JPCS Vol(1) ● April-June 2011 www.arpapress.com/Volumes/JPCS/Vol1/JPCS_1_04.pdf A NEW HAEMATOXYLIN STAIN FOR THE DEMONSTRATION OF NUCLEAR AND EXTRA NUCLEAR SUBSTANCES Sina Iyiola1,* & Godwin Avwioro2 *Email: [email protected], Tel: 2348066003863 1 Department of Histopathology, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria 2 Faculty of Basic Medical Science, Delta State University, Abraka, Nigeria ABSTRACT Haematoxylin is the most important and most used dye in histology, histochemistry, histopathology and in cytology. Several haematoxylin staining techniques exist, based on their mode of preparation and their action on tissues. The improved method of preparation of alum haematoxylin stain described here was to add to the compendium of existing methods. 1g haematoxylin, 50g ammonium alum, 1g citric acid, 0.15g sodium iodate and 50ml glycerine were boiled in 1000ml distilled water. The resulting mixture was used to stain sections of kidney, liver, intestine, lung, intestine and the heart, and counter stained with aqueous eosin according to the standard technique. The result was compared with standard haematoxylin and eosin techniques using Ehrlich's, Mayer's, Cole's, Harris, Delafield's and Carazzi's haematoxylin as the nuclear stain. No difference was noticed microscopically between the improved haematoxylin and the existing techniques. The major advantages of the improved technique are in its usage. It has the ability to stain progressively and regressively depending on the staining time. There is also absence of scum on the surface of the stain when it was left unused for several weeks. Therefore, filtration for the removal of scum which is necessary in certain haematoxylin preparations is not necessary in the improved technique. Key words: Haematoxylin, histochemistry, staining, histology 1. INTRODUCTION Haematoxylin has been used extensively in cytology, histology, histopathology and histochemistry [1]. Its most important use in histopathology is as a nuclear stain for the diagnosis of malignant lesions. It has also been used for the diagnosis of non malignant lesions. Being able to stain several intracellular and extracellular substances makes it an indispensable dye in the histology laboratory [2]. Haematoxylin is obtained from the logwood, haematoxylon campechianum [3]. The crude product is obtained from the milled heartwood by hot water or steam, purified by ether extraction, dried and recrystallized from water [4,5,6]. Alternatively, the aqueous extract is precipitated from solution with urea [7]. Haematoxylin has also been prepared synthetically [8], but the natural dye is mostly used. Haematoxylin has to be oxidized to haematein [5,9] before it can be used as a stain. The oxidation process can be achieved naturally and artificially. In the natural process, prepared haematoxylin solution is exposed to air and sunlight for 6 to 8 weeks before it is used [10]. The advantage of the natural process of oxidation is that the solution lasts longer because oxidation is slow and gradual. Fig. 1 Haematoxylin C16H14O6 20 Haematein C16H12O6 JPCS Vol(1) ● April-June 2011 Iyiola & Avwioro ● Demonstration of Nuclear and Extra Nuclear Substances In the artificial process of oxidation, oxidising agents are added to the solution of haematoxylin to convert it to haematein and the solution may be used immediately, although with a shorter life span because dye solution is quickly over oxidized. Haematein cannot stain a tissue unless a mordant is incorporated into the solution of the dye [11,12]. A mordant is a metallic salt, which acts as a bridge between the stain and tissue enabling staining to take place [1]. The colour of the end product depends on the type of mordant used. Iron alum is black, potassium alum is blue while salt of tin is red [2]. Examples of alum haematoxylin are Ehrlich's [13], Mayer's [14], Cole's [15], Harris [16], Delafield's [17] and Carazzi's [18] haematoxylin. Weigert's [19], Verhoeff's [20] and Heidenhain's haematoxylin are examples of iron haematoxylin [21]. Haematoxylin may be used progressively where differentiation is not required or regressively where differentiation is required [1]. It has been used extensively either as a primary stain or as a counter stain for the demonstration of several substances such as lipoproteins [22], myelin [23,24], phospholipids and cytoplasmic granules in B cells of the anterior pituitary, pancreatic islet [25], collagen [26,27], neural tissue [28]. fatty acids [22,29], mitochondria [30], amyloid [28,31], glycogen [30], mucin [32], phospholipids [33], astrocytes, myoglia and fibroglia [14] microfilaria and amoeba [34], chromosomes, chromatin, nucleoli, mitochondria, centriole, cross striations of muscle fibers [21], fibrin [35], lead, copper and iron [36], immunohistochemstry for The demonstration of tissue antigens [37,38] and in cytology [16,35]. The objective of this study was to add to the compendium of existing alum haematoxylins, an improved scum free alum haematoxylin stain for the rapid diagnosis of malignant and non malignant lesions as well as for the demonstration of intracellular and extracellular substances. 2. MATERIALS AND METHODS Six different alum haematoxylin solutions were prepared as controls; Ehrlich's alum haematoxylin [15] (Haematoxylin 6g, absolute alcohol 300ml, distilled water 300ml, glycerol 300ml, glacial acetic acid 30ml and ammonium alum to saturation), Harris alum haematoxylin [35] (Haematoxylin 2.5g, absolute alcohol 50ml, potassium alum 50g, distilled water 500ml, mercuric oxide 1.5g and glacial acetic acid 20ml), Mayer's haemalum [34] (Haematoxylin 1g, distilled water 1000ml, ammonium alum 50g, sodium iodate 0.2g, citric acid 1g and chloral hydrate 50g), Cole's haematoxylin [17] (Haematoxylin 1.5g, 1% iodine in 95% alcohol 50ml, saturated aqueous potassium alum 700ml and distilled water 250ml), Gill's haematoxylin [39] (Haematoxylin 2g, distilled water 730ml, ethylene glycol 250ml, sodium iodate 0.2g, aluminium sulphate 17.6g and glacial acetic acid 20ml) and Carazzi's haematoxylin [18] (Haematoxylin 0.5g potassium iodate 0.01g, potassium alum 25g, glycerol 100ml, distilled water 400ml). Tissues, 3 mm thick were obtained from the kidney, liver, intestine, lung, intestine and the heart. They were fixed in 10% formol saline for 24 hours and processed by the paraffin wax method through ascending grades of alcohol for 2 hours each, two changes of xylene for 2 hours each, two changes of paraffin wax at 70ºC for two hours each. Tissues were subsequently embedded in paraffin wax at about 70ºC. 10 serial sections of 3µ thick were cut from each of the tissues with the rotary microtome. 6 sections from each block were stained with haematoxylin and counter stained with 1% aqueous eosin according to the methods of Ehrlich, Harris, Mayer, Cole, Gill and Carazzi. Another haematoxylin solution was prepared as follows: Table 1 Iyiola and Avwioro’s haematoxylin Heamatoxylin 1g Citric acid 1g Ammonium alum 50g Glycerine 50ml Distilled water 1000ml Sodium iodate 0.15g The reagents were added to about 500ml of distilled water, mixed and made up to 1000ml with distilled water. The mixture was boiled, removed from flame and sodium iodate added immediately and mixed gently. The mixture which turned deep red was cooled rapidly in running water. The remaining four sections were stained with the prepared haematoxylin for 2, 5, 10 and 20 minutes and counter stained with eosin according to the standard method. 3. RESULTS Similar staining reaction was observed when the new haematoxylin stain was used on the different sections and compared with existing alum haematoxylin of Ehrlich, Harris, Mayer, Cole, Gill and Carazzi. Several intracellular and extracellular substances were stained in different shades of blue. Malignant cells were well differentiated from non malignant cells when the stain was counter stained with eosin. Sections stained well between 2 minutes and 20 21 JPCS Vol(1) ● April-June 2011 Iyiola & Avwioro ● Demonstration of Nuclear and Extra Nuclear Substances minutes and differentiation was not necessary when it was applied onto sections for less than 10 minutes. Scum which frequently forms on the surfaces of some haematoxylin solutions when they are left unused for a few days was not observed in this preparation. The alum haematoxylin was used immediately after preparation of the stain. The active staining ingredient was haematein obtained from oxidation of the heamatoxylin. The mechanism of staining was through indirect method with the ammonium alum acting as the mordant. 4. DISCUSSION Sections stained well between 2 minutes and 20 minutes and differentiation [1] was not necessary when the new haematoxylin stain was applied onto sections for less than 10 minutes. This means, it can be used as both a progressive stain and as a regressive stain. Therefore, it has combined the advantages of a progressive stain [35] and a regressive stain [15]. The oxidizing agent which it contains enables its usage immediately after preparation which makes it similar to Harris’s [35], Mayer’s [34] and Cole’s [17] haematoxylin. It is a good companion for rapid diagnosis of diseases being able to stain tissues very well within 2 minutes as a progressive stain. Generally haematoxylin is the most important and most used dye in the medical laboratory being able to differentiate malignant cells from non malignant cells makes it an excellent tool in the diagnosis of diseases affecting tissues. Its ability to stain several intracellular and extracellular substances in shades of blue to black also makes it very useful in histochemistry and histology [34,17]. We have found this quality in the new haematoxylin stain. The stain keeps well like the other haematoxylin stains which contain oxidants but a major advantage of the new haematoxylin is that it does not form a scum when it is stored making filtration unnecessary before usage. The active staining ingredient was haematein obtained from oxidation of the heamatoxylin. The citric acid helped to sharpened the nuclear staining, while the mordant was ammonium alum. The glycerine was the stabilizer, while immediate oxidation of haematoxylin to haematein was achieved with the addition of sodium iodate. Water was the solvent in which the reagents were dissolved. The mechanism of staining was through indirect method with the ammonium alum acting as the mordant. We have not experimented on the use of this dye as a counter stain on specific methods such as in the demonstration of lipids, carbohydrates and immunohistochemical procedures [1]. 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