Brandtzaeg P, Rognum T O
Pathol Res Pract. 1984 Nov;179(2):250-66. doi: 10.1016/S0344-0338(84)80142-9.
Eight cross-linking fixatives were tested for their ability to preserve IgG, IgA, IgM and IgD isotypes, J chain, and secretory component (SC) in paraffin-embedded specimens of human tonsils and colonic mucosa. The results were compared with the antigenic preservation afforded by cold 96% ethanol (with or without inclusion of a prefixation 48-hr washing period). A semiquantitative immunofluorescence scoring system was applied. In relation to the cytoplasmic scores of 3.0 assigned to IgG and IgA immunocytes after ethanol fixation, the following median scores were obtained with the other fixatives: routine formalin, 1.3 (IgG and IgA); glutaraldehyde (1%)-formalin, 0.3 (IgG and IgA); Baker's formol calcium, 2.3 (IgG) and 1.5 (IgA); formol sublimate, 1.0 (IgG) and 1.2 (IgA); acetic acid (2%)-formol saline, 2.0 (IgG and IgA); Bouin's fluid and Susa fixative, 0 (IgG) and 1.3 (IgA); and carbodiimide, 2.3 (IgG) and 2.0 (IgA). Most aldehyde-based fixatives afforded poorer result for IgA immunocytes when an anti-alpha-chain reagent of restricted specificity was applied. The result was usually slightly better for IgM cells than for IgG cells, but IgM did not resist fixation in Bouin's fluid and Susa fixative to the same extent as IgA. IgD immunocytes were poorly revealed except after fixation with Baker's formol calcium, carbodiimide, and acetic acid-formol saline, which afforded median fluorescence scores of 1.0-1.8 compared with 3.0 after ethanol fixation. J chain in IgA immunocytes was most intensely stained in sections of ethanol-fixed tissue denatured in acid urea (median score, 3) but was also well revealed after fixation with formalin, acetic acid-formol saline, Bouin's fluid or Susa fixative (median scores, 1.8-2.0). The results with most of the cross-linking fixatives were much less favorable for IgA, IgM, J chain and SC in colonic crypt epithelium than in immunocytes. Only carbodiimide afforded fluorescence scores for IgA and SC approaching those obtained after ethanol fixation (2.0 and 1.5 vs. 3.0 and 2.8). The effect of proteolytic unmasking depended on the fixative - not only for different antigens and locations in the tissue, but also for the same antigen in apparently similar cells.
对八种交联固定剂进行了测试,以评估它们在人扁桃体和结肠黏膜石蜡包埋标本中保存免疫球蛋白G(IgG)、免疫球蛋白A(IgA)、免疫球蛋白M(IgM)和免疫球蛋白D(IgD)同种型、连接链(J链)和分泌成分(SC)的能力。将结果与冷96%乙醇(含或不含预固定48小时洗涤期)提供的抗原保存情况进行比较。应用了半定量免疫荧光评分系统。与乙醇固定后赋予IgG和IgA免疫细胞的细胞质评分为3.0相比,使用其他固定剂获得了以下中位数评分:常规福尔马林,1.3(IgG和IgA);戊二醛(1%)-福尔马林,0.3(IgG和IgA);贝克氏甲醛钙,2.3(IgG)和1.5(IgA);升汞甲醛,1.0(IgG)和1.2(IgA);醋酸(2%)-福尔马林盐水,2.0(IgG和IgA);布因氏液和苏萨固定液,0(IgG)和1.3(IgA);以及碳二亚胺,2.3(IgG)和2.0(IgA)。当应用特异性受限的抗α链试剂时,大多数基于醛的固定剂对IgA免疫细胞的效果较差。IgM细胞的结果通常比IgG细胞略好,但IgM在布因氏液和苏萨固定液中的固定耐受性不如IgA。除用贝克氏甲醛钙(median score, 3)、碳二亚胺和醋酸-福尔马林盐水固定后,IgD免疫细胞显示不佳,乙醇固定后中位数荧光评分为3.0,而这三种固定剂固定后中位数荧光评分为1.0 - 1.8。IgA免疫细胞中的J链在酸性尿素中变性的乙醇固定组织切片中染色最强(中位数评分,3),但用福尔马林、醋酸-福尔马林盐水、布因氏液或苏萨固定液固定后也显示良好(中位数评分,1.8 - 2.0)。与免疫细胞相比,大多数交联固定剂对结肠隐窝上皮中的IgA、IgM、J链和SC的结果要差得多。只有碳二亚胺对IgA和SC的荧光评分接近乙醇固定后获得的评分(2.0和1.5 vs. 3.0和2.8)。蛋白水解暴露的效果取决于固定剂——不仅针对组织中不同的抗原和位置,而且针对明显相似细胞中的相同抗原。