Lecture 7: IHC Staining Patterns and Interpretation Flashcards

1
Q

What is interpretation of stains based on?

A

Cells of interest
Previous knowledge of the antigen’s location in tissue
Knowlege of the expected staining patters (nuclear, cytoplasmic, membraneous)
Identifying background vs true staining

2 types:
Quantification or localization

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2
Q

What causes non-specific (background) staining?

A
Endogenous peroxidase
Endogenous alkaline phosphatase
Endogenous biotin
Antigen diffusion (poor fixation)
Edge artifact (tissue damage/drying)
Necrosis of tissue
Cross reactivity between reagents during IHC
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3
Q

Membraneous staining?

A

Stains only the cell membranes and kind of looks like a spider web version of cytoplasmic staining or like a mesh network

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4
Q

Nuclear staining?

A

Stains the nucleus, looks like a dot/ball/sphere

Cytoplasm is typically unstained

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5
Q

Endogenous peroxidase (background)

A

Found in many tissueas, esp RBCs and WBCs

This can be prevented by pre-treating the tissue with hydrogen peroxide H2O2 for 5-10 minutes prior to staining

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6
Q

Endogenous Alkaline phosphatase (background)

A

Also naturally occuring in many tissues

Can be blocke via pre-treatment with lavamisole if an alkaline phosphatase detection system is being useed in your IHC procedure

However, the AP in gastro and placental specimens is lavamisole resistant, so you should use AP detection in those tissues if you want an accurate result

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7
Q

What are causes of weak staining?

A
too dilute antibody, incorrect ab, incorrect incubation time
over blocking
over washing  
over fixation, can't be retrieved
underfixed, antigens were lost
insufficient antigen retrieval
inadequate deparafinization
incorrect mounting medium
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8
Q

What are causes of no staining?

A

Did youadd you 1 AB
did you add 2 AB
Did you add chromogen
Did you do proper antigen retrieval
was fixation adequate
Did you use the right AB on teh right tissue
DId you include proper pos and negative controls to troubeshoot

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9
Q

What are the results of a lack of blocking agent? (there are several)

A

non-specific background staining due to hydrophobic interactions that results in a uniform “muddiness” of the stain (can be prevented by using anmal blocking serum, which should be from the secondary animal, such as goat if your 2 is goat anti rabbit, to also prevent non-specific crosslinking between teh secondary and the blocking reagent

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10
Q

Endogenous biotin (background)

A

A naturally occuring acid found primarily in the liver, kidney, and brain

This background is reduced or eliminated by washing the tissue with unconjugated avidin which blocks all the natural biotin by binding to it. Then, because each avidin has 4 biotin binding sites the tissue is treated with a biotin wash to saturate the remaining free sites on avidin so it can’t bind any biotinylated primary antibodies

These blocking steps are done after the normal animal serum blcking and before application of the primary antibody (15 minute for avidin, wash, then 15 minute for biotion, and wash)

This is because antigen retrieval can expose some endogenous biotin and animal blocking serum can also conatin endogenous biotin that needs to be blocked before applying the primary antibody

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11
Q

necrotic tissue

A

doesn’t bind stains well

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12
Q

necrotic tissue

A

doesn’t bind stains well

Can be important in cancer diagnostics

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13
Q

specific vs non-specific background

A

Specific is due to antibodies binging to off target antigens while non specific is due to hydrophobic interactios and electrostatic forces often resulting in a muddy brown haze

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14
Q

specific vs non-specific background

A

Specific is due to antibodies binding to off target antigens availible due to poor fixation while non specific is due to hydrophobic interactios and electrostatic forces often resulting in a muddy brown haze

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15
Q

Edge artifact (background)

A

strong staining on edges of tissue with little to no staining in teh center of the tissue

typically due to dried out or danaged tissue during grossing, transport, or antigen retrieval

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16
Q

Antigen diffusion (background)

A

antigen diffuses throughout the tissue due to poor fixation resulting in incorrect localization of stain

17
Q

Cytoplasmic staining

A

Cytoplasm is a brown doughnut shape with a white or blue center for the nucleus depending on strength of the counterstain

18
Q

Semi-quantitative scoring

A

PD-L1
0, 1+, 2+, 3+, 4+ based on percent of positive cells within a field of view
Only membrane staining is positive, both partial and complete count as positive
Count only cancer cells, not inflammatory cells because macrophages are frequently positive for PD-L1
Tumor cells are bigger than normal macrophages
Any intensity is positive
Intensity can vary within the tumor
Reporting % positive cells is important adn you must have at least 100 viable tumor cells for the count to be considered valid