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In This Article

  • Summary
  • Abstract
  • Introduction
  • Protocol
  • Representative Results
  • Discussion
  • Acknowledgements
  • Materials
  • References
  • Reprints and Permissions

Summary

This work documents a simple method to create synthetic antigen controls for immunohistochemistry. The technique is adaptable to a variety of antigens in a wide range of concentrations. The samples provide a reference with which to assess intra- and inter-assay performance and reproducibility.

Abstract

Immunohistochemistry (IHC) assays provide valuable insights into protein expression patterns, the reliable interpretation of which requires well-characterized positive and negative control samples. Because appropriate tissue or cell line controls are not always available, a simple method to create synthetic IHC controls may be beneficial. Such a method is described here. It is adaptable to various antigen types, including proteins, peptides, or oligonucleotides, in a wide range of concentrations. This protocol explains the steps necessary to create synthetic antigen controls, using as an example a peptide from the human erythroblastic oncogene B2 (ERBB2/HER2) intracellular domain (ICD) recognized by a variety of diagnostically relevant antibodies. Serial dilutions of the HER2 ICD peptide in bovine serum albumin (BSA) solution are mixed with formaldehyde and heated for 10 min at 85 °C to solidify and cross-link the peptide/BSA mixture. The resulting gel can be processed, sectioned, and stained like a tissue, yielding a series of samples of known antigen concentrations spanning a wide range of staining intensities.

This simple protocol is consistent with routine histology lab procedures. The method requires only that the user have a sufficient quantity of the desired antigen. Recombinant proteins, protein domains, or linear peptides that encode relevant epitopes may be synthesized locally or commercially. Laboratories generating in-house antibodies can reserve aliquots of the immunizing antigen as the synthetic control target. The opportunity to create well-defined positive controls across a wide range of concentrations allows users to assess intra- and inter-laboratory assay performance, gain insight into the dynamic range and linearity of their assays, and optimize assay conditions for their particular experimental goals.

Introduction

Immunohistochemistry (IHC) allows the sensitive and specific, spatially precise detection of target antigens in formalin-fixed, paraffin-embedded (FFPE) tissue sections. However, IHC staining results may be affected by multiple variables, including warm and cold ischemia time, tissue fixation, tissue pretreatment, antibody reactivity and concentration, assay detection chemistry, and reaction times1. Accordingly, reproducible performance and interpretation of IHC reactions require rigorous control of these variables and the use of well-characterized positive and negative control samples. Frequently used controls include paraffin-embedded tissues....

Protocol

1. Preparation of stock solution and tools

  1. Prepare 20 mL of a 25% w/v BSA solution by mixing 5 g BSA powder in 14 mL of PBS, pH 7.2 in a 50 mL conical tube until evenly dispersed. Vortex as necessary to disperse the BSA powder.
    1. Keep the solution overnight at 4 °C to allow complete dissolution. Adjust the final volume to 20 mL with PBS to make a 25% w/v stock solution.
  2. Prepare 20 mL of a 31.3% w/v BSA solution by mixing 6.26 g BSA powder in 13 mL of PBS, pH 7.2 in a 50 .......

Representative Results

Peptides should dissolve entirely in an appropriate solvent at room temperature to form an optically clear solution. If visible particulate material is still present after 30-60 min, it may be helpful to add additional volumes of the original solvent or an alternative solvent not exceeding the intended volume of the 5x peptide stock solution calculated in Table 1. Likewise, the combined peptide/BSA solution should remain translucent (Figure 1A).

P.......

Discussion

This method allows the user to create uniform samples of known composition and antigen concentration as standards in IHC reactions, using materials and techniques familiar to most histology laboratories. The most crucial step is to identify the epitope to which the antibody of interest binds. This protocol describes using a linear peptide antigen from the ERBB2/HER2 ICD. The same protocol can be used to form BSA gels containing oligonucleotides, fluorescent labels, protein domains, or full-length proteins. This latter ap.......

Acknowledgements

The authors gratefully acknowledge their colleagues Jeffrey Tom and Aimin Song for peptide synthesis, Nianfeng Ge for TMA construction, Shari Lau for IHC staining, Melissa Edick for digital microscopic scanning, and Hai Ngu for digital image quantification.

....

Materials

NameCompanyCatalog NumberComments
Anti-HER2/neu clone 4B5Ventana5278368001
Biopsy WrapsLeica3801090
Bovine Serum Albumin, ultra pureCell Signaling TechnologyBSA #9998
50 mL Conical TubeCorning352070
Disposable base mold (15 mm x 15 mm)Fisher22-363-553
Disposable base mold
(24 mm x 24 mm)
Fisher22-363-554
Disposable spatulaVWR80081-188
Eppendorf ThermomixerEppendorf22331
37% FormaldehydeElectron Microscopy Sciences15686
ERBB2 / HER2 peptideUniProt P04626-1; a.a. 1240-55
Leica Autostainer XLLeicaST5010
Magnetic Stir Bar
NanoZoomer 2.0 HT whole slide imagerHamamatsu
10% Neutral Buffered FormalinVWR16004-128
Nuclease-free microfuge tubes 1.5 mL
Paraplast paraffinLeica39601006
Peptide parameter calculatorPep-Calc17https://www.pep-calc.com/
Peptide suppliersABclonal ScienceUsers should contact peptide vendors for details of mass, purity and cost.
Anaspec PeptideUsers should contact peptide vendors for details of mass, purity and cost.
CPC ScientificUsers should contact peptide vendors for details of mass, purity and cost.
New England PeptideUsers should contact peptide vendors for details of mass, purity and cost.
Phosphate Buffered Saline pH 7.2
Reagent AlcoholThermo Scientific9111
Single Edge RazorVWR55411-050
Superfrost Plus positively charged microscope slidesThermo Scientific6776214
TMA Tissue Grand Master3DHISTECH
XylenesVWR89370-088

References

  1. Torlakovic, E. E., et al. Standardization of positive controls in diagnostic immunohistochemistry: recommendations from the International Ad Hoc Expert Committee. Applied Immunohistochemistry and Molecular Morphology. 23 (1), 1-18 (2015).
  2. Hötzel, K. J., et al.

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