Friday, August 21, 2009

The Staining :)

Hi everyone, it is my turn to post for this week. For this month, I have been posted to the routine staining area; thus, I have been exposed to various special stains like CAB, PAS, PASD, MT, Orcein, Fe, Ziehl Neelsen etc.
Today, I will introduce on PASD and Fe stain.

PASD (Periodic acid Schiff diastase)

Function: It helps to differentiate glycogen from other carbohydrates

Principle: Glycogen is digested by diastase where no reaction will occur with Schiff’s reaction afterwards.

Procedure:
1) Dewax and bring section to water
2) Treat section with diastase
3) Wash well with water
4) Treat with 1% aqueous periodic acid for 5 mins
5) Wash in water
6) Treat with schiff’s solution for 5 mins
7) Wash in water
8) Counter stain nuclei with haematoxylin
9) Blue in water
10)Dehydrate, clear and mount in DPX

Result:
Any presence of glycogen will be stain magenta on the PAS stained slide while for the PAS/D stained slide, there will be absence of it.

Note:
A positive control must always be used




A picture showing presence of glycogen stained magenta (PAS/D stain is used). This suggests that the patient is suffering from glycogen storage disease



Fe (Perl's reaction)

Function: Demonstration of iron and haemosiderin

Principle: Dilute hydrochloric acid solution release ferric iron that is tightly complxed to protein as hemoglobin. The ferric iron will then reacts with potassium ferrocyanide solution to produce an insoluble blue compound which is ferric ferrocyanide.


Reagent preparation:

Perl's reagent
20% hydrochloric acid -- 5 ml
20% potassium ferrocyanide --5ml


Procedure:

1) Dewax and bring section to water
2) Treat with perl's reagent for 20minutes
3) Rinse in SRW
4) Counterstain with nuclear fast red for 3 mins
5) Wash, dehydrate, clear and mount in DPX

Result:

Iron -- dark blue
Nuclei -- red




Perls Prussian blue stain showing hemachromatosis in cardiac muscle

Control: A positive control must also be used in this case


Staining is a very challenging job whereby you need to be able to multitask, however, i learn a lot of many different stains and the different things that need to be observed under the microscope.

Feel free to clarify any doubts and i will try my best to answer them :)

References:

http://images.google.com.sg/imgres?imgurl=http://img.medscape.com/pi/emed/ckb/pediatrics_genetics/941088-941089-941632-941708.jpg&imgrefurl=http://emedicine.medscape.com/article/941632-media&usg=__r1ZzgRvxBDwxsQKDdIiuE03bghw=&h=346&w=573&sz=37&hl=en&start=2&tbnid=x8c9fQVuwvM8JM:&tbnh=81&tbnw=134&prev=/images%3Fq%3Dperiodic%2Bacid%2Bschiff%2Bglycogen%26gbv%3D2%26hl%3Den

http://images.google.com.sg/imgres?imgurl=http://www.gladstone.ucsf.edu/gladstone/files/histology/Perls-Prussian-blue-stain.gif&imgrefurl=http://www.gladstone.ucsf.edu/gladstone/site/histology/section/2288&usg=__GqcH8PvwJO0Uffc2OAIeVfzDNgU=&h=331&w=504&sz=44&hl=en&start=7&tbnid=RpRio2w7otbr2M:&tbnh=85&tbnw=130&prev=/images%3Fq%3Dperls%2Breaction%26gbv%3D2%26hl%3Den%26sa%3DX




Cheers,
Zi Shuang
0703383J

5 comments:

  1. Hi

    Can you explain the condition "glycogen storage disease" please?

    Liyana
    0703827F

    ReplyDelete
  2. Hello zi shuang!

    what's hemachromatosis? what is the clinical significance of tat in the cardiac muscles?

    THANK YOU! :D

    Joanna Yeo!
    0702054H

    ReplyDelete
  3. Hi Liyana,

    Glycogen storage disease can be due to defects in glycogen synthesis or breakdown within cell types like muscle and liver.
    there are many different types of glycogen storage disease, ranging from type I to IX.

    In this case, it is type IV whereby there is a deficiency in glycogen branching enzyme which leads to formation of abnormally long unbranched molecules. Accumulation of these molecules can lead to cellular injury and failure of organs.

    ReplyDelete
  4. Hi joanna,

    hemochromatosis is a disease whereby there is accumulation of excess iron in the body, which leads to organ toxicity.
    cardiac iron deposits can occur in secondary hemochromatosis, example, when the patient receive multiple blood transfusions for treatment of anemia. this can in turn result in liver cirrhosis, heart failure and eventually death if untreated.

    ReplyDelete
  5. hi zi shuang!
    what does SRW means?
    nyzah

    ReplyDelete