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8 protocols using nanozoomer rs

1

Colorectal Cancer Tissue Processing

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Colorectal cancer tissues were collected in the Department of Frontier Surgery, Chiba University Hospital, as previously described8 (link). Paraffin-embedded blocks were cut into 2.5-μm-thick sections using the microtome, REM-710 (Yamato, Saitama, Japan). Immunostaining was performed with the diaminobenzidine (DAB) chromogen (EnVision + Kit/HRP; Dako, Glostrup, Denmark) and nuclei were stained with Mayer’s hematoxylin (Muto Pure Chemicals, Tokyo, Japan). Stained sections were scanned on a NanoZoomer RS digital slide imaging system (Hamamatsu Photonics, Hamamatsu, Japan). Tissues used for immunofluorescence were embedded in OCT compound (Sakura Finetek, Tokyo, Japan), snap-frozen in liquid nitrogen, and cut into 5-μm-thick sections using a cryostat (Hyrax C50; Carl Zeiss, Jena, Germany). The procedure for the immunofluorescence of tissues was described below. The protocol for the collection and use of tissue samples was approved by the Ethics Committees of the Graduate School of Medicine, Chiba University and the Proteome Research Center, National Institutes of Biomedical Innovation, Health, and Nutrition. Written informed consent was obtained from each patient before surgery.
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2

3D GBM Spheroid Cryosectioning and Imaging

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Astrocytes, HMC3 and U87MG were labeled with CellTrackers® as previously described before seeding. 3D GBM spheroids were cultured for 3 days before being washed with DPBS, fixed with 4 v/v% formaldehyde, washed again twice with DPBS and embedded into Cryomatrix™ before being snap-frozen using isopentane. Embedded and frozen 3D GBM spheroids were cut into 6 μm thick cryosections, air-dried, rehydrated with PBS and immediately mounted with Fluoroshield™ with DAPI (Sigma Aldrich) before being imaged using Nanozoomer-RS (Hamamatsu Photonics, Hamamatsu, Japan). Scanned images were analyzed using Image J (Public, developed by Wayne Rasband (NIH)).
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3

Double Immunohistochemistry for Vascular and Renal Analysis

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Double immunohistochemical staining with mouse anti-CD34 (Dako, Glostrup, Denmark) and anti-SMA (Dako) was performed to identify endothelial cells and smooth muscle cells of the arterial media (Figure 1A). The PAS stain was then applied to the sections to identify the tubular basement membranes, Bowman’s capsules, sclerotic glomeruli, and interstitial fibrosis (Figure 2F,G, Figure 3A,G, Figure 4F,G, Figure 5C,F,G and Figure 6G). Details of the tissue preparation are described elsewhere [7 (link),8 (link),9 (link),10 (link)]. Each stained specimen was digitized using virtual slide microscopy (NanoZoomer RS™; Hamamatsu Photonics, Hamamatsu, Japan), using a 40× optical lens.
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4

Chitosan Scaffold Microscopic Characterization

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After rehydration of CS-FD cakes in PRP, the formulations were placed in glass test tubes (250 μ L) at 37 °C and solidified for 1 h. The resulting clots were fixed in 10% neutral buffered formalin (NBF) before being dehydrated, cleared, and paraffin embedded. They were then sectioned into 5 μ m-thick slices, dewaxed, and stained. Cibacron Brilliant Red (Glentham Life Sciences, Product N°GT9393) and Iron-Hematoxylin (Sigma, Products N°HT107, and N°HT109) were used to color chitosan, red, and white blood cells, as per the protocol described in Rossomacha et al. [26 (link)]. The colored slices were digitally scanned (Hamamatsu Nanozoomer RS) at 10× and 40×. The homogeneity of the chitosan distribution in the hybrid clot was evaluated using the MASQH algorithm [27 (link)].
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5

Immunofluorescent Staining of PDAC Sections

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Anonymous paraffin-embedded human PDAC sections were obtained from Laboratory Pathology East Netherlands (LabPON; Hengelo, The Netherlands). Sections were deparaffinized in xylene and rehydrated in a serious of ethanol followed by MilliQ water. Antigen retrieval was performed by heat induction at 95°C in citrate buffer at pH 6.0 (Dako, Glostrup, Denmark). The sections were incubated with the primary antibody against alpha smooth muscle actin (αSMA, 1:500 dilution, 1A4, Sigma-Aldrich, St. Louis, MO, USA) and CK19 (1:100 dilution, NBP1-53204, Novus Biologicals, Littleton, CO, USA) in phosphate buffer saline (PBS) overnight at 4 °C. After washing in PBS, the sections were incubated with secondary fluorescent antibody (Alexa Fluor 488 donkey anti-rabbit IgG, 1:100 dilution, A27034 & Alexa Fluor 594 goat anti-mouse IgG, 1:100, A11032, Thermofisher Scientific, Waltham, MA, USA) for 30 min at room temperature, before being washed in PBS and mounted with Fluoroshield™ with DAPI (Sigma-Aldrich) and imaged using Nanozoomer-RS (Hamamatsu Photonics, Hamamatsu, Japan).
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6

Quantification of Pancreatic Islet Morphology

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Representative sections of ANHH and control specimens were digitized using whole-slide imaging (WSI) (Nanozoomer RS or Nanozoomer S360; Hamamatsu Photonics KK, Hamamatsu, Japan). The number, maximum diameter, perimeter, and area of each islet in each specimen were measured using an image analysis system (NIS-Element D software program, version 5.30.00; Nikon, Tokyo, Japan). Islets of any size were evaluated. The measurement method is shown in the schematic illustration (Fig. 2A). The cross-sectional area of pancreatic parenchyma was measured in the same manner. The circularity ranged from 0 to 1.0, with a higher circularity meaning that the shape of the given islet was closer to a circle [9 (link)–11 (link)]. In this study, circularity was calculated using the following formula: 4π × (area of islet) / (perimeter of islet)2. We adopted 0.71 as a threshold value because it was the value that generated the largest statistically significant difference.

Measurement procedure of the islets (A), representative images with each circularity value (B) and representative images showing an irregular shape of the islets in ANHH cases compared to controls (insulin immunostaining) (C)

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7

Quantifying Collagen Content in Heart Tissue

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At euthanasia (4 weeks after surgery or after osmotic pump implantation), heart tissue was prepared for histology. To assess collagen content in heart tissue, the Masson trichrome stain kit (Sigma) was used, according to the manufacturer's protocol. Nuclei were not stained with hematoxylin to avoid interference with the quantification of collagen content. For quantification, pictures of 3 whole cross sections were taken by bright‐field microscopy by an investigator (T.W. and K.M.) blinded to the identity of the samples, using either a Zeiss Axioplan microscope coupled with a Zeiss AxioCam HRc camera or a Hamamatsu Nanozoomer RS. The area of blue fibers (collagen) per heart tissue was calculated using ImageJ software.
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8

Immunohistochemistry Analysis of Tumor-Associated Fibroblasts

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The TMAs of human breast cancer patients were prepared at the pathology lab of LabPON (Hengelo, The Netherlands) which were constructed from biopsies isolated from 11 patients of invasive adenocarcinoma grade 2 to 3 (4 different spots of 2 mm in diameter from each patient). The TMAs were stored at room temperature and subjected to immunohistochemistry staining for activated fibroblast marker (α-SMA and collagen-1α1). Immunohistochemical staining was carried out including standard deparaffinization, through heating to 80 °C in Target Retrieval Solution at pH 9.0 overnight before use, incubation with primary, secondary, and tertiary antibodies and development with DAB (di-aminobenzidine). The TMAs were subsequently counterstained with hematoxylin and mounted with VectaMount™ Permanent Mounting Medium. The TMA slides were scanned using Nanozoomer-RS (Hamamatsu Photonics, Japan). The tissue microarray cores were individually analyzed using NIH Image J software to quantitate the intensity of brown staining from DAB color development for each patient core.
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