Staining and visualisation

After the new sections have been baked onto their slides it is necessary to stain them in order that they can be viewed under the microscope. Without staining, the view is of grey crystalline material - this is paraffin wax.

The most common stain used throughout the world as the basic morphology preparation is the "H&E" or, to give it its full name, the Haematoxylin and Eosin stain. Haematoxylin is a natural dye extracted from trees. It is a basic dye and therefore binds with acidic tissue components. This means, basically, that it will stain cell nuclei which contain DNA and RNA, the nucleic acids. Eosin on the other hand, is an acidic dye and binds with basic tissue components including the cell membranes and organelles. On the right you can see a few slides which have been stained using the H&E method. Notice that the cumulative effect of red/blue staining at a macroscopic level is purple. (Note: I have smudged out the case numbers on these slides for privacy reasons.) H&E stained slides
Other staining methods are used to demonstrate other substances within the block or other cellular components. Here you can see a microscopic view of fungal hyphae stained by the PAS (Periodic Acid, Schiff) reaction. PAS stain showing Candida - www.ibms.org
Here is a slide stained by the Giemsa method. If you look closely at the middle of this gland, you will see some very tiny dark blue flecks. These are the bacterium Helicobacter Pylori which is involved in many cases of gastric ulcers, and in some cases of gastric cancer. H. Pylori in gastric glands - www.ibms.org
Here you can see the connective tissue "Reticulin" - named because of its net-like appearance. In this picture the reticulin fibres are stained black by silver impregnation. The red is a counterstain showing the liver cells. Reticulin network in the liver - www.ibms.org
Finally, in this picture you can see liver tissue again. The red dots are the nuclei of the liver cells and the blue is a positive reaction in the Perls' Prussian Blue technique for iron. Iron deposits in the liver - www.ibms.org

There are literally hundreds of tinctorial staining techniques which may be used to assist with diagnosis of diseases of the tissues. Also there are many histochemical techniques which also result in coloured compounds being formed at the site of the reaction. Many of these very useful techniques are now being replaced, however, by the continuing expansion of the immunohistochemistry method. it ain't gorgonzola!