E N D
MY INTRODUCTION I am Alie Wouda and I am living in Holland. During 15 years I worked on the department of pathology. That is now 17 years ago, meanwhile I’m studying p e herbs, homeopathy and so on. Because my husband finished with his study medicine and became a Pathologist we moved from the north of the Netherlands to the south. In 1995 I started a practice of my own, because I was finished also.
We were asked to make a start with the implementation of immuno-histochemistry in the department of Pathology of the KCKM in Moshi. We started two weeks ago and the results are promissing.
Something about tumor cells First I tell you something about the tumor cells. When the pathologist doesn’t know which cell is seen microscopically, the cells might probably be of a primary mammacarcinoma or a metastasis of an other tumor he can perform an immuno-histochemical investigation. The difference is important because the treatment can be very different of the tumors.
This afternoon we tell something about • Immunoresponse • (Basic principle) immunology • Fixation . Antibodies • Immunology protocol
Immunoresponse WikipediaThe immune system is a defense system, the purpose is to destroy bacteria or changed cells of the own body. Defense against pathogens/ infectious bacteria: • Virusses • Bacteria • Fungi • Protozoa • parasites
Immuun response Types immuun response • Biologica immuun response • Respons on infectious diseaes • Vaccination • Experimentele immuun response • Production of monoclonal, polyclonal antibodies • Research at function/ action of immune system
Immunology Basic principal Interaction between antigen and the fitting antibody Wikipedia:Immunology is the biological science researching the immunonological system: the defencemechanisms which in organisms prevents the entering of organisms (bacteria) and cells of outside the body.
Fixation Purpose fixation: • Make cells/tissue resistant for histochemical proceedings • Decreasing catabolic processes • autolyse • heterolyse (demolition by microorganisms) • Prevent extraction • Fixate 3D structure (of proteins)
Fixation After fixation you still need: • materials with contrast • Conformation of antigens • Genetical information • Residual enzyme activity
Fixation Fixation, what is important; • Kind of fixative • Duration of fixation • Temperature
Fixation methods • Physical • Freeze • Chemical • Coagulation (methanol, aceton) • Not coagulation, crosslinking (formalin)
Fixation Chemical: Coagulation (Ethanol, aceton) • Proteins, colloïdal solvability disappears, and condensate • Carbohydrates condensate • Nucleic acids condensate • Fat dissolves
Fixation Chemical: Not coagulate, crosslinking(Formaline 3,7%) • Resistance against - extraction in organic solvents - conformation of changes, possibly made during tissue processing • Protection of antigenic determinants • Crosslinks incraeses the molecular density
Fixation Formaldehyde vs Formaline Formaldehyde Formaline H OH C H OH
Fixation Diffuse ability fixative D = k • Vt D = diameter, half (radius) in mm K = diffusioncoëfficiënt T = time in houres K for Formaline 0,78
Fixation Example: tissue of 4x4x3 mm Howlong takes it before the tissue is fixed by formalin?
Antibodies Production of: • Polyclonale antibodies Antibodies, derived from different cells or diversity of cells. Therefore they are a mixture of many different specifications. • Monoclonal antibodies Antibodies, derived of only one single B-lymphocyte (plasmacel).
Antibodies Advantages and disadvantages of polyclonal antibodies • Advantages: • High harvest • Several clones plasmacells • conformation change of antigens • Production procedure more simple than monoclonale antibodies • Multivalent interactions between antigens and polyclonal antibodies • Relative low costs
Antibodies Advantages and disadvatages of polyclonal antibodies • Disadvantages: • Large laboratory animals ( goat, sheep, pig) • Stock antiserum is finite • There are also undesired AB present, so a greater chance for cross reactions • Respons of the laboratory animals on the immunisations are not consistant during a period of time
Antibodies Advantages and disadvantages of monoclonal antibodies • Advantages: • High, exclusife specificity, monospecific • No / few background • Immunisation with weak immunogens • Constant quality en quantity
Antibodies Advantages and disadvantages of monoclonal antibodies • Disadvantages: • Procedure is sensentive for loss of antigenicity • Low sensitivity at low concentration of antigen • (Too) high specificity • Loss of quality of hydromacells
Antibodies HAT selectie
Antibodies Structure antibody Immunoglobulin monomer
Antibodies Different Isotypes The H- chains determine the antibody class (the Isotype)
Antibodies Affinity = binding strength between 1 antibody en 1 epitope Avidity = total binding strength of a complex consists of antigens, different epitopes and their counterparts (antibodies)
Antibodies Affinity is determined by: • Fitting • Size of the complementary area • Amount of interactions • Quality of the interactions Interactions: H-bridges, ion binding, hydrofobic interactions, induced dipoles, and van der Waals forces
Antibodies Crossreactivity • Antibody reacts with other unrelated antigen: • 2 antigens with the same identical Ag determinant • 2 antigens with the same structural similar Ag determinant • The affinity of the determinant with which the crossreaction happens is often lower
Immuno protocol Recommended Staining Protocol 1. Deparaffinize and rehydrate tissue section. 2. To reduce non-specific background staining due to endogenous peroxidase, incubate slide in hydrogen peroxide for 10-15 minutes. 3. Wash 2 times in PBS or TBS wash buffer. 4. If required, incubate tissue in digestive enzyme or perform appropriate HIER pre-treatment. 5. Wash 2 times in PBS or TBS wash buffer. 6. (Optional) Apply Pre-antibody Blocking Solution (NGS)and incubate for 5 minutes at room temperature to block non-specific background staining. 7. Wash 2 times in PBS or TBS wash buffer). 8. Apply primary mouse or rabbit or rat antibody and incubate according to manufacturer's protocol. 9. Wash 2 times in PBS or TBS wash buffer. 10. Apply Post-antibody Blocking and incubate for 15 minutes at room temperature. 11. Wash 2 times in PBS or TBS wash buffer. 12. Apply Poly-HRP-Goat anti Mouse/Rabbit IgGand incubate for 30 minutes at room temperature. 13. Wash 2 times in PBS or TBS wash buffer. 14. Incubate with peroxidase-compatible chromogen 15. Counterstain and coverslip.
Immuno protocol CD 30 Mib-1
Different types • Actin (Smooth Muscle) • Adrenocorticotropin (ACTH) • Albumin • Alpha-1-Antitrypsin • Alpha-1-Fetoprotein • AMACRprstate • Amyloid A • Androgen Receptor • Bax • BCL2 Oncoprotein • BCL6 Protein • Beta-Catenin • BRCA1 • CA 19-9 • CA 125 • Calcitonin • Caldesmon • Calponin • Calretinin • Carcinoembryonic • Antigen (CEA)
CD1a • CD2 • CD3 • CD5 • CD5 • CD7 • CD8 • CD10 • CD14 • CD15 • CD19 • CD20cy • CD21 • CD23 • CD23 • CD30 • CD31, Endothelial Cell • CD34 Class II • CD35 • CD43 • CD3 • CD4 • CD44, Phagocytic Glycoprotein-1 • CD45, Leucocyte Common Antigen • CD45R0 • CD45RA • CD56 • CD57 • CD61, Platelet Glycoprotein IIIa
CD68 • CD68 • CD68 • CD79α • CD79αcy • CD99, MIC2 Gene Products, Ewing's Sarcoma Marker • CD117, c-kit • CD138 • CD246, ALK Protein • CDX2 • Chorionic Gonadotropin (hCG) • Chromogranin A • Collagen IV • COX-2 • Cyclin D1 • Cytokeratin • Cytokeratin • Cytokeratin 5/6 • Cytokeratin 7 • Cytokeratin 10 • Cytokeratin 10/13 • Cytokeratin 17 • Cytokeratin 18 • Cytokeratin 19 • Cytokeratin 20 • Cytokeratin, High Molecular Weight • Cytokeratin, Wide Spectrum Screening • Cytomegalovirus • D2-40 • Desmin • E-Cadherin • EGFR epidermal growth factor receptor • Epithelial Membrane Antigen (EMA) • Epstein-Barr Virus, LMP • Estrogen Receptor α
Glial Fibrillary Acidic Protein (GFAP) • Helicobacter Pylori • Hepatitis B Virus Core Antigen (HBcAg) • Hepatocyte • Herpes Simplex Virus Type 1 • Herpes Simplex Virus Type 2 • Human Immunodeficiency Virus (HIV), p24 • IgA, IgG, IgM, Kappa, Lambda • Inhibin α • Kappa Light Chains • Ki-67 Antigen proliferatie marker • Lambda Light Chains • Leukaemia, Hairy Cell • Melan-A • Mesothelial Cell • Neuron-Specific Enolase (NSE) • p53 Protein • Papillomavirus (HPV) • Parvovirus B19 • Placental Alkaline Phosphatase • Plasma Cell • Progesterone Receptor • Prostate-Specific Antigen (PSA) • Renal Cell Carcinoma Marker • S100 • Serotonin • Somatostatin • SynaptophysinTerminal Deoxynucleotidyl Transferase (TdT)Thyroid-Stimulating Hormone (TSH)Thyroid Transcription Factor (TTF-1) • Vimentin
So that’s wants to tell Thank you for the attention Alie Wouda from the Netherlands