Immuno Histo Chemistry (IHC)
IHC is a kind of staining process to detect carcinomas performed on paraffin-embedded tissue.
Why the IHC test is performed?
IHC is a special application of monoclonal as well as polyclonal antibodies to the diagnosis of cancers; specific tumor antigens are expressed de novo or up-regulated in certain types of cancers.
What are the IHC Markers?
IHC markers are monoclonal antibodies used to stain specific proteins in tissue sections. The antibody binds to the protein gives a color reagent stains the protein, in fact; the protein is present in the tissue. The proteins that we search to indicate the differentiation of the tumor and co-operate us to render a diagnosis. Identification of specific proteins is often required for tumors that might not be readily classified on routine sections alone (e.g. spindle cell tumors, round cell tumors).
We usually need to test for the presence of antibodies to the following proteins:
· SMA or smooth muscle actin
· Desmin
· S-100
· HMB-45
· Cytokeratins
· Vimentin
· LCA or leukocyte common antigen
· CD20
· CD3
· CD34
What are the IHC procedures?
The basic steps of the IHC-P protocol are as follows:
1. Fixing and embedding the tissue
2. Cutting and mounting the section
3. Deparaffinizing and rehydrating the section
4. Antigen retrieval
5. IHC staining
6. Counterstaining (if desired)
7. Dehydrating and stabilizing with mounting medium
8. Viewing the staining under the microscope
Note: Deparaffinization Before proceeding with the staining protocol, the slides must be deparaffinized and rehydrated. Incomplete removal of paraffin can cause poor staining of the section.
Reagents and types of equipment:--
- Formalin-fixed, paraffin-embedded tissue sections/PLL coated tissue slides
- 0.01 M phosphate-buffered saline, pH 7.4 (PBS)
- Bovine serum albumin (BSA)
- Diluent: 1% BSA in PBS
- Xylene
- Ethanol 0.1% Trypsin in PBS or Trypsin tablet in 4mM CaCl2, 200 mm Tris, pH 7.7, or 0.1% Protease in PBS.
- Microwave antigen retrieval solution: 10 mM sodium citrate buffer pH 6.0, 1 mM EDTA pH 8.0
- Primary antibody
- Option 1: Biotinylated secondary antibody and ExtrAvidin-Peroxidase or ExtrAvidin-Alkaline Phosphatase, or Option 2: Secondary antibody conjugated to peroxidase or alkaline phosphatase
- When using peroxidase-conjugated secondary antibodies or ExtrAvidin-Peroxidase: 3% hydrogen peroxide (in deionized water, freshly prepared from 30% stock).
- Enzyme substrate: depending on the enzyme and color needed.
- For peroxidase: AEC Staining Kit, DAB
- Mayer's hematoxylin staining
- Microscope
IHC Protocol Steps
1. Slide Preparation
16. Primary Antibody Reaction
17. Secondary Antibody Reaction
18. Subtract Preparation
19. Development
20. Counterstaining
Deparaffinization and Rehydration
Deparaffinization before proceeding with the staining protocol, the slides must be deparaffinized and rehydrated. Incomplete removal of paraffin can cause poor staining of the section.
- Place the slides in a 56-60 °C oven for 15 min. (Caution: Oven temperature must not exceed 60 °C).
- Transfer to a xylene bath and perform two changes of xylene for 5 min. each.
- Shake off excess liquid and rehydrate slides in two changes of fresh absolute ethanol for 3 min. each.
- Shake off excess liquid and place slide in fresh 90% ethanol for 3 min.
- Shake off excess liquid and place slide in fresh 80% ethanol for 3 min.
- Rinse the slides in gently running tap water for 30 seconds (avoid a direct jet which may wash off or loosen the section).
- Place in PBS wash bath for further rehydration (30 min. at room temperature)
END OF DOCUMENTS
You may like to read these links:
1. List of All SOPs and Documents for Microbiology Laboratory
2. List of All SOPs and Documents for In-vitro Laboratory
3. List of All SOPs and Documents for In-vivo Laboratory.
4. List of All SOPs and Documents for Clinical Research
5. List of Instruments and Equipment Used In Laboratory Animal Facility
6. List of All SOPs and Documents for Animal House Facility
7. List of SOPs and Documents for Histopathology Laboratory
8. Checklist for Toxicology (OECD-407) study preparation for Histopathology
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