The RNA quality of tissue biobank is crucial for translational research; however, the effects of theex vivoischemia time on RNA integrity and expression of genes related to hypoxia, stress, apoptosis and autophagy remains elusive. A total of 18 carcinoma tissues were stored at room temperature for 15 min, 30 min, 1, 2, 4, 8 and 24 h. The integrity and purity of isolated RNA were analyzed. Furthermore, the gene expression of mTOR, hypoxia-inducible factor 1 alpha, phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit beta isoform (PI3KCB), threonine kinase 1 (AKT1), NF-kappa B, protein kinase AMP-activated catalytic subunit alpha 1 (AMPK alpha 1), caspase 8 (CASP8), unc-51 like autophagy activating kinase 1 and Fas cell surface death receptor were analyzed using reverse transcription-quantitative PCR. The results demonstrated that RNA integrity numbers (RINs) remained stable in carcinoma tissues followingex vivoischemia for 2 h at room temperature and that degradation began at 4 h (P<0.001). Additionally, the expression of PI3KCB, AKT1, AMPK alpha 1 and CASP8 decreased at time points 8-24 h followingex vivoischemia and delayed processing (P<0.001). In conclusion, >2 h ofex vivoischemia and delayed processing induced RNA degradation and a decrease in RIN, and the gene expressions of PI3KCB, AKT1, AMPK alpha 1 and CASP8 may be considered as markers to evaluate tissue quality at the gene expression level, providing a method for the standard processing and assessment of tissue specimen.