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15 protocols using axio scan z1 digital slide scanner

1

Immunostaining Analysis of EOC Specimens

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Mean optical density (MOD) was used to determine the immunostaining of EOC specimen. Briefly, the stained slides were evaluated by using the ZEISS Axio Scan.Z1 Digital Slide Scanner (Carl Zeiss, Germany) and the Image-Pro Plus 6.0 analysis software to measure the mean optical density (MOD). Ten random picked fields in each specimen were analyzed to determine the MOD of the specimen, based on which the mean MOD of a study group of samples was further generated for subsequent inter-group comparative analysis. The MOD data were statistically analyzed by using the Spearman's correlation analysis to compare the average MOD difference between different groups of tissues, and P < .05 was considered significant.
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2

Histomorphological Analysis of Liver and Lung

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The liver and lungs were fixed in 10% formalin neutral buffer solutions for one day and then stored in 70% ethanol at 4 °C upon paraffin embedding process. Then specimens were embedded in paraffin wax after the fixation. Sections of liver and lung tissues samples were cut into 5 um thickness with a microtome (Leica RM2125, Germany) and mounted on a glass slide and were then deparaffinized in xylene and rehydrated in a graded ethanol series then stained with haematoxylin–eosin (HE staining) to analyse their morphology. Periodic acid-Schiff staining (PAS staining) to observe the protein accumulation on the alveoli of the lungs. Liver and lungs sections images were obtained using ZEISS Axio Scan.Z1 Digital Slide Scanner (Carl Zeiss Microscopy, NY) then analysis was performed using QuPath version 0.2.3. software. The images were analyzed from three random regions of interest (ROI) in the liver and lungs of each animal. Sham treatment, n = 3 animals; 5′-AMP , n = 4 animals ; Saline + 2 Gy , n = 4 animals; 5′-AMP + 2 Gy , n = 4 animals.
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3

Quantifying Epithelial-Mesenchymal Transition

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Immunohistochemistry was performed on FFPE sections (4 μm) as described previously [13] using antibodies listed in Supplementary Information. The slides were scanned using ZEISS Axio Scan.Z1 Digital Slide Scanner (Carl Zeiss Microscopy) with a 40× objective. Image data were acquired using ZEN lite software (Carl Zeiss Microscopy) and quantified using Image J (NIH, Bethesda, MD) with the Color Deconvolution plugin [30] (n = 10). Multi-color immunofluorescence staining was performed using FFPE sections (4 μm). Slides were incubated with a combination of the primary antibodies (CD45, CD31, E-cadherin, pan-cytokeratin (CK), and vimentin) and corresponding secondary antibodies. Slides were quenched with TrueVIEW Autofluorescence Quenching Kit (Vector Laboratories), counterstained with DAPI, and mounted with Vectashield Plus Antifade Mounting Medium (Vector Laboratories). Fluorescently stained slides were scanned using ZEISS Axio Scan.Z1 Digital Slide Scanner (Carl Zeiss Microscopy) with 40× objective. Image data were acquired using ZEN lite software (Carl Zeiss Microscopy). For quantification of E-cadherin + (green)/CK + (red) cells and vimentin + (red)/CK + (green) cells, the number of yellow pixels (green and red overlapping pixels) was counted and normalized with the number of blue pixels (nucleus) per field of view at a final magnification of 40× (n = 4), using Image J.
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4

Comprehensive APTB Diagnostic Protocol

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Quality of expectorated sputum specimens was assessed using quantification of squamous epithelial cells and polymorphonuclear cells per low-power field, in a Gram-stained smear of the specimen. Sputum samples were stained using a kit featuring Kinyoun staining (Cold ZN, RAL, Toulouse, France) and scanned by automated microscopy (Axio Scan Z1 Digital Slide Scanner, Zeiss, Germany) [7 (link)]. Positive results were confirmed by classical microscopic examination after Ziehl–Neelsen staining. qPCR (GeneXpert MTB/RIF assays, Cepheid, Sunnyvale, CA, USA) was performed to detect Mycobacterium tuberculosis and rifampicin resistance genes, according to the manufacturer’s recommendations. Participants were informed of their microscopy and qPCR results within 72 h of recruitment. Culture of M. tuberculosis Complex (MTC) organisms was carried out on solid culture media including Coletsos medium (bioMérieux, France) for all samples for up to 6 weeks. The case definition for confirmed APTB was a positive qPCR (highly sensitive detection method) and/or a positive culture for MTC organisms which is considered the gold standard. If an individual was confirmed to have APTB, they were referred to hospital.
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5

Histological Analysis of Gonadal Tissues

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Testes and ovaries were fixed in Bouin’s fixative (Sigma-Aldrich, MBD1105) overnight at 4 °C, embedded in paraffin, and sectioned at 5μm. For periodic acid–Schiff (PAS, Solarbio, #G1281) staining, sections were deparaffinized and rehydrated and then stained with PAS. Slides were mounted in neutral resins and images were acquired using an Axio Scan.Z1 Digital Slide Scanner (Zeiss).
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6

Masson's Trichrome Staining of Tissue Sections

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Sections were brought to room temperature for 15 min under the hood. After sections were hydrated in PBS (1×, Gibco, Product No. 18912-014), they were stained with the Masson’s Trichrome kit (DiaPath, Ref: 010210, Lot: 2020×17501) according to manufacturer’s instructions. Sections were dehydrated in a series of 70% (v/v) (VWR, 83801.360), 90% (v/v), and 100% (v/v) ethanol (Fisher Scientific, 10048291), a minute in each. Sections were cleared in xylenes (Sigma-Aldrich, Product No. 534056-500 mL) 3 times for 5 min and then mounted in Diamount (Diapath, Ref: 030400, Lot: 2016XIII26) and sealed with clear nail polish (DIAMANT, #3501). Sections were imaged with the Axio Scan.Z1 Digital Slide Scanner (Zeiss).
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7

Quantifying Immune Cell Profiles in Primary Tumors

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Immunohistochemistry (IHC) was performed on formalin-fixed, paraffin-embedded primary tumor tissue using the antibodies: CD3 (clone IR503; DAKO), CD8a (clone: C8/144B; DAKO), CD4 (clone 4B12; DAKO), CD103 (clone EPR4166(2); Abcam), PD-1 (clone NAT105; Abcam), PD-L1 (clone E1L3N; CST), MHCI ABC (clone EMR8-5; Abcam) and MHCII DR+DP+ DQ (clone: CR3/43; Abcam). Stained slides were scanned using a Zeiss Axio Scan.Z1 Digital Slide Scanner and Zeiss ZEN software (V.2.6) and positive cells were enumerated using the QuPath bioimage analysis software (V.0.2.9-m9); automated positive cell counting was on three independent regions, with the diaminobezidine mean as the score compartment.24 (link)
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8

Picro Sirius Red Staining Protocol

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Sections were brought to room temperature for 15 min under the hood. After sections were hydrated in PBS (1×, Gibco, Product No. 18912-014), they were stained with the Picro Sirius red stain kit (Abcam, ab150681, Lot #: GR3363951) according to manufacturer’s instructions. Sections were rinsed with 100% (v/v) ethanol (Fisher Scientific, 10048291), three times for one minute. Sections were cleared in xylenes (Sigma-Aldrich, Product No. 534056—500 mL) 3 times for 5 min and then mounted in Diamount (Diapath, Ref: 03 0400, Lot: 2016XIII26) and sealed with clear nail polish (DIAMANT, #3501). Sections were imaged with the Axio Scan.Z1 Digital Slide Scanner (Zeiss).
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9

Hematoxylin and Eosin Staining Protocol

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Sections were brought to room temperature for 15 min under the hood. After sections were hydrated in PBS (1×, Gibco, Product No. 18912-014), they were stained with Mayer’s hematoxylin solution, Lillie’s modification (Dako, Ref: S3309, Lot #: 10148347) for 3 min. Sections were washed in tap water at room temperature until color no longer leached from the slides, and then were washed in ultrapure water (Milli-Q Q-Pod, Merck). Bluing reagent (Dako, Ref: CS702, Lot #: 072297) was added to the sections for 2 min and then washed with ultrapure water (Milli-Q Q-Pod, Merck). Sections were then stained with 1% (w/v) Eosin Y solution for 1 min before being washed with ultrapure water (Milli-Q Q-Pod, Merck) until no further color leached from the sections. Sections were dehydrated in a series of 70% (v/v) (VWR, 83801.360), 90% (v/v), and 100% (v/v) ethanol (Fisher Scientific, 10048291), a minute in each. Sections were cleared in xylenes (Sigma-Aldrich, Product No. 534056-500 mL) 3 times for 5 min and then mounted in Diamount (Diapath, Ref: 030400, Lot: 2016XIII26) and sealed with clear nail polish (DIAMANT, #3501). Sections were imaged with the Axio Scan.Z1 Digital Slide Scanner (Zeiss).
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10

Quantitative Analysis of Liver ICG Uptake

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Dissected liver samples were snap‐frozen in liquid nitrogen, cryosectioned at 12 µm (CM1950, Leica Microsystems, Wetzlar, Germany), counterstained with H33342 dye (H33342; Sigma‐Aldrich, Merck KGaA, Darmstadt, Germany) and mounted with Vectashield (H‐1000, Biozol Eching, Germany). Stained tissue sections were scanned with an AxioScan.Z1 digital slide scanner (Zeiss, Jena, Germany) equipped with a 20x magnification objective. The whole area of one section per liver was analysed. ICG‐based signals were detected with a filter set FT 762 ‐ BP785/38 and H33342 with a filter set FT 405 ‐ BP 425/30. Images of the entire tissue sections were acquired and evaluated using the commercially available image analysis software Definiens Developer XD 2 (Definiens AG, Munich, Germany). The calculated parameter was the mean ICG fluorescence intensity of the whole liver tissue section.
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