The role of the blood-brain barrier in perfusion fixation of the brain for electron microscopy

Synopsis Regions of the brain vascularized by capillaries of the blood-brain barrier (BBB) type require a different fixative from regions which have capillaries of the endocrine type. Fixative with isotonic buffer gives excellent ultrastructural preservation in the BBB regions, but causes severe shrinkage of cells in the endocrine regions. This is evidently due to the difference in the permeability of the capillary walls to solutes in the fixative. In the BBB regions the less perimeable capillaries do not allow outflow of osmotically active particles to a harmful extent, whereas in the endocrine regions osmotic imbalances are created between the intra-and extracellular compartments.The diffusion rate of the fixative and the final volume of the fixed brain depend on the balance between the intravascular and interstitial hydrostatic and oncotic pressures across the capillary wall during the perfusion fixation, as those pressures regulate the amount of perfusate that will enter the parenchyma. Generally, as high a perfusion pressure as possible is recommended to obtain effective wash-out of blood and rapid diffusion of dixative into the tissue. Addition of macromolecules (2% PVP, mol. wt. 40000) into the fixative slightly improved the ultrastructural preservation in the BBB regions of the centrel nervous system.