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Multiplex Immunohistochemistry for Tissue Profiling

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Slides were stained in accordance with the manufactures protocol (Akoya Biosciences, Catalog #NEL821001KT). The following primary antibodies were used: CD3 (Clone Sp7, Abcam, #ab86734), CD8 (Clone C8/144B, Dako Agilent, Catalog #M710301-2), FoxP3 (Clone 236A/E7, EBioscience, Catalog #14-4777-82), CD20 (Clone L26, ThermoFisher, Catalog #14-0202-82), CD68 (Clone PG-M1, ThermoFisher, Catalog #MA5-12407), CD163 (Clone 10D6, ThermoFisher, Catalog # MA5-11458), Ki-67 (Clone MIB-1, Dako, Catalog #M724029-2), CD14 (Clone EPR3653, Abcam, Catalog #ab133335), PanCK (Clone AE1/AE3 + 5D3, Abcam, Catalog #ab86734), in combination with Opal Polaris 480 (Akoya Biosciences, Catalog #FP1500001KT), Opal Polaris 780 (Akoya Biosciences, Catalog #FP1501001KT) and Opal 520, Opal 540, Opal 570, Opal 620, Opal 650 and Opal 690 (Akoya Biosciences, Catalog #NEL821001KT). Slides were imaged using the Vectra Polaris.
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2

Multiplex Immunofluorescence Tissue Imaging

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Multiplex immunofluorescence (IF) staining, validation and analysis are detailed in Supplementary Methods and Supplementary Figs. S2 and S3. Briefly, 4-μm sections of formalin-fixed paraffin-embedded (FFPE) tissue samples were deparaffinised and antigen retrieval was performed using DAKO PT-Link heat-induced antigen retrieval with a low- (pH 6) or high-pH (pH 9) solution (DAKO). Samples were stained with mAbs targeting cytokeratin (CK), CD4, CD8, FOXP3, PD-1 and CD137 followed by TSA visualisation with fluorophores Opal 520, Opal 540, Opal 570, Opal 620, Opal 650 and Opal 690 (Akoya Biosciences), as described earlier.20 Each tissue section was put through several sequential rounds of antibody staining. In the seventh round, nuclei were counterstained with spectral DAPI (Akoya Biosciences) and sections mounted with Faramount Aqueous Mounting Medium (Dako). Multiplexed immunofluorescence slides were scanned on a Vectra-Polaris Automated Quantitative Pathology Imaging System (Akoya Biosciences). Tissue imaging, spectral unmixing and phenotyping were performed using inForm software (version 2.4.8, Akoya Biosciences), as described previously.20
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