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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2016 ; 11
(3
): e0151383
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Pathogen Inactivating Properties and Increased Sensitivity in Molecular
Diagnostics by PAXgene, a Novel Non-Crosslinking Tissue Fixative
#MMPMID26974150
Loibner M
; Buzina W
; Viertler C
; Groelz D
; Hausleitner A
; Siaulyte G
; Kufferath I
; Kölli B
; Zatloukal K
PLoS One
2016[]; 11
(3
): e0151383
PMID26974150
show ga
BACKGROUND: Requirements on tissue fixatives are getting more demanding as
molecular analysis becomes increasingly relevant for routine diagnostics.
Buffered formaldehyde in pathology laboratories for tissue fixation is known to
cause chemical modifications of biomolecules which affect molecular testing. A
novel non-crosslinking tissue preservation technology, PAXgene Tissue (PAXgene),
was developed to preserve the integrity of nucleic acids in a comparable way to
cryopreservation and also to preserve morphological features comparable to those
of formalin fixed samples. METHODS: Because of the excellent preservation of
biomolecules by PAXgene we investigated its pathogen inactivation ability and
biosafety in comparison to formalin by in-vitro testing of bacteria, human
relevant fungi and human cytomegalovirus (CMV). Guidelines for testing
disinfectants served as reference for inactivation assays. Furthermore, we tested
the properties of PAXgene for detection of pathogens by PCR based assays.
RESULTS: All microorganisms tested were similarly inactivated by PAXgene and
formalin except Clostridium sporogenes, which remained viable in seven out of ten
assays after PAXgene treatment and in three out of ten assays after formalin
fixation. The findings suggest that similar biosafety measures can be applied for
PAXgene and formalin fixed samples. Detection of pathogens in PCR-based
diagnostics using two CMV assays resulted in a reduction of four to ten
quantification cycles of PAXgene treated samples which is a remarkable increase
of sensitivity. CONCLUSION: PAXgene fixation might be superior to formalin
fixation when molecular diagnostics and highly sensitive detection of pathogens
is required in parallel to morphology assessment.