Question 1

Why is tissue fixation necessary in histological sample preparation?

Accepted Answer

Tissue fixation preserves cell and tissue structure by preventing degradation caused by naturally occurring enzymes released after cell death. Fixation inhibits enzyme activity and makes protein cleavage sites unrecognizable. The two main mechanisms are cross-linking, which forms covalent bonds to stiffen tissue, and coagulation, which dehydrates proteins using alcohols or acetone to deform their structure.

Question 2

What are the two main mechanisms of tissue fixation?

Accepted Answer

Cross-linking involves covalent bond formation within and between proteins, causing tissue to stiffen and resist degradation. Coagulation dehydrates proteins through alcohols or acetone, deforming their tertiary structure so hydrophobic regions move to the protein surface. Coagulative fixation helps embedding media like paraffin wax penetrate tissue more effectively.

Question 3

How does formalin work as a fixative in tissue preparation?

Accepted Answer

Formalin, formaldehyde dissolved in water, attaches to primary amines on amino acid side chains like lysine and glutamine, forming stable crosslinks called methylene bridges. This cross-linking process is inherently slow, requiring 1-2 days for completion. Formalin works best when buffered with phosphate to maintain neutral pH and prevent tissue artifacts.

Question 4

What factors should be considered before tissue fixation begins?

Accepted Answer

Consider sample diffusivity: fixatives penetrate tissue at rates related to diffusion coefficient and time, so samples should be limited to 4 mm thickness for thorough fixation. Also consider fixative volume and pH. The fixative-to-sample ratio should be at least 40:1 to prevent reagent depletion. Formalin should be buffered with phosphate to maintain neutral pH and avoid tissue artifacts.

Question 5

What is the purpose of embedding media in histological preparation?

Accepted Answer

Embedding media supports specimens with mechanical rigidity similar to the tissue itself. Paraffin wax is the most common embedding medium. Choosing appropriate embedding media is critical because media that is too stiff or too weak causes sectioning defects. Prior to paraffin embedding, samples must be dehydrated by replacing water with ethanol, then xylenes, and finally warmed paraffin wax.

Question 6

How does cryosectioning differ from traditional paraffin-embedded sectioning?

Accepted Answer

Cryosectioning avoids fixation by rapidly freezing tissue in OCT (optimal cutting temperature) medium, then sectioning with a cryomicrotome maintained at -20°C. Unlike paraffin sections that require water bath treatment, frozen sections are directly lifted onto positively charged glass slides immediately after sectioning. This method preserves protein structure better for antibody labeling since cross-linking does not occur.

Question 7

What are alternative embedding methods to paraffin wax?

Accepted Answer

Agar embedding covers samples with freshly prepared liquid agarose that locks tissue in place as it cools. Vibrotomes with vibrating blades cut thick sections of 50-1000 µm from agarose-embedded samples. Samples are typically removed from agarose before staining and mounted on slides with vacuum grease. Thick agarose sections are best viewed using light microscopy principle instrumentation and applications for high-resolution imaging.

הכנת מדגם היסתולוגי למיקרוסקופיה קלה - חידון הערכה