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Updated: Jan 11, 2026

High-throughput Imaging and Analysis Workflow for Evaluating Skin Cell Phenotypes and Proliferation States in Tissue Samples
Published on: October 31, 2025
High-throughput Imaging and Analysis Workflow for Evaluating Skin Cell Phenotypes and Proliferation States in Tissue
Salome Stierli1, Flurin Sturzenegger2, Whitney Shannon Jordaan3
1Institute of Anatomy, University of Zurich; salome.stierli@anatomy.uzh.ch.
This study enhances skin regeneration research by combining the iterative-bleaching-extends-multiplexity (IBEX) method with Click-iT EdU labeling to accurately identify dividing cells in injured skin tissue.
Area of Science:
- Regenerative medicine
- Tissue engineering
- Cell biology
Background:
- Skin regeneration involves complex cellular interactions, with peripheral glial cells crucial for repair.
- Current technological limitations hinder a complete understanding of these regenerative processes.
- Accurate identification of proliferating cells is essential for studying tissue repair.
Purpose of the Study:
- To characterize cellular composition changes during skin regeneration.
- To overcome limitations in detecting dividing cells in skin tissue.
- To develop an advanced imaging and analysis protocol for high-resolution tissue studies.
Main Methods:
- Iterative-bleaching-extends-multiplexity (IBEX) method combined with Click-iT EdU chemistry.
- High-throughput imaging using a fully automated spinning disk confocal microscope.
- Development of an open-source image processing pipeline for data analysis.
Main Results:
- The adapted IBEX method accurately identifies and categorizes actively dividing cell types in intact skin.
- The combined approach overcomes underestimation of cell proliferation by traditional markers.
- A novel, user-friendly image processing pipeline facilitates analysis of highly multiplexed imaging data.
Conclusions:
- The IBEX protocol is versatile and adaptable to conventional imaging platforms for studying tissue regeneration.
- Combining IBEX with Click-iT EdU labeling provides a powerful tool for dissecting dynamic cellular processes in skin.
- This protocol advances the study of skin repair by enabling detailed spatial and temporal analysis of cell proliferation.
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