Protocol Citation: Jeffrey Purkerson, Luis Colon, Heidie Huyck, Gloria S Pryhuber 2024. 814.1 Multiplexed Immunofluorescence Phenocycler-Fusion® Imaging of FFPE Lung Sections Following Mass Spectrometry. protocols.io https://dx.doi.org/10.17504/protocols.io.3byl4qyx8vo5/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: January 16, 2024
Last Modified: January 24, 2024
Protocol Integer ID: 93617
Keywords: lung, multiplexed immunofluorescence, Phenocycler-Fusion, FFPE, tissue sections, CODEX, multiplexed immunofluorescent staining of lung tissue, multiplexed immunofluorescent staining, imaging of ffpe lung tissue section, multiplexed immunofluorescence phenocycler, msi for human lung tissue, ffpe lung tissue section preparation, ffpe lung tissue section, labeling of lung tissue section, ffpe lung section, custom antibody conjugation, immunofluorescence, reference to custom antibody conjugation, lung tissue section, human lung tissue, lung tissue, multiplexed imaging, mass spectrometry this protocol, following mass spectrometry, antibody, glycans with maldi, staining technology
Funders Acknowledgements:
NHLBI (HubMAP)
Grant ID: U54HL165443
NHLBI (LungMAP) PNNL
Grant ID: UO1HL148860
NHLBI (LungMAP) URMC
Grant ID: UO1HL148861
Abstract
This protocol describes multiplexed immunofluorescent (MxIF) staining and imaging of FFPE lung tissue sections utilizing the Phenocycler-Fusion platform (Akoya Biosciences) following spatial analysis of N-Glycans with MALDI-MSI. The approach for MxIF is based on the CODEX multiplexed immunofluorescence staining technology developed by Garry Nolan and colleagues (1). The protocol is closely aligned with the attached Phenocycler-Fusion User Guide provided by Akoya (2).
The protocol includes A) FFPE lung tissue section preparation, B) Reference to spatial N-glycomics with MALDI-MSI for human lung tissue C) Labeling of lung tissue sections with antibody-barcode conjugates, D) Barcode-Reporter plate and experiment design, E) Multiplexed imaging and analysis, F) Reference for H&E stain to follow MxIF and G) Reference to custom antibody conjugation. Thus, the protocol is designed to provide information regarding specific reagents (i.e., antibodies), conditions (i.e., dilutions), and procedures used in multiplexed immunofluorescent staining of lung tissue.
An overview of Multiplexed Imaging using barcode conjugated antibodies can be found in the attached Phenocycler-Fusion User Guide. Onsite training in staining procedures, experimental setup and design, as well as image acquisition is provided by Field Application Scientists from Akoya Biosciences.
Materials
Key equipment, reagents, buffers, and supplies can be found in the attached Phenocycler-Fusion User Guide (Akoya Biosciences).
1. Surgipath Apex Superior Adhesive Slides; P/N: 3800086 Orange ( Leica® Biosystems, Richmond, IL)
10. Indium-tin-oxide (ITO) glass slides (25 mm x 75 mm) Delta Technologies Part #: CG-80IN-S115.
11. Coplin Jars
12. Aluminum foil
Troubleshooting
Safety warnings
Procedures involving xylenes and paraformaldehyde should be performed in a chemical fume hood. Nitrile gloves are permeable to xylenes therefore change gloves promptly upon contact with xylenes.
Use heat resistant gloves to handle Coplin jars after antigen retrieval.
Ethics statement
The protocol does not utilize laboratory animals.
Before start
The Phenocycler Fusion system must be setup and calibrated by an installation engineer. Akoya Biosciences will provide a list of materials required for training.
Post MALDI Imaging MS acquisition, MALDI matrix is removed by incubation in 2X Coplin Jars containing 50% acetonitrile.
50% Acetonitrile #100:02:00
50%Acetonitrile #200:02:00
4m
2.2
Slides were air-dried and desiccated prior to shipping back to URMC.
Labeling of lung tissue sections with antibody-barcode conjugates
2h 15m
3
Note
Since stained slides can be stored in storage buffer for a maximum 5 days without diminution of staining signal intensity, and Phenocycler-Fusion imaging typically ranges from 16-24h, staining more than 5 slides at a time is not recommended.
Rehydration
The tissue sections are rehydrated through descending ethanol series followed by molecular biology grade distilled water (2X).
100% Ethanol #1 00:05:00
100% Ethanol #2 00:05:00
90% Ethanol 00:05:00
70% Ethanol 00:05:00
50% Ethanol 00:05:00
30% Ethanol 00:05:00
ddH20 #1 00:05:00
ddH20 #1 00:05:00
40m
4
High pH Antigen Retrieval9
Heat-Induced Epitope Retrieval (HIER) reverses protein crosslinking in FFPE tissue
4.1
Dilute AR9 buffer (Akoya Biosciences) 1/10 in ddH20 and fill plastic Coplin Jar to 90-95% volume. Add slides containing tissue sections to be stained. Cover entire Coplin Jar with aluminum foil. (Do not Cap)
4.2
Place Coplin Jar in an InstantPot® pressure cooker containing ddH20 to 1/3-1/2 depth of Coplin Jar.
4.3
Heat on high pressure setting 00:20:00
20m
4.4
After releasing pressure per pressure cooker directions, remove Coplin Jar, partially unwrap foil without uncovering slides and allow slides to cool for a minimum of 01:00:00 . Attempting to rinse/wash without allowing slides to cool may reduce tissue adherence to glass slide.
1h
5
Prepare Blocking Buffer
Prepare Blocking Buffer no earlier than 1 h before staining (i.e. while slides are cooling in AR9 buffer and/or incubating in Staining buffer, see below) and keep on ice.
5.1
Table 1. Blocking Buffer Component Table
Component 2 Slides 5 slides N Slides
Staining Buffer 362 µL905 µL181 µL x N
N Blocker 9.5 µL23.75 µL4.75 µL x N
G Blocker 9.5 µL23.75 µL4.75 µL x N
J Blocker 9.5 µL23.75 µL4.75 µL x N
S Blocker 9.5 µL23.75 µL4.75 µL x N
Total Volume 400 µL1000 µL200 µL x N
5.2
Prepare Antibody Cocktail
In a 1.5 ml microfuge tube, mix volume of blocking buffer = 200 µL x N slides to be stainedminus total volume of antibodies (µl/slide x N) to be used in experiment (See Table below). The Blocking buffer volume must be ≥60% of total antibody cocktail volume for effective blocking. If needed, reduce staining buffer volume to achieve 60% blocking buffer volume in Ab solution.
Example antibody panel (final column = microliter of antibody per single slide):
Antibody
Vendor
Cat#
Barcode
Dilution
µl/200µl/1slide
SMA
Akoya
4450049
BX013
1:200
1
PanCK
Akoya
4450020
BX019
1:200
1
MPO
Akoya
4250083
BX098
1:200
1
Ki67
Akoya
4250019
BX047
1:200
1
Keratin5
Akoya
4450090
BX101
1:200
1
HLADR
Akoya
4550118
BX033
1:200
1
FOXP3
Akoya
4550071
BX031
1:200
1
ColIV
Akoya
4550122
BX042
1:200
1
CD8
Akoya
4250012
BX026
1:200
1
CD68
Akoya
4550113
BX015
1:200
1
CD45
Akoya
4550121
BX021
1:200
1
CD4
Akoya
4550112
BX003
1:200
1
CD3e
Akoya
4550119
BX045
1:200
1
CD31
Akoya
4450017
BX001
1:200
1
CD20
Akoya
4450018
BX007
1:200
1
CD163
Akoya
4250079
BX069
1:200
1
CD14
Akoya
4450047
BX037
1:200
1
CD11c
Akoya
4550114
BX024
1:200
1
E-Cadherin
Akoya
4250021
BX014
1:200
1
TPSAB1*
Abcam
ab2378
BX041
1:1000
0.2
SFTPC*
Invitrogen
PA5-71842
BX020
1:500
0.4
SCGB1A1*
R&D System
MAB4218
BX043
1:400
0.5
β-III-Tubulin*
R&D Systems
MAB1195
BX055
1:400
0.5
SCEL*
Abcepta
Abcepta
BX052
1:100
2
RAGE*
Abcam
ab228861
BX028
1:100
2
LYVE1*
R&D Systems
AF2089
BX025
1:100
2
COL1A1*
Abcam
ab88147
BX054
1:100
2
CD298*
Abcam
ab167390
BX005
1:100
2
CD1c*
Novus
ab156708
BX016
1:50
4
SCGB3A2*
Abcam
ab240255
BX002
1:400
0.5
TP63*
Abcam
ab214790
BX006
1:100
2
MUC5AC*
Abcam
ab212636
BX040
1:100
2
PROX1*
R&D Systems
AF2727
BX050
1:200
1
CXCL4*
Peprotech
500-P05
BX004
1:200
1
41.1 µlAb/200µl blocking buffer / 1 slide
Note: Whenever possible barcodes and reporters are assigned to specific antibodies based on predicted antigen abundance and relative channel sensitivity in accordance with the PhenoCycler-Fusion User Guide (Akoya Biosciences).
*Denotes custom-conjugated antibody. Refer to custom-conjugation section at the end of the protocol.
6
Incubate with Ab + Blocking Buffer Cocktail Solution
6.1
Wash slides in Coplin Jars containing dd H2O
dd H20 #1 - 3 dips
dd H20 #2 - immersion 00:02:00
2m
6.2
Immerse Slides in sequential Coplin jars containing the following buffers from Akoya Biosciences:
Hydration buffer #1 00:02:00
Hydration buffer #2 00:02:00
Staining buffer00:20:00-00:30:00max.
54m
6.3
Carefully dry slide around tissue with a Kimwipe™.
Then pipette 190 μL Ab cocktail solution onto slide to cover tissue section.
Avoiding pipetting directly onto tissue.
6.4
Incubate slides, covered in a lightly humidified chamber, for 03:00:00Room temperature .
3h
7
Post Stain Wash and Multiple Fixations
Tissue slides are briefly washed in staining buffer followed by sequential fixation with paraformaldehyde, ice-cold methanol, and final fixation solution.
7.1
Incubate in sequential Coplin Jars containing:
Staining Buffer #1. 00:02:00
Staining Buffer #2. 00:02:00
1.6% paraformaldehyde (Diluted in Storage buffer, Akoya Biosciences from 20% stock). 00:10:00
Rinse slides sequentially in 3 Coplin Jars containing 1 x PBS (3 dips each)
Pre-chilled, -20 °C, methanol on ice 00:05:00
Rinse slides sequentially in 3 Coplin Jars containing 1 x PBS (3 dips each)
19m
7.2
Prepare Final Fix 2% dilution
20 μl aliquot of Final Fix (Akoya Biosciences) diluted in 1 ml PBS
Carefully dry slide around tissue with a Kimwipe™
Then pipette 190 μL of 2% Final Fix solution onto slide to cover tissue section while avoiding pipeting directly onto tissue.
Slides may be stored for up to 5 days in a Coplin Jar containing Storage buffer4 °C.
8.2
In order to reduce autofluorescence from the tissue, on the day prior to imaging, lay the slide to be imaged flat in a 100 cm2 dish containing Storage Buffer (Akoya Biosciences).
Photobleach by illumination with a 200 mA, 15 watts, 1600 lumens bulb 4 °COvernight.
Reporter Plate and Experiment Design
9
Reporter plate design and Phenocycler-Fusion run protocols are developed using the PhenoCycler Experiment Designer Software (Akoya Biosciences).
10
Prepare 1x Phenocycler Buffer and Reporter Stock Solutions
Reporter Stock Solution is prepared according to guidelines in the attached Phenocycler-Fusion User Guide (Akoya Biosciences®)
10.1
Prepare 1 L of 1 x Phenocycler Buffer with Buffer additive, sufficient for 10 imaging runs. This is used in the side-car Phenocycler Buffer bottle, in the reporter stock solution and in the mounting of the flow cell. Do not filter. Store at room temperature for up to 2 weeks. Combine in clean glass container, mix well, avoid bubbles:
800 mL ddH2O
100 mL 10x Buffer for Phenocycler (Akoya Biosciences)
100 mL Buffer Additive for Phenocycler Fusion (Akoya Biosciences)
10.2
Prepare Reporter Stock Solution
Combine, mix gently by inversion:
1 x Phenocycler Buffer with Buffer additive 270 µL X N
Assay Reagent 25 µL X N
Nuclear Stain 5 µL X N
Total volume should equal 300 μl x N = number of cycles plus two blank cycles (# reporter plate wells) to be done in the imaging run.
11
Prepare Reporter Solutions for each cycle in an opaque or foil wrapped tube.
Keep Reporters on ice.
Centrifuge Reporter stock tubes briefly prior to removing aliquot.
Protect the fluorescent dye-containing Reporters from photobleaching.
Avoid introducing bubbles into the solutions.
Important to keep the reporter plate dust-free.
An imaging cycle = 4 channel detection including nuclear stain and 3 reporters, depending on filter set chosen, for example one each of ATTO550, Cy5/AF647, AF750. A multi-cycle experiment composes an imaging run.
11.1
Label an opaque microtainer for each well, each well = one imaging cycle of the imaging run. To each tube add 5 μl of each predetermined reporters, complementing the antibody barcodes to be detected in that cycle, and add the Reporter Stock Solution to make total volume 250 μl per microtainer.
11.2
Pipette 245 μl of each reporter mix into a well of a light-opaque 96 well microtiter plate (Akoya Biosciences) according to the Experimental Design developed in the experimental design app.
Also, pipette 245 μl reporter stock solution (blanks) into two wells of row H to create 2 blank wells. Seal the solution-containing wells with Akoya foil seals. The plate may be stored @ 40C for up to 14 days in accordance with the attached PhenoCycler-Fusion User Guide (Akoya Biosciences).
Multiplexed Imaging and Analysis
12
Image Acquistion via Phenocycler-Fusion® (i.e., CODEX V2)
12.1
Use the Experiment Designer app, located on the PhenoCycler-Fusion Acquisition PC desktop,
to define the design of the Reporter plate and imaging parameters to be used in the experiment. Follow details provided in the attached PhenoCycler-Fusion User Guide.
12.2
If necessary, warm reporter plate to Room temperature
12.3
After photobleaching in storage buffer, wash slides in PBS (250 ml; Coplin Jar)Room temperature00:10:00
10m
12.4
After the wash, dry the bottom of the slide and around the edges of the tissue with a kimwipe.
Attach a flow cell using the flow cell assembly device (Akoya Biosciences). Center and press the flow cell onto the slide for 00:00:30
30s
12.5
Cure the flow cell adhesive by incubating the slide in 1X phenocycler buffer (Akoya biosciences)00:10:00Room temperature
10m
12.6
Fill respective Reagent reservoirs on the Phenocycler side car with DMSO, 1X phenocycler buffer, and ddH20, and place a blank flow cell in the flow cell carrier attached to the fluidics tubing.
12.7
Start an imaging run by turning on the Phenocycler fluidics system and the Phenoimager, followed by launching the Fusion software. Select Start experiment and follow the prompts.
12.8
Images were acquired utilizing the 20X (0.5 µM/pixel) objective and Fusion 1.0.8 software.
12.9
Image processing is automated via the Fusion 1.0.8 software and completed at the end of the experiment run.
Expected result
A. Folder with slide/sample name containing:
i. The respective Ab-Reporter (.xpd) file generated by the Phenocycler Experiment designer.
ii. Akoya whole slide scan .qptiff (~8-12 GB for a 30-36 marker panel; ~1 cm2 lung section
B. The following .temp file contents:
i. CombineInputs
ii. Coverslip Mask
iii. qptiff raw files: 8-12 GB for each cycle (30-36 marker panel; 1 cm2 section)
iv.qptiff.intermediate: 8-12 GB for each cycle (30-36 marker panel; 1 cm2 section)
v. FocusMap
vi. FocusTable
vii. Label
viii. MarkerList
ix. Overview BF
x. Overview FL
xi. SampleMask
12.10
Checking the Sample mask, BF overview, and FL overview, by dragging and dropping files into ImageJ after the first cycle is recommended. If major issues are observed, the run may be aborted to preserve reporters.
Do not attempt to open raw or intermediate cycle.qptiff during the imaging run.
12.11
Rapid review of the resultant image.qptiffs is performed utilizing PhenoChart 1.2.0 software. If necessary, exposure time (ms) is adjusted in the Phenocycler Experiment Designer to obtain readily detectable, specific marker signals that are below saturation. Note that after viewing qptiffs in Phenochart an_annotations.xml.lock file will appear in the image folder.
12.12
After the run return the tissue slide with attached flow cell to storage buffer 4 °C. If necessary, slides can be reimaged with a new set of reporters up to 5 days post staining without loss of signal.
13
Record Imaging Run MetaData
13.1
Record Slide ID, staining and imaging date in the Metadata Excel file located in the Fusion folder on the Phenocycler PC.
13.2
Likewise record the dates for biweekly Brightfield reference calibration and maintenance washes as well as monthly fluorescent and phenocycler reference calibration.
13.3
The "source storage time" = length of time (days) between slide staining date and imaging date.
13.4
The image acquisition time = length of time between time stamp on the MarkerList or CombineInputs files (START) and the time stamp on the Akoya whole slide scan file .qptiff (FINISH).
13.5
The time_since_acquisition_instrument_calibration_value is the time interval (days) between the phenocycler reference calibration date and the imaging run date.
Data backup and storage
14
Upload files from Phenocycler-Fusion runs to the URMC local Bluehive-Archive/archive/lungmap_lab codex folder.
14.1
Maintain directory structure for each run by creating a new folder labeled with the slide ID containing a scan# subfolder, and a temp subfolder within the scan folder.
14.2
Include the following files in the upload:
Slide folder:
Scan Folder:
A. (.xpd) file (Phenocycler Experiment designer)
B. Akoya whole slide scan .qptiff
C. The ome.tiff generated via bfconvert (See step 17)
Temp folder:
i. CombineInputs
ii. Coverslip Mask
iii. qptiff raw files for each cycle
iv.qptiff.intermediate files for each cycle
v. FocusMap
vi. FocusTable
vii. Label
viii. MarkerList
ix. Overview BF
x. Overview FL
xi. SampleMask
Multiplexed Imaging and Analysis
15
Image Analysis and Segmentation
15.1
Analysis of processed image.qptiff files is performed utilizing QuPath (See Reference 3).
15.2
Cell segmentation based on (DAPI) stained nuclei is performed utilizing the respective StarDist extension (See Reference 4) in QuPath.
15.3
Cell detection measurements (e.g. X,Y coordinates, fluorescent intensity data for all channels) are saved as a text file, opened in Excel as a tab delimited file, and resaved as a CSV (comma delimited) file.
15.4
Cell segmentation masks are exported from QuPath running the following ExpCell script within Script Editor:
Vascular smooth muscle and airway epithelial features are annotated and classified by thresholding the ACTA2 and PanCK signals utilizing the Pixel classifier in QuPath.
15.6
Annotation masks are exported from QuPath running the following ExpCell script within Script Editor:
For antibodies containing sodium azide (0.05-0.1%) or trehelose (5%), buffer exchange was performed utilizing Zeba Spin Desalting columns 7K MWCO (89890, 2ml, Thermoscience) equilibrated in PBS in accordance with the manufacturer's recommendations.
18.2
Success of Antibody-Barcode chemical conjugation is determined by resolving unconjugated and conjugated Ab's on BioRAD‱s MiniProtean TGX Gel 4-15% Bis-Tris Protein Gels in accordance with Guidelines in the Phenocycler-Fusion User Guide (Akoya Biosciences®, Malborough, MA).
Expected result
Barcode conjugated Ig heavy and light chains exhibit an Electrophoretic Mobility Shift (EMS) relative to the corresponding unconjugated Ab.
Figure 1. A representative SDS-PAGE Gel providing quality assurance of Ab barcode conjugation.
H&E staining Post Phenocycler-Fusion
10m
19
It is useful to stain the tissue sections with hematoxylin & eosin following the multiplexed fluorescence imaging in order to match histology with antibody staining. We have stained lung sections with an aqueous H&E stain as described dx.doi.org/10.17504/protocols.io.kqdg397yeg25/v1 but this resulted in an overall rather grey stain and so we have opted instead to remove the flow cell by soaking in xylene prior to H&E staining of lung sections as described in Step 19.1.
19.1
After all MxF imaging is completed for the slides, remove the flow cell covered slides from storage buffer (Akoya Biosciences), wipe dry with Kimwipe and, utilizing a vacuum-suction apparatus similar to what is described in dx.doi.org/10.17504/protocols.io.kqdg397yeg25/v1, remove buffer from the flow cell.
Incubate slides in a Coplin Jar containing Xylene for up to 04:00:00 in order to weaken or dissolve the flow cell adhesive.
Carefully pry flow cell off the slide with razor blade or preferably a thin spatula.
3. Bankhead, P., Loughrey, M.B., Fernández, J.A. et al. QuPath: Open-source software for digital pathology image analysis. Sci Rep7, 16878 (2017). https://doi.org/10.1038/s41598-017-17204-5.
4. Schmidt, U., Weigert, M., Broaddus, C., and Myers, G. (2018). “Cell detection with star-convex polygons,” in Medical Image Computing and Computer Assisted Intervention—MICCAI 2018. Editors A. F. Frangi, J. A. Schnabel, C. Davatzikos, C. Alberola-López, and G. Fichtinger (Springer InternationalPublishing) 11071, 265–273. doi:10.1007/978-3-030-00934-2_30; M. Weigert, U. Schmidt, R.Haase, K. Sugawara and G. Myers, "Star-convex polyhedra for 3D object detection and segmentation in microscopy", Proc. IEEE Winter Conf. Appl. Comput. Vis. (WACV), pp. 3655-3662, Mar. 2020.