Temporary Ischemia Time Before Snap Freezing Is Important for Maintaining High-Integrity RNA in Hepatocellular Carcinoma Tissues.

Background: High-throughput transcript sequencing plays an important role in the study of hepatocellular carcinoma (HCC) occurrence and development. High-quality biospecimens, especially high-quality RNA, are the most basic prerequisites for obtaining good transcript sequencing data. Our purpose was to explore the treatment conditions of in vitro ischemic tissue samples that can be used to obtain high-integrity RNA before freezing the samples in liquid nitrogen. Materials and Methods: Postoperative tumor tissues (T) and adjacent normal tissues (AN) from 50 HCC patients were randomly selected from May 5, 2017, to June 15, 2017. Postoperative tissue specimens from each HCC patient were stratified by tissue type (T or AN), ischemia time (minutes), and ischemia temperature (degrees C) into 16 groups: T-4 degrees C-15 minutes, T-4 degrees C-30 minutes, T-4 degrees C-60 minutes, T-4 degrees C-120 minutes, T-24 degrees C-15 minutes, T-24 degrees C-30 minutes, T-24 degrees C-60 minutes, T-24 degrees C-120 minutes, AN-4 degrees C-15 minutes, AN-4 degrees C-30 minutes, AN-4 degrees C-60 minutes, AN-4 degrees C-120 minutes, AN-24 degrees C-15 minutes, AN-24 degrees C-30 minutes, AN-24 degrees C-60 minutes, and AN-24 degrees C-120 minutes. RNA integrity was detected by RNA integrity number (RIN) and 1% agarose gel electrophoresis. Results: At an ischemia temperature of 4 degrees C and ischemia time of >30 minutes, the RIN of T began to decrease. RIN also gradually decreased in T at an ischemia temperature of 4 degrees C and in both T and AN at an ischemia temperature of 24 degrees C for ischemia times 15, 30, 60, and 120 minutes. For an ischemia time <= 15 minutes and ischemia temperature 4 degrees C or 24 degrees C, the RINs of T and AN were significantly different. Furthermore, at ischemia temperature 4 degrees C and ischemia time 30 and 60 minutes or ischemia temperature 24 degrees C and ischemia time 30 minutes, the RIN of T was higher compared with AN. However, there was no significant difference in RIN between T and AN under other treatment conditions. Conclusions: Tissue quality is adversely affected by ischemia time and ischemia temperature. Therefore, temporary ischemia time (<= 15 minutes) before snap freezing is key for maintaining high-integrity RNA in HCC tissues.