Immunohistochemical results showed Ki-67 (+90%), EGFR (+), Her-2 (+++), Hepatocyte (−), AFP (−), CK20 (focal +), ck7 (−), Villin (++), CDX-2 (++), COX-2 (++), PD-1 (−), PD-L1 (−), MLH1 (+), MSH2 (+), MSH6 (+++), and PMS2 (++).
Benchmark platform
The Benchmark platform is a laboratory equipment product offered by Roche. It serves as a core function for various laboratory applications. The details of its intended use are not provided in this response.
10 protocols using benchmark platform
Comprehensive Immunohistochemical Profiling
Immunohistochemical results showed Ki-67 (+90%), EGFR (+), Her-2 (+++), Hepatocyte (−), AFP (−), CK20 (focal +), ck7 (−), Villin (++), CDX-2 (++), COX-2 (++), PD-1 (−), PD-L1 (−), MLH1 (+), MSH2 (+), MSH6 (+++), and PMS2 (++).
Comprehensive Profiling of Lung Cancer Subtypes
Ethical approval was obtained and tissue was acquired through the Northern Ireland Biobank (reference: 12-00168). For adenocarcinoma, predominant histologic pattern (solid, lepidic, acinar, papillary, and micropapillary) was determined according to the 2015 WHO classification.18 (link) For squamous cell carcinoma grading, we used well, moderate, and poorly differentiated categories. The TMA blocks were prepared using 1.0-mm tissue cores as described previously and using national guidelines.19 (link), 20 (link)
EGFR mutation data obtained using COBAS or Sanger sequencing was available in 250 cases of adenocarcinoma. ALK fusion protein expression data was obtained using ALK IHC, only in adenocarcinoma, with the D5F3 clone on a Ventana BenchMark platform and was positive in 7 of 407 adenocarcinoma cases. This was complemented by a cohort of 15 whole-face sections (8 adenocarcinomas and 7 squamous cell carcinomas).
Evaluating PD-L1 Expression in Cancer
Immunohistochemical Profiling of Tumor Samples
Immunohistochemical Analysis of Ki-67 in Formalin-Fixed Paraffin-Embedded Tumors
Detection of Bacteroides fragilis in Tissues
Automated Quantitative Analysis of p63 Expression
Slides were digitalized on APERIO® digital scanner (Leica Biosystems) and five random areas for each case were selected for automated analysis through a nuclear algorithm. Immunohistochemical expression of p63 was quantitatively obtained based on both the percentage of stained cells (varying from 0 to 100% of cells) and staining intensity (0, 1, 2 or 3), generating a Histologic Score (HScore). Immunoreactivity for p63 was recorded as negative if HScore < 150 and positive when ≥ 150, which has been previously shown to demonstrate more accurate results [76 (link), 77 (link)].
Immunohistochemistry for Tumor Characterization
Bone-Implant Interface Vascularization Analysis
ERG is a rabbit monoclonal antibody (EPR3864, Ventana Medical Systems) and runs on the Ventana Benchmark platform in a ready-to-use concentration.
NDP.view2 was used to view the scanned slides, and QuPath-0.2.3 was used for quantification of ERG-positive capillaries stained brown by the 3.3 ´-Diaminobenzidine (DAB) reaction.
Positive nuclei and the total number of nuclei were recorded in the 2-mm implant gap area (Figure 4). Unfortunately, the areas containing hydroxyapatite were difficult to section, resulting in lost tissue, which made comparison between groups impossible. Thus, immunohistochemical results were not included in this study.
(FIGURE 4 SHOULD BE PLACED HERE)
Immunohistochemical Assessment of IL-13Rα2 Expression
Immunohistochemical expressions of IL-13Ra2 were interpreted semi-quantitatively by two pathologists (Y.K.B. and H.J.K.) under a multiheaded microscope. Immunoreactivity scores (IRSs) were calculated based on staining intensities and extents, as previously described. 17 Staining intensities were assessed as follows: negative (0), weakly positive (1), moderately positive (2), or strongly positive (3), and staining extents were defined as the proportions of positive tumor cells showing cytoplasmic staining and classified as follows: 0% (0), 1%-25% (1), 26%-50% (2), 51%-75% (3), or .75% (4). IRSs were calculated by multiplying intensity and extent scores (minimum score 0 and maximum score 12). For the statistical analysis, a case was classified as positive for IL-13Ra2 expression when its IRS was 1.
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