Methods & Techniques
For Histologists and Immunohistochemists
 

C4d Antibody Staining Protocol for Immunohistochemistry

 

Description: Deposition of C4d, a split product of C4 of the classical pathway of complement, in peritubular capillaries (PTCs) has been shown to be a sensitive marker for antibody-mediated (humoral) rejection in renal transplant biopsies. Some studies also suggest that C4d in PTCs is specific for humoral rejection or, at least, for the presence of donor-specific antibodies. The capillary C4d deposition can also be used to diagnose antibody-mediated injury due to non-HLA antidonor antibodies, as shown by a report from Japan analyzing rejection patterns in ABO-incompatible renal transplantation.

 

Primary Antibody

Name: C4d Antibody

Clone: Polyclonal, Rabbit anti-Human

Supplier: Biomedica

Catalog Number: BI-RC4D

Dilution: 1:25 - 1:50

Incubation Time/Temp: 60min/room temperature


Antigen Retrieval
Device: Steamer
Buffer/pH value: Citrate buffer/pH 6.0 or EDTA/pH 8.0
Heat/Cool Temperature: 95-100 ºC/room temperature
Heat/Cool Time: 20 minutes/20 minutes

Detection Methods
Standard Method: ABC Method or LSAB Method
Enhanced Method: Polymeric Methods

Chromogen Substrate
Reagent: DAB
Incubation Time/Temperature: 1-3 minutes/room temperature

Counterstain
Reagent: Gill's Hematoxylin or Mayer's Hematoxylin
Staining Time: 30 seconds

Results:
Staining Pattern: Cytoplasmic
Images: Search image

Additional Information:
Tissue Type: Kidney
Fixation: Formalin-fixed paraffin sections, or acetone fixed frozen sections
Positive Control: Kidney
Negative Control: Omit primary antibody, isotype control, absorption control
Blocking: 2-5% normal serum to reduce unspecific background staining; 0.5-3% H2O2 to block endogenous peroxidase activity; avidin/biotin to block endogenous biotin activity if necessary

Notes:

1. EDTA buffer pretreatment produces stronger staining intensity than citrate buffer.

2. Overnight incubation increases staining intensity.

3. More sensitive detection system is required to produce optimal result. Polymeric method such as Envision+, ImmPress is recommended.

4. For frozen sections, a higher dilution of primary antibody may be used.

 

References: 

1. Bruno Watschinger and Manuel Pascual (2002) Capillary C4d Deposition as a Marker of Humoral Immunity in Renal Allograft Rejection. J Am Soc Nephrol 13:2420-2423

 

2. Collins AB, Schneeberger E, Pascual M, Saidman S, Williams W, Tolkoff-Rubin N, Cosimi AB, Colvin RB (1999) Complement activation in acute humoral renal allograft rejection: Diagnostic significance of C4d deposits in peritubular capillaries. J Am Soc Nephrol 10: 2208–2214

 

3. Bohmig GA, Exner M, Habicht A, Schillinger M, Lang U, Kletzmayr J, Saemann MD, Horl WH, Watschinger B, Regele H (2002) Capillary C4d deposition in kidney allografts: A specific marker of alloantibody-dependent graft injury. J Am Soc Nephrol 13: 1091–1009

 

4. Regele H, Böhmig GA, Habicht A, Gollowitzer D, Schillinger M, Rockenschaub S, Watschinger B, Kerjaschki D, Exner M (2002) Capillary deposition of complement split product C4d in renal allografts is associated with basement membrane injury in peritubular and glomerular capillaries: A Contribution of humoral immunity to chronic allograft rejection. J Am Soc Nephrol 13: 2371–2380