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Aperio digital pathology slide scanner at2

Manufactured by Leica
Sourced in United States, Germany

The Aperio digital pathology slide scanner AT2 is a high-performance digital slide scanner designed for efficient digitization of tissue samples. The device rapidly captures high-resolution digital images of microscope slides, enabling digital pathology workflows and analysis.

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11 protocols using aperio digital pathology slide scanner at2

1

Brain Histological Analysis Protocol

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Brain histological assessments were performed as previously described (Bin et al., 2018 (link); Song et al., 2018a (link)). Briefly, the mouse was anesthetized by sodium pentobarbital and transcardially infused with the dissection-only ACSF and then with 10% neutral buffered formalin solution. The brain was removed and further fixed in a hypertonic (with 20% sucrose) formalin solution for ≥24 h. Cryostat coronal sections of 25 μm thickness were obtained and stained. Images were obtained using a slide scanner (Aperio digital pathology slide scanner AT2, Leica) at 20× magnification and analyzed using ImageScope (Leica) and ImageJ software. Hemispheric area, hippocampal area including CA1 and CA3 cell body layers were measured from sections corresponding Bregma −1.7 mm to −1.94 mm and Bregma −3.16 mm to −3.4 mm. The densities of CA1 and CA3 cell body layers were measured from middle CA1 and CA3 regions (200 μm in length). Brightness and contrast of grayscale images were adjusted to distinguish cell body layers from adjacent dendritic layers. The areas (pixel numbers) of cell body layers were measured from adjacent three sections for each mouse.
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2

Brain Histology Preparation and Imaging

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Brain histological sections were prepared using a protocol modified from our previous studies (Jeffrey et al., 2014 (link); Stover et al., 2017 (link)). Mice were anesthetized via sodium pentobarbital (100 mg/kg, intra-peritoneal injection) and perfused trans-cardiacally with saline and then with 10% neutral buffered formalin solution (Sigma-Aldrich; Oakville, Ontario, Canada). Removed brains were further fixed in a hypertonic (with 20% sucrose) formalin solution. Coronal sections of 50 μm thick were obtained using a Leica CM3050 research cryostat and placed onto glass slides (Superfrost plus microscope slides, Fisher Scientific, Canada). Brain sections were dried in room air for ≥1 week, processed sequentially with chloroform (24 h), 95% ethanol (24 h), 90% ethanol (12 h), and 70% ethanol (0.5 h), and then stained with cresyl violet (0.1%, Sigma Aldrich, Oakville, Ontario, Canada). Images of brain sections were obtained using a slide scanner (Aperio digital pathology slide scanner AT2, Leica) at 20 × magnification and analyzed using ImageScope (Leica) or Image J (National Institute of Health, USA) software.
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3

Brain Histological Sections Preparation

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Brain histological sections were prepared using a protocol modified from previous studies of our laboratory (Jeffrey et al. 2014 (link); Stover et al. 2017 (link)). Each mouse was anesthetized by sodium pentobarbital as described above and infused transcardiacally with standard ACSF and then with 10% neutral buffered formalin solution (Sigma-Aldrich). Removed brains were further fixed in a hypertonic formalin solution (with 20% sucrose) for ≥24 h. Brain coronal sections of 50 μm thickness were obtained using a Leica CM3050 research cryostat. Sections were mounted onto glass slides (Superfrost plusmicroscope slides, Fisher Scientific), dried at room temperature for ≥1 week, and then stained with cresyl violet (Sigma Aldrich). Images were obtained using a slide scanner (Aperio digital pathology slide scanner AT2, Leica; at ×20 magnification) and analyzed using ImageScope (Leica) or Image J software (National Institute of Health, USA).
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4

Histological Analysis of Ischemic Brains

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Mice were euthanized within 24 h following MCAO or 4–5 weeks post sham surgery for preparation of brain histological sections (El-Hayek et al., 2011 (link); Wang et al., 2015 (link); Wu et al., 2015 (link)). Briefly, mice were anesthetized via an intra-peritoneal injection of sodium pentobarbital (100 mg/kg) and trans cardially infused with 10% neutral buffered formalin solution. Brains were removed and further fixed in a hypertonic (with 20% sucrose) formalin solution. Cryostat coronal sections of 30 μm thickness were obtained and stained with cresyl violet. Images of brain sections were obtained using a slide scanner (Aperio digital pathology slide scanner AT2, Leica) at 20× magnification and analyzed using ImageScope (Leica) and ImageJ (National Institute of Health, Bethesda, MD, USA) software.
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5

Cryosectioning and Cresyl Violet Staining for Brain Histology

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Protocols for brain histology were detailed previously (Song et al., 2018 (link); Liu et al., 2021 (link)). The control or extended kindled mice were euthanized for brain histology after the 60 days handling manipulation or the initial or late EEG-video monitoring (Figure 1F). Coronal brain sections (50 μm thick) were obtained via a Leica research cryostat (model CM3050) and stained with cresyl violet. Images were obtained using a slide scanner (Aperio digital pathology slide scanner AT2, Leica; at 20 × magnification) and analyzed using ImageScope (Leica) and Image J software (National Institute of Health, USA). Putative tip locations of the implanted electrodes were recognizable from three control mice and 10 extended kindled mice (Supplementary Figure 1).
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6

Quantitative Immunostaining for Protein Expression

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A validation cohort, consisting of IUP (n = 25) and PUC with inverted growth (n = 16), was utilized independently from those used for the proteomic analysis. Immunostaining assays for SERPINH1 (1:200, sc-5293, RRID : AB_627757, Santa Cruz Biotechnology, Dallas, TX) and PYGB (1:2,000, HPA031067, RRID : AB_2673722, Sigma-Aldrich, St. Louis, MO) were conducted in IUP and PUC with inverted growth, using an automated BenchMark ULTRA System (Roche Diagnostics, Rotkreuz, Switzerland). The immunostained glass slides were digitally scanned using an Aperio Digital Pathology Slide Scanner AT2 (Leica Biosystems, Buffalo Grove, IL). Expression of SERPINH1 and PYGB was quantified by “H-score” [1 ∗ (% cells 1+) + 2 ∗ (% cells 2+) + 3 ∗ (% cells 3+)], with an interpretation ranging from 0 to 300 (33 (link)), using the QuPath platform for bioimage analysis (RRID : SCR_018257) (34 (link)). The area under the receiver operating characteristic (AUROC) was calculated using MedCalc version 20.019 (MedCalc Software Ltd, RRID : SCR_015044, Ostend, Belgium) and the optimal level of H-score with corresponding sensitivity and specificity were estimated on the basis of the Youden index.
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7

Transwell Migration and Invasion Assay

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A total of 1 × 104 and 4 × 104 cells (for migration and invasion, respectively) were seeded into the upper chamber of 8 µm-pore transwell inserts (Corning, Corning, NY, USA) in serum-free DMEM and allowed to migrate/invade for 24 h toward the lower chamber containing 600 µL of DMEM with 10% FBS. In the case of the invasion assays, the transwell inserts were precoated with 20 µg of Matrigel (Corning, NY, USA). At the end of the incubation period, the membranes were removed from the inserts using a scalpel blade, mounted onto a glass slide, and scanned using the Aperio Digital Pathology Slide Scanner AT2 (Leica Biosystems, Wetzlar, Germany). The number of cells that migrated/invaded was counted in at least five randomly selected fields at 10× magnification (ImageJ v1.5, National Institutes of Health, Bethesda, MD, USA). Three independent experiments were performed in duplicate for each assay.
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8

Lung Fibrosis Quantification in Mice

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Following imaging studies, mice were euthanized, and the lungs were inflated and fixed with 10% formalin overnight and then transferred to 70% ethanol for storage. Lung tissue samples were processed by the UWCCC Translational Research Initiatives in Pathology (TRIP) lab using previously reported methods [20 (link)]. Tissues were embedded in paraffin for Masson’s trichrome staining and immunohistochemical (IHC) staining of FAP. IHC was performed with an anti-FAP antibody (ab53066; Abcam) at an antibody dilution of 1:50. Human breast cancer tissue available through the TRIP lab was used as a positive control. Omission of the primary antibody was used for the negative control. Stained slides were imaged using Leica Aperio AT2 digital pathology slide scanner. Ashcroft scoring was performed to quantify the degree of fibrosis of Masson Trichrome’s stained lung tissue samples as previously described [29 (link)].
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9

Quantifying Mesangial Expansion in Kidney

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Kidneys were fixed in 4% formalin and embedded in paraffin. The kidney paraffin sections were stained with PAS and scanned at magnification 340 using the Aperio AT2 Digital Pathology Slide Scanner (Leica, Wetzlar, Germany) for digital microscopy. The mean mesangial expansion was quantified blinded in 60 randomly selected glomeruli per kidney with ImageJ software.
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10

Quantifying Skeletal Muscle Injury Patterns

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Five-µm-thick full cross sections of hind limbs were stained for hematoxylin and eosin. Entire cross sections were digitally scanned using a Leica Aperio AT2 Digital Pathology Slide Scanner (Leica Biosystems, Germany) with 40× objective engaged. Skeletal muscle injury areas were identified for all muscles, categorized as either injury-necrosis or injury-regeneration, based on disrupted myofibers devoid of nuclei or regenerated myofibers with centralized nuclei, respectively.38 (link)–40 (link) Areas were quantified using ImageJ (National Institutes of Health) and Aperio ImageScope (version 12.3.2.8013; Leica Biosystems). Maps were created based on the locations and the size (area) of the injured territory within a given section (Figure 1). Areas were averaged from 9 C57BL/6J mice at day 10 and 5 C57BL/6J mice at day 28. A validation cohort of 5 C57BL/6N mice harvested at day 10 was similarly analyzed. A second validation cohort of 32 inbred C57BL/6J male mice also subjected femoral artery excision was analyzed, evaluating injury maps specifically in the tibialis anterior and distal gastrocnemius muscles.
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