preparation of tissues for study - pre-med

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Preparation of tissues for study Hanan Jafar BDS.MSc.PhD

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Page 1: Preparation of tissues for study - Pre-Med

Preparation of tissues

for study

Hanan Jafar BDS.MSc.PhD

Page 2: Preparation of tissues for study - Pre-Med

PLEASE REFER TO THE VIDEO TITLED

“SAMPLE PREPARATION FOR LIGHT AND ELECTRON MICROSCOPY”

UPLOADED ONTO E-LEARNING PORTAL

Page 3: Preparation of tissues for study - Pre-Med

HISTOLOGY :

It is the branch of science which deals with the microscopic study of normal tissue

HISTOPATHOLOGY :

It is the branch of science which deals with the microscopic study of tissue affected by disease

Tissue for study can be obtained from:

Biopsies

Autopsies

Page 4: Preparation of tissues for study - Pre-Med

Microtechnique

• Microtechnique: is tissue preparation for

microscopic examination

• There are different methods used, however

the basic principles are similar

• It usually involves hardening of the tissue

followed by sectioning (cutting)

- Paraffin technique

- Freezing technique

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Histological Techniques:

1. Paraffin

Tissues are hardened by replacing water with

paraffin wax

2. Freezing technique:

Water-rich tissues are hardened by freezing and cut

frozen

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Freezing technique is much faster than traditional

histology (20 minutes vs. 16 hours) and are used in

operations to achieve a quick diagnosis

Cryosections can also be used in

immunohistochemistry as freezing tissue does not

alter or mask its chemical composition

Page 7: Preparation of tissues for study - Pre-Med

Protocols followed in Histotechniques

1. Identification & Labeling of the specimen

2. Fixation

3. Dehydration

4. Clearing

5. Impregnation (infiltration)

6. Embedding

7. Section cutting

8. Staining

9. Mounting

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Labeling

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Cassette

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Fixation

• This is the process by which the constituents of

cells and tissue are fixed in a physical and chemical state so that they will withstand subsequent treatment with various reagents with minimum loss of architecture

• This is achieved by exposing the tissue to chemical compounds: fixatives

• Fixatives prevent autolysis and bacterial decomposition and preserves tissue in their natural state and fix all components

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Tissue fixatives

• Buffered paraformaldehyde (light microscope preparation)

• Buffered gluteraldehyde (electron microscope preparation)

• Osmium tetraoxide (electron microscope preparation,

preserve and stain, we call it a post-fixative)

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• No fixative will penetrate a piece of tissue

thicker than 1 cm.

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Specimen is placed in porous cassettes

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Cassettes are collected in fixatives 10% formalin

1mm/hour fixation

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Processing

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Tissue Processing

In order to cut thin sections of the tissues, it

should have suitable hardness and consistency

when presented to the knife edge.

These properties can be imparted by infiltrating and

surrounding the tissue with paraffin wax, various

types of resins or by freezing.

This process is called tissue processing.

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Tissue Processing

It can be subdivided into:

a) Dehydration

b) Clearing

c) Impregnation (infiltration)

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Types of tissue processing

• There are two types :

1. Manual Tissue Processing

2. Mechanical Tissue Processing

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Manual Tissue Processing

• In this process the tissue is changed from one

container of reagent to another by hand

Note:

The processing, whether manually or mechanically, involves the same steps and reagents in same sequence

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Mechanical Tissue Processing

• In this the tissue is moved from one jar to another by mechanical device

• Timings are controlled by a timer which can be adjusted in respect to hours and minutes

• Temperature is maintained around 60 ºC

• Automatic tissue processor:

Overnight

12 Baths

16 hours

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Tissues processor

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Tissue basket

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Dehydration (removal of water)

It is the process in which the water content in the

tissue to be processed is completely removed by

passing the tissue through increasing concentrations of

dehydrating agents

• Tissues are dehydrated by using increasing strength of alcohol; e.g.

70%, 90% and 100%

• Water is replaced by diffusion

Page 24: Preparation of tissues for study - Pre-Med

• During dehydration water in tissue has been

replaced by alcohol

• The next step alcohol should be replaced by

paraffin wax

• As paraffin wax is not alcohol soluble, we

replace alcohol with a substance in which wax is

soluble. This step is called clearing.

Page 25: Preparation of tissues for study - Pre-Med

Clearing

• Replacing the dehydrating fluid with a fluid that is

totally miscible with both the dehydrating fluid

(alcohol) and the embedding medium (wax)

• Some clearing agents:

- Xylene

- Toluene

- Chloroform

- Benzene

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Impregnation (infiltration):

The tissue is kept in a wax bath containing

molten paraffin wax

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The duration of the procedure can be noted down as:

Fixation

1. 10 % Formalin saline (I) for 1.5 hours2. 10 % Formalin saline (II) for 1.5 hours

Dehydration

1. 80 % alcohol for 1 hour2. 95 % alcohol (I) for 1 hour 3. 95 % alcohol (II) for 1 hour4. Absolute alcohol (100%) (I) for 1 hour5. Absolute alcohol (100%) (II) for 1 hour6. Absolute alcohol (100%) (III) for 1 hour

Page 28: Preparation of tissues for study - Pre-Med

Clearing:

1. Xylene (I) for 1.5 hours2. Xylene (II) for 1.5 hours

Infiltration:

1. Paraffin wax (I) for 1.5 hours 2. Paraffin wax (II) for 1.5 hours

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Embedding: is the process by which impregnated

tissues are surrounded by a medium such as agar,

gelatin, or wax which when solidified will provide

sufficient external support during sectioning

Embedding

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Embedding:

It is done by transferring the tissue to a mould filled

with molten wax & is allowed to cool & solidify

After solidification, a wax block is obtained which is

then sectioned to obtain ribbons of sections

Page 32: Preparation of tissues for study - Pre-Med

Embedding Centre

Page 33: Preparation of tissues for study - Pre-Med

Embedding Centre

Molten wax (60°C)

(reservoir)

Cold plates (-5°C)Wax dispenser

Wax flow adjuster

Heated chambersUsed lids

Hot surfaceCassette

Mould

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General Embedding

Procedure

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Fill the mould with paraffin wax

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Using warm forceps select the tissue, take care

that it does not cool in the air

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Orienting the tissue in the mould

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38

Types of Tissue Sections (1)• Longitudinal section

– tissue cut along the longest direction of an organ

• Cross section– tissue cut perpendicular to

the length of an organ

• Oblique section– tissue cut at an angle

between a cross & longitudinal section

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Correct orientation of tissue in a mould is the most important step in embedding

1. cross section

2. longitudinal section

Incorrect placement of tissues may result in diagnostically important tissue elements being missed or damaged during microtomy

Orientation Of Tissue In The Block

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Cool the block on the cold plate

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Blocks on the cold plate

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Remove the block from the mould

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Blocks of embedded tissue are usually trimmed

to remove the excess wax on the surface

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Sectioning (Section Cutting)

It is the procedure in which the blocks

which have been prepared are cut or

sectioned and thin strips of uniform

thickness are prepared

The instrument by which this is done is

called as a Microtome

Page 45: Preparation of tissues for study - Pre-Med

TYPES OF MICROTOMES:

• Rotary microtome

• Freezing (cryostat) microtome

• Ultramicrotome

Page 47: Preparation of tissues for study - Pre-Med

Freezing (Cryostat) microtome

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Ultra Microtome

Used for very thin

section

The typical thickness

of tissue cut is between

20 -100 nm for TEM

Knife: Diamond or

Glass

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Ultra Microtome

Diamond Knife

Page 52: Preparation of tissues for study - Pre-Med

Tissue floatation bath

It is a thermostatically

controlled water bath

• It is maintained at a

temperature 5 – 6

degrees below the

melting point of paraffin

wax

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Taking the floating sections onto slide

Adhesives used for fixing the sections on the slides

Albumin solution ( Mayor’s egg albumin)

Page 55: Preparation of tissues for study - Pre-Med

Taking the section

onto slide

Flat, no air bubbles,

no stretch or breaks

Page 56: Preparation of tissues for study - Pre-Med

Staining

• Staining is a process by which we give color to a section. Staining of the section is done to bring out the particular details in the tissue under study

• There are hundreds of stains available

• The most commonly used stain in routine practice is Hematoxylin & Eosin stain

Page 57: Preparation of tissues for study - Pre-Med

Staining

Classification of Stains:

• Acid stains (ex. Eosin)

• Basic stains (ex. Hematoxylin)

Page 58: Preparation of tissues for study - Pre-Med

Acid Dyes

In an acidic dye:

• The basic component is colored and the acid component is colorless

• Acid dyes stain basic components e.g. eosin stains cytoplasm

• The color imparted is shade of red/pink

Page 59: Preparation of tissues for study - Pre-Med

Basic Dyes

In a basic dye:

• The acid component is colored and the basic

component is colorless

• Basic dyes stain acidic components e.g.

Hematoxylin stains nucleus

• The color imparted is shade of blue

Page 60: Preparation of tissues for study - Pre-Med

• Result :

The nucleus

stains Blue

The cytoplasm

stains pink

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Procedure of staining:

• There are two types of staining:

• Manual Staining

• Automatic staining

• Slides stained either manually or by

automatic stainer, pass through same

sequences of reagents.

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Manual Staining

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Automatic stainer

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Mounting• Stained section on microscope slide is

mounted using mounting medium

dissolved in xylene

• Examples of Mountants : DPX ( Distrene

Dibutyl phthalate Xylene )

A coverslip is placed on top, to protect the sample

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Light Microscopic Examination