Immunohistochemistry (IHC) is a technique that uses antibodies applied to tissues to detect targets of interest–usually a specific protein (antigen). It is performed on thinly sliced formalin-fixed paraffin embedded (FFPE) tissue mounted on slides and interpreted using a microscope.
The technique is used to diagnose disease, measure response to therapeutic drugs, and research countless basic biological applications. It is an essential tool for cancer research and diagnostics. IHC can identify cell types and provide information on dysregulated biochemical pathways.
In the last decade, IHC has enabled several important companion diagnostics. In 1998, Genentech (a Roche company) developed the first companion diagnostic test. The use of primary antibody clone 4B5 on breast cancer tissue can identify tumors caused by multiple copies of the HER2 gene, qualifying individuals for treatment with the highly specific anti-cancer drug Herceptin.1