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A Next-generation Tissue Microarray ngTMA Protocol for Biomarker Studies
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3D Tissue Microarray Controls: A Potential Standardization Solution.

Charles W Myers1, Sonal Bhimji-Patel1, Mark Rees2

  • 1Emory University Hospital, Atlanta, GA.

Applied Immunohistochemistry & Molecular Morphology : AIMM
|March 2, 2017
PubMed
Summary
This summary is machine-generated.

A novel 3D tissue microarray control (3D TMAC) offers a solution for standardizing immunostains in anatomic pathology. This histoid control demonstrated good reproducibility and staining quality for multiple antibodies, improving quality control.

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Area of Science:

  • Anatomic Pathology
  • Histopathology
  • Quality Control

Background:

  • Standardization of immunostain controls is a significant challenge in anatomic pathology due to inter-laboratory variations.
  • Differential processing and preanalytical issues lead to inconsistent immunostain intensities.
  • Existing histoid controls like xenografts or cell lines lack recent development and follow-up.

Purpose of the Study:

  • To introduce a novel histoid control, the 3D tissue microarray control (3D TMAC), for improved control standardization.
  • To evaluate the staining quality and reproducibility of the 3D TMAC using common antibodies in breast and cervical cancer diagnostics.
  • To assess the potential of 3D TMAC in enhancing intralaboratory and interlaboratory standardization practices.

Main Methods:

  • Development and implementation of a 3D tissue microarray control (3D TMAC).
  • Testing of 3D TMAC with 11 antibodies relevant to breast and cervical cancer workups.
  • Evaluation of staining quality and reproducibility over a 5-day period for CK5 and HER2 antibodies.
  • Assessment of staining using both visual and computer-assisted methods.

Main Results:

  • The 3D TMAC demonstrated appropriate staining for 9 out of 11 tested antibodies.
  • Mammoglobin and GCDFP antibodies showed inappropriate staining, while p16 and mammoglobin did not exhibit expected staining properties.
  • Excellent reproducibility for CK5 and HER2 staining was observed, with low coefficients of variation (3.58% and 3.18% respectively).

Conclusions:

  • The 3D TMAC shows significant potential for improving intralaboratory and interlaboratory standardization in anatomic pathology.
  • This novel control offers a reliable method for consistent immunostaining quality control.
  • Further validation is warranted to fully establish the 3D TMAC as a standard in pathology diagnostics.