Accurate, absolute liquid chromatography–mass
spectrometry
(LC–MS)-based quantification of target proteins in formalin-fixed
paraffin-embedded (FFPE) tissues would greatly expand sample availability
for pharmaceutical/clinical investigations but remains challenging
owing to the following issues: (i) efficient/quantitative recovery
of target signature peptides from FFPE tissues is essential but an
optimal procedure for targeted, absolute quantification is lacking;
(ii) most FFPE samples are long-term-stored; severe immunohistochemistry
(IHC) signal losses of target proteins during storage were widely
reported, while the effect of storage on LC–MS-based methods
was unknown; and (iii) the proper strategy to prepare calibration/quality-control
samples to ensure accurate targeted protein analysis in FFPE tissues
remained elusive. Using targeted quantification of monoclonal antibody
(mAb), antigen, and 40 tissue markers in FFPE tissues as a model system,
we extensively investigate those issues and develope an LC–MS-based
strategy enabling accurate and precise targeted protein quantification
in FFPE samples. First, we demonstrated a surfactant cocktail-based
procedure (f-SEPOD), providing high/reproducible
recovery of target signature peptides from FFPE tissues. Second, a
heat-accelerated degradation study within a roughly estimated 5 year
storage period recapitulated the loss of protein IHC signals while
LC–MS signals of all targets remained constant. This indicates
that the storage of FFPE tissues mainly causes decreased immunoreactivity
but unlikely chemical degradation of proteins, which strongly suggests
that the storage of FFPE tissues does not cause significant quantitative
bias for LC–MS-based methods. Third, while a conventional spike-and-extract
approach for calibration caused substantial negative biases, a novel
approach, using FFPE-treated calibration standards, enabled accurate
and precise quantification. With the pipeline, we conducted the first-ever
pharmacokinetics measurement of mAb and its target in FFPE tissues,
where time courses by FFPE vs fresh tissues showed excellent correlation.