFID technology Cold ischemia time control
14 Biobank Pathology Laboratory Surgery Surgical room Biobank Area Surgical Pathology Area ENTRY Pneumatic tube Embedding Recording data Meeting room ENTRY Laundry Immunohistochemistry Cytology Gross macroscopy Tissue specimen sectioning room Integrative pathology model Optimization of the process
15 Parameters impacting the quality of samples Pre analytical time Frozen procedure versus fixatives Sample size Percentage of tumor cells Area of necrosis Matched healthy sample available Bottle necks
16 FFPE sample DNA and mirna Frozen sample RNA and mirna
17 FFPE sample Frozen sample DNA and mirna RNA and mirna
18 Frozen sample procedure Drawbacks Ø Different times of cold ischemia Ø Morphological control in a mirror sample Ø Quite expensive equipment (nitrogen tanks, freezers) and safety environment Usefulness & Advantages Ø An easy and fast way for DNA & RNA extraction Ø DNA & RNA of very good quality
19 Formalin-fixed paraffin embbeded sample procedure Drawbacks Ø Variability for fixative time period Ø DNA fragmentation Ø Quality control is difficult and take quite a long time Ø RNA of very low quality Usefulness & Advantages Ø Available in all surgical pathology laboratories Ø An easy way for morphological control before DNA extraction
20 Indicators showing that samples can be of good value for research Quality of the samples Quality of DNA Quality of RNA Quantity of nucleic acids Associated mirror sample for morphological control Associated biological fluids Quality of associated clinical data General data Specific data for the pathology Efficiency for updating the data (including the follow up of the patients)
21 DNA extraction Ø Depending of sample conditionment: Ø Frozen tissue or Ø FFPE Ø Hand made method (lysis buffer & protease) Ø Kits (ex Qiagen) Ø Automated method If tiny material available: Hand made method If large material available: Automated method
22 DNA quality Ø PCR using a gene control Ø Gene control must be selected according to the sample Ø FFPE: <350 pb (S26 gene) Ø Frozen sample: > 350 pb (GAPDH gene) C- MW C+ Ø DNA gel migration
23 DNA quantification (spectrophotometer) Ø Analysis of 260/280 & 260/230 ratios Ø Potential proteins and/or solvants contamination DNA Solvant Protein
24 Indicators showing that samples can be of good value for a research project Quality of the samples Quality of DNA Quality of RNA Quantity of nucleic acids Associated mirror sample for morphological control Associated biological fluids Quality of associated clinical data General data Specific data for the pathology Efficiency for updating the data (including the follow up of the patients)
25 RNA extraction Ø Quality of sample Ø Frozen tissue Ø Hand made (Trizol) Ø Different kits (ex Qiagen) Ø Automated method If tiny material available: Hand made method If large material available: Automated method
26 RNA quality & quantity (Bioanalyser Agilent) Ø RNA Integrity number (RIN) 7
27 Storage of nucleic acid collections Ø -80 C & -150 C freezers
28 Frozen samples Tumoral tissue 1R mg 1R mg 2R mg 3R mg 4R mg RFID : mg Matched healthy tissue THYROID / LUNG / HEAD & NECK / 1R SKIN mg 1R mg N Biobank LB11-2R mg N Pathology Lab LH11-3R mg Name : 4R mg Surname : RFID : mg Date : Artery clamping : min Cold ischemia : min Technician name : Surgical Pathologist name:
29 Parameters impacting the quality of samples Pre analytical time Frozen procedure versus fixatives Sample size Percentage of tumor cells Area of necrosis Matched healthy sample available Bottle necks
30 Tissue sampling (& other biospecimen sampling) «Time is moving» Tissue sample available for biobanking will become more and more smaller in the futur Fine needle aspiration Transbronchial biopsie Etc., Etc.
31 FNA 1 FNA 2 FNA3 Surgical How to collect in the future tiny tissue specimens for research projects? Large variabilty of the size (and wheight) of the different FFPE and frozen samples available for biobanking and research
32 Parameters impacting the quality of samples Pre analytical time Frozen procedure versus fixatives Sample size Percentage of tumor cells Area of necrosis Matched healthy sample Bottle necks
33 Variability of the percentage of tumor cells According to the tumor According to the tumor area 100% of tumor cells 5 % of tumor cells
34 Parameters impacting the quality of samples Pre analytical time Frozen procedure versus fixatives Sample size Percentage of tumor cells Area of necrosis Matched healthy sample available Bottle necks
35 Large necrosis 0% of tumor cells Lung specimen?
36 Parameters impacting the quality of samples Pre analytical time Frozen procedure versus fixatives Sample size Percentage of tumor cells Area of necrosis Matched healthy sample available Bottle necks
37 Indicators showing that samples can be of good value for a research project Quality of the samples Quality of DNA Quality of RNA Quantity of nucleic acids Associated mirror sample for morphological control Associated biological fluids Quality of associated clinical data General data Specific data for the pathology Efficiency for updating the data (including the follow up of the patients)
38 Biobank Initial check list (available for 6877 patients) ID Consent Sample weights Morphological control DNA & RNA quality Associated fluids
39 Indicators showing that samples can be of good value for a research project Quality of the samples Quality of DNA Quality of RNA Quantity of nucleic acids Associated mirror sample for morphological control Asssociated biological fluids Quality of associated clinical data General data Specific data for the pathology Efficiency for updating the data (including the follow up of the patients & treatments)
40 Tumoral and non Tumoral Tissues Patient Consent Frozen specimen Tumoral/ non tumoral Research Pathology Gross macroscopy Histology Paraffin Blocks «in mirror» Clinical datas Treatment Outcome Controls Images RNA Quantity/ Quality DNA arrays RNG Tissue microarrays automatisation quantification Central database
41 How to define a «good» biobank? Indicators showing that samples can be of good value for a research project Indicators of good research productivity Other indicators of strong interest
42 Indicators of good research productivity Number of publications Biobank staff are authors Biobank staff are contributors Biobank staff are mentioned in the acknowledgment section or the biobank is cited in the article Impact factor of the journal Cumulative impact factor by year Cumulative impact factor by year and by collection Grants Obtained by the users of the biobank Obtained to support the biobank Patents Based on research supported by the biobank Others
43 How to define a «good» biobank? Indicators showing that samples can be of good value for a research project Indicators of good research productivity Other indicators of strong interest
44 Other indicators of strong interest Ethical standards Certification and accreditation QC/QA processes in place within the resource Training/competence of biobank staff Educational training program (Academic program) Official recognition from Regional/National/ International Health Institutions Other important indicators of biobank efficiency
45 Other indicators of strong interest Ethical standards Certification and accreditation QC/QA processes in place within the resource Training/competence of biobank staff Educational training program Official recognition from Regional/National/ International Health Institutions Other important indicators of biobank efficiency
46 Certification NF S & ISO 9001 Accreditation NF ISO &NF ISO is the international standard for medical laboratories (ISO Medical laboratories - Particular requirements for quality and competence). ISO is the general standard for testing and calibration laboratories (ISO General requirements for the competence of testing and calibration laboratories).
47 Other indicators of strong interest Ethical standards Certification and accreditation QC/QA processes in place within the resource Training/competence of biobank staff Educational training program Official recognition from Regional/National/ International Health Institutions Other important indicators of biobank efficiency
48 How to get a senior manager for biobanking!
49
50 Other indicators of strong interest Ethical standards Certification and accreditation QC/QA processes in place within the resource Training/competence of biobank staff Educational training program Official recognition from Regional/National/ International Health Institutions Other important indicators of biobank efficiency
51 «Marketing efficiency»
52 Criteria to get a high standing biobank Accreditation & Certification Quality of samples Biopsies ou pièces opératoires Ethical Standards Resarch Productivity Grants and financial supports Toward a high Bioresource Research Impact factor
53 «The main bottle neck»? Biobanker Surgical Pathologist
54
55 Biobank06 Team
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