Immunohistochemistry (IHC) is a technique that uses antibodies for detecting specific antigens in tissue samples. Unlike other common antibody-based methods, such as ELISA and flow cytometry, IHC allows for visualizing cellular components in the context of the native tissue architecture, offering critical insight into how antigen distribution and relative abundance differ under conditions of health and disease.
A typical IHC workflow begins with preserving excised tissue material, either by snap-freezing in liquid nitrogen or through formalin fixation and paraffin-embedding (FFPE). Next, the samples are sliced into thin sections and applied to glass slides, prior to blocking, immunostaining, and mounting. Besides the preservation method, other key protocol variables include whether to perform epitope retrieval, if sample permeabilization is required, and which antibodies to use.
Antibodies for IHC can be either polyclonal or monoclonal. Because polyclonal antibodies recognize multiple epitopes, their antigenicity is less likely to be affected by fixation-induced conformational changes than that of monoclonal antibodies. Polyclonal antibodies are also available from more host species than monoclonal antibodies, which can simplify multiplexing. However, polyclonal antibodies have a higher associated risk of cross-reactivity than monoclonal antibodies, increasing the potential for non-specific background signal.
Another important consideration when selecting immunohistochemistry antibodies is whether to perform direct detection (with labeled primary antibodies) or indirect detection (with labeled secondary antibodies). Direct detection involves fewer protocol steps than indirect detection, meaning faster time to results, while a major advantage of indirect detection is that it can provide signal amplification. When performing IHC with indirect detection, the use of cross-adsorbed secondary antibodies is recommended to minimize potential cross-reactivities.
Additionally, there is a need to decide between chromogenic detection (using enzyme-labeled antibodies and chromogenic substrates) or fluorescent detection. While chromogenic detection was once reserved for measuring just a single analyte, the methodology has evolved to enable multiplexed staining, albeit with a more limited dynamic range than fluorescent detection. In general, fluorescent detection is more widely used, and the simultaneous measurement of four or more targets is increasingly common.
Whichever approach is chosen, it is essential to identify antibodies that have been validated for IHC and that have proven specificity and sensitivity for their antigenic targets. The selection process should include confirming whether frozen or FFPE tissue was used for validation purposes, since an antibody that works in one sample type cannot be guaranteed to work in the other, and checking for reactivity with the intended sample species.