Histopathological staining techniques used in liver diseases
1. Hematoxylin & Eosin Stain
Part-1 of Microscopic tissue fixation techniques used in pharmacological studies
Priyansha Singh
B. Pharm, M.S. (Pharm.)- Pharmacology & Toxicology
2. The sections of tissues as they are prepared are colourless & different components
cannot be identified. Staining makes them differently coloured as various dyes have
affinities towards specific components of tissues, making the identification &
morphological studies possible. Hematoxylin & Eosin- most frequently used stain
in histology
3. INTRODUCTION
• Hematoxylin and eosin staining technique functions to recognize different types of tissues and their
morphological changes, especially in cancer diagnosis.
• It is mainly used as a gold standard stain in medical diagnosis
• Hematoxylin has a deep blue-purple color and stains nucleic acids.
• Eosin is pink and stains proteins non-specifically.
• In a typical tissue, nuclei are stained blue, whereas the cytoplasm and extracellular matrix have varying
degrees of pink staining.
• Hematoxylin and eosin are both dyes, and naturally, dyes have a high affinity for tissues, depending on the
Acidity and/or alkalinity of the dyes.
5. PRINCIPLE
• Haematoxylin is a dye which when combined with a mordant like potash alum starts to behave like a basic/ cationic
dye. The staining of nucleus is blue due to binding of dye metal complex with the nuclear material.
• Eosin dye is acidic dye hence it as a negative charge (eosinophilic). Therefore it stains the basic protein structures of
a cell & extracellular matrix (acidophils or eosinophils), giving them a red or pink color, for example, the cytoplasm
is positively charged, and therefore it will take up the eosin dye, and appear pink.
11. • Deparaffinization- to remove wax embedded in the tissue.
• Descending grades of alcohol- After thorough de-waxing, the slide is passed through several changes of
alcohol to remove the xylene, then thoroughly rinsed in water. The section is now hydrated so that aqueous
reagents will readily penetrate the cells and tissue elements.
• Haematoxylin- for nuclear staining
• Differentiation- to remove non-specific background staining and to improve contrast.
• Bluing- changes the color of hematoxylin from red to blue by chemically altering the dye with a slightly
basic solution. The bluing solution's alkaline pH stabilizes the stain and makes it insoluble in water and
alcohol. The change in pH is what causes the color change.
• Counterstaining- A counterstain is a stain with color contrasting to the principal stain, making the stained
structure easily visible using a microscope.
• Ascending grades of alcohol- for dehydration. To remove water from the tissue so that paraffin wax can
completely penetrate it. Since wax is not water soluble, but is soluble in xylene, the water in the tissue must
be replaced with xylene.
• Clearance by Xylene I & II- to remove dehydrating agents and prepare tissues for impregnation with the
embedding agent. Clearing makes the tissue transparent, or clear, making the slides easier to read.
• DPX mounting- to increase the refractive index and improve image quality in microscope
12. RESULTS
• Nuclei are stained blue, cytoplasm & ECM- varied degrees of pink stain
• Well fixed cells/ tissues show considerable intracellular details
• Nuclei stains with eosin
• If polyribosomes are present then cytoplasm will have a distinct blue cast
13. Masson’s Trichrome Staining
Part-2 of Microscopic tissue fixation techniques used in pharmacological studies
Priyansha Singh
B. Pharm, M.S. (Pharm.)- Pharmacology & Toxicology
14. Definition
• Masson’s trichrome is a differential staining technique for selective
staining of collagen fibres, fibrin, muscles & RBCs.
• Trichrome stain- Wiegert's haematoxylin (nucleus)
- Biebrich scarlet (muscle, cytoplasm & nucleus)
- Aniline/ methylene blue/ light green (collagen)
15. Objectives of Masson’s Trichrome staining
• To stain the collage fibers.
• To stain collagen.
• To stain keratin.
• To stain fibrin.
• To stain muscle fibers.
• To differentiate between collagen & smooth muscle in tumors, increase in collagen in diseases like
cirrhosis. Routine stain in kidney fibrosis & liver cirrhosis biopsies.
16. Principal behind the staining
• As the name implies, 3 dyes are employed selectively
staining muscle, collagen fibers, fibrin & erythrocytes.
• The general rule in trichrome staining is that the less
porous tissues are coloured by the smallest size dye
molecule.
• Wherever a dye of large molecular size is able to
penetrate but the dye of smaller size passes off the
larger pore size.
• The tissue is first stained with the acid dye (Biebrich
Scarlet red- Acid Fuchsin) binding with acidophilic
tissue components.
• Further treatment with the phospho acids, the less
permeable components retain red stain and the red
colour comes out of the collagen pores
• Collagen gets bind with aniline blue.
17.
18. Fix the sample using Bouin’s
solution- mordant (microwave
for 1 min) stand for 15 mins
Add Wiegert's
Haematoxylin to stain
nucleus (10 mins)
Add Biebrich scarlet red
stain (5 mins) to stain
cytoplasm, keratin, muscle
& RBCs
Add Phosphotungstic/
phosphomolybdic acid for
decolorization (10 mins).
Add aniline blue/ methylene
blue/ light green + 1% acetic acid
to stain collagen
Wash (5 mins)
Wash & rinse
Rinse
Procedure of staining
19. Results
Nuclei black
Cytoplasm, Muscle, Erythrocytes- red
Collagen- blue
ADVANTAGES
1. To measure & differentiate collagen deposition as compared to
HE staining
2. Produces clear images of collagen compared to other stains
3. More accurate than other staining techniques
DISADVANTAGES
1. Preparation of solutions to be used within 24 hrs
2. Corrosive stains
20. Sirius red staining
Part-3 of Microscopic tissue fixation techniques used in pharmacological studies
Priyansha Singh
B. Pharm, M.S. (Pharm.)- Pharmacology & Toxicology