Histological Stains 1

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    Histological Stains

    Staining Reactions

    Staining reactions have both physical and

    chemical characteristics. The mechanisms

    involved in staining include the following:

    The dye may actually be dissolved in the stained

    substance. Most fat staining is accomplished in

    this fashion. A dye may be absorbed on the

    surface of a structure, or dyes may be

    precipitated within the structure, simply because

    environmental factors (pH, ionic strength,

    temperature, etc.) favor absorption or

    precipitation. Most staining reactions involve a

    chemical union between dye and stained

    substance through salt linkages, hydrogen bonds,or others. Staining with these dyes results in a

    predictable color pattern based in part on the

    acid base characteristics of the tissue. However,

    color and color distribution are not absolutely

    reliable for discrimination between tissue

    components. Color will vary not only with specific

    stains used, but also with the conditions that exist

    during preparation of the slide. These include

    everything from the initial fixing solution to the

    ionic strength of the staining solution and the

    differentiating solvents utilized after staining.

    Acid and Basic Dyes

    Most histologic dyes are classified either as acid or

    as basic dyes. An acid dye exists as an anion

    (negatively charged) in solution, while a basic

    dye exists as a cation (positive charge). For

    instance, in the hematoxylin-eosin stain (H&E), the

    hematoxylin-metal complex acts as a basic dye.

    The eosin acts as an acid dye.

    Any substance that is stained by the basic dye is

    considered to be basophilic; it carries acid groupswhich bind the basic dye through salt linkages.

    When using hematoxylin, basophilic structures in

    the tissue appear blue (or purple or brown; this

    varies according to the stain that is being used). A

    substance that is stained by an acid dye is

    referred to as acidophilic; it carries basic groups

    which bind the acid dye. With eosin, acidophilic

    structures appear in various shades of pink. Since

    eosin is a widely used acid dye, acidophilic

    substances are frequently referred to as

    eosinophilic.

    Trichrome Stains

    In the trichrome stains, which commonly employ

    more than one acid dye, use is made of dye

    competition. For instance, acid fuchsin and picric

    acid are used in Van Gieson's trichrome stain. In

    the picric acid-fuchsin mixture, the small picric

    acid molecule reaches and stains the available

    sites in muscle before the larger fuchsin molecules

    can enter. Used by itself, acid fuchsin has no

    difficulty in staining muscle.

    Neutral Stains

    These are compounds of an acid dye and basic

    dye. For instance, aqueous solutions of acid

    fuchsin may be neutralized by addition of

    aqueous methyl green. The resulting neutral

    product is water insoluble, but may be kept in

    solution by the presence of excess amounts of

    either component. The tissue stained with such a

    solution may show affinity for the acid dye, the

    basic dye, and for the whole compound. Some

    blood stains are "neutral stains." Wright's Stain, for

    instance, is formed by the combination of partiallyoxidized and demethylated methylene blue and

    eosin. Such a stain can be used to differentiate

    between blood cells that contain acidic, basic,

    and neutral granules.

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    Characteristics of Commonly used Stains

    Hematoxyl and Eosin (H&E)

    This is a good general stain and is widely used.

    Most of your slides are stained with H&E. A

    hematoxylin-metal complex acts a as a basic

    dye, staining nucleic acids in the nucleus and the

    cytoplasm blue, brown, or black. Eosin is an acidaniline dye which stains the more basic proteins

    within cells (cytoplasm) and in extracellular

    spaces (collagen) pink to red. Cartilage and

    mucus may stain light blue. Example: slide 42c.

    Masson Trichrome Stain

    A staining sequence involving iron hematoxylin,

    acid fuchsin, and light green. It is a good stain for

    distinguishing cellular from extracellular

    components. Collagen fibers stain an intensegreen. Black or brown nuclei; mucus and ground

    substances take on varying shades of green.

    Cytoplasm stains red. Elastic fibrils, red blood cells

    and nucleoli stain pink. Example: slide 56-l.

    Aldehyde Fuchsin

    Stains elastic fibers purple to black. Can be

    counter-stained with a dye of contrasting color,

    such as metanil yellow. Example: slide 42d.

    Verhoeff's Hematoxylin

    Another variant of the versatile hematoxylin stains.

    This method stains elastic fibers black in addition

    to nuclei. Example: slide 71d.

    Reticular Fiber Stain - Weigert

    Reticular fibers are impregnated with a silver salt

    and appear as sharp black. Collagenous fibers

    usually stain purple. This stain can be used with a

    counterstain (such as slide 21c) or without, if the

    silver stain turned out very dark (such as slide 22b).

    Wright's/Giemsa Stain

    This and similar stains for blood and bone marrow

    smears are mixtures of basic (methylene blue

    derivatives) and acid dyes (usually eosin).

    According to the number of acid and basic

    groups present, cell components take up the dyes

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    from the mixture in various proportions. Example:

    slide 17b. Some blood stains use acid and basic

    dyes in separate dye baths.

    Metachromatic Stain

    Certain basic dyes, such as toluidine blue, stain

    nucleic acids blue (the orthochromatic color), but

    sulfated polysaccharides purple (themetachromatic color). When dye molecules

    bound to sulfate groups are stacked closely

    together, the dye experiences a color shift from

    blue to purple. Thus, a metachromatic reaction

    often indicates the presence of numerous closely

    packed sulfate groups.

    Plastic Sections Stained with Toluidine Blue or with

    H&E

    Plastic embedded tissues can be cut as thin as 0.1

    m with a glass knife. These sections are thenstained with toluidine blue in an alkaline solution.

    Almost all tissue components are stained more or

    less deeply (usually a bluish-purple) and structural

    detail is very sharp. For the knowledgeable

    observer, this type of preparation may be very

    informative. Example: slide 56c.

    Histochemical Techniques

    In contrast to the staining techniques described

    above, the mechanism of a histochemicaltechnique is usually well understood. If properly

    controlled, the technique is chemically specific,

    highly reproducible and capable of providing

    information that can then be quantitated. The

    following two methods make use of leuko-fuchsin,

    also known as the Schiff's Reagent.

    Periodic Acid Schiff (PAS)

    Adjacent hydroxyl groups (1, 2 glycols) or amino

    and hydroxyl groups are oxidized to aldehyde

    groups with periodic acid. Schiff's Reagent then

    produces a red or magenta addition product with

    the aldehyde groups and this technique identifiesa number of polysaccharides and carbohydrate-

    containing compounds. The slide may also be

    counter stained with hematoxylin. Example: slide

    56b. Feulgen Reaction: Mild hydrolysis with HCl

    frees the aldehyde group of deoxyribose, which is

    then reacted with the Schiff's reagent. This

    reaction is highly specific for DNA and may also

    be used with a counter stain for the cytoplasm.

    Enzyme-histochemical Techniques

    These techniques localize various enzymes within

    cells and tissues by making use of the enzyme

    activity itself. The enzyme is made to react with a

    specific substrate. The product of this reaction

    may itself be visible in the microscope and thus

    demonstrate the presence of the enzyme at a

    specific location, or the reaction product is

    subsequently reacted to form a visible secondary

    reaction product. Example: Reaction for acid

    phosphatase. 1) The tissue is gently fixed in order

    to preserve acid phosphatase activity. 2) Sections

    are incubated in a medium consisting of beta-

    glycerophosphate (the specific substrate), lead

    nitrate ("the capturing agent" for the secondary

    reaction), buffer at pH 5 (the pH for optimal

    activity of the acid phosphatase). During

    incubation, the acid phosphatase splits

    phosphate groups off the beta-

    glycerophosphate.

    The phosphate groups immediately react with the

    lead ions to form insoluble lead phosphate, which

    precipitates at the location of the enzyme. Lead

    phosphate is visible in the electron microscope or

    can be made visible in the light microscope with

    a further reaction. This type of reaction can be

    modified to demonstrate a wide variety of

    enzymes.

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    Immunohistochemical Techniques

    These techniques are well described in the text.

    They are the most specific and sensitive methods

    available for identifying specific substances

    (antigens) within cells and tissues. They utilize

    antibodies that are made against specific

    antigens and enable us to localize specific

    substances within cells and tissues.