Immunohistochemistry with AP-conjugated (NBT/BCIP)

This method has been developed by Giorgio Cattoretti, MD, in collaboration with Cristina Angelin-Duclos (C.U.) . If you use this method quote either as: "personal communication, Giorgio Cattoretti MD" or quote the URL of the protocols: "http://ICG.cpmc.columbia.edu/cattoretti/Protocol/"

RATIONALE


Immunohistochemistry is traditionally performed at an antibody concentration above 1µg/ml and/or for short time incubations (30 min), with short washing; development is also usually short (<3 min for DAB; <30 min for Naphtol-based or AEC). The traditional system is avidin-biotin indirect IHC ( 1) or two rounds of APAAP ( 2). This contrasts with the Ab concentrations used in Western Blot, usually one log less, long incubations with long washing, simple indirect conjugated Ab staining, high sensitivity development.

It is common experience the failure to detect low level antigens in routine sections, such as lymph nodal stromal cytokeratin( 3) , nuclear c-myc( 4), c-kit on myeloid progenitors( 5), CD21 on follicular mantle cells, CD25 on resting T cells( 6) and so on, even with the best conditions, with routine detetction systems.

The need to detect low level antigens has brought amplification systems such as tyramide amplification ( 7), which, though powerful, is surprisingly insufficient to detect low level antigens (pers. obs.) or nucleotides in sections ( 8).
Here we take a counterintuitive approach by extensively blocking the slides, further diluting the primary antibody, lengthening the incubation and washing time, using a simple AP-conjugated secondary at high dilution and use a slow long development with the most powerful IHC development, NBT/BCIP (9). The limit of this method is the differential between signal and noise.

To print /review a list of the references above click here.

PRETREATMENT


Cut sections at 2-4µm, use a clean water bath with distilled water, and let the sections dry upright in order to facilitate adhesion between the section and the charged glass surface. (Slides: Fisher Superfrost plus cat 12-550-15).
[Optional: put one teaspoon Elmers'glue per waterbath.]
NOTE: thick sections cause  diffusion of the NBT/BCIP precipitate and false negative results.
Deparaffinize the slides with two 5 min. incubations of clean xylene, followed by three washes with absolute ethanol. Then gradually bring to distilled water.
Place the sections in a radiotransparent slide holder (not metal). (WVR Staining Dish, White,Cat 25608-906; WVR Slide Holders, 24-place, Cat 25608-868). A good alternative are those plastic slide holder for shipping slides in the mail: ask your pathologist).
Immerse slides and holder in 1mM EDTA pH 7.5 (from a 100mM stock) in a beaker.
[Optional: cover with a piece of Saran wrap in which you made holes].
Put in a microwave oven and bring to a boil at max power (8 min for 800 ml). Let boil for 15 min at a reduced power (Power 3) so that the liquid continue to simmer. Cool at RT for 30 min to one hour.  Transfer to TBS.
Alternatively a pressure cooker or an autoclave can be used.

PROCEDURE


1- Wash twice in TBS 0.05M pH7.5, to which 0.01% Tween 20 has been added (TBS-T).

2- Briefly blot the slides without letting them dry and then apply egg white in PBS-BSA-NaN3 as a blocking agent (one egg white in 100 ml PBS + NaN3) (Miller RT et al, Appl Immunohistochemistry 5(1): 63-66, 1997). Incubate for 10 min. minimum. (Use the yolk as directed in Cucinait.com)

NOTE: this passage may be omitted, however subsequent double staining with a biotin based method may need endogenous biotin blocking.
3- Wash once in TBS-T.

4- Incubate with skim milk 5% in TBS-T for 10-30 min. (Miller RT et al, Appl. Immunohist & Molecular Morphology, 71(1): 63-65, 1999)

NOTE: skim milk may contain weak proteases which will be useful to further unmask antigens, but may reduce immunostaining by acting on primary Abs.
5- Wash once in TBS-T (residual milk can contribute to blocking).

6- blot the slides  and apply the primary antibody (100-300µl), in a moist chamber, at RT for 2-18 hr (try first overnight).

Humid chamber
NOTE: The moist chamber (see above) must fulfill the following criteria: a) be absolutely flat, b) maintain moisture over 3 days without drying. c) be washable.
NOTE: primary antibody dilution in this system range from 1 µg/ml to 0.01 µg/ml. Above this range you may expect high background. Below this your staining may be erratic. Monoclonal antibodies have a narrower range of dilutions that polyclonals. Typical initial screening dilutions for polyclonal sera are 1:1,000, 1:10,000, 1:30,000.
7- Wash in TBS-T over 30 min with at least four washes. Washing in distilled water may reduce specific and background staining.

8- add the AP conjugated secondary antibody (100 - 300 µl) and incubate for 2 hrs.

NOTE: amplification of the system with little increase in background can be obtained as follows:
Low level: counterstain with Goat anti mouse F(ab) FITC or Goat anti rabbit F(ab) FITC  (Jackson Immunoresearch Labs 115-097-003  and 111-097-003) 1:2000/3000 followed  by (see below the method) Goat anti-FITC-AP 1:2000 .
High level: counterstain with Goat anti mouse F(ab) FITC or Goat anti rabbit F(ab) FITC 1:3000 (Jackson Immunoresearch Labs 115-097-003  and 111-097-003) followed (see below the method) by Goat anti-FITC-HRP 1:100 (Roche 1426346), followed by FITC-Tyramide (Perkin-Elmer / NEN Cat. #  NEL741) and Goat anti-FITC-AP 1:2000.
NOTE: secondary antibody dilution in this system range from 1:500 to 1:2,000.
NOTE: dilute secondary antibodies in TBS-BSA-NaN3.  Add to the secondary abs 10% egg white from the above preparation and 10% skim milk (final 0.5%), previously centrifuged to get rid of the particulate suspension. You can also add 5% human or mouse serum ,depending on the tissue target and on the pre-absorption of your secondary Ab.
9- Wash in TBS-T over 30 min with at least four washes. Washing in distilled water may reduce specific and background staining. Tap water may kill your AP via fluorides.

10- develop with freshly prepared NBT/BCIP (Roche, 1-681-451 or tablets 1-697-471), by covering the section with 100-300 µl of the solution (optional: filtered with a 45µm filter). Your stain should appear after the first 30 min. and you may develop for 24 hours or more, if needed. You may interrupt the staining by washing the slides in TBS-T and storing them overnight at +4C°, resuming staining the next day. Keep the solution in the dark. You don’t need levamisole, because endogenous AP has been inactivated by high heath.

Double AP staining:


To perform double staining inactivate the first AP by bringing the EDTA buffer to vigorous boil, placing the slides in it and let cool. Then add a second combination of non-crossreacting primary and secondary Abs. Note that NBT/BCIP is the weakest blocking development and allows color mixtures more than other combinations.
For color contrast perform a second immunostaining with an avidin-biotin method, with or without tyramide amplification, and AEC (aminoethylcarbazole) development (see : indirect IHC with AEChere).
Alternatively, use FastRed or NewFuchsin. However we noticed progressive degradation of the FastRed deposition and eventually loss of the red staining over weeks, possibly due to the catalytic activity of NBT/BCIP.
There is no such sensitive development for AP as NBT/BCIP. You may use INT/BCIP (Roche, 1-681-460), however it changes to crystals upon storage.
Incubation the sections in absolute methanol turns the color to bright blue.
Mounting NBT/BCIP slides in xylene gives unpredictable crystal formation.

To see an enlarged image click on the thumbnail.
NBT stain