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Originally published as JHC exPRESS on April 27, 2009.
doi:10.1369/jhc.2009.953877
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Journal of Histochemistry and Cytochemistry
Volume 57 (8): 753-761, 2009
Copyright ©The Histochemical Society, Inc.

Effects of Prolonged Formalin Fixation on Diagnostic Immunohistochemistry in Domestic Animals

Joshua D. Webster, Margaret A. Miller, Dee DuSold and José Ramos-Vara

Animal Disease Diagnostic Laboratory (JDW,MAM,DD,JRV) and Department of Comparative Pathobiology (JDW,MAM,JRV), School of Veterinary Medicine, Purdue University, West Lafayette, Indiana

Correspondence to: Dr. José Ramos-Vara, Animal Disease Diagnostic Laboratory, Purdue University, 406 S. University, West Lafayette, IN 47907. E-mail: ramosja{at}purdue.edu

Immunohistochemistry (IHC) is routinely used in diagnostic pathology to detect infectious agents, to immunophenotype neoplastic cells, and to prognosticate neoplastic diseases. Formalin fixation is considered a limiting factor for IHC because formalin can cross-link antigens and mask epitopes. Prolonged formalin fixation is presumed to result in decreased antigen detection; however, this effect has only been evaluated with a few antibodies. The goal of this study was to evaluate the effect of prolonged formalin fixation on the immunohistochemical detection of 61 different antigens. Approximately 5-mm-thick tissue slices were fixed in 10% neutral-buffered formalin. Tissue slices were removed from formalin, processed, and paraffin-embedded at 1-day, 3-day, and then at ~1-week intervals. IHC was performed on all sections in tandem after all tissues were processed. Immunoreactions were evaluated by three pathologists according to a four-tier grading system. Immunoreactivity of cytokeratin 7, high-molecular-weight cytokeratin, and laminin was diminished by prolonged formalin fixation. However, immunohistochemical reactivity remained moderate to strong with up to 7 weeks of fixation for all other antibodies. These results suggest that prolonged formalin fixation has minimal effects on antigen detection for most commonly used antibodies. These results further validate the use of IHC in diagnostic pathology. (J Histochem Cytochem 57:753–761, 2009)

Key Words: immunohistochemistry • formalin • formalin fixation • diagnostic pathology


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