Effects of Decalcifying Agents of Variable Duration on PD-L1 Immunohistochemistry

Autor: John Markantonis, Elena Lucas, Kyle Molberg, Sara Blacketer, Amanda L. Strickland
Rok vydání: 2019
Předmět:
Zdroj: American Journal of Clinical Pathology. 153:258-265
ISSN: 1943-7722
0002-9173
DOI: 10.1093/ajcp/aqz161
Popis: Objectives To evaluate the effects of decalcifying agents on programmed cell death ligand 1 (PD-L1) immunohistochemistry (IHC). Methods Fragments of 10 placentas (high PD-L1 expressor) and 10 lungs (lower PD-L1 expressor) were formalin-fixed and subjected to four decalcifying solutions (EDTA, formic acid/MasterCal IM Plus [FA/MC], 12% HCl, and Decal STAT/23% HCl) for 1, 2, 6, or 24 hours. H&E staining and PD-L1 using IHC 22C3 pharmDx were performed, and PD-L1 staining was assessed. Results Minimal to no change in staining intensity or proportion of stained cells was seen with EDTA or FA/MC at all decalcifying durations. Both HCl-based decalcifiers demonstrated a progressive decrease in percentage of positive cells and staining intensity with longer decalcifying duration, particularly with Decal STAT. Conclusions EDTA and FA/MC have little effect on PD-L1 expression. 12% HCl causes a progressive decline in staining. Decal STAT dramatically reduced staining with all treatment durations, especially at 24 hours.
Databáze: OpenAIRE