Fixation Flashcards

1
Q

what is a fixative?

A

alters the tissue by stabilizing protein so it is resistant to further changes

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2
Q

what do fixatives do? (4)

A

prevent autolysis by deactivating enzymes, kills bacteria and molds that can cause putrefaction, makes tissues more receptive to dyes and can act as a mordant, stabilizes cellular structures to resist change during subsequent processing and staining

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3
Q

autolysis

A

breakdown of tissue due to enzyme activity

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4
Q

putrefaction

A

breakdown of tissue by bacteria

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5
Q

direction of fixation

A

outer layer of the tissue moving inwards

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6
Q

appropriate tissue size

A

3-4mm thick and 2x2cm square

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7
Q

reasons for choosing a fixative

A

rate of penetration, length of storage, pH for electron microscopy, osmolality for EM, looking for a specific structure that may be adversely affected by certain fixatives

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8
Q

non-coagulant fixative

A

creates a gel that is difficult for subsequent solutions to penetrate, preferred for electron microscopy due to a more life-like fixation

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9
Q

coagulant fixative

A

establish a network in tissue that allows solutions to readily penetrate the interior of the tissue

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10
Q

non-additive fixative

A

act on tissue without chemically combining with it, often by dissociating water molecules from protein

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11
Q

additive fixative

A

add themselves onto the protein and cause a change

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12
Q

black acid hematin

A

occurs when formalin is used and the pH drops below 6, especially on tissues rich in blood
can be removed by treating sections with alcoholic picric acid or alkaline alcohol

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13
Q

physical agents of fixation

A

heat and desiccation

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14
Q

volume of fixation fluid

A

15 to 20x the volume of tissue

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15
Q

4 factors affecting fixation

A

time in fixative, temperature of fixative, size of tissue, volume ratio of fixative solution

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16
Q

4 functions of fixatives

A

kill the tissue, maintain proper relationships between cellular structures, increase contrast between tissue elements via differing refractive indexes, stabilize the tissue physically and chemically

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17
Q

list of simple fixatives

A

Acetic Acid, formalin, glutaraldehyde, glyoxal, mercuric chloride, osmium tetroxide, picric acid, potassium dichromate, zinc salts

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18
Q

list of compound fixatives

A

B-5, Bouin, Gendre, Hollande, Zenker, Helly, Orth, Zamboni, Zinc Formalin

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19
Q

Acetic Acid

A

non coagulant (coagulates) cytoplasm and nucleic acids
does not fix or destroy carbs or lipids
penetrates rapidly
leaves tissue soft
precipitates DNA
Increases protein swelling (disadvantage)
Lyses red blood cells (often counteracted in compound fixatives)

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20
Q

B-5

A

Good nuclear detail for staining blood forming and lymph tissue
good for many special stains

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21
Q

Bouin

A

great for soft delicate structures and trichrome stains
acetic acid swelling is countered by picric acid shrinkage
hardening of formaldehyde is countered by soft fixation of picric acid
yellow color is removed with 50-70% EtOH
don’t use for EM because it does not preserve nucleic acids

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22
Q

Gendre Solution

A

great preservation of carbs, esp glycogen

excess picric acid is removed with 80% EtOH

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23
Q

Hollande Solution

A

can decalcify small bone specimens
good for GI biopsies
cupric acetate counters the lysis of RBCs and eosinophil granules caused by acetic acid

24
Q

Zenker

A

tissues must be treated for mercury pigment with iodine followed by sodium thiosulfate
makes nuclei less basophilic and cytoplasm more acidophilic, increase time in hematoxylin and reduce eosin
good for nuclear chromatin, connective tissue
very toxic and carcinogenic

25
Helly
same as Zenker except it preserves red blood cells because the acetic acid is replaced with formalin good for bone marrow, spleen, and kidney
26
Orth Solution
good for demonstrating chromaffin granules in the adrenal glands
27
Zamboni Solution
very stable, good general use fixative | allows secondary fixation with osmium tetroxide, sometimes preferred for EM over glutaraldehyde
28
Zinc Formalin
no loss of antigenicity for long term storage | prevents cross-linking
29
non-aqueous fixatives
acetone, methanol, ethanol, carnoy, clarke
30
acetone
non-additive coagulant (no gel matrix) demonstrates enzymes, esp acid and alkaline phosphatase used on frozen tissue for IHC acts fast but causes shrinkage, distortion and hardening
31
methanol and ethanol
methyl alcohol is for touch preps and blood smears, ethyl alcohol is used to preserve glycogen and urate crystals, which are water soluble preserves most pigments, dissolves fat, and causes shrinkage
32
Carnoy
lyses RBCs, sometimes used for cytology fast, preserves glycogen, good nuclei excessive shrinkage and hardening
33
Clarke
good for blood smears and frozen sections
34
Michel Transport Medium
pH 7-7.2 | ingredients: Anhydrous citric acid, ammonium sulfate, N-ethylamide, Magnesium sulfate
35
Remove Formalin pigments
1. absolute alcohol saturate with picric acid, then wash with water or 2. 70% alcohol with ammonium hydroxide, wash, then rinse with 1% acetic acid
36
Remove Mercury pigments
treat with iodine, wash in running water, put in sodium thiosulfate, wash in water
37
Remove Chrome pigments
1. wash tissue in running water before dehydration or | 2. can be partially removed from the section using acidic alcohol
38
common fixation problems
autolysis, incomplete fixation
39
troubleshooting autolysis
get tissue into fixative ASAP pin open uterus and GI samples to expose mucosa to fixative gross thin sections and keep in large volume of fixative bisect lymph nodes for fixative
40
troubleshooting incomplete fixation
increase time in fixative change to another fixative use formalin alcohol in the 1st 3 stages of processing gross sections thin with 15 to 20x fixative change formalin solution frequently to prevent depletion of fixative agitate cassettes in fixative solution do not pack cassettes tightly in processing holders
41
B5 ingredients
mercuric chloride, sodium acetate, formaldehyde
42
Bouin ingredients
picric acid, formaldehyde, acetic acid
43
Gendre ingredients
95% EtOH saturated with Picric acid, formaldehyde, acetic acid
44
Hollande ingredients
copper acetate, picric acid, formaldehyde, acetic acid
45
Zenker ingredients
mercuric chloride, potassium dichromate, acetic acid
46
Helly ingredients
mercuric chloride, potassium chromate, formaldehyde
47
Orth ingredients
potassium dichromate, sodium sulfate, formaldehyde
48
Zamboni ingredients
paraformaldehyde, picric acid, phosphate buffer
49
Zinc formalin ingredients
zinc sulfate, formaldehyde
50
Carnoy ingredients
absolute elthyl alcohol, chloroform, acetic acid
51
Clarke ingredients
absolute ethyl alcohol, acetic acid
52
list of coagulants
zinc salts, mercuric chloride, cupric sulfate, ethanol, methanol, acetone, picric acid, potassium dichromate<3.5
53
list of additive fixatives
mercuric chloride, chromium tetroxide, picric acid, formaldehyde, glutaraldehyde, osmium tetroxide, zinc sulfate, zinc chloride, glyoxal, potassium dichromate
54
list of non-coagulant fixatives
formaldehyde, potassium dichromate>3.5, osmium tetroxide, glutaraldehyde
55
list of non-additive fixatives
ethanol, methanol, acetone