May 16, 2025

Public workspacePost-PhenoCycler Fusion Manual Hematoxylin and Eosin (H&E) Staining of Female Reproductive System Tissues

  • 1University of Pennsylvania School of Medicine;
  • 2University of Pennsylvania
  • Sarah A Johnston: Primary;
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Protocol CitationSarah A Johnston, Alexander Cabrera, Kate O'Neill 2025. Post-PhenoCycler Fusion Manual Hematoxylin and Eosin (H&E) Staining of Female Reproductive System Tissues . protocols.io https://dx.doi.org/10.17504/protocols.io.rm7vzqrd2vx1/v1
Manuscript citation:

CITATION
Andrew Houston. Akoya Biosciences PhenoCycler Fusion (formerly CODEX) User Guide. protocols.io.



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: May 14, 2025
Last Modified: May 16, 2025
Protocol Integer ID: 218198
Keywords: H&E, CODEX, Akoya, Histology
Funders Acknowledgements:
Human BioMolecular Atlas Program (HuBMAP) Method Development Community Human BioMolecular Atlas Program (HuBMAP)
Grant ID: U54HD104392
Abstract
This protocol describes a standardized method for staining formalin-fixed paraffin-embedded (FFPE) tissue sections with hematoxylin and eosin (H&E) after Akoya Phenocycler-Fusion imaging. The procedure allows for removal of the Akoya flowcell and does not require it to remain mounted on the slide. H&E staining following multiplex imaging enables histopathological inspection of tissue morphology and integrity.
Guidelines
  • Use appropriate handling and personal protective equipment when handling any human samples.
  • Use appropriate handling and personal protective equipment when any flammable substance :ReagentXylenes (ACS)Merck MilliporeSigma (Sigma-Aldrich)Catalog #247642-2.5L ReagentEthanol Decon LabsCatalog #2716


Materials
Acid Alcohol:
  • Amount50 µL Hydrochloric acid (HCl)
  • Amount25 mL Ethanol
  • Amount24.950 mL dH2O
ReagentHydrochloric Acid, Certified ACS Plus, 36.5 to 38.0%, Fisher Chemical™Fisher ScientificCatalog # A144-500

95% Ethanol
  • Amount95 mL Ethanol
  • Amount5 mL dH2O
ReagentEthanol Decon LabsCatalog #2716

80% Ethanol
  • Amount80 mL Ethanol
  • Amount20 mL dH2O

70% Ethanol
  • Amount70 mL Ethanol
  • Amount30 mL dH2O



Protocol materials
ReagentXylenes (ACS)Merck MilliporeSigma (Sigma-Aldrich)Catalog #247642-2.5L
ReagentMayer’s HematoxylinDakoCatalog #S3309
ReagentEosin Y solution aqueousMerckCatalog #HT110216-500ML
ReagentXylenes (ACS)Merck MilliporeSigma (Sigma-Aldrich)Catalog #247642-2.5L
ReagentPermount mounting mediumFisher Scientific
ReagentXylenes (ACS)Merck MilliporeSigma (Sigma-Aldrich)Catalog #247642-2.5L
ReagentEthanol Decon LabsCatalog #2716
ReagentXylenes (ACS)Merck MilliporeSigma (Sigma-Aldrich)Catalog #247642-2.5L
ReagentHydrochloric Acid, Certified ACS Plus, 36.5 to 38.0%, Fisher Chemical™Fisher ScientificCatalog # A144-500
ReagentEthanol Decon LabsCatalog #2716
Safety warnings
Make sure you fully complete the Akoya's PhenoCycler Fusion's protocol and imaging prior to separating the flowcell. H&E staining of the tissue will render the sample unsuitable for processing PhenoCycler technology.


Protocol
Akoya Biosciences PhenoCycler Fusion (formerly CODEX) User Guide
CREATED BY
Andrew Houston

Ethics statement
Research involving humans and animals must be conducted according to internationally-accepted standards and should always have prior approval from an Institutional Ethics Committee or Board.

The sample collection for The Human Biomolecular Atlas Program (HuBMAP): Multi-scale Molecular Mapping of the Female Reproductive System were approved by the University of Pennsylvania Institutional Review Board IRB00000039 (IRB Protocol #844297), and written informed consent was obtained prior to participation.
Removing Phenocycler-Fusion flowcell
Removing Phenocycler-Fusion flowcell
12h
12h
Post-imaging in the Phenocycler Fusion system, store slide DurationOvernight in ReagentXylenes (ACS)Merck MilliporeSigma (Sigma-Aldrich)Catalog #247642-2.5L at TemperatureRoom temperature to dissolve flowcell adhesion strip.

12h
H&E Staining
H&E Staining
37m 30s
37m 30s
Rehydration
Soak in ReagentXylenes (ACS)Merck MilliporeSigma (Sigma-Aldrich)Catalog #247642-2.5L for Duration00:05:00 in a slide holder at TemperatureRoom temperature , repeat soak for a total of two soaks.

10m
Soak in 100% Ethanol for Duration00:02:00 in a slide holder at TemperatureRoom temperature , repeat twice for a soak for a total of three times.

6m
Soak in 95% Ethanol for Duration00:02:00 in a slide holder at TemperatureRoom temperature .

2m
Soak in 80% Ethanol for Duration00:02:00 in a slide holder at TemperatureRoom temperature .

2m
Soak in 70% Ethanol for Duration00:02:00 in a slide holder at TemperatureRoom temperature .

2m
Soak in deionized water (dH20) in a slide holder twice at TemperatureRoom temperature .
1m
Staining
Place slide on stain box, pipette between Amount200 µL to Amount400 µL of ReagentMayer’s HematoxylinDakoCatalog #S3309 on top of the slide and incubate for Duration00:02:30 at TemperatureRoom temperature (this step may be optimized for 1 to 5 minutes)

3m
Wash excess Hematoxylin by dipping the slide in dH20 in a slide holder a total of three times at TemperatureRoom temperature . Use fresh dH20 for each dip.
1m 30s
12 dips in Acid alcohol at TemperatureRoom temperature .
30s
Rinse under TemperatureRoom temperature tap water for Duration00:02:00 and 3 dips in dH20

2m 30s
Place back slide on stain box, pipette between Amount200 µL to Amount400 µL of ReagentEosin Y solution aqueousMerckCatalog #HT110216-500ML and incubate for Duration00:01:00 at TemperatureRoom temperature .

1m
Dip once in dH20 at TemperatureRoom temperature to wash off excess Eosin Yand immediately proceed to dehydration.
Dehydration and mounting
Soak in 95% Ethanol for Duration00:02:00 in a slide holder at TemperatureRoom temperature .
2m
Soak in 100% Ethanol for Duration00:02:00 in a slide holder at TemperatureRoom temperature .
2m
Soak in ReagentXylenes (ACS)Merck MilliporeSigma (Sigma-Aldrich)Catalog #247642-2.5L for Duration00:02:00 in a slide holder at TemperatureRoom temperature .

2m
Air dry completely and mount with Amount60 µL to Amount100 µL of ReagentPermount mounting mediumFisher Scientific and place the coverslip by angling the coverslip and let fall gently onto the slide. Allow the Permount to spread beneath the coverslip, covering all the tissue. Seal slide with clear nail polish and image


Protocol references

CITATION
Sarah Black, Darci Phillips, John W. Hickey, Julia Kennedy-Darling, Vishal G. Venkataraaman, Nikolay Samusik, Yury Goltsev, Christian M. Schürch, Garry P. Nolan (2021). CODEX multiplexed tissue imaging with DNA-conjugated antibodies. Nature Protocols.

CITATION
Andrew Houston. Akoya Biosciences PhenoCycler Fusion (formerly CODEX) User Guide. protocols.io.

Citations
Andrew Houston. Akoya Biosciences PhenoCycler Fusion (formerly CODEX) User Guide
https://protocols.io/view/akoya-biosciences-phenocycler-fusion-formerly-code-c7fszjne
Sarah Black, Darci Phillips, John W. Hickey, Julia Kennedy-Darling, Vishal G. Venkataraaman, Nikolay Samusik, Yury Goltsev, Christian M. Schürch, Garry P. Nolan. CODEX multiplexed tissue imaging with DNA-conjugated antibodies
https://doi.org/10.1038/s41596-021-00556-8
Andrew Houston. Akoya Biosciences PhenoCycler Fusion (formerly CODEX) User Guide
https://protocols.io/view/akoya-biosciences-phenocycler-fusion-formerly-code-c7fszjne
Acknowledgements
  • Fang Ping from the Wistar Institute for slicing and mounting of FFPE Female Reproductive System sections.
  • This research was supported by the National Institutes of Health (NIH) common fund through the Office of Strategic Coordination, Office of the NIH Director under award U54HD104392.