From the protein to the graph: how to quantify immunohistochemistry staining of the skin using digital imaging

Georgios Kokolakis1, Lambros Panagis, Efstathios Stathopoulos

  • 1Department of Dermatology, University of Crete, GR-71110 Heraklion, Greece.

Insights

Digital image analysis accurately quantifies protein expression in psoriatic skin. This method reveals significant changes in p53 and bcl-2 levels after anti-tumor necrosis factor-alpha therapy.

Area of Science:

  • Dermatology
  • Pathology
  • Biomedical Imaging

Background:

  • Quantitative immunohistochemistry is crucial for assessing cellular protein expression in tissues.
  • Skin's complex structure presents challenges for automated image analysis.
  • Psoriatic skin models offer a relevant system for studying treatment effects.

Purpose of the Study:

  • To compare p53 and bcl-2 expression in psoriatic skin before and after anti-tumor necrosis factor-alpha treatment.
  • To evaluate the efficacy of digital image analysis for quantifying protein expression in skin.
  • To establish a reproducible and unbiased method for assessing cellular protein levels in challenging tissues.

Main Methods:

  • Utilized a psoriatic skin model for comparative analysis.
  • Employed digital image analysis with Scion image software to quantify protein expression.
  • Acquired digital photomicrographs for detailed assessment.
  • Performed statistical analysis using ANOVA to determine significance.

Main Results:

  • Demonstrated a significant increase in p53 expression across all epidermal layers post-treatment (p<0.001).
  • Observed a significant decrease in bcl-2 expression in all epidermal layers post-treatment (p<0.001).
  • Results correlated with conventional histopathological evaluations.

Conclusions:

  • Digital image analysis provides an easy, rapid, and reproducible method for quantifying immunohistochemically labeled cells in skin tissue.
  • This technique yields unbiased numerical estimations of cell labeling, aiding in treatment assessment.
  • The findings support the use of digital image analysis for reliable protein expression assessment in dermatological research.