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Experimental Operations | mIHC Experimental Procedures + Common Issues (Detailed Version)
Section.01

What is mIHC?

Multiplex immunohistochemistry (mIHC), also known as tyrosine signal amplification (TSA), enhances the information obtainable from a single tissue section. It allows for the simultaneous staining of multiple immune markers on the same section. This technique is a powerful tool for visualizing cellular interactions directly within the tumor microenvironment[1]

Principles of mIHC

Fig 1. Mechanism of Tyramide Signal Amplification (TSA) in Multiplex Immunofluorescence Staining[3].

mIHC utilizes different fluorescent dye labels to achieve multi-target staining of tissues or cells through multiple rounds of staining. The secondary antibody is conjugated with horseradish peroxidase (HRP), which catalyzes the inactive fluorescent pigment introduced into the system. This process generates an activated fluorescent substrate.

The activated substrate can covalently bind to the tyrosine residues on the antigen, thereby attaching the signal to the antigen in a stable manner. This fluorescent signal lasts longer than the signals generated through traditional immune binding techniques.

After this step, anti-repair procedures are performed to wash away non-covalently bound antibodies. This exposes the antigen for the next round of binding. Once all antibodies have been incubated and the fluorescent pigments are attached, the results are analyzed[2].

Section.02

Complete mIHC Protocol

This flow chart illustrates the standard operational procedure for multiplex immunohistochemistry (mIHC).

Fig 2. Immunohistochemistry (mIHC) flow chart.

Sample preparation

(1) Sampling: When collecting tissue samples from animals or humans, it is important to control the volume of the tissue block. This volume should be kept within an appropriate range. Doing so ensures that the fixative can penetrate the tissue evenly and completely.

(2)PBS/saline rinse: Remove blood or other body fluids in the tissue sample that may affect the fixation effect.

(3)Fixation: Fix with 10% formalin, methanol, ethanol, or a mixture thereof at room temperature for 18-24 hours. Ensure that the tissue sample is completely immersed in the fixative to avoid unfixed parts.

(4)Post-fixation treatment: rinse off the fixative with running water.

Commonly used embedding media include paraffin, resin, etc. Take paraffin as an example.

(1)Dehydration: Alcohol gradient dehydration, soak in 75% ethanol, 85% ethanol, 95% ethanol, anhydrous ethanol (I), and anhydrous ethanol (II) for 30-60 minutes respectively. The sample will become opaque at this time.

(2)Transparency: Soak in a transparent agent (such as xylene) twice, each time for 30 minutes to remove alcohol and other solvents. Be careful to avoid excessive transparency, which may cause the sample to become hard and brittle.

(3)Wax immersion: Immerse the transparentized tissue sample in molten paraffin and place it in a constant temperature box for immersion, so that the paraffin can fully and evenly penetrate the tissue.

(4)Embedding: Place the wax-immersed tissue sample into a mold and pour in molten paraffin. Wait for the paraffin to cool and solidify, and avoid excessive cooling that may cause the paraffin to break or the tissue to deform.

Sectioning

(1)Sectioning: Cut the embedded tissue sample into 4-5 μm thick slices using a microtome.

(2)Slice baking: Gently separate the slices from the slicer with a fine brush, then place them in 40℃ warm water to fully flatten them. Finally, bake them at 60℃ for 2 hours to enhance the adhesion of the slices.

Dewaxing and rehydration

(1)Dewaxing: Dewaxing was performed using xylene I, II, and III in a gradient manner, with each chamber soaking for 5 minutes. Thorough removal of paraffin is crucial for subsequent experiments, as any residue will interfere with antigen exposure and staining.

(2)Rehydration: Dehydrate using gradient ethanol (100% ethanol I, 100% ethanol II, 95% ethanol, 85% ethanol, 70% ethanol) for 5 minutes each; finally, immerse in purified water for 5 minutes to complete the hydration process. Note that drying of the slides should be avoided, as drying of the slides will result in high background due to nonspecific antibody binding.

Antigen retrieval

Antigen retrieval techniques are employed to expose blocked epitopes, thereby enhancing antibody binding efficiency. Heat-induced antigen retrieval is the most commonly used method.The following retrieval buffers are recommended: citrate buffer (pH 6.0), EDTA buffer (pH 8.0), or Tris-EDTA buffer (pH 9.0). If the citrate buffer proves ineffective, EDTA and Tris-EDTA buffers can be used. However, it is important to note that these buffers may lead to nonspecific staining in samples with high expression levels.

To achieve optimal staining results, it is advisable to try several retrieval methods.

(1) Microwave heat repair: Add antigen repair solution, put in the slices, place in the microwave oven on medium heat for 8 minutes, turn off the heat for 7 minutes, turn to low heat for 8 minutes; remove from the staining box and cool to room temperature.

(2)Water bath heat repair: Add antigen repair solution, put in the slices, place in a water bath at 95°C for 25-30 minutes (pay attention to control the temperature to avoid boiling to prevent tissue shedding). Cool the sample and water together, do not cool suddenly to avoid rapid cooling that will cause changes in the antigen epitope conformation.

(3)High pressure heat repair: Add antigen repair solution to the staining box, put in the slices, place in a pressure cooker and heat to full pressure, then continue heating for 5 minutes, turn off the power, remove from the staining box after 10 minutes, and cool to room temperature.

(4)Enzymatic repair: Commonly used digestive enzymes include trypsin, pepsin, proteinase K, etc. Place the slices on a slide containing enzymatic solution, and then perform enzymatic hydrolysis under appropriate temperature and humidity conditions (usually 37°C, 20 minutes). After enzymatic hydrolysis, the slices also need to be cooled to room temperature before subsequent processing. After repair, wash three times with PBS on a shaker for 5 min each time.

Fig 3. Water bath thermal repair[5]

Blocking

(1)Primary Antibody Dilution: Select an appropriate primary antibody and dilute it with a diluent (PBS, TBS, etc.) to an appropriate ratio.

(2)Primary Antibody Incubation: Use a pipette to evenly cover the sample area with the diluted primary antibody, place the sample in a humidity-balanced incubation box, and incubate at 37°C for 90 minutes to promote antigen-antibody specific binding.

(3)Washing: Wash three times with PBS on a shaker for 5 minutes each. For samples that are prone to detachment, use a mild elution buffer pre-warmed at 37°C and gently wash for 5-20 minutes to maintain tissue integrity while effectively removing non-specific binding.

Secondary antibody incubation

(1)Secondary Antibody Dilution: Select an appropriate secondary antibody and dilute it to the appropriate ratio using diluent (PBS, TBS, etc.).

(2)Secondary Antibody Incubation: Incubate the secondary antibody at room temperature for 1 h, protecting the slides from light and allowing them to dry.

(3)Washing: Wash the slides three times with PBS on a shaker for 5 minutes each.

TSA dye incubation

(1)Dilute TSA: Dilute TSA dye 1:50-1:200 with 1× TSA buffer to prepare a working solution. Store the staining solution at room temperature in the dark for up to 24 hours.

(2)Add 100 μL of the working staining solution to the slide, submerge the sample, and incubate on a shaker at room temperature for 5-10 minutes, taking care to avoid drying.

(3)Wash: Wash three times with PBS on a shaker for 5 minutes each.

Antibody shedding

The steps are the same as those for the antigen retrieval step above, but the purpose is to wash away the incubated antibodies.

For frozen sections, cell slides, and bone tissue (which tend to detach easily), it is recommended to add an appropriate amount of mIHC antibody elution buffer, preheated to 37°C until completely dissolved, to evenly cover the sample. Incubate at 37°C for 5-20 minutes, discard the elution buffer, and then add an appropriate amount of antibody elution buffer to evenly cover the sample. Incubate at 37°C for 5-20 minutes.

Washing

Wash once with ddH2O and soak the slides in PBS for 2 min.

Repeat

To seal the slide or continue staining, start from the "Blocking" step. Repeat the steps including blocking endogenous peroxidase - blocking - primary antibody incubation - secondary antibody incubation - TSA fluorescent dye staining - antibody elution.

Nuclear staining and sealing

Add DAPI working solution to the sample and incubate at room temperature for 5 minutes. Wash once with PBS and mount with anti-fluorescence quenching mounting medium. For long-term storage, it is recommended to seal the edges of the coverslip with clear nail polish.

The sections were observed and images were collected under a fluorescence microscope/confocal microscope/multi-channel fluorescence scanner/multispectral imaging system.

Section.03

mIHC Considerations

(1)It is recommended to evaluate the staining efficiency of each antibody through preliminary experiments before performing multiple immunostaining. Prioritize labeling target antigens with weaker staining signals, and then stain other antigens in sequence.

(2)The dye should be fully dissolved and mixed. Use the primary antibody with high expression with weak light and the primary antibody with low expression with strong light.

(3)The number of cells contained in the tissue should be greater than 1,000.

(4)No antigen retrieval buffer is suitable for all antigens. Different antibodies may require different antigen retrieval methods and conditions. Therefore, it is necessary to select the appropriate antigen retrieval method based on the experimental requirements and antibody characteristics.

(5)During the experiment, pay attention to keep the slide moist to avoid drying, which can easily cause high background or negative-positive slides.

(6)For formalin-fixed samples, for paraffin-embedded samples, the integrity of the tissue block should be ensured, without visible cracks or structural damage. The embedding matrix of the tissue microarray (TMA) wax block should be kept intact to avoid cutting or sealing defects. The sections on the slide should show a continuous and complete tissue structure without folding or fragmentation.

(7)TSA fluorescent dye working solution = VF fluorescent dye + TSA buffer; the recommended dilution ratio of fluorescent dye and TSA buffer is 1:200; the dilution ratio can be flexibly adjusted and optimized according to specific circumstances, and the optimal range is 1:50-1:400; it is generally recommended that if the primary antibody incubation time is within 1 h-3 h at room temperature, the recommended dilution ratio is 1:50-1:200; if the primary antibody incubation time is at 4℃ overnight (12 h or more), the recommended dilution ratio is 1:200-1:400 or higher. (8) When using several fluorophores, try to choose fluorophores that have no spectral overlap with each other to reduce the labeled fluorescence intensity. If the intensity of one or more fluorescent substances in the sample is too high, spectral overlap may sometimes occur. The fluorescence intensity of the sample can be reduced by reducing the concentration of the marker, shortening the labeling time, and adjusting the fluorophore medium.

Section.04

mIHC FAQs

1.Can the multiplex staining kit be used on cell/cell slide samples?Yes, but it is recommended to change to antibody elution buffer between each round of repair. In addition, it is not recommended to perform more than five colors on the slide, as multiple repairs on the slide will result in no signal response.

2.Does the kit have any species requirements for the primary and secondary antibodies?Supports IHC-P. Select a highly specific primary antibody. The primary antibody species should be as far removed from the actual sample species as possible to avoid nonspecificity introduced by the secondary antibody. The kit includes a secondary antibody, allowing you to choose the source of the primary antibody based on the secondary antibody. The advantage of multicolor analysis is that the primary and secondary antibody species do not need to be specifically specified. The primary antibody can be selected based on the sample species, and the secondary antibody can be selected based on the primary antibody. With multiple antibody combinations, species is not a factor.

3.Can I use the same primary antibody from the same source for staining?Yes, one of the advantages of TSA is that it can be used for multiple staining with primary antibodies from the same source.

4.Can I use my own secondary antibody?Yes, you can use an HRP secondary antibody that corresponds to your primary antibody.

5.What should I do if the specimen slices have knife marks and wrinkles? What should I do if the slices easily fall off?

If sections have knife marks, try using a different blade or freezing the wax block at -20°C for a while before slicing. If sections have wrinkles, thoroughly unfold the slide before removing it. This can be observed under a desk lamp, with the temperature kept at around 40°C. If sections easily peel off, treat the slide with polylysine to enhance adhesion.

Fig 4. The slices have knife marks and wrinkles

6.What should I do if dewaxing is incomplete and the tissue shows metachromatic staining?Adjust the dewaxing time based on the room temperature. The key is to ensure a thorough and clean finish. In the summer, when the room temperature is high, dewaxing time is usually shorter, 3-5 minutes is sufficient. In the winter, when the room temperature is lower, dewaxing time may need to be extended, to 10-20 minutes or even longer.

7.How can I reduce nonspecific staining?

Shorten the primary/secondary antibody incubation time and dilute the antibody ratio. Polyclonal primary antibodies are prone to background, so monoclonal antibodies can be used. Endogenous catalase levels are high in tissues such as the liver and kidney, so the blocking time should be extended to reduce background. To prevent nonspecific components from binding to the antibody, extend the blocking time of the animal immune serum used to generate the secondary antibody. Increase the number and duration of PBS washes as appropriate. Prevent the slides from drying out during the experiment.

Do we need to do hotfixes every time?

The process before the first antibody staining is called antigen retrieval. This is done to expose antigenic determinants blocked by paraffin or fixative, allowing the antibody to recognize the antigen. Antigen retrieval before subsequent rounds of antibody staining aims to remove antibodies from the previous round of staining as well as any unbound dye. For fresh, frozen sections, antigen retrieval is not necessary, but endogenous peroxidase blocking is still necessary. Frozen sections of fixed tissue still require antigen retrieval, but heating frozen sections can cause detachment, so we generally do not recommend switching fixed samples to frozen sections. Alternatively, frozen sections can be treated with antigen elution buffer.

Section.05

Our mIHC technical services are built around the Multiplex Fluorescence Detection Kit, providing comprehensive paid services including inspection, analysis, and multi-color experimental support.

Fig 5. Ancillary services that MCE can provide.

Product Recommendation

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