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

Influence of fixation and decalcification on the immunohistochemical staining of cell-specific markers in paraffin-embedded human bone biopsies.

Author(s): Mullink H, Henzen-Logmans SC, Tadema TM, Mol JJ, Meijer CJ

Publication: J Histochem Cytochem, 1985, Vol. 33, Page 1103-9

PubMed ID: 2414361 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of fixation and decalcification solutions on immunohistochemical (IHC) staining of bone marrow specimens.

Conclusion of Paper

For most antigens examined, fixation with formol sublimate and decalcification in acetic acid-formol saline yielded the best immunostaining results.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of fixation and decalcification solutions on IHC staining of bone marrow specimens. In addition, the optimum trypsin concentration for antigen unmasking was determined.

    Summary of Findings:

    A comparison between fixation with 4% neutral buffered formaldehyde and formol sublimate revealed superior immunostaining for most antigens when tissue was fixed in formol sublimate. Trephine biopsies fixed with formol sublimate and decalcified with acetic acid-formol saline generally showed better immunostaining than acetic acid-formol sublimate-fixed aspirates. In general, trypsin concentrations of 0.1-0.5% gave the best balance between background and staining intensity, but results varied based on decalcification solution and antigen. Trypsinization was not necessary for immunostaining of formol sublimate-fixed, acetic acid-formol saline-decalcified specimens.

    Biospecimens
    Preservative Types
    • Other Preservative
    Diagnoses:
    • Autopsy
    • Other diagnoses
    Platform:
    AnalyteTechnology Platform
    Protein Immunohistochemistry
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Preservation Type of fixation/preservation Formaldehyde
    Formol sublimate
    Acetic acid-formol sublimate
    Preaquisition Diagnosis/ patient condition Hematologic disorder
    Lymphoproliferative disorder
    Immunohistochemistry Specific Targeted peptide/protein Immunoglobulin light chain
    Immunoglobulin heavy chain
    Elastase
    Lysozyme
    Alpha-1-antitrypsin
    Alpha-1-antichymotrypsin
    Leukocyte common antigen
    Hemoglobin
    Glycophorin A
    Factor VIII-related antigen
    CEA
    115D8
    Keratin
    Analyte Extraction and Purification Antigen retrieval None
    0.01% trypsin
    0.1% trypsin
    0.5% trypsin
    1% trypsin
    Analyte Extraction and Purification Decalcification solution/ duration 25% Na2EDTA
    10% formic acid
    10% acetic acid
    Kristensens fluid
    Acetic acid-formol saline
    Formic acid-formaldehyde saline
    Biospecimen Acquisition Method of tissue acquisition Biopsy
    Aspirate

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