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Tissue Preparation


INTRODUCTION

Most fresh tissue specimens are colorless and squishy.  They provide little useful information.  For scientific or diagnostic purposes, tissue specimens must undergo substantial alteration in preparation for viewing under a microscope.

Historical note:  The "Father of Histology," Marie-Francois Bichat (1771-1802), established this field of study decades before development of modern histological protocols.  Bichat separated tissues by dissection; "where the scalpel was insufficient," he subjected his specimens to "desiccation, putrefaction, maceration, ebullition, stewing, and the action of acids and alkalis" (quote from Bichat's General Anatomy).  Nor did Bichat use a microscope.  The subsequent development of histological knowledge closely parallels developments in the technology of tissue preparation for microscopy.

There are four steps in standard tissue preparation.

The most common mode of routine tissue preparation involves fixation with buffered formaldehyde, embedding in paraffin, sectioning into slices about 5 micrometers in thickness, and staining with hematoxylin and eosin (H&E).

Modern cell biology uses many tools to reveal cell structures and functions that are not apparent on such routinely prepared slides.  Many of these involve sophisticated reagents based on the specificity of enzymes, immunological antibodies, or gene sequences to label and localize specific proteins or other molecules.

Most basic histology texts offer a minimal account of basic histological technique; some some may present additional detail.  For routine examination of tissues, you probably don't need to know much more than what is offered on this webpage.


ARTIFACTS.  Be aware that each step of tissue preparation introduces artifacts by altering or distorting the natural appearance of cells. 

Some artifacts are unavoidableFixation, by its very nature, kills cells and stabilizes dynamic cell processes.  Enzyme activity is usually altered.  Ions and small molecules are usually washed away.

Some artifacts are intentional, most notably the colors added by staining.  The pink and purple colors of H&E staining can become so familiar that they appear "normal," as if they were the natural colors of tissues.

Still other artifacts are accidental.  Some of these are extremely common in any but the most painstaking procedures. 

Unintended artifacts can be minimized by optimal procedures -- but optimal procedures are often impractical, especially with post-mortem human specimens.  Ideal tissue preparation preserves cells in a form that resembles the living state, but this ideal is seldom practical with clinical specimens.  Often, especially in post mortem (autopsy) material, cells have been dead and deteriorating for several hours before fixation.  Therefore, certain artifacts must be appreciated as part of the normal appearance of tissue specimens.

The process of cutting tissue slices can introduce still other artifacts of sectioning.

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FIXATION

Fresh tissue samples must be preserved for future examination.  This process is called fixation, and the resulting specimen is described as fixed.

Boiling an egg and pickling a cucumber represent examples of fixation, in which heat or chemistry stabilizes the organic materials.  

Chemical fixation:  A variety of chemicals can be used for fixing histological specimens.  Routine fixation often uses a solution of formaldelhyde (formalin) to react with proteins and other organic molecules to stabilize cell structures.  This solution is buffered and osmotically balanced to minimize shrinkage, swelling, and other collateral damage.

Ideally, fixation should be accomplished extremely quickly to minimize post-mortem changes in cell structure.  Since fixation rate is limited by diffusion, ideal tissue preservation requires that fixative be delivered as closely as possible to each cell.  Rapid delivery of fixative can be accomplished either by perfusion or by immersion.

Perfusion involves the delivery of fixative through the circulatory system of living tissue, by direct injection into a major artery.  Such a procedure is commonly used with experimental animals but is obviously impractical for obtaining clinical specimens from living patients.

Successful fixation by immersion requires very small samples.  However, surgical removal of very small tissue samples often entails incidental mechanical damage, especially with punch biopsies.

These constraints on ideal fixation mean that tissue quality may vary across a specimen, with possible distortion near edges (especially with needle or punch biopsies) and with variation in fixation quality (and attendant staining character) in deeper areas (into which fixative diffuses more slowly).

Freezing:  An alternative to chemical fixation is freezing.  Chemical fixation and subsequent embedding take time and alter cell chemistry.  Sections from frozen specimens are seldom as "pretty" as well-fixed specimens, but they do have certain advantages. 

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EMBEDDING and SECTIONING

After fixation, tissue specimens are routinely embedded in a solid material which will support very thin sectioning.  (Frozen specimens do not require embedding.)

To embed a tissue sample, tissue water is gently replaced first by solvents such as alcohol followed by xylene.  The solvent is then replaced with a material, such as melted paraffin or epoxy solution, which can be subsequently solidified by cooling or polymerization.

Sectioning is the production of very thin slices from a tissue sample.  The tool used for sectioning is called a microtome (tom = to cut, as in appendectomy).  A microtome may be as simple as razor blade, or it may be a complex machine costing several tens of thousands of dollars (for producing the ultrathin sections needed for electron microscopy). 

Sections for routine light microscopy are typically 5-10µm (micrometers, microns) in thickness.  Exceptionally thin sections may be less than 2µm thick.  For electron microscopy, sections are typically 50-100 nanometers (millimicrons) in thickness.

Sectioning necessarily reduces the specimen to a two-dimensional representation.  Reconstructing the three-dimensional structure of the original sample requires either the "stacking" of multiple images from serial sections, or else judicious use of imagination (3-D visualization).  A very small amount of three-dimensional information may be directly visualized under the microscope, by focussing up and down through the thickness of the specimen. 

For a further account of 3-D visualization, see here

Artifacts of sectioning.

Among the commonest artifacts introduced by sectioning, and most distracting for a beginner, are wrinkles.  To appreciate why wrinkles form, imagine trying to lay a sheet of wet tissue paper (representing the slice from the sample) flat onto a table (representing the microscope slide).  Even with great care, wrinkles sometimes appear.  Sometimes wrinkles are "forced" when the tissue section stretches unevenly around structures of differing consistencies. 

Another sectioning-related artifact is the disappearance of small structures which fall out of their proper place on the specimen, and the occasional reappearance of such structures at other inappropriate locations.  This happens most often when the process of slicing separates a part which is attached only outside the plane of section, such as a hair shaft within a hair follicle.  Except in the case of perfect lengthwise slices, the hair shaft will be cut into an oval slice that is not attached to the sides of the hair follicle and may therefore come out (leaving the follicle apparently empty) and then alight somewhere else (as an odd oval structure anywhere on the slide).

Yet other common artifacts are scratches and "chatter."   Scratches are caused by flaws or dirt on the cutting edge, and appear as straight slashes or ragged tears across the specimen.  "Chatter" is the visible record of knife vibration.  The process of slicing sometimes induces vibrations in the knife edge, which then cause variations in thickness (ripples) in the section.  These appear as narrow parallel bands, usually evenly spaced, across a tissue specimen.  They are often most evident in areas of smooth texture, such as the colloid in thyroid follicles.

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STAINING

Most cells are essentially transparent, with little or no intrinsic pigment.  Even red blood cells, packed with hemoglobin, appear nearly colorless when unstained, unless packed into thick masses.  Stains are used to confer contrast, to make tissue components visibly conspicuous.  Certain special stains, which bind selectively to particular components, may also be used to identify those structures.  But the essential function for staining is simply to make structures easier to see.

NOTE that all stain color is artifactual and does not represent the natural color of the tissue.  The same structures may have very different colors with different stains.  For example, collagen is pink with H&E but blue or green with trichrome.  You should generally use specific aspects of actual structure (location, size, shape, texture) to identify cells and tissues, rather than color.  If used wisely, color can offer additional information.  But color by itself is unreliable.

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H&E stain

A combination of hematoxylin and eosin, commonly referred to as H&E, is by far the most widely used stain for routine histology.

Please keep in mind that nuclei are not really purple and collagen is not really pink.  All such stain colors are artifacts, albeit intentional ones. 

Hematoxylin is a basic stain with deep purple or blue color.  Structures that are preferentially stained by basic stains are described as basophilic ("base-loving").  Basophilic structures include chromatin (i.e., cell nuclei) and ribosomesWith H&E staining, such basophilic structures are stained purple. 

Hematoxylin generally does a good of staining cell nuclei, and of suggesting where ribosomes are especially plentiful.  But given the opportunity (i.e., "overstaining," or bleaching out of other stains), all material on a slide may acquire the color of hematoxylin.

Historical note:  Hematoxylin is named for a Mesoamerican logwood tree, a valuable trade item for Spanish galleons travelling from Yucatan to Europe with cargo destined for manufacturing fabric dye (see "Hematoxylin ... Pirates' Most Desired Treasure, and Irreplaceable Tissue Stain," Int. J. Surg. Pathol. 27:4-14 [2019] DOI: 10.1177/1066896918787652).

Eosin is an acidic stain with a red color.  Structures preferentially stained by acid stains are described as acidophilic (or eosinophilic) and include collagen fibers, red blood cells, muscle filaments, mitochondriaWith H&E staining, acidophilic structures are stained red or pink.

Muscle and collagen can be similarly eosinophilic, hence the utility of a trichrome stain when it is advantageous to notice collagen.

Historical note:  Eosin is named for Eos, the "rosy-fingered goddess of the dawn" in ancient Greek mythology.

If an H&E slide shows any colors other than purple/blue and red/pink -- such as yellow or brown -- the additional color is probably due to an intrinsic pigment such as melanin (e.g., in the pigmented epithelium of the eye) or lipofuscin (e.g., in hepatocytes.

Some cell structures do not stain well with aqueous dyes and so routinely appear clear.  This is especially so for those which are hydrophobic, containing fat.  Included in this category are adipocytes, myelin around axons, and cell membranes of the Golgi apparatus.

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Trichrome stain

Trichrome uses three dyes (hence the name), including one that is specific for the extracellular protein collagen.  The principle use for trichrome is to differentiate collagen from other eosinophilic structures, such as muscle fibers.  Depending on the particular stain combination, a trichrome stain may color collagen fibers sky-blue or bright green. 

Trichrome stains can be especially useful for highlighting an accumulation of scar tissue, as in glomerulosclerosis of the kidney or cirrhosis of the liver.

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PAS stain

PAS stain (Per-iodic Acid Schiff) is used for glycogen, glycoproteins (such as mucus), and basement membranes (which contain glycoprotein).

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Nissl stain

The Nissl method (named for Franz Nissl, b. 1860) is an historically important stain which facilitated the mapping of central nervous tissue, by accentuating nerve cell bodies.  The Nissl method works by intensely staining rough endoplasmic reticulum, clumps of which characterize nerve cell bodies where they were historically called "Nissl bodies."  The Nissl method was famously used by the great neurohistologist, Ramón y Cajal, and was the initial basis for Brodmann's map of regional differentiation of the cerebral cortex.

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Other stains.  Be aware that many other stain techniques exist, for special cases.  Some of these are classical procedures that can yield beautiful results but depend on mysterious art and alchemy for success.  Other, more-modern techniques have been rationally designed to exploit recent developments in molecular biology.

In the "classic" category are a number of stains based on metal salts.

A silver-based stain that demonstrates reticular fibers and basement membranes is especially useful for diagnosing certain pathologies of kidney glomeruli.

A variety of silver stains have been very powerful for research into the central nervous system.  Their only common feature is that silver grains form a dark precipitate on selected structures, with empirical variables determining which structures are visualized.  Notable here is the Golgi stain developed by Camillo Golgi and used to impressive effect by Ramón y Cajal.

Some cells have traditional names based on their demonstration with certain stains, such as those cells of the gastrointestinal tract called "argentaffin cells" (cells with an affinity for silver) and "chromaffin cells" (cells with an affinity for chromium).

In the "modern" category are stains based on the application of particular molecules that can be selectively stained using radioactive labels, enzyme reactions or specific antigen binding.  The techniques of autoradiography, enzyme histochemistry and immunocytochemistry often require sections of frozen rather than chemically fixed tissue.

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Comments and questions: dgking@siu.edu

SIUC / School of Medicine / Anatomy / David King

https://histology.siu.edu/intro/tissprep.htm
Last updated:  29 October 2022 / dgk