Currently, immunofluorescent staining on fixed cells is the method of choice for determination of protein expression levels when morphological information is also necessary. This protocol presented herein provides for an alternative method of immunocytochemistry on paraffin-embedded cell blocks.
Immunofluorescent staining is currently the method of choice for determination of protein expression levels in cell-culture systems when morphological information is also necessary. The protocol of immunocytochemical staining on paraffin-embedded cell blocks, presented herein, is an excellent alternative to immunofluorescent staining on non-paraffin-embedded fixed cells. In this protocol, a paraffin cell block from HeLa cells was prepared using the thromboplastin-plasma method, and immunocytochemistry was performed for the evaluation of two proliferation markers, CKAP2 and Ki-67. The nuclei and cytoplasmic morphology of the HeLa cells were well preserved in the cell-block slides. At the same time, the CKAP2 and Ki-67 staining patterns in the immunocytochemistry were quite similar to those in immunohistochemical staining in paraffin cancer tissues. With modified cell-culture conditions, including pre-incubation of HeLa cells under serum-free conditions, the effect could be evaluated while preserving architectural information. In conclusion, immunocytochemistry on paraffin-embedded cell blocks is an excellent alternative to immunofluorescent staining.
In most laboratories, paraffin-embedded cell blocks are not commonly used. Rather, fixed cultured cells, not paraffin-embedded cells, are employed in subcellular localization studies. For those fixed cultured cells, fluorescence instead of chromogen has been used. Therefore, immunofluorescent staining is currently the method of choice for determination of protein expression levels in research employing cell cultures1. Slides prepared for immunofluorescent staining, however, can be observed only under immunofluorescent microscopy, which might show images quite different from those indicated under plane microscopy2. Additionally, preservation of slides for immunofluorescent staining requires protection from bright light, and fluorescent signals become weaker with repeated exposure for imaging due to the loss of the fluorescent signal3. Results from immunocytochemistry on paraffin-embedded cell blocks are quite similar to those from immunohistochemistry on paraffin-embedded tissues4, and they can easily be translated into clinical information. Therefore, immunocytochemistry can be an excellent alternative. However, cell-block preparation has not been popular in basic research laboratories. In this protocol, then, cell-block preparation and immunocytochemical staining are provided to promote the use of this method in the field of cell-culture studies.
Cell-block preparation and immunocytochemistry are not unique methods, and they have already been applied from clinical diagnosis to basic research4,5. Although various cell-block preparation methods have been reported4,6 the thromboplastin-plasma method is simple, cost-effective, and readily adaptable. Therefore, in the protocol presented in this paper, the thromboplastin-plasma method4,5,6,7,8 is used for preparation of paraffin-embedded cell blocks.
In the present study, the detailed procedures for the preparation of thromboplastin-plasma cell blocks and the immunocytochemistry method employing two proliferation markers were demonstrated. One marker is cytoskeleton-associated protein 2 (CKAP2), which has recently been reported as a mitotic marker9,10,11; the other one is Ki-67, which is the best-known proliferation marker12. The representative scheme is shown in Figure 1.
The study protocol was approved by the Institutional Review Board of National Cancer Center, Korea (NCCNCS-12-630).
1. Sample Preparation (30 min)
2. Cell-block Preparation (1 h 30 min)
3. Tissue Processing and Paraffin Embedding (Overnight)
4. Preparation of Slides for Immunocytochemistry (1 h)
5. Immunocytochemistry of Cell Blocks (6 h)
NOTE: For immunocytochemical staining on cell-block sections, various kits can be used (see Table of Materials). All such kits have various sensitivities and specificities depending on their modifications.
In a hematoxylin-and-eosin-stained slide from the paraffin-embedded cell block (Figure 3A,B), most of the nuclei and cytoplasm of the cells are intact, suggesting that the morphological preservation is excellent with the current protocol (Figure 3A). In the immunocytochemical staining, positive CKAP2 staining was observed in condensed chromatin, mitotic spindle, and cytoplasm (Figure 4), as previously reported10. Ki-67 staining was observed in the cell nuclei, as expected (Figure 4). Only the cells with CKAP2 staining in condensed chromatin (see the arrows in Figure 4A,B) were mitotic cells. Many CKAP2-positive cells were shown in the highly mitotic HeLa cells that had been prepared after an incubation in complete medium (Figure 4A). In comparison, there were few CKAP2-positive cells in the serum-starved HeLa cells (Figure 4B). Most of the highly mitotic HeLa cells were Ki-67 positive (Figure 4C). Contrastingly, the Ki-67-positive rate in the serum-starved HeLa cells remained as high as ~50% (Figure 4D). These results are quite comparable to those of a previous report11, which suggests that CKAP2 is a more reliable proliferation marker in cancer cells than is Ki-67.
In poorly prepared cell blocks, the nuclei are separated from the cytoplasm, and there is also, resultantly, poor morphologic preservation. Longer-than-overnight incubation of fixed cells in a refrigerator might cause such poor results. Another important problem is that cells are not stained well by immunocytochemistry, notwithstanding the excellent morphology. This problem arises more often when the cell clot is small. Typically, the staining intensity is irregular as shown in Figure 3B; but when the cell clot is larger, there is much less chance of irregular staining. Therefore, in this protocol, we increased the volumes of plasma, thromboplastin, and calcium chloride in order to form a large cell clot.
Figure 1: Cell-block preparation scheme. Please click here to view a larger version of this figure.
Figure 2: Illustration of paraffin cell-block preparation. (A) Thromboplastin-plasma cell clot in tube. (B) TP Cell clot after PBS washing. (C) Cell clot on moistened filter paper. (D) Tissue-embedding station with molten wax. Metal mold (arrow) holds molten wax for solidification. (E) Paraffin-embedded cell clot (arrow) embedded in paraffin or paraffin-embedded cell block. (F) Thin paraffin section on the middle part of a coated slide. Please click here to view a larger version of this figure.
Figure 3: Cell-block preparation and confirmation of quality by hematoxylin and eosin and immunostaining. (A) Hematoxylin-and-eosin-stained image of HeLa cells in a paraffin-embedded cell-block section. (B) Irregular staining of Ki-67 in immunocytochemistry on a poorly prepared paraffin-embedded cell-block section. Scale bars are (A) 100 and (B) 200 μm. Please click here to view a larger version of this figure.
Figure 4: Immunocytochemical staining on paraffin-embedded cell block for HeLa cells. (A) CKAP2 staining under highly mitotic conditions. (B) CKAP2 staining under serum-starved conditions. (C) Ki-67 staining under highly mitotic conditions. (D) Ki-67 staining under serum-starved conditions. 100 μm scale bars are shown. The arrowheads indicate CKAP2-positive cells. Please click here to view a larger version of this figure.
Procedura | Steps | Solution | Time/Temperature |
Dehydration | 1 | 70% alcohol | 15 min/RT |
2 | 80% alcohol | 15 min/RT | |
3 | 95% alcohol | 15 min/RT | |
4 | 100% alcohol | 15 min/RT | |
Clearing | 1 | Xylene | 60 min/4 °C |
2 | Xylene | 10 min/RT | |
3 | Xylene | 10 min/RT | |
4 | Xylene | 10 min/RT | |
*RT, room temperature |
Table 1. Tissue processing procedure.
Immunofluorescent staining on fixed cultured cells is currently the method of choice for determination of protein expression level in cells while preserving morphological information1. However, immunocytochemistry on paraffin-embedded cell blocks can be an excellent alternative. The detailed procedures for the preparation of paraffin-embedded cell blocks and immunocytochemistry have been described in this protocol, and we hope it can facilitate the application of immunocytochemistry in cell studies.
Immunocytochemistry has several advantages over immunofluorescent staining. Immunofluorescent staining for cells usually requires freshly cultured cells, but paraffin cell blocks can be kept at room temperature for several years13. Additionally, immunocytochemistry on cell blocks can explore intracellular expression patterns by employing the same antibody used in routine immunohistochemistry on human tissues4. Furthermore, it can explore the changes in protein levels or posttranslational modifications either by pre-incubating cells with various drugs or under various culture conditions11.
In contrast to the advantages of immunocytochemical staining, the preparation of paraffin-embedded cell blocks takes time and is costly14. Also, most research laboratories lack experience in this technique, and technical errors under such circumstances are common. The most common errors are poor preservation of cell morphology and poor or irregular immunocytochemical staining on the paraffin cell block sections. These and most others can be avoided by making cell blocks under the best cell conditions and using enough solution to form cell clots.
As a demonstration of the present protocol, cell blocks were prepared for HeLa cells, and immunocytochemical staining was performed for two proliferation markers, CKAP2 and Ki-67, as previously reported11. For immunocytochemistry, the cells were manipulated by incubation in media with and without fetal bovine serum, and the effect of serum starvation could be observed. These prepared paraffin-embedded cell blocks can be employed for a large number of antibodies, because many slides can be prepared from a cell block using only a 4 – 5 µm-thick cell-block section per slide. Therefore, expression patterns corresponding to two different conditions can be evaluated with several different antibodies. The immunostaining patterns for CKAP2 and Ki-67 in cancer tissues have already been reported9,10,11,12, and the immunocytochemical staining results could be easily evaluated, because the staining patterns were quite similar to those from immunohistochemistry.
In conclusion, immunocytochemical staining on paraffin cell blocks can be an excellent alternative to immunofluorescent staining; moreover, it can be easily and reliably employed in basic research for expression profiling in cell lines while preserving morphological information.
The authors have nothing to disclose.
This work was supported by research grants to K.-M.H. from the National Cancer Center, Korea (1510121) and National Research Foundation, Korea (no. NRF-2015R1A2A2A04007432).
HeLa Cells | ATCC | HeLa (ATCC CCL-2) | |
Ki-67 Antibody | Thermo Fisher Scientific | RM-9106-S1 | |
Paraffin | Leica | 39601006 | |
Xylene | Fisher SCientific | 1330-20-7,100-41-4 | |
Ethenol | GD Chem | DJ16016 | |
Hematoxylin | Agilent | 10118581 | |
DAB Quanto Kit | Thermo Fisher Scientific | TA-125-QHDX, QHCX 170405 | |
Ultravision LP detection Kit | Thermo Fisher Scientific | PBQ141209, LPB141209, LPH141210 | Kit for immunocytochemistry; contains protein block |
TintoRetriever Pressure Cooker | Bio SB Corporation | BSB 7008 | |
Tris-buffered saline | iNtRON Biotechnology | IBS-BT008 | |
Tween 20 | USB Corporation | 115106 | |
Thromboplastin | Neoplastin Cl Plus | NC0591432 | |
Tris-EDTA retrival Buffer | Dignostic Biosystem | E625-A | |
Trypsin EDTA | Thermo Fisher Scientific | 25200056 | |
Fetal bovine serum (FBS) | Hyclone Laboratories Inc | SH30910.03 | |
DMEM | Hyclone Laboratories Inc | SH30243.01 | |
Antibiotic-Antimycotic, 100X | Thermo Fisher Scientific | 15240062 | |
Ultra vision peroxide block H2O2 | Thermo Fisher Scientific | 02Q141212 | |
Mounting Medium | Thermo Fisher Scientific | 363313 | |
Pap-Pen | Vector Laboratories | H-4000 | |
Filter Paper | GE Healthcare Life Sciences | 1001-0155 | |
Calcium Chloride | Sigma-Aldrich | 21115-100ml | |
Phosphate-buffered saline | PAA Laboratories | H21-002 | |
Formalin | Daejung | 50-00-0 | |
15 ml tube | SPL Life Sciences | 50015 | |
tissue processing cassette | Simport | M492-5 | |
100 mm culture dishes | BD Biosciences | 08-772E | |
Glass Slide | Muto Pure Chemicals | 140712 | |
Cover Glass | Marienfeld | 2262817 | |
Glass Zar | Hyunil Lab-Mate | HIP-1027 | |
Centrifuge | Eppendorf | 5810R | |
Class II Laminar Flow Hood | Thermo Fisher Scientific | 1300 series A2 | |
CO2 Incubator | Thermo Fisher Scientific | Series A2 | |
Tissue Processor | Leica BioSystem | TP1020 | |
Microtome | Thermo Fisher Scientific | HM340E | |
Microscope | Olympus | CX-21 | |
Paraffin embedding station | Thermo Fisher Scientific | EC 350-1, EC 350-2 | |
Tissue Section Bath (Round) | CellPath | HCP-JAW-0100-00AEU | |
Fume Hood | Hanyang Scientific Equipment Co. Ltd. | FH-150 |