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Basics of
Immunohistochemistry
Jake Lyons
What We Will DiscussWhat We Will Discuss
Immuno histo chemistryImmuno histo chemistry
A Synergy of 3 Scientific Disciplines
“IHC is a biochemical assay technique that takes advantage
of chemical reactions to locate and visualize the interaction
between antibodies and their target antigen on sample
tissue”
What is Immunohistochemistry?What is Immunohistochemistry?
What We Will DiscussWhat We Will Discuss
IHC SignificanceIHC Significance
 While there are countless medical detection systems (x-ray, CT-
scan, MRI etc.); There are few identification tools available.
 With new carcinogens being discovered and an ever increasing
population; the demand for cancer diagnostics is at an all-time high.
 Even with the emergence of genetic testing; in many cases, IHC
remains the most cost-effective diagnostic tool from which
accurate and often life-saving diagnosis and/or prognosis can be
derived.
2 Primary Applications2 Primary Applications
Diagnosis:
 Identification of the
cause of an illness or set
of symptoms
{Infectious Agent?}
Prognosis:
 Predicting the likely outcome of
an illness
Where is IHC Performed?Where is IHC Performed?
Clinical Labs
- Provide info on the health of the patient;
diagnosis/prognosis (Hospitals)
Reference Labs
- Large scale testing facility;
have extensive array of diagnostic
tools; receive toughest cases
Research labs
- Associated with
Universities; testing is
more experimental;
generate publications
What We Will DiscussWhat We Will Discuss
Immunology (immuno-)Immunology (immuno-)
Definition:
The branch of medicine
and biology concerned
with immunity.
The Immune SystemThe Immune System
AntibodiesAntibodies
Definition:
Large, Y-shaped proteins used by the
immune system to identify and neutralize
foreign objects (antigens).
Antibody Structure (IGG)Antibody Structure (IGG)
““Y” Use Antibodies?Y” Use Antibodies?
IHC takes advantage of the following antibody attributes:
 Ability to locate and tag target proteins with incredible specificity
 Constant region that can be located by secondary antibodies
 Large molecules that can be outfitted with detection systems
AntigensAntigens
Definition:
- A toxin or other foreign substance that elicits an immune
response in the body (bacteria, viruses, tumors)
EpitopesEpitopes
The outer surfaces of antigens are covered by unique 3-
dimensional structures known as epitopes
Antigen RecognitionAntigen Recognition
Antibody variable region is highly attracted to specific epitope(s)
Immuno histo chemistryImmuno histo chemistry
A Synergy of 3 Scientific Disciplines
2. Histology (histo-)2. Histology (histo-)
Definition:
The study of the microscopic structure of organic
tissues. {Can you guess the tissue type depicted below?}
From Biopsy to SlideFrom Biopsy to Slide
 Biopsy
 Fixation (10% NBF)
 Dehydration & Clearing
 Embedding
 Microtomy (3-4 microns)
 Apply tissue to (+) charged slide
 Baking (2-4 hours/overnight for fatty tissues)
Immuno histo chemistryImmuno histo chemistry
A Synergy of 3 Scientific Disciplines
3. Chemistry3. Chemistry
Definition:
The science of the composition,
structure, properties and
reactions of matter
Examples of IHC Chemical Reactions:
 Binding of antibody to antigen
 Enzyme and chromogen interaction
Immuno histo chemistryImmuno histo chemistry
A Synergy of 3 Scientific Disciplines
What We Will DiscussWhat We Will Discuss
IHC in Practice: An OverviewIHC in Practice: An Overview
Quick Review of Histology…Quick Review of Histology…
 Biopsy
 Fixation (10% NBF)
 Dehydration & Clearing
 Embedding
 Microtomy (3-4 microns)
 Apply tissue to (+) charged slide
 Baking (2-4 hours/overnight for fatty tissues)
IHC in Practice: An OverviewIHC in Practice: An Overview
PretreatmentPretreatment
Objective: Return tissue to native state
3 Steps
Deparaffinization:
Removal of wax
Rehydration:
Using graded alcohols (decreasing concentration)
Epitope Retrieval:
Removal of formalin cross-links
PretreatmentPretreatment
Antigen SurfaceAntigen Surface
Epitopes
Summary of PretreatmentSummary of Pretreatment
IHC in Practice: An OverviewIHC in Practice: An Overview
Application of Primary AntibodyApplication of Primary Antibody
Antigen SurfaceAntigen Surface
Epitopes
Primary Antibody
IHC in Practice: An OverviewIHC in Practice: An Overview
Detection SystemsDetection Systems
LSABLSAB
Antigen SurfaceAntigen Surface
Epitopes
Primary Antibody
Secondary Antibody Biotinylated link
Streptavidin
Streptavidin
Enzymes
Chromogen
Visible Precipitate
Visible Precipitate
1-Step Polymer1-Step Polymer
Antigen SurfaceAntigen Surface
Epitopes
Primary Antibody
Dextrin
Conjugated enzymes
Secondary Antibody
Chromogen
Visible Precipitate
2-Step Polymer2-Step Polymer
Antigen SurfaceAntigen Surface
Epitopes
Primary Antibody
Secondary Antibody
(Amplifier)
Tertiary Antibody
(Detector)
Dextrin
Conjugated enzyme
Chromogen
Visible Precipitate
IHC in Practice: An OverviewIHC in Practice: An Overview
CounterstainCounterstain
IHC in Practice: An OverviewIHC in Practice: An Overview
CoverslippingCoverslipping
 After being counterstained, slides are now ready to be
coverslipped to preserve the stain and allow for viewing under
the microscope
What We Will DiscussWhat We Will Discuss
What We Will DiscussWhat We Will Discuss
Questions?Questions?

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