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Spatially resolved, multiplexed digital characterization of protein and RNA expression in FFPE tissue sections Abstract Spatially-resolved Multiplexed Profiling Proof of Concept Example Imaging-based techniques are powerful tools for analyzing protein and mRNA expression and localization within the tumor microenvironment. However, they typically suffer from a number of challenges, including lack of dynamic range, difficult quantitation, and labor intensive workflow for very limited multiplexing. We have developed a novel platform based on the nCounter® barcoding technology that enables spatially resolved, digital characterization of proteins and mRNA in a highly multiplexed (up to 800-plex) assay. The assay relies upon probes coupled to photocleavable oligonucleotide tags which are released from discrete regions of the tissue using focused through-objective UV (~ 365nm) exposure. An automated prototype capable of imaging, selective illumination using a DMD (digital mirror device), and sample collection was developed by modifying a standard microscope. Cleaved tags are quantitated in an nCounter® assay, and counts are mapped back to tissue location, yielding a spatially-resolved digital profile of analyte abundance. Assay features: • High resolution (currently ~ 1 to 4 cells) • All digital counting, with large dynamic range (> 105) • High multiplex (currently 30, but scalable with no change in instrumentation to 800) • Simple workflow • Compatibility with FFPE • No secondary antibodies or amplification reagents NanoString Technologies 530 Fairview Avenue North, Seattle, WA 98109 In situ Protein Profiling on FFPE (1) To establish overall tissue morphology, a Tonsil sample was imaged using 2-color fluorescence of Ki-67 (cell proliferation marker) and CD3 (immune cell marker) (2) Various regions of interest (ROIs) (400 µm x 300 µm) were then selected for detailed molecular profiling with an oligo-antibody cocktail already bound to the sample (3) UV cleavage of selected ROIs allows multiplex digital profiling (nCounter counts) PanCK (tumor marker) and CD45 (immune cell marker). (4) Four representative ROIs and digital counts obtained for CD3 and Ki-67. Regions include a germinal center with high levels of Ki-67 (#5), a germinal center with moderate levels of Ki-67 and CD3 (#9, “mixed”), a non-germinal center with high levels of CD3 (#1), and a connective tissue region with low levels of Ki-67 and CD3 (#12, “control”). Masking workflow for automated profiling of tumor Tissue microarray containing Grade 3 colorectal cancer epithelium (PanCK, magenta) and T cells (CD3, green) ROIs in the same field of view (5) Hierarchically clustered heatmap of standardized data (across targets) to identify regions and targets with similar profiles. Digital Spatial Profiling Highly Multiplexed molecular profiling with Optical Barcodes Mechanism of action of DSP microscope verified: Spatially-resolved detection down to a single cell Linearity and Limit of Detection (LOD) Two ROIs (#1 and #5) contain regions that resemble tertiary lymphoid structures (regions within dashed lines). CCRF-CEM cell pellet In situ RNA Profiling on FFPE showing areas of various ROIs illuminated. A fluorescently conjugated secondary antibody targeting antibodies against CD3 and CD4 were used to visualize cell membranes. Overall Workflow (1) Process: FFPE tissue slide incubated with a cocktail of oligo conjugated antibodies Counts obtained for the same ROIs Circles with a diameter from 650 µm to 50 µm Her2 3+ Breast cancer sample (2) View: Regions of interest (ROIs) Tonsil sample are identified with visible lightbased imaging (3) Profile: Selected ROIs are chosen for high-resolution multiplex profiling, and oligos from the selected region are released upon exposure to UV light. Ki-67 (cell proliferation marker) and PanCK (tumor marker) (4) Collection: Photocleaved oligos are then collected via a microcapillary tube and stored in a microplate well (5) Digital counting: Photocleaved oligos from the spatially-resolved ROIs in the microplate are hybridized to 4-color, 6-spot optical barcodes, enabling up to ~1 million digital counts of the protein targets (distributed across all targets) in a single ROI using standard NanoString nCounter® instruments LOD = background counts average + 2 x standard deviation Single cell Analysis Tonsil Instrument Setup (1) Sample tissue slide (2) Microscope stage (3) Buffer-gasket (4) Objective (5-6) Band pass filters (7) LED light engine (8) CMOS camera (9) Digital mirror device (DMD) module (10) DMD array (11) UV LED (12-13) Dichroic mirror (14) Micro capillary (15) Micro-well plate (16) System fluid line (17) Syringe pump module (18) Reagent bottles (19) Inlet/outlet line for washing (20) Wash station FOR RESEARCH USE ONLY. Not for use in diagnostic procedures. www.nanostring.com | [email protected] | @nanostringtech © 2016-2017 NanoString Technologies, Inc. All rights reserved. Patents pending. NanoString, NanoString Technologies, the NanoString logo, nCounter, 3D Biology, and nSolver are registered trademarks or trademarks of NanoString Technologies, Inc., in the United States and/or other countries. Profiling results of Her2 and RPS6 protein and RNA obtained on serial sections Profiling results of CD45, CD20, and cytokeratin protein and RNA stained with CD3 and CD4 rabbit antibodies (T cell markers) and CD19 and CD20 mouse antibodies (B cell markers) and visualized with goat anti-mouse and goat anti-rabbit antibodies labeled with different fluorophores • New application of NanoString barcoding enables multiplexed, digital, spatially-resolved protein/RNA profiling in FFPE tissue Counts from single cell illumination of 12 T cells and 12 B cells. • Variable ROI selection permits profiling of 650 um diameter areas down to single cells. PBMC cell pellet with various 1, 2, or 4 cell ROIs Conclusion • Detection of RNA from tissue permits characterization of up to 800 targets without relying on commercial antibodies. • Correlation between RNA and protein measurement is high validating the performance of system • In situ multiplexed protein/RNA profiling in tumor microenvironment may enable novel biological insights for research and accelerate drug development Researchers interested in participating in NanoString's technology access program for its Digital Spatial Profiling technology should contact us at [email protected]. AUTHORS: Dwayne Dunaway, Jaemyeong Jung, Yan Liang, Chris Merritt, Giang Ong, Kristina Sorg, Isaac Sprague, Sarah Warren, Philippa Webster, Joseph M Beechem* NanoString Technologies, Inc. *Correspondence: [email protected] AGBT, February 13th – 16th, 2017