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. Author manuscript; available in PMC: 2022 Feb 1.
Published in final edited form as: Nat Protoc. 2021 Jul 2;16(8):3802–3835. doi: 10.1038/s41596-021-00556-8

Table 2 |.

Troubleshooting table

 Step Problem Possible reason Solution
 70 Inefficient conjugation of oligonucleotide to antibody Improper antibody starting amount Measure the concentration of the starting antibody stock by A280 absorbance. Ensure that the conjugation amount is 100 μg
Carrier proteins within antibody stocks Check the manufacturer specifications for carrier proteins (e.g., BSA, tissue culture supernatant, ascites or other protein stabilizer). Obtain carrier-free antibodies or purify the antibody before conjugation
Over-reduction of antibody by TCEP Ensure that antibody conjugation is performed at room temperature (i.e., avoid incubation next to heatgenerating instruments) and that reduction time does not exceed 30 min
Improper staining result after conjugation to newly activated oligonucleotide Reduction in maleimide functional groups from oligonucleotide Ensure the the oligonucleotide is working by conjugating it to a known working antibody (e.g., aCD3). If not, then the deprotection procedure may have gone wrong, or maleimide groups have destabilized, in which case replace it with fresh stock
Unsuccessful staining (e.g., no signal or nuclear staining) Incompatible oligonucleotide-antibody pairing If antibody staining works with conventional immunohistochemistry, repeat conjugation with a different oligonucleotide
High fluorescence background for all channels and markers Poor tissue morphology Select samples that were frozen/fixed immediately after removing them from the subject. Confirm proper morphology with H&E staining
The coverslip was contaminated Ensure that the coverslip was not exposed to any fluorescent material (e.g., permanent marker during ethanol/methanol steps) and that all salt precipitates are removed before mounting the coverslip to the stage. Also ensure that paraffin was completely removed during baking and xylene washing
Weak antibody signal/high background Low-abundance target antigen Use ATTO550 or Alexa647 channels (Alexa488 has a higher background, especially in FFPE tissue). If this is insufficient, select a corresponding fluorescent oligonucleotide that is labeled with ATTO550 or Alexa647 (lower tissue autofluorescence) on both the 5′ and 3′ ends. If that does not work, consider trying a different antibody clone
The antibody has not been titrated Consider increasing the antibody staining concentration to increase the signal
Proper antibody staining but high background (for one channel) Antibody staining at too high a concentration Repeat staining at a two- to fourfold lower dilution
Nonspecific fluorescent globules observed The antibody aggregates Spin down the antibody for 8 min at 12,000g at 4 °C to pellet aggregates (we recommend doing this monthly for the entire antibody panel). Extract antibody by pipetting from the top of the supernatant
133 High fluorescence background for all channels and markers Nonspecific oligonucleotide fluorescent signal Make sure to perform a stripping cycle with stripping buffer before multicycle imaging to remove excess, nonspecific oligonucleotides
143 The vortex cluster is composed of two distinct clusters Clustering is driven by the strength of a unifying marker (e.g., GATA3 stains basal epithelium and Th2 cells) Over cluster (i.e., beyond the elbow point) and manually merge clusters