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10 protocols using pannoramic midi 2 slide scanner

1

Immunohistochemical Analysis of Lamin A/C and Osterix

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Paraffin sections (4 μm) were dried, deparaffinized, and stained with hematoxylin eosin safranin (HES) (Dako). For immunohistochemical staining, 4 µm paraffin sections were incubated with antigen retrieval citrate-based solution pH = 9 (Vector Laboratories) at 95 °C for 15 min. The sections were incubated in Bloxall blocking solution (Vector Laboratories) for 10 min to inactivate endogenous peroxidase. FC receptor blocking reagent (Innovex Biosciences) was then added for 45 min. All sections were incubated in PBS-10% FCS for 30 min with either anti-lamin A/C antibody (dilution 1/200, clone EPR4100, Abcam) or anti-osterix/SP7 antibody (dilution 1/100, Abcam) diluted in PBS-5% FCS-1.5% BSA overnight incubation at 4 °C. The sections were washed with PBS-0.1% Triton and incubated in ImPRESS Reagent anti-rabbit IgG (Vector Laboratories) for 30 min. Then, the sections were washed with PBS-Triton 0.1% and incubated in HistoGreen substrate solution (Linaris) for 1 min. Counter coloration was performed using Fast Nuclear Red (Vector Laboratories). All sections were analyzed using a Pannoramic Midi II slide scanner and Case Viewer software (3D HISTECH, Ltd.).
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2

Immunohistological Analysis of Cardiac Fibrosis

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Paraffin-embedded hearts (vehicle n = 6, empa n = 8) were cut 4–6 μm thick and stained. Immunohistological techniques were performed as previously described17 (link). Heart sections were incubated with primary antibodies against rat macrophages (ED1; #MCA341R, Bio-Rad), fibronectin (FN; #ab23751, abcam), and collagen I (Col I; #131001, SouthernBiotech). Vectashield mounting medium with DAPI (#H-1200, Vector Laboratories) was used to stain nuclei. Semi-quantitative analyses of immunohistochemistry and histology were conducted without knowledge of the specific treatment and performed using Pannoramic MIDI II slide scanner (3D Histech, Hungary), CaseViewer and Image J software. For the histological and cardiomyocyte analysis, 5 hearts of each group were examined. Picking out cardiac areas for immunohistology were standardized and uniformly distributed over the entire cross-section. Ten to fifteen different areas of each heart were analyzed. For the determination of the perivascular fibrosis, all vessels in the left ventricle were evaluated.
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3

Quantification of CD8+ T Cells in FFPE Tissue

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The 4-μm FFPE slides were subjected to immunochemical staining. After deparaffinization and rehydration with high-concentration ethanol and pure water, the slides were incubated in 3% H2O2 or 15 min to block endogenous peroxidase activity. Then, the slides were subjected to heat antigen retrieval and non-specific site blocking using an EDTA buffer (PD 9.0) and 10% standard serum, respectively. Next, the slides were incubated overnight at 4 °C. The final counterstaining was performed using secondary antibodies (CD8, Abcam, ab17147, 1:100) and the 3, 3′-diaminobenzidine (DAB, Dako, Glostrup, Denmark) and haematoxylin.
The digital pathological system (HALO) was utilized to quantify the density of CD8+ T cells on the whole slides. We scan the slides images at high resolution (× 400) using the Pannoramic MIDI II slide scanner (3DHISTECH). The tumour regions were identified by a trained pathologist (LYX). The “Membrane IHC Quantification” module was selected for absolute counting of CD8+ T cells on the CaseViewer_2.3.
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4

Quantifying Tumor-Infiltrating Lymphocytes by Immunohistochemistry

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To evaluate the impact of TILs, we determined the immunoscores by immunohistochemical staining for CD3 and CD8. We scanned all the immunohistochemically stained slides for CD3 and CD8 using a Pannoramic MIDI II slide scanner (3DHISTECH, Budapest, Hungary). We captured images from two regions—the core of the tumor (CT) and invasive margin (IM)—using the CaseViewer 2.0 software (3DHISTECH). CD3- and CD8-immunoreactive lymphocytes were identified from the captured images using NIH Image Analysis software (version 1.6.0; National Institutes of Health, Bethesda, Maryland, USA) after setting a consistent intensity threshold. The CD3- and CD8-immunoreactive lymphocytes were expressed as pixels in each region. Using the cut-off (median value), the pixel value of each case was classified to high (score 1) and low (score 0). Immunoscores were defined as the sum of the scores of two regions and are divided into high (score 3–4) and low (score 0–2) scores [21 (link)].
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5

Histological and Immunofluorescence Analysis of Tissue Samples

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In all, 8 µm cryosections were dried and stained with Hematoxylin Phloxine Saffron (HPS) (Dako). For Von Kossa staining, cryosections were incubated 30 min at RT in 1% silver nitrate in the dark followed by 15 min incubation in UV chamber and nuclear fast red counterstain. All sections were analyzed using a Pannoramic Midi II slide scanner and Case Viewer software (3D HISTECH Ltd.).
For immunohistochemical staining, cryosections were fixed in 4% PFA 15 min, incubated in PBS-Triton 0.5% 15 min followed by 1 h in PBS-BSA 1% at RT. Muscle sections were incubated with rabbit polyclonal anti-laminin antibody (dilution 1/200, Abcam) or rabbit polyclonal anti-osteocalcin or anti-Collagen III antibody (dilution 1/100 and 1/200, Abcam) in PBS-BSA 1% overnight at 4 °C. Corresponding normal polyclonal rabbit IgG was used as negative control (Abcam). Sections were washed with PBS and incubated with secondary antibody Donkey anti-rabbit Alexa Fluor 594 or Goat anti-rabbit Alexa Fluor 488 (1/500, Thermo) in PBS-BSA 1% for 1 h à room temperature. Slides were finally mounted in Vectashield antifade mounting medium with DAPI (Vector). All sections were analyzed using inverted epifluorescence microscope (DMi8, Leica) and Fiji software (ImageJ)
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6

PLA of Tat and FLAG M2 Proteins

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J-Lat 1C10 cells were washed with PBS and allowed to adhere to Polylysine coated slides (VWR, Radnor, PA, USA) marked with a hydrophobic barrier using A-PAP pen (Histolab, Gothenburg, Sweden). PLA was performed according to the manufacturer’s protocol (Sigma) with a few modifications: PLA plus and minus probes were diluted 1:20, amplification buffer (5×) was used at 10×. All washes were performed in PBS. Antibodies (1:1,000) were used against Tat (Abcam, Cambridge, United Kingdom), FLAG M2 (Sigma). Before DAPI staining and mounting with Duolink in Situ mounting media with DAPI (Sigma), FITC-conjugated anti-GFP (Abcam) was applied (1:500) for 1 h at ambient temperature protected from light. Slides were sealed with nail polish and stored at 4°C overnight before imaging. Slides were imaged using a Pannoramic Midi II slide scanner (3DHistech, Budapest, Hungary) and images were exported using the CaseViewer application. Images were analyzed with ImageJ (version 2.0.0-rc-69/1.52) and macros developed in house. Each RGB image was separated into separate channels. Based on the blue (DAPI) channel, nuclei were identified. In the red channel, spots (“maxima”) were detected with prominence thresholds 6–48.
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7

Iron Staining of Cytospun Cells

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Cells were cytospun, fixed in methanol for 15 minutes at room temperature, air-dried, and submitted to Karolinska University Hospital for iron staining. Brightfield micrographs were acquired using a Pannoramic MIDI II slide scanner (3D Histech) at 40× with a Hitachi HV-F22 3CCD SXGA camera (Hitachi Kokusai Electric) using Pannoramic Scanner v. 1.17 (3D Histech). Image analysis was performed using QuPath v. 0.2.0m9 (19 (link)) and Fiji v. 2.3.0/1.53f51 (20 (link)). Fixed-cell immunofluorescence is detailed in Supplementary Materials and Methods.
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8

X-gal Staining of Embryos

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Freshly dissected embryos were fixed in X-gal buffer containing 0.2% glutaraldehyde and 1% formaldehyde on ice for 15 min and subjected to modifications from the previous protocol (Cui et al. 2020 (link), Tremblay et al. 2000 (link)). In brief, the fixed embryos were washed with X-gal buffer (PBS, 5 mM EGTA, 2 mM MgCl:6H2O, 0.2% NP-40, 0.2 mM deoxycholate) for 10 min three times, and stained with X-gal stain (X-gal buffer with 5mM potassium ferricyanide, 5mM potassium ferrocyanide, and 0.5 mg/ml X-gal) for 48 hours at 37°C. Subsequently, embryos were dehydrated in ethanol, cleared in xylene, embedded in paraffin, and sectioned at 7 μm. Slides were deparaffinated in xylene, counterstained with Eosin and coverslipped in Cytoseal (Thermo Fisher Scientific, Waltham, MA, USA) and imaged with a Pannoramic MIDI II slide scanner (3DHISTECH Ltd., Budapest, Hungary).
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9

Whole-mount embryo X-gal staining

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Freshly dissected embryos were fixed in X-gal buffer containing 0.2% glutaraldehyde and 1% formaldehyde on ice for 15 min and subjected to modifications from previous protocol (Tremblay et al. 2000 (link)). In brief, the fixed embryos were washed with X-gal buffer (PBS, 5 mM EGTA, 2 mM MgCl:6H2O, 0.2% NP-40, 0.2 mM deoxycholate) for 10 min three times and stained with X-gal stain (X-gal buffer with 5 mM potassium ferricyanide, 5 mM potassium ferrocyanide, and 0.5 mg/ml X-gal) for 48 h at 37°C. Subsequently, embryos were dehydrated in ethanol, cleared in xylene, embedded in paraffin, and sectioned at 7 μm. Slides were deparaffinated in xylene, counterstained with Eosin and coverslipped in Cytoseal (Thermo Fisher Scientific) and imaged with a Pannoramic MIDI II slide scanner (3DHISTECH Ltd., Budapest, Hungary).
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10

Molecular Profiling of Follicular-Derived Tumors

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This retrospective study was approved by the Institutional Review Board of the Catholic University of Korea, Seoul St. Mary’s Hospital (KC16SISI0709). Informed consent was waived by the board. Cases were selected with a stratified two-stage cluster sampling. Out of 40 encapsulated follicular-derived tumors with predominant follicular growth (less than 1% papillae) initially selected as having equivocal nuclear features of PTC, 16 cases with available molecular workup were enrolled in this study.
All cases had either BRAFV600E, BRAFK601E, or mutation of RAS (NRAS, HRAS, and KRAS) at codon 61. Molecular profile was determined by Sanger sequencing, as previously described [17 (link), 18 (link)]. Tumors were classified as BRAF-like (BRAFV600E) and RAS-like (BRAFK601E or RAS mutations). All histological slides were stained with hematoxylin and eosin. One representative section per case was digitally scanned at 40× using a Pannoramic MIDI II slide scanner (3DHistech, Budapest, Hungary).
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