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Questions and Answers
What is ischemia primarily associated with in sample preparation?
What is ischemia primarily associated with in sample preparation?
Which of the following components is the fastest to degrade?
Which of the following components is the fastest to degrade?
What type of anticoagulant is suitable for nucleic acid extraction?
What type of anticoagulant is suitable for nucleic acid extraction?
Which process involves halting degradation of cells and tissues irreversibly?
Which process involves halting degradation of cells and tissues irreversibly?
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What is the significance of biomarkers in cellular analysis?
What is the significance of biomarkers in cellular analysis?
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In genomic diagnostics, what blood sample type is typically used?
In genomic diagnostics, what blood sample type is typically used?
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Which condition requires genomic analysis of bone marrow?
Which condition requires genomic analysis of bone marrow?
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Which statement about autolysis is correct?
Which statement about autolysis is correct?
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What is the primary function of chromogenic immunocytochemistry?
What is the primary function of chromogenic immunocytochemistry?
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Which enzyme is NOT typically used in chromogenic detection methods?
Which enzyme is NOT typically used in chromogenic detection methods?
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What type of visualization does indirect immunofluorescence provide?
What type of visualization does indirect immunofluorescence provide?
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Which application does immunocytochemistry NOT support?
Which application does immunocytochemistry NOT support?
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In the diagnosis of HBV using ICC, where can HBcAg be localized?
In the diagnosis of HBV using ICC, where can HBcAg be localized?
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What is the purpose of formalin fixation in tissue preparation?
What is the purpose of formalin fixation in tissue preparation?
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Which technique is primarily utilized for the microscopic localization of proteins within cells?
Which technique is primarily utilized for the microscopic localization of proteins within cells?
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What is a significant challenge in using frozen tissue preparations for microscopy?
What is a significant challenge in using frozen tissue preparations for microscopy?
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Which of the following statements about molecular diagnostics is correct?
Which of the following statements about molecular diagnostics is correct?
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Why is unmasking of epitopes important in immunocytochemistry?
Why is unmasking of epitopes important in immunocytochemistry?
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Which of the following is not an advantage of immunocytochemistry?
Which of the following is not an advantage of immunocytochemistry?
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What type of sample assessment can be performed using flow cytometry?
What type of sample assessment can be performed using flow cytometry?
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What is a fundamental challenge when applying immunocytochemistry to FFPE tissue sections?
What is a fundamental challenge when applying immunocytochemistry to FFPE tissue sections?
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What is the main purpose of using proteolytic-induced epitope retrieval (PIER)?
What is the main purpose of using proteolytic-induced epitope retrieval (PIER)?
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What technique is typically employed in heat-induced epitope retrieval (HIER)?
What technique is typically employed in heat-induced epitope retrieval (HIER)?
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Why is blocking specific binding important prior to primary antibody incubation?
Why is blocking specific binding important prior to primary antibody incubation?
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Which tissue types are mentioned as expressing high amounts of endogenous peroxidase activity?
Which tissue types are mentioned as expressing high amounts of endogenous peroxidase activity?
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What is the effect of treating tissues with 3-10% H2O2 prior to antibody incubation?
What is the effect of treating tissues with 3-10% H2O2 prior to antibody incubation?
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What role do avidin/biotin blocking reagents play in immunohistochemistry?
What role do avidin/biotin blocking reagents play in immunohistochemistry?
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Which of these enzymes is NOT commonly used for proteolytic-induced epitope retrieval (PIER)?
Which of these enzymes is NOT commonly used for proteolytic-induced epitope retrieval (PIER)?
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What is an important consideration when performing heat-induced epitope retrieval?
What is an important consideration when performing heat-induced epitope retrieval?
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Study Notes
Sample Degradation
- Ischemia: Interval between nutrient/oxygen deprivation and preservation
- Autolysis: Cell destruction through pH changes
- Putrefaction: External bacterial invasion of cells
- Components Degradation Rate: Phosphorylated proteins degrade fastest, followed by proteins and mRNA; microRNA is more stable than RNA; DNA is the most resilient
Cell-Based Preparations
- Standard Operating Procedures (SOPs): Detailed instructions followed without deviation
- Cell Culture: Growing cells outside the body in a controlled environment
- Blood Samples: Obtained from veins, used for genomic diagnostics, nucleic acid biomarkers, and genetic disorder analysis
- Biomarkers: Cellular components indicating disease or its progression
- Genetic Disorders: Changes in DNA, including chromosome gain/loss or single nucleotide polymorphisms (SNPs). Inheritable if germline, sporadic/somatic if originating in a dividing cell during life.
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Anticoagulants for Molecular Diagnostics:
- EDTA (purple tubes): Nucleic acid extraction
- Heparin (green tubes): WBC analysis, DNA extraction, cytogenetic analysis, immunophenotyping
- Sodium citrate (blue tubes): Genetic tests
- Bone Marrow Analysis: Required for disorders like myeloma, leukemia, and aplastic anemia. Aspirated samples require suitable anticoagulants.
- Cytological Analysis: Microscopic observation of individual intact cells
- Fixation: Prevents cell and tissue degradation, preserves cytological and morphological features, and allows retention of chemical constituents for analysis
Tissue Preparations
- More challenging than cell preparations
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Frozen Tissues: Degradation is halted, but special care required for some analysis.
- Example: Frozen muscle biopsies immersed in isopentane for cytological and enzyme assessment in myopathies
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Formalin-fixed Paraffin Embedding (FFPE): Standard for diagnostic histopathology.
- Formalin halts degradation, paraffin provides internal and external support.
Molecular Diagnostics
- Can be applied to intact cells/tissues or homogenate samples
Intact Sample Assessment
- Immunocytochemistry (ICC): Microscopic localization of proteins within and on cell surfaces.
- Flow Cytometry (FC): Analyzing cell populations based on their properties.
- In situ Hybridization (ISH): Detecting specific DNA or RNA sequences within tissue sections.
Immunocytochemistry (ICC)
- Identifies cell types in normal and pathological samples.
- Used diagnostically or as follow-up to initial cytological or morphological staining.
- Provides valuable diagnostic information and contributes to disease research.
- Early concept: Using labelled antibodies to detect specific proteins.
- Early use involved detecting auto-antibodies in frozen sections for diagnostic purposes.
- Challenge with FFPE sections: Cross-linking by formalin masks epitopes.
- Solution: Unmasking epitopes to facilitate diagnosis and targeted therapy in precision medicine.
Epitope Retrieval
- Proteolytic-induced Epitope Retrieval (PIER): Enzymes like trypsin, pepsin, and proteinase K expose hidden epitopes. Requires careful control.
- Heat-induced Epitope Retrieval (HIER): Superheating FFPE sections retrieves epitopes. Often involves microwave heating in buffered solutions with metal ions.
ICC Procedure
- Epitope retrieval (when FFPE is used)
- Blocking non-specific staining
- Primary antibody incubation
- Detection of antibody/antigen interaction
Blocking Non-Specific Binding
- Prevents non-specific binding and false-positive results.
- Serum Blocking: Reduces background by blocking reactive epitopes.
- Endogenous Peroxidase Blocking: Quenches peroxidase activity in highly vascularized tissues to minimize non-specific staining.
- Endogenous Biotin Blocking: Blocks biotin in tissues to reduce non-specific staining when using biotinylated secondary antibodies.
Detection Systems
- Light microscopic ICC can use two endpoints:
- Fluorescent: Provides bright signals on a dark background and allows for multiple antigen localization.
- Chromogenic: Uses enzymes to produce insoluble precipitates at the site of antigen/antibody reaction.
Indirect Immunofluorescence
- Allows for simultaneous localization of multiple antigens using different fluorophores
Chromogenic Immunocytochemistry
- Uses enzymes to catalyze substrates, forming insoluble colored products at the site of antigen expression.
- Common enzymes: Horseradish peroxidase (HRP) and alkaline phosphatase.
- Common substrates: DAB (brown) and AEC (red).
Applications of ICC
- Cancer diagnosis
- Prognostic markers in cancer
- Drug development (testing efficacy)
- Prediction of therapy response
- Detection of infectious agents in tissues
- Muscle disease diagnosis
ICC in HBV Diagnosis
- Immunoperoxidase localization: Detects HBcAg (Hepatitis B core antigen) in the nucleus or cytoplasm of hepatocytes.
ICC in SARS-CoV-2 Diagnosis
- Immunoalkaline phosphatase: Detects coronavirus antigens in pneumocytes and macrophages in lung tissue.
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Description
This quiz covers essential concepts in cell biology, including sample degradation processes and cell-based preparations. Test your knowledge on the mechanisms of ischemia, autolysis, putrefaction, and the protocols for cell culture and blood sample processing. Understand the implications of biomarkers and genetic disorders in diagnostics and research.