Histotechnology: Fixation and Fixatives

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1
Primary definition and nature of Fixation are
Process by which constituents of cells/tissues are fixed in a physical and partly chemical state to withstand subsequent treatment with minimal distortion
2
Methods of Fixation include:
Physical
- Heating
- Microwave
- Cryopreservation

Chemical
- Immersion
- Perfusion
- Vapor form
3
Two major groups of chemical fixatives
1. Cross linking Fixatives
2. Precipitating/ Drnaturing
4
Two classes of fixation methods
Organic Solvents
Cross linking
5
Critical designation of Fixation in histotechnology is
The first and most critical step in histotechnology
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Primary aim of fixation is
Preserve the morphologic and chemical integrity of the cell in as life-like a manner as possible
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Secondary goal of fixation is
Harden and protect tissue from trauma of further handling for easy cutting during gross examination
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Most important chemical reaction involved in fixation is
Stabilization of proteins
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Protein stabilization is achieved physically/chemically by
Forming cross-links between proteins
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Morphologic distortion outcome of leaving a tissue specimen in air is
Dry out (distortion of morphologic appearance)
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Cellular outcome of leaving a tissue specimen in water (hypotonic solution) is
Cell will swell (swell of RBCs - ghost cells)
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Cellular outcome of leaving a tissue in strong salt (hypertonic solution) is
Cell will shrink (crenated RBCs)
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Mechanism and features of Additive Fixatives are
Chemical constituent of fixative is taken in and becomes part of tissue through cross-links formation or molecular complexes
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Chemical examples of Additive Fixatives include
Formaldehyde, Osmium tetroxide, Mercuric chloride
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Mechanism and features of Non-additive Fixatives are
Fixing agent is not incorporated into tissue but alters tissue composition and stabilizes it through water removal
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Chemical examples of Non-additive Fixatives include
Alcoholic fixatives
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Optimal pH range for general fixatives using normal phosphate buffered saline is
pH 6.0 - 8.0 (neutral pH around 7.0)
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Traditionalsual temperature parameter for general fixation is
Room Temperature / RT (18-30°C)
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Temperature parameter used for tissue processors is
40°C
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Temperature parameter used for Electron Microscopy and Histochemistry is
0-4°C
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Temperature parameter used for Mast cells for EM is
Room Temperature (RT)
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Temperature parameter used for nucleic acid fixation is
Rapid at higher temperatures
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Temperature and purpose of heating formalin to 60°C are
Formalin heated to 60°C = rapid fixation of very urgent biopsy specimens
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Temperature and purpose of heating formalin to 100°C are
Formalin heated to 100°C = to fix tissues with tuberculosis
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Tissue section thickness requirements for Electron Microscopy vs Light Microscopy are
Electron Microscopy: 1-2 mm²; Light Microscopy: 2 cm² (thin: ≤0.4 cm or as prescribed)
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Preparation method required for large solid tissues (e.g., uterus) during fixation is
Should be opened or sliced thinly
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Fixation preparation protocol required for brain specimens is
Suspended whole in 10% NBF for 2-3 weeks
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Osmolality condition yielding best results in fixation is
Slightly hypertonic solutions (400-450 mOsm)
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Concentration parameter for Formaldehyde is
10%
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Concentration parameter for Glutaraldehyde is
3%
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Concentration parameter for Glutaraldehyde in Immuno-electron microscopy is
0.25%
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Standard duration of fixation for most formalin fixatives is
24 hours (washed out)
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Duration of fixation for Buffered Formalin is
2-6 hours up to 1 week
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Duration of fixation for Electron Microscopy (EM) is
3 hours
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Initial speed requirement for placing specimens in fixative is
Placed in fixative as soon as it is removed from the body to prevent autolysis and putrefaction
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Condition where fixation is NOT required is
Microbiological and Toxicological studies
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General penetration rate of Formalin into tissue is
Approximately 1 mm/hour (aldehydes: 2 to 3 mm/hr)
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Fixative agents with BEST penetration rate are
Formalin, Alcohol
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Fixative agent with POOR penetration rate is
Glutaraldehyde
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Traditional vs recently recommended volume ratio of fixative to tissue is
Traditionally 10-20x the volume of tissue; recently 20x is maximum effective concentration
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Duration of fixation for biopsy specimens vs standard samples vs immunohistochemistry is
Biopsy specimens: 6-18 hrs; Standard samples: 24-72 hrs; Immunohistochemistry: 12-24 hrs
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Key characteristics of a good fixative include
Cheap, stable, safe to handle, kill cells quickly, produce minimum shrinkage, harden tissues properly, inhibit bacterial decomposition & autolysis, permit rapid/even penetration, make cellular components insoluble
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Three main objectives of fixation are
1. To preserve the tissue (stop all cellular activities), 2. To prevent breakdown of cellular elements (prevent autolysis & putrefaction), 3. To coagulate or precipitate protoplasmic substances
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Physical methods of fixation include
Heating (smears), Microwaving (routine lab practice), Cryopreservation (freeze drying)
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Chemical methods of fixation include
Immersion fixation (commonly done in lab), Perfusion fixation, Vapor form (paraformaldehyde & osmium tetroxide)
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Mechanism of Crosslinking Fixatives is
Form covalent bonds between proteins, anchoring them to cytoskeleton (e.g., aldehydes)
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Mechanism of Precipitating / Denaturing Fixatives is
Decrease protein solubility and disrupt hydrophobic interactions (e.g., alcoholic fixatives)
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Action of Organic Solvents (alcohol and acetone) as fixatives is
Remove lipids, dehydrate cells, and precipitate proteins
49
Action of Cross-linking Reagents (aldehydes and paraformaldehyde) is
Form intermolecular bridges creating a network of linked antigens
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