Sensitive and Specific Immunohistochemistry Protocol for Nucleocapsid Protein from All Common SARS-CoV-2 Virus Strains in Formalin-Fixed, Paraffin Embedded Tissues

Human coronavirus disease 2019 (COVID-19) is a life-threatening and highly contagious disease caused by coronavirus SARS-CoV-2. Sensitive and specific detection of SARS-CoV-2 viral proteins in tissues and cells of COVID-19 patients will support investigations of the biologic behavior and tissue and...

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Main Authors: Yunguang Sun, Linna Ge, Sameer S. Udhane, John F. Langenheim, Mary J. Rau, Mollie D. Patton, Alexander J. Gallan, Juan C. Felix, Hallgeir Rui
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Methods and Protocols
Subjects:
Online Access:https://www.mdpi.com/2409-9279/4/3/47
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author Yunguang Sun
Linna Ge
Sameer S. Udhane
John F. Langenheim
Mary J. Rau
Mollie D. Patton
Alexander J. Gallan
Juan C. Felix
Hallgeir Rui
author_facet Yunguang Sun
Linna Ge
Sameer S. Udhane
John F. Langenheim
Mary J. Rau
Mollie D. Patton
Alexander J. Gallan
Juan C. Felix
Hallgeir Rui
author_sort Yunguang Sun
collection DOAJ
description Human coronavirus disease 2019 (COVID-19) is a life-threatening and highly contagious disease caused by coronavirus SARS-CoV-2. Sensitive and specific detection of SARS-CoV-2 viral proteins in tissues and cells of COVID-19 patients will support investigations of the biologic behavior and tissue and cell tropism of this virus. We identified commercially available affinity-purified polyclonal antibodies raised against nucleocapsid and spike proteins of SARS-CoV-2 that provide sensitive and specific detection of the virus by immunohistochemistry in formalin-fixed, paraffin-embedded tissue. Two immunohistochemistry protocols are presented that are mutually validated by the matched detection patterns of the two distinct viral antigens in virus-infected cells within autopsy lung tissue of COVID-19 deceased patients. Levels of nucleocapsid protein in the lungs of COVID-19 decedents, as measured by quantitative histo-cytometry of immunohistochemistry images, showed an excellent log–linear relationship with levels of viral nucleocapsid RNA levels, as measured by qRT-PCR. Importantly, since the nucleocapsid protein sequence is conserved across all known viral strains, the nucleocapsid immunohistochemistry protocol is expected to recognize all common variants of SARS-CoV-2. Negative controls include autopsy lung tissues from patients who died from non-COVID-19 respiratory disease and control rabbit immunoglobulin. Sensitive detection of SARS-CoV-2 in human tissues will provide insights into viral tissue and cell distribution and load in patients with active infection, as well as provide insight into the clearance rate of virus in later COVID-19 disease stages. The protocols are also expected to be readily transferable to detect SARS-CoV-2 proteins in tissues of experimental animal models or animals suspected to serve as viral reservoirs.
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spelling doaj.art-3ab456b59ffd4a4d860fe28191dd153a2023-11-22T14:27:36ZengMDPI AGMethods and Protocols2409-92792021-07-01434710.3390/mps4030047Sensitive and Specific Immunohistochemistry Protocol for Nucleocapsid Protein from All Common SARS-CoV-2 Virus Strains in Formalin-Fixed, Paraffin Embedded TissuesYunguang Sun0Linna Ge1Sameer S. Udhane2John F. Langenheim3Mary J. Rau4Mollie D. Patton5Alexander J. Gallan6Juan C. Felix7Hallgeir Rui8Department of Pathology, Medical College of Wisconsin, TBRC-C4980, 8701 Watertown Plank Rd, Milwaukee, WI 53226, USADepartment of Pathology, Medical College of Wisconsin, TBRC-C4980, 8701 Watertown Plank Rd, Milwaukee, WI 53226, USADepartment of Pathology, Medical College of Wisconsin, TBRC-C4980, 8701 Watertown Plank Rd, Milwaukee, WI 53226, USADepartment of Pathology, Medical College of Wisconsin, TBRC-C4980, 8701 Watertown Plank Rd, Milwaukee, WI 53226, USADepartment of Pathology, Medical College of Wisconsin, TBRC-C4980, 8701 Watertown Plank Rd, Milwaukee, WI 53226, USADepartment of Pathology, Medical College of Wisconsin, TBRC-C4980, 8701 Watertown Plank Rd, Milwaukee, WI 53226, USADepartment of Pathology, Medical College of Wisconsin, TBRC-C4980, 8701 Watertown Plank Rd, Milwaukee, WI 53226, USADepartment of Pathology, Medical College of Wisconsin, TBRC-C4980, 8701 Watertown Plank Rd, Milwaukee, WI 53226, USADepartment of Pathology, Medical College of Wisconsin, TBRC-C4980, 8701 Watertown Plank Rd, Milwaukee, WI 53226, USAHuman coronavirus disease 2019 (COVID-19) is a life-threatening and highly contagious disease caused by coronavirus SARS-CoV-2. Sensitive and specific detection of SARS-CoV-2 viral proteins in tissues and cells of COVID-19 patients will support investigations of the biologic behavior and tissue and cell tropism of this virus. We identified commercially available affinity-purified polyclonal antibodies raised against nucleocapsid and spike proteins of SARS-CoV-2 that provide sensitive and specific detection of the virus by immunohistochemistry in formalin-fixed, paraffin-embedded tissue. Two immunohistochemistry protocols are presented that are mutually validated by the matched detection patterns of the two distinct viral antigens in virus-infected cells within autopsy lung tissue of COVID-19 deceased patients. Levels of nucleocapsid protein in the lungs of COVID-19 decedents, as measured by quantitative histo-cytometry of immunohistochemistry images, showed an excellent log–linear relationship with levels of viral nucleocapsid RNA levels, as measured by qRT-PCR. Importantly, since the nucleocapsid protein sequence is conserved across all known viral strains, the nucleocapsid immunohistochemistry protocol is expected to recognize all common variants of SARS-CoV-2. Negative controls include autopsy lung tissues from patients who died from non-COVID-19 respiratory disease and control rabbit immunoglobulin. Sensitive detection of SARS-CoV-2 in human tissues will provide insights into viral tissue and cell distribution and load in patients with active infection, as well as provide insight into the clearance rate of virus in later COVID-19 disease stages. The protocols are also expected to be readily transferable to detect SARS-CoV-2 proteins in tissues of experimental animal models or animals suspected to serve as viral reservoirs.https://www.mdpi.com/2409-9279/4/3/47SARS-CoV-2immunohistochemistry protocolsnucleocapsid proteinspike protein
spellingShingle Yunguang Sun
Linna Ge
Sameer S. Udhane
John F. Langenheim
Mary J. Rau
Mollie D. Patton
Alexander J. Gallan
Juan C. Felix
Hallgeir Rui
Sensitive and Specific Immunohistochemistry Protocol for Nucleocapsid Protein from All Common SARS-CoV-2 Virus Strains in Formalin-Fixed, Paraffin Embedded Tissues
Methods and Protocols
SARS-CoV-2
immunohistochemistry protocols
nucleocapsid protein
spike protein
title Sensitive and Specific Immunohistochemistry Protocol for Nucleocapsid Protein from All Common SARS-CoV-2 Virus Strains in Formalin-Fixed, Paraffin Embedded Tissues
title_full Sensitive and Specific Immunohistochemistry Protocol for Nucleocapsid Protein from All Common SARS-CoV-2 Virus Strains in Formalin-Fixed, Paraffin Embedded Tissues
title_fullStr Sensitive and Specific Immunohistochemistry Protocol for Nucleocapsid Protein from All Common SARS-CoV-2 Virus Strains in Formalin-Fixed, Paraffin Embedded Tissues
title_full_unstemmed Sensitive and Specific Immunohistochemistry Protocol for Nucleocapsid Protein from All Common SARS-CoV-2 Virus Strains in Formalin-Fixed, Paraffin Embedded Tissues
title_short Sensitive and Specific Immunohistochemistry Protocol for Nucleocapsid Protein from All Common SARS-CoV-2 Virus Strains in Formalin-Fixed, Paraffin Embedded Tissues
title_sort sensitive and specific immunohistochemistry protocol for nucleocapsid protein from all common sars cov 2 virus strains in formalin fixed paraffin embedded tissues
topic SARS-CoV-2
immunohistochemistry protocols
nucleocapsid protein
spike protein
url https://www.mdpi.com/2409-9279/4/3/47
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