I am currently trying to do FISH on human skin biopsies that have been routinely fixed in formalin and embedded in paraffin. I am using the CEN X/Yq12 probes from ZytoVision and their ZytoLight Tissue Implementation Kit. De-paraffinization was in xylol, isopropanol, 96% and 70% ethanol. The manufacturer's protocol performs a heat pretreatment for 15 min at 98°C in a citrate buffer and continues with a pepsin treatment at 37°C which should be optimized for the tissue and probes. Denaturation was at 75°C in the dark. Hybridization was at 37°C overnight. All (wash) buffers were used from the kit at correct indicated temperatures.

I saw a positive signal for the X probe with 6 minutes of pepsin in a female tonsil test sample. 6 minutes seemed to have also worked for the Y probe in one male skin sample, but no signal for either the X probe or a second skin sample from the same run. Since then, I have tried 2, 4, 6 and 8 minutes of pepsin in more skin samples but haven't been able to get any signal. A second tonsil sample (male) also failed to give a signal with 6 min.

Nuclear counterstain was with ProLong Diamond or VectaShield. Additional CD3 staining worked fine in all cases. X and Y probes are both in the same tube (dual color probe), so it's not possible that I forgot to pipet one. Errors in microscope/laser/filter settings are rather unlikely. Thickness is 2 µm as recommended.

I am desperate for any advice on what could be issue here. I can still try to reduce the heat pretreatment or play around with the pepsin incubation, but I'm running out of time. Any theory or idea for troubleshooting will be highly appreciated!

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