Feb 10, 2025

Public workspace813.1 Multiplexed Immunofluorescence Phenocycler-Fusion® Imaging of FFPE Lung Sections V.3

  • 1University of Rochester Medical Center;
  • 2University Of Rochester
  • URMC Pryhuber Lab
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Protocol CitationJeffrey Purkerson, Gloria S Pryhuber, Luis Colon, Heidie Huyck 2025. 813.1 Multiplexed Immunofluorescence Phenocycler-Fusion® Imaging of FFPE Lung Sections. protocols.io https://dx.doi.org/10.17504/protocols.io.6qpvr38dpvmk/v3Version created by Jeffrey Purkerson
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: November 02, 2023
Last Modified: February 10, 2025
Protocol Integer ID: 114507
Keywords: lung, multiplexed immunofluorescence, Phenocycler-Fusion, FFPE, tissue sections, CODEX
Funders Acknowledgements:
NHLBI (HubMAP)
Grant ID: U54HL165443
NHLBI (LungMAP) PNNL
Grant ID: UO1HL148860
NHLBI (LungMAP) URMC
Grant ID: UO1HL148861
Abstract
This protocol describes multiplexed immunofluorescent (MxF) staining and imaging of FFPE lung tissue sections utilizing the Phenocycler-Fusion platform (Akoya Biosciences). The approach is based on the CODEX multiplexed immunofluorescence staining technology developed by Garry Nolan and colleagues (1). The protocol is closely aligned with the attached Phenocycler-Fusion User Guide provided by Akoya (2).
The protocol includes A) FFPE lung tissue section preparation, B) Labeling of lung tissue sections with antibody-barcode conjugates, C) Barcode-Reporter plate and experiment design, D) Multiplexed imaging and analysis, E) Reference for H&E stain to follow MxF and F) Reference to custom antibody conjugation. Thus, the protocol is designed to provide information regarding specific reagents (i.e., antibodies), conditions (i.e., dilutions), and procedures used in multiplexed immunofluorescent staining of lung tissue.
Attachments
Guidelines
An overview of Multiplexed Imaging using barcode conjugated antibodies can be found in the attached Phenocycler-Fusion User Guide. Onsite training in staining procedures, experimental setup and design, as well as image acquisition is provided by Field Application Scientists from Akoya Biosciences.
Materials
Key equipment, reagents, buffers, and supplies can be found in the attached Phenocycler-Fusion User Guide (Akoya Biosciences).

1. TruBOND™ 380 Adhesion Slides; P/N: 63700G10 Green (Electron Microscopy Sciences, Hatfield, PA)
2. AR9 buffer; PN#AR9001KT, (Akoya Biosciences, Malbororough, MA)
3. Paraformaldehyde (20% solution); P/N: 15713-S EM Grade (Electron Microscopy Sciences, Hatfield, PA)
4. dPBS; 17-512Q (Lonza, Walkerville, MD).
5. Sample Kit for PhenoCycler-Fusion; P/N:7000017 (Akoya Biosciences)
Contains Hydration, Staining, and Storage buffers, blocking buffers N, Gv2, J, and S, and final fixative reagent.
6. 10X Buffer Kit for PhenoCycler-Fusion; P/N; 7000019 (Akoya Biosciences)
Contains 10x Buffer for Phenocycler and Buffer Additive
7. Assay Reagent; P/N; 7000002 (Akoya Biosciences)
8. DMSO, ACS Reagent Grade (≥99.9%); 472301-1L Sigma-Aldrich.
9. Flow Cells (10 pack) Akoya Biosciences

Safety warnings
Procedures involving xylenes and paraformaldehyde should be performed in a chemical fume hood. Nitrile gloves are permeable to xylenes therefore change gloves promptly upon contact with xylenes.

Use heat resistant gloves to handle Coplin jars after antigen retrieval.
Ethics statement
The protocol does not utilize laboratory animals.
Before start
The Phenocycler Fusion system must be setup and calibrated by an installation engineer. Akoya Biosciences will provide a list of materials required for training.
Lung section preparation
Lung section preparation
3h
3h
Bake Sections to promote tissue adherence to the slide.
Since stained slides can be stored in storage buffer for a maximum 5 days without diminution of staining signal intensity, and Phenocycler-Fusion 2.0 imaging of two slides with a 45-50 marker panel requires ≥ 24h, staining more than 10 slides at a time is not recommended.

FFPE Lung sections are prepared as described in dx.doi.org/10.17504/protocols.io.kxygxejwdv8j/v2 and mounted on TruBond™ 380 adhesion slides (Electron Microscopy Sciences, Hatfield, PA).
Heat Slide(s) in oven at Temperature60 °C DurationOvernight .
Labeling of lung tissue sections with antibody-barcode conjugates
Labeling of lung tissue sections with antibody-barcode conjugates
7h 35m
7h 35m
Deparaffination
Paraffin wax is removed from lung sections by incubation in xylene (3X)
  • Xylene #1 Duration00:05:00
  • Xylene #2 Duration00:05:00
  • Xylene #3 Duration00:05:00
15m
Rehydration
The tissue sections are rehydrated through descending ethanol series followed by molecular biology grade distilled water (2X).

  • 100% Ethanol #1 Duration00:05:00
  • 100% Ethanol #2 Duration00:05:00
  • 90% Ethanol Duration00:05:00
  • 70% Ethanol Duration00:05:00
  • 50% Ethanol Duration00:05:00
  • 30% Ethanol Duration00:05:00
  • ddH20 #1 Duration00:05:00
  • ddH20 #1 Duration00:05:00
40m
High pH Antigen RetrievalPh9
Heat-Induced Epitope Retrieval (HIER) reverses protein crosslinking in FFPE tissue
Dilute AR9 buffer (Akoya Biosciences) 1/10 in ddH20 and fill plastic Coplin Jar to 90-95% volume. Add slides containing tissue sections to be stained. Cover entire Coplin Jar with aluminum foil. (Do not Cap)

Place Coplin Jar in an InstantPot® pressure cooker containing ddH20 to 1/3-1/2 depth of Coplin Jar.
Heat on high pressure setting Duration00:20:00 (turn off keep warm button)

20m
After releasing pressure per pressure cooker directions, remove Coplin Jar, partially unwrap foil without uncovering slides and allow slides to cool for a minimum of Duration01:00:00 . Attempting to rinse/wash without allowing slides to cool may reduce tissue adherence to glass slide.

1h
Critical
Prepare Blocking Buffer
Prepare Blocking Buffer no earlier than 1 h before staining (i.e. while slide are cooling in AR9 buffer and/or incubating in Staining buffer, see below) and keep on ice.
Table 1. Blocking Buffer Component Table

Component 2 Slides 5 slides N Slides

Staining Buffer Amount362 µL Amount905 µL Amount181 µL x N
N Blocker Amount9.5 µL Amount23.75 µL Amount4.75 µL x N
G Blocker Amount9.5 µL Amount23.75 µL Amount4.75 µL x N
J Blocker Amount9.5 µL Amount23.75 µL Amount4.75 µL x N
S Blocker Amount9.5 µL Amount23.75 µL Amount4.75 µL x N
Total Volume Amount400 µL Amount1000 µL Amount200 µL x N
  • Optional Preblock Step: If non-specific binding results in low signal-noise for marker signals a preblock incubation step may be included prior to adding antibody cocktail to slide. Prepare preblock buffer ( Amount5 µL each of N, J, S Blocker to Amount185 µL staining buffer) X N slides). Add Amount190 µL of Preblock buffer to slides while avoiding pipetting directly onto tissue and incubate for Duration00:45:00 TemperatureRoom temperature in humidified chamber. Pour off excess blocking buffer and soak up remaining excess with a Kimwipe™, prior to adding antibody cocktail.

45m
Prepare Antibody Cocktail
In a 1.5 ml microfuge tube, mix volume of blocking buffer = Amount200 µL x N slides to be stained minus total volume of antibodies (µl/slide x N) to be used in experiment (See Table below). The Blocking buffer volume must be 60% of total antibody cocktail volume for effective blocking. If needed, reduce staining buffer volume to achieve 60% blocking buffer volume in Ab solution.
Example antibody panel (final column = microliter of antibody per single slide):
AntibodyVendorCat#BarcodeDilutionµl/200µl/1slide
CD31Akoya4450017BX0011:2001
KRT14Akoya4450031BX0021:2001
CD4Akoya4550112BX0031:2001
CD20Akoya4450018BX0071:2001
SMAAkoya4450049BX0131:2001
E-CadherinAkoya4250021BX0141:2001
CD68Akoya4550113BX0151:2001
PanCK Akoya4450020BX0191:2001
CD45Akoya4550121BX0211:2001
CD11cAkoya4550114BX0241:2001
CD8Akoya4250012BX0261:2001
FOXP3 Akoya4550071BX0311:2001
HLADR Akoya4550118BX0331:2001
CD14Akoya4450047BX0371:2001
ColIV Akoya4550122BX0421:2001
CD3eAkoya4550119BX0451:2001
Ki67Akoya4250019BX0471:2001
CD163Akoya4250079**BX0691:2001
CAV1Akoya4450084BX0861:2001
MPO Akoya4250083BX0981:2001
Keratin5Akoya4450090BX1011:2001
SOX2Akoya4250075BX1021:2001
PDPNAkoya4250094BX1211:2001
TPSAB1*Abcamab2378BX0411:10000.2
SOX9*Cell Signaling74021SFBX0461:10000.2
SFTPC*InvitrogenPA5-71842BX0201:5000.4
MUC5AC*Abcamab212636BX0401:5000.4
FOXJ1*ThermoFischer14-9965-82BX0361:5000.4
GRP*LSBioLS-C755064BX0301:5000.4
TUBB3*R&D SystemsMAB1195BX0551:4000.5
SCGB3A2*Abcamab240255BX0341:4000.5
SFTPB*ThermoFischerPA5-42000BX0101:4000.5
KRT8*Biolegend904804BX0221:4000.5
CD55*R&D SystemsAF2009BX0271:2001
PF4*Peprotech500-P05BX0041:2001
LYVE1*R&D SystemsAF2089BX0251:2001
ATP1A1*Abcamab167390BX0051:2001
SCGB1A1*R&D SystemMAB4218BX0431:1002
AGER* Abcamab228861BX0281:1002
COL1A1*Abcamab88147BX0541:1002
TP63*Abcamab214790BX0061:802.5
SCEL*AbceptaAbceptaBX0521:802.5
CD1c* Novusab156708BX0161:802.5
MUC5BAbcamAB87376BX0491:802.5
PROX1*R&D SystemsAF2727BX0501:504
Note: Whenever possible barcodes and reporters were assigned to specific antibodies based on predicted antigen abundance and relative channel sensitivity in accordance with the PhenoCycler-Fusion User Guide (Akoya Biosciences).
*Denotes custom-conjugated antibody. Refer to custom-conjugation section at the end of the protocol.
** CD163-BX069 (Cat# 4250079, Akoya Biosciences) has been discontinued. EPR19518 can sourced from Abcam Cat# AB213612 for custom conjugation.

Incubate with Ab + Blocking Buffer Cocktail Solution

Wash slides in Coplin Jars containing dd H2O
  • dd H20 #1 - 3 dips
  • dd H20 #2 - immersion Duration00:02:00

2m
Immerse Slides in sequential Coplin jars containing the following buffers from Akoya Biosciences:
  • Hydration buffer #1 Duration00:02:00
  • Hydration buffer #2 Duration00:02:00
  • Staining buffer Duration00:20:00 -Duration00:30:00 max.

54m
Carefully dry slide around tissue with a Kimwipe™.
Then pipette 190 μL Ab cocktail solution onto slide to cover tissue section.
Avoiding pipetting directly onto tissue.
Incubate slides, covered in a lightly humidified chamber, for Duration03:00:00 TemperatureRoom temperature .
3h
Post Stain Wash and Multiple Fixations
Tissue slides are briefly washed in staining buffer followed by sequential fixation with paraformaldehyde, ice-cold methanol, and final fixation solution.

Incubate in sequential Coplin Jars containing:
  • Staining Buffer #1. Duration00:02:00
  • Staining Buffer #2. Duration00:02:00
  • 1.6% paraformaldehyde (Diluted in Storage buffer, Akoya Biosciences from 20% stock). Duration00:10:00
  • Rinse slides sequentially in 3 Coplin Jars containing 1 x PBS (3 dips each)
  • pre-chilled, Temperature-20 °C , methanol on ice Duration00:05:00
  • Rinse slides sequentially in 3 Coplin Jars containing 1 x PBS (3 dips each)

19m
Prepare Final Fix dilution (2%)
20 μl aliquot of Final Fix (Akoya Biosciences) diluted in 1 ml PBS

Carefully dry slide around tissue with a Kimwipe™
Then pipette 190 μL of Final Fix solution onto slide to cover tissue section while avoiding pipetting directly onto tissue.
Incubate Duration00:20:00 .

20m
Rinse slides sequentially in 3 Coplin Jars (3 dips each) PBS

Autofluorescence Imaging prior to Photobleaching
The slide is stained with DAPI to facilitate tissue detection by the Fusion algorithm prior to scanning the slide in the Opal480 channel with the AF480 protocol. Since the Fusion algorithm is designed to subtract autofluorescence (AF) from Opal fluorescent channels, the AF subtraction exposure setting in the algorithm is reduced such that the Opal480 channel signal reflects biomolecule autofluorescence in this channel without algorithm-based subtraction.
Stain slide with 14.3 micromolar (uM) DAPI in PBS for Duration00:05:00 .

Rinse slides sequentially in 3 Coplin Jars containing 1 x PBS (3 dips each)
Carefully pipette ~ Amount100 µL of PBS (not directly over tissue) onto slide and gently overlay a 24 X 50 (1.5 mm thick) glass coverslip while avoiding capturing air bubble over the tissue.

Carefully place the slide in the holder without displacing the coverslip.
Open the scan slide tab Fusion software and select the "Scan Slide" task "Autofluorescence" study and the "AF480" protocol. The AF480 protocol and the following exposure settings: DAPI (10 ms), Opal480 (75 ms), Algorithm autofluorescence substraction (10 ms).
After imaging carefully remove coverslip by submerging the slide in a Coplin Jar containing PBS and proceed with photobleaching.
Photobleaching and Storage

Slides may be stored for up to 5 days in a Coplin Jar containing Storage bufferTemperature4 °C .

In order to reduce autofluorescence from the tissue, on the day prior to imaging, lay the slide to be imaged flat in a 100 cm2 dish containing Storage Buffer (Akoya Biosciences).
Photobleach by illumination with a 200 mA, 15 watts, 1600 lumens bulb Temperature4 °C DurationOvernight .

Reporter Plate and Experiment Design
Reporter Plate and Experiment Design
Reporter plate design and Phenocycler-Fusion run protocols are developed using the PhenoCycler Experiment Designer Software (Akoya Biosciences).
Prepare 1x Buffer Phenocycler Buffer and Reporter Stock Solution
Reporter Stock Solution is prepared according to guidelines in the attached Phenocycler-Fusion User Guide (Akoya Biosciences®). In PCF 2.0, low and high DMSO buffers are prepared prior to the imaging run. Note that the phenocycler buffers are stable for up to 14 days, after which they must be disposed as hazardous waste. Do not use phenocycler or DMSO buffers stored in opaque or brown bottles longer than two weeks.
Open the calculate buffer tab in the Phenocycler Experiment Designer 2.1.0 software and import reporter plate design for one or two flow cells into the buffer calculator which in turn will output total volumes and component volumes required for 1X Phenocycler buffer, low DMSO buffer, and high DMSO buffer for the imaging run (see attached example below). Multiply volumes by the anticipated number of imaging runs. 1 x PCF Buffer with Buffer additive is used in the side-car PCF Buffer bottle, in the reporter stock solution and in the mounting of the flow cell. Do not filter. Store at room temperature for up to 14 days. Combine in clean glass container, mix well with magnetic stirrer while avoid bubbles:

The Buffer Calculator tab in the Phenocycler Experiment Designer facilitates calculation of required volumes for preparation of Phenocycler buffers.


Prepare Reporter Stock Solution
Combine, mix gently by inversion:
  • 1 x Phenocycler Buffer with Buffer additive Amount265 µL X N
  • Assay Reagent Amount25 µL X N
  • Nuclear Stain Amount10 µL X N

Total volume should equal 300 μl x N = number of cycles plus two blank cycles (# reporter plate wells) to be done in the imaging run.
Prepare Reporter Solutions for each cycle in an opaque or foil wrapped tube.
Keep Reporters on ice.
Centrifuge Reporter stock tubes briefly prior to removing aliquot.
Protect the fluorescent dye-containing Reporters from photobleaching.
Avoid introducing bubbles into the solutions.
Important to keep the reporter plate dust-free.

An imaging cycle = 4 channel detection including nuclear stain and 3 reporters, depending on filter set chosen, for example one each of ATTO550, Cy5/AF647, AF750. A multi-cycle experiment composes an imaging run.
Label an opaque microtainer for each well, each well = one imaging cycle of the imaging run. To each tube add 235 μl Reporter Stock Solution X N imaging runs and 5 μl X N imaging runs of each predetermined reporters complementing the antibody barcodes to be detected in that cycle to make total volume 250 μl X N imaging runs per microtainer
Pipette 245 μl of each reporter mix into a well of a light-opaque 96 well microtiter plate (Akoya Biosciences) according to the Experimental Design developed in the experimental design app.

Also, pipette 245 ul reporter stock solution (blanks) into two wells of row H to create 2 blank wells. Seal the solution-containing wells with Akoya foil seals. The plate may be stored @ 40C for up to 14 days in accordance with the attached PhenoCycler-Fusion User Guide (Akoya Biosciences).
Multiplexed Imaging and Analysis
Multiplexed Imaging and Analysis
Image Acquistion via Phenocycler-Fusion® 2.0 (i.e., CODEX V2)
Imaging
Use the Phenocycler Experiment Designer 2.1.0, located on the PhenoCycler-Fusion Acquisition PC desktop,to define the design of the Reporter plate and imaging parameters to be used in the experiment. Follow details provided in the attached PhenoCycler-Fusion User Guide.
If necessary, warm reporter plate to TemperatureRoom temperature

After photobleaching in storage buffer, wash slides in PBS (250 ml; Coplin Jar)TemperatureRoom temperature Duration00:10:00

10m
After the wash, dry the bottom of the slide and around the edges of the tissue with a kimwipe.
Attach a flow cell using the flow cell assembly device (Akoya Biosciences). Center and press the flow cell onto the slide for Duration00:00:30

30s
Cure the flow cell adhesive by incubating the slide in 1X phenocycler buffer (Akoya biosciences)Duration00:10:00 TemperatureRoom temperature

10m
Fill respective Reagent reservoirs on the Phenocycler side car with low DMSO, high DMSO, and 1X Phenocycler buffers (prepared in step 11.1), and ddH20. Place a one or two blank flow cells in the flow cell slide carrier attached to the fluidics tubing. If imaging a single flow cell slide load the blank and subsequently the sample flow cell in the blue (1) imaging window and replace the magnetic slide retainer for the Red (2) imaging window with a blue blocking tray.


Imaging
Critical
Start an imaging run by turning on the Phenocycler fluidics system and the Phenoimager, followed by launching the Fusion 2.2.0 software. Select Start experiment and follow the prompts.
Images are acquired utilizing the 20X (0.5 µM/pixel) objective and the Fusion 2.2.0 software.
Image processing is automated via the Fusion 2.2.0 software and completed at the end of the experiment run.
Expected result
A. Folder with slide/sample name containing:
i. The respective Ab-Reporter (.xpd) file generated by the Phenocycler Experiment designer.
ii. Akoya whole slide scan .qptiff (~10-15 GB for a 45-marker marker panel; ~1 cm2 lung section

B. The following .temp file contents:
i. qptiff.raw files: 10-15 GB for each cycle (45 marker panel; 1 cm2 section)
ii. qptiff.intermediate: 10-15 GB for each cycle (45 marker panel; 1 cm2 section)
iii. CombineInputs
iv. FlowCellOverview
v. FocusMap
vi. FocusTable
vii. Label
viii. LastLabel0
ix. LastLable1
x. MarkerList
xi. Overview BF
xii. Position1CarrierBarcode
xiii. Position1TrayBarcode
xiv. Position2CarrierBarcode
xv. Position2TrayBarcode
xvi. SampleMask
xvii. SampleValMask

Do not attempt to open raw or intermediate cycle.qptiff during the imaging run.

Rapid review of the resultant image.qptiffs is performed utilizing PhenoChart 2.2.0 software. If necessary, exposure time (ms) is adjusted in the Phenocycler Experiment Designer to obtain readily detectable, specific marker signals that are below saturation. Note that after viewing qptiffs in Phenochart an_annotations.xml.lock file will appear in the image folder.
After the run return the tissue slide with attached flow cell to storage buffer Temperature4 °C . If necessary, slides can be reimaged with a new set of reporters up to 5 days post staining without loss of signal.

Record Imaging Run MetaData
Record Slide ID, staining and imaging date in the Metadata Excel file located in the Experiments_Protocols_Metadata subfolder in the CODEX Akoya folder located on BOX.
Likewise record the dates for biweekly Brightfield reference calibration and maintenance washes as well as monthy fluorescent and phenocycler reference calibration.
The "source storage time" = length of time (Days) between slide staining date and imaging date.
The image acquisition time = length of time between time stamp on the MarkerList or CombineInputs files (START) and the time stamp on the Akoya whole slide scan file .qptiff (FINISH).
The time_since_acquisition_instrument_calibration_value is the time interval (days) between the phenocycler reference calibration date and the imaging run date.

Data backup and storage
Data backup and storage
Upload files from Phenocycler-Fusion runs to the URMC local Bluehive-Archive/archive/lungmap_lab codex folder.
Maintain directory structure for each run by creating a new folder labeled with the slide ID containing a scan# subfolder, and a temp subfolder within the scan folder.
Include the following files in the upload:
Slide folder:
Scan Folder:
A. (.xpd) file (Phenocycler Experiment designer)
B. Akoya whole slide scan .qptiff
C. Optional: The ome.tiff generated via bfconvert (See step 17)
D. Temp folder contents including qptiff raw files, Optional: qptiff.intermediate files.
Multiplexed Imaging and Analysis
Multiplexed Imaging and Analysis
Image Analysis and Segmentation
Analysis of processed image.qptiff files can be performed utilizing QuPath 4.3-5.0 (See Reference 3), and subsequent analysis steps describe key facets and output using this approach. Additional image analysis pipelines are in development and include utilization of: DeepCell (Mesmer) DeepCell for cell segmentation; scanpy https://scanpy.readthedocs.io/en/stable/ for clustering and cell type annotation utilizing marker expression signals within segmentation masks and squidpy https://squidpy.readthedocs.io/en/stable/ for additional downstream analysis; Napari https://napari.org/stable/ for visualization of marker expression and cell type annotation; Banksy https://www.nature.com/articles/s41576-024-00743-9 or equivalent for cell neighborhood analysis.
Cell segmentation based on (DAPI) stained nuclei is performed utilizing the respective StarDist extension (See Reference 4) in QuPath.
Cell detection measurements (e.g. X,Y coordinates, fluorescent intensity data for all channels) are saved as a text file, opened in Excel as a tab delimited file, and resaved as a CSV (comma delimited) file.
Cell segmentation masks can be exported from QuPath running the following ExpCell script within Script Editor:
import qupath.lib.images.servers.LabeledImageServer
import qupath.lib.roi.RectangleROI
import qupath.lib.scripting.QP

def imageData = getCurrentImageData()
def project = getProject()
def server = imageData.getServer()

// Define output path (relative to project)
def name = GeneralTools.getNameWithoutExtension(imageData.getServer().getMetadata().getName())
def pathOutput = buildFilePath(PROJECT_BASE_DIR, 'export')
mkdirs(pathOutput)
// Define output resolution
double requestedPixelSize = server.getPixelCalibration().getAveragedPixelSize()
// Convert to downsample
double downsample = requestedPixelSize / imageData.getServer().getPixelCalibration().getAveragedPixelSize()
println('Downsample factor : '+downsample)
// Create an ImageServer where the pixels are derived from annotations
def labelServer = new LabeledImageServer.Builder(imageData)
.backgroundLabel(0, ColorTools.BLACK) // Specify background label (usually 0 or 255)
.downsample(downsample) // Choose server resolution; this should match the resolution at which tiles are exported
.useCells()
.useInstanceLabels() //Export as unique label
.multichannelOutput(false) // If true, each label refers to the channel of a multichannel binary image (required for multiclass probability)
.build()

annotation = getSelectedObject()

//Export the mask
def region = RegionRequest.createInstance(labelServer.getPath(), downsample, annotation.getROI())
def outputPath = buildFilePath(pathOutput, 'labels_mask.ome.tiff')
writeImageRegion(labelServer, region, outputPath)

resetSelection()


Vascular smooth muscle and airway epithelial features are annotated and classified by thresholding the ACTA2 and PanCK signals utilizing the Pixel classifier in QuPath.
Annotation masks can also be exported from QuPath running the following ExpCell script within Script Editor:
def imageData = getCurrentImageData()

// Define output path (relative to project)
def outputDir = buildFilePath(PROJECT_BASE_DIR, 'export')
mkdirs(outputDir)
def name = GeneralTools.getNameWithoutExtension(imageData.getServer().getMetadata().getName())
def path = buildFilePath(outputDir, name + "-labels.png")

// Define how much to downsample during export (may be required for large images)
//double downsample = 8

// Create an ImageServer where the pixels are derived from annotations
def labelServer = new LabeledImageServer.Builder(imageData)
.backgroundLabel(0, ColorTools.WHITE) // Specify background label (usually 0 or 255)
//.downsample(downsample) // Choose server resolution; this should match the resolution at which tiles are exported
// Choose output labels (the order matters!)
.addLabel('airway', 1)
.addLabel('Vasculature', 2)
.addLabel('Other', 3)
.multichannelOutput(false) // If true, each label refers to the channel of a multichannel binary image (required for multiclass probability)
.build()

// Write the image
writeImage(labelServer, path)


Object Data can also be exported from QuPath as a GeoJSON file
Conversion of .qptiff files to ome.tiff for upload to Omero utilizing bfconvert
Conversion of .qptiff files to ome.tiff for upload to Omero utilizing bfconvert
Execute the following in command prompt:
C:\>Set BF_MAX_MEM=10240M
C:\>bfconvert -no-sas -series 0 -compression LZW -pyramid-resolutions 5 -pyramid-scale 2 INPUT.qptiff OUTPUT_ome.tiff
Upload the resulting ome.tiff file to the CODEX folder in Omero and the respective tissue donor subfolder (e.g. D265) utilizing the Omero importer.
Custom antibody conjugation
Custom antibody conjugation
Custom Antibody Conjugation is performed as described dx.doi.org/10.17504/protocols.io.3fugjnw.
For antibodies containing sodium azide (0.05-0.1%) or trehelose (5%), buffer exchange was performed utilizing Zeba™ Spin Desalting columns 7K MWCO (89890, 2ml, Thermoscience) equilibrated in PBS in accordance with the manufacturer's recommendations.
Success of Antibody-Barcode chemical conjugation is determined by resolving unconjugated and conjugated Ab's on BioRADs MiniProtean TGX Gel 4-15% Bis-Tris Protein Gels in accordance with Guidelines in the Phenocycler-Fusion User Guide (Akoya Biosciences®, Malborough, MA).
Expected result
Barcode conjugated Ig heavy and light chains exhibit an Electrophoretic Mobility Shift (EMS) relative to the corresponding unconjugated Ab.
Figure 1. A representative SDS-PAGE Gel providing quality assurance of Ab barcode conjugation.



H&E staining Post Phenocycler-Fusion
H&E staining Post Phenocycler-Fusion
10m
10m
It is useful to stain the tissue sections with hematoxylin & eosin following the multiplexed fluorescence imaging in order to match histology with antibody staining. We have stained lung sections with an aqueous H&E stain as described dx.doi.org/10.17504/protocols.io.kqdg397yeg25/v1 but this resulted in a rather grey stain and so we have opted instead to remove the flow cell by soaking in xylene prior to H&E staining of lung sections as described in Step 19.1.


After MxIF imaging is completed for the slides, remove the flow cell covered slides from storage buffer (Akoya Biosciences), wipe dry with Kimwipe and, utilizing a vacuum-suction apparatus similar to what is described in dx.doi.org/10.17504/protocols.io.kqdg397yeg25/v1, remove buffer from the flow cell.
  • Incubate slides in a Coplin Jar containing Xylene for Duration04:00:00 to DurationOvernight in order to weaken or dissolve the flow cell adhesive.
  • Carefully pry flow cell off the slide with razor blade or preferably a thin spatula.
  • Proceed with H&E staining according to the standard protocol described here dx.doi.org/10.17504/protocols.io.36wgqjnq3vk5/v4 beginning at Step 5.

4h
Protocol references
1. Black, S., Phillips, D., Hickey, J.W. et al. CODEX multiplexed tissue imaging with DNA-conjugated antibodies. Nat Protoc 16, 3802–3835 (2021). https://doi.org/10.1038/s41596-021-00556-8.
3. Bankhead, P., Loughrey, M.B., Fernández, J.A. et al. QuPath: Open-source software for digital pathology image analysis. Sci Rep 7, 16878 (2017). https://doi.org/10.1038/s41598-017-17204-5.
4. Schmidt, U., Weigert, M., Broaddus, C., and Myers, G. (2018). “Cell detection with star-convex polygons,” in Medical Image Computing and Computer Assisted Intervention—MICCAI 2018. Editors A. F. Frangi, J. A. Schnabel, C. Davatzikos, C. Alberola-López, and G. Fichtinger (Springer InternationalPublishing) 11071, 265–273. doi:10.1007/978-3-030-00934-2_30; M. Weigert, U. Schmidt, R.Haase, K. Sugawara and G. Myers, "Star-convex polyhedra for 3D object detection and segmentation in microscopy", Proc. IEEE Winter Conf. Appl. Comput. Vis. (WACV), pp. 3655-3662, Mar. 2020.