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54 protocols using aperio digital pathology slide scanner

1

Histopathological Evaluation of Mouse Organs

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Internal organs from half of the mice in each treatment group were collected at necropsy and fixed in 10% neutral buffered formalin for 3 days and kept in 70% EtOH and 4°C thereafter. The tissue processing and hematoxylin and eosin (H&E) staining were done by ARUP Laboratories (Salt Lake City, Utah). Briefly, the tissues were processed using the Tissue-Tek VIP 6 Vacuum Infiltration Processor (Sakura Finetek, CA, USA) and embedded in molten paraffin wax using the Tissue-Tek Embedding Center. The tissues were then sliced on Leica Microm RM55 Rotary Microtome (IL, USA), and placed on glass slides. The slides were stained with H&E using the Tissue-Tek Prisma Automated Slide Stainer (Sakura Finetek, CA, USA). Slides were scanned at 20X by Aperio digital pathology slide scanner (Leica Biosystems, IL, USA) and analyzed via Image Scope software (Leica Biosystems, IL, USA).
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2

3D Reconstruction of TB Lung Lesions

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We analyzed high-resolution data from several consecutive sections across macroscopic data to control for sampling bias. Thirty-six consecutive sections (each 5 µm) through a pulmonary cavity from a representative M. tuberculosis-infected mouse were immunostained, digitally scanned at high resolution (Aperio Digital Pathology Slide Scanner, Leica Biosystems, Buffalo Grove, IL) and reconstructed in three dimensions. Each section was manually reviewed for staining characteristics. To analyze the colocalization of CD11b+ and Gr-1+ with MMPs, sequential sections were spatially registered. Immunostains were first converted to luminance, and an affine registration algorithm was utilized based on mutual information (Matlab, MathWorks, Natick, MA). Images were visualized using Amira 5.2.1 (FEI, Hillsboro, OR). A minimum of 300,000 voxels (three-dimensional pixels) were counted for each channel.
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3

Immunohistochemical Analysis of Protein Markers

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The paraffin-embedded tissue sections were maintained at 60°C for 1 h and then de-paraffinized in xylene (Sigma–Aldrich; Merck KGaA). The tissue sections were rehydrated in graded ethanol from 95 to 75% and PBS with 0.05% Tween-20 (PBS-T). For antigen retrieval, tissue slides were boiled in 10 mM citric acid buffer with 0.05% Tween-20 (pH 6.0) for 3 min at 121°C using a pressure cooker. After air cooling, the tissue sections were incubated with peroxidase blocking reagent (RTU, EnVision™+Dual Link System-HRP (DAB+); K4065; Dako; Agilent Technologies, Inc.) for 5 min, and then blocked with goat serum for an additional 30 min. Subsequently, the tissue sections were incubated with anti-FASN (cat. no. 3180), NF-κB p65 (cat. no. 8242), p-AKT (cat. no. 4060) and phosphor-p44/42 MAPK (ERK1/2) (cat. no. 4370) antibodies (Cell Signaling Technology, Inc.) at 4°C overnight followed by incubation with horseradish peroxidase-conjugated secondary antibodies. The sections were rinsed with PBS-T, developed in 3′,3′-diaminobenzidine (DAB) substrate chromogen (EnVision™+Dual Link System-HRP(DAB+); K4065; Dako; Agilent Technologies, Inc.), and then counterstained with Mayer’s Hematoxylin (ScyTek Laboratories). All sections were scanned on an Aperio Digital Pathology Slide Scanner (Leica Biosystems).
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4

Immunohistochemical Analysis of Glioblastoma Samples

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Brains from mice inoculated with vehicle (controls) or primary GBM NS characterized by low or high V-ATPase G1 expression were harvested at sacrifice and formalin-fixed and paraffin embedded (FFPE) as described in the companion study (Terrasi et al., this issue) [36 ]. Then, hematoxylin and eosin (H&E) staining was performed to confirm tissue morphology followed by immunohistochemistry for HOXA10 (TA590263, Origen), STEM121 (Y40410, Takara Bio Europe) and POU3F2 (12137, Cell Signaling). Human tissues were already FFPE blocks. IHC for V-ATPase G1 (16143-1-AP, Proteintech), Nestin (MAB1259, R&D Systems), HOXA10, or POU3F2 was performed using a Ventana Benchmark instrument and the Ultraview DAB or Red Detection kits as described [13 (link)]. For murine samples, slides were pre-incubated with the Rodent Block M reagent (Biocare Medical), to block endogenous mouse IgG and non-specific background, before primary antibodies. Percentage of positive tumor cells in PDTX tumors was analyzed using Aperio Digital Pathology slide scanner (Leica Biosystems, Milan, Italy) and the nuclear algorithm implemented in ImageScope software (Leica Biosystems) as described [15 (link)].
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5

Quantifying Immune Cell Profiles in COPD Emphysema

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One piece of each core was vacuum embedded in OCT (Sakura), and frozen sections (8 µm) were obtained. Stainings for CD8 (M7103, Dako Hervelee, Belgium), CD4 (M7310, Dako Heverlee, Dako Heverlee, Belgium), CD68 (M0876, Dako Heverlee, Belgium), CD20 (M0755, Dako Heverlee, Belgium), and collagen 1 (ab34710, Abcam, USA) were performed, using an AEC chromogen (K3464, Dako Heverlee, Belgium). Slides were scanned (Aperio Digital pathology slide scanner, Leica Biosystem Inc., Canada), and images were generated using QuPath. Tresholding of stained positive area and tissue area was performed using the ImageJ software. Results were expressed as the percentage of stained positive area on total tissue area, as referred to as staining index. Staining indices were compared between COPD emphysema severity and control cores group using mixed effects regression model including age and gender as fixed effects and patient as random effect. A p-value <0.05 was considered significant.
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6

Posterior Eye Cup Cryosectioning and Imaging

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The posterior eye cups were embedded in OCT medium and snap-frozen in liquid nitrogen [18 (link)]. Cryostat sections (8 μm) of snap-frozen posterior eyecups were processed 7 days after NaIO3 challenge. After fixation with 4% paraformaldehyde for 30 min, sections were prepared for hematoxylin and eosin (H & E) staining and imaged with Aperio digital pathology slide scanner (Leica Biosystems, Buffalo Grove, IL, USA).
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7

Histopathological Assessment of NAFLD in Mice

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Liver sections from mice livers were routinely fixed in 10% of formalin and embedded in paraffin. Then 5 µm tissue sections were stained with hematoxylin/eosin, oil red and Picrosirius Red, as described previously.24 (link) Whole slide imaging was obtained using the Aperio Digital Pathology Slide Scanner (Leica Biosystems) allowing us to study the entire left lateral lobe. Histopathological analyses were performed by a blinded pathologist starting from three full cross-sectional slides obtained from distal, medial, and proximal regions derived from the left lateral lobe. The blinded trained pathologist utilized the NAFLD Activity Score (NAS) by using the method proposed by Kleiner et al.25 (link)The score of steatoses vary between 0 and 3, the score of ballooning vary between 0 and 2, the score of inflammation vary between 0 and 3, and the score of fibrosis vary between 0 and 4. The NAS is the sum of steatosis, ballooning and inflammation scores. It can vary between 0 and 8. A NAS score less than 3 means no NASH, while a score higher than 4 means NASH. Scores of 3 or 4 means indeterminate.
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8

Immunohistochemical Analysis of AKT Phosphorylation

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IHC was performed as described [9 (link)] using AKTpoSer473 Ab (#4060, Cell Signaling) at 1:100. Images were scanned using the Aperio Digital Pathology Slide Scanner (Leica Biosystems, Buffalo Grove, IL).
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9

Digital Pathology Slide Scanning and Analysis

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Digital images of the stained sections were captured using an Aperio Digital Pathology Slide Scanner (Leica Biosystems) and analyzed qualitatively for localization of cell bodies and fibers. Imagery for each stained section was comprehensively examined at high magnification on a computer screen by at least two investigators. Possible immunoreactive (ir) fibers were flagged using Aperio’s ImageScope software and each flagged site evaluated by multiple investigators. The images used in Figures 26 were extracted from the original scans using ImageScope software.
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10

Digital Pathology Slide Scanning

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IHC images were digitized at the DF/HCC Tissue Microarray Core or the UCLA Translational Pathology Core on the Aperio Digital Pathology Slide Scanner (Leica Biosystems). The Aperio ImageScope software (Leica Biosystems) was used for image visualization and acquisition.
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