提高福尔马林固定石蜡切片中各种核内预后标志物免疫组化染色的策略:通过抗原修复技术显示雄激素受体、雌激素受体、孕激素受体、p53蛋白、增殖细胞核抗原和Ki-67抗原。
Strategies for improving the immunohistochemical staining of various intranuclear prognostic markers in formalin-paraffin sections: androgen receptor, estrogen receptor, progesterone receptor, p53 protein, proliferating cell nuclear antigen, and Ki-67 antigen revealed by antigen retrieval techniques.
作者信息
Taylor C R, Shi S R, Chaiwun B, Young L, Imam S A, Cote R J
机构信息
Department of Pathology, University of Southern California School of Medicine, Los Angeles.
出版信息
Hum Pathol. 1994 Mar;25(3):263-70. doi: 10.1016/0046-8177(94)90198-8.
Different variations of the antigen retrieval technique using different retrieval solutions have been evaluated for their effectiveness in restoring the antigenicity of six intranuclear antigens, each of which is a potentially valuable prognostic indicator in formalin-fixed, paraffin-embedded tissue sections. The results of immunohistochemical staining for estrogen receptor, progesterone receptor, androgen receptor, p53 protein, proliferating cell nuclear antigen, and Ki-67 antigen were compared following the different antigen retrieval approaches. The strongest immunostaining signal with the clearest background was obtained by microwave heating of dewaxed paraffin sections for 10 minutes in 0.05 mol/L glycine HCl (pH 3.5) or in citrate buffer solution (pH 6). Urea solution, distilled water, and lead thiocyanate solution yielded improvements with some antigens, but less consistently and less impressively than glycine HCl buffer or citrate buffer. Following antigen retrieval nuclear staining was sharply defined and could be achieved consistently in a variety of tissues after formalin fixation for as long as 7 days. The duration of fixation, however, was an important variable; generally, the longer the fixation time the more vigorous the retrieval procedure required. This study demonstrates the ability to stain a variety of intranuclear antigens, which are not readily demonstrable otherwise, in formalin-paraffin sections with a high degree of consistency and reproducibility. The availability of methods that are effective in paraffin sections may facilitate studies of the possible value of these markers as prognostic indicators for predicting the response of major tumors to different forms of therapy. This study also provided insight into the basic principles of the antigen retrieval method, which may be helpful in attempts to develop a more uniformly standardized technique applicable to many different antigen systems.
已评估了使用不同修复溶液的抗原修复技术的不同变体,以确定其恢复六种核内抗原抗原性的有效性,每种抗原在福尔马林固定、石蜡包埋的组织切片中都是潜在有价值的预后指标。在采用不同的抗原修复方法后,比较了雌激素受体、孕激素受体、雄激素受体、p53蛋白、增殖细胞核抗原和Ki-67抗原的免疫组织化学染色结果。通过将脱蜡的石蜡切片在0.05 mol/L甘氨酸盐酸盐(pH 3.5)或柠檬酸盐缓冲溶液(pH 6)中微波加热10分钟,可获得背景最清晰的最强免疫染色信号。尿素溶液、蒸馏水和硫氰酸铅溶液对某些抗原有所改善,但不如甘氨酸盐酸盐缓冲液或柠檬酸盐缓冲液稳定和显著。抗原修复后核染色清晰,在福尔马林固定长达7天的各种组织中均可一致实现。然而,固定时间是一个重要变量;一般来说,固定时间越长,所需的修复程序越剧烈。本研究证明了在福尔马林-石蜡切片中能够高度一致且可重复地对多种核内抗原进行染色,否则这些抗原不易显示。在石蜡切片中有效的方法的可用性可能有助于研究这些标志物作为预测主要肿瘤对不同形式治疗反应的预后指标的可能价值。本研究还深入了解了抗原修复方法的基本原理,这可能有助于尝试开发一种更统一标准化的技术,适用于许多不同的抗原系统。