Rapid two-temperature formalin fixation

PLoS One. 2013;8(1):e54138. doi: 10.1371/journal.pone.0054138. Epub 2013 Jan 18.

Abstract

Formalin fixation is a mainstay of modern histopathologic analysis, yet the practice is poorly standardized and a significant potential source of preanalytical errors. Concerns of workflow and turnaround time drive interest in developing shorter fixation protocols, but rapid protocols can lead to poor histomorphology or inadequate downstream assay results. Additionally, assays such as immunohistochemistry for phosphorylated epitopes have historically been challenging in the context of formalin-fixed tissue, indicating that there may be room for improvement in this process that is fundamental to the practice of anatomic pathology. With these issues in mind, we studied basic formalin biochemistry to develop a novel formalin fixation protocol that involves a pre-incubation in subambient temperature formalin prior to a brief exposure to heated formalin. This new protocol is more rapid than standard protocols yet preserves histomorphology and yields tissue that is compatible with an expanded set of downstream clinical and research assays, including immunohistochemistry for phosphorylated epitopes.

MeSH terms

  • Fixatives
  • Formaldehyde*
  • Humans
  • Immunohistochemistry / methods*
  • Palatine Tonsil / metabolism
  • Proto-Oncogene Proteins c-bcl-2 / analysis
  • Reproducibility of Results
  • Temperature*
  • Time Factors
  • Tissue Fixation / methods*

Substances

  • Fixatives
  • Proto-Oncogene Proteins c-bcl-2
  • Formaldehyde

Grants and funding

The authors have no support or funding to report.