Podcast
Questions and Answers
What is the primary purpose of immunohistochemistry (IHC)?
What is the primary purpose of immunohistochemistry (IHC)?
- To fix and preserve tissue samples
- To visualize cellular structures using microscopy
- To identify specific tissue components using antigen/antibody reactions (correct)
- To process and section tissues for microscopic examination
Which of the following methods is a type of indirect immunohistochemistry?
Which of the following methods is a type of indirect immunohistochemistry?
- PAP/APAAP Method (correct)
- Direct Method
- Heat-induced method
- Formalin fixation
What is a common marker used in immunohistochemistry visualization?
What is a common marker used in immunohistochemistry visualization?
- Polymerase chain reaction
- Gel electrophoresis
- Colloidal gold (correct)
- Methylene blue
What is the first step in the immunohistochemistry protocol?
What is the first step in the immunohistochemistry protocol?
What role does the secondary antibody play in immunohistochemistry?
What role does the secondary antibody play in immunohistochemistry?
Which of the following techniques is used for antigen retrieval?
Which of the following techniques is used for antigen retrieval?
Which application is NOT typically associated with immunohistochemistry?
Which application is NOT typically associated with immunohistochemistry?
What is the significance of performing both positive and negative controls in IHC?
What is the significance of performing both positive and negative controls in IHC?
Which characteristic is NOT typically considered when selecting a primary antibody for IHC?
Which characteristic is NOT typically considered when selecting a primary antibody for IHC?
What is a primary difference between the direct and indirect methods of IHC?
What is a primary difference between the direct and indirect methods of IHC?
What is the primary function of the secondary antibody in the detection system?
What is the primary function of the secondary antibody in the detection system?
Which chromogen is most commonly used in applications for visualizing results under a microscope?
Which chromogen is most commonly used in applications for visualizing results under a microscope?
What can cause high background staining in tissue sections?
What can cause high background staining in tissue sections?
Which type of antibody consists of a mixture of various antibody molecules and recognizes multiple epitopes?
Which type of antibody consists of a mixture of various antibody molecules and recognizes multiple epitopes?
What is a characteristic of DAB staining?
What is a characteristic of DAB staining?
What factor can lead to weak or no staining in tissue samples?
What factor can lead to weak or no staining in tissue samples?
What type of counterstain is typically used alongside chromogenic detection?
What type of counterstain is typically used alongside chromogenic detection?
What should be avoided to prevent non-specific binding of antibodies?
What should be avoided to prevent non-specific binding of antibodies?
Which statement about primary antibodies is true?
Which statement about primary antibodies is true?
What is a consequence of tissue over-fixation during processing?
What is a consequence of tissue over-fixation during processing?
Flashcards
Immunohistochemistry (IHC)
Immunohistochemistry (IHC)
A technique that uses antibodies to find specific parts in tissues.
IHC Principle
IHC Principle
Using labeled antibodies to find antigens in tissue sections.
Direct IHC Method
Direct IHC Method
Primary antibody is labeled and directly binds to the target.
Indirect IHC Method
Indirect IHC Method
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IHC Application (Cancer)
IHC Application (Cancer)
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Antigen Retrieval
Antigen Retrieval
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Positive Control
Positive Control
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Negative Control
Negative Control
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Tissue Fixation
Tissue Fixation
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Secondary Antibody
Secondary Antibody
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Target Antigen
Target Antigen
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Primary Antibody
Primary Antibody
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Chromogenic detection
Chromogenic detection
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3,3'-Diaminobenzidine (DAB)
3,3'-Diaminobenzidine (DAB)
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Alkaline Phosphatase (AP)
Alkaline Phosphatase (AP)
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Inadequate deparaffinization
Inadequate deparaffinization
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Endogenous enzyme
Endogenous enzyme
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Non-specific binding
Non-specific binding
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High Background
High Background
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Study Notes
Immunohistochemistry (IHC)
- IHC is a combined histological, immunological, and biochemical technique
- Used to identify specific tissue components
- Achieved by a specific antigen-antibody reaction tagged with a visible label
- Visualizes and localizes specific cellular components in cells or tissues
IHC Principle
- Localizes antigens in tissue sections
- Uses labeled antibodies targeting antigen-antibody interactions
- Visual markers include fluorescent dyes, enzymes, radioactive elements, or colloidal gold
IHC Methods
- Direct Method:
- Uses a labeled primary antibody
- Binds directly to the target antigen in tissue
- Indirect Method:
- Uses a labeled secondary antibody
- Binds to the primary antibody, which is bound to the antigen
- PAP/APAAP Method:
- Uses peroxidase-antiperoxidase complex
- ABC Method:
- Uses avidin-biotin complex
- SP Method:
- Uses streptavidin peroxidase conjugate
Selection Considerations
- Type of specimen
- Primary antibody used
- Sensitivity required
- Processing time
- Reagent cost
IHC Applications
- Cancer diagnostics
- Differential diagnosis
- Cancer treatment
- Research
IHC Protocol Overview
- Part 1: Tissue Preparation
- Fixation (formalin, paraffin embedding)
- Tissue processing
- Tissue sectioning
- Whole-mount preparation
- Part 2: Pretreatment
- Antigen retrieval (heat-induced or proteolytic enzyme)
- Inhibition of endogenous tissue components (3% Hâ‚‚Oâ‚‚ or 0.01% avidin)
- Blocking of nonspecific sites (10% normal serum)
- Part 3: Staining
- Target antigens (proteins on or within cells)
- Primary antibody (polyclonal or monoclonal)
- Secondary antibody
- Detection system (enzymes like horseradish peroxidase, HRP)
- Chromogen (insoluble colored precipitate for visualization - DAB or AP)
- Counter-stain (hematoxylin)
Controls
- Positive Control:
- Tissue with known positive result
- Validates protocol and procedure
- Negative Control:
- Tests antibody specificity
Troubleshooting
- Weak or No Staining:
- Inadequate deparaffinization
- Inactive primary antibodies
- Low antibody concentration
- Inadequate antibody incubation time
- Improper or inadequate tissue fixation
- Incompatible antibodies
- Inactive secondary antibodies
- Inadequate substrate incubation time
- Incorrect reagent order/steps omitted
- Over-staining:
- Excessive antibody concentration
- Excessively long incubation time
- Too high incubation temperature
- Long substrate incubation time
- Dried-out sections
- High Background:
- Inadequate washing
- Endogenous enzyme/biotin activity
- Non-specific antibody binding
- Diffusion of tissue antigen due to inadequate fixation
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