PPT ON COUNTERSTAIN

1. MADE BY:
DR. KALPAJYOTIBHATTACHARJEE

2.  DEFINATIONS
 EXAMPLES OF COUNTERSTAIN
 USES OF COUNTERSTAIN
 H&E STAIN
 VERHOEFF’S HAEMATOXYLIN
 ORANGE G
 GRAM’S STAIN
 ZIEHL-NEELSEN STAIN
 GIMENEZ STAIN
 NEUTRAL RED
 IHC COUNTERSTAIN

3. STAINS :
Are substances used to impart color to tissues or
cells, to facilitate microscopic study &
identification.

4. STAINING :
It is the artificial coloration of a substance to
facilitate examination of tissues ,microorganisms,
or other cells under the microscope.

5. COUNTERSTAIN :
A stain applied to render the effects of another
stain more discernable.

6. 1) EOSIN counterstain to haemotoxyllin in H&E stain.
2) Malachite green counterstain to the fuschine stain in
Gimenez staining technique.
3) In Gram’s staining- safranin counterstain is applied
which stains all cells even following the
identification of gram –ve bacteria as well.
4) PAS- Orange G

7. 5) Ziehl- Neelson technique- Methylene blue
6) Neutral Red.
7) Verhoeff’s stain
8) IHC counterstain- chromogenic
fluorescent

8.  Used to differentiate one component or cellular
structure from another or to differentiate an entity
from another in a specimen.
 It does so by coloring a portion of a specimen that
remained uncolored following the 1st staining using a
dye of different color.

9.  Most widely used stain.
 It clearly demonstrates an enormous number of
different tissue structures
 Haematoxylin :
Stains cell nuclei blue – black
Good intra nuclear detail
 Eosin :
Stains cell cytoplasm & most connective tissue fibers.

10. HAEMATOXYLIN
 Extracted from : Heartwood (logwood) of the tree
Haematoxylon campechianum that originated in the
Mexican State of Campeche.

11.  It is extracted from logwood with hot water & then
precipitated out from the aqueous solution using urea.
 Haematoxylin itself is not a stain
 Its major oxidation product is hematein- natural dye
responsible for the color properties.
 Hematein is produced in two ways
a)Natural oxidation- exposure to light & air.
slow process- 3-4 months.
E.g- Ehrlich’s and Delafield’s hematoxylin.
oxidation

12. b)Chemical oxidation- using sodium nitrate (Mayer’s
hematoxylin) or mercuric oxide (Harris heatoxyllin).
 ready for use immediately after preparation
 shorter life than natural oxidation one.
 Mordents used- salts of aluminum, iron and tungsten.

13. TYPES OF HEMATOXYLIN:
 Alum hematoxylins
 Iron hematoxylins
 Tungsten hematoxylins
 Molybdenum hematoxylins
 Lead hematoxylins
 Hematoxylin without mordant

14. Counter stain
EOSIN-
 Most suitable stain to combine with an alum
hematoxylin.
 It is a xanthene dye
 Variants:
a) Eosin B- (eosin bluish, erythrosin B) dibromodinitro
derivative of flurorescein
b) Eosin Y- (eosin yellowish, eosin water- soluble)
tetrabromo derivative of fluorescein.
c) Ethyl Eosin- (Eosin S, eosin alcohol soluble)

15. • Eosin Y is most widely used, satisfactorily soluble
in alcohol- “water and alcohol soluble”.
• As a counterstain- 0.5 - 1% aqueous solution water
– soluble solution eosin is generally preferred.
• Differentiation of eosin staining occurs in the
subsequent tap water wash, and a little
differentiation occurs during the dehydration
through the alcohol.
• Ethyl eosin and eosin B are rarely used. E.g.- Harris
stain for negri bodies.

16. USES OF EOSIN:
 Its ability with proper differentiation, to distinguish
between the cytoplasm of different types of cell, and
between the different types of connective tissue fibers
and matrices, by staining them differing shades of red
and pink.
 Counterstain to haemotoxylin in H&E staining-
cytoplasm stains pink-orange & nuclei stained darkly
blue-purple.
 Stains RBC intensely red.

17. Method :
1) Remove paraffin wax with xylene, 5 minutes.
2) Treat with absolute alcohol, two changes, 1 minute
each.
3) Wash in water.
4) Stain in haematoxylin, 10 minutes.

18. 5) Wash in water.
6) If regressive stain is used, differentiate in acid /
alcohol until only nuclei remain blue.
7) Wash in water.
8) Blue in running water - 10 minutes.

19. 9) Rinse in water.
10) Stain in 1 % aqueous eosin for 10-15 seconds.
11) Wash in running water for 30 seconds.
12) Dehydrate in 3changes absolute alcohol for 1 minute.
13)Clear in 2changes xylene.
14)Mount in suitable synthetic resin.

20. Results :
 Nuclei
 RNA rich cytoplasm :Blue
 calcium
 Muscle, fibrin , keratin : Bright red
 Collagen : Pink
 Red blood cells : Orange/ red

22.  Useful stain to demonstrate elastic fibers.
PURPOSE:
 This stain is useful in demonstrating atrophy of
elastic tissue in cases of emphysema, and the
thinning and loss of elastic fibers in
arteriosclerosis, and other vascular diseases.
 With increasing age, changes such as splitting and
fragmentation occur, these changes are most
obvious in the skin which becomes wrinkled and
rather 'loose-fitting'

23. PRINCIPLE:
 The tissue is stained with a regressive hematoxylin,
consisting of ferric chloride and iodine.
 The differentiating is accomplished by using excess
mordant (ferric chloride) to break the tissue-mordant dye
complex.
 The dye will be attracted to the larger amount of mordant
in the differentiating solution and will be removed from
the tissue.
 The elastic tissue has the strongest affinity of the iron
hematoxylin complex and will retain the dye longer than
the other tissue elements.

24.  CONTROL: Artery or skin.
Reagent :
 5 % haematoxylin in absolute alcohol : 20 ml
 10% ferric chloride : 8 ml
 Verhoeff’s iodine : 8 ml

25. Method :
1) Bring sections to water.
2) Stain in Verhoeff’s iron haematoxylin for 15-30 mins
until sections are jet-black.
3) Differentiate in 2% ferric chloride.
4) Wash in water, then in 95% alcohol to remove iodine
coloration.

26. 5) Wash in water for 5 mins
6) counterstain in Van Gieson’s stain for 3 mins.
7) Dehydrate rapidly, clear and mount in synthetic
resin.
Results :
 Elastic fibers : Black
 Collagen : Red
 Muscle : Yellow
 Nuclei : Black

27. Result: Elastic fibres - black; collagen - red;
cytoplasm and muscle - yellow

28.  The universal stain for cytological preparation is the
Papanicolaou stain.
 Pap staining is used to differentiate cells in smear
preparations of various bodily secretions.
REAGENTS:
 Harris’s hematoxylin
 Orange G6 Counterstain (OG5 OG8)
 EA 50(Eosin Azure) Counterstain

29. ORANGE G:
 The main use of Orange G is in the OG-
6 Papanicolaou stain, to stain keratin
 It is also a major component of the Alexander test for
pollen staining.
 It is often combined with other yellow dyes and used to
stain erythrocytes in the trichrome methods.

31. EOSIN AZURE:
 EA (Eosin Azure) counterstain, comprising three
dyes; the number denotes the proportion of the
dyes, e.g. EA-36, EA-50, EA-65.
a) Eosin Y
b) Light Green SF
c) Bismarck brown Y.

32.  The Gram staining method is named
after the Danish bacteriologist Hans
Christian Gram (1853 –1938) who
originally devised it in 1882.
 It is a differential staining method of
differentiating bacterial species into
two large groups (Gram-positive and
Gram-negative) based on the chemical
and physical properties of their cell
walls.

33. Principle:
 Gram staining is a differential staining technique that
differentiates bacteria into two groups: gram-positives and
gram-negatives.
 The procedure is based on the ability of microorganisms to
retain color of the stains used during the gram stain
reaction.
 Gram-negative bacteria are decolorized by the
alcohol, losing the color of the primary stain, purple.
 Gram-positive bacteria are not decolorized by alcohol and
will remain as purple.
 After decolorization step, a counterstain is used to impart a
pink color to the decolorized gram-negative organisms.

34.  Gram-positive bacteria have a thick mesh-like cell wall
which is made up of peptidoglycan (50-90% of cell wall),
which stains purple.
 Peptidoglycan is mainly a polysaccharide composed of
two subunits called N-acetyl glucosamine and N-acetyl
muramic acid.
 As adjacent layers of peptidoglycan are formed, they are
cross linked by short chains of peptides by means of a
transpeptidase enzyme, resulting in the shape and rigidity
of the cell wall.
 The thick peptidoglycan layer of Gram-positive organisms
allows these organisms to retain the crystal violet-iodine
complex and stains the cells as purple.
 Lipoteichoic acid (LTA) is another major constituent of the
cell wall of Gram-positive bacteria which is embedded in
the peptidoglycan layer. It acts as regulator of autolytic
wall enzymes.

36.  Gram-negative bacteria have a thinner layer of
peptidoglycan (10% of the cell wall) and lose the
crystal violet-iodine complex during decolorization
with the alcohol rinse, but retain the counter stain
Safranin, thus appearing reddish or pink.
 They also have an additional outer membrane which
contains lipids, which is separated from the cell wall
by means of periplasmic space.

38. Gram staining consists of four components:
 Primary stain (Crystal violet, methyl violet or Gentian
violet)
 Mordant (Gram's Iodine)
 Decolourizer (ethyl alcohol, acetone or 1:1 ethanol-
acetone mixture)
 Counterstain (Dilute carbol fuchsin, safranin or
neutral red)

39. Procedure:
1)The smear on a glass slide is covered with few drops of
one of the primary stains. Gentian violet is a mixture
of methyl violet and crystal violet. The primary stain
renders all the bacteria uniformly violet.
2) After a minute of exposure to the staining solution,
the slide is washed in water.
3)The smear is treated with few drop of Gram's Iodine
and allowed to act for a minute. Gram's iodine serves
as a mordant.

40. 4) The slide is again washed in water
5) decolorized in absolute ethyl alcohol or acetone. A
mixture of ecetone-ethyl alcohol (1:1) can also be
used for decolorization.
6) After the smear is decolorized, it is washed in water
without any delay.

41. 7) The smear is finally treated with few drops of
counterstain such as dilute carbol fuchsin, neutral red
or safranin.
8)The slide is washed in water; excess water is removed
using a blotting paper, dried in air and heat
fixed before observing under microscope.

43. Gram-positive bacteria Gram-negative bacteria

44. Safranin (also Safranin O or basic red 2)
 a biological stain used in histology and cytology
Use:
a) as a counterstain in some staining protocols,
colouring all cell nuclei red.
b) This is the classic counterstain in both Gram stains,
and endospore staining.
c) It can also be used for the detection
of cartilage, mucin and mast cell granules

45. Carbol fuchsin:
 Mixture of phenol and basic fuchsin.
USES:
 in bacterial staining procedures.
 Component of Ziehi- Neelson Stain.
 Used as a dye to detect acid fast bacteria because it is
more soluble in the cell wall lipids than in the acid
alcohol.
 Topical antiseptic.

46.  The Ziehl–Neelsen stain, also known as the acid-fast
stain
PURPOSE:
Used in the demonstration of acid-fast bacteria
belonging to the genus 'mycobacterium', which
include the causative agent for tuberculosis.

47. PRINCIPLE:
The lipoid capsule of the acid-fast organism takes up
carbol fuchsin and resists decolorization with a dilute
acid rinse. The lipoid capsule of the mycobacteria is of
such high molecular weight that it is waxy at room
temperature and successful penetration by the
aqueous based staining solutions (such as Gram's) is
prevented.

48.  CONTROL: Any tissue containing acid-fast organisms
 FIXATIVE: 10% formalin

49. Reagents
 Carbol fuschin (basic dye)
 Mordant (heat)
 20% sulphuric acid (decolorizer)
 Methylene blue (counter stain) or Malachite green

50. Procedure
 Fix the smear of the specimen over the glass slide,
either by heating or alcohol fixation.
 Pour carbol fuschin over smear and heat gently until
fumes appear. Do not overheat and allow it to stand for
5 minutes, then wash it off with water.
 Pour 20% sulphuric acid, wait for one minute and keep
on repeating this step until the slide appears light pink
in color. Wash off with water.

51.  Pour methylene blue, wait for two minutes, again wash
with water
 Allow it to air dry and examine under oil immersion
lens.
Result
 Acid fast bacilli - pink, straight or slightly curved rods,
at times having beaded appearance.
 Background - blue due to methylene blue.

53. Methylene blue
 heterocyclic aromatic chemical compound
 molecular formula C16H18 N3SCl
 At room temperature- solid, odourless, dark green
powder that yields a blue solution when dissolved in
water.

54. USES:
 redox indicator in analytical chemistry- indicates the
presence or absence of oxygen.
 Intravital and supravital staining of nerve fibers
 Antidote to potassium cyanide poisonong
 Treatment of methemoglobinemia
 placebo

55.  Gimenez staining technique uses biological
stains to detect and
identify bacterial infections in tissue samples.
 Basic fuchsin stain in aqueous solution
with phenol and ethanol colours many bacteria
(both gram positive and Gram negative) red, magenta,
or pink.
 A malachite green counterstain gives a blue-green
background cast to the surrounding tissue.

56. Mechanism
 Gimenez stain is made up of basic fuchsin,ethanol and
phenol,sodium Di-hydrogen phosphate and Di-
sodium hydrogen phosphate.
 Gimenez stain has a property to stain both type of
bacteria that is Gram positive as well as Gram negative
bacteria.
 Basic fuchsin stains negatively charged cytoplasm and
stains cytoplasm in red colour.
 Where as when we treat smear with Malachite green
and as we know malachite green is a basic dye it has a
strong affinity towards host cell material as compared
to cytoplasm and so it stains host cell material that is
background of cell in bluish green colour.

57. METHOD
1. Sections to water.
2. Filter on carbol fuchsin solution for 1 minute.
3. Wash well in water.
4. Stain with 1% malachite green for up to 45 seconds.
5. Wash well in water.
6. Repeat step 4 until sections appear blue/green.
7. Wash, blot dry, and dry in air.
8. Mount sections in DPX

58. RESULTS
 Bacteria- red/magenta
 Background- blue/green

60. Malachite green:
 Malachite green is an organic compound that is used
as a dyestuff
 First prepared by Fischer in 1877
USES:
 used as a dye
 parasiticide and antibacterial.
 used in endospore staining
 MG has frequently been used to catch thieves

61.  is a dye used for staining in histology.
 It stains lysosomes red.
 It is used as a general stain in histology, as
a counterstain in combination with other dyes, and for
many staining methods.

62. PRINCIPLE :
 The neutral red (NR) assay procedure is a cell
survival/viability assay based on the ability of viable cells to
incorporate and bind neutral red within lysosomes.
 It is generally performed on adherent cells.
 NR is a weak cationic dye that readily penetrates the cell
membrane and accumulates intracellularly in lysosomes
(lysosomal pH < cytoplasmic pH), where it binds with
anionic sites to the lysosomal matrix .
 It is thus possible to distinguish between viable, damaged,
or dead cells, which is the basis of the assay.

63. USES:
 used as a general stain in histology, as a counterstain in
combination with other dyes, and for many staining
methods
 Stains Golgi apparatus in cells and Nissl
granules in neurons.
 Added to some growth media for bacterial and cell
cultures.
 acts as a pH indicator, changing from red to yellow
between pH 6.8 and 8.0.
 as a chloride salt

65.  After immunohistochemical staining the target
antigen, a second stain is often applied to provide
contast that helps the primary stain stand out.

66.  Mayers Hematoxylin is one of the most common
dyes used in diagnostic histology, as well as a common
nuclear counterstain in IHC.
 Nuclear fast red, also called Kernechtrot dye, is also
a nuclear stain. Differences between this dye and
hematoxylin, though, are that Nuclear fast red dyes
nucleic acids, results in red nuclear staining and only
takes 5 minutes to stain, instead of an hour with
hematoxylin.
 Methyl green is also a nucleic acid dye that rapidly
stains the nuclei green.

68.  Methyl green

69.  From blue to pink – Although not so often used as a
counterstain, another common blue dye is toluidine
blue.
 This is a strong basic dye that stains nuclei a deep blue
colour; however, it will also stain polysaccharadies a
pink/red colour.
 This colour shift is called metachromasia, a term used
when a dye stains a tissue component a different colour
to the dye solution.

70.  Eosin can also be used as a counterstain when an
antibody localized to the nucleus is used.
 Eosin is an anionic dye and works best in acidic
conditions.
 As nearly all proteins contain these two amino acids,
eosin is bound by the majority of structures in any
tissue.

71.  A ‘golden standard’ for fluorescence: DAPI.
 DAPI (4', 6-diamidino-2-phenylindole)
and Hoechst are common nuclear dyes used for
fluorescent IHC because they intercalate into the DNA
to give a strong blue color under UV excitation.
 Propidium iodide is another nucleic acid dye that is
frequently used to dye the nucleus red.

72. References :
 Culling.C.F.A ,Allison .R.T & Barr.W.T,Cellular
Pathology Technique; Butterworths; Fourth ed,
Page no.211 -312.
 Bancroft.J.D & Gamble .M, Theory & practice of
histological techniques; Elsevier,China; Sixth ed,
Page no 121-183.