Immunostain and Histochemistry

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    IMMUNOSTAIN AND HISTOCHEMISTRY

    DEFINITIONS

    Immunostainingused to localize

    specific molecules in tissues. It is based

    on antibody-antigen recognition.

    Antibody (Ab)also known as

    immunoglobulin. IgG is the most

    commonly used antibody in

    immunostaining.

    Antigen (Ag)a substance which

    evokes the production of one or more

    antibody.

    Epitopestructural part of the antigen

    that reacts with the antibody

    HISTORY

    1941Albert Coons first introduced the

    use of immunofluorescence as initial

    attempts to label antibodies but wasnt

    successful because the labels werent

    visible under the microscope.

    1967Nakane and Pierce developed

    the Enzyme-labelled antibody

    technique by labelling an antibody with

    an enzyme.

    1970Sternberger discovered theperoxidase-antiperoxidase (PAP)

    method.

    1990s Antigen retrieval; it increased

    the detection of antigens and sensitivity

    of methods.

    It was known that the retrieval of

    nonreactive antigens in formalin-fixed,

    paraffin embedded tissues was possible

    through heating sections in buffer

    solutions.

    IMMUNOHISTOCHEMISTRY (IHC)

    combination of immunologic and

    histochemical techniques which allow

    phenotypic markers to be detected and

    demonstrated under the microscope

    antibodies are cross-linked to enzymes

    which can produce a colored end

    product

    uses polyclonal, monoclonal,

    fluorescent labeled or enzyme-labeled

    antibodies

    immuno = antibodies ; histo = tissue

    Antibody Characteristics

    1. Monoclonal - identical copies of the same

    unique antibodies, recognizes only a single

    epitope.

    - highly specific

    - intrinsic cross-reactivity to

    non-target can be problematic.

    - potential for epitope loss

    resulting in loss of staining.

    - unlimited supply.2. Polyclonal - a mixture of multiple antibodies

    recognizing different epitopes of the antigen.

    - in general, does produce stronger

    signal greater potential for false positive

    staining due to Ab cross reacting to others.

    - limited supply.

    Tissue Preparation for IHC

    tissue must be:

    a. prepared in a cryostat section

    b. fixed in absolute methanol or acetonefor a few second

    purpose: prevent destruction of some

    of the labile antigenic sites

    Sample Preparation:

    1. Fixation

    To prevent bacterial decomposition

    To prevent autolysis by rapidly

    terminating the enzymatic/metabolic

    activities Used to immobilize antigens while

    retaining cellular and subcellular

    structures through cross-linking

    methylene bridges and Schiff bases

    between basic amino acid residues of

    proteins.

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    Tissue fixation is optimized for

    maintaining morphology/ histochemical

    staining

    Characteristics of Fixatives:

    - Acts Rapidly

    - Safe/easy to use

    - Inexpensive

    - Preserves cellular and tissue structures

    without introducing artifacts

    - Stabilizes tissue, allows for handling and

    processing

    *The ideal fixative does not exist.

    Fixatives:

    - Aldehydes (formaldehyde,

    glutaraldeyde)- Oxidizing agents, metallic ions and

    complexes (osmium tetroxide, Chromic

    acid, Zn)

    - Protein denaturing agents (acetic acid,

    methanol, ethanol)

    - Poorly-Understood mechanisms

    (mercuric chloride, picric acid)

    - Other: microwave,vapor fixation

    - Combinations of above

    2. Embedding(Frozen Section)

    for quick processing and situations

    where the antibody may not be

    compatible with paraffin compounds

    are typically used for direct or indirect

    immunofluorescence detection

    methods

    thickness: 10 microns

    (Paraffin)

    is used for maximum tissuepreservation and makes a stronger

    block for sectioning tissue

    thickness: 3-5 microns

    3. Retrieval of Masked Antigens

    Unmasking the antigen is sometimes

    necessary because paraffinization and strong

    fixations may inhibit the primary antibodies

    attachment to the antigen.

    Proteolytic Enzyme Digestion

    used in formalin fixed paraffin

    sections

    trypsin andprotease are the

    enzymes commonly used

    useful for demonstrating heavy

    chain immunoglobulins,

    complement and specific

    antigens (i.e. cytokeratin)

    Microwave Antigen Retrieval

    involves boiling of formalin-

    fixed deparaffinized sections in

    solutions such as:

    a. 0.01 M-citrate buffer (pH 6.0)b. EDTA (pH 8.0)

    c. Tris EDTA (pH 9.9 or 10.0)

    most satisfactory exposure time

    on heat: 20 minutes

    Pressure Cooking Retrieval Antigen

    less time consuming

    allows more consistent

    recovery of many antigens

    4. Immunostaining

    used to localize specific molecules in

    tissues. It is based on antibody-antigen

    recognition.

    Detection is commonly achieved using a

    colorimetric (enzyme) reaction or a

    fluorescent signal generated from an

    ultraviolet source.

    Purposes:

    It determines when and where the

    biomarker is expressed.

    It helps confirm the genotype and

    phenotype.

    For co-expression or co-localization.

    Cell type-specific biomarkers.

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    METHODS IN IHC

    1. IHC Controls

    used to test the specificity of the

    antibodies involved and to avoid

    misinterpretations due to false (+) or

    false (-)

    Positive Control

    - a section that is known and

    proven to contain the antigen in

    question

    Negative Control

    -omits the primary antibody

    from the staining schedule or

    replacing the specific primary

    antibody by an immunoglobulin

    that is directed against anunrelated antigen

    Internal Tissue Control

    - also called as "built-in control"

    -eliminate the variable of tissue

    fixation between specimens

    and controls

    -contains the target antigen

    2, Enzyme Labeling

    incubated with chromogen to produce astable colored reaction

    optimal incubation time: 30-60 minutes

    at room temperature

    enzyme labeling of Ag with

    horseradish peroxidase

    staining with chromogen

    mixture (i.e. diaminobenzidine

    DAB)

    insoluble dark brown end

    product

    3, Direct Technique of IHC

    conjugates the primary antibody

    directly to the label

    advantage:

    simple and quick

    requires only one application of

    the reagent

    disadvantage:

    less sensitive

    has risk of not detecting small

    amounts of Ag

    4. Indirect Technique of IHC

    two or three step procedure that

    involves application of the

    unconjugated primary antibody and a

    labeled antibody directed against the

    first antibody

    advantage:

    inexpensive

    more sensitive Horseradish peroxidase

    -most commonly used enzyme for

    indirect antibody complex techniques

    5. Peroxidase-Antiperoxidase (PAP) Technique

    exposes an unlabelled primary Ab to

    the Ag in the sample and is followed by

    removal of any excess primary

    antibodies thus allowing secondary

    antibody to be introduced in the sample

    6. Avidin-Biotin Complex (ABC) Techniques

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    uses avidin

    - derived from egg white

    - high affinity for biotin

    -low molecular

    weight vitaminthat can be easily

    conjugated to Ab

    and enzyme markers

    staining sequence:

    primary antibody

    biotylynated secondary

    antibody

    (strept) avidin-biotin-enzyme

    complex or enzyme labeled

    streptavidin

    7. Labeled Streptavidin Avidin Biotin Technique

    (LSAB) Procedure)

    4-8 times more sensitive than the old

    ABC method

    replaced avidin to streptavidin

    Staining sequence:

    rabbit or mouse antibody

    biotinylated anti-rabbit or anti-

    mouse immunoglobulin

    strepatvidin enzyme conjugate

    References:

    Gregorios, J. (2006) Histopathologic

    Techniques 2nd ed.

    Meeker, K. (2012) Immunostaining 101,

    http://www.hopkinsmedicine.org/mcp/PHENOCORE/CoursePDFs/2012/18_Me

    eker_IHC_101_9pH.pdf

    Boenisch T, et. al,(2009)

    Immunohistochemical Staining

    methods, 5th ed

    http://www.hopkinsmedicine.org/mcp/PHENOCORE/CoursePDFs/2012/18_Meeker_IHC_101_9pH.pdfhttp://www.hopkinsmedicine.org/mcp/PHENOCORE/CoursePDFs/2012/18_Meeker_IHC_101_9pH.pdfhttp://www.hopkinsmedicine.org/mcp/PHENOCORE/CoursePDFs/2012/18_Meeker_IHC_101_9pH.pdfhttp://www.hopkinsmedicine.org/mcp/PHENOCORE/CoursePDFs/2012/18_Meeker_IHC_101_9pH.pdfhttp://www.hopkinsmedicine.org/mcp/PHENOCORE/CoursePDFs/2012/18_Meeker_IHC_101_9pH.pdfhttp://www.hopkinsmedicine.org/mcp/PHENOCORE/CoursePDFs/2012/18_Meeker_IHC_101_9pH.pdf