2. Outline of Topics in this
Presentation:
Purpose/need to stain tissue under the microscope
Nature of Hematoxylin dye/oxidation
Mordant-dye-lake concept
Different Hematoxylin formulas/mordant
Summary of Hematoxylin staining theory
Progressive v. Regressive staining
Differentiation
Bluing
Counterstaining- the nature of Eosin dye
Overview of H&E procedure
Each step in more detail
Automatic v. Hand-staining
Quality control
3. The Need to Stain:
Visualizing Tissue Elements
The constituents of tissue are mostly transparent
and are visible under the microscope without
staining only when extreme differences in
refractive index exist (RI of unstained tissue =
1.53-1.54)
“Biological dyes” - highlight and differentiate
tissue components and allow them to be
seen under the microscope
H & E staining is the general tissue stain most
commonly used in all histology laboratories
4. Hematein and Hematoxylin
Hematoxylin is a natural dye extracted from the
wood of the haematoxylin campechianum, a type
of logwood tree.
It is sold commercially as a mixture of
Hematoxylin with other added chemicals
The active dye is not Hematoxylin itself, but
rather Hematein
Hematoxylin can be considered as the dye
precursor, and Hematein the oxidation product
which acts as the active dye source
Hematoxylin can be considered a basic dye that
will stain acidic tissue components such as
nucleic acids (Basophilic)
5. Continuous Oxidation In Progress
Hematoxylin solutions have a definite “shelf-life” and inferior
staining will result from overusing the solution. Hematein,
which further oxidizes to a dark precipitate in this continuous
process eventually exhausts the stain
Air exposure will cause oxidation, chemical oxidizers may also
be used to speed oxidation to Hematein; such as sodium
iodate, or potassium permanganate
You may wonder why a solution of Hematoxylin is used instead
of the active Hematein; this is so that the supply of active dye
may be replenished by the Hematoxylin and the “shelf-life” of
the solution is extended
However despite this, there will always be some of the final
oxidation product of Hematein, which forms a dark precipitate
This must be removed by filtering before use or it will deposit
on the final slides.
6. Mordant Required
Hematein is a weak basic dye that requires a
mordant to help link it to the desired tissue
elements
A mordant is a metal with a valence of at least
two. (2+ charge)
A mordant links the dye to the tissue by means
of a covalent and coordinate bond (chelation)
The chelate is the complex formed from a
mordant and a dye and is referred to in histology
as a lake
Metal salts often used as mordants in histology
include; iron and aluminum
7. Chemical Structures:
Hematoxylin & Hematein
Hematoxylin Hematein
DNA and RNA stain by forming salt unions with the basic dye molecule;
This attachment is dependant on the chelate formed by dye-mordant
complex.
Note: Oxidation (loss of electron) is demonstrated by the loss of hydrogen and
its electron from the Hematoxylin structure
8. A diagram showing how a mordant can be used to
link the dye molecule to selected tissue elements
A Mordant-Dye “lake” using aluminum
The mordant allows attachment where otherwise
there would only be a weak affinity
The colored property of the dye (chromophore)
allows visualization of the site under the
microscope.
9. Some Frequently Encountered Hematoxylin
Formulas and their most common uses:
Aluminum mordant: includes Harris, Mayer’s, Erhlich’s, &
Delafield’s
Iron mordant: Weigert’s, Lillie’s, & Heidenhain’s
Iron Hematoxylins such as Weigert’s using a mordant such
as ferric chloride are stable only a short time due to the
oxidation strength of this mordant
Iron Hematoxylins are used in techniques where aluminum
Hematoxylin would be decolorized by subsequent steps in
the procedure
Aluminum Hematoxylins are most often used for routine
staining because decolorization in succeeding steps is not
an issue, and the stability is greater due to less propensity
for rapid oxidation making them more practical for
extended use
10. To Summarize:
Hematein alone has a weak affinity for
tissue elements
For effective staining of nuclear material
with Hematein you must have:
A mixture of Hematoxylin/Hematein-the
dye precursor and active dye to replenish
the active dye as oxidation occurs
A mordant, such as an aluminum or iron
salt to link the dye to the nuclear material
A solvent, such as water in which to
dissolve the dry powder dye which acts as
a carrier of the dye
11. Additional Ingredients Added to Many
Hematoxylin Solutions and their Functions
Oxidizing agents to convert the precursor
hematoxylin to hematein
Acids to adjust pH, to extend shelf life
Stabilizers to control the rate of oxidation
Additions to the solvent to retard
evaporation and precipitation
Additions such as glycerin, which retard
over-oxidation and discourage fungal
growth
12. Progressive vs. Regressive
Hematoxylin Methods:
Nuclear staining using Hematoxylin may be accomplished
using progressive or regressive staining techniques
Some commonly used Hematoxylin formulas are most
often used in either a progressive or regressive fashion
However, most Hematoxylins may be used progressively
or regressively in various techniques
Exception:
Iron mordant Hematoxylins are often preferred for special
staining techniques; being less resistant to decolorization
13. Progressive Staining
Progressive staining just means that the tissue is
left in the staining solution just long enough to
reach the desired endpoint
Frequent monitoring of stain quality may be
needed to determine when staining is complete
The staining intensity is controlled by the time it
is immersed in the solution
An example of progressive staining is H& E
staining of frozen sections using Gill’s
Hematoxylin
14. Regressive Staining
Regressive staining involves deliberate
over-staining where the dye completely
saturates all tissue elements
The tissue is then selectively de-stained
using a process called differentiation
Harris Hematoxylin is popularly used
regressively in many histology labs for
routine H & E staining
Regressive staining is often preferred
when very clear differentiation of tissue
elements is desired
15. Differentiation is Selective De-staining:
Differentiation is achieved by using a dilute acid, most
typically acid alcohol
In a well-stained slide, only the nuclei, calcium deposits
and some mucins will be stained by the hematoxylin
Differentiation is affected because the ions in the
differentiating solutions diffuse more rapidly than the dye
molecule releasing loosely attached dye
The solution will also remove the dye more easily from
some tissue elements than others (specificity)
Differentiation is halted by washing in water when the
desired endpoint is reached
Note: with all Hematoxylin staining methods, progressive
or regressive, the endpoint is the same
16. Bluing
The nuclei will be stained the purplish
color of the acid dye
Shifting the color range to blue provides a
much better contrast to the usual pinkish-
red counter-stains
Bluing is the process of shifting the color
from reddish to purple blue by the
application of a weak alkaline solution
Bluing is utilized in both progressive and
regressive techniques
17. Two Bluing Methods
1. The slides may be dipped into a weakly alkaline
solution such as ammonia water
2. The slides may also be washed in tap water,
which may be slightly acid (pH 6.0-6.8) but this is
still more alkaline than the Hematoxylin (pH 2.6-2.9)
so bluing still occurs
Note: differentiation of the nuclei was accomplished
by the acid alcohol and halted by previous water
rising, so bluing is not needed for differentiation of
the nuclei, only color shift
18. Next we will look at the
Eosin Counter-Stain
Eosin counter-staining is used to
demonstrate the general architecture of
the tissue and to provide contrast to the
now stained nuclei
Eosin is an acid dye that binds to the
basic parts of the cell, i.e. the cytoplasm
(Acidophilic)
An optimal Eosin stain will stain the
cytoplasm and other tissue elements in
three shades of pink
19. Considerations in the Application of the Eosin
Counter-stain:
A mordant is not required
The endpoint is not as sharp
The shade of the color is important to provide
optimal contrast, and it can be adjusted by
adding Acetic Acid which will make it redder
A too highly concentrated Eosin solution (dye
density); will cause a blurring of the distinction
between nuclear and non-nuclear elements
The solvent most commonly used solvent is 95%
alcohol, so Eosin can be decolorized slowly by
leaving the slides too long in alcohol solutions,
weakening the color (undesirable)
20. Eosin: The Chemical Structure
The carboxylic salt present lends Eosin it’s acid character
21. Let’s review:
We have been focusing on the dyes used
in H&E staining
We have looked at some of the different
steps in the H&E procedure and their
functions
Now we will review the whole staining
procedure as a whole
We will see how all of the steps work
together to create a well-stained slide
22. Major Steps in the Routine H & E
1. De-paraffinization-(removal of paraffin wax using
xylene)
2. Hydration-(graded alcohols to water)
3. Nuclear staining-using Hematoxylin
4. Differentiation-Acid alcohol
5. Bluing-Ammonia Water
6. Counterstaining-using Eosin
7. Dehydration-(application of graded alcohol to
100% alcohol)
8. Clearing-Xylene (transition from alcohol to non-
aqueous reagents)
9. Note: Water-rising steps are not shown
23. Step 1: De-Paraffinizing
The slides have usually been heated before
staining to help bind the tissue to the glass slide
and melt away excess paraffin
However, some paraffin still remains and must
be removed so that the aqueous solution may
reach and penetrate tissue components
This is accomplished by submersion in an organic
solvent such as xylene or a xylene substitute,
which dissolves and removes the remaining wax
The xylene must then be removed by
concentrated alcohol since it is also not miscible
with aqueous solutions
24. Step 2:Hydration
The slides are then immersed in
graduating solutions of alcohol and water
(from more concentrated to more dilute),
until they reach a point where they can
enter purely aqueous solutions
Most staining techniques move from
100% “absolute” alcohol, to 95%, and
then can enter water since alcohol and
water are miscible
25. Step 3:The Nuclear Staining
The slides are able to be stained with the
water-based Hematoxylin solutions, as we
have removed both the paraffin and the
xylene with the alcohol treatment
The slides are immersed in the
Hematoxylin solution
The staining time is established at each
laboratory
26. Step 4: Differentiation
Following a water rinse to remove excess
dye, the slides are immersed in the acidic
differentiating solution
The timing of immersion must be
established for each laboratory and
procedure so that optimal differentiation
is achieved
The differentiation process is halted by a
water rinse
27. Step 5: Bluing
Bluing is the process of shifting the color
from reddish to purple-blue by the
application of a weak alkaline solution
Ammonia water (ammonium hydroxide +
water) is often used; alternatively tap
water may also be used if pH is suitable
28. Step 6 : Counter-stain
Eosin is used to contrast the
cytoplasm with the nuclei
Eosin will stain in three shades of
pink, provide contrast to the nuclear
stain, and show many cytoplasmic
and tissue elements
29. Dehydration: Step 7
After the eosin step, an alcohol rinse
follows. This must be brief, as the Eosin
stain can be diluted by the alcohol
95% alcohol is used first, followed by
100% alcohol
Complete dehydration is necessary, to
remove any remaining water
Again timing is important here, so you
don’t want to leave the slides in the
alcohol
30. Step 8: Clearing
When all the water is removed, the slide can be
immersed into xylene
Incomplete dehydration will result in a cloudy
appearance to the final slide
Just as in processing, xylene is used as a
transition between aqueous and non-aqueous
Xylene is miscible with non-aqueous mounting
media, but will cause a “cloud” to form on the
final if any water is present
Xylene is also ideal as a transition due to it’s
refractive index, which produces a clear slide
that allows light to pass well under the
microscope
Xylene is also serves to activate the adhesive on
cover-slippers using cover-slip tape.
31. Application of the Coverslip:
Final step
When satisfied with the final result, the histologist finishes
the slide by applying either a glass or tape cover-slip
Mounting media is applied over to tissue and which serves
to “glue” the cover-slip to the slide, protecting the tissue
from damage and exposure to air
Most routine staining uses xylene as a clearant
Alternatively there are aqueous mounting media which
allow cover-slipping directly from water.
Aqueous mounting/cover-slipping is often used when
exposure to alcohols or xylene will remove or dilute the
stain applied to the tissue
In all cases the cover-slip must be applied to completely
cover the tissue, removing all air bubbles and debris which
may interfere with viewing under the microscope
The final result: a permanent microscopic “record” of the
tissue sample
32. Automatic H & E or “Hand-staining” ?
Routine H & E staining can be accomplished by
using either an automated H & E stainer or by
manually executing the staining sequence
Both methods can produce high-quality slides
The method chosen by each laboratory is often
determined by laboratory staffing, time
constraints, specimen volumes and other factors
The stain procedure and optimal timing for each
step must be established at each laboratory and
will be outlined the lab’s routine H&E staining
procedure
33. Quality Control
The histologist is charged with monitoring the stain quality,
troubleshooting staining problems, and making adjustments
when necessary
Many labs run an H&E control slide after daily changing of the
staining set-up to avert any problems before a large number
of slides are stained
An understanding of the H&E staining procedure is essential
to help the histologist detect and correct problems
With experience, the histologist will learn to judge the
desirable endpoints of both Hematoxylin and Eosin staining
under the microscope
Use of a control slide and a quality control procedure will
assist the histologist in producing high-quality and consistent
H&E staining
34. The “Routine” Stain
If everything has gone well, what we
should now have is a stained slide
that clearly differentiates the
nucleus and cytoplasm.
The “routine” H &E stain can
provide very useful diagnostic
information, and is sometimes the
only slide needed for a diagnosis to
be made.
36. Resources:
Bettelheim & March, Introduction to General, Organic & Biochemistry.
2nd
Edition, Saunders Publishing. 1988
Sheehan & Hrapchak, Theory and Practice of Histotechnology. The C.V.
Mosby Co., 1973
Milikin, Paul M.D.,
http://stainsfile.info/Stains/StainsFile/hematoxylin/hxintro.htm 2008
Information Prepared/compiled 3/12/2008 Joelle Weaver B.A., HTL(ASCP