Correlative light- and electron microscopy (CLEM) is a powerful approach for the analysis of transient dynamic events1, rare events2, 3 and complex systems4. There are many different technical permutations available5 depending on the question being asked however a common requirement is that the same structure in a single sample6 is imaged by multiple microscopy modalities. Our particular approach to CLEM was developed for the study of archival human pathology tissue and the case used here has been well characterized and published previously7. The aim was firstly, to maximize the analytical data from a single biopsy or surgical sample and secondly, to use fluorescence light microscopy to help clarify the context of the immunocytochemical labeling pattern seen at the ultrastructural level.
Quantum dot nanocrystals (QDs) offer the potential of a universal marker system able to be viewed by both, fluorescence light microscopy and electron microscopy8, 9, 10. Their crystalline core structure allows QDs of different sizes to generate a wide range of fluorescence emission peaks when excited by light at wavelengths far from their emission spectra11. Their atomic weight is sufficient to yield electron density that is detectable by transmission electron microscopy, scanning transmission electron microscopy (STEM) or field emission scanning electron microscopy. They are particularly suited to immunocytochemical studies as even single QDs may be observed giving an ultimate sensitivity of one QD per target molecule12. Furthermore, depending on the QD used they can possess an individual elemental signature suitable for mapping.
Human pathology samples offer significant benefits for translational biomedical research. Surgical tissue and biopsy samples are routinely submitted for biobanking and with appropriate ethics clearances can be accessed for research studies. Human tissue does not have issues of relevance or interpretation that can occur in animal or in vitro models of disease. However, specimen preparation of pathology samples often is not optimal. There can be delay in tissue being placed in fixative, inappropriate fixative used such as formalin rather than glutaraldehyde for TEM and inappropriate sampling. CLEM methods have the potential to optimize the diagnostic and prognostic information available from a single human sample. However, some newly developed correlative approaches such as those employing mini Singlet Oxygen Generator (miniSOG) are not available for use in pathology due to the need for the tag to be genetically encoded into the cell of interest13. For this reason we have explored the utility of QD labeling of routinely prepared TEM tissue for correlative immunocytochemical studies. QDs applied to etched epoxy or acrylic resin sections from lightly aldehyde fixed biopsy and tissue samples offer the possibility of obtaining correlative fluorescence light microscopy and TEM data from a single sample.