Immunohistochemistry staining with samples in paraffin (IHC-P)

Licia Miller   Product Manager


Note: These protocols are provided on an ‘as is’ basis and may require optimization for your experimental conditions.

 

 

Stage 1   Sample preparation: fixation

 

There are two methods for fixing tissues before embedding:

 

- Immersion fixation for when the tissue has already been excised;

- Perfusion for fixation in situ through the vascular system (here, we share a couple of example protocols).

 

Adequate fixation is usually obtained by immersing small tissue pieces into the fixative solution. Still, perfusion can result in a more rapid and uniform fixation that preserves tissues in a life-like state.

 

(1)  Immersion

 

Materials required

 

- Samples

- PBS (example T494526

- Fixative (example: 10% neutral buffered formalin (NBF), F301880)

 

Steps

 

1.Cut out a block of tissue from the source and wash it in PBS.

- Use clean tools and keep samples on ice.

 

2.Fix the sample by incubating it with your chosen fixative.

- Immerse the tissue block in one of the following solutions for 18-24 hrs at 4℃.

 

For detection of Suggested fixative
Most proteins, peptides and enzymes of low molecular weight. 10% Neutral-Buffered Formalin (NBF) or 4% paraformaldehyde (PFA)*
Small molecules, such as amino acids 10% Neutral-Buffered Formalin (NBF) or 4% paraformaldehyde (PFA)*
Large protein antigens, such as immunoglobulin 100 % acetone or methanol

Table 1. Common fixatives in IHC


*Note that the concentrations of formaldehyde in both 10% NBF and 4% PFA  (example P395744) are almost identical.

 

Notice: 10% neutral buffered formalin (NBF) is the most commonly used.

Where our datasheets state IHC-P as a tested application, NBF fixative has been used unless stated otherwise.

Note that acetone and methanol will also permeabilize samples.

The fixation time may require optimization: under-fixation can lead to edge staining, with a strong signal on the edges of the section and no signal in the middle. Over-fixation can mask the epitope; antigen retrieval can help overcome this masking.

 

3.Wash the tissue three times with PBS.

 

(2)  Perfusion

 

Perfusion involves dissecting an anesthetized animal and flushing 4% paraformaldehyde (PFA) through its circulatory system via the heart. After this process, the tissue of interest is extracted, and further fixation via immersion can be performed.

 

Stage 2   Sample preparation: embedding

 

Following fixation, samples are now ready to be embedded in paraffin. This procedure can be carried out using a vacuum oven to heat the paraffin or using an automated embedding system.

 

Materials required

 

- Samples

- PBS

- Ethanol

- Xylene or another clearing agent (example X112051)

- Paraffin wax (example P100933)

- Tissue embedding molds and cassettes

- Vacuum oven or automated embedding system

 

Steps

 

1.Rinse the tissue with PBS until the fixative is completely removed.

 

2.Dehydrate the tissue at room temperature with ethanol, then clear it with xylene.

- Perform the following exchange at room temperature, either manually in a Coplin’s jar or in an automated embedding system.


Solution Incubation time
50% Ethanol 1-2 hrs
75% Ethanol 20-30 mins
85% Ethanol 20-30 mins
85% Ethanol 20-30 mins
95% Ethanol 20-30 mins
95% Ethanol 20-30 mins
100% Ethanol 20-30 mins
100% Ethanol 20-30 mins
Xylene 10-20 mins
Xylene 10-20 mins


Notice: Some larger pieces of tissue can benefit from slower dehydration, i.e. longer incubation times.

Tissue processing cassettes are very useful for containing samples and are then embedded at the back of your wax block to be used as an anchoring point for sectioning.

You can use several less hazardous commercially available alternatives to xylene. Please refer to the manufacturer’s instructions for ethanol exchange and mounting procedures specific to the agent.

 

3.Exchange the tissue three times in hot paraffin.

3.1 Check the paraffin manufacturer’s instructions for recommended temperature -typically 50-60℃.

3.2 Perform the exchanges in a vacuum oven or an automated embedding system.

 

Solution Incubation time
Paraffin 40 mins
Paraffin 1 hr
Paraffin 1 hr



Tips: Various manufacturers supply paraffin wax. Be careful to use the correct oven temperature for the wax you are using, and refer to the manufacturer if unsure.


4.Embed the tissue mold in fresh paraffin.

4.1 Carefully place the tissue in a mold and fill the mold with paraffin.

4.2 Orient the tissue as desired and use a cassette to anchor the tissue to the mold.

4.3 Place the tissue block in the fridge for ~10 mins to harden the paraffin.

 

 

Stage 3   Sample preparation: sectioning


Once the tissue is embedded, we can cut it into sections and mount it to microscope slides.

 

Materials required

 

- Samples

- Waterbath

- Container with ice

- Glass microscope slides

- Microtome and blade

- Oven or slide drying rack

 

Steps

 

1.Chill paraffin-embedded tissue blocks on ice.

 

Tips: Cold wax allows thinner sections to be obtained by supporting harder elements within the tissue specimen.

The small amount of moisture penetrating the block from the melting ice will make the tissue easier to cut.

 

2.Fill a water bath with ultrapure water and heat to 40-45℃.

 

3.Set up the microtome and blade.

3.1 Place the blade in the holder.

3.2 Follow the microtome manufacturer’s instructions for guidance on setting the clearance angle.

 


Figure 1. Blade clearance angle. Setting the right clearance angle prevents contact between the knife facet and the face of the block.

 

Tips: The blade clearance angle should be adjusted to achieve optimum performance.

 

4.Insert the paraffin block into the microtome and orient.

 

Notice: Before cutting the block, carefully, you can cut a few thin sections to ensure the positioning is correct. Adjust if necessary.

 

5.Trim the block to expose the tissue surface.

5.1 Trimming is normally done to a thickness of 10-30 µm.

5.2 This allows more representative sections to be cut later.

 

6.Cut sections to a thickness of 3-10 µm.

- Sections will come off as ribbons.

 

Tips: You will probably need to discard the first few sections as they likely contain holes caused by trimming.

 

7.Separate the sections on a water bath and place them on microscope slides.

7.1 Pick up the ribbons of sections and float them on the surface of the water bath, so they flatten out.

7.2 Use tweezers to separate the sections.

7.3 Pick the sections from the water bath onto a microscope slide and place them in a slide rack.

 

8.Dry the sections in an oven.

- Place the slide rack into an oven at 63-65℃ for 30-60 mins or at 37℃ overnight.

 

 

Tips: Drying the sections at 37℃ overnight is less likely to damage heat-sensitive antigens.

 

 

Stage 4   Deparaffinization

 

Samples need to undergo deparaffinization to remove the wax and enable antibody penetration. Antigen retrieval steps will also help further expose the antigen and are often required for tissues fixed in formalin.

 

Before proceeding to antibody incubation, we must deparaffinize and rehydrate the slides. Incomplete removal of paraffin can lead to poor staining of the section.

 

Materials required

 

- Samples

- Xylene (example X112051)

- Ethanol

- Coplin Jars or autostainer (example: Leica ST5020 Multistainer)

 

Steps

 

1.Wash the slides in xylene and then in ethanol using a Coplin’s jar or autostainer.


Solution Incubation time
Xylene 10-15 mins
Xylene 10-15 mins
100% Ethanol 5 mins
100% Ethanol 5 mins
95% Ethanol 5 mins
95% Ethanol 5 mins
85% Ethanol 5 mins
85% Ethanol 5 mins
75% Ethanol 5 mins
75% Ethanol 5 mins


Tips: These steps can be automated or manual.

You can use several less hazardous commercially available alternatives to xylene. Please refer to the manufacturer’s instructions for exchanging ethanol and mounting procedures specific to the agent.

 

2.Wash the slides three times with water.

 

3.Keep the slides in water until ready to perform antigen retrieval.

 

Warning: It’s crucial not to allow the slides to dry at any moment from this step onward. Drying out will cause non-specific antibody binding and, therefore, high background staining.

 

 

Stage 5   Antigen retrieval

 

Most formalin-fixed tissues require an antigen retrieval step before immunohistochemical staining. Methylene bridges formed during fixation cross-link proteins and mask antigenic sites.

 

Antigen retrieval methods break these methylene bridges and expose antigenic sites, allowing antibodies to bind.

 

(1)  Heat-induced epitope retrieval (HIER)

 

In heat-induced epitope retrieval (HIER), we place the tissue sections in a buffer and heat them to expose antigenic sites. HIER is most often performed using a water bath, pressure cooker, or scientific microwave.

 

Materials required

 

- Suitable antigen retrieval buffer (example: Tris EDTA buffer, E196386)

- Your tissue sections, deparaffinized and hydrated in water

- Slide rack to hold approximately 400-500 mL

- Heating apparatus (decloaking chamber or scientific microwave)

 

Steps

 

1.Immerse the slide rack into a staining dish containing antigen retrieval buffer.

 

2.Transfer the staining dish into a heating apparatus and heat the slides.


Equipment Suggested method
Decloaking chamber 110℃ for 15-30 mins
Scientific Microwave 98℃ for 20 mins


Notice: Slides should be placed in a plastic or metal rack and vessel. Standard glass histology staining racks and vessels will crack when heated.

If using a scientific microwave, set the temperature to a constant 98℃ to avoid section dissociation from vigorous boiling.

 

3.Remove the slides from the vessel and run under cold tap water for 10 mins.

 

Tips: This allows the slides to cool enough so they may be handled, and allows the antigenic site to re-form after being exposed to high temperature.

 

4.Transfer slides back into the rack and immerse in water.

- It's important to prevent the slides from drying out.

 

(2)  Enzymatic antigen retrieval

 

In enzymatic antigen retrieval, the tissue sections are incubated with a protease such as Trypsin, Pepsin, or Proteinase K to expose the antigenic sites. The enzyme can be applied to slides directly with a pipette, or the slide rack can be immersed into the enzyme solution.

 

Materials required

- Your tissue sections on glass slides, deparaffinized and hydrated in water

- Slide rack

- The incubator set to the optimum temperature (usually 37℃)

- Enzymatic antigen retrieval solution (examples: Trypsin T105532, Pepsin P128678, Proteinase K P274341)

 

Steps

 

1.Prepare the enzymatic antigen retrieval solution as recommended by the manufacturer.

 

Notice: The best enzyme to use should be indicated on the antibody datasheet. If not, you can use Trypsin to retrieve various antigens after formalin fixation.

Our enzymatic antigen retrieval solutions are ready to use. However, check the literature if using another manufacturer; some enzymes require specific buffers and cofactors for activity.

 

2.Heat the enzymatic antigen retrieval solution in an incubator to the optimum temperature for the enzyme you’re using.

 

- Trypsin: 37

- Pepsin: 37℃

- Proteinase K: room temperature

 

3.Treat tissue slides with the pre-heated enzymatic antigen retrieval solution.

 

This can be done by:

 

- Pipetting a small amount (50-100 µL) of the enzymatic solution onto the slides, or

- Immersing the slide rack into the solution, keeping slides immersed throughout step 4.

 

Notice: Pipetting directly onto slides uses less reagent but requires more careful optimization to ensure slides receive the same treatment.

 

4.Place the treated slides into an incubator and heat for ~5-10 mins.

 

- Trypsin: 37℃

- Pepsin: 37℃

- Proteinase K: room temperature

 

Notice: If pipetting onto slides directly, keep the incubator humidified to prevent the slides from drying out. You can do it by using a humidified chamber.

Use a slide rack to avoid placing slides directly on the incubator shelves.

An incubation time of 5-10 mins will generally work, but you may wish to optimize by trying a range of times between 5 and 30 minutes.

 

5.Rinse slides under cold running water to remove excess enzyme.

 

6.Transfer slides into the rack and immerse in water.

- It’s important to prevent the slides from drying out.

 

 

Stage 6   Blocking

 

Now that we prepared the slides and antigen retrieval has taken place where required, the samples are ready for blocking and antibody incubation.

 

Blocking steps are particularly important in IHC to prevent high background staining in images. Blocking of endogenous proteins is essential for all samples.

 

Materials required

 

- TBST (or 1×TBS/0.1% Tween-20, pH 7.4±0.2, example T196392, R397935)

- Protein blocking solution (example 2-10 % normal serum of same species as secondary antibody, example N666060, or sera-free protein block)

- Biotin blocking solution (optional-for biotinylated antibodies)

- 3% Hydrogen peroxide (optional for peroxidase-conjugated antibodies)

 

Steps

 

1.Wash the slides twice with TBST.

 

2.Perform endogenous avidin/biotin block (optional).

2.1 Incubate slides for 10 mins in avidin blocking solution at room temperature.

2.2 Wash slides once with TBST.

2.3 Incubate slides for 10 mins in biotin-blocking solution at room temperature.

2.4 Wash slides once with TBST.

 

Notice: Perform this step only for biotinylated antibodies.

 

3.Perform endogenous peroxidase block (optional).

3.1 Incubate slides with 3% hydrogen peroxide for 10 mins at room temperature.

3.2 Wash slides once with TBST.

 

Notice: Perform this step only for peroxidase-conjugated antibodies.

 

4.Perform protein block.

- Incubate slides in protein blocking reagent for 30-60 mins at room temperature.

 

Warning: The blocking solution should not contain serum of the host animal of the primary antibody as this will likely result in high background.

 

Notice: Perform this step only for all IHC experiments.

If using serum for blocking, the serum should match the host species of the secondary antibody.

 

5.Wash slides three times with TBST.

 

6.Proceed to immunostaining.

 

 

Stage 7   Antibody incubation (immunostaining)

 

After performing the necessary blocking steps, we’re now ready to stain our tissue samples with antibodies. We can stain tissues directly with conjugated primary antibodies, or indirectly with conjugated secondary antibodies.

 

Multicolor IHC involves staining with two or more sets of antibodies to reveal the distribution of two or more proteins of interest. Both the indirect and direct protocols given below can be adapted for multicolor IHC. We can either:

 

- Incubate cells with multiple antibody sets simultaneously.

- Incubate cells with each antibody set sequentially, performing blocking between each incubation.

 

(1)  Indirect

 

Materials required

 

- Tissues that have undergone relevant blocking steps

- TBST (example R397935)

- BSA (example B265993)

- Primary antibody

- Conjugated secondary antibody

- Optional: Hydrophobic barrier pen

- Automated stainer

 

Steps

 

1.Dilute the antibodies in TBST.

- Optimum dilutions will often be suggested on the antibody datasheet.

 

Notice: If not, you may need to perform dilutions to find the antibody concentration that works best.

1% BSA is included as an additional blocking reagent to reduce non-specific binding caused by hydrophobic interactions.

 

2.Incubate the slides with pre-diluted primary antibody.

- Immerse slides in antibody solution overnight at 4℃.

 

Notice: Incubation time may need optimization.

The antibody solution needs to cover your samples completely.

Using a hydrophobic barrier pen can help contain small volumes.

 

3.Wash the slides three times with TBST.

 

4.Incubate the slides in pre-diluted secondary antibody.

- Immerse slides in antibody solution for around 10-30 mins at room temperature. Please refer to the manufacturer’s guidance for exact incubation conditions.

 

Tips: Incubation time may need to be optimized.

If using a fluorophore, incubation must be in the dark to avoid photobleaching.

Endogenous peroxidase blocking can also be carried out at this point.

 

5.Wash the slides three times with TBST.

 

6.Proceed to counterstaining, mounting and imaging.

 

(2)  Direct

 

Materials required

 

- Tissues that have undergone relevant blocking steps

- TBS (example T196392)

- BSA (example B265993)

- Conjugated primary antibody

 

Steps

 

1.Dilute the antibodies in TBS with 1% BSA.

- Optimum dilutions will often be suggested on the antibody datasheet.

 

Notice: If not, you may need to perform dilutions to find the antibody concentration that works best.

1% BSA is included as an additional blocking reagent to reduce non-specific binding caused by hydrophobic interactions.

 

2.Incubate the slides in the pre-diluted primary antibody.

- Incubate overnight at 4℃.

 

Notice: Incubation time may need optimization.

The antibody solution needs to cover your samples completely.

Using a hydrophobic barrier pen can help contain small volumes.

 

3.Wash the slides three times with TBS.

 

4.Proceed to counterstaining, mounting and imaging.

 

 

Stage 8   Detection

 

After incubation with antibodies, you’re now ready to image your slides according to the procedures below.

 

Fluorescent

 

Materials required

 

- Tissue slides stained with fluorophore-conjugated antibody

- Fluorescent counterstain (optional, example: DAPI D106471)

- Mounting medium suitable for fluorescent detection

- Sealant (example: nail polish or Limonene)

- Coverslip

- Microscope

 

Steps

 

1.Immerse the slide in the fluorescent counterstain solution (optional).

- Incubate according to the manufacturer’s guidance at room temperature or until the desired color is observed.

 

Notice: Some mounting media are fortified with a fluorescent counterstain. This eliminates the need for an additional counterstain step.

 

2.Wash the slides with cold running water to remove the excess stain.

 

3.Add a few drops of mounting medium suitable for fluorescent detection to the slides.

- Let the slides stand at room temperature for around 5 mins.

 

Notice: Use the minimum volume needed to mount the slides.

 

4.Carefully place a coverslip over the slide using forceps.

- If using an aqueous mounting medium, seal the coverslip with limonene or nail polish.

 

Notice: Be careful not to introduce any bubbles or disturb the sample.

 

5.Image the slides using a microscope.

 

Notice: If not using immediately, store slides in the dark at 4℃.

 

Colorimetric

 

Materials required

 

- Tissue slides stained with enzyme conjugated antibody

- Chromogenic substrate (examples for HRP: DAB D573235)

- Counterstain (optional)

- Mounting medium

- Sealant (optional for aqueous mounting media, example nail polish or Limonene)

- Coverslip

- Microscope

 

Steps

 

1.Incubate the slides with chromogenic substrate.

- Immerse slides in the substrate solution at room temperature until the desired color is observed.

 

Notice: Freshly prepare your chromogenic substrate according to the product specification and choose suitable staing time and cycles.

Monitor the staining visually during the incubation.

AP blocking can be included here if required.

 

2.Wash the slides with cold running water to remove the excess stain.

 

3.Immerse the slide in counterstain solution (optional).

- Incubate according to the manufacturer’s guidance at room temperature or until the desired color is observed.

 

4.Wash the slides with cold running water to remove the excess stain and to blue the hematoxylin.

 

5.Dehydrate the tissue using ethanol and xylene.

- Perform the following exchange at room temperature, either manually in a Coplin’s jar or in an automated embedding system.


Solution Wash
75% Ethanol 3 mins
95% Ethanol 3 mins
100% Ethanol 3 mins
100% Ethanol 3 mins
Xylene 5 mins
Xylene 5 mins


6.Add a few drops of mounting medium to the slides and let the slide stand at room temperature for 5 mins.

 

Notice: Use the minimum volume needed to cover the slides.

 

7.Place a coverslip over the slide using forceps.

- If using an aqueous mounting medium, seal the coverslip with limonene or nail polish.

- If using an organic mounting medium, allow the medium to dry completely.

 

Notice: Be careful not to introduce any bubbles or disturb the sample.

 

8.Image the slides using a microscope.

 

Notice: If not using immediately, store slides at 4℃.

 

 

For more product details, please visit the Aladdin Scientific website.

https://www.aladdinsci.com