Introduction
Immuno‑electron microscopy (immuno‑EM) is a method for the fine localization and characterization of potential drug
targets in tissues and for safety assessment studies of therapeutic molecule candidates. The most commonly applied
methods for the localization of antigens at the ultrastructural level use either colloidal gold particles, or nanogold
particles in combination with silver‑enhancement, or the deposition of enzymatically catalyzed electron‑dense
precipitates as indirect proximity markers. These methods work best for the localization of single or dual antigens,
but are limiting for achieving higher immuno‑plexing efforts.
Here we evaluated the recently developed backscattered electron and x‑ray (BEX) technique for the detection and
localization of antigens specifically labeled with heavy metals as a potential strategy for the future development of
multiplexed and multicolor immuno‑EM. The application of EDX for cell biology and research pathology, particularly
immuno‑histochemistry has been very limited and never widely adapted. The particular challenge for EDX applications in
immuno‑histochemistry is due to the fact that EDX is not used to analyze the composition of a “bulk biological
specimen”, but instead needs to be able to detect and map with very high sensitivity and spatial resolution the very
limited and locally restricted amount of heavy metal that is associated with a specific antibody‑antigen reaction.
This requires the most sensitive EDX systems available to obtain sufficient x‑ray signals in a reasonable amount of
time to be of any practical use in a fast paced biomedical research laboratory.
Experimental Strategy & Results
We therefore collaborated with Oxford Instruments, Inc., Pleasanton, CA to test a novel backscattered electron and
x‑ray (BEX) imaging technique using their “Unity” detector that is 8x more sensitive than the largest available EDX
detectors. The “Unity” detector consists of very sensitive dual BSE and x‑ray sensors for the simultaneous and
correlated detection of backscattered electrons (z‑contrast imaging of ultrastructural tissue morphology) and
characteristic x‑ray signals (elemental analysis for metal detection and mapping) which results in unprecedented
speeds of data acquisition and sensitivity due to its geometry and proximity. These characteristics suggest that the
“Unity” BEX imaging system is suited for applications in ultrastructural immunohistochemistry. We therefore wanted to
evaluate if detection, color coding and overlay of the x‑ray signals over BSE‑SEM morphology images would allow for
the localization of metal‑labeled antigens associated with cells and organelles with nanometer resolution and
precision in a timely manner.
As a first experimental model system we used cryo‑sections of human tonsils that were single‑labeled with primary
antibodies against CD11c, a molecular marker associated with the plasma membrane of dendritic cells and macrophages,
and employed an enzymatic silver deposition reaction for secondary detection (Fig.1, A and B). In these images
dendritic cells and macrophages are identified by specific silver precipitates associated with the cell membrane
(Fig.1, A and B, arrow).

As a second experimental model system we used resin sections of mouse pancreatic tissue, that were single‑labeled
with a specific primary antibody against the hormone insulin, followed by secondary detection with either 20 nm
colloidal gold particles (Fig.1, C and D), or by a secondary detection using the enzymatic formation of silver
particles (Fig.1, E and F). Therefore, in the pancreas sections the presence of insulin, which is packaged and
transported in secretory vesicles, is revealed by elemental mapping of gold (Fig.1, C and D, arrowhead) or silver
(Fig.1, E and F, circle).


The results show that the “Unity” BEX imaging system can be efficiently applied for ultrastructural
immuno‑localization of antigens by elemental mapping of either gold‑nanoparticles or silver‑precipitates. All images
were acquired within a few seconds or minutes. This allowed for the efficient acquisition of overview maps of tissue
sections to find labeled cells and structures of interest (Fig.1, A, C and E) before imaging at a higher magnification
(Fig.1, B, D and F). The BEX technique unequivocally enabled the spatial detection of gold (EDX_Au) within the 20 nm
sized colloidal gold particles used for anti‑insulin labeling (Fig.1, D, arrowhead) and, furthermore, revealed
substructures in the enzymatically grown silver particles (Fig.1, F, inset, EDX_Ag). These promising results suggest
that multicolor immuno‑EM strategies can be developed by combining multiplexed immunohistochemistry based on multiple
heavy metals, followed by multiplexed elemental analysis and mapping with the “Unity” BEX imaging technique.