Abstract:
Disclosed is a method for capturing the spatial molecular profiling of a biological mass formed from biological material, comprising the steps of: a) providing a transected biological mass, for example a tumour, the transection exposing at least a portion of the mass; b) providing a solid support of an area at least equalling the area of said portion of the mass; c) transferring biological material from the portion of the mass to the support to provide on the support a two dimensional imprint of the biological material present at the portion of the mass; and d) performing a biological assay of the transferred biological material from different predetermined locations of the imprint in order to determine the spatial molecular profile of the portion of the mass.

Description:
FIELD OF THE INVENTION 
       [0001]    This invention relates to ex vivo spatial molecular profiling of biological masses such as tumours and the storage of such a profile. 
       BACKGROUND OF THE INVENTION 
       [0002]    Herein ‘spatial molecular profiling’ refers to the determination of the composition of biological material at a molecular, or macro-molecular level. Herein macro-molecular includes genomic, RNA expression, proteomic and enzymatic information. The inventors consider that spatial molecular profiling of biological tumours as well as other biological masses, such as cellular formations, is essential for determining patterns of gene and protein expression that result in the biological changes which characterise different cell types for example in solid tumours, for example, but not limited to, breast, lung, prostate and colorectal cancers. Molecular profiling of tumours, however, is greatly complicated by the intrinsic biological heterogeneity of tumours. There is an increasing need for technologies that allow the analysis of multiple biomarkers in ‘a spatial-molecular map’ across both the tumour and the surrounding extracellular matrix. In embodiments, this invention will enable the identification of tumour region-specific gene expression and gene rearrangement profiles, and protein expression profiles, which will provide vital information on tumour heterogeneity and will facilitate treatment and clinical decisions, prognosis predictions and fundamental tumour biology research. 
         [0003]    Molecular profiling of malignant tumours is essential for determining appropriate tumour-specific treatment regimens and for predicting prognosis. Of particular importance is the analysis of molecular markers that characterize invasive tumours as, very often, mortality from cancer does not result from the primary tumour, but from secondary tumours (metastases) that arise in other organs. Such molecular markers include those that are involved in epithelial-to-mesenchymal transition (EMT), a process which results in non-invasive epithelial cells gaining a more mesenchymal phenotype and therefore becoming increasingly invasive in their behaviour. 
         [0004]    Currently, methods for molecular profiling of tumours include microarray analysis of the expression of large numbers of genes from bulk tumour samples which can be expensive and time consuming. 
         [0005]    Molecular profiling is further complicated by the fact that tumours have inherent biological heterogeneity and therefore very different gene expression profiles are present depending on which part of the bulk sample is taken. Currently, in both clinical and research settings, bulk tumour samples are stored in formalin fixed paraffin embedded (FFPE) blocks. This storage method is not widely adopted because nucleic acid isolated from these blocks is usually degraded and contains more PCR inhibitors than nucleic acid isolated from non-fixed tissue. Additionally, the physical space needed for storage of a large number of specimens is often not available. Furthermore, specific gene expression patterns across the tumour cannot always be analysed easily as the 2-dimensional (2D) tumour structure may be lost. This is especially problematic when attempting to analyze molecular markers of invasion such as those involved in EMT, which are predominantly differentially expressed only at the edge, or invasive front, of the tumour (Kahlert C, Lahes S et al. Overexpression of ZEB2 at the invasion front of colorectal cancer is an independent prognostic marker and regulates tumour invasion in vitro. Clin. Cancer Res. 2011; 17, 24:7654-7663.; Usami Y, Satake S et al. Snail-associated epithelial-mesenchymal transition promotes oesophageal squamous cell carcinoma motility and progression. J Pathol. 2008; 215,3,330-339.). 
         [0006]    A previous study examined the use of a solid support paper sold under the trade name FTA® for collection and isolation of DNA collected from colorectal tumour samples for use in real-time PCR-based KRAS assays (Petras M L, Lefferts J A et al. KRAS detection in colonic tumours by DNA extraction from FTA Paper: The molecular touch-prep. Diagn Mol Pathol. 2011; 20,4:189-193). DNA from colonic tumours was collected by taking a slice through the tumour before applying FTA paper directly to the cut surface. KRAS mutation analysis was carried out on DNA extracted from these samples and from matched FFPE blocks. Results demonstrated 100% correlation between the two DNA collection methods and highlighted the feasibility of using a paper support to successfully store tumour samples for future nucleic acid isolation and downstream analysis. However, only one genomic mutation was analysed and the study did not perform two dimensional tumour gene expression profiles or consider other analytes such as enzymes. 
         [0007]    In light of this background, there is a need for a high quality nucleic acid, protein and enzyme storage system that enables the 2D tumour structure to be interrogated, potentially after a period of storage in a ‘bank’ or the like, thereby allowing spatially relevant downstream gene expression analysis etc, to take place. 
         [0008]    The inventors have realised the requirement for a tumour molecular profiling method &amp; kit that will allow the transfer of tumour cells and other biomarkers such as mRNA and proteins, including enzymatic proteins, from the tissue surface directly onto a suitable solid support for storage in its original 2D spatial context, for example using a detergent treated paper such as FTA, allowing long term storage. 
         [0009]    When required, samples for example samples punched from the paper, can then be taken from any area of the tumour imprinted paper support for downstream molecular analysis that is specific to that area of the tumour. 
         [0010]    The invention provides a method according to claim  1  having preferred features defined by claims dependent on claim  1 . 
         [0011]    The invention provides also apparatus as defined by claim having preferred features defined in claims dependent thereon. 
         [0012]    The invention extends to a kit which includes a dried reagent set for example in the form of readily useable beads that contain primers to analyse specific gene expression signatures. The method will be particularly useful in identifying the differential expression of invasion-related genes that are often only differentially expressed at the invasive front of the tumour and so are not identified in bulk tumour analysis. The kit could be utilised in both the analysis of clinical samples and in pre-clinical tumour biology research. 
         [0013]    This invention extends to protein expression profiling using untreated paper and downstream protein based assays, and this disclosure has not been previously reported elsewhere. The invention will encompass product, method and kit claims. 
         [0014]    The invention extends to any combination of features disclosed herein, whether or not such a combination is mentioned explicitly herein. Further, where two or more features are mentioned in combination, it is intended that such features may be claimed separately without extending the scope of the invention. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         [0015]    The invention can be put into effect in numerous ways, illustrative embodiments of which are described below with reference to the drawings, wherein: 
           [0016]      FIG. 1  shows a plan view of a tray holding a tumour transection; 
           [0017]      FIG. 2  shows a solid support including an imprint of the tumour shown in  FIG. 1 ; 
           [0018]      FIG. 3  shows an image of the tumour shown in  FIG. 1 ; 
           [0019]      FIG. 4  shows an experimental image of amplicons; and 
           [0020]      FIGS. 5 to 12  show experimental data in graphical form. 
       
    
    
     DETAILED DESCRIPTION OF THE INVENTION 
       [0021]    The invention, together with its objects and the advantages thereof, may be understood better by reference to the following description taken in conjunction with the accompanying drawings, in which like reference numerals identify like elements in the Figures. 
         [0022]    Referring to  FIG. 1 , there is shown schematically a transection T of a cancerous tumour held in a holder  10 , which in this embodiment is a tray of a size compatible with apparatus described below. The transection T is a parallel slice of the tumour which lies flat in the tray  10 . The tray  10  has a base  11  which includes holding means in the form of upstanding spikes  12 , which in turn hold the tumour slice in place. In the illustration, cell types at an outer region of the tumour  20 , including edge portions  22 , are depicted by single hatching lines, whereas cell types at an inner region  24  of the tumour are represented as having double hatching lines. It is to be appreciated that tumours generally have an ill-defined or random transition between inner region and edge portion cell types with complex heterogeneity, rather than the clear delineation illustrated schematically in  FIG. 1 . 
         [0023]    Referring to  FIG. 2 , an FTA® paper support  30  is shown onto which fits snugly into the tray  10 . The holder  10  of  FIG. 1  has formations i.e. tray sides, for guiding the support  30  into contact with the transection T. The support  30  may be supported by a backing layer or pad (not visible) which prevents the paper from bending in use but allows drying of the paper. The support has a pattern  32  pre-printed thereon, in this case in the form of a numbered grid. The support  30  has been fitted into the tray and pressed gently by hand onto the transection  10  for five seconds or more, to provide an inverted imprint  12  of the tumour  10 . The imprint will consist of small but detectable amounts of biological material transferred during the pressing. In this embodiment, the FTA paper includes a dye, such as phenol red, which provides a witness mark where fluids from the tumour have wetted the paper. 
         [0024]    Referring to  FIG. 3 , the tumour transection T has been stained with haematoxylin and eosin to better define the ideas of the tumour, and then photographed or otherwise imaged to provide the image shown schematically in  FIG. 3 . In this case a grid pattern  32 ′ is superimposed over the image to provide the same size pattern as the grid pattern  32  printed on the support  30 . The grid pattern can simply be printed onto a transparent sheet and overlaid on the transection, or it can be digitally overlaid according to known techniques. For convenience, the image shown in  FIG. 3  can be reversed to match the imprint  12 . 
         [0025]    In use the following steps are performed: 
         [0000]    1) The pathologist or researcher will transect a tumour after it is removed from a patient or animal, by cleanly cutting a cross-section through the tumour.
 
2) The transection is placed in the tray  10  and will be held in place by the holding means  12 .
 
3) The support  30  will be mounted to a backing layer and applied with sufficient pressure to the exposed cut surface of the tumour, ensuring that full contact across the tumour is made for a sufficient time period (at least 5 seconds). Visual examination of the witness marks in the coloured dye on the paper will ensure that full transfer has taken place.
 
4) The paper will be allowed to dry.
 
5) Optionally, an image of the transection can be taken, possibly enhanced by surface treatments of the transection.
 
6) DNA from the tumour imprint can then be stored in its original spatial context on the paper support for as long as necessary.
 
7) Samples in the form of paper punches can be taken from any relevant area of the tumour imprint particularly from the edges portion which often includes an invasive front. The sample can be subjected to gene amplification techniques such as a Polymerase Chain reaction (PCR), reverse transcriptase PCR, quantative real time PCR, isothermal amplification, or RNA expression assays, or gene rearrangement assays, and/or other assays, for example ELISA or enzyme assays to identify the presence of certain proteins or enzymes. In preparation for PCR, nucleic acids can be eluted from the punch and added to a reverse transcriptase (RT) formulation, for example contained in a dried bead format, together with a predetermined amount of solvent in kit form. The bead may contain PCR primers designed at intron/exon boundaries to analyse gene expression in that area of the tumour. Primer sets could include, for example, EMT markers, such as E-cadherin, Snail, Slug, Twist and ZEB-2 that could be used on samples taken from the edge portion of the tumour. Samples can be taken from any area of the paper but the edge portion can be better identified by reference to the image ( FIG. 3 ) and cross referencing the grid reference from the image onto the paper.
 
         [0026]    Embodiments of the invention provide: 
         [0000]    1) The ability to maintain the two dimensional ‘spatial map’ of the tumour so that samples can be taken from well-defined areas.
 
2) RTG beads containing appropriate primer sets to analyse specific gene signatures that are likely to occur in precise areas of the tumour (e.g. invasive genes).
 
3) The requirement of only a small amount of clinical or research tumour sample to be taken.
 
4) Easy storage of nucleic acid for long periods of time at room temperature for later downstream analysis.
 
5) Ease of use for the different assays mentioned in step  7 ) above.
 
         [0027]    Supporting experimentation results are given below: 
       Examples 
     DNA Sample Collection and Storage 
       [0028]    Murine tissues from c57BL/6 mice and NOS3 null mice (in a 129/B6 background) were applied to several different solid support media including FTA classic, indicating and FTA elute micro-cards, sold by Whatman Inc. The mice were euthanized and dissected to collect organs (blood, heart, brain, lung, liver, and kidney). The Organs were ‘sandwiched’ between two layers of the different FTA matrices described above. Pressure was applied via a sterile pipette to imbed tissues in each of the chemically-coated cellulose matrices. For tissue homogenate, approximately 5 g of tissue was processed using a plastic dounce homogenizer in a 1.5 ml microfuge tube and then subsequently applied to the appropriate FTA matrix. After application, all the samples were allowed to air-dry for 2 hours prior to storage in a sealed pouch with desiccant. In some instances, samples were stored up to 2 months before processing. 
       DNA Purification, Genotyping, and Quantitation 
       [0029]    A Harris disposable micro punch (1.2 mm or 3 mm diameter) was used to excise the dried tissue samples from FTA and FTA elute micro-cards respectively in the form of punched disks. The sample disk was excised from the center of the dried sample and placed in a clean DNase free-1.5 ml micro-centrifuge tube. To extract genomic DNA from FTA and FTA elute cards standard purification procedures were followed according to Manufacturer&#39;s instructions. 
         [0030]    Null or gene knockout NOS3 mice were identified by PCR amplification of genomic DNA with endothelial Nitric Oxide Synthases (eNOS) exon 10-specific forward primer (see sequence listing 1), eNOS Neo-specific forward primer (sequence listing 2), and eNOS exon 12-specific reverse primer (see sequence listing 3). 
         [0031]    Target DNA&#39;s were amplified with an initial 10 min denaturation step followed by 36 cycles of 94° C. for 35 sec, 65° C. for 1 min, and 72° C. for 1 min; followed by a final extension at 72° C. for 5 min. using a MJ Research thermo-cycler. The resultant PCR products were visualized using an Experion capillary electrophoresis system. Mouse DNA quantification was achieved using the Primer Design genomic DNA quantification kit for mouse samples (gDNA-mo-q-DD) following manufacturer&#39;s instructions. 
         [0032]    Individual wild type (WT) and NOS null tissue samples were applied separately to different FTA cards. In some limited instances a dried sample spot was created that contained both KO and NOS null liver tissue samples. DNA was isolated from this cellular mixture and subjected to a non-optimized multiplex PCR that contained a combination of all three genotyping primers i.e. eNOS exon 10-specific forward primer, eNOS Neo-specific forward primer, and eNOS exon 12-specific reverse primer. A representative gel is shown in  FIG. 4 a    indicating the simultaneous amplification of both products from a mixed tissue source in a single PCR reaction. 
       Genotype Discrimination Via PCR Analysis 
       [0033]    In order to exemplify the ability to differentiate genotypic variants from DNA stored on FTA matrices, PCR amplification of a region was carried out on WT and transgenic (NOS3 null, gene knock-out) mice. 
         [0034]      FIG. 4 b    and Table 1 (below) show the DNA amplification products derived from both the WT and NOS3 null gene knock-out mice respectively. Results indicate that for both sample sources, the correctly sized DNA amplicons were produced from DNA isolated from all organ/tissue sources applied to the FTA matrix. Similar results were presented for the FTA elute matrix (data not shown). These data indicate that 1.2 mm Harris micro-punches can excise sufficient DNA from tissue stored on FTA and FTA micro-cards to differentiate two genetic variants. 
         [0035]    In  FIG. 4 b    banded PCR amplicons are shown, associated with the NOS locus using DNA as an amplification template isolated from tissues from FTA cards. Lanes 1-5 are DNA isolated from WT mouse tissue (Heart, Liver, Brain, Lung, and Kidney respectively). Lanes 6-10 are DNA amplified from NOS mouse tissues (Heart, Liver, Brain, Lung, and Kidney respectively). Equivalent results have been found with FTA elute and indicating FTA. 
         [0000]    
       
         
               
               
             
               
               
               
               
               
               
             
           
               
                 TABLE 1 
               
             
             
               
                   
               
               
                   
                 DNA type 
               
             
          
           
               
                   
                 DNA 
                 FTA 
                 FTA 
                 FTA Elute 
                 FTA classic 
               
               
                   
                 Source 
                 Microcards 
                 Indicating 
                 Microcards 
                 cards 
               
               
                   
               
               
                 Wild Type 
                 Blood 
                 + 
                 ND 
                 ND 
                 ND 
               
               
                 Tissue DNA 
                 Heart 
                 ND 
                 + 
                 + 
                 + 
               
               
                   
                 Liver 
                 ND 
                 + 
                 + 
                 + 
               
               
                   
                 Brain 
                 ND 
                 + 
                 + 
                 + 
               
               
                   
                 Lung 
                 ND 
                 + 
                 + 
                 + 
               
               
                   
                 Kidney 
                 ND 
                 + 
                 + 
                 + 
               
               
                 Knock Out 
                 Blood 
                 + 
                 ND 
                 ND 
                 ND 
               
               
                 Tissue DNA 
                 Heart 
                 ND 
                 + 
                 + 
                 + 
               
               
                   
                 Liver 
                 ND 
                 + 
                 + 
                 + 
               
               
                   
                 Brain 
                 ND 
                 + 
                 + 
                 + 
               
               
                   
                 Lung 
                 ND 
                 + 
                 + 
                 + 
               
               
                   
                 Kidney 
                 ND 
                 + 
                 + 
                 + 
               
               
                   
               
             
          
         
       
     
         [0036]    In Table 1 the successful amplification of DNA isolated from tissues stored on various FTA papers is recorded. DNA was isolated from a 1.2 mm punch. ‘+’ signifies the presence of amplicons, and ND represents not determined. 
       RNA Purification and Quantitation 
       [0037]    Tissue samples were applied to FTA cards as described above. FTA sample punches were excised and the RNA isolated using the GE Healthcare illustra RNAspin kit as described below. RNA quantitation was performed on an ABI 7900 real time PCR system utilizing the commercially-available mRNA quantification kits as detailed in Table 2. 
         [0038]    Using a Harris 3 mm disposable micro punch, a punch was excised from the center of the dried sample spot and place in a clean RNase-free 1.5 ml micro-centrifuge tube. The illustra buffer RA1 (350 μl) was combined with 3.5 μl β-mercaptoethanol and the solution was added to the disc. The disc was homogenized using a 20 gauge needle. The resultant homogenate was transferred to the RNAspin Mini filter column for subsequent removal of residual material. The column was centrifuged for 1 min at 11,000×g. and the RNAspin Mini Filter discarded. The homogenized lysate contains the RNA and this filtrate was transferred to a new RNase-free 1.5 ml micro-centrifuge tube. 
         [0039]    Ethanol (70%; 350 μl) was added to the homogenized lysate and mixed by vortexing for 2×5 sec pulses. For each preparation, the lysate was pipette up-and-down 2-3 times, and applied to an RNA Mini-spin column placed in a 2 ml micro-centrifuge tube. The tubes were centrifuged for 30 sec at 8000×g and the flow through discarded. The RNA spin column was transferred to a new collection tube. 
         [0040]    The illustra MDB buffer (350 μl) was added and the tube centrifuged at 11 000×g for 1 min. Once again the flow-through was discarded and the column returned to the collection tube. A DNase reaction mixture was prepared according to manufacturer&#39;s instructions and was added to the surface of the filter contained within the RNAspin column. This DNAse incubation was performed at room temperature for 15 min. 
         [0041]    The wash buffer RA2 (200 μl) was applied to the RNA Mini-spin column and the column was centrifuged for 1 min at 11 000×g. Once again the flow-through was discarded and the column returned to the collection tube. 
         [0042]    Buffer RA3 600 μl was applied to the RNA Mini-spin column and the column centrifuge for 1 min at 11 000×g the flow-through was discarded and the column returned to the collection tube. An addition column wash with buffer RA3 (250 μl) was also performed. In order to dry the membrane completely, the column was centrifuged for 2 min at 11 000×g and the column finally placed into a nuclease-free 1.5 ml micro-centrifuge tube. 
         [0043]    RNase-free water (40 μl) was applied to the column and the column centrifuged at 11 000×g for 1 min. The purified RNA was either used immediately in downstream applications or stored at −80° C. until used. 
         [0044]    To determine the integrity of RNA from multiple tissues after prolonged storage, real-time reverse transcription polymerase chain reaction (RT-PCR) was carried out on RNA isolated from mouse tissue samples stored on FTA and FTA elute. Cards were stored in the presence of a desiccant for 2 months. mRNA quantification was accomplished according to manufacturer&#39;s instructions using either i) the ABI Taqman rodent GAPDH control kit (part #4308313), ii) the Invitrogen real-time LUX mRNA primer sets for murine HPRT, GAPDH, and Beta-Actin genes (cat. 105M-02, 100M-02, and 101M-02 respectively) or iii) tissue specific gene primer sets from Applied Bio-systems (see Table 2 for details). 
         [0000]    
       
         
               
             
               
               
               
             
           
               
                 TABLE 2 
               
             
             
               
                   
               
               
                 Tissue specific genes tested for relative RNA quantitation. 
               
             
          
           
               
                 Catalog number 
                 Gene 
                 Organ Specificity 
               
               
                   
               
               
                 Mm00475834_ml 
                 Alkaline Phosphatase 
                 Liver, bone, kidney 
               
               
                 Mm01266402_ml 
                 Myelin Basic Protein 
                 Brain 
               
               
                 Mm01313844_mH 
                 Myh6 
                 Smooth muscle 
               
               
                   
                   
                 (Heart, lungs) 
               
               
                 Mm00437306_ml 
                 VEGF 
                 Lungs 
               
               
                   
               
             
          
         
       
     
         [0045]      FIG. 5  shows the relative expression levels of GADPH from several tissue sources using the ABI Taqman rodent GAPDH control kit. RNA levels derived from the FTA cards were determined by comparison to known values generated from a quantification titration curve from mouse RNA standard samples. Comparable GAPDH RNA levels were detected from RNA isolated from both paper types. This indicates that both FTA and FTA elute paper matrices are suitable solid support matrices for the short-medium term storage of RNA from tissues. Murine RNA from tissues derived from C57Bl/6 mice was isolated from a single 3 mm punch of FTA and FTA Elute. RNA was purified using illustra RNA Mini-spin kit. 
         [0046]    Absolute quantitation of murine mRNA encoding HPRT, GAPDH and Beta-Actin was carried out with the appropriate Invitrogen real-time LUX primer sets. RNA levels derived from the FTA cards were determined by comparison to known values generated from a quantification titration curve from mouse RNA standard samples. Data associated with the isolation of RNA from FTA cards is described in  FIG. 6  and demonstrate that FTA cards are able to support the storage of RNA from numerous tissue types. Similar observations were apparent for RNA stored on FTA elute. 
         [0047]    To investigate the mRNA levels in the FTA and FTA elute archived tissue samples, the relative expression levels of the mRNA described in Table 2 was determined using with real-time tissue specific RT-PCR probes (see  FIG. 7 ). The GAPDH mRNA transcript was used to standardize the total RNA levels in each sample. Additional controls involved homogenized tissue that had been applied to FTA cards and the use of freshly isolated RNA derived from the illustra RNA Mini-spin kit. 
         [0048]    Results show elevated mRNA levels for; Alkaline Phosphatase in Kidney; myelin basic protein in brain; Myh6 message in heart and lung; and elevated VEGF mRNA levels from lung tissue sources compared to the other mRNAs. This trend was apparent irrespective of the sample type i.e. tissue stored on directly on FTA, homogenized prior to storage or freshly isolated RNA. These data agree with predicted expression patterns and levels of these mRNAs from these tissue sources. These data demonstrate that both FTA and FTA elute are able to preserve mRNA levels from all tissue sources irrespective of the sample type i.e. card-based or fresh formats. 
         [0000]    RNA Analysis from Tumours Using Gene Target Prepared from a Solid Support 
         [0049]    Two dimensional (2D) tumour mapping could be used to analyse molecular markers of tumour invasion such as those involved in Epithelial-to-Mesenchymal Transistion (EMT) which primarily occurs at the tumour&#39;s edge. Table 3 below describes examples of appropriate gene markers that could be used to determine the invasiveness of a tumour. 
         [0000]    
       
         
               
               
               
               
             
           
               
                 TABLE 3 
               
               
                   
               
               
                   
                 Gene 
                   
                   
               
               
                 Gene Name 
                 Symbol 
                 Role in Cancer 
                 Reference 
               
               
                   
               
             
             
               
                 E-Cadherin 
                 CDH1 
                 Encodes a cell-cell adhesion 
                 Hazan R B et al. 
               
               
                   
                   
                 glycoprotein. Down-regulation in 
                 2004. 
               
               
                   
                   
                 cancer results in loss intracellular 
                   
               
               
                   
                   
                 adhesion, promoting cell invasion. 
                   
               
               
                 Snail family zinc 
                 SNAI1 
                 EMT inducer. Transcriptional 
                 Cano, A et al. 
               
               
                 finger 1 
                   
                 repressor of E-cadherin. Modulates 
                 (2007). 
               
               
                   
                   
                 expression of genes involved in 
                   
               
               
                   
                   
                 invasion. Up-regulation in cancer 
                   
               
               
                   
                   
                 promotes cell invasion. 
                   
               
               
                 Snail family zinc 
                 SNAI2, 
                 EMT inducer. Transcriptional 
                 Bolos, V et al. 
               
               
                 finger 2 
                 SLUG 
                 repressor of E-cadherin. Modulates 
                 (2003). 
               
               
                   
                   
                 expression of genes involved in 
                   
               
               
                   
                   
                 invasion. Up-regulation in cancer 
                   
               
               
                   
                   
                 promotes cell invasion. 
                   
               
               
                 Zinc finger E-box 
                 ZEB1 
                 EMT inducer. Transcriptional 
                 Eger A et al. 
               
               
                 binding 
                   
                 repressor of E-cadherin. Up- 
                 (2005). 
               
               
                 homeobox 1 
                   
                 regulation in cancer promotes cell 
                   
               
               
                   
                   
                 invasion. 
                   
               
               
                 Zinc finger E-box 
                 ZEB2 
                 EMT inducer. Transcriptional 
                 Comijn J et al. 
               
               
                 binding 
                   
                 repressor of E-cadherin. Up- 
                 (2001). 
               
               
                 homeobox 2 
                   
                 regulation in cancer promotes cell 
                   
               
               
                   
                   
                 invasion. 
                   
               
               
                 Twist family 
                 TWIST1 
                 EMT inducer. Transcriptional 
                 Yang J et al. 
               
               
                 bHLH 
                   
                 repressor of E-cadherin. Up- 
                 (2004). 
               
               
                 transcription 
                   
                 regulation in cancer promotes cell 
                   
               
               
                 factor 1 
                   
                 invasion. 
                   
               
               
                 Non-metastatic 
                 NME1 
                 Inhibits cell motility and metastases. 
                 Horak, C. E et 
               
               
                 cells 1 
                   
                 Down-regulation in cancer promotes 
                 al. (2007). 
               
               
                   
                   
                 cell invasion. 
                   
               
               
                 Tissue inhibitor 
                 TIMP1&amp;3 
                 Inhibit matrix metalloproteinases 
                 Bloomston, M 
               
               
                 of 
                   
                 which promote invasion by the 
                 et al. (2002). 
               
               
                 metalloproteinase 
                   
                 breakdown the extracellular matrix. 
                 Zhang, L et al 
               
               
                 1&amp;3 
                   
                 Down-regulation of TIMPs in cancer 
                 (2010). 
               
               
                   
                   
                 promotes cell invasion. 
               
               
                   
               
             
          
         
       
     
         [0050]    References provided in the table above:
   Horak, C. E., J. H. Lee, e t al. (20 07). “N m 2 3-H 1 suppresses tumor cell motility by down-regulating the lysophosphatidic acid receptor EDG2.” Cancer Res 67(15): 7 23 8-7246.   Bloomston, M., A. Shafii, et al. (2002). “TIMP-1 overexpression in pancreatic cancer attenuates tumor growth, decreases implantation and metastasis, and inhibits angiogenesis.” J Surg Res 102(1): 39-44   Zhang, L., L. Zhao, et al. (2010) “Inhibition of tumor growth and induction of apoptosis in prostate cancer cell lines by overexpression of tissue inhibitor of matrix metalloproteinase-3.” Cancer Gene Ther. 17(3):171-9.   Cano A, Perez-Moreno M A, Rodrigo I, et al. (2000). “The transcription factor snail controls epithelial-mesenchymal transitions by repressing E-cadherin expression.” Nat Cell Biol 2:76-83.   Bolos V, Peinado H, Perez-Moreno M A, et al. (2003). “The transcription factor Slug represses E-cadherin expression and induces epithelial to mesenchymal transitions: a comparison with Snail and E47 repressors.” J Cell Sci 116:499-511.   Comijn J, Berx G, Vermassen P, et al. (2001) “The two-handed E box binding zinc finger protein SIP1 downregulates Ecadherin and induces invasion.” Mol Cell 7:1267-78.   Eger A, Aigner K, Sonderegger S, et al. (2005) “DEF1 is a transcriptional repressor of E-cadherin and regulates epithelial plasticity in breast cancer cells.” Oncogene 24:2375-85.   Yang J, Mani S A, Donaher J L, et al. (2004) “Twist, a master regulator of morphogenesis, plays an essential role in tumor metastasis.” Cell 117:927-39.   Hazan R B, Qiao R, Keren R, Badano I, Suyama K (2004) “Cadherin switch in tumor progression.” Ann N Y Acad Sci 1014:155-63.
 
Enzyme Detection from Cells or Enzymes Transferred to Solid Supports
   
 
         [0060]    Protein and enzyme testing was carried out with fully configured DNase and RNase Contamination Kits (DNase &amp; RNase Alert QC Systems, catalogue codes AM1970 &amp; AM1966, Life Technologies) according to the manufacturer&#39;s instructions. 
         [0061]    In a first series of experiments, 0.125-0.5 U of DNase was applied to FTA and 903 brand papers sold by Whatman Inc in 10 μl volumes. DNAse and RNase activity was measured as outlined below. 
         [0062]    In a second series of experiments, 1.2 mm punches were taken from 10 6  human embryonic stem cells (GE Healthcare; cell line ref: WCB307 GEHC 28) which had been applied to FTA and 903 papers in 10 μl volumes as above. DNAse and RNase activity was measured as outlined below. 
         [0063]    In a third series of experiments, 1.2 mm punches were taken from 10 6  human embryonic stem cells (GE Healthcare; cell line ref: WCB307 GEHC 28) containing either 0.5 U of DNase or 10 μU of RNase added to these cells which had been applied to FTA and 903 papers in 10 μl volumes. 
         [0064]    Detection of DNase activity was carried out as follows using a cleavable fluorescent-labelled DNase substrate. Each punch was ejected into separate wells of 96-well plates. Lyophilized DNase Alert Substrate was dissolved in TE buffer (1 ml) and dispensed (10 μl) into the test wells of the 96-well plate. 10× DNase Alert Buffer (10 μl) and nuclease-free water (80 μl) was added and the test solution (100 μl) incubated for 60 minutes at 37° C. The DNase Alert QC System Substrate is a modified DNA oligonucleotide that emits a pink fluorescence when cleaved by DNase. For this assay, fluorescence was measured on a Tecan Ultra (excitation/emission 535/595 nm using medium gain). Solutions containing DNase activity produced a pink fluorescence, whereas solutions without DNase activity did not fluoresce. Thus, higher levels of DNase corresponded to an increase in the amount of light output. Negative controls consisted of nuclease-free water (80 μl) in place of sample. DNAase activity can be detected and quantified in a rate dependent manner using the 903 or FTA papers. 
         [0065]      FIGS. 8 and 9  illustrate the relative fluorescence of samples stored on FTA paper and 903 paper using the methodology mentioned immediately above. 
         [0066]    Detection of RNase was carried out as follows using a cleavable fluorescent-labelled RNase substrate. Each punch was ejected into separate wells of 96-well plates. Lyophilized RNase Alert Substrate was dissolved in TE buffer (1 ml) and dispensed (10 μl) into the test wells of the 96-well plate. 10× RNase Alert Buffer (10 μl) and nuclease-free water (80 μl) was added and the test solution (100 μl) incubated for 60 minutes at 37° C. The RNase Alert QC System Substrate is a modified RNA oligonucleotide that emits a green fluorescence when cleaved by RNase. For this assay, fluorescence was measured on a Tecan Ultra (excitation/emission 485/535 nm using medium gain). Solutions containing RNase produced a green fluorescence, whereas solutions without RNase activity did not fluoresce. Thus, higher levels of RNase corresponded to an increase in the amount of light output. Negative controls consisted of nuclease-free water (80 μl) in place of sample. RNAase activity can be detected and quantified in a rate dependent manner using the 903 or FTA papers. 
         [0067]      FIGS. 10 and 11  illustrate the relative fluorescence of samples stored on FTA paper and 903 paper, using the methodology mentioned immediately above. 
       Detection of a Model Protein Applied to the Solid Supports 
       [0068]    Recombinant IL-2±carrier (R &amp; D Systems; Cat. 202-IL-CF-10 μg; lot AE4309112 and Cat. 202-IL-10 μg; lot AE4309081 respectively) was dissolved in either Dulbecco&#39;s PBS without calcium and magnesium (PAA; Cat. H15-002, lot H00208-0673), EDTA-anti-coagulated human, rabbit or horse blood (TCS Biosciences) at 50 pg or 100 pg/μl. 
         [0069]    Aliquots (1 μl containing 0.5 (B) or 100 (A) pg of IL-2; (See  FIG. 12 ) were applied to the following GE Healthcare filter papers; 903 Neonatal STD card, Cat. 10538069, lot 6833909 W082; DMPK-A card, Cat. WB129241, lot FT6847509; DMPK-B card, Cat. WB129242, Lot FE6847609 and DMPK-C card, Cat. WB129243, Lot FE6847009. Samples were allowed to dry overnight at ambient temperature and humidity. 
         [0070]    Punches (3 mm diameter) were extracted from each paper type using the appropriately sized Harris Uni-core punch (Sigma, Cat.Z708860-25ea, lot 3110). Single punches were placed into individual wells of the IL-2 microplate derived from the Human IL-2 Quantikine ELISA (R &amp; D Systems, Cat. D0250, lot 273275). These plates are coated with a mouse monoclonal antibody against IL-2. The IL-2 protein was eluted from the paper punch using the assay buffer (100 μl) supplied with the Quantikine kit. All subsequent steps were performed according to the instructions supplied with the Quantikine kit using a “paper in” method (paper punches are placed directly into the assay buffer and the analyte eluted directly in situ). On completion of the assay the optical density of the microplate was monitored at 450 nm using a Thermo Electron Corporation, Multiskan Ascent. The recovery of IL-2 was determined by comparing values to a standard curve of known IL-2 concentrations. A fresh IL-2 standard curve was prepared for each individual experiment. 
         [0071]    The recovery rate of a model protein (interleukin 2 IL-2) from DMPK-C Cards for each of the samples A and B is illustrated in  FIG. 12 . 
         [0072]    Although one embodiment has been described and illustrated, it will be apparent to the skilled addressee that additions, omissions and modifications are possible to those embodiments without departing from the scope of the invention claimed. For example, although the specific example shown in  FIGS. 1   2  and  3  has been described as employing a solid support  30  sold under the FTA brand, the experimental data shown above illustrates that the technique can be used with other solid supports, as for example detailed below. 
         [0073]    Herein FTA (including FTA microcards, FTA indicating, and FTA claissic) is a cellulous fibre paper treated with stabilising chemicals, for example a weak base, a chelating agent and an anionic surfactant, whereby the support surface is impregnated with the stabilisation chemicals. In this way the biological sample materials can be stored on the apparatus for many months or even years, thereby allowing time for transportation of the apparatus, if needed, to a laboratory, at an ambient temperature, and adequate recovery is then possible, simply by dissolving the stored sample and reagents. FTA Elute herein describes similar paper but coated with a chaotropic agent such as guanidinium thiocyanate, to allow direct assay of biological material, without the need to remove chemicals employed with FTA paper. Herein 903 describes uncoated cellulose fibre paper. 
         [0074]    It is possible to use other solid supports such as a glass fibre/microfibre material or a porous polymer, for example porous membrane material such as polyester, polyether sulfone (PES), polyamide (Nylon), polypropylene, polytetrafluoroethylene (PTFE), polycarbonate, cellulose nitrate, cellulose acetate or aluminium oxide. 
         [0075]    The solid supports described above are intended to be used in a generally flat configuration, but in the alternative, may for example be used on a roll and rolled of the tumour/mass surface. 
         [0076]    Further, whilst the specific example refers to tumour transections, other biological masses can be profiled according to the same techniques.