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(American Journal of Pathology. 1999;154:61-66.)
© 1999 American Society for Investigative Pathology

Technical Advances

Immuno-LCM: Laser Capture Microdissection of Immunostained Frozen Sections for mRNA Analysis

From the Laboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, Maryland

	Abstract

Top Abstract Introduction Materials and Methods Results Discussion References

 
Microdissection of routinely stained or unstained frozen sections has been used successfully to obtain purified cell populations for the analysis of cell-specific gene expression patterns in primary tissues with a complex mixture of cell types. However, the precision and usefulness of microdissection is frequently limited by the difficulty to identify different cell types and structures by morphology alone. We therefore developed a rapid immunostaining procedure for frozen sections followed by laser capture microdissection (LCM) and RNA extraction, which allows targeted mRNA analysis of immunophenotypically defined cell populations. After fixation, frozen sections are immunostained under RNAse-free conditions using a rapid three-step streptavidin-biotin technique, dehydrated and immediately subjected to LCM. RNA is extracted from captured tissue, DNAse I treated, and reverse transcribed. Acetone-, methanol-, or ethanol/acetone-fixed sections give excellent immunostaining after 12 to 25 minutes total processing time. Specificity, precision, and speed of microdissection is markedly increased due to improved identification of desired (or undesired) cell types. The mRNA recovered from immunostained tissue is of high quality. Single-step PCR is able to amplify fragments of more than 600 bp from both housekeeping genes such as ß-actin as well as cell-specific messages such as CD4 or CD19, using cDNA derived from less than 500 immunostained, microdissected cells. Immuno-LCM allows specific mRNA analysis of cell populations isolated according to their immunophenotype or expression of function-related antigens and significantly expands our ability to investigate gene expression in heterogeneous tissues.

	Introduction

Top Abstract Introduction Materials and Methods Results Discussion References

Microdissection from stained tissue sections and related techniques allow the isolation of morphologically identified cell populations down to the single-cell level for genetic analysis and thus can circumvent or ameliorate the problem of tissue heterogeneity.^1-8 Microdissected tissue as a source of genomic DNA was used successfully for the detection of heterozygosity in primary tumors, detection of tumor-specific genetic alterations in preneoplastic changes adjacent to invasive tumors,^9-13 and the assignment of the malignant cells of Hodgkin's disease to the B cell lineage.^14,15 More recently, tissue fragments obtained by microdissection of routinely stained frozen sections have also been used for the isolation of mRNA amenable to reverse transcription polymerase chain reaction (RT-PCR), the generation of expression libraries, and related techniques.^8,16-20

However, routinely stained frozen sections without coverslip as necessary for microdissection show greatly reduced cellular detail, which diminishes the ability to distinguish and isolate specific cell populations from complex lesions with an intimate mixture of morphologically similar cell types, such as lymphomas or carcinomas with a diffuse growth pattern. Immunohistochemical staining of frozen sections could help to identify and isolate specific cell populations, even of identical morphology, according to their antigen expression, allowing a more precise microdissection. However, standard immunohistochemical staining protocols usually require several hours of incubation in aqueous media, resulting in significant degradation and loss of RNA through activation of tissue RNAses and other factors.

We therefore established a rapid immunostaining technique for frozen sections, which, in combination with laser capture microdissection (LCM),^3,21 allows very fast, technically easy and precise isolation of specific cell populations for mRNA analysis.

	Materials and Methods

Top Abstract Introduction Materials and Methods Results Discussion References

 
Immunohistochemistry

Snap-frozen tissue blocks of normal and neoplastic lymph node, breast, and prostate were chosen from the tissue bank of the Laboratory of Pathology, National Cancer Institute. Four- to eight-micron serial frozen sections were cut on a standard cryostat with a clean blade, and two sections each were mounted on Superfrost Plus (Fisher Scientific, Pittsburgh, PA) or poly-L-lysine-precoated (C to C Laboratory Supplies, Chicago, IL) glass slides. The unfixed sections were immediately stored at -80°C.

The frozen sections were thawed at room temperature for 30 to 60 seconds without drying and immersed immediately in one of the following fixatives: cold acetone (5 minutes), methanol (5 minutes), 4% paraformaldehyde (5 minutes), 70% ethanol (15 to 30 seconds), ethanol/formalin (3:1, 1 minute), and ethanol 70% (15 seconds) followed by acetone (5 minutes). After fixation, the slides were rinsed briefly in 1X phosphate-buffered saline (PBS), pH 7.4, and subjected to immunostaining. The immunohistochemical staining was performed with the DAKO Quick Staining kit (DAKO Corp., Carpinteria, CA), a three-step streptavidin-biotin technique with prediluted mono- or polyclonal (rabbit) primary antibodies optimized for very short staining times. The slides were incubated at room temperature with the primary and secondary antibodies and the tertiary reagent for 90 to 120 seconds each and briefly rinsed with 1X PBS between each step. After color development with diaminobenzidine (DAB) for 3 to 5 minutes and counterstaining with hematoxylin for 15 to 30 seconds, the sections were dehydrated in graded alcohols (15 seconds each) and xylene (twice for 2 minutes each) and air dried. The primary antibodies used are listed in Table 1 . For primary antibodies other than the prediluted DAKO Quick Staining kit antibodies, the dilutions were determined individually (Table 1) , and the incubation time was prolonged to 5 to 10 minutes. Placental RNAse inhibitor (Perkin Elmer, Branchburg, NJ) was added to the primary antibody and the DAB solution in a concentration of 200 to 400 U/ml. Negative controls included omission of the primary antibody and incubation with an irrelevant antiserum. One ethanol-fixed section of each run was stained with Mayer's hematoxylin (30 seconds) and eosin (10 seconds) and dehydrated as described above. All solutions were prepared with DEPC-treated water.

After immunostaining and microscopic control of staining quality and tissue preservation, one of the two sections on the slide was scraped off with a clean razor blade for RNA extraction as described below. The remaining section was used for microdissection using a PixCell laser capture microscope with an infrared diode laser (Arcturus Engineering, Santa Clara, CA) as described previously with modifications.^3,21 In brief, the dehydrated tissue section is overlaid with a thermoplastic membrane mounted on optically transparent caps, and cells are captured by focal melting of the membrane through laser activation. After visual control of the completeness of dissection, the captured tissue was immersed in denaturation solution. Caps briefly placed onto the section without laser activation were used as negative controls.

RNA Extraction, DNAse Treatment and Reverse Transcription

RNA was obtained from both microdissected as well as scraped tissue sections with the Micro RNA isolation kit (Stratagene, La Jolla, CA) as described previously.^3,22 The RNA pellet was redissolved in water treated with sterile diethylpyrocarbonate and incubated with 20 U of DNAse I (GenHunter Corp., Nashville, TN) for 2 hours at 37°C. After re-extraction of RNA, reverse transcription was performed using 12 µl of RNA, 2.5 µmol/L random hexamers, 25 µmol/L dNTPs, and 100 U of MMLV reverse transcriptase (GenHunter). For each sample, a mock reaction without addition of reverse transcriptase was performed.

cDNA Amplification

The primers, their sources, and the expected sizes of the cDNA amplification products are listed in Table 2 . A total of 35 to 40 cycles of amplification were performed using either conventional PCR or hot-start PCR employing AmpliTaq Gold LD (Perkin Elmer) in conjunction with the TaqStart antibody (Clontech, Palo Alto, CA). Appropriate negative controls including amplification of the mock RT reaction product were performed in each run. The PCR products were separated on a 2% agarose gel stained with ethidium bromide.

	Results

Top Abstract Introduction Materials and Methods Results Discussion References

View larger version (131K): [in this window] [in a new window]   Figure 1. Frozen sections of a reactive lymph node with a central follicle stained with H&E (A) and immunostained for CD45RO (B to D). The identification of the follicle is difficult in the routinely stained section, whereas immunostaining highlights T cells within the germinal center and in the perifollicular area and makes architectural features more evident. Magnification, x100. Microdissection from germinal centers with spot sizes of 50 to 60 µm (C) and 15 to 20 µm (D) in diameter as seen during LCM, without coverslip. The smaller spot size allows avoidance of interspersed T cells. Magnification, x100 and x400. E: Lymph node stained for the proliferation-associated antigen Ki67, using MIB1 antibody (dilution, 1:10) in conjunction with the Quickstain kit. Magnification, x100. F: Prostate immunostained for cytokeratin. Stromal tissue has been removed by LCM, leaving behind the positively stained glands. Magnification, x400. G to I: Microdissection of a single Reed-Sternberg cell stained for CD30 before (G) and after (H) removal and the isolated cell adherent to the membrane (I). Magnification, x400 and x1000.

LCM was performed successfully with all tested tissue types, and the efficiency and specificity of the capture of selected areas was virtually independent from the fixatives, antibodies, or staining procedures used (Figure 1) . The use of charged or poly-L-lysine-coated slides did not interfere with LCM, and nonspecific capture and transfer due to detachment of tissue surrounding the area adherent to the membrane was virtually absent. However, any drying of the sections before fixation prevented LCM almost completely, probably due to increased tissue adhesion to the pretreated slides.

The factors influencing recovery and quality of mRNA are listed in Table 3 . Acetone, methanol, or ethanol/acetone fixation allowed amplification of actin cDNA fragments by RT-PCR from as little as 10 shots (Figure 2) , corresponding to approximately 200 cells, whereas ethanol and paraformaldehyde fixation rendered significantly less or no amplifiable cDNA (Figure 3) . Shorter products were amplified more efficiently than longer products, but ß-actin fragments of 650 bp were successfully amplified from larger amounts of microdissected tissue. No signals were observed after amplification of the negative RT control without addition of reverse transcriptase. However, reduction of the DNAse I treatment frequently led to the appearance of products of similar length with the actin primer set in the negative RT control, probably due to processed pseudogenes present in contaminating genomic DNA. In addition to these housekeeping genes, cell-specific transcripts such as CD4 and CD19 were successfully amplified from microdissected, immunostained slides from less than 1000 captured cells. Selective dissection of B cells (Figure 1D) , T cells, or nonlymphoid cells from immunostained sections yielded significantly enriched populations, resulting in predominant amplification of the mRNA specific for the targeted cell type (Figure 4) .

View larger version (27K): [in this window] [in a new window]   Figure 2. RT-PCR of a 479-bp ß-actin fragment from microdissected tissue fragments obtained from an immunostained lymph node after acetone fixation. The estimated total number of dissected cells is indicated above the lane. Approximately 1/20 of the total cDNA volume obtained was used per reaction. Forty cycles of amplification were used.

View larger version (32K): [in this window] [in a new window]   Figure 3. RT-PCR amplification of a 479-bp ß-actin fragment from immunostained frozen sections of a reactive lymph node showing the influence of different fixatives on RNA recovery. Lane 1, molecular weight marker; lane 2, acetone; lane 3, 4% paraformaldehyde; lane 4, 70% ethanol; lane 5, formalin/ethanol; lane 6, methanol; lane 7, water control. Thirty-five cycles of amplification were used.

View larger version (68K): [in this window] [in a new window]   Figure 4. RT-PCR amplification of ß-actin (A), CD19 (B), and CD4 (C) from a reactive lymph node immunostained for CD45RO. Microdissectates were obtained randomly (lane 1), from B cell areas (lane 2), and T cell areas (lane 3). Lane 4, negative control. The weak CD4 signal in lane 2 probably results from contaminating T cells or CD4-expressing macrophages not identified on the CD45RO stain.

	Discussion

Top Abstract Introduction Materials and Methods Results Discussion References

The feasibility of mRNA extraction from microdissected, routinely stained, or unstained frozen sections for various applications has been demonstrated by several groups, using a variety of microdissection techniques and RNA isolation protocols.^3,8,16-20 Good RNA quality was obtained with short staining times for routine histological stains, such as H&E, in conjunction with precipitating fixatives, such as ethanol or acetone, and conventional protection against RNAses. Although PCR analysis of genomic DNA has been performed successfully from microdissected, immunostained frozen as well as paraffin sections,^15,23 the long periods of tissue immersion in aqueous media required for conventional immunohistochemistry is deleterious for RNA, mainly through activation of endogenous RNAses.

Therefore, the adaptation of immunohistochemistry for immuno-LCM requires a significant departure from conventional immunostaining protocols. With our method, excellent staining results were obtained despite the significant reduction in staining time and other modifications to avoid degradation by RNAses. Although some primary antibodies requiring longer incubation times may not be suitable for immuno-LCM, our limited testing showed that the majority of primary antibodies will give good immunostaining if their concentration is adjusted accordingly. The fixatives used, the staining time, and the addition of RNAse inhibitor²⁴ were the most crucial factors determining RNA quality. Precipitating agents, especially acetone and methanol, proved superior to cross-linking reagents such as paraformaldehyde, which led to a significant decline in amplifiable RNA. Currently, efforts are under way in our laboratory to use low-temperature paraffin embedding in conjunction with the fixatives mentioned above to combine the superior morphology of paraffin-embedded tissue with good preservation of RNA.

For the successful performance of LCM after immunostaining, careful control of tissue adhesion to the slide is necessary to avoid detachment of sections during the staining procedure without compromising laser capture. Although pretreated glass slides were well suited for immuno-LCM, even short drying periods before fixation or storage of stained slides for several days greatly diminished tissue capture. Another critical factor is complete dehydration of the sections after immunostaining. Rapid processing of stained slides allowed complete and specific transfer of selected cells over a wide range of laser pulse energy and spot size and in a variety of tested tissues.

With the commercially available laser capture microscope used in our study, the smallest routinely attainable spot sizes were between 10 and 20 µm. A new prototype currently under development allows spot sizes of less than 5 µm, equivalent to single-cell microdissection.²¹ Although the intimate intermingling of different cell types in many tissues sets limits to the specificity of LCM, especially concerning cytoplasmic RNA, the easy identification of immunostained cells allows a faster and more precise sampling procedure with sufficient enrichment of the desired cell type. The successful amplification of cell-specific transcripts with fragment sizes of more than 400 bp from less than 1000 cells without employment of more sensitive techniques, such as nested PCR, demonstrates that immuno-LCM-derived RNA can likely be used for applications such as cDNA library construction or hybridization to cDNA microarrays.^16,25 In comparison with micromanipulator-based techniques, immuno-LCM is orders of magnitude faster and allows procurement of a large number of cells in a short period of time, which increases the yield of high quality RNA and dilutes out contaminating cells. This might help to reduce artifacts introduced by the use of very small numbers of cells, such as loss of RNA through cell sectioning, contamination, or biased template amplification through a high number of cycles.

Depending on the type of RNA analysis desired, our procedure for RNA extraction might be exchanged for simpler protocols.^17,20,24,26 However, we consider the DNAse I treatment an indispensable step for obtaining DNA-free RNA. In our experience, any reduction in the time of digestion or in the concentration of the enzyme to levels recommended in the literature frequently revealed the presence of contaminating DNA in the mock RT control, underlining the necessity for stringent methods of RNA purification.

In conclusion, we demonstrate that immuno-LCM allows recovery of high quality mRNA from immunophenotypically defined cell populations in complex primary tissues. The technique is fast, easy to perform, and versatile. mRNA obtained by immuno-LCM may be used for the generation of expression libraries or the screening of cDNA arrays, thus allowing in vivo analysis of tissue-, cell-, and function-specific gene expression patterns.

	Acknowledgements

 
The technical assistance of Dr. Lynn Sorbara and Loryn Blum is gratefully acknowledged. We thank Dr. Wing C. Chan and Dr. Robert Bonner for helpful discussions.

	Footnotes

 
Address reprint requests to Dr. Mark Raffeld, Hematopathology Section, Laboratory of Pathology, National Cancer Institute, NIH, Building 10, Room 2N110, 9000 Rockville Pike, Bethesda MD 20892. E-mail: mraff{at}box-m.nih.gov

Supported in part by a grant from the Austrian Science Funds to F. Fend (Erwin-Schroedinger Stipendium J1402 MED).

Accepted for publication September 25, 1998.

	References

Top Abstract Introduction Materials and Methods Results Discussion References

 

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				M. H. Wong, J. R. Saam, T. S. Stappenbeck, C. H. Rexer, and J. I. Gordon Genetic mosaic analysis based on Cre recombinase and navigated laser capture microdissection PNAS, October 23, 2000; (2000) 230237997. [Abstract] [Full Text]

				F. Fend and M. Raffeld Laser capture microdissection in pathology J. Clin. Pathol., September 1, 2000; 53(9): 666 - 672. [Abstract] [Full Text] [PDF]

				G. J. Gordon, W. B. Coleman, and J. W. Grisham Temporal Analysis of Hepatocyte Differentiation by Small Hepatocyte-Like Progenitor Cells during Liver Regeneration in Retrorsine-Exposed Rats Am. J. Pathol., September 1, 2000; 157(3): 771 - 786. [Abstract] [Full Text] [PDF]

				M. R. Emmert-Buck, R. L. Strausberg, D. B. Krizman, M. F. Bonaldo, R. F. Bonner, D. G. Bostwick, M. R. Brown, K. H. Buetow, R. F. Chuaqui, K. A. Cole, et al. Molecular Profiling of Clinical Tissue Specimens: Feasibility and Applications J. Mol. Diagn., May 1, 2000; 2(2): 60 - 66. [Full Text]

				S Curran, J A McKay, H L McLeod, and G I Murray Laser capture microscopy Mol. Pathol., April 1, 2000; 53(2): 64 - 68. [Abstract] [Full Text]

				T Kasai, S Shimajiri, and H Hashimoto Detection of SYT-SSX fusion transcripts in both epithelial and spindle cell areas of biphasic synovial sarcoma using laser capture microdissection Mol. Pathol., April 1, 2000; 53(2): 107 - 110. [Abstract] [Full Text]

				M. R. Emmert-Buck, R. L. Strausberg, D. B. Krizman, M. F. Bonaldo, R. F. Bonner, D. G. Bostwick, M. R. Brown, K. H. Buetow, R. F. Chuaqui, K. A. Cole, et al. Molecular Profiling of Clinical Tissue Specimens : Feasibility and Applications Am. J. Pathol., April 1, 2000; 156(4): 1109 - 1115. [Full Text] [PDF]

				J. Serth, M. A. Kuczyk, U. Paeslack, R. Lichtinghagen, and U. Jonas Quantitation of DNA Extracted after Micropreparation of Cells from Frozen and Formalin-Fixed Tissue Sections Am. J. Pathol., April 1, 2000; 156(4): 1189 - 1196. [Abstract] [Full Text] [PDF]

				C. R. Englert, G. V. Baibakov, and M. R. Emmert-Buck Layered Expression Scanning: Rapid Molecular Profiling of Tumor Samples Cancer Res., March 1, 2000; 60(6): 1526 - 1530. [Abstract] [Full Text]

				N. L. Simone, A. T. Remaley, L. Charboneau, E. F. Petricoin III, J. W. Glickman, M. R. Emmert-Buck, T. A. Fleisher, and L. A. Liotta Sensitive Immunoassay of Tissue Cell Proteins Procured by Laser Capture Microdissection Am. J. Pathol., February 1, 2000; 156(2): 445 - 452. [Abstract] [Full Text] [PDF]

F. Fend, L. Quintanilla-Martinez, S. Kumar, M. W. Beaty, L. Blum, L. Sorbara, E. S. Jaffe, and M. Raffeld Composite Low Grade B-Ce