Related Experiment Video
Updated: May 24, 2026

Protocol for HER2 FISH Using a Non-cross-linking, Formalin-free Tissue Fixative to Combine Advantages of Cryo-preservation and Formalin Fixation
Published on: December 25, 2017
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.
Abstract:
Chromogenic in situ hybridization (ISH) is a commonly used tool in diagnostic pathology to detect pathogens in formalin-fixed, paraffin-embedded (FFPE) tissue sections. Prolonged formalin fixation time was identified to be a limiting factor for the successful detection of nucleic acid from different pathogens, most probably due to the cross-linking activity of formalin between RNA, DNA, and proteins. Therefore, in the current study, the influence of formalin fixation time on ISH signal intensity of 2 viral (Porcine circovirus-2 [PCV-2] and Porcine respiratory and reproductive virus [PRRSV]) and 2 protozoal agents (Cryptosporidium serpentis and Tritrichomonas sp.) was evaluated. Tissue samples were fixed in 7% neutral buffered formaldehyde solution, and at defined intervals, pieces were embedded in paraffin wax and subjected to pathogen-specific ISH. For all 4 pathogens, the signal intensity remained comparable with the starting ISH signal for different periods of fixation (PCV-2: 6 weeks, PRRSV: 23 weeks, C. serpentis: 55 weeks, Tritrichomonas sp.: 53 weeks). Thereafter, the signal started to decline until loss of nucleic acid detection. The influence of increased proteinase K concentrations for inverting the formalin-induced cross-linking activity was examined compared with the standard protocol. With all 4 infectious agents, a 4-fold proteinase K concentration restored the ISH signals to a level comparable with 1 day of fixation. In conclusion, the influence of prolonged formalin fixation on the intensity of detected ISH signal highly depends on the analyzed infectious agent and the pretreatment protocol.
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.
Related Concept Videos
In-situ Hybridization
Types of probes and labels
A probe is a complementary strand of DNA or RNA that binds to corresponding nucleotide sequences in a cell. Many...
Fixation and Sectioning
The simplest type of preparation is the wet mount, in which the specimen is placed in a drop of liquid on the slide. A liquid specimen can be directly deposited on the slide using a dropper. Solid specimens, such as skin scraping, can be placed on the slide before adding a drop of liquid to prepare the wet mount. Sometimes the liquid is simply water, but stains are often added...
FISH - Fluorescent In-situ Hybridization

