L.1 Preservation & Processing Flashcards

1
Q

Why do samples need to be preserved and fixed?

A

To prevent tissue death and maintain viability

As soon as tissues are removed from the body, the vascular supply is lost, haemoglobin leaches from the red blood cells and tissues begin to die.

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2
Q

What does fixation do to tissue?

A

Hardens tissue and converts it to an irreversible semi-solid gel

Fixation allows easy manipulation of soft tissue.

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3
Q

What are preservatives used for?

A
  • Support cells with nutrients
  • Maintain viability
  • Conserve constituents

Preservatives are supplemented media that help in various applications.

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4
Q

What media does flow cytometry use?

A

RPMI

Flow cytometry utilizes RPMI as a preservative.

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5
Q

What media is used for cell and tissue culture?

A

Supplemented growth media

This media supports the growth and maintenance of cells and tissues.

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6
Q

What is the difference between a preservative and a fixative?

A

A preservative maintains tissue without degradation; a fixative prevents protein breakdown and stabilizes proteins

A fixative retains a semblance of the tissue’s life-like state.

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7
Q

What are the aims of fixation?

A
  • Prevent autolysis and putrefaction
  • Maintain tissue close to living state
  • Maintain shape and volume
  • Allow subsequent staining

Fixation is crucial for accurate tissue analysis.

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8
Q

What types of analysis depend on the type of fixative?

A
  • Morphology
  • IHC (Immunohistochemistry)
  • Histochemistry

The type of sample (Cytology/Histology) also influences the choice of fixative.

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9
Q

What are the two methods of fixation?

A
  • Thermal (heat or freezing)
  • Chemical (crosslinking or coagulation)

Different methods are used based on the requirements of the analysis.

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10
Q

Fill in the blank: A _______ prevents autolysis and putrefaction.

A

fixative

Fixatives are essential in preserving the integrity of tissue samples.

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11
Q

True or False: A fixative is used to maintain tissue viability over long periods.

A

False

That is the role of a preservative, while a fixative stabilizes proteins.

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12
Q

What is thermal fixation?

A

Heating and freezing processes that coagulate proteins and create a solid matrix.

Heating can be done via Microwave or Boiling, while freezing can involve Liquid nitrogen or CO2.

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13
Q

What are the applications of thermal fixation?

A

Used for storage of fresh or pre-fixed cells and tissues, including:
* Biobanking
* Molecular studies
* Cell lines
* Research
* Frozen sections for excision margins

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14
Q

What is chemical fixation?

A

The process where chemical solutions permeate cells and tissue structures to preserve them.

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15
Q

What is a crosslinking fixative?

A

A type of fixative that forms methylene bridges between protein groups, creating a solid protein mesh.

Examples include Formaldehyde and Glutaraldehyde.

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16
Q

What is a coagulant fixative?

A

A fixative that coagulates proteins and alters their tertiary structure, penetrating rapidly and causing shrinkage.

Examples include ethanol, methanol, and acetic acid.

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17
Q

True or False: Formaldehyde is the most commonly used routine fixative in laboratories.

A

True

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18
Q

What is the concentration of formaldehyde in 10% formalin?

A

4% formaldehyde

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19
Q

How long does formaldehyde take to fix small and large samples?

A

Small samples in a few hours; larger specimens overnight.

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20
Q

What are the properties of Glutaraldehyde?

A

Provides best morphological preservation but is suitable for small fragments only.

Used in electron microscopy and typically found in a 2.5% buffer solution.

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21
Q

What is the role of osmium tetroxide in fixation?

A

Acts as a secondary fixative in Electron Microscopy and turns black when fixing lipids.

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22
Q

What does mercuric chloride do in tissue fixation?

A

Precipitates proteins, providing good staining quality and hardening tissue.

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23
Q

What is picric acid used for in fixation?

A

A good fixative for glycogen but is potentially explosive.

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24
Q

What are dichromate fixatives used for?

A

Used as a secondary fixative; potassium dichromate is used when chromaffin reaction is required.

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25
What are compound fixatives?
Mixtures of fixatives, buffers, and salts that work together to provide optimal tissue fixation. ## Footnote Includes Bouin’s, B5, Zenker’s, Carnoy’s, and Methacarn, usually formaldehyde or alcohol-based.
26
What is over fixation?
Too long in fixative ## Footnote Affects immunohistochemistry and can make tissues brittle.
27
What problems can arise from over fixation?
Affects immunohistochemistry and tissues can become very brittle.
28
What is under fixation?
Incomplete fixation ## Footnote Block too thick or insufficient time prior to processing.
29
What are the consequences of under fixation?
Long term preservation affected and affects subsequent processes like Microtomy, Staining, Storage.
30
What is the purpose of tissue processing?
To enable the tissue and cellular components to be visualised.
31
What are the main steps involved in tissue processing?
Processing, Microtomy, Staining, Microscopy.
32
What does tissue preparation involve?
A multistep process with chemical reagents resulting in infiltration of the tissue with a supporting medium.
33
What is the most common method for routine histological analysis?
Paraffin wax processing.
34
What are the steps involved in paraffin wax processing?
Dehydration, clearing and infiltration with liquid medium.
35
What is the goal of each step in paraffin wax processing?
To prepare the tissue for embedding in a stable, firm medium.
36
Why is proper specimen handling crucial before processing?
To ensure tissues are cut or trimmed to suitable sizes.
37
How are small biopsies usually processed?
Processed whole.
38
What holders are used for routine wax embedding?
Cassettes.
39
What holders are used for electron microscopy (EM)?
Vials.
40
What holders are used for frozen sections in intraoperative settings?
Chucks.
41
What are the alternative tissue preparation techniques?
* Smear * Imprint * Squash preparation * Disaggregation of solid tissue ## Footnote Used for urgent diagnoses, cytology, or research applications.
42
What is the aim of tissue processing?
* Embed tissue in stable, firm, non-hazardous medium * Ability to cut thin sections for microscopy * Good preservation of morphology and cellular contents * Long-term preservation - Filing and storage ## Footnote Ensures tissue remains usable for future analysis.
43
What key features do modern histology labs utilize in automated processors?
* Enclosed processing systems * Heating and vacuum mechanisms * Rapid programs * Overnight cycles ## Footnote Enhances efficiency and safety in tissue processing.
44
What is the purpose of dehydration in wax processing?
Removal of free water ## Footnote Essential before wax infiltration since wax is not miscible with water.
45
What are the steps for dehydration using ethanol?
* 70% ethanol * 80% ethanol * 95% ethanol * 100% ethanol ## Footnote Gradual dehydration helps prevent tissue distortion and damage.
46
What are the common reagents used in dehydration for wax processing?
* Ethanol * Methanol * Industrial methylated spirits ## Footnote Less common reagents include isopropanol, butanol, and acetone.
47
True or False: Incomplete dehydration can lead to poor-quality blocks and compromised sections.
True ## Footnote Proper penetration of clearing agents and wax is essential for quality.
48
What is the potential consequence of excessive shrinkage during dehydration?
Structural damage to the tissue ## Footnote Careful control of dehydration is crucial to maintain tissue integrity.
49
Fill in the blank: The main aim of tissue processing is to embed tissue in a _______.
stable, firm, non-hazardous medium ## Footnote This ensures the tissue can be effectively analyzed.
50
What are special methods for occasional use in tissue preparation?
* Freeze-drying * Nitrocellulose embedding * Gelatin embedding * Agar embedding ## Footnote These methods are used based on specific requirements.
51
What is the role of heating and vacuum mechanisms in automated processors?
Accelerate infiltration of the tissue ## Footnote This helps in speeding up the processing time.
52
What are clearing agents?
Organic solvents used to replace the dehydrating fluid in tissue preparation.
53
What properties must clearing agents have?
They must be miscible with both alcohol and wax, and have a high refractive index.
54
List common clearing agents.
* Hydrocarbons: Xylene, Chloroform, Toluene * Terpenes: Citrus fruit oils (Histoclear), Oils
55
What is the effect of clearing agents on lipids?
They can extract lipids, making frozen sections preferred for lipid preservation.
56
What are the properties of Xylene as a clearing agent?
Rapid clearing but may produce brittle blocks.
57
How does Toluene compare to Xylene?
Similar to xylene, but slightly gentler.
58
What is the effect of Chloroform on tissue blocks?
Produces softer blocks.
59
What biohazards are associated with many clearing agents?
* Carcinogenicity * Flammability * Volatility * Toxicity
60
What are the waste management considerations for clearing agents?
Strict regulations apply for disposal and increasing use of recycling systems.