Influence of prolonged formalin fixation of tissue samples on the sensitivity of chromogenic in situ hybridization

J Vet Diagn Invest. 2011 Nov;23(6):1212-6. doi: 10.1177/1040638711425584. Epub 2011 Oct 20.

Abstract

Chromogenic in situ hybridization (ISH) is a commonly used tool in diagnostic pathology to detect pathogens in formalin-fixed, paraffin-embedded (FFPE) tissue sections. Prolonged formalin fixation time was identified to be a limiting factor for the successful detection of nucleic acid from different pathogens, most probably due to the cross-linking activity of formalin between RNA, DNA, and proteins. Therefore, in the current study, the influence of formalin fixation time on ISH signal intensity of 2 viral (Porcine circovirus-2 [PCV-2] and Porcine respiratory and reproductive virus [PRRSV]) and 2 protozoal agents (Cryptosporidium serpentis and Tritrichomonas sp.) was evaluated. Tissue samples were fixed in 7% neutral buffered formaldehyde solution, and at defined intervals, pieces were embedded in paraffin wax and subjected to pathogen-specific ISH. For all 4 pathogens, the signal intensity remained comparable with the starting ISH signal for different periods of fixation (PCV-2: 6 weeks, PRRSV: 23 weeks, C. serpentis: 55 weeks, Tritrichomonas sp.: 53 weeks). Thereafter, the signal started to decline until loss of nucleic acid detection. The influence of increased proteinase K concentrations for inverting the formalin-induced cross-linking activity was examined compared with the standard protocol. With all 4 infectious agents, a 4-fold proteinase K concentration restored the ISH signals to a level comparable with 1 day of fixation. In conclusion, the influence of prolonged formalin fixation on the intensity of detected ISH signal highly depends on the analyzed infectious agent and the pretreatment protocol.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Chromogenic Compounds
  • Circovirus / isolation & purification*
  • Cryptosporidium / isolation & purification
  • Formaldehyde / chemistry*
  • In Situ Hybridization / methods*
  • Porcine respiratory and reproductive syndrome virus / isolation & purification*
  • Protozoan Infections, Animal / parasitology
  • Snakes
  • Swine
  • Swine Diseases / virology
  • Tissue Fixation*
  • Tritrichomonas / isolation & purification

Substances

  • Chromogenic Compounds
  • Formaldehyde