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WELCOME

WELCOME. MY INTRODUCTION.

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WELCOME

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  1. WELCOME

  2. MY INTRODUCTION I am Alie Wouda and I am living in Holland. During 15 years I worked on the department of pathology. That is now 17 years ago, meanwhile I’m studying p e herbs, homeopathy and so on. Because my husband finished with his study medicine and became a Pathologist we moved from the north of the Netherlands to the south. In 1995 I started a practice of my own, because I was finished also.

  3. We were asked to make a start with the implementation of immuno-histochemistry in the department of Pathology of the KCKM in Moshi. We started two weeks ago and the results are promissing.

  4. Something about tumor cells First I tell you something about the tumor cells. When the pathologist doesn’t know which cell is seen microscopically, the cells might probably be of a primary mammacarcinoma or a metastasis of an other tumor he can perform an immuno-histochemical investigation. The difference is important because the treatment can be very different of the tumors.

  5. This afternoon we tell something about • Immunoresponse • (Basic principle) immunology • Fixation . Antibodies • Immunology protocol

  6. Immunoresponse WikipediaThe immune system is a defense system, the purpose is to destroy bacteria or changed cells of the own body. Defense against pathogens/ infectious bacteria: • Virusses • Bacteria • Fungi • Protozoa • parasites

  7. Immuun response Types immuun response • Biologica immuun response • Respons on infectious diseaes • Vaccination • Experimentele immuun response • Production of monoclonal, polyclonal antibodies • Research at function/ action of immune system

  8. Immunology Basic principal Interaction between antigen and the fitting antibody Wikipedia:Immunology is the biological science researching the immunonological system: the defencemechanisms which in organisms prevents the entering of organisms (bacteria) and cells of outside the body.

  9. Immunology

  10. Fixation Purpose fixation: • Make cells/tissue resistant for histochemical proceedings • Decreasing catabolic processes • autolyse • heterolyse (demolition by microorganisms) • Prevent extraction • Fixate 3D structure (of proteins)

  11. Fixation After fixation you still need: • materials with contrast • Conformation of antigens • Genetical information • Residual enzyme activity

  12. Fixation Fixation, what is important; • Kind of fixative • Duration of fixation • Temperature

  13. Fixation methods • Physical • Freeze • Chemical • Coagulation (methanol, aceton) • Not coagulation, crosslinking (formalin)

  14. Fixation Chemical: Coagulation (Ethanol, aceton) • Proteins, colloïdal solvability disappears, and condensate • Carbohydrates condensate • Nucleic acids condensate • Fat dissolves

  15. Fixation Chemical: Not coagulate, crosslinking(Formaline 3,7%) • Resistance against - extraction in organic solvents - conformation of changes, possibly made during tissue processing • Protection of antigenic determinants • Crosslinks incraeses the molecular density

  16. Fixation Formaldehyde vs Formaline Formaldehyde Formaline H OH C H OH

  17. Fixation Diffuse ability fixative D = k • Vt D = diameter, half (radius) in mm K = diffusioncoëfficiënt T = time in houres K for Formaline 0,78

  18. Fixation Example: tissue of 4x4x3 mm Howlong takes it before the tissue is fixed by formalin?

  19. Antibodies Production of: • Polyclonale antibodies Antibodies, derived from different cells or diversity of cells. Therefore they are a mixture of many different specifications. • Monoclonal antibodies Antibodies, derived of only one single B-lymphocyte (plasmacel).

  20. Antibodies

  21. Antibodies Advantages and disadvantages of polyclonal antibodies • Advantages: • High harvest • Several clones plasmacells • conformation change of antigens • Production procedure more simple than monoclonale antibodies • Multivalent interactions between antigens and polyclonal antibodies • Relative low costs

  22. Antibodies Advantages and disadvatages of polyclonal antibodies • Disadvantages: • Large laboratory animals ( goat, sheep, pig) • Stock antiserum is finite • There are also undesired AB present, so a greater chance for cross reactions • Respons of the laboratory animals on the immunisations are not consistant during a period of time

  23. Antibodies Advantages and disadvantages of monoclonal antibodies • Advantages: • High, exclusife specificity, monospecific • No / few background • Immunisation with weak immunogens • Constant quality en quantity

  24. Antibodies Advantages and disadvantages of monoclonal antibodies • Disadvantages: • Procedure is sensentive for loss of antigenicity • Low sensitivity at low concentration of antigen • (Too) high specificity • Loss of quality of hydromacells

  25. Antibodies HAT selectie

  26. Antibodies Structure antibody Immunoglobulin monomer

  27. Antibodies Different Isotypes The H- chains determine the antibody class (the Isotype)

  28. Antibodies Affinity = binding strength between 1 antibody en 1 epitope Avidity = total binding strength of a complex consists of antigens, different epitopes and their counterparts (antibodies)

  29. Antibodies Affinity is determined by: • Fitting • Size of the complementary area • Amount of interactions • Quality of the interactions Interactions: H-bridges, ion binding, hydrofobic interactions, induced dipoles, and van der Waals forces

  30. Antibodies Crossreactivity • Antibody reacts with other unrelated antigen: • 2 antigens with the same identical Ag determinant • 2 antigens with the same structural similar Ag determinant • The affinity of the determinant with which the crossreaction happens is often lower

  31. Immuno protocol Recommended Staining Protocol 1. Deparaffinize and rehydrate tissue section. 2. To reduce non-specific background staining due to endogenous peroxidase, incubate slide in hydrogen peroxide for 10-15 minutes. 3. Wash 2 times in PBS or TBS wash buffer. 4. If required, incubate tissue in digestive enzyme or perform appropriate HIER pre-treatment. 5. Wash 2 times in PBS or TBS wash buffer. 6. (Optional) Apply Pre-antibody Blocking Solution (NGS)and incubate for 5 minutes at room temperature to block non-specific background staining. 7. Wash 2 times in PBS or TBS wash buffer). 8. Apply primary mouse or rabbit or rat antibody and incubate according to manufacturer's protocol. 9. Wash 2 times in PBS or TBS wash buffer. 10. Apply Post-antibody Blocking and incubate for 15 minutes at room temperature. 11. Wash 2 times in PBS or TBS wash buffer. 12. Apply Poly-HRP-Goat anti Mouse/Rabbit IgGand incubate for 30 minutes at room temperature. 13. Wash 2 times in PBS or TBS wash buffer. 14. Incubate with peroxidase-compatible chromogen 15. Counterstain and coverslip.

  32. Immuno protocol

  33. Immuno protocol

  34. Immuno protocol CD 30 Mib-1

  35. Different types • Actin (Smooth Muscle) • Adrenocorticotropin (ACTH) • Albumin • Alpha-1-Antitrypsin • Alpha-1-Fetoprotein • AMACRprstate • Amyloid A • Androgen Receptor • Bax • BCL2 Oncoprotein • BCL6 Protein • Beta-Catenin • BRCA1 • CA 19-9 • CA 125 • Calcitonin • Caldesmon • Calponin • Calretinin • Carcinoembryonic • Antigen (CEA)

  36. CD1a • CD2 • CD3 • CD5 • CD5 • CD7 • CD8 • CD10 • CD14 • CD15 • CD19 • CD20cy • CD21 • CD23 • CD23 • CD30 • CD31, Endothelial Cell • CD34 Class II • CD35 • CD43 • CD3 • CD4 • CD44, Phagocytic Glycoprotein-1 • CD45, Leucocyte Common Antigen • CD45R0 • CD45RA • CD56 • CD57 • CD61, Platelet Glycoprotein IIIa

  37. CD68 • CD68 • CD68 • CD79α • CD79αcy • CD99, MIC2 Gene Products, Ewing's Sarcoma Marker • CD117, c-kit • CD138 • CD246, ALK Protein • CDX2 • Chorionic Gonadotropin (hCG) • Chromogranin A • Collagen IV • COX-2 • Cyclin D1 • Cytokeratin • Cytokeratin • Cytokeratin 5/6 • Cytokeratin 7 • Cytokeratin 10 • Cytokeratin 10/13 • Cytokeratin 17 • Cytokeratin 18 • Cytokeratin 19 • Cytokeratin 20 • Cytokeratin, High Molecular Weight • Cytokeratin, Wide Spectrum Screening • Cytomegalovirus • D2-40 • Desmin • E-Cadherin • EGFR epidermal growth factor receptor • Epithelial Membrane Antigen (EMA) • Epstein-Barr Virus, LMP • Estrogen Receptor α

  38. Glial Fibrillary Acidic Protein (GFAP) • Helicobacter Pylori • Hepatitis B Virus Core Antigen (HBcAg) • Hepatocyte • Herpes Simplex Virus Type 1 • Herpes Simplex Virus Type 2 • Human Immunodeficiency Virus (HIV), p24 • IgA, IgG, IgM, Kappa, Lambda • Inhibin α • Kappa Light Chains • Ki-67 Antigen proliferatie marker • Lambda Light Chains • Leukaemia, Hairy Cell • Melan-A • Mesothelial Cell • Neuron-Specific Enolase (NSE) • p53 Protein • Papillomavirus (HPV) • Parvovirus B19 • Placental Alkaline Phosphatase • Plasma Cell • Progesterone Receptor • Prostate-Specific Antigen (PSA) • Renal Cell Carcinoma Marker • S100 • Serotonin • Somatostatin • SynaptophysinTerminal Deoxynucleotidyl Transferase (TdT)Thyroid-Stimulating Hormone (TSH)Thyroid Transcription Factor (TTF-1) • Vimentin

  39. So that’s wants to tell Thank you for the attention Alie Wouda from the Netherlands

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