An integrated protocol for multiplexed DNA FISH and protein detection in large tissue sections

Different omics types such as genomics and proteomics all contribute to deciphering biology. Applying these omics approaches in a spatial context helps reveal biology in situ at a single cell level. Here we present a protocol for the combined multiplexed detection of targeted genes using DNA FISH, and proteins using multiplexed immunofluorescence. The protocol is integrated on the commercial PhenoCycler Fusion-platform and generates one single dataset with gene and protein readout at a single cell level in large tissue sections, allowing for a throughput of thousands to millions of cells. The workflow can be used for characterising malignant cells in large tumor areas based on genetic aberrations, while deciphering the cellular landscape and microenvironment from multiplexed protein detection using immunofluorescence.