Pigment - Staining Techniques PPB and GB/FM Flashcards

1
Q

What principle of staining does the Perl’s Prussian Blue technique use?

A

Histochemical Reaction
- where chemical reagents are converted to chromogens.

The reaction is dependent upon the amount of iron present.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the main chemicals involved in Perl’s Prussian Blue stain and their purpose?

A

Perl’s Prussian Blue stain:
1. Histochemical reaction solution made from
- 2% HCl and
- 2% Potassium Ferrocyanide.
–> Demonstrates hemosiderin as a coloured compound (chromagen) –> BLUE
2. Eosin - Counterstain, stains all other tissue components
–> PINK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is hemosiderin and what does it contain?

A

Hemosiderin, a breakdown product of hemoglobin contains ferric iron plus protein.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the purpose of HCl in the histochemical solution and how does Prussian Blue form?

A

HCl is used to free the iron from the protein.

The ferric iron then combines with potassium ferrocyanide to form an insoluble blue pigment, ferric ferrocyanide, known as Prussian Blue.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the ratio of parts of HCL and Potassium Ferrocyanide for the histochemical working solution and what are the important considerations?

A
  1. Equal parts of HCL and Potassium Ferrocyanide is required to create a working solution to stain iron.
  2. Best to make solution fresh and use right away as it can breakdown.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the colour Prussian Blue turns that indicates it is breaking down?

A

The working solution of Prussian Blue is light-yellow colour, once it turns green it can indicate it is breaking down and should be avoided on slides.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the most important step in the Perl’s Prussian Blue staining technique?

A

Making sure the histochemical solution is made up correctly.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Besides Eosin, what are alternate dyes that can be used as the counterstain for PPB?

A

Perl’s Prussian Blue counterstain options besides Eosin are:

  1. Nuclear Fast Red
  2. Neutral Red

A dye that stains pink/red as a colour for background is commonly used.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

If using Nuclear Fast Red as the counterstain in Perl’s Prussian Blue, what must be considered?

A

If using Nuclear Fast Red, ensure it is rinsed in tap water well after to avoid slides turning cloudy when going through dehydrate and clear.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Why is it important to have a good positive control that doesn’t have too much iron for Perl’s Prussian Blue?

A

A control that has too much iron would have a higher chance of getting nonspecific staining occurring.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Why is it important to avoid acid fixatives and decalcification solutions in PPB? What should be done instead?

A

Acid fixatives and decalcification solutions removes iron from tissue.

Use neutral pH fixative and avoid acid decalcifiers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Why is acid washed glassware and non-metal forceps required to be used in PPB?

A

Having clean glassware and non-metal forceps will ensure that it is only iron being stained on the slides.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Why is distilled water and ANALAR grade reagents recommended to be used with Perl’s Prussian Blue technique?

A
  1. To avoid metals from tap water to get on slides and cause false positives, slides are washed in distilled water to eliminate external elements on the slide that would interfere with results.
  2. ANALAR Reagents= A chemical reagent of high purity with known contaminants for use in chemical analyses.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How is the Perl’s Prussian Blue solution disposed of in the RRC lab?

A

For proper disposal of Histochemical solution, we collect solution and commercially dispose of waste.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is hemochromatosis and how would a slide of tissue with this condition look?

A

Hemochromatosis= large amounts of iron in the body that can cause life-threatening diseases that shut down certain organs.

The tissue would be almost all blue showing the large amount of iron in this tissue confirming a disease state (see slide 20).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the principle of stain for Gomori Burtner technicque?

A

Argentaffin Silver Method

Tissue can reduce Ag, does not need a reducer.

17
Q

What are the main chemicals and their purpose for Gomori Burtner technique?

A
  1. Methenamine silver solution –> Demonstrates melanin granules and argentaffin granules.
  2. Gold Chloride –> Toning agent, Au ions replace Ag ions giving a finer precipitate/greater contrast.
  3. Sodium thiosulphate –> Fixing agent, stops all chemical activity, removes all unreduced Ag ions (cleans background), makes slide prep permanent.
  4. Safranin - Counterstain, stains all tissue components red. (HSC used Eosin).
18
Q

What is an alternate counterstain to be used if Ammoniacal silver is used instead in Gomori Burtner?

A

Nuclear Fast Red.

Other counterstains can also be used.

19
Q

What type of control slides are best to use for the Gomori Burtner technique?

A

Depends on the type of patient tissue.
If patient sample is skin –> use skin control
If patient sample is GI tract –> use GI tract control

20
Q

Where are argentaffin granules located?

A

Argentaffin granules are located in the GI tract in enteroendocrine cells found in the Crypts of Lieberkuhn that are stained with silver.

21
Q

What is the difference between Gomori Burtner and Fontana Masson techniques?

A

Gomori Burtner and Fontana Masson both stain the same structures, but their techniques differ as they use different kinds of silver to achieve their results.

  1. Gomori Burtner uses Methenamine silver which will require heat for silver to attach to tissue.
  2. Fontana Masson uses Ammoniacal silver (same idea as Gordon and Sweets) and requires no heat for silver to attach to tissue. The tissue requires a reducer and silver is made up by adding Ammonium Hydroxide drop by drop to Silver.
22
Q

What affects what counterstain is used in Gomori Burtner? And what are some considerations about Safranin and Nuclear Fast Red to be considered.

A

Counterstain will vary depending the Silver method chosen.

Safranin is a very dark red stain which sometimes makes it hard to see the black in the tissue, sometimes decreasing the time slides are in Safranin helps by not having the background as dark.

Nuclear Fast Red should always be rinsed in tap water to avoid slides turning cloudy when going through dehydrate and clear.

23
Q

Why is bleaching method recommended for the Gomori Burtner Technique?

A

Bleaching method is recommended for this technique to confirm melanin is present.

Purpose of bleaching method is to prove the presence of melanin or to remove excess melanin which interferes with “reading” the slide.

24
Q

Why are acid washed glassware, distilled water and non-metal forceps used in the Gomori Burtner technique?

A

Prevents non-specific staining. Same reasons as for Perl’s Prussian Blue.

25
Q

How does the silver solution need to be disposed of?

A

Silver solutions can form an extremely explosive compound. To avoid this all silver should be discarded by neutralizing with salt after use.

26
Q

What is done when bleaching method is used in Gomori Burtner (or FM)? Why?

A
  1. Bleach only one of the slides with Hydrogen Peroxide (H2O2) or Potassium Permanganate (KMNO4) (if using KMNO4 Oxalic acid will be needed after to remove color from tissue that was left from KMNO4).
  2. The other slide will wait in water until bleaching is done.
  3. Once the bleaching has been performed on the one slide it can then be combined with untreated slide and go to the next step in technique which is stain in silver solution.
  4. Both slides will then be stained with same counterstained and compared

Results= view both slides the untreated slide will demonstrate melanin while the bleached slide will have no melanin.

Similar idea as PAS and PASD slide.

27
Q

Is it recommended to use duplicate sections in the Gomori Burtner technique?

A

Yes, ideally from the same control block/same tissue.