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9 protocols using vectra3 slide scanner

1

Histological Analysis of Tumor Collagen and Hyaluronan

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To facilitate quasi-static elastographic imaging, we removed the tumors from the animals and embedded them in gelatin (see the next subsection). After imaging, we removed the excised tumors from the gelatin block and snap-froze them for later Masson trichrome and hyaluronan (Jacobetz et al. 2013 (link)) staining. All samples were sectioned into 5-μm-thick slices, taken at 100-μm intervals. The stained tissues were digitally captured with a Vectra 3 slide scanner (Perkin Elmer, Waltham, MA, USA). We used a two-step process to generate collagen and hyaluronic acid maps. First, we transformed the digitized histological images from red, green and blue (RGB) to hue, saturation and value (HSV) color space. Second, we used a global thresholding algorithm to segment the transformed images: blue for collagen and brown for hyaluronic acid. We performed all quantitative histological analyses in a MATLAB (The MathWorks, Natick, MA, USA) programming environment.
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2

Optimized Immunohistochemistry Staining Protocol

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Staining was performed using a Discovery Ultra Autostainer (Ventana). For each immunohistochemistry (IHC) Ab, positive control tissue was initially used for optimization and identification of staining morphology, typically with archival paraffin-embedded tonsil, thymus, bone marrow, or spleen. Optimal Ag retrieval, primary Ab dilution, and detection kits were then determined by staining 4-µm sections of intestine. All Ag retrieval was optimal using a Standard Cell Conditioning 1 buffer (Ventana) retrieval protocol for 64 min at 100°C. The following anti-human Abs were optimized: anti-pSMAD3 (phosphor-S423 and S425, rabbit monoclonal clone EP823Y, dilution 1:100; Abcam), anti–MAdCAM-1 (mouse monoclonal, clone 355G8; Thermo Fisher Scientific, dilution 1:100), anti–ICAM-1 (rabbit monoclonal, clone EPR4776, dilution 1:400; Abcam), and anti–VCAM-1 (rabbit monoclonal, clone EPR5047, dilution 1:250; Abcam). The Ultraview DAB Detection Kit (Ventana) was used for all Abs. Digital images were acquired using a Vectra 3 Slide Scanner (PerkinElmer) for cell adhesion molecules and an BX43 microscope (Olympus) for pSMAD3 IHC. Unless otherwise noted, representative images were selected from 10 samples stained in each group.
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3

Whole Mammary Gland Carmine Staining

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Whole mammary glands were spread on a glass slide and fixed with Carnoy’s fixative (60% ethanol, 30% chloroform, 10% glacial acetic acid) overnight at RT. Fixed tissue was rehydrated by washing with decreasing ethanol concentrations (70%, 50%, 30%, 10%) 2 times each for 10 min. Rehydrated tissue was then stained with Carmine Alum (Stem Cell Technologies, 07,070) for 48–72 h. Mammary glands were then dehydrated using increasing ethanol concentrations (70%, 95%, 100%) 2 times each for 15 min, and cleared in xylene overnight. Cleared mammary glands were then mounted with Permount mounting medium (Fischer Chemical, SP15-100) and glass coverslips and allowed to dry overnight. Slides were imaged on the PerkinElmer Vectra3 slide scanner.
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4

Automated HER2 Immunohistochemistry Assay

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After topical tissue staining and DDSI was completed, each specimen was placed in 10% formalin (Biochemical Science Inc, Swedesboro, NJ) for at least 24 hrs and then prepared for IHC staining of HER2. Four micron slices were cut and mounted on Leica Bond Plus Slides (Cat # 00270) and air-dried at room temperature. Using the automated protocol of the Leica Bond Rx Automated Stainer (Leica Products/Equipment, Leica Microsystems, Inc., Buffalo Groove, IL), the slides were baked for 30 minutes and dewaxed with Leica Bond Dewax solution (Cat #AR9222). The antigen retrieval was Bond Epitope Retrieval 2 (Cat #ar9640), carried out in a pH 9.0 solution for 20 minutes. The HER2 primary antibody dilution was 1:300 for 15 minutes (Abcam Cat # ab16901; Abcam Inc., Cambridge, MA). Primary antibody binding was visualized using Leica Bond Refine Detection kit (Cat # DS9800) with a diaminobenzidine (DAB) chromogen and a hematoxylin counterstain. Bright field, whole fit images of stained tissue (H&E and HER2 IHC) were scanned using the PerkinElmer Vectra3 slide scanner.
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5

Quantifying EGFR Expression in Brain Tissue

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Shortly after the 24-h MRI-PAFT scans were acquired, animals were euthanized and brain tissues harvested, frozen and later fixed in preparation for pathological analyses. Several 4-μm-thick sections from each specimen were mounted on slides and stained with either H&E or processed for standard IHC staining of EGFR. For the latter, the primary antibody, Abcam #AB52894 (Abcam Inc., Cambridge, MA) was visualized using Leica Bond Refine Detection kit (Cat # DS9800) with a diaminobenzidine (DAB) chromogen and a hematoxylin counterstain. Both H&E and EGFR IHC slides were scanned using a PerkinElmer Vectra3 slide scanner. Estimates of anti-EGFR staining were determined from 20X magnification IHC images using ImageJ (three sites per tumor). The H DAB vector in the Color Deconvolution 1.7 plugin was applied to each image site to deconvolve the EGFR-stain (brown) from the DAB stain. Next, mean intensity values of the EGFR stain channel were computed from all pixels that met a minimum signal intensity criterium determined from the color images. Mean and standard deviation values were then computed for each of the four animal groups.
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6

Tumor Vascular Imaging Protocol

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Verteporfin or BPD (USP, Rockville, MD, USA) was dissolved in dimethyl sulfoxide at 1 mg/ml then diluted with PBS to obtain a final concentration of 0.1 mg/ml. Lectin (Vector Laboratories, Cat#FL-1211) at a concentration of 2 mg/ml was used as vascular patency marker. BPD (1 mg/kg) and Lectin (2 mg/kg) were injected intravenously one-hour and 2-minutes, respectively, before sacrifice. Seven out of 13 AsPC-1 mice and 7 out of 14 BxPC-3 mice received these injections. After slicing the gel to expose the tumor surface, fluorescence imaging was immediately performed on fresh tissue by a flatbed scanner (GE Typhoon 700) using a 473 nm excitation source with a 670 nm LP filter. Vascular patency was determined by fluorescence imaging of Lectin using a PerkinElmer Vectra3 slide scanner with a FITC filter.
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7

Multiplexed IHC for Breast Cancer

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Slides are cut at 4 mm and air dried at RT before baking at 60 °C for 30 min. Automated protocol performed on the Leica Bond Rx (Leica Biosystems) includes paraffin dewax, antigen retrieval, peroxide block and staining. Heat induced epitope retrieval using Bond Epitope Retrieval 2, pH9 (Leica Biosystems, AR9640) was incubated at 100 degrees Celsius for 20 min (for anti-cytokeratin 5, Bond Epitope Retrieval 1, pH6.0 (Leica Biosystems, AR9961) was used instead). Primary antibody anti-ER (Cell Marque, 249-R-15-ASR, clone: SP1, 1:35 dilution), anti-p63 (Biocare Medical, CM163B, clone:4A4, 1:200 dilution), and anti-cytokeratin 5 (Abcam, ab236216, clone: SP27, 1:100 dilution) was applied and incubated for 15 min at room temp. Primary antibody binding is detected and visualized using the Leica Bond Polymer Refine Detection Kit (Leica Biosystems DS9800) with DAB chromogen and Hematoxylin counterstain. Slides were imaged using the PerkinElmer Vectra3 slide scanner, and PhenoChart. Staining was qualified and quantified by a breast pathologist (KM).
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8

Carmine Alum Staining of Mammary Glands

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Harvested mammary glands are spread out on a slide and allowed to dry for 1 hour at RT. Slides are fixed overnight in Carnoy’s fixative (6 parts 100% EtOH, 3 parts CHCL3, 1 part glacial acetic acid) at RT. On day 2 slides were rehydrated by incubating in 70% ethanol twice for 10 min each, twice in 50% ethanol for 10 min each, twice in 30% ethanol for 10 minutes each, twice in 10% ethanol for 10 minutes each and in distilled water for 5 min. Slides are then stained for 1-2 days in Carmine Alum (Stem Cell Technologies; Catalog No. 07070) at RT. Slides are dehydrated by incubating in 70% ethanol twice for 10 min each, twice in 95% ethanol for 10 min each and twice in 100% ethanol for 10 minutes each. Slides were then cleared in Xylene for 3-4 days, with the solution being changed every day after which they are rehydrated and dehydrated again as above before mounting using Permount (Fisher Chemical; SP15). Slides were scanned on a Perkin Elmer© Vectra 3 slide scanner and analyzed on Phenochart©.
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9

Tissue Imaging and Cell Phenotyping

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Whole-slide scans were captured at 10× with the PerkinElmer Vectra3 Slide Scanner, and ~50 ROIs per tumor were chosen manually with PhenoChart (PerkinElmer). ROIs were imaged at 20× resolution and imported into InForm analysis software (PerkinElmer). Spectral unmixing single stains and background fluorescence slides were generated from the parental tumor according to the OPAL Assay Development Guide. ROIs were spectrally unmixed and assigned colors and exported as composite images (Fig. 4A). Tissue segmentation (trainable to 98% accuracy) and cell segmentation were performed (nuclear compartment —DAPI; cytoplasm—vimentin and KRT8; and membrane—E-cadherin), and cells were phenotyped on the basis of expression of one or multiple markers [E-cadherin only, KRT8/14 and E-cadherin, KRT8 and/or KRT14, triple positive (KRT8 + E-cadherin + vimentin), KRT8/14 and vimentin, Snail only, vimentin only, and vimentin + ZEB1] and validated by marker distribution (fig. S5, A and B). Entire cell mean fluorescent units were extracted for each marker and normalized as a percentile of maximum and minimum fluorescence across all cells in all images.
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