Stromal cyclin D1 was detected in clinical breast cancer specimens by immunofluorescence-immunohistochemistry (IF-IHC) performed on an Autostainer Plus (Dako) as previously described [87 (link)] with the following specifications: antigen retrieval used the DAKO PT-module with citric acid buffer (pH 6.0) and rabbit monoclonal cyclin D1 antibody (Dako, M3635) was diluted 1:200 and coincubated with mouse monoclonal anti-pancytokeratin (clone AE1/AE3, DAKO, 1:100) for 45 minutes.
Quantitative analysis of cyclin D1 was performed as previously described [86 (link)]{Peck, 2016 #603;Peck, 2016 #230} using the ScanScope FL line scanner (Leica Biosystems) to capture high-resolution digital images followed by quantification of cyclin D1 levels in the stroma of tumor specimens using Tissue Studio image analysis software (Definiens). Briefly, user-guided machine learning was performed to generate an analysis solution that identified DAPI-stained cell nuclei within the stroma of each tumor specimen. Mean nuclear cyclin D1 signal intensity was calculated for stromal cells in each tumor core.
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