Haematoxylin and eosin staining

HAEMATOXYLIN AND EOSIN STAINING
  • Why is the staining required
    • Unstained sections appear transparent when seen under the light microscopy as they transmit light. Dyeing or staining is the process where the cell or tissue components are colored using dyes so that the cell constituents, their physical characteristics and relationships of tissue can be studied
  • What is the difference between staining and impregnation
    • Staining is the process where the cell or tissue components combine with active coloring agent. No particulate dye is seen. Tissue remains transparent
    • Impregnation is process where heavy metals are precipitated with selectivity on specific cellular or tissue components. It consists of particulate precipitate. It is used specifically in nervous tissue. Most commonly used impregnation agent is Silver nitrate
  • what is the difference between primary and secondary staining
    • Staining the tissue sections by dye is called primary stain
    • Counter stain with contrast color used to highlight primary stain is called secondary stain.
  • What is direct and indirect staining
    • Direct staining is the process where the tissue are stained by simple dye solution
    • Indirect staining is the process where the dye is intensified by mordants
  • What is the chemical basis of color in dye stuff
    • They consist of certain groupings known as chromophores and quinoid groups which selectively absorb the light rays and cause color to appear
    • Introduction of chromophoric group into an uncolored molecule will cause it to be colored which is then “chromogen” but not dye.
    • For a chromogen to be a dye it must be composed of acid and base and should have salt forming properties
  • What is “Leuco forms”
    • Reduction of colored dye yields a colorless “Leuco” forms owing to hydrogenation of its chromophore
  • Classification of dyes
    • Natural dyes – Hematoxylin, Orcein, Carmine and Saffron
    • Synthetic dyes – Orange G, Sudan, Toluidine blue, Eosin, Phloxine etc
  • Depending upon the properties of dye
    • Basic stains – these substances stain the acidic structures like nuclei eg.
      • Basic Fuchsin (Chloride salt of base Rosaniline)
      • Cresyl violet
      • Crystal violet
      • Azocarmine G
      • Celetsine blue
      • Methylene blue
      • Neutral red
      • Safranine O
      • Toluidine blue O
      • Thionine
    • Acid stain – These substances stain the basic part of the cell eg.
      • Acid Fuchsin consisting of sodium salt of sulfonate of Rosaniline
      • Aniline blue
      • Congo red
      • Eosin y
      • Methyl blue
      • Orange G
      • Picric aid
      • Phloxine
    • Neutral dyes – They contain mixture of both acidic and basic dyes eg. Romanowsky dyes
  • What is progressive and regressive staining
    • Progressive staining – tissue section is stained continuously until desired intensity of coloring of various tissue elements is obtained
    • Regressive staining – Tissue sections are overstained and then excess dye is removed selectively until the desired intensity is obtained
  • What is metachromasia
    • Dye or stain usually stain the tissue to their own color. Certain dyes stain the tissues in different hue or color. This property is called metachromasia
  • Name some metachromatic dyes
    • Dyes having metachromatic properties are
      • Thionine
      • New methylene blue
      • Azure A
      • Azure B
      • Azure C
      • Toluidine blue
      • Crystal violet
      • Methyl violet
      • Safranine
    • What is the cause of metachromasia
      • The property of metachromasia depends upon the property of dye which are cationic
      • Primary color of the dye is the result of monomeric forms (single molecule) in the solution and metachromasia results as these molecules polymerize
      • For example in Toluidine blue, the color of simple molecular solution is blue and as dimers and trimers increase in number it becomes violet. As the basic dye molecules polymerize it gives red metachromatic color.
      • Tissue that exhibit metachromasia are made up of large anionic molecules containing carboxylic acid radicals, sulfate or phosphate group in abundance. These acidic polysaccharides combine with basic dyes as salts. These acidic groups are close enough to permit secondary bonding between dye molecules so that polymerization occurs.
    • What are the types of metachromasia
      • There are 3 types of metachromasia
      • Alpha – type – Color is orthochromatic i.e., similar to that of monomeric form of dye
      • Beta type – color is intermediate owing to the mixture of monomeric and polymeric forms eg. Violet color in Toluidine blue staining
      • Gamma type – color is fully metachromatic due to completely polymerized surface bound dyes (Eg red color in Toluidine blue staining)
    • How to prevent or reverse metachromasia
      • Methylation abolishes metachromasia
      • Sulfation induces metachromasia and it can be effected by placing the hydrated sections in concentrated sulfuric acid for 1 minute. Then the sections are washed and then stained in 0.01% azure A in30% ethanol
    • What is the origin of hematoxylin stain
      • Hematoxylin is a natural dye extracted from the core or log wood of Haematoxylon campechianum.
      • This tree was originally found in State of Campeche in Mexico
      • 10 years old trees are chopped, the bark and sap wood or outer layers are stripped and core or heartwood is cut into logs of 3 feet from which stain is extracted hence term “log wood” is used
    • Who established its use in histology
      • Waldeyer established its use in histology in 1862.
      • Before this dye was used in textile industry for dyeing silks and wool.
    • How is the active dye prepared from log wood
      • Natural extract obtained from logwood is called Hematoxylon which is not active dye
      • Hematoxylon should be oxidized to active coloring compound “Hematein”. During this process hematoxylin loses two hydrogen atoms and gets a quinoid arrangement in one of its rings
    • What is “ripening”
      • Process of oxidation of Hematoxylon to Hematein is called “ripening”
      • Ripening can be done by oxidizing with a chemical agent or by air and sunlight
      • Chemical oxidants are – mercuric oxide, sodium iodate, Potassium permanganate, hydrogen peroxide and calcium hypochlorite
      • Natural oxidation by air and sunlight may take several days for ripening where as chemical oxidation takes shorter time
    • What are the advantages and disadvantages of ripening by natural and chemical oxidation
      • Ripening by natural oxidation is a slow process and takes 3 to 4 months but it retains staining ability for longer time
      • Ripening by chemical oxidation is achieved in shorter time and also have shorter staining ability
    • What is the disadvantage of over ripening
      • Over oxidation or over ripening renders nuclear staining weak
    • What is mordant
      • Mordant are substances which aid in attaching a dye or stain to the tissues
      • Mordants combine as hydroxides with dye by displacing a hydrogen atom from it and their remaining valencies serve to attach or bind the dye mordant complex to the tissue components especially to the phosphate groups of nucleic acids
    • What substances are used as mordants
      • Salts of aluminum, iron, chromium, copper, molybdenum and Vanadium can be used as mordants
      • Alums which are double salts of sodium or potassium or ammonium sulfate crystallized with one molecule of the sulfate salt of trivalent metals like Potash alum (Potassium aluminium sulfate), Iron alum (Ferric ammonium sulfate) and ammonium alum (Aluminum ammonium sulfate)
    • What is “lake”
      • Complex of stain and mordant is called a lake
    • What are accentuators
      • Accentuators are chemical substances which increases the color intensity, crispness, and selectivity of stain
      • They are different from mordants in that they do not link or bind the dye to tissues
      • Examples – phenol in carbolthionine, aniline used in Gentian violet and potassium hydroxide used in Loffler’s methylene blue
    • What is differentiation in staining
      • In regressive staining method excess dye is removed until the right intensity is obtained.
      • This means when excess is being removed, it is cleared from certain cell constituents and some of the constituents retain the stain. This process of selective removal of dye is called differentiation
      • Example – Acid alcohol bath in routine Harris hematoxylin method
      • If the dye is basic then the differentiation is carried by acid solution and for the acidic dye, alkaline medium is used.
    • What are the types of hematoxylins
      • Harris hematoxylin
      • Ehrlich’s hematoxylin
      • Mayer’s hematoxylin
      • Weigerts iron hematoxylin
      • Mallory’s phosphotungstic acid hematoxylin
    • Which type of hematoxylin is routinely used and what is staining method
      • Harris hematoxylin is routinely used as the preparation is easy and has less ripening time
      • Staining method used is regressive staining
    • What is blueing and what agents are used for blueing
      • Blueing neutralizes the excess acid where red soluble haemalum is converted to blue color insoluble form and this sharpens nuclei blue.
      • Alum (eg potassium aluminium sulfate) in watery solutions dissociate such that aluminium combines with –OH of the water forming Aluminium hydroxide.
      • Free hydrogen from water tends to form sulfuric acid by uniting with the sulfate from the alum
      • If excess of acid is present then the aluminium hydroxide cannot form and in such situation, in an alum hematoxylin dye, the insoluble dye lake cannot form because of lack of hydroxyl ions.
      • Acid solutions of alum hematoxylin is reddish in color where as aluminium lake of hematein is blue
      • In blueing,  the sections which have been stained by an alum hematoxylin, the alkaline solution is used for blueing which neutralizes the free acid and makes hydroxyl group available to form insoluble blue aluminium-hematein-tissue lake.
    • What agents can be used for blueing
      • Tap water can be used as it is alkaline
      • Other blueing agents are
        • 1% of aqueous Lithium carbonate
        • 1% of alcohol ammonia
        • Scotts tap water ( Sodium or potassium bicarbonate, 2 to 3.5gms, and magnesium sulfate 20gms, dissolved separately and then combined to make 1000ml with distilled water)
    • During the routine staining when the sections are dipped in acid acohol, pH of sections become acidic and look pink. By placing the sections in Lithium carbonate or tap water which is alkaline, pH will be neutralized  and sections appear blue.
  • How do we prepare Harris hematoxylin
    • This is used as progressive and regressive stain
    • Reagents required
      • Hematoxylin powder – 2.5g
      • Mercuric oxide – 1.25g
      • Ammonium alum – 50g
      • Absolute ethyl alcohol – 50ml
      • Distilled water – 500ml
    • Dissolve hematoxylin powder in absolute alcohol
    • Cover it and keep it at the temperature of 600C for 30 minutes by placing in oven. Stir the solution intermittently so that the powder is dissolved completely in solution.
    • Dissolve the ammonium alum in hot water separately
    • Mix the two solutions and heat to boiling
    • To this add Mercuric oxide powder and put off flame bring it to cool water immediately to avoid the formation of bubbles
    • Mix well and then boil for 1 to2 minutes
    • Later cool the solution and close the container with cotton wool and keep it overnight
    • Next day filter the solution and store in amber colored bottle at cool dry place at room temperature
    • Filter the solution with Whatman filter paper no.1 before using
  • How do you check the quality of hematoxylin
      • Add few drops of hematoxylin to water. The colour of the drop should be purple to blue.
      • If the color of the drop added in water turns red, then the hematoxylin solution can be discarded
  • Which stain is used as counter staining
      • Eosin is used as counter stain which is acid xanthene or phthalein dyes
  • What are the different types Eosins used
      • Eosin Y (yellowish – water soluble)
      • Eosin B (Eosin blue)
      • Eosin S (Ethyl Eosin)
      • Phloxine
      • Erythrosine
  • How to prepare 1% Eosin stock solution prepared
      • 1% Eosin stock solution
        • Eosin Y – 1g
        • Distilled water – 20ml
        • 95% ethyl alcohol – 80ml
      • Working Eosin solution
        • Eosin stock solution – 1 part
        • Ethyl alcohol 80% – 3 parts
    • 15 ml of Glacial acetic acid is added to 100 ml of stain which gives deeper shades
  • How is Aqueous Eosin solution prepared
    • Eosin Y – 5g
    • Distilled water – 100ml
    • Dissolve Eosin in water and if deeper tone is required add 5cc of Glacial acetic acid to 100cc of stain solution
  • What are the reagents used in preparing Mayer’s haematoxylin
    • This is used in progressive staining method
    • Reagents
      • Hematoxylin -1g
      • Ammonium or Potassium alum – 50g
      • Distilled water – 1000ml
      • Sodium iodate – 0.2g
      • Citric acid -1g
      • Chloral hydrate – 50g
    • Preparation of stain –
      • Hematoxylin is dissolved in distilled water by heating gently
      • Add alum and dissolve it by shaking
      • Add sodium iodate and citric acid
      • Later add chloral hydrate
    • Stain should be used with in 1 to 2 weeks
    • Stain the slides for 1 to 5 minutes and then wash thoroughly in tap water for blueing
  • What is the composition of Ehrlich’s haematoxylin
    • This is used as regressive stain
    • Reagents
      • Haematoxylin – 2 g
      • Absolute alcohol – 100ml
      • Distilled water – 100ml
      • Glycerol – 100ml
      • Glacial acetic acid – 10ml
      • Potassium alum in excess – approximately 15g
    • Stain is ripened by either natural method or by adding sodium iodate.
  • Why is glycerol added to hematoxylin
    • Glycerol acts as stabilizer, prevents over oxidation and reduces evoparation
  • How do you prepare 1% of acid alcohol
    • 1ml of Hydrochloric acid is mixed in 99ml of 70% alcohol
  • What are the steps in routine Haematoxylin and Eosin staining
    • This is regressive method of staining where haematoxylin stains nuclei and eosin stains cytoplasm
    • Steps of staining
      • Immerse the sections in Xylene –  2 – 3min
      • Immerse in second xylene bath – 2-3min
      • Immerse in the absolute ethyl alcohol- 2minutes
      • Immerse in the absolute ethyl alcohol- 2minutes
      • Rinse the section in running tap water – 1minute
      • Stain in Harris hematoxylin – 4 to 8 minutes
      • Differentiate by dipping 3 to 4 times in 1% acid alcohol – 3 – 10 seconds
      • Blueing in running tap water -5 minutes
      • Place it in blueing agent (Scotts tap water or 1% Lithium carbonate)- 2- 3 minutes
      • Rinse in running tap water – 1 minute
      • Dehydrate by passing through 3 to 4 baths absolute ethanol – 10-20 seconds (in each bath)
      • Pass through two baths of xylene – 10 – 20 seconds (in each bath)
      • Mount with DPX
    • Result
      • Nuclei – blue
      • Cytoplasm – pink
      • Bone and calcium – Blue
      • Erythrocytes, muscle, eosinophil granules – bright red
      • Proteins in edema fluid –pale pink
  • How do you restain the slides
    • Slides are dipped in xylene for 1 -2 days to remove the cover slip
    • After removing the coverslip, slides are rinsed in fresh xylene till the mounting media is removed
    • Tissue sections are dipped in 1%acid alcohol until it is colorless
    • Slides are washed in running tap water for 30 minutes to remove acid alcohol
    • Slides are stained routinely
  • What is the composition of Weigert’s iron hematoxylin
    • This is progressive stain
    • Solution I
      • Haematoxylin – 1g
      • Absolute alcohol – 100ml
    • Solution II
      • 30% aqueous solution of ferric chloride – 4 ml
      • Distilled water – 100ml
      • Hydrochloric acid – 1ml
    • Put the solution I in test tube then add equal parts of solution II and mix before use
    • Stain for 2 to 10 minutes and then rinse in distilled water
    • It can used in conjunction with Van Gieson Stain as counter stain
    • It is useful demonstrating connective tissue elements and Entamoeba histolytica in sections
    • This is the best nuclear stain
  • What is the composition of Mallory’s Phosphotungstic acid hematoxylin (PTAH)
    • Phosphotungstic acid 10% – 20ml
    • Haematoxylin 10% alcoholic – 1ml
    • Distilled water – 80ml
    • Preparation of stain – Mix them and add 5ml of 1% of potassium permanganate for ripening
    • Results –
      • Nuclei, mitochondria, fibrin, alcoholic hyaline, contractile portions of heart muscle and striated muscle, neuroglial fibrils – blue
      • Bone, ground substance of cartilage, reticulum and elastin – yellow –orange to brownish red
  • Which type of haematoxylin is used demonstrating striations of cardiac and voluntary muscle
    • Mallory’s Phosphotungistic acid haematoxylin
  • Which substance can be used as substitute for haematoxylin
    • Celestin blue
    • Mayer haemalum
    • Iron Alizarine blue
Reference 
  1. Christopher Layton, John D. Bancrofti, S Kim Suvarna. Fixation of Tissues. In: Theory and practice of histological techniques by John D. Bancrofti . 8th edition.
  2. Cullings. Histotecniques. In: Lynch Medical Laboratory technology by Mathew J. Lynch, Stanely S. Raphael. Saunders publication 1983
  3. Dr. Ganga S. Pilli. Practical Pathology.2007  
  4. Sabitri Sanyal, Aparna Bhattacharya.Clinical Pathology A practical Manual. 3rd edition. 2017. 
  5. Ann Preece. A manual for Histologic Technicians. First edition. chapter 12. 1961. 102 -110 
  6. Ujjwala Joshi, Manisha Kulkarni. Manual of Histotechnology. second edition.2018;chapter 8:73-86
By
  • Dr. V. Shanthi (Professor of Pathology, Narayana Medical College, Nellore)
  • Dr. B. Syam Sundara Rao (Professor of Pathology, Narayana Medical College, Nellore)