AB & ABPAS Flashcards

1
Q

Which carbohydrates are in group 1?

A

Neutral polysaccharides

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2
Q

What carbohydrates are in group 2?

A

Acid mucopolysaccharides (anionic heteroglycans)
(all are acidic and attached to proteins)

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3
Q

What carbohydrates are in group 3?

A

Glycoproteins (mucins, mucoid, mucoprotein, mucosubstances)

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4
Q

What carbohydrates are in group 4?

A

Cerebrosides (lipid attached to carbs)
Phosphatides (non-carb containing lipids)

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5
Q

Which stains demonstrate mucin?

A

Mayer mucicarmine method (MMM or MUCIN)
Alcian Blue (AB)
Periodic Acid Schiff (PAS)
Colloidal iron

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6
Q

What is Alcian Blue used to demonstrate?

A

Acid mucins (Mucopolysaccharides) and Sialomucins (Glycoproteins)

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7
Q

What type of stain is Alcian Blue?

A

Carbohydrate stain

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8
Q

What are the target tissue components of Alcian Blue?

A

Group 2 and 3 Carbohydrates

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9
Q

What is the mechanism of staining of Alcian Blue?

A

Ionic bonding or salt linkage

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10
Q

What are the positive controls of Alcian Blue?

A

Small intestine, colon, appendix

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11
Q

Why is the duodenum the best control for ABPAS?

A

It has the Bruner’s gland that only picks up PAS

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12
Q

What is the most sensitive control for the viability of PAS staining reagents?

A

A small section of kidney

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13
Q

What are the characteristics of Alcian Blue?

A

It’s a copper phthalocyanin, a basic dye
It’s water soluble

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14
Q

Why is Alcian blue blue?

A

It’s blue because of copper

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15
Q

With what kind of solution is Alcian Blue made up of?

A

3% acetic acid solution

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16
Q

What is the consequence if you make the Alcian Blue solution to a pH of 1.0?

A

Only sulfated acid mucopolysaccharides and sulfated sialomucins (glycoproteins) will pick up the stain

17
Q

What are the advantages of Alcian Blue over most cationic dyes?

A

Water, alcohol, weak acids, and other counterstaining solutions won’t extract the dye from stained sections.
The incubation time is adjustable.
It can be combined with PAS/Hx to demonstrate neutral and acid mucins.

18
Q

What is the mechanism of staining of Alcian Blue?

A

Ionic bonding

19
Q

What is the charge of the tissue and the dye ion when the tissue is acidophilic?

A

The tissue is positive
The dye ion is negative

20
Q

What is the charge of the tissue and the dye ion when the tissue is basophilic?

A

The tissue is negative
The dye ion is positive

21
Q

What is a key characteristic of an amphoteric dye?

A

It has groups that can change their charge based on the pH

22
Q

How do acidic and basic dyes change as the pH changes?

A

As the pH increases, a basic dye will have a stronger reaction and thus impart a more vibrant colour. Conversely, an acidic dye will have a weaker reaction and impart less colour. The opposite is true when the pH decreases.

23
Q

What type of dye have studies shown Alcian Blue more likely is?

A

An amphoteric dye

24
Q

How does Alcian Blue behave at a pH of 1.0-4.0 and at a pH of 4.0-7.0, and what does this prove about this dye?

A

At a pH of 1.0-4.0 it will behave as a basic dye. At a pH of 4.0-7.0 it will behave as an acidic dye. This indicates it is an amphoteric dye.

25
Q

What are the 8 steps of the Alcian Blue staining technique?

A
  1. 3% acetic acid
  2. Alcian blue solution
  3. 3% acetic acid
  4. RTW
  5. DW
  6. Nuclear fast red
  7. RTW
  8. DCM
26
Q

What are the 12 steps of the ABPAS staining technique?

A
  1. 3% acetic acid
  2. Alcian blue solution
  3. RTW
  4. DW
  5. Periodic acid
  6. RTW
  7. DW
  8. Schiff’s reagent
  9. RTW
  10. Harris hematoxylin
  11. RTW
  12. DCM
27
Q

What reagent is different when staining with AB at a pH of 1.0?

A

HCl is used instead of acetic acid

28
Q

What is the purpose of the acetic acid rinse in the AB staining technique?

A

To protect the AB staining solution from pH changes due to the introduction of water.

29
Q

At what pH is staining done with AB?

A

2.5 or 1.0

30
Q

Is AB stained progressively or regressively?

A

Progressively and directly

31
Q

Which components does AB attach to at pH 2.5 vs pH 1.0?

A

Carboxylated and sulphated negatively charged mucopolysaccharides and sialomucins at pH 2.5.
Sulphated negatively charged mucopolysaccharides and sialomucins only at pH 1.0.

32
Q

Is the end product of AB staining soluble?

33
Q

What type of stain the AB counterstain?

A

A nuclear stain

34
Q

What staining principle does the AB counterstain use?

A

Ionic bonding

35
Q

What is the most common counterstain used for AB?

A

Nuclear Fast Red

36
Q

What is the AB staining result expectation? How do the results differ at a pH of 1.0 vs a pH of 2.5?

A

Mucin should be well stained and the counterstain should enhance the mucin staining.
At a pH of 1.0: sulphated mucopolysaccharides are pale blue. The background is pink to red
At a pH of 2.5: Weakly acidic mucopolysaccharides, hyaluronic acid and sialomucins are dark blue. The background is pink to red.

37
Q

Why are goblet cells purple in ABPAS?

A

Because they pick up both stains