Preservation of immunorecognition by transferring cells from 10% neutral buffered formalin to 70% ethanol

D Otali1, Q He, C R Stockard

  • 1Departments of Pathology.

Insights

Prolonged formalin fixation degrades antigen detection. Transferring cells to ethanol after short formalin fixation preserves immunorecognition for key cancer biomarkers.

Area of Science:

  • Histopathology and Immunohistochemistry
  • Cell Biology
  • Cancer Research

Background:

  • Formalin fixation is standard for tissue preservation but can impair antigen-antibody binding (immunorecognition).
  • Short formalin fixation followed by ethanol storage is a proposed method to mitigate fixation-induced antigen masking.
  • The impact of this fixation-ethanol transfer method on immunorecognition requires further investigation.

Purpose of the Study:

  • To evaluate the effect of prolonged 10% neutral buffered formalin (NBF) fixation on immunorecognition of specific biomarkers.
  • To assess the efficacy of transferring fixed cells to 70% ethanol in preserving immunorecognition.
  • To compare the impact of different fixation and storage durations on antigen detection in cancer cell lines.

Main Methods:

  • DU145 (prostate) and SKOV3 (ovarian) cancer cell lines were fixed in 10% NBF for varying durations (5 min to 180 h).
  • Separate cell aliquots were fixed in 10% NBF for 12 h, then transferred to 70% ethanol for 3 to 168 h.
  • Immunostaining was performed for Proliferating Cell Nuclear Antigen (PCNA), Ki67-MIB-1, cytokeratins AE1/AE3, and Epidermal Growth Factor Receptor (EGFr).

Main Results:

  • Immunorecognition for PCNA, Ki67-MIB-1, and cytokeratins AE1/AE3 significantly decreased between 18 and 36 h of NBF fixation.
  • Complete loss of PCNA immunorecognition and substantial loss of Ki67-MIB-1 and cytokeratin detection occurred after 108-180 h of NBF fixation.
  • EGFr showed less sensitivity to prolonged NBF fixation.
  • Transfer to 70% ethanol after 12 h of NBF fixation successfully preserved immunorecognition for all tested antibodies.

Conclusions:

  • Prolonged formalin fixation (>18 h) significantly compromises the detection of key cellular markers like PCNA, Ki67, and cytokeratins.
  • The 10% NBF fixation followed by storage in 70% ethanol is an effective strategy to maintain antigen integrity and immunorecognition.
  • This method offers a viable alternative for preserving tissue samples for immunohistochemical analysis, especially for sensitive antigens.

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