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Updated: Jun 6, 2026

Robust Detection of Gene Amplification in Formalin-Fixed Paraffin-Embedded Samples by Fluorescence In Situ Hybridization
Published on: July 12, 2024
Identification of Fusarium species in formalin-fixed and paraffin-embedded sections by in situ hybridization using
Minoru Shinozaki1, Yoichiro Okubo, Daisuke Sasai
1Department of Surgical Pathology, Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-Ku, Tokyo 143-8541, Japan.
Abstract:
Fusarium has recently emerged as an opportunistic pathogen of humans, but the histological differentiation of Fusarium from Aspergillus and Scedosporium is particularly difficult because these fungi may induce similar clinical features and exhibit filamentous development in host tissues. Thus, there is a need to establish rapid and reliable methods that are applicable to pathological diagnoses. The aim of this study was to evaluate and establish in situ hybridization (ISH) using peptide nucleic acid (PNA) probes targeting the 28S rRNA to identify Fusarium species in tissue sections. This technique was validated using both formalin-fixed and paraffin-embedded pulmonary tissues from mice infected with seven different species of fungi and cell blocks from fungal cultures of 30 strains. As a result, strong positive signals were observed within fungal organisms present in tissues of the lung from mice infected with Fusarium solani. Furthermore, this probe reacted strongly with both F. solani and Fusarium oxysporum in sections from cell blocks. Although some cross-reactivity occurred with the Pseudallescheria boydii in sections from cell blocks, the signal intensity was low and most hyphae were not reactive. In conclusion, it was confirmed that ISH with PNA probes is accurate and is a valuable tool for identifying Fusarium spp. among organisms that have identical morphological features in formalin-fixed and paraffin-embedded sections.
Insights
Histological differentiation of Fusarium from similar fungi is challenging. In situ hybridization (ISH) with peptide nucleic acid (PNA) probes accurately identifies Fusarium species in tissue sections, aiding pathological diagnosis.
Area of Science:
- Medical Mycology
- Pathology
- Molecular Diagnostics
Background:
- Fusarium species are emerging opportunistic human pathogens.
- Histological differentiation of Fusarium from Aspergillus and Scedosporium is difficult due to similar clinical and morphological features.
- There is a need for rapid and reliable diagnostic methods for Fusarium infections.
Purpose of the Study:
- To evaluate and establish in situ hybridization (ISH) using peptide nucleic acid (PNA) probes for Fusarium identification in tissue sections.
- To target the 28S ribosomal RNA (rRNA) gene for specific detection of Fusarium species.
Main Methods:
- Validation of ISH with PNA probes using formalin-fixed, paraffin-embedded pulmonary tissues from experimentally infected mice.
- Testing on cell blocks from fungal cultures of 30 strains, including seven fungal species.
- Assessment of signal intensity and cross-reactivity with other fungal species.
Main Results:
- Strong positive signals were observed in lung tissues infected with Fusarium solani.
- The PNA probe showed strong reactivity with Fusarium solani and Fusarium oxysporum in cell block sections.
- Low-intensity cross-reactivity was noted with Pseudallescheria boydii, but most hyphae were non-reactive.
Conclusions:
- In situ hybridization (ISH) using PNA probes targeting 28S rRNA is accurate for identifying Fusarium species.
- This method is a valuable tool for differentiating Fusarium from morphologically similar fungi in pathological specimens.
- The technique aids in accurate diagnosis of Fusarium infections in formalin-fixed, paraffin-embedded tissues.
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In-situ Hybridization
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