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Updated: Jun 18, 2026

Quantitation of Protein Expression and Co-localization Using Multiplexed Immuno-histochemical Staining and Multispectral Imaging
Published on: April 8, 2016
Double immunohistochemistry with horseradish peroxidase and alkaline phosphatase detection systems
Vincent Sarrazy1, Alexis Desmoulière
1Faculté deMédecine et de Pharmacie, EA 3842, Institut Fédératif de Recherche 145, Université de Limoges, Limoges, France.
Insights
This study presents an optimized protocol for double immunostaining on formalin-fixed paraffin-embedded tissues, enabling simultaneous detection of two antigens for light microscopy. The method is applicable to various tissue types, with a focus on liver sections.
Area of Science:
- Histopathology
- Immunohistochemistry
- Biomedical research
Background:
- Formalin-fixed paraffin-embedded (FFPE) tissues are crucial for diagnostic and research purposes.
- Detecting multiple antigens in a single tissue section enhances diagnostic accuracy and research insights.
- Existing double immunostaining protocols can be complex and may yield suboptimal results.
Purpose of the Study:
- To describe an optimized protocol for double immunohistochemistry on FFPE tissue sections.
- To enable the simultaneous detection of two distinct antigens.
- To provide a reliable method for light microscopy-based visualization.
Main Methods:
- Development and optimization of a double immunostaining protocol for FFPE tissues.
- Utilizing specific detection systems compatible with light microscopy.
- Application and validation of the protocol on liver tissue sections.
Main Results:
- Successful simultaneous detection of two antigens in FFPE tissue sections.
- Demonstration of the protocol's efficacy through representative results.
- Detailed discussion of controls, common issues, and troubleshooting recommendations.
Conclusions:
- The described protocol offers an effective method for double immunostaining in FFPE tissues.
- The technique is adaptable for various tissue types beyond liver.
- This method facilitates enhanced antigen detection for research and diagnostics.
Abstract:
We describe here a protocol optimized for formalin-fixed paraffin-embedded tissue sections that enables the detection of two antigens. This technique allows immunohistochemistry to be performed with detection systems allowing observation by light microscopy. This chapter discusses the choice of appropriate protocols as well as the choice of visualization systems.In doing so, we provide examples of representative results obtained with this protocol and describe necessary controls; additionally, we discuss common problems associated with this methodology, and detail troubleshooting recommendations. Although this method has been optimized for liver sections, it may be applicable for performing double immunostaining in a variety of tissue samples.
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