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A Method to Reuse Archived H&E Stained Histology Slides for a Multiplex Protein Biomarker Analysis
James P Hinton1,2, Katerina Dvorak2, Esteban Roberts2
1Cancer Biology Graduate Interdisciplinary Program, University of Arizona Cancer Center, Tucson, AZ 85724, USA.
Methods and Protocols
|November 17, 2019
Summary
Archived Hematoxylin and Eosin (H&E) stained slides can be de-stained and re-stained for biomarker detection. This method reuses valuable tissue samples, enabling further research and clinical insights from stored pathology slides.
Area of Science:
- Pathology
- Biomedical Research
- Histology
Background:
- Archived Hematoxylin and Eosin (H&E) stained slides from formalin-fixed paraffin-embedded (FFPE) blocks are valuable for retrospective studies.
- Limited tissue availability in FFPE blocks can restrict the scope of retrospective research.
- Reutilization of existing H&E slides could overcome limitations of depleted tissue samples.
Purpose of the Study:
- To optimize a method for de-staining and re-staining archived H&E slides.
- To enable the detection of multiple biomarkers on previously stained slides.
- To assess the feasibility of reusing H&E slides for biomarker analysis in tumor tissues.
Main Methods:
- Developed and optimized a de-staining and re-staining protocol for archived H&E slides.
- Applied multiplex immunohistochemistry with conjugated antibodies and chromogens for biomarker detection.
- Utilized image analysis techniques to identify tumor regions and correlate marker expression.
Main Results:
- Successfully de-stained and re-stained archived H&E slides.
- Achieved precise detection of relevant biomarkers correlated with disease progression.
- Demonstrated the ability to perform multiplex immunohistochemistry on re-stained slides.
Conclusions:
- Archived H&E slides can be effectively reutilized for biomarker detection.
- This innovative procedure enhances the value of stored pathology slides for research.
- The method offers a cost-effective approach to expand the utility of existing FFPE tissue samples.

