A Novel Immunohistochemical Staining Method Allows Ultrarapid Detection of Lymph Node Micrometastases While Conserving Antibody

  • Toda Hiroshi
    Department of Thoracic Surgery, Akita University Graduate School of Medicine
  • Minamiya Yoshihiro
    Department of Thoracic Surgery, Akita University Graduate School of Medicine
  • Kagaya Masami
    Akita Prefectural Research and Development Center
  • Nanjo Hiroshi
    Division of Clinical Pathology, Akita University Hospital
  • Akagami Yoichi
    Akita Prefectural Research and Development Center
  • Saito Hajime
    Department of Thoracic Surgery, Akita University Graduate School of Medicine
  • Ito Manabu
    Department of Thoracic Surgery, Akita University Graduate School of Medicine
  • Konno Hayato
    Department of Thoracic Surgery, Akita University Graduate School of Medicine
  • Motoyama Satoru
    Department of Thoracic Surgery, Akita University Graduate School of Medicine
  • Ogawa Junichi
    Department of Thoracic Surgery, Akita University Graduate School of Medicine

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We developed a novel ultrarapid immunohistochemical staining method in which an AC electric field is used to facilitate detection of tumor cells. Frozen sections of non-small cell lung cancer in lymph nodes were fixed in acetone for 2 min, after which they were incubated for 2 min with an anti-pancytokeratin antibody cocktail and then with EnVisionTM complex under an alternating current (AC) electric field. The sections were then incubated with a chromogen (3,3'diaminobenzidine) for 3 min and counterstained with hematoxylin. This method enabled detection of tumor cells in frozen sections in less than 15 min. In addition, we were able to reduce the amount of antibody used by more than 90% when the sections were incubated under the AC electric field for a longer period. This method could be a useful tool for frozen section diagnosis and research. Furthermore, with this method the cost of immunohistochemical staining can be reduced.<br>

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