Carbohydrate Staining Flashcards

1
Q

What are the staining methods discussed for carbohydrates, mucosubstances, and amyloid in tissue specimens?

A
  • PAS
  • Alcian Blue
  • Mucicarmine
  • Colloidal Iron
  • Congo Red
  • Crystal Violet
  • Thioflavine-T-Fluorescent techniques

Each method has unique principles and applications in histochemistry.

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2
Q

What is the primary monosaccharide found in the body that cannot be demonstrated in tissue sections?

A

Glucose

Due to its solubility in aqueous solutions and small molecular size, glucose does not remain detectable in fixed tissues.

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3
Q

What is the storage form of glucose in the body?

A

Glycogen

Glycogen is primarily stored in skeletal and cardiac muscle cells and can be rapidly converted to glucose for energy.

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4
Q

What staining method is best for demonstrating glycogen?

A

PAS – Periodic Acid Schiff technique

This method is effective for identifying glycogen due to its specific reaction with carbohydrate structures.

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5
Q

What is the purpose of the Alcian Blue staining method?

A

To stain sulfated and carboxylated acid glycoproteins

This method is particularly useful for identifying mucins in various tissue types.

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6
Q

What is the result of a PAS stain on basement membranes?

A

Magenta

This color indicates the presence of glycoproteins in the basement membrane structure.

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7
Q

What are the expected colors for the nuclei when performing a PAS stain?

A

Blue

Nuclei typically appear blue when counterstained with hematoxylin after PAS staining.

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8
Q

What is the role of periodic acid in the PAS staining method?

A

Oxidizes carbohydrates to yield aldehydes

This oxidation is essential for the subsequent reaction with Schiff reagent to produce a colored result.

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9
Q

What should be done after treating sections with Schiff reagent in PAS staining?

A

Wash thoroughly in running tap water

This step allows for full color development and removes unreacted Schiff reagent.

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10
Q

What is the expected result when using Alcian Blue at pH 2.5?

A

Turquoise blue for carboxylated and sulfated acid mucopolysaccharides

This result indicates the presence of mucins in the tissue.

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11
Q

What is the fixation requirement for Alcian Blue staining?

A

10% neutral buffered formalin or Bouin’s solution

Proper fixation is crucial for maintaining tissue morphology during staining.

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12
Q

What do the results of the Alcian Blue pH 1.0 method indicate?

A

Dark blue for sulfated mucins

This staining method is specifically tailored to identify sulfated forms of mucins.

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13
Q

What does Alcian Blue / PAS method differentiate?

A

Neutral mucins from acidic mucins.

Neutral mucins stain magenta, while acidic mucins stain blue.

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14
Q

What are common sources of error in staining with Alcian Blue?

A

Excessive background staining due to:
* pH above 2.5
* Dye impurities
* Excessive staining time
* Concentrated dye
* Inadequate rinsing post-staining

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15
Q

What is the purpose of Alcian Blue with hyaluronidase?

A

To differentiate epithelial from connective tissue mucins.

Staining will disappear for tissues containing hyaluronic acid after digestion.

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16
Q

What does Mucicarmine stain?

A

Epithelial mucin in tissue sections.

It is particularly useful in diagnosing adenocarcinomas.

17
Q

What is the principle of Mucicarmine staining?

A

Aluminum forms a chelation complex with carmine, allowing it to bind to acid groups of mucins.

18
Q

What are common sources of error in Mucicarmine staining?

A

Weak mucin staining likely due to:
* Exhausted or deteriorated mucicarmine
* Poor-quality powder
* Improper storage

19
Q

What is the technique for Colloidal Iron staining?

A
  1. Deparaffinize and hydrate to distilled water.
  2. Rinse in 12% acetic acid.
  3. Stain in colloidal iron for 1 hour.
  4. Rinse in acetic acid.
  5. Immerse in ferro-cyanide-HCl solution.
  6. Counterstain and mount.
20
Q

What does the Colloidal Iron method detect?

A

Carboxylated and sulfated mucopolysaccharides and glycoproteins.

21
Q

What is the significance of Congo Red in diagnosing amyloid?

A

Congo Red stains amyloid deposits and shows green birefringence under polarized light.

22
Q

What is the principle behind the Crystal Violet method for amyloid?

A

A rapid screening method that uses metachromatic staining due to the mucopolysaccharide content in amyloid.

23
Q

What are the results of Thioflavine T staining for amyloid?

A

Fluoresces yellow to yellow-green.

Thioflavine T is a fluorescent dye that attaches to amyloid.

24
Q

What is the purpose of the Alcian Blue stain?

A

To demonstrate acid mucopolysaccharides and glycoproteins in tissue sections.

25
Q

What is a common source of error when using the Congo Red method?

A

Faint uptake of the Congo red dye may result from:
* Prolonged fixation in formaldehyde
* Extended storage of cut sections
* Unstable Congo red solutions

26
Q

What is the purpose of using 12% acetic acid in the Colloidal Iron procedure?

A

To prevent dilution of colloidal iron and enhance staining results.