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19 protocols using halo v3

1

Multicolor Immunohistochemical Staining

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Tissues were fixed in 10% neutral-buffered formalin for 18 hr, embedded in paraffin after graded-ethanol dehydration, and sectioned into 6 μm sections using a microtome. Automated staining was carried out on the BondRxm (Leica Biosystems). Following dewaxing and citrate-buffered antigen retrieval, sections were stained with the primary antibody for 1 hr at RT. Sequential chromogenic detection was performed with the Bond IntenseR (Rat primary) and Bond Polymer Refine Red (Rabbit primary) detection kits (Leica Biosystems). The primary antibodies used were rat anti-CD45 (Invitrogen clone 30-F11, #14-0451-82) followed by rabbit anti-RFP/TdT (Rockland, # 600-401-379). Stained sections were dehydrated in graduated ethanol and xylene washes then mounted with xylene-based Cytoseal (Thermo Fisher).
Stained slides were imaged at 20X magnification with the Zeiss Axioscan slide scanner. For image analysis, Halo v3 (Indica Labs) was used to deconvolve dual stained images into single channels and pseudo colored with blue representing nuclei (hematoxylin), green representing CD45+ cells (DAB stained), and red representing Osx+ cells (RFP stained).
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2

Quantifying CD39 Expression in KPC Tumors

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Subcutaneous KPC tumors from CD39fl/fl LysMCre+/− and CD39fl/fl LysMCre−/− mice collected at the indicated endpoints were formalin-fixed, paraffin-embedded, and sectioned into 5-micron sections for immunohistochemistry (IHC) and tumor area measurement. Dewaxing, antigen retrieval, and staining were performed in a Leica Bond Rx automated stainer (Leica Biosystems). For CD39 staining, slides were exposed to ER1 solution (Leica cat# AR9961) for 10 minutes at 100°C, followed by a 1-hour incubation with rabbit monoclonal anti-mouse CD39 (Cell Signaling Technology, clone E2X6B, CST #14481) at room temperature at 1:100 dilution. Slides were dehydrated and cover-slipped and were digitally scanned in an Aperio Versa 200 scanner (Leica Biosystems). CD39 staining and tumor area were quantitated on digitally scanned slides using the Area Quantification module in HALO v3 (Indica Labs) after the tumor was manually outlined as the region of interest. Data are expressed as CD39 IHC H-index. The H-index is equal to the percentage of tissue positive for a given marker multiplied by the average optical density of tissue positive for that marker. Tumor area is expressed as mm2.
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3

Quantifying Goblet Cell and Epithelial Changes

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IHC images were analyzed in HALO v3.1 (Indica Labs). For all analyses, images were annotated manually to exclude out of focus and damaged areas, and a random forest classifier was applied to intact areas of the sections to detect epithelial areas. All following analyses were done in epithelial areas only. For goblet cell counting, algorithm CytoNuclear 2.0.9 was used to segment cells based on nuclear staining and categorize them as AB/PAS (mucin) positive and negative cells based on cytoplasmic AB staining. Goblet cell counting was represented as the percentage of AB positive cells of total cells.
To measure epithelial thickness, the apical and basal sides of the epithelium in the sections were manually delineated using a pen annotation tool. Distance between paired apical and basal annotations was measured every 10 μm along the epithelium, and recorded in sequence as epithelial thickness.
To measure intraepithelial and intercellular AB staining, algorithm Area Quantification v2.1.7 was used. Two thresholds were applied to capture AB staining: a lower one to detect all AB staining in both goblet cells and intercellular areas, and a higher one to detect the stronger AB staining inside goblet cells only. Intercellular AB area was calculated by subtracting goblet AB staining (higher threshold) from total AB staining (by lower threshold).
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4

Quantifying Perivascular Inflammation in Lung Tissue

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Lung sections were processed routinely, stained with hematoxylin and eosin (H&E), digitally scanned by a Zeiss Axio Scan.Z1 creating whole-slide images, and analyzed by a board-certified pathologist with computer software (HALO v3.1, Indica Labs) using two algorithms (Multiplex IHC v2.3.4 and Spatial Analysis). Annotation regions were drawn around small arterioles, then all nucleated cells were counted using Multiplex IHC v2.3.4. Spatial Analysis was used to quantify the number of nucleated cells within a 100μm radius of the annotated vessels. Perivascular inflammation was reported as the density of nucleated cells within a 100μm radius of the tunica adventitia of small arterioles (nucleated cells/mm2).
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5

Comprehensive Histopathological Scoring of Pulmonary and Neurological Inflammation

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Sections from each of the right lung lobes (upper, middle, lower, and intermediate) were scored using separate machine learning algorithms (Random Forest, HALO v3.1, Indica Labs) to recognize fluid and cellular inflammation. These algorithms were trained and checked for accuracy by a veterinary pathologist (RVB), and scores were assigned based on the percentage of lung affected as follows: fluid inflammation (minimal: 2–5%; mild: 5–15%, moderate 15–30%, and severe >40%); cellular inflammation (minimal: 0.5–3%, mild 3–6%, moderate: 6–12%, severe: >12%). The histopathology score for each animal was reported as the highest severity score detected in all three right lung lobes.
Multiple CNS regions, including sections of the frontal, parietal, occipital, and temporal lobes, basal ganglia, cerebellum, and brain stem, were assessed and assigned a histopathological score based on the frequency and severity of neuroinflammation-associated cell phenotype/morphology (e.g., microglial and astrocyte morphological changes, perivascular cuffs, and nodular lesions), expression of the MHCII molecule, HLA-DR, and neuronal injury and/or death as suggested by cleaved caspase-3 positivity, as reported previously (16 (link)).
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6

Multiplex Immunofluorescence Image Analysis

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Images were exported as 32-bit.ome.tiff from MCD Viewer and imported into Halo v3.1 (Indica Labs). Data was analyzed using the HighPlex FL v3 module. Cell segmentation and thresholds for individual marker positivity were set manually based on visual inspection. To further classify the immune sub-cell types we used the following phenotypes: macrophages - CD45+ CD11b+ F4/80+ or CD68+ CD11c- Ly6G-, M1-type macrophages - CD45+ CD11b+ F4/80+ or CD68+ MHCII+, phagocytotic (M2-type) macrophages - CD45+ CD11b+ F4/80+ or CD68+ CD163+ CD206+, immature monocytes - CD45+ CD11b+ F4/80+ or CD68+ Ly6G+ CD11c-, dendritic cells - CD45+ CD11b+ F4/80+ or CD68+ CD11c+, neutrophils - CD45+ CD11b+ F4/80- CD68- Ly6G+. Cell object data were exported into .csv format for cell distribution to MS image co-registration. Tissue types were classified on a per model basis using a random forest classifier into tumor, necrosis and connective tissue. Number of % positive cells over the entire ROI and tumor tissue only was exported as .csv to study morphological differences between the different models.
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7

Immunohistochemical Profiling of Tumor Biopsies

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Repetitive biopsies of injected lesions were performed, when feasible. Biopsies were collected using a 18G Vacu-Cut needle (BD BARD) or by punch-biopsy. HE staining and immunohistochemistry (IHC) for SOX10, CD3, CD8, and PD-L1 were performed on formalin-fixed, paraffin-embedded (FFPE) tissue blocks of all biopsies. CD3 2GV6 Ventana (Roche, Basel, Switzerland), CD8 SP57 (Roche), SOX10 SP267 Cell Marque (Roche), and PD-L1 22c3 (Agilent, California, USA) antibodies were used. Evaluation for immunoreactivity was performed by a pathologist according to a semiquantitative scoring system. The Panoramic SCAN II BF was used for scanning representative tissue slides.
On biopsies of interest multiplexed immunofluorescence (mIF) was performed with the Immuno8 FixVUE panel (Ultivue, Cambridge, Massachusetts, USA), containing antibody-conjugates against CD3, CD4, CD8, CD68, FoxP3, PD-1, PD-L1, and panCK/SOX10, as described by Vasaturo and Galon.41 (link) DAPI was used for nuclear counterstain. Staining was conducted on a Leica Biosystems BOND RX autostainer. A tissue sample of a tonsil was used as a run positive control. Image acquisition was achieved using the Zeiss Axio Scan.Z1 slide scanner. Images were analyzed using HALO v3.0 software (Indica Labs, USA). The same image analysis algorithm was used were used for all biopsies.
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8

Multiplex IF Profiling of Immune Markers

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Multiplex tissue immunofluorescence (IF) staining for NRG1, CD11b, and CD68 was performed on the Bond RX automated staining platform (Leica Biosystems) with the Opal 7-Color Automation IHC Kit (NEL821001KT, Akoya Biosciences) according to the manufacturer's instructions. IF signals for NRG1, CD11b, and CD68 were visualized using TSA dyes 570, 520, and 650 respectively, and counterstained with spectral DAPI. After staining, slides were scanned using the VS200 Microscope (Olympus) and quantification of immune cell densities expressing NRG1 was achieved with Halo v3.0 software (Indica Labs). More details on the IF assay is available in Supplementary Table S2.
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9

Multiplex IF staining of NRG1 and immune cells

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Multiplex tissue IF staining for NRG1, CD11b and CD68 was performed on the Bond RX automated staining platform (Leica Biosystems) with the Opal 7-Colour Automation IHC Kit (NEL821001KT, Akoya Biosciences) according to the manufacturer’s instructions. IF signals for NRG1, CD11b and CD68 were visualized using TSA dyes 570, 520 and 650 respectively, and counterstained with spectral DAPI. After staining, slides were scanned using the VS200 Microscope (Olympus) and quantification of immune cell densities expressing NRG1 was achieved with Halo v3.0 software (Indica Labs). More details on the IF assay is available in Supplementary Table 2.
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10

Quantitative Multiplex Tissue Imaging

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Slides were scanned using the Aperio ScanScope (Leica Biosystems) and/or Vectra Automated Multispectral Imaging System (Akoya Biosciences, Marlborough, MA, USA), and analysed using inForm v2.2.1 (Akoya Biosciences) or Halo v3.0 software (Indica Labs, Albuquerque, NM, USA). Tissue segmentation was achieved either by EpCAM positivity (inForm; Supplementary Fig. 4) or a supervised machine learning algorithm to recognise PC foci and surrounding stroma (Halo; Supplementary Fig. 5). Cell segmentation was achieved with nuclear DAPI counterstain. TIICs were phenotypically characterised based on leucocyte cell surface marker staining. Cell densities were algorithmically quantitated. CD38 expression on tumour epithelium was quantitated using the Histo-score (H-score). Positivity was defined as an H-score of >0 (Supplementary material) [24] (link).
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