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30 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)

What are the five major groups of fixatives?

1.Aldehydes


2.Mercurials


3.alcohols


4.oxidizing agents


5. Picrates

What are the two types used in aldehyde fixatives?

Formaldehyde (formalin) and glutaraldehyde

Formaldehyde (formalin):

Fixed by cross linkages formed in proteins especially between lysine residues


does not harm structure of proteins so antigenicity is not lost thus good for immunohistochemical techniques


penetrates tissue well BUT slow


standard solution for LM is 10% neutral buffered formalin. buffer prevents acid is the acidity that would promote auto lysis and cause precipitation of formal-heme pigment in tissues

Glutaraldehyde

Causes the deformation of alpha helix structures and proteins so it’s NOT good for immunohistochemical staining


fixes very quickly so good for EM


penetrates very poorly but gives the best overall cytoplasmic a nuclear detail


Standard solution is 2% buffered glutaraldehyde

While the standard solution for light microscopy is 10% neutral buffered formalin, we fix the entire eye by using _____ percent because 10% formalin quickly fixes the sclera but the process reduces ________

5%


permeability of the sclera and prevents good fixation of intraocular tissues

Mercurials

Fixes tissue by unknown mechanism


contain mercuric chloride and includes such well-known fixatives such as B5 and Zenkers


Penetrate poorly and cause tissue hardness but are fast and give excellent nuclear detail


primarily used to fixate hematopoietic and reticuloendothelial tissues


Bc they contain mercury they must be disposed of carefully due to the toxicity.


rarely used

Alcohols

Alcohols including methyl alcohol and ethyl alcohol (ethanol) are protein denaturants which causes brittleness and hardness


Good for cytologies smears Because they act quickly and give a good nuclear detail


Spray cans of alcohol fixatives are marketed to clinicians doing PAP smears or conjunctival scrapings but cheap hair sprays do just as well!

Oxidizing agents

Include permanganate fixatives (potassium permanganate), dichromate fixatives (potassium dichromate),and osmium tetroxide


They cross-link proteins but cause extensive denaturation


Osmium is used mostly an EM because it adds contrast and definition to membranes

Picrates

Include fixatives with picric acid among these is Bouin’s sol’n


Unknown mechanism


It does almost as well as mercurials with nuclear detail but does not cause as much hardness.


picric acid is an explosion hazard in dry form


as a solution, it stains everything it touches yellow including skin

In order to cut thin sections of tissue, it must be embedded in a support matrix using either

Paraffin or plastic resins

Paraffin or plastic resin’s, however, or not water soluble so tissue must be processed through a series of chemicals that will allow the water and tissue to be ____

replaced with the support media

So then tissue processing is a series of 4 major steps

1. Rinse fixative out with running water


2. Dehydrate In graded series of ethanol concentrations (50%, 70%, 95%, 100%)


3. Clear specimen in an organic solvent that is miscible with alcohol and embedding medium. This step washes lipids out of tissues so other methods are required if lipids must be preserved


4. Infiltrate specimen using combo of clearing agent and embedding medium

Embedding (2 steps)

1. Orient specimen in embedding capsule


2. fill embedding medium ( paraffin or resin with accelerator)

Sectioning (for paraffin sections)


What’s used?

A microtome is used with a very sharp steel blade. Ribbons of sections 5 to 8 µm thick are produced

Ultra thin sectioning. What’s required? What’s used?

Plastic embedding is required to obtain very thin sections needed for EM


cut with diamond knives and laid off onto a tiny water bath for pick up with copper grids

Frozen sections. When are these used?(2)

1. When intraoperative decisions are required


2. When lipids must be preserved for staining

Collecting paraffin sections

Collect it on slides


Then put on a warmer that melts sections onto slide

Staining paraffin sections

Most of the dyes are water soluble


to stain the tissue the process used to replace water with embedding medium must be REVERSED!!!


Done so by putting slides into a series of baths. Xylene dissolves paraffin and is miscible with 100% ethanol


Slides are then processed in progressively dilute ethanol’s (100%, 95%, 70%, 50% and then water)


After staining the process must be reversed one more time to ensure the sections are permanently mounted. The water must now be replaced with mounting medium, the transparent material that will permanently hold cover slip over the stained sections.

How to replace with mounting medium (after staining (water soluble dyes))

Slides are run back through baths of ethanol (50%, 70%, 95% and then 100%) to dehydrate followed by clearing with xylene and coating in mounting medium


finally the cover slip is placed an allowed to dry

What are the most common stains used? (3)

1. Hematoxylin and eosin H&E


2. Periodic acid-Schiff PAS


3. Masson/Mallory Trichrome

What was used to stain this tissue?

Back (Definition)

Hematoxylin & Eosin (H&E)

Hematoxylin is basic and thus acidophilic (acid loving)


nuclei contain nucleic acid which turn blue with Hematoxylin. it also stains keratohyalin granules in the skin and calcific deposits


Eosin (is acidic and thus basophilic-base loving )is used as the counterstain which stains virtually everything pink EXCEPT nuclei

What was used to stain this tissue?

Back (Definition)

Period acid- Schiff (PAS)

Used to detect polysaccharides such as glycogen and muco-substances


Essentially useful for identifying TRUE basement membranes (PAS+) you’ll see magneta color


Counterstain light purple for nuclei

What was used to stain this tissue?

Back (Definition)

Masson/Mallory Trichrome

Permits separating muscle fibers FROM connective tissue


fibrils of collagen are blue


Fibroglia, neuroglia and muscle fibers are red


fibers of elastin are pink or yellow


Ex) medium artery: Smooth muscle stained red, surrounding connective tissue blue

What are two special stains for neural tissues?

1.Luxol fast BLUe (myelin)


2. Silver stain

What special stain was used for these tissues?

Back (Definition)

Elastic tissue stain & Alcian blue stain (mucins like goblet cells)

What special stain is used for sebaceous gland carcinoma or frozen sections?

Oil red O

Staining for TEM (transmission electron microscopy)

Sections remain in plastic


Once collected on grids, the whole grid is stained with uranyl acetate and lead citrate which put metals into membranes to provide contrast in scope