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10 protocols using strataquest analysis software

1

Cervical Cancer Tissue Microarray Analysis

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The cervical cancer tissue microarrays, purchased from Shanghai Outdo Biotech (Shanghai, China), contained 85 cases of cancerous tissues with follow-up and 22 matiched cases of paracancerous tissues. This process had fully informed consent of the patients. Immunohistochemistry was performed by using the avidin–biotin complex method (Vector Laboratories), including heat-induced antigenretrieval procedures. Incubation with antibodies against CK5 (1:150; #71536, Cell Signaling), TIMP1 (1:150; abs149999, Absin), EZH2 (1:100; #5246, Cell Signaling), SF3B2 (1:150; abs116920, Absin), COPS8 (1:150; abs143431, Absin) was carried out at 4 °C for 12 h. PanCK CK5 was used to mark cancer cells. DAPI was used to highlight all nuclei. Visualization and quantitation of the different fluorophoreswas achieved on the TissueFAXS Spectra Systems and StrataQuest analysis software (TissueGnostics); the location information and expression of all the markers were computed for every cell were recorded.
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2

Multiplexed Immunofluorescence Tissue Imaging

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As previously described [21 (link),22 (link)], in brief, samples were cut into 5 μm thick sections and loaded onto adhesion microscope slides. The slides were preprocessed with deparaffinization, rehydration, and antigen retrieval for mIF staining. Multiplexed immunofluorescence staining of tissue was performed using TG TSA Multiplex IHC Assay Kits (TissueGnostics Asia-Pacific Ltd.) primary antibody against pan-CK (catalog number: ab7753, Abcam; dilution at 1:4000), CD8A (catalog number: ABS171634, Absin Inc.; dilution at 1:1000), MRPL13 (catalog number: ABS140737, Absin Inc.; dilution at 1:200), second antibody (catalog number: PV-6002 and PV-6001; Zhongshan Goldbridge Biotechnology, China; ready-to-use), and NEON E-TSA Smart 540 seven-color kit from HISTOVA company (Beijing histova Biotechnology Co., Ltd). The cell density nucleus area per cell and expression per cell were quantified using StrataQuest software (version 7.1.119, TissueGnostics GmbH, Vienna, Austria). Visualization of the different fluorophores was achieved on the TissueFAXS Spectra Systems (TissueGnostics GmbH, Vienna Austria) and StrataQuest analysis software (Version 7.1.129, TissueGnostics GmbH, Vienna, Austria).
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3

Quantitative Immunofluorescence Analysis of Gastric Cancer Biomarkers

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Tissue microarray of gastric cancer were purchased from Shanghai Outdo Biotech Co., Ltd., Shanghai, China. Detailed clinicopathological characterization is summarized in Supplementary Table 2. Standard Immunofluorescent (IF) staining procedures were performed using a specific antibody against FOXM1 (Abcam 207298) or hTERT (Abcam 230527) (1:50 dilution) for 1 hour incubation at room temperature [45] (link). All images were acquired using the TissueFAXS Spectra Systems by TissueGnostics and then analyzed by StrataQuest analysis software (TissueGnostics). The overall IF scores of FOXM1 or hTERT were calculated using the following formula: overall score = percentage of positive cells × mean fluorescence intensity of positive cells.
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4

Spatial Transcriptomics with Multiplexed Immunofluorescence

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Frozen slides, from the same samples for spatial transcriptome RNA-seq, were used for multiplexed immunofluorescent staining with TG TSA Multiplex IHC Assay Kits (TissueGnostics Asia-Pacific Ltd.). Image scanning was performed and visualized with TissueFAXS Spectra Systems (TissueGnostics GmbH), and the images were quantitatively analyzed (quantities of specific cell types and distances between different types of cells) with StrataQuest analysis software (Version 7.1.129, TissueGnostics GmbH). The multiplexed immunofluorescent staining of the 5 paired infiltrated and excluded FFPE slides were stained with the AlphaTSA Multiplex IHC Kit (AXT37100031) by AlphaPainter X30, scanned by ZEISS AXIOSCAN 7 and analyzed by Halo (3.4, Indica Laboratories).
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5

Multiplex Immunofluorescence Analysis of Pancreatic Cancer

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We collected pathologically confirmed pancreatic cancer specimens from 20 patients undergoing radical pancreatic cancer surgery from the Peking Union Medical College Hospital (PUMCH) with the approval of the Institutional Ethics Committee of PUMCH (Ethic code: I-22PJ487). Twenty surgical pancreatic cancer specimens were fixed in formalin and then embedded in paraffin. Multispectral IF staining was performed as previously described62 (link). These tumor tissue sections were incubated with the following antibodies: anti-CD66b (Abcam, ab207718, dilute at 1:500), anti-Myeloperoxidase (Abcam, ab208670, dilute at 1:100), anti-CD68 (Abcam, ab213363, dilute at 1:100), and anti-LC3B (Abcam, ab192890, dilute to 1 µg/ml). Nuclear staining was performed with ProLong Diamond Antifade mounting medium containing DAPI (Invitrogen). Images of tissue specimens were obtained using the TissueFAXS Spectra Systems (TissueGnostics GmbH, Vienna Austria). With the help of StrataQuest analysis software (Version 7.1.129, TissueGnostics GmbH, Vienna, Austria), we separated the multi spectral image (5-color staining) and set a threshold to divide the positive cells for analysis of cell number and location distribution.
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6

Quantifying Tumor-Infiltrating Immune Cells

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Tumor infiltrating neutrophils or intratumoral blood/lymphatic vessels in xenografts were stained immunohistochemically with anti-LY6G, anti-LYVE-1, or anti-CD31 antibodies and quantified by positive pixel count in relation to total tumor pixel count using Image Scope software, version 12.3.0.5056 (Leica, Wetzlar, Germany). Numbers of anti-LY6Gepositive tumor-infiltrating neutrophils in human tumors were counted with Strataquest Analysis software (TissueGnostics, Vienna, Austria). The distance of neutrophils to lymphatic vessels in xenograft sections was evaluated by immunofluorescent labeling with anti-LY6G, anti-LYVE-1, and DAPI using ZEN software (Zeiss) and classified into three categories ( 10, 11e20, and 21e200 mm).
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7

Hepatopancreas Tissue Analysis Procedures

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The hepatopancreas tissue fixation, dehydration, embedding, hematoxylin and eosin (H&E) and periodic acid Schiff (PAS) staining procedures were conducted as described by Yu et al. [32 (link)]. Then, the pictures were visualized using TissueGnostics Fluorescence Imaging System (TissueGnostics, Vienna, Austria) and the glycogen granules and effective nucleus analyzed by the StrataQuest Analysis Software (TissueGnostics, Vienna, Austria). BAs were extracted and analyzed for the corresponding plasma and bile samples with obvious hepatopancreas damage observed in HP group and no obvious abnormalities in the hepatopancreas observed in HP+BAs group. The graph abstract is shown in Figure 1.
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8

Quantitative Analysis of Collagen and HSP47 Expression

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The unpaired t-test (two-sided) was used to compare the two groups, and the Tukey-Kramer method was used to compare multiple groups. Pearson’s correlation coefficient test was used to examine correlations between the two groups. The MedCalc software package (Ver 8.0.1.0; MedCalc Software bvba Belgium) and the SPSS program (Ver 22; SPSS Inc. US) wre used for calculations. The images of the tissue specimen stained by Azan-Mallory method and immunostained for HSP47 in foci area were obtained by BZ-X710 (Keyence corporation, Japan) with PlanApo_λ 20x NA = 0.75 (Nikon, Japan). The area of blue stained collagen fibrils and the dark-brown DAB-stained HSP47-cells were quantified using StrataQuest Analysis Software (TissueGnostics, Austria). The chi-squared test was used to compare the two groups for the percentage of BrdU positive PSCs. All data are shown as mean±standard deviation. A P value of<0.05 was considered statistically significant.
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9

Fluorescence Imaging Protocol for Cell Analysis

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Fluorescence imaging was conducted using an Axio Imager 2 microscope (20×, ZEISS, Jena, Germany) equipped with a Colibri 7 light source (ZEISS, Germany) and the TissueFAXS PLUS system (TissueGnostics, Vienna, Austria). The light source comprises six LED modules and seven fluorescence channels, each emitting monochromatic light of a different wavelength. LED-optimized filters and direct coupling enhance sensitivity and ensure optimal excitation and emission spectra.
The images were analyzed using StrataQuest Analysis Software (v7, TissueGnostics, Vienna, Austria), and the minimum and maximum ranges for each filter were set by automatically adjusting the saturation. The mean minimum and maximum intensities of the slides were used for each marker in each panel [22 (link)].
Nuclei were detected and segmented using DAPI images. The mean staining intensities for the five different markers were measured using nuclei areas in six equally distributed circular ROIs with an area of 0.785 mm2 (a circular ROI that fits into a 1 × 1 cm square) per slide. The total number of cells with a mean intensity greater than 100, which were considered as ‘positive’, was recorded.
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10

Fluorescence Imaging and Quantitative Analysis of Tissue Samples

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Fluorescence imaging was performed with an Axio Imager 2 microscope (20×, Zeiss, Germany) and the TissueFAXS PLUS system (TissueGnostics, Austria). Images were processed and quantitatively analyzed with StrataQuest Analysis Software (v6, TissueGnostics). Optimized DAPI images were used to detect and segment nuclei (Figure 2). Nuclei areas were used to measure the mean staining intensities on FITC-and Cy5-shades in selected 1 mm 2 circular regions of interest (ROIs) that were placed around mesh fibers, each including about 2,000-5,000 nuclei (Figure 3). About 11 (median; range: 4-35) ROIs were analyzed in each sample for all stainings to represent the FBG. The area of the entire sample without the area of the ROIs was considered mesh-scar tissue. We recorded the total number of nuclei, as well as the percentages of FITC + (CD68 + ), Cy5 + (second marker + ), and the double-positive FITC + Cy5 + (CD68+ and second marker+) cells.
Additionally, controls without primary antibody and controls with isotype antibodies were performed, the later with all dilutions and incubation times (Figure 4). With a cut-off value of 100 for the mean intensity in the nuclear area on average less than 2% of false-positive cells were detected (Table 2).
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