Tumor tissue samples collection for scientific research in morphology and molecular oncology

O. R. Khabarov, B. D. Seferov, K. A. Aliev, D. Zima, E. Golubinskaya, E. Zyablitskaya
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Abstract

Purpose of the study. Is to describe the experience of creating a collection of biological images of tumor tissues and biomaterials, which are control samples, for scientific research in morphology and molecular oncology.Materials and methods. We studied the molecular markers of cell cycle regulation, apoptosis, oncogenesis and angiogenesis, the expression of proteins that regulate inflammation and tumor infiltrate cells in biocollections of verified tumors of common localizations: e. g. thyroid cancer, colorectal cancer, breast cancer, prostate adenocarcinoma, endometrioid adenocarcinoma. Also, tissue fragments with normal structure or non-tumor pathology (autoimmune thyroiditis, adenomatous and thyrotoxic goiter, benign formations of the colon, fibrocystic disease of the mammary glands, benign prostatic hyperplasia, endometrial hyperplasia) were used as control samples or comparison groups. The total number of tissue samples is n = 7000.Results. It is reasonable to gather the collection in a pathomorphological laboratory according to the profile of the medical institutions, which has a sufficient volume of incoming target material and specialized morphologists to verify tumors of a given localization. It is necessary to consider the regional and ethnic specifics of the population, which determines the sampling and mutational load. The laboratory must initiate an addition to the informed consent of patients about the possibility of conducting morphological and molecular genetic studies for scientific purposes and publishing their results in a depersonalized form for the development of new elaborations, when signing the contracts with legal entities and individuals and when serving patients within an institution. When working with biocollections, it has to consider having registers of tissue biomaterials of target disorder groups of main localizations with downloading by year from an accessible information system, consider external factors affecting the database (changes in clinical recommendations and classifications, the population of patients served, pandemics and other significant events). The standard of the preanalytical stage, data collection, development of protocols for analytical molecular genetic studies and their evaluation, the utilization of the capabilities of working with reagents for scientific tasks and modeling experiments on laboratory animals are crucial.Conclusion. The formed biocollection made it possible to carry out a number of initiative and funded domestic and international scientific projects at the request of clinicians and fundamental researchers, as well as to improve the quality standards of morphological and molecular genetic oncology diagnostics. Biobanking makes the pathological archive more accessible for review and use, significantly expanding its scientific and practical potential. Scientific and medical research do not conflict and can be used within the same laboratory.
为形态学和分子肿瘤学科学研究收集肿瘤组织样本
研究目的描述为形态学和分子肿瘤学科学研究建立肿瘤组织和生物材料(作为对照样本)生物图像集合的经验。我们研究了甲状腺癌、结直肠癌、乳腺癌、前列腺腺癌、子宫内膜样腺癌等常见部位已证实肿瘤的生物图像集中细胞周期调节、细胞凋亡、肿瘤发生和血管生成的分子标记物,以及调节炎症和肿瘤浸润细胞的蛋白质表达。此外,结构正常或无肿瘤病变的组织片段(自身免疫性甲状腺炎、腺瘤性和甲状腺肿、结肠良性病变、乳腺纤维囊性疾病、良性前列腺增生、子宫内膜增生)也被用作对照样本或对比组。组织样本总数为 n = 7000。根据医疗机构的情况,在病理形态学实验室收集样本是合理的,因为病理形态学实验室有足够数量的目标材料和专门的形态学专家来验证特定定位的肿瘤。有必要考虑人口的地区和种族特点,这决定了取样和突变负荷。实验室在与法人实体和个人签订合同时,以及在为机构内的患者提供服务时,必须在患者知情同意书中增加一项内容,即为科学目的进行形态学和分子遗传学研究的可能性,并以非人格化的形式公布研究结果,以便进行新的阐述。在进行生物收集工作时,必须考虑建立主要地区目标疾病群体的组织生物材料登记册,并从可访问的信息系统中按年下载,还要考虑影响数据库的外部因素(临床建议和分类的变化、服务的病人群体、流行病和其他重大事件)。分析前阶段的标准、数据收集、分子遗传分析研究方案的制定及其评估、利用试剂完成科学任务的能力以及对实验动物进行建模实验都至关重要。已形成的生物收集使我们有可能应临床医生和基础研究人员的要求,开展一些主动的、有资金支持的国内和国际科学项目,并提高肿瘤形态学和分子遗传学诊断的质量标准。生物库使病理档案更易于查阅和使用,极大地拓展了其科学和实用潜力。科学研究和医学研究并不冲突,可在同一实验室内使用。
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