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Aperio digital pathology system

Manufactured by Leica
Sourced in United States, Germany

The Aperio Digital Pathology system is a high-resolution whole slide imaging (WSI) platform designed for capturing, managing, and analyzing digital images of tissue samples. The system uses advanced scanning technology to create detailed digital representations of glass slides, enabling remote viewing, sharing, and analysis of pathological samples.

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13 protocols using aperio digital pathology system

1

Immunofluorescence and IHC Quantitation Protocol

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Notch-C-20, Hes5 (Santa Cruz); hamartin, p53 (1C12), phospho-S6, phospho-S6K (T389), Hes1 and Gapdh (Cell Signaling); Nodal (Abnova). Secondary steps for IHC used a detection kit (Invitrogen). Secondary antibodies conjugated with fluorochromes (AF488) and DAPI were used for immunofluorescence. Images were captured with Nikon TE2000 microscope and analyzed using Nikon Elements Advanced Research software. In addition, Aperio digital pathology system (currently Leica Biosystems, IL, USA) algorithm-based software was used to locate and quantitate staining.
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2

Immunohistochemical Analysis of Tumor Tissues

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Primary tumors and metastatic tissues were resected, formalin fixed and/or decalcified (bone) and sent to the University of Colorado Denver Biorepository Core where tissues were paraffin-embedded. Tumors were sectioned and stained using immunohistochemistry performed as previously described [21 (link)]. Antibodies used were: MUC2 (1:10000 Abcam ab134119) and MCM2 (Cell Signaling, 4007). Images were captured using the Aperio Digital Pathology system (Leica Biosystems) and positive staining was quantified via Imagescope software (Leica). Mucicarmine staining was performed as previously reported [21 (link)] and used to assess total secreted mucins and quantify necrotic regions. For mucicarmine staining, the Aperio imaging system was used followed by quantitation using the ImageJ software (FIJI).
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3

Immunohistochemistry of Receptor Markers

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Immunohistochemistry (IHC) was performed as previously described (23 (link)). Antibodies used were as follows: AR (AR441, 1:500, DAKO), ERα (SP1, 1:100, Thermo-Fisher), and PR (1294, 1:500, DAKO). Images were captured using the Aperio Digital Pathology system (Leica Biosystems), assembled in Adobe Photoshop CC, and percent positive immunoreactivity determined for triplicate samples using Imagescope software (Leica).
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4

Immunohistochemistry Protocol for Breast Cancer Markers

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IHC was performed as previously described.28 (link) Briefly, 10 μm paraffin sections were subjected to antigen retrieval in citrate buffer. Primary antibodies used were as follows: ERα (SP1, ThermoFisher, 1:100), PR (1294, DAKO, 1:500), CK5 (NCL-L-CK5, Leica Biosystems, 1:500), CK8/18 (NCL-L-5D3, Leica Biosystems, 1:500), and CA2 (SAB2700301, Sigma, 1:1600). Secondary antibodies were anti-Rabbit Ig MP-7401 (Vector, 1:2000; Burlingame, CA, USA) or anti-Mouse Ig MP-7402 (Vector, 1:2000). Development used the ImPACT DAB Peroxidase Substrate Kit (Vector). Images were captured using the Aperio Digital Pathology system (Leica Biosystems) and assembled in Adobe Photoshop CC with minimal linear changes to contrast. Quantification of the percentage of positive cells was performed using the Imagescope software (Leica) that used algorithms tuned for nuclear or cytoplasmic staining.
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5

Measuring Lung Metastatic Burden

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All the lung lobes were dissected and processed for paraffin embedding. Five micron paraffin sections were stained with hematoxylin and eosin and slides were scanned with the Aperio™digital pathology system (Aperio; Leica Biosystems, Wetzlar, Germany). The lung area per section was measured using Aperio Scanscope (Leica Biosystems) and the metastatic burden (mm2 of metastases/cm2 lung) was calculated for each animal, using the data from three sections at least 100 μm apart, as previously described [39 (link)].
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6

Immunohistochemistry and ICC Protocol

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Immunohistochemistry and ICC were performed essentially as previously described.20 (link),56 (link) Primary antibodies to CK5 (NCL-L-CK5, Leica Biosystems, 1:200), RARα (ab28767, Abcam, 1:100) and PR (PgR 1294, Dako, 1:500) were applied, followed by secondary antibodies, and developed using ImmPRESS Peroxidase detection kit (Vector Laboratories, Burlingame, CA, USA) for immunohistochemistry and secondary fluorescent antibodies (A11029, A11037, Invitrogen, Grand Island, NY, USA) for ICC. For immunohistochemistry, slides were scanned into the Aperio digital pathology system (Leica Biosystems) and whole sections analyzed for percent of positive cells using an algorithm tuned for CK5, therefore blinding was not necessary.
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7

Histological Techniques for Mammary Tissue Analysis

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Tissues were fixed in 10% neutral-buffered formalin, and processed and embedded according to standard histologic protocols. Five-micron sections were stained with hematoxylin and eosin (H&E) or used for immunohistochemical analysis. The GLUT1 antibody has been described previously [31 (link)]. Anti-Cre recombinase antibody was from Thermo Scientific, anti-Ki67 antibody was obtained from Dako, and anti-BrdU antibody was from Abcam. Cre recombinase and Ki67 were quantified by counting the number of positive cells out of the total number of mammary epithelial cells in one full, representative mammary gland section per mouse. BrdU staining was quantified by counting the number of positive cells out of the total cells per acinar structure in 3–4 paraffin-embedded sections per treatment, cut every 50 μm. GLUT1 and tumor area were quantified using the Aperio Digital Pathology system (Leica Biosystems).
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8

Submandibular Salivary Gland Aquaporin 5 Analysis

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For tissue analysis, salivary glands were formalin fixed, paraffin embedded, and sectioned at 5 μm. Tissue sections were stained with haematoxylin-eosin (H&E) and aquaporin 5 (AQPN5) was detected by immunohistochemistry (Abcam, #ab78486). Stained slides were archived and analyzed using the Aperio Digital Pathology System and ImageScope software (Leica Biosystems). For AQPN5, the number of positive stained pixels was quantified using the Positive Pixel algorithm in three representative sections, cut 50 μm apart, of both full submandibular salivary glands from two mice per treatment group, for a total of 6 measurements per group.
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9

Immunohistochemistry and Microarray Analysis of Tumor Tissue

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Immunohistochemistry was performed on tumors as previously described13 . Unmasking was performed using citrate buffer, pH 6.0. Antibodies used were Cx43 (Abcam, ab11370), ERα (SP1, Thermofisher, RM-9101), CK8/18 (Novocastra, NCL-5D3), Ki-67 (Novus Biologicals, NB500-170), and c-KIT (R&D Systems, AF1356). Images were captured using an Olympus BX40 microscope equipped with an Olympus DX73 camera and Cell Sens software. For Ki67 staining images were captured using the Aperio Digital Pathology system (Leica Biosystems), and samples were quantified using Imagescope software (Leica Biosystems). Mucicarmine and H&E staining were performed as previously described13 .
LASER Capture Microdissection, microarrays on tumors: Five million BCK4 cells were injected into the 4th mammary gland of NOD-SCID mice under an approved IACUC protocol (83913(12)1E) and grown for 5 months. Tumors were resected, embedded in O.C.T (Tissue-Tek), frozen in N2, and sectioned on a cryostat. Two tumors were used to obtain duplicate samples. Three thousand cells from each tumor region were LASER captured using the ArcturusXT microdissection system, RNA was isolated using the PicoPure RNA isolation Kit (Arcturus) followed by cDNA preparation using the Ovation Pico WTA System and Encore Biotin Module kit as previously reported59 (link). Affymetrix Human Genome U133 Plus 2.0 Arrays were used to measure gene expression.
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10

Histopathological Analysis of Formalin-Fixed Tissues

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Sections (4μm) of formalin-fixed, paraffin-embedded tissues were deparaffinized with xylene and rehydrated. Serial sections were stained with H&E or Alcian Blue as described [17 (link)]. Immunohistochemistry was performed on a Leica BOND autostainer (Wetzlar, Germany). Slides were scanned in brightfield using the Aperio Digital Pathology System (Leica). Images were analyzed using the Tissue Classifier and Area Quantification modules of the HALO Image Analysis System v.3.0 (Indica labs, Albuquerque, NM). For immunofluorescence antigen retrieval was performed in a pressure cooker using 10mM Sodium citrate, pH 6.0. Primary antibodies were incubated overnight followed by incubation with secondary antibodies and TrueVIEW (SP-8400, Vector Laboratories, Burlingame, CA). Images were captured with a Nikon DSVi1 brightfield camera using NIS Elements 3.2 Basic Research Image software (Nikon Instruments Inc., Melville, NY).
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