This work was supported by Carnegie Mellon University and the D.S.F. Charitable Foundation (Y.Z. and X.R.), the National Institutes of Health (N.I.H.) Director&#39;s New Innovator Award DP2 OD025926-01, and the Kauffman Foundation.

All the experimental procedures involving animals were conducted in accordance with the National Institutes of Health (NIH) guidelines and were approved by the Institutional Animal Care and Use Committee at Carnegie Mellon University. Human tissue samples were commercially obtained.
1. Preparation of the stock reagents and solutions
NOTE: Refer to the Table of Materials for a list of the reagents used.
<ol>
	<li>Prepare the gelling stock solutions. These will be combined immediately before the gelling step.
	<ol>
		<li>Prepare the monomer stock solution (4 g/100 mL N,N- dimethylacrylamide acid [DMAA], 50 g/100 mL sodium acrylate [SA], 66.7 g/100 mL acrylamide [AA], 0.10 g/100 mL N,N&#8242;-methylenebisacrylamide [Bis], 33 g/100 mL sodium chloride [NaCl], 1x phosphate-buffered saline; PBS) using the components listed in Table 1. Dissolve or dilute all the stock solutions in water. The monomer stock solution can be stored at 4 &#176;C for at least 3 months.</li>
		<li>Make the following stock solutions separately in water: 0.5% (w/w) 4-Hydroxy-TEMPO (4HT), which inhibits gelation during monomer diffusion into the tissues, and 10% (w/w) tetramethylethylenediamine (TEMED), which accelerates the radical generation initiated by ammonium persulfate (APS) and is prepared at 10% (w/w). 
		&#8203;NOTE: The stock solutions can be distributed into 1-2 mL aliquots and stored at 4 &#176;C for up to 3 months; however, APS is made immediately before preparing the gelling solution.</li>
	</ol>
	</li>
	<li>Prepare the homogenization buffer (1% w/v S.D.S., 8 M urea, 25 mM EDTA, 2x PBS, pH 8, at room temperature [R.T.]) by combining 1 g of SDS, 48.048 g of urea, 5 mL of EDTA (0.5M, pH 8), 20 mL of 10x PBS, 25 mL of Tris (2 M), and 0.75 g of glycine. Add water for a total volume of 100 mL. The solution can be scaled up or down as needed and can be stored at R.T.</li>
</ol>
2. Tissue preparation for archived and freshly prepared clinical tissue slides
NOTE: The tissue pre-processing steps differ based on how the specimens are prepared.
<ol>
	<li>For formaldehyde-fixed paraffin-embedded (FFPE) clinical samples, follow the steps below.
	<ol>
		<li>Place the samples in a sequential series of solutions (a glass slide staining jar or 50 mL conical tube may be used): xylene, 95% ethanol, 70% ethanol, and 50% ethanol, followed by doubly deionized water. Use each solution twice for at least 3 min each time. Use forceps to place the slide into the container, and add 15 mL of the respective solution (enough to cover the sample). Place the capped conical tube horizontally on a shaker at room temperature.</li>
	</ol>
	</li>
	<li>For samples stained and mounted on permanent slides, follow the steps below.
	<ol>
		<li>Place the slide briefly in xylene, and carefully remove the coverslips using an appropriate tool, such as a razor blade. If the coverslip remains stuck, return the slides in xylene to room temperature until the coverslip loosens.</li>
		<li>Then, process the samples as FFPE samples (step 2.1.1). 
		NOTE: For hematoxylin and eosin (H&#38;E)-stained slides, the hematoxylin and eosin stain is lost during the expansion process.</li>
	</ol>
	</li>
	<li>For unfixed frozen tissue slides in optimum cutting temperature (OCT) solution, fix the tissues in acetone at &#8722;20 &#176;C for 10 min before washing the samples with 1x PBS solution three times for 10 min each time at room temperature.</li>
	<li>For previously fixed frozen clinical tissue slides, melt the OCT by incubating the slides for 2 min at room temperature, and then wash with 1x PBS solution three times for 5 min each time at room temperature.</li>
</ol>
3. Tissue preparation for paraformaldehyde-fixed mouse brain
<ol>
	<li>Follow this protocol for mouse brain sections that are 30-50 &#181;m thick. 
	NOTE: Success may be found with larger sections, but longer times may be required for monomer solution diffusion and homogenization.</li>
	<li>If the sections are not currently stored in a 1x PBS solution (for instance, in a 30% [v/v] glycerol and 30% [v/v] ethylene glycol solution in 1x PBS), wash three times for at least 10 min each time at room temperature in 1x PBS in a 6-to-24-well plate.</li>
	<li>Obtain an uncoated glass microscopy slide. If one side of the glass slide is coated, use a wet paintbrush to check for the uncoated side (often, the label of the coated side will be made of ground glass and will become less opaque when wet).</li>
	<li>Use a paintbrush to wet the uncoated slide. Remove the mouse brain tissue from the well plate with the paintbrush, and carefully place it onto the slide, using a rolling motion to ensure the tissue is flat. Allow excess PBS to remain on the tissue until all the sections are mounted. 
	NOTE: While a single glass slide may be used for multiple tissue sections, when more tissue sections are gelled at once (even on separate slides), more care must be taken to ensure they do not completely dry out.</li>
	<li>Using a laboratory paper cloth, remove the majority of the excess PBS from the slide. Leave a small liquid ring around each tissue section, but leave the rest of the slide mostly dry. This remaining liquid will cover the tissue while the gel monomer solution is being prepared.</li>
</ol>
4. Gelling
NOTE: This protocol is suitable for all tissue types prepared for use with this technique.
<ol>
	<li>Apply spacers on either side of the tissue section (Figure 2A) to prevent tissue compression. To do so, make the spacers by thinly cutting pieces of cover glass using a diamond-tipped pen, and then secure them to the slide using small amounts of water or 1x PBS, or fix them using a small amount of super glue. Next, gently place the spacers on either side of the tissue.</li>
	<li>Prepare the final gelling solution. Generally, ~200 &#181;L is sufficient per tissue section, but the volume should not exceed 800 &#181;L per slide. Any more gelling solution will result in spillover. 
	NOTE: Methacrolein is used to anchor biomolecules into the gel. However, no separate anchoring step is required, and methacrolein may be added directly to the final gelling solution.
	<ol>
		<li>Per section, combine the following in order: 200 &#181;L of monomer solution, 0.5 &#181;L of 0.5% 4HT stock solution (1:400 dilution), 0.2-0.5 &#181;L of methacrolein (1:400-1:1,000 dilution depending on the tissue type; generally, use a 1:1,000 dilution for paraformaldehyde [PFA]-fixed samples and 1:400 for FFPE clinical specimens), 2 &#181;L of 10% TEMED stock solution (1:100 dilution), and 5 &#181;L of 10% A.P.S. stock solution (1:40 dilution). 
		NOTE: Prepare the final gelling solution immediately before use. To prevent premature gelling, add the APS solution last.</li>
	</ol>
	</li>
	<li>Remove the excess solution from the tissue section, and place the slide in a Petri dish. Add all the freshly prepared, cold gelling solution to the sample, and incubate the mixture on the tissue for 30 min at 4 &#176;C to allow diffusion into the tissue.</li>
	<li>Place a second uncoated glass slide carefully over the tissue and gel solution. Air bubbles should be avoided (Figure 2B). 
	NOTE: If air bubbles become trapped over the tissue, the glass lid may be carefully lifted and placed back down. Additionally, any monomer solution that spills out may be trimmed off after polymerization and will not cause any problems for the tissue.</li>
	<li>Ensure that polymerization is completed. This polymerization can be done in two ways, each producing similar results. First, incubate the samples at 37 &#176;C in a humidified environment (such as a closed Petri dish with a damp paper towel) overnight. Alternatively, for more rapid polymerization, incubate the samples in the humidified atmosphere for 2 h at 37 &#176;C followed by 1 h at 60&#176;C.</li>
</ol>
5. Sample digestion and tissue expansion
NOTE: This protocol is suitable for all tissue types.
<ol>
	<li>Wearing eye protection, slide a razor blade between the two glass slides of the gelling chamber to separate them. 
	NOTE: The glass slides should separate very easily. If different parts of the gel are stuck to both slides, a paintbrush may be used to guide the gel to one or the other. If the gel has become particularly dry during polymerization, 1x PBS may be applied to the outside of the gel chamber, but do not submerge the gel fully, as this will cause it to expand before the tissue is homogenized, which will result in cracking.</li>
	<li>Trim the blank gel around the tissue to minimize the volume. Cutting the gel asymmetrically allows for the tracking of the orientation of the gel after homogenization, as the sample will be completely transparent.</li>
	<li>Gently lift the tissue-containing gel from the slide with a razor blade, and gently transfer it into a 2 mL centrifuge tube with a paintbrush.</li>
	<li>Fill the tube to the top with homogenization buffer (Table 2) pre-heated to 80 &#176;C.</li>
	<li>Incubate the sample with shaking at 80 &#176;C for 8 h (for PFA-fixed mouse brain) or 60 h (most FFPE clinical samples; see Table 3). 
	NOTE: The homogenization time is dependent on the tissue type and fixation method. Many of these conditions have been validated already, but for others, optimization may be necessary.</li>
	<li>Pour the contents of the centrifuge tube into a single well of a 6-well plastic cell culture plate.</li>
	<li>Remove the denaturation buffer with a transfer pipet.</li>
	<li>To completely remove the remaining SDS from the hydrogel, wash the sample in a 1% non-ionic surfactant (C12E10) solution as follows: at least three times for 10 min each time at room temperature; for 60 min at 60 &#176;C; and then another three washes for 10 min each time at room temperature.</li>
	<li>Store the sample in 1x PBS + 0.02% sodium azide at 4 &#176;C until post-expansion staining and imaging need to be performed. 
	&#8203;NOTE: At this point, the sample should be ~3-4.5-fold larger in each dimension, depending on the tissue type.</li>
</ol>
6. Post-expansion biomolecule profiling
<ol>
	<li>Antibody staining 
	NOTE: This follows a typical immunofluorescence (IF)/immunohistochemistry (I.H.C.) staining protocol. The amounts of primary and secondary antibodies used depend on the concentrations suggested by the manufacturer or by optimization for the specific experiment. Individual buffers may be substituted at the user&#39;s discretion.
	<ol>
		<li>With the sample in a single well of a 6-well cell culture plate, wash the expanded samples three times for 10 min each time in 1x PBS at R.T., transferring the liquid with a pipette.</li>
		<li>Perform an optional blocking step (for instance, 3% bovine serum albumin/0.1% Triton-X100 in 1x PBS) for at least 1 h at room temperature or overnight at 4 &#176;C.</li>
		<li>Incubate with the primary antibodies in staining buffer (for instance, 0.1% Triton-X100 1x PBS or 9x PBS/1% TritonX/10 mg/L heparin) overnight at 37 &#176;C. Depending on the sample size, 0.5-2 mL should adequately cover the gel.</li>
		<li>Wash the sample three times for at least 10 min each time in 1x PBS at room temperature.</li>
		<li>Incubate in the corresponding secondary antibodies for 3 h at 37 &#176;C in the staining buffer of choice.</li>
		<li>Wash the sample three times for at least 10 min each time in 1x PBS at room temperature.</li>
	</ol>
	</li>
	<li>NHS-ester pan-protein staining
	<ol>
		<li>With the sample in a 6-well plate, pour 1-2 mL of polyethylene glycol (PEG 200) onto the sample (enough to fully cover it). 
		NOTE: The tissue should shrink and return to its original pre-expansion size (or close to it).</li>
		<li>Stain with fluorophore-conjugated NHS-ester diluted to 13.3-80 &#181;g/mL for 3 h at R.T. in 1-2 mL of staining buffer (for instance, 1x PBS, 2x S.S.C., or 100 mM sodium bicarbonate solution).</li>
		<li>Wash the sample three times for at least 10 min each time in 1x PBS at room temperature.</li>
	</ol>
	</li>
	<li>Lipid staining 
	NOTE: Post-expansion lipid staining is not effective on FFPE clinical samples, as lipids are lost during the fixation process.
	<ol>
		<li>Wash the sample three times for at least 10 min each time in 1x PBS at room temperature.</li>
		<li>Apply a conventional lipophilic dye (DiO, DiI, or DiD) diluted 200-fold in 2 mL of 0.1% TritonX-100/1x PBS for 72-96 h at room temperature.</li>
		<li>Wash at least three times with 1x PBS</li>
	</ol>
	</li>
	<li>Fluorescence in situ hybridization (FISH)
	<ol>
		<li>Place homogenized gel samples in hybridization buffer pre-heated to 60 &#176;C for 30 min.</li>
		<li>Prepare the hybridization buffer for FISH: Combine 2x S.S.C. (300 mM NaCl, 30 mM sodium citrate, pH 7.0), 10% (v/v) dextran sulfate, 20% (v/v) ethylene carbonate, and 0.1% (v/v) Tween20.</li>
		<li>Incubate the gel samples with a hybridization buffer containing 10 pM (per oligo) of FISH probes against the target gene (at least 20 probes per 10 kb) at 45 &#176;C overnight.</li>
		<li>Wash with stringency wash buffer (2x S.S.C. and 0.1% Tween20) two times for 15 min each time at 45 &#176;C.</li>
		<li>Wash with stringency wash buffer another two times for 10 min each time at 37 &#176;C.</li>
		<li>Finally, wash with 1x PBS at least three times for 10 min each time at room temperature.</li>
		<li>The samples are ready for imaging or storage in 1x PBS + 0.02% sodium azide at 4 &#176;C.</li>
	</ol>
	</li>
	<li>Full tissue expansion and fluorescence imaging 
	NOTE: The expansion factor attainable with Magnify varies with the tissue type and expansion method (a full summary can be found in Table 3). However, as a general estimate, a Magnify sample will expand 3-4.5-fold in 1x PBS, 5-7-fold in PBS diluted to 1:50 in ddH2O, and 8-11-fold in ddH2O. The optimal expansion factor for imaging depends on each experiment&#39;s needs. The expansion factor is highly tunable, such that a single sample may be expanded and shrunk many times for imaging at various scales.
	<ol>
		<li>Move the samples expanded 4-fold in PBS to a glass-bottom 6-well imaging plate using a paintbrush. Move any sample expanded further by cutting it into smaller pieces or placing gently into a large glass-bottom imaging plate with a thin piece of flexible plastic.</li>
		<li>Perform fluorescence imaging using a conventional wide-field microscope, a confocal microscope, or another imaging system of choice. Removing excess liquid around the gel with a paper laboratory cloth may prevent gel movement during imaging. The gels can also be immobilized by applying 0.1% poly-L-lysine to the glass surface before imaging. 
		NOTE: The application of poly-L-lysine will make the gel entirely immobile upon contact. For this reason, caution must be taken that the gel is applied to the glass without folding or stretching. Additionally, the gel should not be allowed to dry completely on poly-L-lysine-coated glass, as this could make removal difficult, and the gel should not be shrunk in PBS while it is still attached to the glass with poly-L-lysine, as this could cause gel or tissue damage.</li>
		<li>After imaging, shrink the samples in 1x PBS with at least three washes for 10 min each time, as it is not recommended to store the samples long-term in ddH2O due to the degradation of the fluorescence signal. In particular, fully expanded samples stained with lipophilic dyes should be imaged as close to the time of expansion as possible to prevent dissociation of the dye in water.</li>
		<li>Store the samples in 1x PBS + 0.02% sodium azide at 4 &#176;C.</li>
	</ol>
	</li>
</ol>

Expansion Microscopy for Robust 11-Fold Expansion

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A., Shroff, H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Fluorescence+microscopy:+A+concise+guide+to+current+imaging+methods.">Fluorescence microscopy: A concise guide to current imaging methods.</a> Current Protocols in Neuroscience. 79, 1-25 (2017).</li><li>Schermelleh, L., Heintzmann, R., Leonhardt, H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+guide+to+super-resolution+fluorescence+microscopy.">A guide to super-resolution fluorescence microscopy.</a> Journal of Cell Biology. 190 (2), 165-175 (2010).</li><li>Chen, F., Tillberg, P. W., Boyden, E. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Expansion+microscopy.">Expansion microscopy.</a> Science. 347 (6221), 543-548 (2015).</li><li>Tillberg, P. W., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Protein-retention+expansion+microscopy+of+cells+and+tissues+labeled+using+standard+fluorescent+proteins+and+antibodies.">Protein-retention expansion microscopy of cells and tissues labeled using standard fluorescent proteins and antibodies.</a> Nature Biotechnology. 34 (9), 987-992 (2016).</li><li>Chozinski, T. J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Expansion+microscopy+with+conventional+antibodies+and+fluorescent+proteins.">Expansion microscopy with conventional antibodies and fluorescent proteins.</a> Nature Methods. 13 (6), 485-488 (2016).</li><li>Ku, T., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Multiplexed+and+scalable+super-resolution+imaging+of+three-dimensional+protein+localization+in+size-adjustable+tissues.">Multiplexed and scalable super-resolution imaging of three-dimensional protein localization in size-adjustable tissues.</a> Nature Biotechnology. 34 (9), 973-981 (2016).</li><li>Chen, F., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Nanoscale+imaging+of+R.N.A.+with+expansion+microscopy.">Nanoscale imaging of R.N.A. with expansion microscopy.</a> Nature Methods. 13 (8), 679-684 (2016).</li><li>Tsanov, N., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=SmiFISH+and+FISH-quant+-+A+flexible+single+R.N.A.+detection+approach+with+super-resolution+capability.">SmiFISH and FISH-quant - A flexible single R.N.A. detection approach with super-resolution capability.</a> Nucleic Acids Research. 44 (22), 165 (2016).</li><li>Wang, G., Moffitt, J. R., Zhuang, X. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Multiplexed+imaging+of+high-density+libraries+of+R.N.A.s+with+MERFISH+and+expansion+microscopy.">Multiplexed imaging of high-density libraries of R.N.A.s with MERFISH and expansion microscopy.</a> Scientific Reports. 8 (1), 4847 (2018).</li><li>Wen, G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Evaluation+of+direct+grafting+strategies+via+trivalent+anchoring+for+enabling+lipid+membrane+and+cytoskeleton+staining+in+expansion+microscopy.">Evaluation of direct grafting strategies via trivalent anchoring for enabling lipid membrane and cytoskeleton staining in expansion microscopy.</a> ACS Nano. 14 (7), 7860-7867 (2020).</li><li>Sun, D., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Click-ExM+enables+expansion+microscopy+for+all+biomolecules.">Click-ExM enables expansion microscopy for all biomolecules.</a> Nature Methods. 18, 107-113 (2021).</li><li>White, B. M., Kumar, P., Conwell, A. N., Wu, K., Baskin, J. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Lipid+expansion+microscopy.">Lipid expansion microscopy.</a> Journal of the American Chemical Society. 144 (40), 18212-18217 (2022).</li><li>Truckenbrodt, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=X10+expansion+microscopy+enables+25-nm+resolution+on+conventional+microscopes.">X10 expansion microscopy enables 25-nm resolution on conventional microscopes.</a> EMBO Reports. 19 (9), e45836 (2018).</li><li>Chang, J. -. B., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Iterative+expansion+microscopy.">Iterative expansion microscopy.</a> Nature Methods. 14 (6), 593-599 (2017).</li><li>Park, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Epitope-preserving+magnified+analysis+of+proteome+(eMAP).">Epitope-preserving magnified analysis of proteome (eMAP).</a> Science Advances. 7 (46), (2021).</li><li>Klimas, A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Magnify+is+a+universal+molecular+anchoring+strategy+for+expansion+microscopy.">Magnify is a universal molecular anchoring strategy for expansion microscopy.</a> Nature Biotechnology. , (2023).</li><li>Gao, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Expansion+stimulated+emission+depletion+microscopy+(ExSTED).">Expansion stimulated emission depletion microscopy (ExSTED).</a> ACS Nano. 12 (5), 4178-4185 (2018).</li><li>Zwettler, F. 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The authors declare the following competing financial interest(s): Y.Z., A.K., Z.C., and B.R.G. invented several inventions related to Magnify and ExM.

Here, we present the Magnify protocol17, an ExM variant that can retain multiple biomolecules with a single chemical anchor and expand challenging FFPE clinical specimens up to 11-fold with heat denaturation. The key changes in this protocol that distinguish it from other ExM protocols include the use of a reformulated gel that remains mechanically robust even when fully expanded, as well as the use of methacrolein as the biomolecule anchor. The most critical steps in this protocol are as follows:...

Biological systems&#160;exhibit structural heterogeneity, from the limbs and the organs down to the levels of proteins at the nanoscale. Therefore, a complete understanding of the operation of these systems requires visual examination across these size scales. However, the diffraction limit of light causes challenges in visualizing structures smaller than ~200-300 nm on a conventional fluorescence microscope. In addition, optical super-resolution methods1,2,3, such as stimulated emission depletion (STED), photo-activated localization microscopy (PALM), stochastic optical reconstruction microscopy (STORM), and structured illumination microscopy (SIM), though powerful, present their own challenges, as they require expensive hardware and reagents and often have slow acquisition times and a poor ability to image large volumes in 3D.
Expansion microscopy4 (ExM) provides an alternative means of circumventing the diffraction limit of light by covalently anchoring biomolecules into a water-swellable polymer gel and physically pulling them apart, thus rendering them resolvable on conventional optical microscopes. A multitude of ExM protocol variants have been developed since the original publication of&#160;ExM less than a decade ago, and these protocols allow the direct incorporation of proteins5,6,7, RNA8,9,10, or lipids11,12,13 into the gel network by altering the chemical anchor or expanding the sample further (thus improving the effective resolution) either in a single step14 or multiple iterative steps15,16. Until recently, no single ExM protocol could retain these three biomolecule classes with a single commercially available chemical anchor while providing a mechanically sturdy gel that could expand ~10-fold in a single expansion round.
Here, we present Magnify17, a recent addition to the ExM arsenal that uses methacrolein as the biomolecule anchor. Methacrolein forms covalent bonds with tissue like that of paraformaldehyde, ensuring that multiple classes of biomolecules can be retained within the gel network without requiring various specific or custom anchoring agents. Additionally, this technique can expand a broad spectrum of tissues up to 11-fold, including notoriously challenging samples such as formalin-fixed paraffin-embedded (FFPE) clinical samples. Previous methods for expanding such mechanically rigid samples required harsh protease digestion, rendering the antibody labeling of proteins of interest impossible after the sample had been expanded. In contrast, this technique achieves the expansion of FFPE clinical samples using a hot denaturing solution, thus preserving whole protein epitopes within the gel, which can be targeted for post-expansion imaging (Figure 1).

<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>4-hydroxy-TEMPO (4HT)</td>
			<td>Sigma Aldrich</td>
			<td>176141</td>
			<td>Inhibitor</td>
		</tr>
		<tr>
			<td>6-well glass-bottom plate (#1.5 coverglass)</td>
			<td>Cellvis</td>
			<td>P06-1.5H-N</td>
			<td></td>
		</tr>
		<tr>
			<td>Acrylamide</td>
			<td>Sigma Aldrich</td>
			<td>A8887</td>
			<td>Gel Monomer component</td>
		</tr>
		<tr>
			<td>Ammonium persulfate (APS)&#160;</td>
			<td>Sigma Aldrich</td>
			<td>A3678</td>
			<td>Initiatior</td>
		</tr>
		<tr>
			<td>DAPI (1 mg/mL)</td>
			<td>Thermo Scientific</td>
			<td>62248</td>
			<td></td>
		</tr>
		<tr>
			<td>Decaethylene glycol mono dodecyl ether (C12E10)</td>
			<td>Sigma Aldrich</td>
			<td>P9769</td>
			<td>Non-ionic surfactant</td>
		</tr>
		<tr>
			<td>Diamond knife No. 88 CM</td>
			<td>General Tools</td>
			<td>31116</td>
			<td></td>
		</tr>
		<tr>
			<td>Ethanol</td>
			<td>Pharmco</td>
			<td>111000200</td>
			<td></td>
		</tr>
		<tr>
			<td>Ethanol</td>
			<td>Pharmco</td>
			<td>111000200</td>
			<td></td>
		</tr>
		<tr>
			<td>Ethylenediaminetetraacetic 
			acid (EDTA) 0.5 M</td>
			<td>VWR</td>
			<td>BDH7830-1</td>
			<td>Homogenization Buffer Component</td>
		</tr>
		<tr>
			<td>Forceps</td>
			<td></td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Glycine</td>
			<td>Sigma Aldrich</td>
			<td>G8898</td>
			<td>Homogenization Buffer Component</td>
		</tr>
		<tr>
			<td>Heparin</td>
			<td>Sigma Aldrich</td>
			<td>H3393</td>
			<td></td>
		</tr>
		<tr>
			<td>Methacrolein</td>
			<td>Sigma Aldrich</td>
			<td>133035</td>
			<td>Anchoring Agent</td>
		</tr>
		<tr>
			<td>Micro cover Glass #1 (24x60mm)</td>
			<td>VWR</td>
			<td>48393 106</td>
			<td></td>
		</tr>
		<tr>
			<td>Micro cover Glass #1.5 (24x60mm)</td>
			<td>VWR</td>
			<td>48393 251</td>
			<td></td>
		</tr>
		<tr>
			<td>N,N,N&#8242;,N&#8242;- 
			Tetramethylethylenediamine (TEMED)</td>
			<td>Sigma Aldrich</td>
			<td>T9281</td>
			<td>Accelerator</td>
		</tr>
		<tr>
			<td>N,N&#8242;-Methylenebisacrylamide (Bis)</td>
			<td>Sigma Aldrich</td>
			<td>M7279</td>
			<td>Gel Monomer component</td>
		</tr>
		<tr>
			<td>N,N-dimethylacrylamide (DMAA)</td>
			<td>Sigma Aldrich</td>
			<td>274135</td>
			<td>Gel Monomer component</td>
		</tr>
		<tr>
			<td>Nunclon 4-Well x 5 mL MultiDish Cell Culture Dish</td>
			<td>Thermo Fisher</td>
			<td>167063</td>
			<td></td>
		</tr>
		<tr>
			<td>Nunclon 6-Well Cell Culture Dish</td>
			<td>Thermo Fisher</td>
			<td>140675</td>
			<td></td>
		</tr>
		<tr>
			<td>Nunc&#8482; 15mL&#160;Conical</td>
			<td>Thermo Fisher</td>
			<td>339651</td>
			<td></td>
		</tr>
		<tr>
			<td>Nunc&#8482; 50mL&#160;Conical</td>
			<td>Thermo Fisher</td>
			<td>339653</td>
			<td></td>
		</tr>
		<tr>
			<td>Orbital Shaker</td>
			<td></td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Paint brush</td>
			<td></td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>pH Meter</td>
			<td></td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Phosphate Buffered Saline (PBS), 10x Solution</td>
			<td>Fischer Scientific</td>
			<td>BP399-1</td>
			<td></td>
		</tr>
		<tr>
			<td>Polyethylene glycol&#160; 200</td>
			<td>Sigma Aldrich</td>
			<td>P-3015</td>
			<td></td>
		</tr>
		<tr>
			<td>Proteinase K (Molecular Biology Grade)</td>
			<td>Thermo Scientific</td>
			<td>EO0491</td>
			<td></td>
		</tr>
		<tr>
			<td>Razor blade</td>
			<td>Fischer Scientifc</td>
			<td>12640</td>
			<td></td>
		</tr>
		<tr>
			<td>Safelock Microcentrifuge Tubes 1.5 mL</td>
			<td>Thermo Fisher</td>
			<td>3457</td>
			<td></td>
		</tr>
		<tr>
			<td>Safelock Microcentrifuge Tubes 2.0 mL</td>
			<td>Thermo Fisher</td>
			<td>3459</td>
			<td></td>
		</tr>
		<tr>
			<td>Sodium acrylate (SA)</td>
			<td>AK Scientific</td>
			<td>R624</td>
			<td>Gel Monomer component</td>
		</tr>
		<tr>
			<td>Sodium azide</td>
			<td>Sigma Aldrich</td>
			<td>S2002</td>
			<td></td>
		</tr>
		<tr>
			<td>Sodium chloride</td>
			<td>Sigma Aldrich</td>
			<td>S6191</td>
			<td></td>
		</tr>
		<tr>
			<td>Sodium citrate tribasic dihydrate</td>
			<td>Sigma Aldrich</td>
			<td>C8532-1KG</td>
			<td></td>
		</tr>
		<tr>
			<td>Sodium dodecyl sulfate (SDS)</td>
			<td>Sigma Aldrich</td>
			<td>L3771</td>
			<td>Homogenization Buffer Component</td>
		</tr>
		<tr>
			<td>Tris Base</td>
			<td>Fischer Scientific</td>
			<td>BP152-1</td>
			<td>Homogenization Buffer Component</td>
		</tr>
		<tr>
			<td>Triton X-100</td>
			<td>Sigma Aldrich</td>
			<td>T8787</td>
			<td></td>
		</tr>
		<tr>
			<td>Urea</td>
			<td>Sigma Aldrich</td>
			<td>U5378</td>
			<td>Homogenization Buffer Component</td>
		</tr>
		<tr>
			<td>Xylenes</td>
			<td>Sigma Aldrich</td>
			<td>214736</td>
			<td></td>
		</tr>
		<tr>
			<td>20x SSC</td>
			<td>Thermo Scientific</td>
			<td>AM9763</td>
			<td></td>
		</tr>
		<tr>
			<td>Tween20</td>
			<td>Sigma Aldrich</td>
			<td>P1379</td>
			<td></td>
		</tr>
		<tr>
			<td>poly-L-lysine&#160;</td>
			<td>Sigma Aldrich</td>
			<td>P8920</td>
			<td></td>
		</tr>
	</tbody>
</table>

universal molecular retention with 11-fold expansion microscopy

The nanoscale imaging of biological specimens can improve the understanding of disease pathogenesis. In recent years, expansion microscopy (ExM) has been demonstrated to be an effective and low-cost alternative to optical super-resolution microscopy. However, it has been limited by the need for specific and often custom anchoring agents to retain different biomolecule classes within the gel and by difficulties with expanding standard clinical sample formats, such as formalin-fixed paraffin-embedded tissue, especially if larger expansion factors or preserved protein epitopes are desired. Here, we describe Magnify, a new ExM method for robust expansion up to 11-fold in a wide array of tissue types. By using methacrolein as the chemical anchor between the tissue and gel, Magnify retains multiple biomolecules, such as proteins, lipids, and nucleic acids, within the gel, thus allowing the broad nanoscale imaging of tissues on conventional optical microscopes. This protocol describes best practices to ensure robust and crack-free tissue expansion, as well as tips for handling and imaging highly expanded gels.

Author Spotlight: Universal Molecular Retention with 11-Fold Expansion Microscopy  

Universal Molecular Retention with 11-Fold Expansion Microscopy

We're trying to find easy and low cost ways for researchers to image their biological specimens at resolutions below the diffraction limit, particularly in the areas of neuroscience and clinical pathology. Many recent expansion microscopy developments involve modifying gel chemistry to expand samples further, changing the anchoring molecule to visualize different targets and utilizing heating alteration to preserve protein epitopes. With innovated magnify, a robust expansion microscopy method that allows nanoscale imaging of various biological or clinical specimens.It simplifies super resolution microscopy by eliminating specialized equipment needs while preserving intricate biological features with up to 15 nanometers resolution, hence increasing accessibility and utility in labs worldwide. Previously users had to experiment with different expansion microscopy techniques, depending on the tissue and biomolecules they wanted to image. Magnify enables high resolution imaging across various biomolecules and tissue types without requiring specific anchoring steps or specialized equipment, thus bridging a significant gap in nanoscale imaging.Magnify expands tougher clinical samples over fourfold while preserving protein epitopes enabling more accurate investigation of queuing disease. Its chemical anchor also preserves a wide range of biomolecules, making it useful for basic research in animal models Magnify simplifies nanoscale imaging of biomolecules and intact specimens without complex optics or specialized equipment. It's adaptable across various imaging modalities and expansion microscopy strategies, allowing accessible cost-effective nanoscale imaging that may accelerate drug treatments and disease studies while potentially transforming tissue atlas generation.Magnify offers endless possibilities for research. Current focus areas include expanding tissue site, investigating pathological human samples at the nanoscale and studying the smallest scale changes on brain during learning and disease.

If the protocol has been successfully completed (Figure 1), the sample will appear clear and flat after heat denaturation; any folding or wrinkling indicates incomplete homogenization. A successfully expanded sample will be 3-4.5-fold larger than before expansion in 1x PBS and 8-11-fold larger when fully expanded in ddH2O. Figure 3 shows example pre- and post-expansion images of 5 &#181;m thick FFPE human kidney sample processed using this protocol an...

Watch this Scientific Journal Video about Universal Molecular Retention with 11-Fold Expansion Microscopy at JoVE.com

Presented here is a new version of expansion microscopy (ExM), Magnify, that is modified for up to 11-fold expansion, conserving a comprehensive array of biomolecule classes, and is compatible with a broad range of tissue types. It enables the interrogation of the nanoscale configuration of biomolecules using conventional diffraction-limited microscopes.

The nanoscale imaging of biological specimens can improve the understanding of disease pathogenesis. In recent years, expansion microscopy (ExM) has been ...

universal-molecular-retention-with-11-fold-expansion-microscopy

Research

JoVE Journal

Biology

Gelling the Archived or Freshly Prepared Clinical Tissue Slides

Begin by taking the prepared archived, fresh tissue, or paraformaldehyde-fixed mouse brain tissue slides. Cut thin pieces of cover glass with a diamond-tipped pen to make spacers. Then, secure them to the slide with small amounts of water, PBS, or superglue.Gently place the spacers on either side of the tissue. Prepare the final gelling solution by combining the reagents immediately before use. Place the slide in a Petri dish after removing the excess solution from the tissue section.Add the freshly-prepared cold gelling solution to the sample and incubate the mixture on the tissue for 30 minutes at four degrees Celsius to allow diffusion into the tissue. Carefully place a second uncoated glass slide over the tissue and gel solution, avoiding air bubbles. Allow the samples to polymerize by incubating overnight at 37 degrees Celsius in a humidified environment.

Sample Digestion and Tissue Expansion of Polymerized Tissue

To begin, take a slide with polymerized archived fresh tissue or paraformaldehyde fixed mouse brain tissue. Wearing eye protection, use a razor blade to separate the two glass slides of the gelling chamber. Trim the blank gel around the tissue to minimize the volume and ensure to cut asymmetrically to track the orientation of the gel after homogenization.Gently lift the tissue containing gel from the slide with a razor blade. Transfer it into a two milliliter centrifuge tube. Fill the tube to the top with homogenization buffer preheated to 80 degrees Celsius.Then incubate the sample with shaking at 80 degrees Celsius for eight to 60 hours. Pour the contents of the centrifuge tube into a single well of a six well plastic cell culture plate and remove the denaturation buffer with a transfer pipette. To completely remove the remaining SDS from the hydrogel, wash the sample in a 1%non-ionic surfactant solution.Finally, store the sample in PBS and 0.02%sodium azide at four degrees Celsius.

Post-Expansion Biomolecule Profiling of the Digested and Expanded Tissue

To begin, take the digested and expanded archived or fresh clinical tissue sample and proceed with antibody staining by placing it in a single well of a six-well cell culture plate. Wash the sample three times with PBS for 10 minutes each at room temperature. Depending on the sample size, add 0.5 to 2 milliliters of the primary antibodies in the staining buffer to cover the gel adequately.Incubate overnight at 37 degrees Celsius. Then, wash the sample three times with PBS for 10 minutes each at room temperature. Add the corresponding secondary antibodies and incubate for three hours at 37 degrees Celsius in the staining buffer of choice.Rewash the sample as demonstrated earlier, and add 1 to 2 milliliters of polyethylene glycol onto the sample in a six-well plate. Stain the sample with Fluor 4 conjugated NHS ester for three hours at room temperature. At the end of the incubation, wash the sample three times with PBS.Next, to perform lipid staining, take the expanded tissue sample washed three times in PBS, apply a conventional lipophilic dye diluted 200 fold in 2 milliliters of 0.1%Triton X-100 or PBS for 72 to 96 hours at room temperature, and wash at least three times with PBS. To perform FISH, prepare the hybridization buffer by combining 2 x SSC, 10%dextran sulfate, 20%ethylene carbonate, and 0.1%Tween 20. Place homogenized gel samples in a hybridization buffer preheated at 60 degrees Celsius for 30 minutes.Then, incubate the gel samples with a hybridization buffer containing 10 picomolar FISH probes against the target gene overnight at 45 degrees Celsius. Wash the samples with stringency wash buffer twice for 15 minutes each at 45 degrees Celsius and twice for 10 minutes at 37 degrees Celsius. Wash the sample three times with PBS for 10 minutes and proceed with imaging or storing the sample in PBS plus 0.02%sodium azide at 4 degrees Celsius.To fully expand and image the tissue, move the samples expanded fourfold in PBS to a glass bottom six-well imaging plate. If the sample has been expanded further, cut it into smaller pieces. Apply 0.1%polylysine to the glass surface.Place the sample on the slide, and remove any excess liquid around the gel with a paper laboratory cloth to prevent gel movement during imaging. Afterward, perform fluorescence imaging using a conventional wide-field microscope, a confocal microscope, or another imaging system of choice. After imaging, shrink the samples in PBS with at least three 10-minute washes, as long-term storage in deionized water leads to degradation of the fluorescent signal.Finally, store the samples in PBS with 0.02%sodium azide at 4 degrees Celsius. Confocal images of fully expanded mouse brain tissue allowed the visualization of proteins and cell and mitochondrial membrane structures. The nucleic acids of formal and fixed paraffin-embedded human lymph node tissue were also identified.After a 3.5-fold expansion of the kidney section, the crack-free expanded glomerulus was seen. However, inadequate anchoring or homogenization resulted in cracking, distortions, and the loss of labeled targets in another kidney section.

2.5K Views.  Carnegie Mellon University.  Presented here is a new version of expansion microscopy (ExM), Magnify, that is modified for up to 11-fold expansion, conserving a comprehensive array of biomolecule classes, and is compatible with a broad range of tissue types. It enables the interrogation of the nanoscale configuration of biomolecules using conventional diffraction-limited microscopes.

Expansion Microscopy for Robust 11-Fold Expansion

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