Fixation CH 1 Flashcards

1
Q

Fixation
(Definition)

A
  • Alters tissue by stabilizing the protein so that it is resistant to further changes.
  • Must change the soluble contents of the cell into insoluble substances so that they are not lost during subsequent processing.
  • Can be chemical or physical
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2
Q

Functions of Fixatives

A
  • To prevent putrefaction (bacterial attack during decay or
    postmortem activity)
  • To prevent autolysis (enzyme attack during decay or
    postmortem activity)
  • To help maintain the proper relationship between cells and
    extracellular substances
  • Brings out differences in refractive indexes and to increase contrast between tissues for microscopic evaluation
  • Enhance subsequent staining
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2
Q

Actions of Fixatives

A

1.) Chemical method – additive or non- additive, coagulant or non-coagulant

2.) Physical method – using heat to fixate tissue
- Microwave Processing
- Overheating alters nuclei staining
- Desiccation

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3
Q

Actions of Fixatives

A
  • Additive fixation – protein combines chemically with a fixative molecule and protein then becomes insoluble. (Mercuric Chloride, chromium trioxide, picric acid, formaldehyde, glutaraldehyde, osmium tetroxide.)
  • Non additive fixation – denaturation causes
    protein to become less capable of maintaining an intimate relationship with water, but does NOT combine the protein.
    (Acetone, Alcohols)
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4
Q

Actions of Fixatives

A
  • Coagulant fixative – establishes a network in tissue that allows solutions to readily
    penetrate or gain entry into the interior of the tissue
    (Alcohol, zinc salts, mercuric chloride & picric acid)
  • Noncoagulant fixative – act by creating a gel that makes penetration by the subsequent solutions difficult.
    (Formaldehyde, glutaraldehyde, osmium tetroxide, potassium dichromate and acetic acid)
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4
Q

Factors influencing Fixation

A
  • Choice of fixative – staining procedure(s) for tissue must be considered.
  • Penetration – fixatives penetrate at different
    rates and fixate at different rates. (i.e. formalin penetrates fast but cross-links
    slowly)
  • Tissue storage – certain fixatives do not allow for long term storage. NBF or 70% alcohol are acceptable for long term storage.
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5
Q

Factors influencing Fixation

A

1.) Temperature – increase in temperature increases the
rate of fixation (but also increases rate of autolysis &
diffusion of cellular elements).

2.) Size – tissue thickness should be no more than 3mm thick.

3.) Volume ratio – fixative volume should be at least 15
to 20 times greater than the tissue volume.

4.) Time – tissue should be placed in fixative immediately
after surgical removal duration in fixative is crucial; adequate fixation time is needed to complete the fixation process

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6
Q

Factors influencing Fixation

A
  • pH – applies to aldehyde fixatives (i.e. pH below 5 can cause formation of formalin
    pigment) and to immunohistochemisty techniques.
  • Osmolality – also must be considered for immunohistochemistry techniques.
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7
Q

Reactions of the cell with fixatives

A
  • Nucleus – preferred fixatives for nucleic acids are acetic alcohol & Carnoy solution
  • Proteins – fixation can affect the secondary or tertiary structures of proteins.
  • Lipids – several fixatives will preserve but only two (osmium tetroxide & chromic acid) will fix so that they are not lost during subsequent processing
  • Carbohydrates – can be lost during fixation
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8
Q
  • Simple Aqueous Fixatives
    1. Acetic acid
    2. Formaldehyde
    3. Glutaraldehyde
    4. Mercuric chloride
    5. Osmium tetroxide
    6. Picric acid
    7. Potassium dichromate
    8. Zinc salts
A
  1. Acetic acid
  2. Formaldehyde
  3. Glutaraldehyde
  4. Mercuric chloride
  5. Osmium tetroxide
  6. Picric acid
  7. Potassium dichromate
  8. Zinc salts
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9
Q

Simple Aqueous Fixatives
- Acetic acid - Noncoagulant

A
  • Acetic acid - Noncoagulant
  • Concentrated is called glacial acetic acid due to freezing point of 16.6C
  • Penetrates rapidly and leaves tissue soft
  • Used in preservation of nucleoproteins
  • Causes swelling of tissue
  • Red blood cells (RBC) are lysed
  • Precipitates DNA
  • Causes Protein swelling more than any other
  • Collagen greatly affected; absorbs water with contact at lower pH’s
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10
Q

Simple Aqueous Fixatives
- Formaldehyde

A
  • Formaldehyde – Noncoagulant additive
  • Gas that comes in 37% to 40% solution with water called formalin
  • Commercial stock solutions of 37% to 40% formaldehyde are considered 100% formalin
  • In preparing 10% formalin, 1 part commercial stock to 9 parts water (leaving a concentration of 3.7% to 4% formaldehyde)
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11
Q

Simple Aqueous Fixatives
- Formaldehyde

A
  • Formaldehyde has a strong tendency to polymerize to dimers and trimers.
  • Paraformaldehyde is a highly polymeric form of formaldehyle (has uses in EM).
  • Commercial formalin contains 10% to 14% methanol to prevent polymerization
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12
Q

Simple Aqueous Fixatives
- Formaldehyde

A
  • Reacts with the amino group (NH2) on the side chains of amino acids.
  • Causes the formation of methylene bridges that cross-link the proteins together.
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13
Q

Simple Aqueous Fixatives
- Multiple Fomalin solutions

A

1.) 10% Aqueous Formalin

2.) 10% Formalin saline

3.) Calcium Formalin
- Recommended for phospholipids

4.) Formalin ammonium bromide
- Recommended for CNS

5.) Acetate Formalin

6.) 10% Neutralized & 10% NBF

7.) Modified Millonig Formalin
- Can be used for EM & Light microscopy

8.) Alcoholic Formalin

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14
Q

Simple Aqueous Fixatives
- Formalin

A
  • Preserves lipids but does not make them insoluble
  • Does not fix carbohydrates (but stabilizes proteins in a manner that “traps” glycogen
  • Black acid hematin (formalin pigment) tends to form when the pH of the solution drops below 6.0
  • Removed with absolute alcohol saturated with picric acid
    or 70% alcohol with 3% mL ammonium hydroxide, wash
    sections, rinse in 1% acetic acid, wash again
15
Q

Simple Aqueous Fixatives
- Glutaraldehyde

A
  • Dialdehyde – extra aldehyde that does not cross- link.
  • Left free to react in any method using Schiff reagent (PAS).
  • Penetrates slowly and poorly.
  • Frequently used for EM as it preserves ultra- structures better than any other of the aldehydes.
  • Overhardens tissue with prolong fixation; recommended length no longer than 2 hours.
16
Q

Simple Aqueous Fixatives
- Mercuric chloride

A
  • Used in compound fixatives due to it’s ability to enhance staining
  • Inhibits freezing of tissue (frozen sections)
  • Penetrates poorly and causes tissue shrinkage
  • Can harden tissue with prolong exposure
  • Can form mercury pigment than can be removed with iodine followed by sodium
    thiosulfate
  • Very toxic compound
17
Q

Simple Aqueous Fixatives
- Osmium Tetroxide

A
  • Primary use is for EM
  • Used as a post-fixative after aldehyde fixation
  • Chemically combines with lipids making them insoluble.
  • Does not penetrate tissue deep; sections must be thin
  • Extremely hazardous
18
Q

Simple Aqueous Fixatives
- Picric Acid

A
  • Only substance used as both a fixative & stain
  • Strong coagulant of nucleoproteins but leave them
    soluble
  • Should not be used for subsequent stains for DNA & RNA
  • Does not fix lipids or carbohydrates
  • Can decalcify small calcium deposits in tissue
  • Leaves tissue receptive to eosin
  • Causes extreme tissue shrinkage
  • Must be washed out of tissue before processing with 50% alcohol with lithium carbonate
  • Extremely hazardous explosive compound. Must be kept
    in aqueous solution of at minimum 10% moisture.
19
Q

Simple Aqueous Fixatives
- Potassium dichromate

A
  • Rarely used alone for fixation
  • Can fixate some lipids
  • Preserves mitochondria for EM but dissolves DNA
  • Increases tissue affinity for eosin
  • Chromate based solution; can yield chromate pigments; removed by 1% HCl in 70% alcohol for 30 minutes
  • Highly toxic substance
20
Q

Simple Aqueous Fixatives
- Zinc salts

A
  • Preserves antigenicity
  • Can be used in place of mercury for safely reasons (zinc chloride)
  • Can be corrosive on closed tissue processors and cause salt precipitation. Removed with 5%
    to 20% acetic acid solution.
  • Superior nuclear detail and better paraffin infiltration are obtained with zinc formalin
21
Q

Compound or combined fixatives
1. B-5
2. Bouin
3. Gendre
4. Hollande
5. Zenker & Helly
6. Orth
7. Zamboni
8. Zinc Formalin

A
  1. B-5
  2. Bouin
  3. Gendre
  4. Hollande
  5. Zenker & Helly
  6. Orth
  7. Zamboni
  8. Zinc Formalin
22
Q

Compound or combined fixatives
- B-5

A
  • Mercuric Chloride
  • Sodium acetate
  • (added to) formaldehyde
  • Recommended for hematopoietic & lymphoreticular tissue (nuclear detail)
  • Sections must be treated for mercury pigment
  • Tissue can not remain in fixative (placed in 70% alcohol).
23
Q

Compound or combined fixatives
- Bouin solution

A

- Picric acid, formaldehyde, glacial acetic acid

  • Lysis of RBC
  • Recommended for trichrome stains, endocirne system tissues and antibody staining.
  • Yellow coloring from fixative must be washed out with 50% to 70% alcohol saturated with lithium carbonate.
  • Remaining tissue placed in 70% to 80% alcohol.
  • Maximum fixation time is 24 hour
24
Q

Compound or combined fixatives
- Gendre

A
  • 95% alcohol saturated with picric acid, formaldehyde, glacial acetic acid
  • Preservation of glycogen
  • Follow Bouin procedures
25
Q

Compound or combined fixatives
- Hollande

A
  • Picric acid, formaldehye, acetic acid, copper acetate
  • Cupric acid solution stabilized RBC and the granules of eosinophils
26
Q

Compound or combined fixatives
- Zenker & Helly

A
  • Zenker & Helly stock solution: mercuric chloride, potassium dichromate, DI
  • Zenker working solution: Stock with acetic acid
  • Lyses RBC, but better nuclear fixative & can decal needle biopsies of bone marrow
  • Recommended for Mallory PTAH
  • Helly working solution: Stock with formaldehyde
  • Preserves RBC
  • Neither is recommended for subsequent silver staining
  • Maximum fixation time is 24 hours
27
Q

Compound or combined fixatives
- Orth

A
  • Potassium dicrhomate, sodium sulfate, (added to) formaldehyde
  • Recommended for chromaffin granules
28
Q

Compound or combined fixatives
- Zamboni PAF

A
  • Paraformaldehyde & picric acid
  • Good general purpose fixative
29
Q

Compound of combined fixatives
- Zinc Formalin

A
  • 10% NBF
  • Zinc Sulfate
  • Distilled Water
  • Great for Immunohistochemical methods
  • Prevents cross linking
  • Antigenicity not lost with long term storage
30
Q

Nonaqueous fixatives
- Acetone

A
  • Non additive coagulant fixative
  • Dehydrates tissue and fixes rapidly at room temp
  • Mainly used for enzyme preservation
31
Q

Nonaqueous fixatives
- Alcohols

A
  • Used for fixation of water soluble tissue components (glycogen, urate crystals)
  • Methyl used for touch smears
  • Dissolves fats, and shrinks tissues
32
Q

Nonaqueous Fixatives
- Alcoholic Fixatives
Carnoy solution

A
  • Absolute ethyl alcohol
  • Chloroform
  • Acetic acid
  • Good nuclear detail, used in cytology
  • Methacarn is same but with methyl alcohol
33
Q

Nonaqueous Fixatives
- Alcoholic Fixatives
Clarke Fluid

A
  • Absolute alcohol
  • Glacial acetic acid