Volumetric Cyclic Immunofluorescence for 3D Spatial Profiling of Immune Structures in Human FFPE Tissue

Alex Y H Wong1,2, Yi Daniel Lu1,2, Ziyuan Zhao1,2,3

  • 1Laboratory of Systems Pharmacology, Harvard Medical School, Boston, MA, USA.

Insights

We developed volumetric cyclic immunofluorescence (v-CyCIF) to image 3D tissue structures in human samples. This method enables detailed study of immune cells and nerves, overcoming limitations of traditional 2D tissue analysis.

Area of Science:

  • Immunology
  • Neuroscience
  • Biomedical Imaging

Background:

  • Tissue-resident immune systems form complex 3D structures interacting with vasculature and nerves.
  • Conventional 2D profiling struggles to analyze these interactions across multiple tissue sections.
  • Volumetric imaging (LSFM) is established in animal models but limited in human FFPE tissues.

Purpose of the Study:

  • To develop a method for multiplexed 3D imaging of immune cells and nerves in human specimens.
  • To overcome limitations of analyzing complex neuroimmune interactions in formalin-fixed paraffin-embedded (FFPE) tissues.
  • To enable multi-scale 3D profiling of clinical samples.

Main Methods:

  • Development of a volumetric cyclic immunofluorescence (v-CyCIF) toolbox.
  • Integration with a virtual Hematoxylin and Eosin (H&E) staining approach.
  • Application to human specimens up to 1 mm thick, including re-embedding for high-resolution analysis.

Main Results:

  • Successfully imaged neuroimmune interactions in normal and cancerous human tissues.
  • Enabled immunoprofiling of intact secondary and tertiary lymphoid structures in 3D.
  • Allowed high-plex, high-resolution analysis of subcellular structures and cell-cell interactions post-volumetric imaging.

Conclusions:

  • v-CyCIF provides a flexible framework for multi-scale 3D profiling of clinical specimens.
  • This approach overcomes key barriers to multiplexed imaging in human tissues.
  • Enables advanced study of tissue architecture and cellular interactions in health and disease.