week 1 Flashcards
What does biomarkers have great significance for?
Prediction Diagnosis Monitoring Treatment And prognosis of many diseases
What are sampling types?
Imaging Tissue + CSF Blood Breath Saliva, semen urine, stool
Example of Imaging
CT and MRI
Can see brain injury
Example of blood
Brings all the goodies
Separated by blood brain barrier
Injured part of the cerebellum and/or brainstem
Example of breath
Used in lung cancer studies
Example of saliva, urine and stool
Saliva - useful biofluid to study AD
Stool is an interesting biosample
If it has bad bacteria - cause for abnormal brain function
Sampling: site of disease
The closer to the brain or spinal cord tissue, the more concentrated the analytes and the source of cause or effect of the disease
Accessibility is a big problem ethically
Taking brain samples can cause further damage
As we move away from CNS tissue, it makes the sampling a lot easier
Consequence: it is further away from the disease - analytes for study reduces as well
What are 3 types of sampling: tissue?
Fresh
Fresh-Frozen
Chemical Fixation
What are examples of fresh tissue and it’s storage properties
E.g. life cell imaging and cell culture
Store in media or buffer at 4 degree Celsius
What are pro and cons of fresh tissue
Pro: when live cells are required (e.g. cel culture, redox or metabolism studies)
Cons;
Easy degradation
Lack morphological detail
Potential biohazards
What are examples of fresh-frozen tissue?
Prevent tissue degradation
E.g. histology and biochemical studies
Store in liquid nitrogen/ -80 degrees
What are pros and cons of Fresh-frozen tissue?
Pros:
Long term storage of tissue
Better antigenicity preservation
Fast fixation method
Cons:
Lack morphological detail
Potential biohazard
Require specialised storage facilities
What are examples of chemical fixation tissue?
Maintain cellular structure
E.g. formalin-fixed paraffin embedded (FFPE)
What are pros and cons of chemical fixation tissue?
Pros:
Long term storage of tissue
Excellent tissue morphology
Store samples at room temperature
Cons:
Some epitopes are reduced/ damaged if fixed
(E.g. Leukocyte surface markers)
Researcher expose to fixative
Writing Ethics for using “brain from bin”
70 page document that require: General public and patient surveys Consent form GP letters What you plan to do with it in detail Funding Reason for ethics
Formalin to immersion fix the tissue
Perfuse fix tissue with 4% paraformaldehyde
Paraformaldehyde is a colourless gas - irritating odour
Heat in water to form formaldehyde solution - equivalent to 10% formalin
Cross-link the primary amino acids in proteins with nearby nitrogen atoms in proteins and DNA
What is FFPE tissue?
Most widely used method for clinical sample preparation and archiving in
Hospitals
Tissue banks
Research labs
What is FFPE tissue used for?
Nucleic acid extraction
What is FFPE tissue not possible for?
Used in molecular analysis histologically
Over a billion tissue samples
What is nucleic acid?
Heavily modified
Trapped by extensive protein-nucleic acid and protein-protein cross linking
What can archived samples provide?
Wealth of information in retrospective molecular studies of diseases tissues?
How is PPFE tissue used?
Appropriate protease digestion e.g. trypsin
What can FFPE samples release?
Microgram amounts of DNA and RNA
What is the purified nucleic acid (fragmented) suitable for?
Variety of downstream genomic and gene expression analysis e.g.
Microarray
MicroRNA
Methylation profiling
What biofluids to use?
Saliva
Urine
Blood
CSF
Why is urine difficult to obtain?
Problems with water works
What is urine not subjected to?
Homeostatic mechanism Changes frequently and dramatically depends on Diet Fluid intake Dehydration.
What changes does urine accommodate that reflect status of body?
Pregnancy
Aging
Daily rhythms
When is urine monitored?
During the progression of many diseases
Why is the brain and urine not closely related?
Filtering effects of BBB and kidneys
Why is saliva a good biofluid source?
Study of diagnostic biomarkers of AD using metabolomics
Ease and convenience of collecting saliva
What has most brain disease studies focused on?
CSF
Blood
Urine had been used as a biofluid for the study of what brain disorders?
Schizophrenia e.g. glutamic acid, glucosamine
Parkinson’s disease e.g. histidine, dihydrocortisol
Stroke e.g. glycine and hippurate
How is blood easily and routinely extracted by?
Venipuncture
Finger prick
How many pints of blood does adults have in body?
10 UK pints
What are the sampling volumesv
1 pint (568 ml) every 56 days (healthy and fit adult)
10 ml every day
1ml regularly
Dried blood spots
Why can blood be considered as tissue?
Contains millions of cells
Perform similar functions
Carry out transport functions and protect the mammal disease
What is blood tissue made up of?
Fluid called plasma
Red and white blood cells float with this plasma
Glucose and amino acids molecules are also found in plasma - dissolved form
What is functions of blood?
Transport medium
Carries substances around the body
Substances; dissolved food, oxygen and plasma proteins
Carries waste substances to excretion organs: lungs and kidneys
Help with heat distribution from internal organs to fingers and toes
Homeostasis
WBC attack foreign particles and germs
What are the 2 most common blood sampling tubes?
Purple/lavender top
Red top
What does purple top contain?
EDTA additive
Used for: haematology and transfusion services