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7 protocols using aperio cs2 digital pathology slide scanner

1

Lipid Imaging of Rat Brain Tissue

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An automated TM-Sprayer (HTX Technologies,
LLC, Chapel Hill, USA) was used for the application of the lipid standard
between 0.01 and 0.1 g/L concentrations in 2:1 CHCl3:MeOH
onto clean ITO slides for 1 to 10 layers using the following protocol:
spray flow rate 0.12 mL/min, 30 s drying time between
layers, velocity of 1200 mm/min, 3 mm track spacing, at 30 °C.
This created concentrations from 0.33 to 3.3 ng/mm2 (assuming
equal dispersion). Samples were then treated equivalently to brain
tissue sections, where 15 layers of 7 mg/mL norharmane matrix in
2:1 CHCl3:MeOH were sprayed using the TM-Sprayer using
the same settings used for the lipid standards.
Hematoxylin
and eosin (H&E) staining was performed after MALDI imaging. Matrix
was removed from tissue by immersion in 70% ethanol for 3 min. A standard
H&E protocol was then used (70% EtOH, Milli-Q, hematoxylin, running
tap water for 3 min; eosin for 30 s; running tap water for 3 min;
100% EtOH for 1 min; xylene for 30 s; covered with a coverslip using
Entellan mounting medium). High-resolution optical images of stained
tissues were generated using an Aperio CS2 digital pathology slide
scanner (Leica Biosystems, Wetzlar, Germany). Annotations of the rat
brain are shown in Figure S1.
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2

Comprehensive Lung and Heart Histopathology

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Animals were euthanized by CO2 exposure followed by thoracotomy. Carcasses were kept on ice until tissue processing was completed. Lungs were excised, and the right lung was ligated, removed, and flash frozen in liquid nitrogen for protein and RNA analysis. The left lung was inflation fixed with 4% paraformaldehyde instilled through the trachea at 20 cm pressure for 2 minutes. After 24 hours, tissues were transferred to 70% ethanol prior to histologic analysis. Lungs were cut into four levels and oriented with alternating surfaces exposed prior to creation of 5 μm paraffin embedded sections. The heart was excised and the apex flash frozen, the remaining heart tissue was fixed in 10% neutral buffered formalin. The atria of the hearts were removed, and the remaining tissue oriented such that transverse sections of the ventricles could be obtained after paraffin embedding. All histological sectioning and staining were performed by UTHSCSA's Pathology Laboratory.
Lung slides were stained with hematoxylin and eosin stain, von Willebrand Factor, Masson's Trichrome, and α‐smooth muscle actin. Digital slides were created using the Aperio CS2 Digital Pathology Slide Scanner (Leica Biosystems, Wetzlar, Germany). Measurements were made using the following software: Aperio ImageScope software version 12.3.3, Pathomation (Belgium), MIPCloud (Iran), Image J, and Digimizer (Belgium).
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3

Immunohistochemical Analysis of RFP Expression

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Sections of tibiae (with tumors) were deparaffinized in xylene and degraded alcohols. Heat-induced epitope retrieval was performed by using a 2100-Retriever. Slides were rinsed with PBS, and a hydrophobic barrier was created around the tissue using a hydrophobic barrier pen (Vector Laboratories, H-4000-2). Then, slides were placed in an incubating chamber with blocking solution (Vector Laboratories, SP-6000) for 10 min and rinsed with PBS, followed by incubation with 20% horse serum (Vector Laboratories, PK-7200) for 20 min. Next, slides were incubated with the primary antibody against RFP (1:400, Abcam, ab62341, RRID: AB_945213) at 4 °C overnight and rinsed with PBS, followed by incubation with a Horse Anti-Rabbit IgG Antibody (H + L), Biotinylated, R.T.U. (Vector Laboratories, BP-1100-50) or goat IgG HRP-conjugated antibody (R&D systems, HAF017) for 30 min. After being washed again with PBS, slides were incubated with the avidin-biotin detection complex (ABC; Vector Laboratories, SK-4100) for 30 min and were then developed with 3,3′-diaminobenzidine (DAB) solution (Vector Laboratories, SK-4100). Counterstaining was performed by using Hematoxylin QS (Vector Laboratories, H-3404). Slides were scanned with an Aperio CS2 Digital Pathology Slide Scanner (Leica Biosystems).
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4

Quantifying Hippocampal VEGF and BDNF

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Immunohistochemistry was performed according to our laboratory protocol [19 (link)]. After the second PET-CT scan, all rats were sacrificed. We focused on the hippocampal area which is well known for the most sensitive to hypoxic damage [22 (link)]. Hippocampus tissues were used to assess the reactivity of VEGF and BDNF. Briefly, they were incubated with the primary antibody, anti-VEGF (1:300 dilution; Novus Biologicals, Littleton, CO, USA) or anti-BDNF (1:200 dilution; Santa Cruz Biotechnology, Santa Cruz, CA, USA). The slides were reacted with the secondary rabbit anti-mouse IgG antibody (1:500, Chemicon, Billerica, MA, USA). The slides were counterstained with Mayer’s hematoxylin, scanned using an Aperio CS2 digital pathology slide scanner (Leica Biosystems, Wetzlar, Germany) and analyzed using Aperio Image Scope software (Leica Biosystems, Wetzlar, Germany). We also performed quantification of immunohistochemistry. Immunochemically stained tissues were quantified using the IHC image analysis toolbox developed based on Image J. The color and density of the tissue positive DAB were learned from the detected color through the program, and the background pixel was removed. After that, positive color pixels were selected and quantified based on the histogram [23 ,24 (link)].
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5

Immunohistochemical Analysis of Mouse Pancreas

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Paraformaldehyde-fixed paraffin-embedded mice pancreas tissue sections were deparaffinized, rehydrated, and then the tissue was boiled for antigen retrieval with 1X citrate buffer, pH 6.0 (Sigma) for 15 minutes. Next to block endogenous peroxidases, we put the slides in 3% H 2 O 2 for 15 minutes. Nonspecific epitopes were blocked with HyClone Bovine Serum Albumin (GE Healthcare Life Sciences) for 15 minutes. The sections were incubated overnight at 4°C with antibody (Supplementary Table S1). This was followed by an HRP-conjugated secondary antibody (Vector Laboratories, MP-7451) for 1 hour. Next, we used SignalStain® DAB Substrate Kit (Cell signaling) following the manufacturer's instructions. Then, the slides were counterstained with hematoxylin (Dako) or methyl green (Vector Laboratories) and mounted in Acrytol Mounting Medium (Electron Microscopy Sciences). Slides were scanned on Aperio CS2 digital pathology slide scanner (Leica Biosystems) at visualized at 20X magnification.
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6

Sodium Acetate MALDI Imaging Protocol

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An automated TM-Sprayer (HTX Technologies,
LLC, Chapel Hill) was used for sodium acetate deposition. First, 15
layers of sodium acetate solution (4 mg/mL in 2:1 CHCl3/MeOH (v/v)) were deposited at 0.12 mL/min, 30 s drying time
between layers, at 30 °C, preferentially forming sodiated ions
(Figure S1). Following this, matrix was
applied by sublimation: 40 mg of DHA for 4 min at 160 °C with
a pressure of <4 × 10–5 bar.
Lipid
standards were prepared at 0.01 and 0.1 g/L concentrations in 2:1
CHCl3/MeOH and sprayed on clean ITO slides for 1–10
layers following the same protocol as for sodium acetate deposition,
creating concentrations from 0.33 to 3.3 ng/mm2 (assuming
equal dispersion). Samples were then treated equivalently to brain
tissue sections.
Hematoxylin and eosin (H&E) staining was
performed after MALDI
imaging. Matrix was removed from tissue by immersion in 70% ethanol
for 3 min. A standard H&E protocol was then used. High-resolution
optical images of stained tissues were generated using an Aperio CS2
digital pathology slide scanner (Leica Biosystems, Wetzlar, Germany).
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7

Immunohistochemical Staining Protocol

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The study slides containing OLP sections and positive control were incubated with the primary antibody for 30 min at room temperature. The negative control was incubated with no primary antibody (PBS only) for the same time at room temperature. The slides were then washed in PBS three times and incubated with the secondary antibody for 30 min at room temperature. The slides were then incubated with Avidin DH/horse biotinylated horseradish peroxidase solution (Vectastain Universal, Elite, ABC kit, Vector Laboratories, Inc). The slides were washed three times with PBS, and 3', 3'-diaminobenzide (DAB; Dako Australia Pty. Ltd, North Sydney, Australia) was applied for 5 min. After this, the slides were washed with PBS, counterstained in Mayer's Hematoxylin (Amber Scientific, Midvale, Australia), and mounted. Consecutive sections of the same samples were also stained with hematoxylin and eosin without immunohistochemistry. Images were obtained by using an Aperio CS2 Digital Pathology Slide Scanner (Leica Biosystems, Mount Waverley, Australia).
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