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ORIGINAL RESEARCH article

Front. Neurol.

Sec. Dementia and Neurodegenerative Diseases

Antibody elution methods for multiplex immunofluorescence of Alzheimer's disease pathology in human postmortem brain tissue

  • 1. Sydney Brainomics, School of Medical Sciences and Charles Perkins Centre, The University of Sydney, Darlington, Australia, NSW, 2006

  • 2. New South Wales Brain Tissue Resource Centre, School of Medical Sciences and Charles Perkins Centre, Darlington, Australia

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Abstract

Post-mortem human brain banks are a key resource for researching brain diseases. The New South Wales Brain Tissue Resource Centre (BTRC) is a brain bank that focuses on neurodegenerative diseases, including alcohol use disorder and Alzheimer’s disease. Most banks hemi-sect brains, freezing one half and fixing the other. Traditionally, formalin-fixed, paraffin-embedded tissue has been used for immunostaining, whereas frozen tissue has been used for complementary molecular studies. Immunofluorescent staining has been more difficult to employ than chromogen-based immunostaining in postmortem brain tissue because of autofluorescence that is amplified further in archival tissue kept in formalin for long term storage. Multiplex immunofluorescence (mIF) is extremely useful for visualising complex cell interactions in the brain but is limited by the availability of primary-secondary antibody combinations. Tyramide signal amplification (TSA) systems largely solved the latter issue but remains expensive to perform. Given the increasing interest in human postmortem brain tissue for mechanistic studies, we explored whether modifying stripping protocols for traditional mIF staining could improve performance to match newer TSA-based methods. Employing β-mercaptoethanol (BME)-containing stripping buffer instead of heat-induced epitope retrieval gave similar results for both techniques in both short-term and long-term fixed tissue. However, iterative imaging sessions between cycles for traditional mIF still pose a greater risk for malalignment of target molecules in composite images.

Summary

Keywords

alcoholuse disorder, biobanking, Neuropathology, Neuroscience, Post-mortem brain

Received

04 December 2025

Accepted

02 February 2026

Copyright

© 2026 Sutherland, Maskey, Nguyen-Hao, Smith, Novelli and Stevens. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Greg Sutherland

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