Immunoelectron microscopy on epoxy sections without deplasticizing to detect glomerular immunoglobulin and complement

S H Brorson1, E H Strøm, F Skjørten

  • 1Department of Pathology, Ullevål Hospital, Oslo, Norway.

Insights

This study introduces a novel immunoelectron microscopy (IEM) technique for renal biopsies, enabling sensitive detection of immunoglobulins and complement C3 in epoxy-embedded tissues without deplasticizing. The method preserves ultrastructure and is ideal for limited biopsy samples.

Area of Science:

  • Nephrology
  • Immunopathology
  • Electron Microscopy

Background:

  • Immunoelectron microscopy (IEM) is crucial for diagnosing kidney diseases.
  • Traditional IEM requires deplasticizing epoxy-embedded samples, which can damage ultrastructure.
  • Detecting antigens like immunoglobulins and complement C3 in renal biopsies is vital.

Purpose of the Study:

  • To develop and validate a novel IEM method for renal biopsies.
  • To enable immunolabeling of immunoglobulins and complement C3 on epoxy sections without etching.
  • To assess ultrastructural preservation and antigen detectability compared to traditional methods.

Main Methods:

  • Studied 20 renal biopsies using immunoelectron microscopy (IEM) on epoxy-embedded sections.
  • Utilized increased DMP-30 accelerator concentration for immunogold labeling of immunoglobulins and C3.
  • Sections were stained with tannic acid, uranyl acetate, and lead citrate; compared with immunofluorescence (IF) on frozen sections.

Main Results:

  • Successfully performed immunolabeling of immunoglobulins and C3 on epoxy sections without etching or deplasticizing.
  • Demonstrated higher sensitivity of IEM compared to IF in detecting smaller antigen amounts in some IgA-nephritis cases.
  • Achieved ultrastructural preservation comparable to standard epoxy embedding.

Conclusions:

  • The novel IEM method provides excellent immunolabeling with near-optimal ultrastructure.
  • This technique is particularly valuable for limited biopsy material, enhancing diagnostic capabilities.
  • This represents the first successful immunolabeling of immunoglobulins on non-etched epoxy sections.