Recovery of genomic and transcriptomic profiles from decades-old FFPE brain tissues

Neurological, neurodegenerative, and psychiatric disorders impose substantial morbidity and disability worldwide, yet their molecular basis remains incompletely understood, in part due to limited access to human brain tissue. The Danish Brain Collection, comprising brains from individuals who lived in Danish psychiatric institutions from the 1940s to the 1980s, represents a unique but largely untapped resource for retrospective molecular investigation. Here, we assess the feasibility of extracting and sequencing DNA and RNA from decades-old FFPE brain tissue. We systematically evaluate how extraction and library preparation strategies influence nucleic acid yield and quality, and show that RNA end-repair prior to library preparation substantially enhances transcript diversity, improving data quality from highly degraded samples. Despite extensive fragmentation, we recover biologically informative transcriptomic profiles, including protein-coding and microRNA expression profiles that retain tissue-specific signatures. These results establish the Danish Brain Collection as a viable resource for genomic and transcriptomic analyses and demonstrate the broader potential of archival FFPE tissues for large-scale molecular studies.