Antigen retrieval on formaldehyde-fixed paraffin sections: its potential drawbacks and optimization for double immunostaining

It is well known that the major artifact induced by formaldehyde fixation is the masking of tissue antigens due to cross-linking of protein amino acid residues. Recently many antigen retrieval techniques have been devised to unmask the hidden antigen epitopes and recover immunoreactivity. In this study, some practical problems of two common unmasking techniques, i.e. heat-induced epitope retrieval and enzyme digestion have been reviewed in immunostaining of proliferating cell nuclear antigen (PCNA) on formaldehyde-fixed paraffin-embedded sections. As the heating conditions became more severe, false-positive staining and/or nonspecific background staining occurred. Based on the principle of protein inactivation/denaturation and the possible mechanisms of antigen retrieval, it has been suggested that the antigen retrieval itself can also denature proteins in tissues, just as many other protein inactivation processes. Thus, the total magnitude of protein conformational change caused by the overall unmasking procedure is in practice crucial. To prove this hypothesis and to overcome such undesirable drawbacks after antigen retrieval, a new combination technique of a mild heating condition (microwaved at 80°C for 15–20 min) and pepsin digestion was devised. This technique led to a strong specific immunoreactivity of PCNA, without any undesirable false positive or background staining. The procedure was also adapted for double immunostaining of PCNA together with -actin, bromodeoxyuridine, keratin, type IV collagen and vimentin.