Microtechniques 1 - Fixation Flashcards

1
Q

What are the 7 processing steps

A
Dissection
Fixation
Dehydration
Infiltration/Embedding
Sectioning
Staining
Slide
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2
Q

What are the 3 main reasons for fixing a specimen?

A
  1. Preserve it
  2. Allow subsequent processing
  3. Ensure its morphology remains as lifelike as possible
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3
Q

What are the 3 main methods used for fixation?

A
  1. Chemical (most common)
  2. Drying
  3. Physical
    - HEAT: bacterial smears (destroys internal structures - cooked)
    - FREEZING: cryoprotective agent used to reduce ice crystal damage, rapid result, poorer quality sections, special microtome, specialist application to retain lost substances
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4
Q

What are 8 desirable properties of a chemical fixative?

A
  1. Preserve tissue components (protein, DNA etc.)
  2. Prevent hardening
  3. Prevent volume changes
  4. Render tissue insoluble
  5. Rapid penetration and reaction
  6. Anti-bacterial
  7. Facilitate the type of staining required
  8. Facilitate later infiltration of wax/resins
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5
Q

Difference between a PRIMARY and MIXED fixative?

A

P: only one active ingredient
M: several ingredients mixed together (not all fixatives are suitable for this. Aims to combine all the pros and diminish the cons).

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6
Q

What 3 properties of a fixative do you have to consider when deciding what to use?

A
  1. CHEMICAL Features:
    - Coagulant (separates water and protein) or non-coagulant (preserves organelles, greater chance of shrinkage)?
    - Additive or non-additive?
  2. BUFFERS and INDIFFERENT SALTS
    - Maintain correct pH & adjust osmolarity (buffer)
    - Adjust osmolarity (IS e.g. NaCl)
  3. PHYSICAL features:
    - Duration of exposure to fixative (too long = extraction of tissue parts, too short = underfixation)
    - Temperature (too high = faster, can cook tissue, too low = v slow)
    - Size of piece of tissue (too big = fixation gradient)
    - Rate of penetration of fixative (depends on SA:V)
    - Rate of reaction of fixative
    - Method of exposing tissue to fixative (IMMERSION vs. PERFUSION)
    - Special techniques
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7
Q

4 features of well preserved tissue vs. 4 features of poorly preserved tissue?

A

WELL

  • Fine detail
  • Minimal shrinkage
  • Evenly preserved (no gradients)
  • Tissue is adherent (no breaks)

POORLY (because of AUTOLYSIS or BACTERIAL DECAY)

  • Shrunken nuclei that is poorly stained
  • Fixation gradient
  • Shrinkage
  • Debris in lumen of hollow structures
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8
Q

PICRIC ACID details

A
  • Coagulant
  • Additive
  • Explosive when dry (trinitrophenol) - avoid storing in metal containers/lids - forms PICRATE SALTS
  • Little hardening
  • Excessive shrinkage
  • Fast penetration but slow reaction
  • Fixes protein & DNA
  • Fine coagulum
  • Favours binding with acid dyes
  • A mordant
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9
Q

What are 2 other examples (besides picric acid) of COAGULANT fixatives?

A
  • Mercuric chloride

- Alcohols (ethyl, methyl) or acetone

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10
Q

How do you neutralise formalin solution & why do we need to? What is an alternative to neutralising that achieves the same result?

A
  • Neutralise using an acid/bas indicator and weak NAOH
  • Formalin may polymerise to inactive paraformaldehyde or convert to formic acid and become acidic. This makes it a less effective fixative and therefore neutralising it can prevent this.
  • Alternatively make the formalin freshly from formaldehyde in a warm, slightly alkaline solution (prevents polymerising).
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11
Q

FORMALIN details

A
  • Non-coagulant
  • Additive
  • Some hardening
  • Some shrinkage
  • Fast penetration, slow reaction
  • Fixes protein, DNA
  • Favours staining with basic dyes
  • Precipitates: in acidic blood can form pigments - formalin haematin
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12
Q

Example of a MIXED fixative? What is it made up of?

A

Bouins = Formalin (issue with paraffin penetration) + Picric Acid (not much hardening) + Acetic Acid (swells and softens)

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13
Q

Example of an INCOMPATIBLE MIXED fixative? How is this overcome?

A

Hellys Fixative - dark and scum on surface.

  • Make on the day of use
  • Use POSTFIXATION (not usually done with Hellys but involves adding reagents and rinsing between each step)
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14
Q

What 3 things are considered when choosing the best fixative?

A
  1. Type of tissue being fixed
  2. What processing procedures will need to be done afterwards e.g. staining
  3. Fixation tests e.g. homogenous protein - egg white smears, gelatin smears, liver. Use this to check test specimen for: speed (colour changes), coagulum or not, volume changes, hardening, staining. Optional to alter: time, temperature, immersion/perfusion, partial vacuum or vapour fixation.
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