Blind C, Koepenik A, Pacyna-Gengelbach M, Fernahl G, Deutschmann N, Dietel M, Krenn V, Petersen I
Institute of Pathology, Charité Campus Mitte, Charitéplatz 1, 10117 Berlin.
J Clin Pathol. 2008 Jan;61(1):79-83. doi: 10.1136/jcp.2007.047340. Epub 2007 Apr 5.
Archived tissue blocks preserve the antigenicity of samples for a long time under normal storage conditions, whereas tissue sections may show a diminished immunoreactivity over time. Little is known about the processes responsible for antigenicity loss and how tissue sections should be conserved for extended storage. Oxidation and drying are presumed mechanisms of antigenicity loss. To prove this, degradation of immunoreactivity was provoked by chemical oxidation, photo-oxidation and artificial drying.
First, paraffin sections of an oestrogen receptor (ER) positive breast carcinoma were subjected for variable time periods to H2O2, ultraviolet A (UVA) irradiation and dry heat (56 degrees C) prior to ER immunohistochemistry. Second, using heat and UVA irradiation several other antigens (ER, PR, HER-2neu, p53, p63, p16, PSA, CK5/6, CK7, CK20, SMA, Fli-1, c-kit, CD20 and EGFR) were tested, using internal control tissue microarray sections.
While H2O2 had no effect on the ER-staining intensity, extended drying showed a detectable decrease in staining after 10 days, and UVA irradiation induced a decrease after 3 days. Entire antigenicity loss was not observed. Except for HER-2neu, PSA and Fli-1, all antigens showed some diminution in antigenicity, but no entire antigenicity loss, after heating and UVA irradiation.
This study confirms that photo-oxidation and drying have an influence on immunohistochemistry outcome, and protocols for testing the stability of specific antigens are provided.
存档组织块在正常储存条件下能长时间保存样本的抗原性,而组织切片的免疫反应性可能会随时间减弱。目前对于导致抗原性丧失的过程以及组织切片应如何保存以延长储存时间知之甚少。氧化和干燥被认为是抗原性丧失的机制。为了证实这一点,通过化学氧化、光氧化和人工干燥引发免疫反应性的降解。
首先,在进行雌激素受体(ER)免疫组化之前,将雌激素受体阳性乳腺癌的石蜡切片分别在不同时间段内暴露于过氧化氢(H2O2)、紫外线A(UVA)照射和干热(56摄氏度)环境中。其次,使用内部对照组织微阵列切片,通过加热和UVA照射对其他几种抗原(ER、PR、HER-2neu、p53、p63、p16、PSA、CK5/6、CK7、CK20、SMA、Fli-1、c-kit、CD20和EGFR)进行测试。
虽然H2O2对ER染色强度没有影响,但长时间干燥在10天后显示出可检测到的染色减少,UVA照射在3天后导致染色减少。未观察到完全的抗原性丧失。除HER-2neu、PSA和Fli-1外,所有抗原在加热和UVA照射后抗原性均有一定程度的减弱,但未完全丧失抗原性。
本研究证实光氧化和干燥会影响免疫组化结果,并提供了检测特定抗原稳定性的方案。