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Published on: August 18, 2023
Immunohistochemistry as an important tool in biomarkers detection and clinical practice
Leandro Luongo de Matos1, Damila Cristina Trufelli, Maria Graciela Luongo de Matos
1Biochemistry Department, Faculdade de Medicina do ABC, Santo André, SP, Brazil.
Insights
Immunohistochemistry detects cell and tissue antigens for research and diagnosis. This review details its history, applications, interpretation, and future directions for improved patient benefit.
Area of Science:
- Biomedical Sciences
- Histopathology
- Immunology
Background:
- Immunohistochemistry (IHC) identifies cell/tissue antigens, crucial for research and diagnostics.
- It complements traditional methods like hematoxylin and eosin staining.
- Publications on IHC and immunocytochemistry have surged exponentially.
Purpose of the Study:
- To review the history, applications, and importance of immunohistochemistry.
- To discuss the limitations, challenges, and interpretation of IHC results.
- To explore future developments in IHC and expression quantification.
Main Methods:
- The review synthesizes existing literature on immunohistochemistry.
- It covers the two main phases: slide preparation/reaction and interpretation/quantification.
- Focuses on the scientific, diagnostic, and prognostic applications.
Main Results:
- Immunohistochemistry is vital for scientific research and differential diagnoses.
- Interpretation and quantification of IHC expression are key aspects.
- There's a need for better communication and collaboration between pathologists and clinicians.
Conclusions:
- Immunohistochemistry is an indispensable tool in modern pathology and research.
- Effective interpretation and quantification are critical for accurate results.
- Interdisciplinary collaboration is essential to maximize the clinical benefits of IHC for patients.
Abstract:
The immunohistochemistry technique is used in the search for cell or tissue antigens that range from amino acids and proteins to infectious agents and specific cellular populations. The technique comprises two phases: (1) slides preparation and stages involved for the reaction; (2) interpretation and quantification of the obtained expression. Immunohistochemistry is an important tool for scientific research and also a complementary technique for the elucidation of differential diagnoses which are not determinable by conventional analysis with hematoxylin and eosin. In the last couple of decades there has been an exponential increase in publications on immunohistochemistry and immunocytochemistry techniques. This review covers the immunohistochemistry technique; its history, applications, importance, limitations, difficulties, problems and some aspects related to results interpretation and quantification. Future developments on the immunohistochemistry technique and its expression quantification should not be disseminated in two languages-that of the pathologist and another of clinician or surgeon. The scientific, diagnostic and prognostic applications of this methodology must be explored in a bid to benefit of patient. In order to achieve this goal a collaboration and pooling of knowledge from both of these valuable medical areas is vital.
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