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        Detection of Apoptosis in Paraffin-embedded tissues by  ISEL (In Situ End Labeling)

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        <center> <font><font><font color="#000000"><b>Detection of Apoptosis in Paraffin-embedded tissues</b><br /> <b>by  ISEL (In Situ End Labeling)</b> </font> </font> </font></center>

        The ISEL technique identifies morphologically apparent karyorrhetic cells and also labels cells in which the DNA fragmentation has not yet progressed to frank nuclear fragmentation.  By using biotinylated nucleotides and a DNA polymerase, the DNA fragments serve as templates in situ to synthesize new DNA strands, which are visualized by light microscopy after histochemical processing.

        Reference:  Wijsman et al., J of Histochem. Cytochem.   41(1):7-12, 1993.
         

         


        PROCEDURE

         To determine the optimal conditions for each study, perform the following “titration” using the standard protocol below.  Serial sections from the same block provide the best samples for the titration.

        SAMPLE      dUTP dilution     POL I dilution     DIGESTION
            1A                 1:100                 1:200                 NONE
            2A                 1:250                 1:200                 NONE
            3A                 1:500                 1:200                 NONE
            4A                 1:100                 1:500                 NONE
            5A                 1:250                 1:500                 NONE
            6A                 1:500                 1:500                 NONE

            1B                 1:100                 1:200                 TRYPSIN
            2B                 1:250                 1:200                 TRYPSIN
            3B                 1:500                 1:200                 TRYPSIN
            4B                 1:100                 1:500                 TRYPSIN
            5B                 1:250                 1:500                 TRYPSIN
            6B                 1:500                 1:500                 TRYPSIN

            1C                 1:100                 1:200                 PEPSIN
            2C                 1:250                 1:200                 PEPSIN
            3C                 1:500                 1:200                 PEPSIN
            4C                 1:100                 1:500                 PEPSIN
            5C                 1:250                 1:500                 PEPSIN
            6C                 1:500                 1:500                 PEPSIN

        A.  DEPARAFFINIZE AND HYDRATE
         5 min each in:
          xylene X 2
          xylene:EtOH (1:1)
          100% EtOH
          90% EtOH
          70% EtOH
          di H2O X 2

        B.  PRETREAT
        Block endogenous peroxidase by immersing slides in 3% H2 O2 for 30 min at RT.
        Prepare 2XSSC and preheat to 80°C.
        Rinse slides in diH2O.
        Wash in 0.15 M PBS 3 X 4 min
        Incubate in the preheated 2 X SSC at 80°C for 20 min.
        Rinse once in 0.15 M PBS, then wash in 0.15 M PBS 3 X 4 min.
        If necessary as determined by titration, incubate slides under desired enzyme digestion conditions.  Rinse once in 0.15 M PBS, then wash in 0.15 M PBS 3 X 4 min.
        Equilibrate in Buffer A 3 X 4 min.

        C.  LABEL
        Prepare ISEL solution , adding enzyme immediately before use.
        Incubate slides in ISEL solution in 18°C ice bath for 2 hrs.
        Prepare ABC solution near end of ISEL incubation, for use 30 to 60 minutes later.
        Rinse in Buffer A, then wash in Buffer A 3 X 4 min.
        Wash in 0.5 M PBS 3 X 4 min.

        D. DETECT
        Apply ABC solution and incubate at RT for 30 min.
        Wash in 0.5 M PBS 3 X 10 min.
        Prepare DAB+Ni .
        Apply DAB for 3 to 10 min at RT.
        Check reduction of DAB under microscope.
        When color has developed to the desired intensity, rinse in running di H2 O for 2 minutes.

        E. COUNTERSTAIN
        Immerse in Hematoxylin for 90 sec.
        Rinse in water.
        Blue in Lithium chloride for 20 sec.
        Rinse in water.
        Rehydrate and coverslip.

         



        Notes
        1)  In addition to the hematoxylin, a light eosin counterstain may be used to further aid in detection of apoptotic bodies using morphological criteria.  It is best to use the DAB+Ni chromagen if using an H&E counterstain.

        2)  This procedure can be coupled with detection of BrdU.  Follow the ISNT procedure up to the counterstaining step (section E).  Then equilibrate slides in auto buffer and follow the BrdU staining procedure starting at the 2N HCl incubation.  Use an AEC chromagen for the BrdU instead of DAB.  A section of doudenum is an excellent positive control for this dual stain.  This tissue should be stained black at the tips of the villi (ISEL) and red in the crypts (BrdU).

         

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