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48 protocols using ventana benchmark gx

1

Immunohistochemical Analysis of ALK and PD-L1 Proteins

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Abnormal ALK protein and PD-L1 protein expression was examined using immunohistochemistry test10 (link),11 (link). Analyses were performed on 3 µm sections of paraffin-embedded tissue, fixed on Thermo Scientific Superfrost Plus glass slides.
ALK protein IHC staining was conducted on Ventana Benchmark GX platform, using CE-IVD approved anti-ALK Rabbit Monoclonal Primary Antibody (clone D5F3). OptiView Amplification Kit and OptiView DAB IHC Detection Kit were used as a detection system. Hematoxylin counterstaining was incorporated in the staining protocol. As a negative control, Rabbit monoclonal negative control immunoglobulin was used (Ventana Medical System, Tuscon, USA).
CE-IVD approved Ventana SP263 antibody was used for PD-L1 protein IHC staining. The procedure was carried out on Ventana Benchmark GX equipment. OptiView Amplification Kit and OptiView DAB IHC Detection Kit were used as a detection system. Counterstaining using haematoxylin was included in the staining protocol. Rabbit monoclonal negative control immunoglobulin (Ventana Medical System, Tucson, AZ, USA) was used as a negative control.
The slides were assessed by pathologists using an Olympus BX41 microscope.
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2

Immunohistochemical Analysis of Muscle and Skin Biopsies

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For each sample, 8-μm serial transverse sections of muscle biopsy specimens and 6-μm serial sections of skin biopsy specimens were immunostained by using a Ventana BenchMark GX automated slide staining system (Ventana Medical Systems, Tucson, AZ) with mouse monoclonal antibodies, or by using an En-Vision system (Dako, Glostrup, Denmark) with a rabbit polyclonal antibody according to manufacturer instructions. The use of primary mouse monoclonal antibodies and rabbit polyclonal antibody are described in Table 2.
For assessment, 20 randomly selected areas of all sections were photographed at an original magnification of 200-fold by a Nikon Eclipse 80i (Nikon Instech Co. Ltd., Tokyo, Japan). For each photograph, the number of immunopositive lymphocytes were manually counted, and Bcl-2, CCR4 labeling indexes (the percentage of immunopositive lymphocytes among 500 lymphocytes in areas where the highest nuclear labeling is observed) were calculated by using a previously reported methodology (28 (link)).
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3

Automated Immunohistochemistry Protocol

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Automated immunohistochemistry was performed using the VENTANA BenchMark GX (Ventana Medical Systems Inc., Tucson, AZ, USA). Deparaffinization, peroxidase inhibition, and antigen retrieval was performed (CC1: 1 mM Ethylenediaminetetraacide acid (EDTA), pH 8.5). According to the manufacturer's protocol, the slides were stained with the primary Ab overnight at 4°C and counterstained. Primary Abs included rat anti‐mouse CCR2 Ab (clone FAB538A, R&D Systems), rabbit anti‐mouse CD11b (GTX134542, GenTex), rabbit anti‐mouse/human F4/80 (PA5‐32399), goat anti‐rabbit IL17A (Abcam, Cambridge, UK, cat no. ab79056), rabbit anti‐mouse CD8e (cat no. 550281, BD Pharmingen), and rabbit anti‐mouse/human/rat CD3 (clone 5690, abcam). Secondary antibodies included rabbit anti‐rat IgG (for CCR2 and F4/80) and goat anti‐rabbit (for CD11b, CD8a, CD3). Slides were developed using the iView DAB universal Kit (code 100032, Ventana Medical Systems Inc.) or ultraView Universal Alkaline Phosphatase Red Detection Kit (#760‐501, Ventana Medical Systems Inc.).
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4

Immunohistochemical Analysis of Signaling Pathways

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Resected tissue samples were fixed with 10% formalin, routinely embedded in paraffin, cut into 4 μm thick serial sections, and used for H&E and immunohistochemical staining. Immunohistochemical staining was performed using a Roche Ventana BenchMark GX autostainer (Ventana Medical Systems, Tucson, AZ, USA) according to the manufacturer’s instructions. Primary antibodies against p-AKT (#4060, 1:100; Cell Signaling Technology, Danvers, MA, USA), p-mTOR (clone 49F9, 1:100; Cell Signaling Technology), p-S6K1 (#9204, 1:100; Cell Signaling Technology), p-4EBP1 (clone 236B4, 1:500; Cell Signaling Technology), S100 (polyclonal, Ventana Medical Systems), CD31 (clone JC70A, 1:200, Dako), CD34 (clone QBEnd10, 1:200, Dako), D2-40 (760-4395, Ventana Medical System), and PROX1 (ab199359, 1:500; Abcam, Cambridge, UK) were used. Samples were considered positive when at least 10% of the endothelial cells of abnormal vessels exhibited a signal for the targeted protein.
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5

Immunohistochemical Analysis of mTOR Pathway

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To measure the expression levels of phosphorylated-mTOR (p mTOR) and its downstream signaling components, eukaryotic translation initiation factor 4E binding protein 1 (4E BP1) and the p70 ribosomal protein S6 kinase 1 (S6K1), in HCC, immunohistochemical staining for p-mTOR, 4E-BP1, and S6K1 was performed on 4 µm-thick tissue sections. In addition, in order to confirm that the tumors were HCC, the tissue sections were stained for AFP, glypican-3, and cytokeratin 19 (CK19). The Ventana BenchMark GX automated platform (Ventana Medical Systems, Tucson, AZ, USA) was used for the immunohistochemical staining. The details of each antibody are summarized in Supplementary Table 1 (only online). Immunostained sections were assessed by an experienced pathologist. The presence of cytoplasmic expression in >5% of tumor cells was regarded as positive for p-mTOR, 4E-BP1, and S6K1 expression. The staining intensity (intensity score 0: no staining, 1: weak, and 2: strong) and the percentage of positive cells (proportion score, 0%–100%) were also assessed.
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6

Postmortem Pathological Examination

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The diagnosis for the deceased patient (F1-IV-2) in Family 1 was confirmed pathologically by a postmortem examination. Immediately after the postmortem examination, organs were fixed in 10% formalin, and 7 µm-thick paraffin-embedded sections were stained with haematoxylin and eosin and Klüver–Barrera staining. Immunohistochemistry was performed with rabbit polyclonal antibody against COL4A1 (1:100, SAB4300825, Sigma-Aldrich, St Louis, MO) and α-smooth muscle actin (1:250, ab7817, Abcam, Cambridge, MA) through the use of a Ventana BenchMark GX automated slide staining system (Ventana Medical Systems, Tucson, AZ) in accordance with the instructions of the manufacturer.
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7

Immunohistochemical Analysis of Liver Cancer Biomarkers

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Tissue microarray cores of 2 mm-diameter were obtained from the 305 SNUBH HCCs (SuperBioChips Laboratory, Seoul, Korea). One to three cores from the HCCs and matched non-neoplastic liver were evaluated in this study. Immunohistochemical stains for YAP, TAZ, K19, EpCAM, CAIX, p53, ezrin, urokinase-type plasminogen activator receptor (uPAR), smad2/3 and Ki-67 were performed on 4 μm-thick tissue microarray sections manually or by using the Ventana BenchMark GX automated platform (Ventana Medical Systems). The details for each antibody are summarized in Table 1.
The presence of cytoplasmic expression in >5% of the tumor cells was regarded as positive for K19, uPAR and smad2/3 expression. EpCAM, CAIX and ezrin were expressed in the tumor cell membranes. Although YAP and TAZ were expressed in both the cytoplasm and nuclei, only unequivocal nuclear or nucleocytoplasmic staining for YAP and TAZ were interpreted as positive. Cytoplasmic YAP/TAZ expression without the nuclear stain was not counted as positive regardless of the intensity. Strong nuclear p53 expression in >5% of tumor cells was interpreted as p53 overexpression. The Ki-67 labeling index was calculated as the percentage of Ki-67-stained tumor cell nuclei over the total number of nuclei in a ×400 magnification field, with the use of ImageJ analysis software (downloaded from imagej.nih.gov/ij, version 1.47).
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8

Epigenetic Profiling of Colorectal Tissue

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The colorectal tissue sections (5 μm thick) were deparaffinized, rehydrated, rinsed with ddH2O, and washed with Tris-buffered saline (TBS). IHC staining was carried out using an automated Ventana BenchMark GX instrument (Ventana Medical Systems, Inc., Tucson, AZ, USA). Probesof anti-MeCP2 (3456, Cell Signaling Technology) and anti-pMeCP2 antibody (AP3693a, Abgent), and a 5mC antibody (AMM99021, AVIVA, San Diego, CA, USA) was used. The intensity of staining was determined using ImageJ1.50i. Randomly selected 10 microscopic fields were subjected to semi-quantification from computer assisted image analyses.
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9

Histochemical Staining of Tissue Sections

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Serial 5 μm sections were taken from the paraffin blocks to contain the same cell with the microtome (Leica RM2145). Five-micron sections were taken from the whole tissue block onto positively charged slides. Slides were kept under suitable conditions for hematoxylin and eosin staining and immunohistochemical (IHC) staining. At the end of the deparaffinization process, 5-micron sections were taken on a positively charged slide, and histochemical staining was performed with caspase-3 (Santa Cruz Bio., China) and nuclear factor kappa B (NF-κB) (Santa Cruz Bio., China) antibody in Ventana Benchmark GX automatic immunohistochemistry stainer.
Light and IHC Staining Preparations Olympus BH 40 brand light microscope with camera attachment was photographed and interpreted. The sections examined under the light microscope were scored as none (−), mild (+), moderate (++), and severe (+++).
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10

Immunohistochemical Tissue Analysis

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Resected tissue samples were fixed with 10% formalin, embedded in paraffin, cut into 4-µm-thick serial sections, and used for hematoxylin and eosin (H&E) and immunohistochemical staining. TNM classification was performed according to the 8th edition of the Union for International Cancer Control. Immunohistochemical staining with a primary antibody against p53 (clone-DO7) and p16 (clone-E6H4) was performed using a Roche Ventana BenchMark GX autostainer (Ventana Medical Systems, Tucson, AZ, USA) according to the manufacturer’s instructions.
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