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- Multiplex Immunofluorescence Staining, Whole Slide Imaging, and Spatial Phenotyping of T cell Exhaustion, Regulatory T cells, and Myeloid Derived Suppressor Cells in Tumor FFPE Samples

# Multiplex Immunofluorescence Staining, Whole Slide Imaging, and Spatial Phenotyping of T cell Exhaustion, Regulatory T cells, and Myeloid Derived Suppressor Cells in Tumor FFPE Samples

Profiling exhausted T cells, regulatory T cells, and myeloid-derived suppressor cells in the tumor microenvironment demands many markers, spatial context, and fast turnaround at once; this SITC 2019 poster combines three UltiMapper I/O immunofluorescence panels, whole-slide scanning on the RareCyte CyteFinder II HT, and HALO image analysis to phenotype these populations across lung, colorectal, and breast tumor FFPE samples with same-day sample-to-results.

Presented by Indica Labs / RareCyte / Ultivue.

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- Three UltiMapper I/O multiplex immunofluorescence panels profiled the tumor immune microenvironment across lung, colorectal, and breast FFPE tissue. Each panel was imaged in 5 channels &mdash; a DAPI channel plus four markers &mdash; with a PD-1 panel for immune-cell exhaustion, a T-reg panel for regulatory and cytotoxic T cells, and an MDSC panel for myeloid-derived suppressor cells.

- The automated workflow returned same-day sample-to-results, from staining through analysis. Staining on a Leica BOND RX autostainer completed in 5.5 hours, whole-slide scanning ran about 15 minutes per slide on the RareCyte CyteFinder II HT, and HALO image analysis finished in 10 minutes.

- Serial sections stained with the three panels were co-registered in HALO onto one coordinate system for spatial phenotyping. Cytotoxic T-cell infiltration was quantified 200 &micro;m inside and 200 &micro;m outside the tumor margin, and T-helper-cell density was measured within a 25 &micro;m radius, resolving immune phenotypes by their position relative to the tumor margin and stroma.

[Download poster](https://cdn.sanity.io/files/s3p6uqps/production/46ccee5156e1beb1951d23261d9a821d2af165c1.pdf)

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