Immunohistochemistry: Overview, Its Potential, and Challenges


IHC stage

Step

Preanalytic

Test selection

Specimen type

Tissue acquisition, pre-fixation/transport time

Fixation, type and time

Processing, temperature

Analytic

Antigen retrieval procedure

Selection of primary Ab’s

Protocol, labeling agents

Reagent variation

Control selection

Technician training/certification

Lab certification/QA programs

Postanalytic

Assessment of control performance

Description of results

Interpretation/reporting

Pathologist, experience and CME specific to IHC



Unlike the clinical setting, there is no published QC and assurance guideline specific to a toxicological pathology laboratory according to our literature search. As will become obvious in ensuing chapters, this is most likely because as in the case of any nonroutine test in a research setting, each antigen detection method requires its own in-built QC and assurance as a result of variations in available antibodies and the cell/ tissue types being studied for antigen localization. However, once the IHC method is established for a specific antigen, it is important that some type of QC procedure is in place to ensure consistent data. Therefore, based on the recommendations for QC and assurance in clinical IHC, we suggest that the “Total Test” approach be also considered as some form of QC for an IHC procedure in a toxicological pathology lab within a research setting since the same steps shown in Table 1.1 would be required for the IHC test. Along the same lines, the guideline for human tissues provided by the Canadian Association of Pathologists [12] is another one that could be adapted to suit toxicology needs and for rodents or other mammalian tissues since almost all the antibodies so far available for use in humans are also available and compatible for use in rodents.



Conclusion


IHC and immunocytochemistry continue to play a critical role in cell and tissue biology as diagnostic aids in pathology and toxicology despite the QC challenges we have mentioned. As the following chapters will demonstrate, the advancing methodologies facilitate accurate analysis of the biochemistry of many diverse cells and tissues in relation to their morphological organization.

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Nov 3, 2016 | Posted by in GENERAL & FAMILY MEDICINE | Comments Off on Immunohistochemistry: Overview, Its Potential, and Challenges

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