Mallory's Connective Tissue Stain Following Hematoxylin

The following combination of hematoxylin with Mallory's connective tissue stain is useful in bringing out nuclei as well as in differentiating tissue:

Slightly overstain in Mayer's hematoxylin (50 g. potassium alum and 0.2 g. sodium iodate added to 1 liter 0.1% aqueous hematoxylin). Wash; and stain 30 seconds to 1 minute in 0.04% aqueous acid fuchsin-Stain 4 minutes in: 0.5 g. anilin blue and 2 g. orange G dissolved hi 100 cc. of 1% aqueous phosphomolybdic acid. Pass thru 95% alcohol to absolute; clear in xylol and mount in balsam.     

Adaptation of Mallory's Trichrome Stain to Embryonic and Fetal Material

Based upon results of an investigation of the role of phosphotungstic acid in connective tissue staining, the Mallory trichrome stain was adapted to sequential application of all three dyes, thus making it usable on embryonic and fetal material. Ten to twelve day postconception mouse fetuses were formalin fixed and paraffin embedded. Staining was as follows: (1) 1% aqueous acid fuchsin for 5 min followed by not more than 30 sec in running tap water; (2) 2% aqueous phosphomolybdic acid (PMA) for 10 min followed by a 2 min running tap water wash; (3) staining in 0.5% aniline blue in 8% acetic acid for 10 min, followed consecutively by 30 sec in running tap water, 2% aqueous PMA for 2 min, and 30 sec in running tap water; (4) 2% orange G in 8% acetic acid for 5 min, and rinsing for 30 sec in running tap water. Dehydration in ethanol, t-butanol, acetone, or by blotting followed by 1:3 terpineol-xylene, clearing in xylene and mounting, completed the procedure. The 30 sec tap water rinses can optionally be replaced by 1-2 min in 8% acetic acid. Sections can be made redder by increasing acid fuchsin staining time, or increasing time in the first PMA; red can be decreased by decreasing staining time, increasing time of the 2 min tap water wash, or decreasing time in the first PMA. Blue or orange staining can be increased or decreased by varying staining times in these solutions. Sharper differentiation may be obtained by increasing the time in PMA.     

A Modified One-Step Trichrome Stain for Demonstration of Fine Connective Tissue Fibers

Gomori's one-step trichrome procedure was modified to improve coloration of fine connective tissue fibers. Paraffin sections from tissues fixed in alcohol, acetone, Zenkerformol, 10% formalin, Kaiserling's or Carnoy's fluid were mordanted 1 hr at 56 C in Bouin's solution, stained 1 min in a trichrome solution (chromotrope 2R-phosphomolybdic acidaniline blue WS) adjusted to pH 1.3 with HCl, rinsed in 1% aqueous acetic acid, dehydrated and covered. Collagen, reticulum fibers, basement membranes, ring fibers around splenic sinuses, intercalated discs in cardiac muscle and cartilage were colored blue. Nuclei, cytoplasm, fibrin, muscle fibers and elastic fibers were stained red. Pretreatment of sections with Bouin's solution enhanced the affinity of tissues for chromotrope 2R and was found essential for satisfactory coloration of material fixed in alcohol, acetone, formalin or Carnoy's fluid. Because this method does not require differentiation, it gave uniform results even in the hands of inexperienced laboratory trainees. No fading was observed in sections stored for more than 8 yr.     

Simultaneous Demonstration of Connective Tissue elastica and Fibrin by a Combined Verhoeff's Elastic-Martius-Scarlet-Blue Trichrome Stain

A method for the routine combined demonstration of elastica, connective tissue in general, and fibrin is described. Elastica, stained blue-black by Verhoeff's iron hematoxylin, is contrasted with muscle and collagen, stained red and blue or green respectively, by a modification of the Martius-scarlet-blue (MSB) trichrome for fibrin of Lendrum et al. The MSB technique selectively stains fresh, mature and old fibrin orange-yellow, red and blue respectively; the Masson trichrome does not distinguish between erythrocytes and fibrin. Nuclei are stained at the same time as the elastica. The technique takes approximately one and a half hours and is ideal for the study of connective tissue and vascular pathology, especially the necrotizing vasculitides.     

Periodic-Acid-Foot Stain for Connective Tissue

A marked increase in reticular argyrophilia may be obtained in the Foot ammoniated silver carbonate technic by interposing a strong periodic acid oxidation, 4% aqueous for 2 hours at 25-27°C., prior to silvering. Sections so oxidized before the silver bath show a histological picture of connective tissue that is stronger than that given by the original technic. Stroma of lymphoid tissues (but not other types) is further intensified by brief (5-10 sec.) passage through aqueous 1.5% uranium nitrate after oxidation but before silver impregnation. The specific action of periodic acid (cleavage of the 1,2-glycol linkage to produce aldehyde radicals) strengthens the premise that the carbonyl radical plays an important part in the phenomenon of connective tissue argyrophilia.     

Adaptations of Goldner's Masson Trichrome Stain for the Study of Undecalcified Plastic Embedded Bone

Specialized adaptations for application of Goldner's Masson trichrome stain to plastic embedded undecalcified bone specimens are presented. This stain can be used successfully on methyl-glycol methacrylate, glycol methacrylate and Spurr embedded bones. The stain affords the advantage of good cellular staining due to the hematoxylin component with concomitant sharp discrimination of mature bone matrix which stains green, immature new bone matrix which stains red, and calcified cartilage which stains very pale green. Use of red filters during photomicrography aids in bone-osteoid discrimination in black and white photographs.     

Further Experimentation with A New Differential Staining Method for Connective Tissue Combined with the Ordinary Hematoxylin-Eosin Stain

There appeared recently in the University of Oklahoma Bulletin an article by Jos. M. Thuringer¹ describing a new differential staining method for connective tissue. Dr. W. J. Baumgartner suggested to the writer that she undertake to stain a series of sections using the method described by Mr. Thuringer. We wished especially to test this method in order to determine if it could be introduced into the course in technic as one of the routine stains for connective tissue.     

Further Studies on a Modification of the Gram Stain

In perfecting the modification of the Gram-stain previously proposed, the following points are of interest:

1. Acetone is too strong a decolorizer for Gram-positive organisms and alcohol too weak for Gram-negative organisms. Consequently, it is now recommended that equal parts of acetone (100% c.p.) and ethyl alcohol (95%) be used as a decolorizing agent. The time of application should not ordinarily exceed 10 seconds.

2. Aqueous basic fuchsin (0.1%) serves as a strongly contrasting counterstain. Prolonged application renders Gram-positive organisms doubtful or Gram-negative, while short application renders Gram-negative organisms doubtful or Gram-positive. Twenty (20) seconds is therefore recommended as the time of application of the counterstain.

3. The method here described, with due regard for its limitations, is of value in Gram-staining pure or mixed cultures as well as for organic materials, such as Acidophilus milk, feces, etc., either for research purposes or classroom use. The method is as follows:

Air-dry film and fix with least amount of heat necessary.

Flood with dye for 5 minutes. Previously mix 30 drops of a 1% aqueous solution of crystal violet or methyl violet 6B with 8 drops of a 5% solution of sodium bicarbonate. Allow the mixture to remain for 5 minutes or more.

Flush with iodine solution for 2 minutes. Two grams iodine dissolved in 10 cc. normal sodium hydroxide solution and 90 cc. water added.

Drain without blotting but do not allow film to dry.

Add a mixture of equal parts of acetone and alcohol drop by drop until the drippings are colorless. (10 seconds or less.)

Air-dry slide.

Counterstain for 20 seconds with 0.1% aqueous solution of basic fuchsin.

Wash off excess stain by short exposure to tap water and air-dry. If slide is not clear immersion in xylol is recommended.     

Acid Fuchsin as a Connective Tissue Stain After Phosphomolybdotungstic Mordanting

Certain acid fuchsias stain connective tissue deep red after phosphomolybdotungstic mordanting in a modified Masson procedure, others are entirely unsatisfactory for mis purpose. Spectrophotometric examination gives no reliable criteria for separation of acid fuchsins satisfactory for this purpose from unsatisfactory ones. Sulphonation of basic fuchsin with 3.5 to 4 parts of 25-30% fuming H₂SO₄ to 1 part of dye gives a satisfactory product at temperatures as low as 65 to 70°C. in 30 minutes, while use of 5 to 7.5 parts of acid at this and at higher and lower temperatures gives unsatisfactory products. Satisfactory products may be produced with 15% fuming H₂SO₄ in similar quantities, and even with concentrated H₂SO₄, but some unconverted basic fuchsin remains with both and, with the latter, lower quantities give unsatisfactory products. Brief chemical studies indicate that oversulphonation may occur in the manufacture of acid fuchsin and that this is just as deleterious as undersulphonation.     

A Combined Connective Tissue Stain for Elastin, Reticulin and Collagen

A staining technique for demonstrating reticulin, elastin and collagen in the same tissue sections is based upon the use of a silver stain for reticulin, orcein for elastin and picro-anilin blue or fast green for collagen and other tissue structures.     

Modified Whipf's Polychrome: A Connective Tissue Stain with Special Application for Demonstrating Leishmania

A polychrome stain procedure was developed to demonstrate amastigotes of the protozoan parasite Leishmania braziliensis as well as cytoplasmic and other tissue components in cutaneous lesions of infected animals. The procedure is as follows: stain nuclei for 10 minutes with an iron hematoxylin containing 0.5% hematoxylin and 0.75% ferric ammonium sulfate dissolved in 1:1 0.6 N H₂SO₄:95% ethanol; rinse 4 minutes in distilled water. Cytoplasmic staining is achieved by exposing tissues for 10 minutes to a solution containing 0.25% Biebrich scarlet, 0.45% orange G, 0.5% phosphomolybdic acid and 0.5% phosphotungstic acid in 1% aqueous acetic acid. These first two solutions are modified from Whipf's polychrome stain. Sections are differentiated for 10 seconds in 50% ethanol, rinsed in water, stained 3 minutes in 0.1% aniline blue WS in saturated aqueous picric acid, rinsed in water and differentiated for 1 minute in absolute ethanol containing 0.05% acetic acid. Mordanting overnight in 6% picric acid in 95% ethanol produced optimal results.

This procedure was applied to sectioned material from experimental animals with various protozoa. Trypanosoma cruzi, Besnoitia Jellisoni, Toxoplasma gondii and especially Leishmania braziliensis were well demonstrated. Combining cytoplasmic dyes and phosphomolybdic-phosphotungstic acids into one solution afforded differential staining of tissues by Biebrich scarlet and orange G; connective tissues were stained by this solution. Substantially improved definition of connective tissues resulted after counterstaining. This procedure differs from the Massou sequence in which connective tissues are first stained by cytoplasmic dyes along with other tissues and then destained prior to specific counter-staining. in comparing dyes structurally related to Biebrich scarlet, it was found that Crocein scarlet MOO, but not Poncenu S, was an acceptable substitute. Sirius supra blue GL and Sirius red FSBA were not useful as replacements for aniline blue WS in this procedure.     

Hexachrome Modification of Movat's Stain

A less than three-hour hexachrome modification of Movat's pentachrome stain is described, its various steps discussed, and its principal uses in histopathology presented. The hexachrome procedure consistently yields good results, with excellent and colorful differentiation of muscle, various connective tissue components, mucinous secretions and intra-cytoplasmic structures in human and animal tissues obtained surgically or at autopsy. Alternative abbreviated procedures for muscle-connective tissue differential staining and for study of nuclear detail are also described.     

A Modification of the Tannic Acid Phosphomolybdic Acid-Dye Stain for Demonstrating Myoepithelial Cells in Formalin Fixed Tissue

A modified tannic acid-phosphomolybdic acid-dye procedure is used for staining myoepithelial cells in formalin fixed surgical and autopsy material. Paraffin section are brought to water, mordanted for 1 hr in Bouin's fixative previously heated to 56 C, cooled while still in Bouin's, rinsed in tap water until sections are colorless, rinsed in distilled water, treated with 5% aqueous tannic acid 5-20 min, rinsed in distilled water 30 sec or less, treated with 1% aqueous phosphomolybdic acid 10-15 min, rinsed 30 sec in distilled water, rinsed in methanol, stained 1 hr in a saturated solution of amido black or phloxine B in 9:l methanol:acetic acid, rinsed in 9:l methanol:acetic acid, dehydrated, cleared and mounted. Myoepithelial cells of sweat, lacrimal, salivary, bronchial, and mammary glands are blue-green with amido black or pink with phloxine B. Fine processes of myoepithelial cells are well delineated. Background staining is minimal and the procedure is highly reproducible.