NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

Immunostaining of estrogen receptor in paraffin sections of breast carcinomas using monoclonal antibody D75P3 gamma: effects of fixation.

Author(s): De Rosa CM, Ozzello L, Greene GL, Habif DV

Publication: Am J Surg Pathol, 1987, Vol. 11, Page 943-50

PubMed ID: 2825550 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of fixative type as well as duration and temperature of fixation on immunohistochemical (IHC) staining of estrogen receptor (ER) in breast tissue.

Conclusion of Paper

Optimum ER staining was observed after fixation for 1-2 h at room temperature for Bouin's-fixed specimens and 1-2 h at 4 degrees C for formalin-fixed specimens. ER IHC staining and dextran-coated charcoal (DCC) assay results showed high concordance between Bouin's- and formalin-fixed specimens. A high correlation was also seen between use of the H222 antibody on frozen sections and use of the D75 antibody on paraffin sections.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of fixative type as well as duration and temperature of fixation on IHC staining of ER in breast tissue.

    Summary of Findings:

    For specimens fixed with Bouin's solution, optimum ER staining was observed after fixation for 1-2 h at room temperature. Longer fixation resulted in cytoplasmic background staining, loss of intensity, decreased sharpness of color, and/or less positively stained nuclei. Bouin's fixation at 4 degrees C gave poor results, regardless of time in fixative. However, formalin fixation for 1-2 h at 4 degrees C gave good results, while short room temperature formalin fixation did not. ER IHC staining and DCC assay results showed high concordance for Bouin's- and formalin-fixed specimens. A high correlation was also seen between use of the H222 antibody on frozen sections and use of the D75 antibody on paraffin sections.

    Biospecimens
    Preservative Types
    • Formalin
    • Frozen
    • Other Preservative
    Diagnoses:
    • Neoplastic - Carcinoma
    Platform:
    AnalyteTechnology Platform
    Protein Immunohistochemistry
    Protein Immunoassay
    Morphology Light microscopy
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Preservation Temperature of fixation/preservation Room temperature
    4 degrees C
    Biospecimen Preservation Time in fixative 30 min
    1 h
    2 h
    4 h
    6 h
    24 h
    Biospecimen Preservation Type of fixation/preservation Bouin's fixative
    Formalin (buffered)
    Frozen
    Immunohistochemistry Specific Technology platform Immunoassay
    Immunohistochemistry Specific Type of antibody H222
    D75P3gamma

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