Influence of prolonged formalin fixation of tissue samples on the sensitivity of chromogenic in situ hybridization

Meike M Mostegl1, Barbara Richter, Nora Dinhopl

  • 1Institute of Pathology and Forensic Veterinary Medicine, Department of Pathobiology, University of Veterinary Medicine, Veterinärplatz 1, A-1210 Vienna, Austria.

Insights

Prolonged formalin fixation impacts in situ hybridization (ISH) signal intensity for detecting pathogens. Increased proteinase K can restore signals, but effectiveness varies by infectious agent and protocol.

Area of Science:

  • Veterinary Pathology
  • Molecular Diagnostics
  • Histopathology

Background:

  • Chromogenic in situ hybridization (ISH) is vital for pathogen detection in diagnostic pathology.
  • Formalin fixation can impede nucleic acid detection in FFPE tissues due to cross-linking.
  • The impact of fixation duration on ISH signal intensity requires further investigation.

Purpose of the Study:

  • To evaluate the effect of formalin fixation time on ISH signal intensity for specific viral and protozoal pathogens.
  • To assess the efficacy of increased proteinase K concentrations in counteracting formalin-induced cross-linking.

Main Methods:

  • Formalin fixation of tissue samples at varying intervals.
  • Pathogen-specific chromogenic in situ hybridization (ISH).
  • Comparison of standard and increased proteinase K concentrations.

Main Results:

  • ISH signal intensity remained stable for extended periods (up to 55 weeks) for Porcine circovirus-2, Porcine respiratory and reproductive virus, Cryptosporidium serpentis, and Tritrichomonas sp.
  • Signal intensity declined after prolonged fixation.
  • A 4-fold increase in proteinase K restored ISH signals to initial levels for all tested agents.

Conclusions:

  • The duration of formalin fixation significantly affects ISH signal intensity, with pathogen-specific variations.
  • Enhanced proteinase K treatment can effectively mitigate formalin-induced cross-linking.
  • Optimization of pretreatment protocols is crucial for reliable ISH-based pathogen detection in FFPE tissues.

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