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4 protocols using y5200

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EBER ISH and ARID1A IHC Protocols

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EBER ISH was performed with a fluorescein isothiocyanate (FITC)-labeled EBER peptide nucleic acid (PNA) probe (Y5200; Dako, Glostrup, Denmark) and anti-FITC antibody (dilution 1:200; V0403; Dako). ARID1A immunohistochemistry was performed with an automated immunostainer Ventana BenchMark XT or ULTRA System (Roche, Basel, Switzerland) in accordance with the manufacturer’s protocols using an anti-ARID1A antibody (dilution 1:100; rabbit polyclonal, HPA005456; Sigma-Aldrich, St. Louis, MO, USA) and OptiView DAB universal kit (Roche).
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Comprehensive Immunophenotyping of FFPE Samples

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FFPE blocks were obtained from the Pathology Department of Tokyo Metropolitan Bokutoh Hospital. Immunohistochemistry was performed using the Ventana BenchMark automated immunostainer (Ventana Medical Systems, Tucson, AZ, USA) with labeled streptavidin–biotin and visualized with 3,3′-diaminobenzidine. The primary antibodies used were anti-CD3 (clone LN10, Leica), -CD4 (clone SP35, Ventana), -CD8 (clone 4B11, Leica), -CD45RO (clone UCHL-1, Ventana), -FOXP3 (clone 236A/E7, Abcam), -CD20 (clone L26, Leica), -NKp46 (clone #195314, R&D), -CD68 (clone Kp-1, Dako), -CD163 (clone 10D6, Leica), -CD204 (clone SRA-E5, Transgenic), -Ki-67 (clone MIB-1, Dako), -PD-L1 (clone E1L3N, Cell Signaling), -MLH1 (clone ES05, Leica), -MSH2 (clone FE11, Dako), -MSH6 (clone Polyclonal (Rabbit), GeneTex) and -PMS2 (clone M0R4G, Leica). EBV-encoded small RNA in situ hybridization (EBER-ISH) was performed on paraffin sections using a fluorescein isothiocyanate (FITC)-labeled peptide nucleic acid probe (Y5200; Dako, Glostrup, Denmark) and anti-FITC antibody (V0403, Dako). Slides were digitized with a Nanozoomer 2.0-HT virtual slide scanner (Hamamatsu Photonics, Hamamatsu, Japan) and observed in the NDP.view2 software (Hamamatsu Photonics). The density of immune cells was analyzed by Tissue Studio 2.0 software (Definiens, Munich, Germany).
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Tissue Microarray Analysis of GC and AEG

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Tissue microarrays were constructed from 94 tumor cases (45 GC and 49 AEG) using a manual tissue array (Beecher Instruments, Inc., Sun Prairie, WI, USA). For immunohistochemical analysis, 4 µm sections were cut from tissue microarray blocks and tissue blocks just before use. Immunohistochemistry was performed using the Ventana Benchmark XT autostainer (Ventana Medical Systems Inc./Roche Diagnostics, Tucson, AZ, USA), involving a labeled streptavidin-biotin-peroxidase method, followed by visualization with 3,3'-diaminobenzidine.
The primary antibodies used included mouse monoclonal anti-MLH1 (clone ES05, dilution 1:50; Novocastra Laboratories Ltd., Newcastle, UK) and anti-p53 (DO-7, dilution 1:50; Novocastra Laboratories Ltd.). The presence or absence of MLH1 immunostaining was evaluated in the nuclei (Fig. 1f-g). The results of p53 immunohistochemistry were determined as "aberrant" when < 1% of tumor nuclei were positive for p53 (null pattern) or when more than 50% of the neoplastic cells were positive for p53 (overexpression pattern); the remaining results were considered as "wild type." EBV-encoded small RNA in situ hybridization (EBER-ISH) was performed on paraffin sections using a fluorescein isothiocyanate-labeled peptide nucleic acid probe (Y5200; Dako) and anti-FITC (V0403, dilution 1:200; Dako, Glostrup, Denmark).
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Molecular Subtyping of Gastric Cancer

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Based on the molecular classification proposed by the TCGA research group, four subtypes of GC were defined by EBER-in situ hybridization, MLH1 immunohistochemistry, and histological type (diffuse and intestinal). The TMAs, described above, were used for this purpose. To classify the GCs, EBER-in situ hybridization was performed with a fluorescein isothiocyanate (FITC)-labeled peptide nucleic acid probe (Y5200; Dako, Glostrup, Denmark), followed by immunohistochemistry with an anti-FITC antibody (V0403, dilution 1:200; Dako). MLH1 immunohistochemistry was applied to TMAs using a mouse monoclonal anti-MLH1 (clone ES05, dilution 1:50; Leica, Wetzlar, Germany). In situ hybridization and immunohistochemistry were performed with a Ventana Benchmark automated immunostainer (Ventana Medical Systems, Tuscon, AZ, USA) according to the manufacturer's protocols.
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