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Available Size : 100 test

Intended Use : Diagnostic in vitro in humans

Description: p16INK4/Ki67 Dual Staining Kit is a immunohistochemical staining kit based on the dual staining technology for the simultaneous detection of the p16 protein and the Ki67 proliferative activity marker. The kit has been validated both in cytological samples and in formalin-fixed paraffin embedded-tissue sections using manual or semiautomatic protocol in
LabVision Autostainer type platforms. The co-expression of the two markers p16INK4 and Ki67 is a marker for active/in progress HPV infections. The kit has diagnostic value in lesions caused by the HPV in the female genital tract, especially in differentiating high-grade squamous dysplastic lesions from those with a similar morphology; it can be used in other related lesions. This kit contains reagents for the detection of the antigens p16INK4/Ki67 based on a system of micro-polymers conjugated with peroxidase and alkaline phosphatase, and it is sufficient to perform 100 determinations following the recommended protocol.

ANALYTICAL PRINCIPLE OF THE METHOD

The purpose of immunohistochemically or immunocytochemical staining is to convert the antibody-antigen specific
reaction of molecules intended to be studied in cells or tissues into a visible stain.
This way, the p16-INK4/Ki67 Dual Staining Kit presents a set of highly specific and sensitive reagents that allows the
double visualization of the binding of two antibodies to their specific antigens in the same sample.
The functioning of this kit is based on the use of a mix of two antibodies and a mix of two micropolymers, each of them
marked with different enzymes (Peroxidase and Alkaline Phosphatase), which recognize each one the immunoglobulins
(antibodies) developed in rabbit and mouse respectively.
In the event of a reaction between the primary antibodies and their antigens, the micropolymers are specifically bound
to each one of them and due to the enzyme marking, adding the chromogens and the corresponding substrates,
precipitates of different colors are obtained that allow the presence of specific antigens to be detected under a
microscope.

COMPONENTS AND REAGENTS INCLUDED IN THE KIT:

MAD-021540Q-10  –  Peroxidase Blocking Reagent : 10 mL
MAD-000788QD-10  –  p16-INK4/Ki67 (MX007/SP6)* : 10 mL
MAD-001882QK-C  –  POLYMER MIX : 10 mL
MAD-001812QK-A  –  DAB Substrate Buffer : 15 mL
MAD-001812QK-B  –  DAB Chromogen Concentrate : 0.5 mL
MAD-001818QK-A  –  AP Substrate Buffer ; 2×15 mL
MAD-001818QK-B  –  AP Chromogen Concentrate : 0.5 mL
MAD-001560Q-10  –  DAB Enhancer : 10 mL

1. Dewaxing and Heat-induced epitope retrieval

a. Incubate the slides with the paraffin-embedded tissue sections in the oven at 60ºC all night long.
b. Place the slides in the PT module using the following conditions:
– Pre-heat at 65ºC
– Dewax and retrieve 20 minutes at 95ºC
In case you do not have a PT module, you can use other instruments such as a pressure cook or microwave for antigen
retrieval under previous validation of the functioning conditions in each laboratory, using the following
recommendations:
c. Dewax with xylene.
d.Hydrate the samples with decreasing alcoholic solutions.
e. Hydrate with bidistilled or deionized water.
f. Heat-induced antigen retrieval

2. Detection and development

a. Wash in TBS Buffer – Tween 20 at RT
b. Apply 100 µl of Peroxidase Blocking Reagent and incubate for 10 min at RT
c. Wash 3 time in TBS buffer – Tween 20.
d. Apply 100 µl of p16-INK/Ki67 (MX007/SP6) and incubate for 10 min at RT.
e. Wash 3 times in TBS buffer – Tween 20.
f. Apply 100 µl of POLYMER MIX and incubate for 30 min at RT.
g. Wash 3 times in Distilled Water
h. Mix a drop of DAB Chromogen Concentrate in 1ml of DAB Substrate Buffer and apply the resulting solution on the
tissue; incubate for 5 min at RT
i. Wash 3 times in TBS buffer – Tween 20.
j. Mix a drop of AP Chromogen Concentrate in 2,5ml of AP Substrate Buffer and apply the resulting solution on the
tissue; incubate for 15 min at RT
k. Wash 3 times in Distilled water.
l. Apply 100 µl of DAB Enhancer and incubate for 2 min at RT.
m. Wash 3 times in TBS buffer – Tween 20.

3. Counterstaining and mounting

a. Stain with Contrast Hematoxylin for 30 seconds.
b. Dye blue in running water.
c. After washing with water, dry the slides at 50-60ºC for at least 30 minutes or 1 hour at Room Temperature, rinse
in xylene and mount with permanent mounting medium.

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