Multiplex Immunofluorescence

Multiplex immunofluorescence is an imaging technique that detects multiple proteins or cellular markers simultaneously within the same tissue or cell sample, preserving their spatial relationships. It works by applying marker-specific antibodies linked to distinguishable fluorescent signals, followed by fluorescence microscopy and image analysis to identify, localize, and compare several targets in one specimen. In immunology and infection research, the method characterizes immune-cell populations, maps pathogen-associated markers, and examines interactions between host cells and infected tissues. By combining molecular identity with tissue context, multiplex immunofluorescence supports studies of immune responses, disease mechanisms, diagnostic biomarkers, and treatment effects.

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JoVE Journal - Biology
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Multiplexed Immunofluorescence Assay for Spatial Assessment of Senescence Markers in vivo

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2026

Multiplexed immunofluorescence enables sequential labeling of multiple antibody markers within a single tissue section to support spatial analysis of tissue architecture and cell populations. Here, a workflow for multiplex detection of senescence-associated, structural, and immune markers is presented, including manual and automated slide preparation, iterative imaging, and single-cell analysis using digital pathology software.

High-Throughput Automated Multiplex Immunofluorescence Assays for Translational Research

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2025

This report describes an automated protocol for multiplex immunofluorescence (mIF) assays on an automated slide stainer. It demonstrates the high reproducibility of spatial proteomics on standard high-throughput tissue autostainers and whole-slide fluorescence imagers, which is ideal for custom mIF assays across a large number of tissue slides in translational research.

Research

JoVE EoE - Antibody-Based Technologies

Multiplexed Immunofluorescence Imaging to Analyze Immunotherapy-Resistant T Cell Subpopulations

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2025

This video demonstrates an in-situ fluorescence multispectral imaging technique to analyze different subpopulations of infiltrating T cells in tumor tissue. A renal cell carcinoma tissue cryosection is treated with antibodies to label CD8+ T cells that express specific inhibitory receptors and exhibit an immunotherapy-resistant phenotype. The labeled section is visualized using a multispectral microscope to identify the distinct CD8+ T cell subpopulations.

Multiplex Immunofluorescence Combined with Spatial Image Analysis for the Clinical and Biological Assessment of the Tumor Microenvironment

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Cited by 11 •

2023

In this article, a protocol for manual tyramide signal amplification (TSA) multiplex immunofluorescence (mIF) combined with image analysis and spatial analysis is described. This protocol can be used with formalin-fixed paraffin-embedded (FFPE) sections for the staining of two to six antigens per slide depending on the slide scanner available in the laboratory.

Multiplexed Immunofluorescence Analysis and Quantification of Intratumoral PD-1+ Tim-3+ CD8+ T Cells

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Cited by 16 •

2018

Studying tumor microenvironment may identify prognostic or predictive biomarkers of clinical response to immunotherapy. Presented here, is an innovative method based on in situ fluorescence multispectral imaging to analyze and count automatically various subpopulations of CD8+ T cells. This reproducible and reliable technique is suitable for large cohort analyses.

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