The process of preserving cells and tissue components and keeping them as close to normal as possible, to allow for the preparation of thin and stained sections
Fixatives
Disable intrinsic biomolecules, particularly proteolytic enzymes, to prevent digestion or damage of the sample
Protect the sample from extrinsic damage
Are toxic to most common microorganisms
Alter cells or tissues on a molecular level to increase their mechanical strength or stability
Choice of fixative and fixation protocol
Depends on the additional processing steps and final analyses planned
Most commonly used fixative in histology
Formalin (10% neutral buffered formaldehyde in water)
Types of fixation
Heat fixation
Freezing
Chemical fixation
Heat fixation
Preserves overall morphology but not internal structures
Used for fixation of single cell organisms, most commonly bacteria and archaea
Freezing
Used to get rapid results but does not give fine details
Samples are cooled at a rate sufficient for water to be frozen in a vitreous state, without the formation of ice crystals
Fixation occurs in milliseconds, structures are preserved hydrated, and in as close to their native state
Chemical fixation
Preserves structures in a state (both chemically and structurally) as close to living tissue as possible
Requires a chemical fixative that can stabilize the proteins, nucleic acids and microsubstances of the tissue by making them insoluble
The process of removing water from tissues and replacing it with a medium that solidifies to allow thin sections to be cut
Steps in tissue processing
1. Dehydration
2. Clearing
3. Infiltration and impregnation
Dehydration
The process of transferring the tissue through a series of increasingly concentrated alcohol solutions, ending in 100%, to remove all water
Clearing
The process of replacing the ethanol with an organic solvent miscible with both alcohol and the embedding medium, giving the tissue a translucent appearance
Infiltration
The process of placing the tissue in melted paraffin until it becomes completely infiltrated with this substance
Embedding
The process of surrounding the tissue with a molten medium using a mold, to give support to the tissue, prevent distortion during cutting, and preserve the tissue for archival use
Embedding materials
For light microscopy, paraffin wax is most frequently used
For electron microscopy, resins are the most commonly used
Sectioning/Microtomy
The process of cutting the embedded tissue into thin sections using a microtome
Microtome
The main instrument used to cut the embedded tissue in the paraffin block into thin sections
Sectioning for light microscopy
Steel knife mounted in a microtome is used to cut 3-5 μm thick tissue sections which are mounted on a glass microscope slide
Sectioning for transmission electron microscopy
Diamond knife mounted in an ultra microtome is used to cut 0.1-0.5 μm thick tissue sections which are mounted on a 3-mm-diameter copper grid
Steps after sectioning
1. Sections are mounted onto clean glass slides and labelled
2. Sections are floated in a water bath and then mounted on the slides
3. Mounted sections are dried on a hot plate or a hot air oven and then kept overnight at room temperature
4. Slides with paraffin-embedded sections can be stored either at room temperature or at 2-8 °C for several years
SECTIONING/MICROTOMY
1. The type of knife used
2. The thickness of sections
3. Vary with the type of microscope which will be used for the analysis
MOUNTING
Biological tissue has little contrast under the microscope
The tissue section is colorless because the fixed protein has the same refractive index as that of glass
Staining is employed to give both contrast to the tissue as well as highlighting specific features of interest which helps us to understand the morphology of the tissue
STAINING
Dyes that have a specific affinity with the different tissue proteins and color them differently are used
Types of dye
Anionic dye/acidic dye
Cationic dye/basic dye
Neutral dye
Ligand or Chelating dye
Anionic dye/acidic dye
Negatively charged, binds to cytoplasmic proteins, collagen
Cationic dye/basic dye
Positively charged, binds to nucleic acid, epithelial mucin
Neutral dye
Contains both acidic and basic dye, binds to both nucleus and cytoplasm
Ligand or Chelating dye
Weak acid so anionic and negatively charged, binds to nucleus and cytoplasm
Factors that influence staining
Dye affinity to the target tissue specimen
Specimen geometry
Target concentration
Rate of reaction
Rate of stain loss
Routine staining
Hematoxylin and Eosin stain (H&E) that is routinely used with all tissue specimens to reveal the underlying tissue structures and conditions
Special stains
Alternative staining techniques that are used when H&E does not provide all the information the pathologist or researcher needs
Common stains
Hematoxylin and eosin
Wright-Giemsa stain for blood smears
Silver, PAS (Periodic acid–Schiff), and acid-fast stains
H&E stain
Hematoxylin stains DNA in the cell nucleus, RNA-rich portions of the cytoplasm producing a dark blue or purple color
Eosin stains other cytoplasmic structures and collagen pink
Eosin is considered a counterstain
Blood smear staining
Routinely stained with mixtures of acidic (eosin) and basic (methylene blue) dyes
Leishman Stain is commonly used in the lab
Leishman Stain
Characterized by shades of blue, pink and purple, gives a clear differentiation and understanding of cellular morphology
The nuclei take up a blue stain while the cytoplasm takes on a pink or purple stain depending on the type of cell and its composition
Allows for the differentiation of different blood cell types including RBCs, Lymphocytes, Neutrophils, Monocytes, Basophils, Platelets
Provides information about cellular function
Leishman Stain Principle
Methylene blue stains the acidic part of the cell i.e., the nuclei (DNA) & the cytoplasm (RNA) of WBCs and granules of basophils
Eosin stains basic part of the cells (eosinophilic granules) and Hb of red cells