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Successful implementation of this protocol produces intact en face retinal sections suitable for multiple molecular profiling approaches while maintaining spatial relationships across the retinal surface. We demonstrate the protocol's utility through a systematic validation approach, progressing from conventional immunohistochemistry through manual multiplex RNA detection to automated high-throughput molecular profiling.
The initial validation of our protocol employs two well-characterized markers to assess tissue integrity and structural preservation across all retinal laminae (Figure 7). Retinal ganglion cells are labeled with anti-RBPMS immunostaining, while the vasculature network is visualized using Tomato Lectin. This combination provides immediate feedback on protocol success, as both markers have distinct, well-documented distribution patterns in the healthy retina.
In properly prepared tissue, RBPMS immunoreactivity appears as discrete cellular labeling in the ganglion cell layer, with signals distributed across the entire retinal surface. The three vascular plexi, labeled by Tomato Lectin, should be clearly distinguishable when sectioning through different depths, with the superficial plexus appearing in the nerve fiber layer, intermediate plexus in the inner plexiform layer, and deep plexus in the outer plexiform layer. Importantly, the maintenance of these distinct patterns confirms that the protocol preserves both protein antigenicity and the delicate three-dimensional architecture of the retinal vasculature, despite the mechanical stresses of sectioning.
Building on the validation of tissue integrity, we demonstrate the protocol's compatibility with multiplex RNA detection using a carefully selected 12-plex RNAscope panel (Figure 8). This panel includes markers for multiple retinal cell types combining the previously validated protein markers (RBPMS, now detected as well via RNA) with additional cell-type specific transcripts. Figure 8A provides a comprehensive view of a single en face slice through the cloverleaf preparation at low magnification, demonstrating maintenance of gross retinal architecture and distinct labeling patterns, including the bipolar cell transcript marker Grm6. Single-cell magnification views in Figure 8B reveal the distinct spatial patterns of individual transcripts and RBPMS (ganglion cell-specific antibody); the cell-type specific markers were identified from single-cell transcriptomics atlases using the GraSP method4.
The consistency between RBPMS protein and RNA detection serves as an internal control, while the preservation of Tomato Lectin labeling through multiple rounds of RNA detection chemistry demonstrates the robustness of tissue adhesion and structural maintenance. The protocol's success is evidenced by the clear discrimination of nuclear and cytoplasmic signals, maintenance of tissue integrity through multiple rounds of detection, consistent signal strength across all probe sets, spatial registration of signals between rounds, and correlation of expression patterns with known cell-type distributions.
The protocol's compatibility with automated platforms is demonstrated through Xenium implementation using a 300-probe panel (Figure 9 and Figure 10). Figure 9A shows consistent signal distribution across multiple cloverleaf sections, indicating uniform tissue quality and RNA preservation. The high-dimensional nature of this dataset allows simultaneous visualization of the same 12 markers used in the manual RNAscope experiment (Figure 8) are identified within this larger dataset and shown at single-cell resolution in Figure 9B, providing direct cross-validation between platforms. Finally, Figure 10 uses 14 laminar and cell class markers to demonstrate relative to a retinal cross section (Figure 10A) the approximate, average location of representative sections (Figure 10B). Finally, zooming in on the ganglion cell layer in an en face section demonstrates relative to DAPI in grey what one should expect this method to yield (Figure 10C).
Regardless of the molecular profiling method used, it is important to note that very rare cell types or those with low transcript abundance may fall below detection thresholds-a limitation inherent to current spatial transcriptomic technologies rather than the tissue preparation method itself.

Figure 1: Schematic illustration of major steps from a side view. (A) The intact, extracted globe. (B) Muscle, fascia, and optic nerve removed. (C) Anterior and posterior chambers separated with the lens attached to the anterior chamber vis the limbus. (D) Top view of the posterior chamber looking into the retina. (E) Top view of the posterior chamber after relief cuts are made. (F) Posterior chamber with retinal ganglion cell layer facing upward and the eyecup supported by a glass slide in Ames solution. (G) Transfer via capillary action of the tissue to a coverglass with the ganglion cell layer now facing this solid support. (H) Flipping the tissue so the coverglass is now on the table. (I) Ames solution is removed and the tissue air-dried for 5-10 s. (J) Tissue is embedded and frozen in OCT. (K) Tissue mounted on a flat support of OCT attached to the chuck. (L) En face sections are created. Please click here to view a larger version of this figure.

Figure 2: Diagram of mouse eye anatomy. (A) Anterior chamber, externally bounded by the cornea; (B) temporal pole burn mark; (C) limbus; (D) posterior chamber, externally bounded by the blue sclera; (E) musculature; (F) optic nerve. Please click here to view a larger version of this figure.

Figure 3: Gross dissection. (A) Brand the temporal pole of the globe to maintain orientation. (B) Using iris scissors, remove the musculature and optic nerve from the globe. (C) Manipulate the globe with forceps without puncturing it. (D) Puncture the orientation brand with a single blade of the iris scissors. (E) Create a cut through the limbus through both sclera and retina toward the optic nerve head. (F) Begin cutting perpendicularly to the initial incision posterior to the limbus. (G) continue cutting roughly 1 mm posterior to the limbus all the way around the globe careful not to cut through the limbus. (H) The anterior chamber should separate with the lens attached. (I) Orient the eye cup with the retina facing up. (J) Create relief cuts with the original orienting cut being the largest. (K) The complete clover leaf with the retina facing up. Please click here to view a larger version of this figure.

Figure 4: Common mistakes during tissue preparation. (A) Incorrect media resulting in retina degradation. (B) Slicing of sclera during musculature removal. (C) Herniation of tissue with excessive force on the globe (often through small slices as in B. Please click here to view a larger version of this figure.

Figure 5: Cryopreservation. (A) Secondary relief cuts. (B) Retina flipping by pressing coverglass against tissue. (C) Retina flipped with sclera facing up. (D) OCT embedded, frozen retina. Please click here to view a larger version of this figure.

Figure 6: Cryosectioning. (A) OCT stage cut flat. (B) Trimming of excess OCT. (C) Retina slices melted onto a Xenium slide. Please click here to view a larger version of this figure.

Figure 7: Representative en face slices from a single retina aligned with a cartoon diagram of a retinal cross section indicating relative position. Sections stained with DAPI in blue, tomato lectin in red, and RBPMS antibody in green. Scale bar = 1 mm. Abbreviations: RBPMS = RNA-binding protein with multiple splicing; DAPI = 4',6-diamidino-2-phenylindole; PE = pigment epithelium; ONL = outer nuclear layer; OPL = outer plexiform layer; INL = inner nuclear layer; IPL = inner plexiform layer; GCL = Ganglion cell layer; NFL = nerve fiber layer. Please click here to view a larger version of this figure.

Figure 8: Representative staining with RNAscope. (A) A single slice showing DAPI in blue and the respective probe listed above; scale bar = 0.5 mm. (B) Zoomed-in view of the same probes, with RBPMS antibody shown in red overlaid with Rbpms in situ hybridization probe in magenta; scale bar = 20 µm. Abbreviations: RBPMS = RNA-binding protein with multiple splicing; DAPI = 4',6-diamidino-2-phenylindole. Please click here to view a larger version of this figure.

Figure 9: Representative Xenium puncta quantification. (A) View of a single en face slice with the respective probes out of the total 300 gene custom panel shown; color map in arbitrary units normalized to the respective target, with blue indicating low concentration and yellow indicating high concentration. Scale bar = 1 mm. (B) Single-cell resolution of probes; scale bar = 50 µm with probe target locations indicated by scatter point position. Please click here to view a larger version of this figure.

Figure 10: Approximate location of en face sections relative to a cross section measured by 10X Xenium. (A) Cross section of retina with laminar markers and red lines indicating the approximate average depth of the (B) en face sections. (C) Zoomed-in region of an en face section at the same scale as A showing retinal ganglion cells in shades of green relative to displaced amacrine cells in shades of magenta. Scale bars = 1 mm. Please click here to view a larger version of this figure.