Application of multi-tissue paraffin blocks in positive controls for immunohistochemical staining
Objective:Currently,there are various methods for producing positive controls for immunohistochemical staining.Single-tissue controls are simple to make,but their use can lead to errors due to the multitude of immunohistochemical staining indicators.Some multi-tissue controls are convenient to use but are complex and difficult to produce.This study aims to explore a novel and simple method for creating multi-tissue paraffin blocks and their application in immunohistochemical staining controls.Methods:Based on the recommendations of the International Ad Hoc Expert Committee for common antibody control tissues,paraffin blocks containing liver,appendix,tonsil,lung,and pancreas tissues were selected,with one block from each tissue type forming a group.Ten groups were prepared,and continuous sections of 6 μm thickness were cut.The tissue sections were then rolled and stacked together to form a long,dense tissue roll,which was subsequently cut and embedded to create multi-tissue immunohistochemical staining positive control paraffin blocks.These blocks were then used in immunohistochemical staining.Results:The positive control paraffin blocks demonstrated good staining effects,containing 5 types of positive control tissues and suitable for 68 commonly used immunohistochemical staining markers.At least 2 control paraffin blocks were made at a time,taking approximately 20 minutes.The average tissue size was about 4.7 mm×4.1 mm.The immunohistochemical staining results were consistent between different control blocks and different sections of the same control block.On average,one paraffin block yielded approximately 800 effective immunohistochemical staining sections.Conclusion:The multi-tissue positive control paraffin blocks are simple to produce,time-efficient,have small tissue areas,good consistency,and high repeatability.They can meet the needs for setting up controls for 68 commonly used antibodies and have good clinical application value for routine immunohistochemical staining.