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PrP immunohistochemistry: different protocols, including a procedure for long formalin fixation, and a proposed schematic classification for deposits in sporadic Creutzfeldt-Jakob disease.

Abstract
The use of immunohistochemistry on formalin-fixed and paraffin-embedded tissue has greatly improved the neuropathological diagnosis of Creutzfeldt-Jakob disease and the other subacute spongiform encephalopathies in human and animals. Two pitfalls of this technique, however, currently exist: low sensitivity after long formalin fixation and difficulties in interpreting some images. Here we review the protocols currently in use for the pretreatment of sections allowing PrP detection by immunohistochemistry. In addition, a technique useful after long formalin fixation is reported: enzymatic digestion with proteinase K (24 degrees C, 1/100 for 8 minutes) was employed in addition to the usual autoclaving (121 degrees C for 10 minutes) followed by formic acid (99% for 5 minutes) and 4M guanidine thiocyanate (4 degrees C for 2 hours). This allowed a substantial increase in the sensitivity of 3F4 immunohistochemistry on paraffin-embedded tissue, especially after prolonged formalin fixation. In addition, we suggest a simple method for classification of PrP immunolabelling in sporadic Creutzfeldt-Jakob disease that would allow easy comparisons.
AuthorsN Privat, V Sazdovitch, D Seilhean, J L LaPlanche, J J Hauw
JournalMicroscopy research and technique (Microsc Res Tech) Vol. 50 Issue 1 Pg. 26-31 (Jul 01 2000) ISSN: 1059-910X [Print] United States
PMID10871545 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright 2000 Wiley-Liss, Inc.
Chemical References
  • Fixatives
  • Prions
  • Formaldehyde
  • Endopeptidase K
Topics
  • Brain (metabolism, pathology)
  • Creutzfeldt-Jakob Syndrome (metabolism, pathology)
  • Endopeptidase K
  • Fixatives
  • Formaldehyde
  • Humans
  • Immunohistochemistry (methods)
  • Paraffin Embedding
  • Prions (analysis)
  • Sensitivity and Specificity
  • Tissue Fixation (methods)

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