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EXERCISE 4C: FLOATING OUT,

STAINING, MOUNTING AND FLOATING


LABELLING OF STAINED  To remove wrinkles, gently tease
with a camel’s hair brush or
SECTIONS
forceps.
Thirty seconds should be long enough
ROUTINE TISSUE PROCESSING for a ribbon to flatten.
Exercise 4a ‣ Using curved forceps on either
FLOATING side of the wrinkle, gently pull the
wrinkle apart.
Floating out of tissue ribbons begin once ‣ It may be necessary to cut another
you already have your serial sections. ribbon
Sections are removed from the  To remove bubbles, place a pair of
microtome and the ribbons are placed in
fine-eyed forceps beneath the
the tissue floatation bath.
ribbon on the floatation bath.
 For circular structures like an eye,
FLOATING place the section on the slide that
1. Temperature of the floatation bath has been pre-flooded with 50%
 maintained at 45-50°C
alcohol. The slide is gently
 approx. 6-10°C lower than the immersed in the floatation bath
melting point of paraffin wax and the section of the eye will float
 Normally, the paraffin wax with a on the surface
melting point of 56°C is used for
routine work. FLOATING
3. Separate the sections
FLOATING
 Using a pair of curved forceps,
Make sure that the water is free of any separate the sections from each
debris that can interfere with the other by applying gentle pressure
procedure. at the junction of the section.
Some floatation baths are equipped with
 Pick up sections using the
LED lights to allow easy visualization of microscope slide to separate
such occurrences
them.
Gliding an absorbent cloth over the water  In case of serial sections, do not
surface is enough to rid certain particles. separate more than one section
(or block of sections) at a time.
FLOATING  Place sections with the smooth
2. Float ribbon on the floatation (shiny) side down.
bath FLOATING
One end of the ribbon is lowered first.
4. Mount on glass slides
‣ The remainder of the ribbon is lowered Using a clean, dust-free slide, insert the
gradually with a slight pull. sections into the floatation bath
‣ If done so, there are fewer tendencies perpendicularly
for air bubbles to form under the  Place the sections at the middle of
section the slide to allow free margins for
subsequent cover-slipping and 6. Cool the slides to room temperature
labeling before proceeding to staining.
To do the following, dip the entire slide *ADHESIVES
halfway through.
Mayer’s Egg Albumin is used as an
The section will adhere to the area of the adhesive wiped onto the glass slide to
slide where the surface of the water is. allow the tissue section to adhere it.
The latter portion of the section will
attach further down the slide. Mayer’s egg albumin is prepared by
mixing equal parts egg white, distilled
FLOATING water and glycerin. A crystal of thymol
 Label with pencil the frosted end is added to prevent mold formation
of the slide.
 The accession number is taken STAINING
from the cassette (block). The end product of optimal tissue
FLOATING
processing and successful microtomy is a
 Sections on slides should be thin and transparent tissue section set on
drained before the final drying on
a slide. The only way to render the tissue
the hot oven. This can be done by visible under the light microscope is to
placing the slide perpendicularly provide color to the cell components
on paper towel to absorb the through stains.
water.
 After draining, the slides can be Differential staining enables microscopic
placed in a slide rack evaluation of all areas of the tissue. For
clinical laboratories, such evaluation is
FLOATING necessary for the anatomic pathologist to
5. Place the slide rack in the drying oven
render a histopathology diagnosis.
to dry the slides and melt the paraffin
The most common “routine” staining
The small amount of water under the is the hematoxylin and eosin (H&E)
section will allow further flattening when method.
heat is applied to dry the section.
STAINING
 The temperature should be the
The H&E stain displays a wide range of
melting point of the paraffin. cellular features.
FLOATING Hematoxylin has a deep blue-purple
Other methods of drying include: color and stains nucleic acids by a
complex, incompletely understood
- leaving the slides in a 37°C reaction.
incubator overnight (for delicate Eosin is pink and stains proteins non-
specimens), or
specifically.
- by drying on a stretching table at
45° to 55°C for 30 to 45 minutes
In a typical H&E stained section, nuclei
appear blue while the cytoplasm and
FLOATING
extracellular matrix show different xylene to remove all of the paraffin from
shades of pink. the tissue. This artifact is also seen when
the support media for frozen sections has
STAINING not been adequately remove.
Nuclear chromatin activity influences the
varying depth of hematoxylin stain. STEP 2: REHYDRATION
100% Reagent Alcohol / Absolute
Nucleoli stain with eosin. Ethanol: Is the intermediary between
xylene and hydration.
Ribosome-rich cytoplasm appears blue-
tinged. A prominent Golgi zone shows Removal of the xylene with 100% alcohol
perinuclear absence of staining. before hydration is critical to a successful
H&E stain.
STAINING
STEP 2: REHYDRATION
STEP 1: DEPARAFFINIZATION
Dewaxing or deparaffinization starts with 95% Alcohol to tap water:
heating the slides in a 60°C oven for at
least 30 minutes to soften the wax. Hydration begins the gradual
introduction of water to the tissue
Some tissues benefit from 40°C sections.
overnight (i.e. bone and brain sections)
STEP 2: REHYDRATION
Sections inadequately dried will not
Tap water - Wash until oily appearance in
deparaffinize sufficiently with xylene and
slides disappear
will not pick up the stains consistently.
The end result will be poorly H&E stained
Tap water may be substituted with PBS
sections
(phosphate buffer solution)

STEP 1: DEPARAFFINIZATION Washing ensures that all alcohol is


Deparaffinization: removed, and the tissue specimen is fully
The process in which paraffin is removed rehydrated.
from the sections.
STEP 2: REHYDRATION
Xylene is not miscible with water so
Slide above was not rehydrated properly
sections must be dried before being
and contained trace amounts of alcohol
placed in xylene. (or even xylene/wax).
This caused uneven staining
Section drying and paraffin removal are
critical to successful H&E staining.
STEP 3: NUCLEAR STAIN
Hematoxylin is used as to stain nuclear
STEP 1: DEPARAFFINIZATION
components. Many types exist depending
The uneven staining in this section is a
if the staining procedure involved is
direct result of not enough time in in
progressive staining or regressive After rinsing in tap water, the section is
staining. “blued” by treatment with a weakly
alkaline solution.
Common regressive hematoxylin stains: Bluing reagents change the reddish –
- Harris’ purple hematoxylin to a blue or purple
- Delafield’s blue color. It is a pH dependent reaction
- Erlich’s and occurs in an alkaline solution.
Common progressive hematoxylin stains:
- Mayer’s - Lithium carbonate - 10–30
- Gill’s I, II seconds or until dark blue color
develops. Do not agitate the slides
STEP 4: DIFFERENTIATION when in the blueing agent to
On most occasions when Harris prevent section loss.
hematoxylin (or other regressive stains)
is employed, a differentiation STEP 5: BLUING
(destaining) step is required to remove Dip in running tap water (15 dips)
non-specific background staining and to
improve contrast. A weak acid alcohol is This is to remove excess bluing agent and
used. to stop to bluing process to prevent
overbluing.
After this treatment, blueing and
thorough rinsing is again required. The section can now be rinsed and
Staining methods that include a checked to see if the nuclei are properly
destaining or differentiation step are stained, showing adequate contrast and
referred to as “regressive” stains. to assess the level of background stain.

- 0.5% Acid alcohol is used as a


differentiating agent. STEP 5: BLUING
a. In this section the epidermal
STEP 4: DIFFERENTIATION nuclei are poorly defined and are
Dip in tap water a few times (5 dips) pinkish in color. This section was
not properly “blued” in alkaline
This is mainly done to remove excess water after hematoxylin staining
acid alcohol (skin, H&E).
b. This shows another section that
STEP 4: DIFFERENTIATION was properly “blued” after the
ABOVE: Muscle tissue, normal stained nuclear stain. Here the nuclei are
much better defined (skin, H&E).
Below: Muscle tissue, no differentiation
STEP 6: COUNTERST AINING
STEP 5: BLUING Eosin in the H&E procedure is referred
to as a counterstain. It stains nearly
everything that hematoxylin will not
stain.
When applied correctly, eosin produces STEP 8: CLEARING
three different hues which can be used to The slide is then rinsed in several baths
differentiate various tissue elements; red of xylene which “clears” the tissue and
blood cells stain dark reddish orange, renders it completely transparent.
collagen stains a lighter pastel pink, and
smooth muscle stains bright pink. A thin layer of polystyrene mountant is
applied, followed by a glass coverslip. If
STEP 6: COUNTERSTAINING the stain and all the subsequent steps
Inefficient washing after “blueing” have been properly performed, the slide
(leaving residual alkali) causes eosin will reveal all the important microscopic
staining to be weak and uneven. components and be stable for many
years.
STEP 6: COUNTERSTAINING
A section of lung stained H&E. The MOUNTING
eosin stain is uniformly very weak and In order to create permanent slides for
quite unacceptable. Note that the only histopathology, mounting media are
components stained with eosin are the needed. They hold the specimens in
red blood cells. place, in between the slide and cover slip,
and allow the specimen to be stored for
STEP 7: DEHYDRATION years. Mounting media also provide the
Following the eosin stain, the slide is maximum degree of transparency to
passed through several changes of stained tissue sections.
alcohol to remove all traces of water.
The refractive index of the mounting
medium must be close as possible to that
STEP 7: DEHYDRATION
of the tissue (1.52 - 1.54) to make the
While staining, water can get into the
tissue section more transparent.
alcohols (following eosin) due to
carryover between steps. When reagents
are not changed regularly, the water MOUNTING
content will continue to increase and will The typical mounting media used for
be transferred to the xylenes that follow routine histopathology specimen is
before cover-slipping. Canada balsam.
This excess water in the xylene can, over The mounting medium is a resin that
time, cause seeping of the eosin from the hardens in small amounts. As they are
tissue. It is seen on the slide as a pink placed between the coverslip and slide, it
haze. will harden.
This artifact can occur even if the xylene
is not visibly contaminated with water.
FIGURE: The water in this section has MOUNTING
removed nearly all of the cytoplasmic Care must be taken to ensure that
counterstain. Note the water droplets bubbles do not appear in between the
surrounding the section. tissue and the cover slip. This is because
bubbles have a tendency to retract and
interfere with the microscopic evaluation
of tissue sections.
The preparation should also be done
neatly. If bubbles appear, the slides are
then returned to xylene to remove the
cover slip, and the slide is then
remounted.

MOUNTING
Bubbles during mounting.

MOUNTING
Glass slides should not be allowed to dry
before applying a cover slip. Air drying
produces a light brown stippling on the
surface of the specimen which resembles
a pigment.

MOUNTING
The mounting medium must be of the
appropriate viscosity.
Decreased transparency results from a
medium that is too viscous.
Retraction of mounting medium also
occurs when it is diluted with too much
solvent

END

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