LABORATORY
TECHNIQUE
IN
BIOLOGY AND MEDICINE
LABORATORY
TECHNIQUE
IN
BIOLOGY AND MEDICINE
BY
E. V. COWDRY
Research Professor of Anatomy and Director Wemae
Cancer Research Laboratoru, Washington
University, St. Louis
THIRD EDITION
BALTIMORE
THE WILLIAMS & WILKINS COMPANY
1952
Copyright, 1952
The Williams & Wilkins Company
Made in the United States of America
Published 1943
Second Edition 1948
Third Edition 1952
First Edition known as
Microscopic Technique in Biology and Medicine
Composed and Printed at the
WAVERLY PRESS. INC.
FOR
The Williams & Wilkins Compant
Baltimore, Md., U. S. A.
PREFACE TO THE THIRD EDITION
The request by The Wilhams & Wilkins Company to prepare a Thh-d Edition
so soon after the Second Edition was pubhshed (1948) was unexpected. It would
have been a simple matter for them simply to reprint the Second Edition in
whatever number they thought that they could sell within a reasonable period.
This, however, would have been a short-sighted policy for there have been great
advances in laboratory technique since the material for the Second Edition was
assembled in 1947 prior to publication in 1948, which advances should be in-
cluded. In fact the advances made, or reported, in the four years 1948, 1949,
1950 and 1951 are probably greater than those accomplished in any previous
10 year period. Though some of the modifications of standard techniques that
proved useful during the war as well as altogether new techniques were published
before 1948, many, while known to specialists in various fields, had not been
gathered together in convenient form from which laboratory workers as a
whole could select those most hkely to be helpful in their particular problems.
It is hardly necessary to note that the vast amount of new work in the four years
mentioned, reflecting the appreciation of the value of research in medicine
and biology gained in the war, and implemented by an unprecedented outpour-
ing of funds for research, has resulted in the discovery of new and better means
of revealing the structure of organisms from the highest to the lowest in health
and disease. The electron microscope has found its way into about 300 labora-
tories. Satisfactory methods for cutting the extremely thin sections required
have been devised. There is a rapprochement between what one can see at
very high magnification and increasing knowledge of molecular structure and
orientation determined by several methods. The phase microscope likewise
has been produced in quantity in this country. The quality of moving pictures
of living cells has thereby been greatly unproved. Thanks to the Atomic
Energy Commission radioactive isotopes have been made available. Plastics
have been introduced in great variety. Microscopic localization of enzyme
activities has been advanced. Microchemistry has leaped ahead. Quantitative
analyses of extremely small amounts of material reduce the gap between chem-
istry and microscopy. The separation and collection en masse in a condition
suitable for analysis of certain cellular components has been most helpful. And
so on ahnost without end.
Obviously no single individual can authoritatively present these new tech-
niques, as well as mjTiads of others of great value, because he cannot have
personal experience with all of them. Partly to compensate for such limitations
I have included descriptions of some of the key techniques written by the in-
vestigators who introduced them, or by others who have had extensive experience
in their use. Most of these descriptions are new while others are revisions of
accounts given in previous editions of this book. The name of each contributor
Vl PREFACE TO THE THIRD EDITION
is given followed by the address (so that questions can be asked if desired) and the
date (so that it can be seen at a glance when it was last checked for improve-
ments). To all of these friends I am very grateful. Proofs of their contributions
have not been submitted to them for corrections, because there are so many such
accounts — ^most of them very brief — and the material presented by them was
clear and concise. For typographical errors the responsibility is to be shared
by me and the publisher. Most of the text I have written or revised and in
doing so I have relied heavily on the reference books listed on page xxxi.
It is hardly necessary to explain that the policy is to provide brief accounts
of techniques, and leads to others, and to make this information quickly available
by alphabetical arrangement. It is better to give some data not required by
experts than it is to write mainly for well-informed but limited groups. Ob-
viously the said experts must approach fields other than their own as beginners
handicapped by unfamiliarity with speciahzed technique and equipment. Be-
cause the several biological and medical sciences have so much to offer each other
in the way of laboratory technique this exposure of opportunities may facilitate
inter-specialty cooperation. My thanks are due to Mrs. Theresa Bresnahan for
help in preparing the manuscript.
E. V. COWDRY
St. Louis
COOPERATION
My friends have generously contributed techniques written by them as
follows :
G. Adolph Ackerman, Hinsman Hall, Ohio State University, Columbia 10,
Ohio, May 24, 1951.
Auer Bodies.
Paul M. Aggeler, University of California Medical Center, San Francisco 22,
California, November 15, 1951.
Blood Platelets.
Glenn H. Algire, U. S. Public Health Service, Bethesda Maryland, June 15,
1950.
Transparent Chamber Techniques.
James W. Bartholomew, Department of Bacteriology, University of Southern
California, Los Angeles 7, California, July 9, 1951.
Gram Stains Mechanism.
H. W. Beams, Department of Zoology, University of Iowa, Iowa City, Iowa,
September 27 1951.
Ultracentrifuges.
R. Bogoroch, Department of Anatomy, McGill University, Montreal, Canada,
September 12, 1951.
Radioautographic Technique (With C. P. Leblond).
L. R. Boling, Department of Anatomy, Washington University School of
Dentistry, St. Louis 10, Missouri, December 16, 1950.
Teeth Blood Vessels.
Teeth Decalcification.
Geoffrey Bourne, Department of Histology, London Hospital Medical School,
London, England, November 5, 1951.
Golgi Apparatus.
Mitochondria.
Marian Pfingsten Bryan (Mrs. WilhamT. K. Bryan), Department of Otolaryn-
gology, Washington University School of Medicine, St. Louis 10, Missouri,
September 20, 1951.
Ear Cell Smears.
Nasal Cell Smears.
E. J. Carey, Department of Anatomy, Marquette University School of Medi-
cine, Milwaukee, Wisconsin, 1942 (now deceased).
Carey's Method for Motor End Plates.
Christopher Carruthers, Division of Cancer Research, Washington Uni-
versity, St. Louis 10, Missouri, May 12, 1950.
Oxidation-Reduction Potential.
Vitamins.
Polarographic Technique.
vii
67B79
VUl COOPERATION
Jane E. Cason, Department of Pathology, Medical College of Alabama, Bir-
mingham, Alabama, January 27, 1951.
Mallory-Heidenhain Rapid One-step Stain for Connective Tissue.
Robert Chambers, Department of Biology, Washington Square College of New-
York University, New York, New York, May 15, 1950.
Micromanipulation.
E. R. Clark, Department of Anatomy, University of Pennsylvania, and the
Wistar Institute of Anatomy and Biology, Philadelphia, Pennsylvania, No-
vember 28, 1951.
Transparent Chamber Technique.
Barry Commoner, The Henry Shaw School of Botany, Washington University,
St. Louis 5, Missouri, November 27, 1951.
Microspectrophotometry.
A. H. Coons, Department of Bacteriology and Immunology, Harvard Medical
School, Boston, Massachusetts, August 31, 1951.
Antigen Localization.
W.P. CovELL, Departments of Anatomy and Otolaryngology, Washington Uni-
versity School of Medicine, St. Louis 10, Missouri, October 26, 1951.
Ear.
E. W. Dempsey, Department of Anatomy, Washington University School of
Medicine, St. Louis 10, Missouri, February 26, 1951.
Cholinesterase.
Dehydrogenase.
Enzymes.
Esterases.
Nucleases.
Phosphatases.
W. T. Dempster, Department of Anatomy, University of Michigan, Ann Arbor,
Michigan and R. C. W^illiams, Department of Biochemistry, University of
California, Berkeley, California, June 9, 1950.
Shadow Casting.
0. H. Duggins, Department of Anatomy, Washington University School of
Medicine, St. Louis 10, Missouri, May 18, 1950.
Hairs (With Mildred Trotter).
F. Duran-Reynals, Department of Microbiology, Yale University School of
Medicine, New Haven, Connecticut, October 8, 1951.
Spreading Factors.
W. R. Earle, National Cancer Institute, Bethesda, Maryland, July 10, 1951.
Tissue Culture.
LXrus Einarson, Normal-Anatomisk Institut, Aarhus Universitet, Aarhus,
Denmark, February 27, 1951.
Gallocyanin-Chromalum Staining of Basophilic Cell Structures.
COOPERATION IX
Joseph A. Falzone, Department of Anatomy, Washington University School
of Medicine, St. Louis 10, Missouri, October 26, 1951.
Desoxyribose Nucleic Acid, Method for Determination In Isolated Hepatic
Nuclei.
Differential Centrifugation of Cell Particulates.
Honor B. Fell, Strangeways Research Laboratory, Cambridge, England, June
8, 1951.
Organ Culture in Vitro.
F. H. J. FiGGE, Department of Anatomy, University of Maryland Medical
School, Baltimore, Maryland, October 10, 1951.
Porphyrins.
Hematoporphyrin.
H. L FiRMiNGER, Pathology Section, National Cancer Institute, Bethesda,
Maryland, February 9, 1951.
Carbowax Embedding.
E. D. Gardner, Department of Anatomy, Wayne University School of Medi-
cine, Detroit, Michigan, June 15, 1950.
Articular Nerve Terminals.
David Glick, Department of Physiological Chemistry, University of Minne-
sota Medical School, Minneapolis 14, Minnesota, October 17, 1951.
Linderstr0m-Lang, Kaj. U., and Holter Heinz, Histochemical Advances.
Morris Goldman, Department of Parasitology, School of Hygiene and Public
Health, Johns Hopkins University, Baltimore, Maryland, January 29, 1951.
Iron Hematoxylin Single Stain.
G. Gomori, Department of Medicine, University of Chicago, Chicago, lUinois,
May 7, 1950.
Gomori's Method for Reticulum and Acid Phosphatase.
A. R. Gopal-Ayengar, Barnard Free Skin and Cancer Hospital, St. Louis,
Missouri, September 10, 1946 (now Tata Memorial Hospital, Bombay).
Chromosomes.
Hyaluronic Acid.
H. S. N. Greene, Laboratory of Pathology, Yale University School of Medi-
cine, New Haven, Connecticut, September 11, 1951.
Anterior Chamber Transplantation.
Joan Haberman, Parkland, Washington, March 10, 1951.
Anethole Clearing Agent.
J. D. Hamilton, Department of Medical Research, University of Western On-
tario, London, Canada, February 13, 1951.
Cell Measurement, The EUiptometer.
N. L. Hoerr, Department of Anatomy, School of Medicine, Western Reserve
University, Cleveland 6, Ohio, November 28, 1951.
Frozen -Dehydration Method.
Isolation of Mitochondria.
X COOPERATION
R. D. HoTCHKiss, The Rockefeller Institute for Medical Research, New York
21, New York, November 14, 1951.
Polysaccharides.
M. H. Knisely, Department of Anatomy, University of South Carolina, Charles-
ton, South Carolina, June 27, 1950.
Quartz Rod Technique for Illuminating Living Organs.
N. B. KuRNiCK, Department of Medicine, Tulane University, New Orleans 12,
Louisiana, January 31, 1951.
Aceto-Orcein-fast Green.
Edward L. Kuff, Department of Anatomy, Washington University School of
Medicine, St. Louis, Missouri, December 18, 1951.
Nucleic Acid-Dye Interactions.
A. I. Lansing, Department of Anatomy, Washington University School of
Medicine, St. Louis 10, Missouri, October 5, 1951.
Collagenic Fibers.
Elastic Fibers.
A. Lazarow, Department of Anatomy, Western Reserve University School of
Medicine, Cleveland, Ohio, November 28, 1951.
Separation of Cell Components by DiflFerential Centrifugation.
C. P. Leblond and R. Bogoroch, Department of Anatomy, McGill University,
Montreal, Canada, September 12, 1951.
Radioautographic Technique.
R. D. LiLLiE, Division of Pathology, National Institute of Health, Bethesda,
Maryland, May 8, 1950.
Azure or Toluidin Blue Eosin.
A. M. Lucas, U. S. Regional Poultry Research Laboratory, East Lansing, Michi-
gan, August 10, 1951.
Cilia (with M. S. Lucas).
M. S. Lucas, Department of Biological Science, Michigan State College, East
Lansing, Michigan, August 10, 1951.
Cilia (with A. M. Lucas).
Plastics.
B. J. LuYET, Department of Biology, St. Louis University, St. Louis, Missouri,
January 15, 1951.
Revival after Ultra Rapid Cooling.
C. C. Macklin, Department of Anatomy, University of Western Ontario, Lon-
don, Ontario, Canada, November 28, 1951.
Alveolar Epithelium. Gash Irrigation Recovery Method
Alveolar Fluid. for Lung CeUs (GO-
Alveolar Foam Cells. Heart Failure Cells.
Alveolar Pores. Lungs, Uncollapsed, Fixation.
Ammoniacal Silver. Pneumonocytes.
Aquax. Silver Lineation on Pulmonary Al-
Bronchiolar Epithelium. veolar Walls.
COOPERATION XI
Carmine Dusting. Tissue Phagocytes.
Dust Cells. Vacuoloids.
Wash-out Recovery Method.
Paul Masson, Department of Pathology, University of Montreal, Montreal,
Canada, October 24, 1951.
Masson's Trichrome Stain.
Morris Moore, Barnard Free Skin and Cancer Hospital, St. Louis, Missouri,
December 10, 1951.
Fungi.
Norman Moskowitz, Department of Zoology, University of Pennsylvania,
Philadelphia, Pennsylvania, January 24, 1951.
Protein Silver for Staining Protozoa.
J. L. O'Leary, Department of Neuropsychiatry, Washington University School
of Medicine, St. Louis 10, Missouri, May 8, 1950.
Golgi-Cox Method.
Golgi Method, Quick.
O'Leary's Brazilin Method.
Jean Oliver, Department of Pathology, State University of New York, Brook-
lyn 2, New York, September 4, 1951.
Kidney.
Donald L. Opdyke, Department of Anatomy, Washington University School
Medicine, St. Louis 10, Missouri, November 8, 1951.
Keratohyalin Granules, Separation and Analysis.
Robertson Pratt, University of California, College of Pharmacy, San Fran-
cisco, January 29, 1951.
Triphenyltetrazolium Chloride.
Eugene Roberts, Division of Cancer Research, Washington University, St.
Louis 10, Missouri, July 15, 1951.
Paper Chromatography.
T. B. Rosenthal, Department of Anatomy, Washington University School of
Medicine, St. Louis 10, Missouri, June 6, 1951.
Fluorescence Microscopy.
Radioactive Isotopes.
Electron Microscopy.
C. H. Sawyer, Duke Hospital, Durham, North Carolina, December 16, 1950.
Safranin-Light Green.
Francis 0. Schmitt, Department of Biology, Massachusetts Institute of Tech-
nology, Cambridge, Massachusetts, May 19, 1950.
Polarization Optical Method.
Gordon H. Scott, Department of Anatomy, Wayne University School^of M«di-^
cine, Detroit, Michigan, January 16, 1951. yWo^'^^' '"^ '-- /^
Altmann-Gersh Frozen Dehydration Method. /^, ^s Hq "f^py
Microincineration. !>• ^ ^ \ '^
Cryostat. / ^^' / i r*
-if \ ■ ;■ ■'• / ^~:
Xll COOPERATION
W. M. Shanklin, American University of Beirut, Beirut, Lebanon, March 30,
1951.
Pineal.
Silver Diaminohydroxide after Sensitizing with Sodium Sulfite for Neu-
roglia.
R. E. Stowell, Department of Oncology, University of Kansas Medical Center,
Kansas City 2, Kansas, January 19, 1951.
Photoelectric Microphotometer.
Charlotte M. Street, Department of Anatomy, Cornell University Medical
College, New York, New York, May 21, 1951.
Papanicolaou Techniques in Exfoliative Cytology.
Lloyd E. Thomas, Department of Biochemistry, University of Missouri School
of Medicine, Columbia, Missouri, July 8, 1951.
Arginine Reaction.
Mildred Trotter and O. H. Duggins, Department of Anatomy, Washington
University School of Medicine, St. Louis 10, Missouri, May 8, 1951.
Hairs.
L. F. Wicks, Veterans Administration Hospital, Jefferson Barracks, Missouri,
February 1, 1951.
Hydrogen Ion Indicators.
Piccolyte Resins.
G. B. WiSLOCKi, Department o Anatomy Harvard Medical School, Boston 15,
Massachusetts, March 8, 1951.
Placenta.
R. C. Williams, Department of Biochemistry, University of Cahfornia, Berkeley,
California, June 9, 1950.
Shadow- Casting (with W. T. Dempster)
PREFACE TO THE FIRST EDITION
What appeared altogether impossible twenty-five years ago has in several
cases been attained by improvements in technique. Who would have believed
at that time that ultramicroscopes would now be manufactured in quantity,
built without any optical lenses, and capable of revealing a world of structures
quite beyond their ken? Who would have thought that a whole series of dif-
ferent atoms could be tagged and their distribution to the several tissues, when
introduced into the body, accurately measured? Who would have anticipated
the significant and unexpected new developments which have been made in
polarization optical methods? Had we been told twenty-five years ago that the
cell itself can be broken up into parts several of which can be collected in quantity
and chemically analyzed, we would have been incredulous. All this and more
has been achieved as a result of team work between the biological and physical
sciences. And we may believe that more surprises are in store.
Yet some of us individually are still extraordinarily conservative in the
methods we use. The possibilities of improving old techniques, of replacing
some of them by new ones and of reljdng more upon microchemical and physical
procedures are not explored as they should be. The purpose of this book is to
extend the horizon by exposing in an introductory way a few of the many oppor-
tunities awaiting workers in biology and medicine interested in the minute struc-
ture of living things. Success will depend upon ability to anticipate and meet
the needs of those likely to consult it. Definite information about specific
matters is likely to be more in demand than general statements. The latter are
limited to a few pages and deal with "choice of methods" and "organization of
laboratory."
Some may turn to the names of the structures in which they happen to be
most interested at the moment — Nissl Bodies, Nerve Fibers, Capillaries and so
forth — on the off chance of finding some useful hints as to methods better adapted
for their microscopic study, the most likely experimental errors and so on. Be-
cause the range of cells, parts of cells, tissues, organs and systems is obviously
so immense, mention is only possible of a small proportion of them so that much
depends on the selection made.
Others may seek information under the headings of elements such as Iron,
Potassium and Calcium, of enzymes Hke Pepsin and Phosphatase and of many
other components of living material. It is difficult to draw the line but most of
those that can be localized microscopically are mentioned, likewise techniques
for the determination of permeability, viscosity, pH and other properties of
tissues.
It often happens, however, that data are required about a particular technique,
which the workers are using or expect to use, and which is known to them by
the names of those who discovered it, as for example the methods of Giemsa and
xiii
XIV PREFACE TO THE FIRST EDITION
Mallory. Consequently information also must be supplied under various names
though this is usually less satisfactory than under subjects. A very annoying
handicap is the host of synonyms for dyes. Being ignorant of chemistry, I
have with confidence listed those given by Dr. H. J. Conn. Many more will be
found in The Colour Index of the Society of Dyers and Colourists.
Since all are busy people, time is a factor and they will wish to dig out what
they want as directly and quickly as possible. It is for this reason that every-
thing is listed alphabetically. Obviously this book can be nothing more than
a brief entr6 to microscopic technique. Therefore, numerous references to the
literature are supplied for follow up. Again to save time, these are given each
in its appropriate place, thus avoiding the necessity of turning the pages and
locating them in a large bibliography. But no attempt is made to trace the
techniques to their original exponents and to apportion credit for numerous
modifications. Often the most recent and accessible reference is provided re-
lying on the author to state history fairly. Evidently, in order to keep up to
date as to methods, the reader must repeatedly consult the latest issues of many
journals. Stain Techn.; J. Lab. & Clin. Med.; J. Tech. Meth.; Bull. d'Hist.
Appl.; and Zeit. f. mikr. Tech. are particularly valuable.
Finally I wish to thank my colleagues for their help, particularly Drs. L. R.
Boling, C. Carruthers, William Cramer, Morris Moore, J. L. O'Leary, W. L.
Simpson, R. E. Stowell, Lester Wicks and Dr. H. J. Conn, Chairman of the
Biological Stain Commission, who very kindly read the manuscript and made
several useful suggestions.
CHOICE OF METHODS
The selections will depend on several considerations. The first is what one
wants to discover. Many investigators in biology and medicine wish to obtain
more information about structural components of the body whether gross, micro-
scopic or submicroscopic in size. They desire to obtain further data on the
physical and chemical properties of these components whether solid or fluid in
different physiological stages of activity and in disease in both man and in
animals. They are interested in subjects, not personalities, so that in this
alphabetically arranged presentation the names of individuals are seldom listed.
Emphasis is given to subjects. After all the problems continue while the names
of generation after generation of individuals fade out.
Those who perchance may consult this book will need help at two levels. It
may be a simple question of the nature of some dye, or the composition of some
solution, or the making of a well known test, or it may be the selection of a
technique to be employed in a comprehensive series of experiments. In the
latter case it involves a major decision. It is necessary not only to choose the
technique most likely to lead to the answer but also give some thought to the
equipment required and the training demanded for its proper use.
A few leading references to the most recent utilization of the technique in
question may be helpful. But to discuss the history of its development and to
assess priority is not attempted. A complete discussion of the literature may in-
deed constitute a handicap by providing an excuse for doing nothing. To be
stuffed with information may give a feeling of frustration.
Some chemical and physical procedures are well within the reach of people
who are neither chemists nor physicists while others will simply lead them
beyond their depth into futility. It is equally true that well trained chemists
and physicists are Ukely to fail to reahze the complexity of vital processes and to
make little progress through ignorance of physiology and pathology. Conse-
quently one should never hesitate to seek advice from friends in other depart-
ments.
1. To Examine Directly in Vivo
The ideal arrangement is to look into the body and to study its parts as they
function without causing any disturbance. With protozoa and certain small
transparent invertebrates this is relatively simple. The web of a frog's foot is
thin and can easily be looked through without seriously interfering with the
frog. Some other parts of the bodies of various aquatic lower forms lend them-
selves to direct examination in vivo ; but there are definite limitations in such a
study of what is going on in the human body. It is possible to peer into the
various apertures but to get close enough to the living tissues to use high mag-
nifications is not feasible. The cornea and lens of the eye are transparent and
XV
XVI CHOICE OF METHODS
much valuable information can be secured by direct examination of the retinal
blood vessels. Even here their distance from the surface is considerable and
magnification is therefore limited. As far as we know at present the best that
can be done is to take advantage of a discovery, made by Lombard (W. P., Am.
J. Physiol., 1911-12, 29, 335-362) that the epidermis can be rendered transparent
by the addition of a little highly refractile oil without noticeably injuring it or
disturbing the underlying tissues. By this means the blood vessels of the dermal
papillae in the fold of skin over the nail bed, which are very near to the surface,
can be studied directly at fairly high magnification and over long periods of time
thus permitting the making of excellent pictures. See review of literature by
Wright, I. S. and Duryee, A. W., Arch. Int. Med., 1933, 52, 545-575.
That the lymphatics in the human skin can be made visible in vivo by the
injection of small amounts of Patent Blue V has been demonstrated by Hudack,
S. S. and McMaster, P. D., J. Exp. Med., 1933, 57, 751-774. The vessels in
the ears of living mice can readily be seen without any surgical procedure. It
is even possible to directly watch the dye, Chicago blue, after intravenous
injection elsewhere in the body, leak out into the tissues especially through the
walls of the venules (Smith, F. and Rous, P., J. Exp. Med., 1931, 54, 499-514).
Ideas as to the relative hydrogen ion concentrations of some of the tissues visible
from without can be secured by the injection of Hydrogen Ion Indicators (Rous,
P., J. Exp. Med., 1925, 41, 739-759). The opportunities are many especially
in animal experimentation.
Another way to examine structure in vivo is to record the structure by x-ray
photographs and to magnify the photographs, see Microradiographic examina-
tion.
2. To Examine through Windows in Vivo
The construction of windows in the skin or body wall through which the
tissues can be examined in vivo is a less ideal technique because it involves
surgical interference with the body. In the most used of these techniques a hole
is made through a rabbit's ear from one surface to the other. A glass chamber
is then sewed into the hole in such a way that a blood vessel is included between
a thin layer of glass (serving as a cover glass) and a thicker one serving as a slide.
After a time the epidermis adheres to the edges of the chamber and blood vessels,
nerves and other tissues grow into it where they can be studied under oil immer-
sion objectives. This technique was first reported by Sandison (J. C, Anat.
Rec, 1924, 28, 281) working under Dr. E. R. Clark at the University of Penn-
sylvania. It has since been very greatly improved (Clark, E. R., et al., Anat.
Rec, 1930, 47, 187-211 and Abell, R. G., and Clark, E. R., Anat. Rec, 1932,
53, 121-140) by the introduction of "round table" and "moat" chambers.
To place a window in the wall of the skull and to observe what is going on
within has been done with more or less success on several occasions. The tech-
nique devised by Forbes (H. S., Arch. Neurol, and Psych., 1928, 19, 75) permits
direct observation at low magnification of the blood vessels over the cerebral
CHOICE OF METHODS XVU
convolutions with so little injury that their behaviour in various experimental
conditions can be investigated (see also Clark, E. R., and Wentsler, N. E., Proc.
Assoc. Res. Nerv. and Ment. Dis., 1937, 18, 218-228). Through a window in
the thoracic wall Wearn and his associates (Weam, J. T. et al.. Am. J. Physiol.,
1934, 109, 236-256) have similarly studied the pulmonary arterioles and capil-
laries. They employed a fused quartz cone to conduct light to the tissue.
Other investigators have availed themselves of the natural window, the
cornea, through which what goes on immediately within it in the anterior cham-
ber of the eye can be observed. Several tissues have been successfully trans-
planted into this chamber. Perhaps the most dramatic is the behavior of trans-
planted uterine mucosa in the rhesus monkey. In it the menstrual changes
can be seen in detail and the influence of hormones noted (Markee, J. E., Con-
trib. to Embryol., Carnegie Inst, of Washington, 1940, 28, 219-308). For some
kinds of work the fact that the tissue fluid (aqueous humor) in this chamber
differs from others in the same animal by the absence of certain species specific
growth inhibiting factors is a priceless asset. Thus Greene (H. S. N., Science,
1938, 88, 357-358) was able to grow pieces of human cancers, which ordinarily
quickly die in other species, in the anterior chambers of the eyes of some mam-
mals. The existence of a barrier protecting this fluid against the entry of anti-
bodies from blood plasma and thus making possible the growth of tumor trans-
plants, while all other tissues are resistant to their growth, has recently been
emphasized (Saphir, O., Appel, M. and Strauss, H. A., Cancer Res., 1941, 1,
545-547).
In order to view the less accessible living tissues, techniques have been devised
that include opening the body and partly withdrawing the organ so that it can
be placed on the stage of a microscope but with circulation and nerve supply
intact and adequate regulation of temperature and humidity. Particularly
fruitful has been the direct observation through oil immersion objectives of
secretion by acinous cells of the Pancreas by Co veil (W. P., Anat. Rec, 1928,
40, 213-223) and of islet cells by O'Leary, (J. L., Anat. Rec, 1930, 45, 27-58).
Thus the influence of drugs on the secretory process can now be followed in
minute detail.
Knisely (M. H., Anat. Rec, 1936, 64, 499-523; 65, 23-50) has perfected a
technique for the study of the living Spleen at somewhat lower magnification.
The essential features are slight displacement of the spleen so that it can be
transilluminated by light delivered through a quartz rod. This allows for the
first time direct examination of the behavior of the venous sinuses. Undoubt-
edly the Quartz Rod technique will be of great service in providing light for
similar examination of other organs.
3. To Study the Arrangement of Parts in the Body
Since the body is structurally so very complex it is often illuminating to view
parts of it in their normal shape and size but unobscured by all the neighboring
components. There are several ways by which this can be accomplished.
XVlll CHOICE OF METHODS
The first method of Reconstruction from serial sections is well known. Briefly
stated the particular tissue, organ or system is outlined, as it appears in section
after section, at the desired magnification on sheets of material of uniform and
carefully selected thickness. The outlined areas are then cut out and when
superimposed they constitute a reconstruction of the original structure. This
technique is tedious but it may reveal topographical relations that can be dis-
covered by no other means.
The second kind of technique is to make casts of vascular, respiratory and
other lumina. Woods' metal, formerly used for this purpose, has now been
almost displaced by Celloidin and other substances. The surrounding tissue is
freed from the cast by digestion in concentrated hydrochloric acid and gentle
brushing away in a stream of water. Very beautiful Corrosion preparations of
the lungs and kidneys have been obtained by this method which should be more
widely employed.
The third is by Maceration to soak the organs, without previous preparation,
in fluids that either digest away the tissues which it is desired to eliminate or
loosen their connections with those under investigation, which, latter, can then
be individually examined. Techniques of this sort are the only available means
for the isolation of individual seminiferous and renal tubules. Oliver's researches
on the kidney illustrate the value of reconstruction and maceration in pathology.
Only three other examples will be submitted. Thyroid follicles can be isolated
by maceration (Jackson, J. L., Anat. Rec, 1931, 48, 219-239). Their study as
individuals provides data as to size and shape only obtainable otherwise by the
tedious examination of serial sections. The Epidermis is so tightly bound to
the underlying dermis that separation is extremely difficult; but, after treatment
of skin with dilute acetic acid, the attachment is loosened and the epidermis can
readily be removed as a complete sheet of tissue which can be stained, made
transparent and examined as a whole mount. Opportunities are thus afforded
for the detection of regional differences which might not be located even by pains-
taking study of sections and the making of mitotic counts is greatly facilitated.
By macerating in the same fashion the nasal mucous membrane covering the
septum can also be removed for study. Perhaps still other epithehal sheets can
be similarly isolated. However such sheets are of Httle value for chemical
analysis because of the action of the acetic acid. Fortunately it has been found
that the epidermis may also be quickly loosened by simply heating the skin
to 50°C. when it can be peeled off like the covering of a scalded tomato (Baum-
berger, J. P., Suntzeff, V. and Cowdry, E. V., J. Nat. Cancer Inst., 1942, 2,
413-423).
There is still another alternative. Instead of simply omitting the unwanted
material by reconstructing only the structures chosen for demonstration, or of
removing the material by corrosion or maceration, it can be left in and rendered
transparent so that it does not obstruct the view. After marking the particular
structures by vital dyes or other means the whole tissue is cleared by the method
of Spalteholz or Schultze. These techniques give admirable results in the study
CHOICE OF METHODS XIX
of Cartilaginous Skeletons, Ossification centers, Blood Vessels and so on almost
without end.
4. To Employ the More Routine Method of Fixation and Staining
Here there is wide latitude of choice. For some purposes thin Smears are
just fixed and stained without resort to sectioning. In the case of the denser
tissues which must be cut in sections one first has to decide which of many
Fixatives is likely to give the best results. Then, whether fixation is to be by
immersion or injection has to be determined.
The purpose of fixation by vascular injection is to bring the fixative into close
contact with the tissues as they exist in the freshly killed animal without sub-
jecting them to mechanical trauma or disturbing their topographic relations one
to another. In choosing this procedure it is well to remember: (1) That it is
usually necessary first to wash out most of the blood by perfusion with physio-
logical salt solution for otherwise the fixative often clogs the vessels. This wash-
ing unfortunately also facilitates chemical change. (2) That, even when it is
not done, the concentration of the fixative about the cells is gradually increased
and at different rates, rapidly in highly vascularized tissues (kidney, liver, etc.)
and very slowly in avascular ones (epidermis, cornea and cartilage). The time
for chemical change before fixation is therefore variable depending upon the
tissue. (3) That the pressure may bring about an unnatural swelling of the
tissues so located that they can enlarge, especially the abdominal organs as
compared with brain and bone marrow which are confined within rigid walls.
Fixation by immersion is the usual and easiest method. If small pieces or
thin slices are used the preservation is quicker and more uniform than by vascu-
lar injection. The cells are suddenly killed while active. The factor of slow
death at uneven rates, present in supravital examinations, does not have to be
reckoned with; but many precautions are required. Under Fixation is given a
general account of the procedure. Under the several organs, Lungs, Small
Intestine, Skin, etc., some special suggestions are provided. There are many
fixatives to choose from. For routine purposes Zenker's Fluid as originally
described or in one of its numerous modifications is suggested. Bouin's is also
a very popular fixative especially among dermatologists. Formalin is an ex-
cellent one. It is good practice to set aside some tissue in formalin for examina-
tion as may be needed later. Both formalin and alcohol are the most useful
fixatives preliminary to microchemical determinations. When preparations
must be made very quickly, Alcohol Formalin and Caraoy's Fluid are suggested
(see also Frozen Sections). For microincineration, formalin-alcohol is ordinarily
employed; but the Altmann-Gersh method of freezing and drying, by which
contact with fixatives is altogether dispensed with, is much less open to criticism.
Osmic acid containing fixatives penetrate poorly and are therefore only useful
for very small pieces of tissue. Regaud's fluid with subsequent mordanting in
bichromate is the best for mitochondria. Heat fixation is useful for blood cells.
Fixation in various vapors is called for in special cases. See Fixatives.
XX CHOICE OF METHODS
After fixation some Washing of the tissue in water is necessary unless it has
been fixed in alcohol, Carnoy or similar mixtures. The next step is Dehydration
and a choice must be made between slow and rapid methods. Sometimes a
substitute for alcohol is indicated. If Imbedding is to be in celloidin Clearing
in a xylol-like fluid is omitted and heating is unnecessary. There are many ways
of clearing preliminary to paraffin imbedding. In Sectioning the thickness
depends upon the purpose in view. Thick sections may be as necessary as thin
ones and serial sections are often required. In the Mounting of sections on
slides the use of water must occasionally be avoided. Numerous techniques are
applicable to the sections and are given individually later either under the head-
ing of the substance or structure to be demonstrated or under the name of the
technique or its introducer. For choice see Staining.
Many beautifully stained sections of well fixed tissue are of but little value,
because the investigator failed to note the exact location in the organ or tissue
whence they were excised and omitted to have the sections cut in the most
favorable plane.
5. To Mark Selected Individual Cells or Tissues in Vivo
FOR Later Examination
In this connection we at once think of the vital stains, trypan blue, carmine,
India ink (carbon) and hundreds of others, which, when injected into the body,
are phagocytosed by the reticulo-endothelial cells (or macrophages). Pieces of
tissue can then be excised and the accumulations of stains can be studied within
the still living cells, that is supravitally, for unless cultured the cells are slowly
dying. But, if desired, the tissues can be fixed and the results observed at
leisure in sections.
It has long been known that bone laid down in the presence of Madder fed to
the animals is marked by the madder and can thus be distinguished from bone
deposited beforehand and afterwards. In the same way dentine can be marked
in vivo with Alizarin Red S.
Another example of in vivo marking is the deposition of Prussian Blue. Thus
a slightly hypertonic solution (potassium ferrocyanide 0.5 gm., iron ammonium
citrate, 0.5 gm. and aq. dest. 50 cc.) injected into the subarachnoid space of the
spinal cord is useful in the localization of the pathways of drainage of cerebro-
spinal fluid, because of the marking secured when the tissues are fixed in 40%
formalin plus 1% concentrated hydrochloric acid by the deposition of Prussian
blue (Weed, L. H., J. Med. Res., 1914, 26, 21-117).
The tissues of animals recently killed or under anesthesia can be selectively
marked with various dyes by Perfusion of the blood vessels with dilute solutions
of dyes. The outstanding methods in this group have been devised by Bensley
(R. R., Am. J. Anat., 1911, 12, 297-388) for histological analysis of the epithelial
components of the pancreas and stomach. Dilute solutions of the dyes in physio-
logical saline are injected into the thoracic aorta of an animal killed by bleeding.
Pieces of pancreas and gastric mucous membrane are then removed and examined
CHOICE OF METHODS XXI
fresh. Neutral red picks out the Islets of Langerhans of the pancreas, pyronin
the duct system of the pancreas, naphthol blue the parietal cells of the Stomach
and so on. In the same way Nerve Fibers can be marked for subsequent study
by vascular perfusion with methylene blue and degenerating nerve fibers in
poUomyelitis (and presumably in other conditions) can be sharply differentiated
from uninjured ones by the fact that they take up neutral red (Covell, W. P.
and O'Leary, J. L., Arch. Neurol. & Psych., 1932, 27, 518-524). It has long
been known that the best way to mark renal glomeruli is to perfuse in the same
fashion with a dilute solution of janus blue. The glomeruli stand out clearly in
the fresh kidney by their deep blue color in a red background (Cowdry, E. V.,
Contrib. to EmbryoL, Carnegie Institution of Washington, 1918, No. 25, 39-
160). A similar selective staining in less brilhant colors is obtainable with janus
green. Relatively permanent preparations can be made of some of these
specimens.
The same dyes, and many others, can also be applied in dilute solutions to
cells freshly removed from the body and which are still living. Such methods
have become very popular in hematology. However, the cells thus colored live
only for a limited time and it is important to cut short the observations before
they are vitiated by approaching death.
It is feasible to employ a wide variety of Tracer Techniques, that is substances
can be traced through the body by the markings given to them. The largest
group is made up of Radioactive Isotopes. Because of their radioactivity they,
and substances in which they are chemically combined, can be quantitatively
measured by a Geiger Counter. Wherever they go in the body, they are ap-
parently accepted by the tissues and play their roles in metabolism in the same
way as if they were not radioactive. Thus Radiocalcium is found to be stored
almost entirely in bone and the amount taken in in a given time is an indication
of the amount of nonradioactive calcium given out in conditions in which the
total amount of calcium is not changed. The turnover of calcium can therefore
be estimated. Radioiodine tends to be stored in the thyroid, and, again, when
the total amount of iodine does not change, the amount stored in a given time
balances the amount lost and is a measure of the iodine replacement.
By the technique of Autoradiography the exact location of the radioelements
can be determined by holding a section of the tissue in contact with a photo-
graphic film. The images on fine grained films can then be magnified. Con-
sequently, by selection of radioelements based on information as to where they
are stored in largest amounts and by their use, heavy radiation can be brought
to bear upon several kinds of tissues leaving others influenced but little or not at
all. An excellent account of Isotopes in Nutrition Research is given in Borden's
Review of Nutrition Research, 1945, 6, Nos. 8 and 9.
6. To Employ Culture Methods
The common feature in these techniques is to plant cells, tissues or organisms
in new and different fluid environments and to observe their behavior therein.
XXll CHOICE OF METHODS
Thus cells can be grown in Tissue Cultures of chemical composition suited to
their requirements. Mixed cultures are those containing several types of cells
and pure cultures those containing but one sort. This technique affords un-
rivalled opportunities for experimentally changing the fluid environments of
cells, for the study of nutritional factors, growth stimulating and growth in-
hibiting factors, and the influence of cells on one another. Individual cells can
be observed at high magnification and the phenomena of motility, phagocytosis,
mitosis, cell death, etc. can be recorded by moving pictures so that the analysis
of form and function is possible with a high degree of accuracy.
The limitation of the method is the obvious one that the fluid environments
are artificial and must be changed at intervals to keep the strains of cells alive.
Consequently tissue cultures are unsatisfactory for the investigation of inter-
cellular materials, like fibers, hyaline deposits and so on. Moreover the cells
cannot properly organize to form tissues and organs as they do in vivo since they
are isolated from normal influences by other tissues of the body. But they
make the effort. Methods have recently been advocated for the culture of
organized tissues, bones, teeth, etc. (Fell, H. B., J. Roy. Micr. Soc, 1940, 60,
95-112).
In selecting the technique of tissue culture for the solution of any problem
it is well to remember that considerable equipment and several years training
are required to realize its full usefulness. For this reason valuable time will be
saved by learning the technique from an expert.
The new and highly productive technique of analysing cellular responses by
their observation in Motion Pictures offers more attractive leads when applied
to living cells in tissue cultures than to cells viewed in other situations. In
tissue cultures they can be photographed at high magnification, both by direct
illumination and in ths dark field, because they occur as individuals or as thin
clumps in the fluid. Moreover, their behavior can be followed in successive
photographs over long periods of time and it is possible directly to observe how
this is modified by a host of different influences experimentally brought to bear
on them. For teaching Motion Pictures are helpful, but can be used too much.
Easy come, easy go is true of instruction. Unless learning is combined with
some sort of effort it will be of very transitory value.
Transplantation of tissue from its original location to a new and different
position, such as the Anterior Chamber of the Eye, is also a culture method of
value in the solution of certain problems. The factors that condition the growth
and the behavior of the transplant are of importance.
Some organisms can best be grown, and viruses increased in amount, by
implanting them into the Chorioallantoic Membrane of chick embryos. This
technique has abundantly proved its worth. The feasibility of culture in this
membrane depends essentially on the lesser development of growth inhibiting
factors in young tissues than in older ones.
Viruses will "take" and increase in amount in some locations better than in
CHOICE OF METHODS Xxiii
others. Intracerebral and intratesticular inoculations are often made and,
again, young animals are in general most susceptible.
The culture of Bacteria and Protozoa has for generations been a fine art based
on meticulous study of their needs. These relatively simple organisms provide
wonderful material for the investigation of the most basic of vital phenomena.
7. To Investigate Composition by Chemical Means
This cannot be done blindly — by just taking a chunk of tissue and analysing
it. The investigations must be guided by knowledge of the structure and func-
tion of the materials analysed. Blood can, for example, be collected in suf-
ficient volume for routine chemical analysis; but the results will differ depending
upon whether it is arterial blood, portal venous blood from the intestines, or
venous blood from the extremities. Analyses of whole skin are practically
worthless because the skin is a structure made up of two parts: avascular epi-
dermis of ectodermal origin and underlying dermis made up of connective tissue
differing in vascularity, fiber, fat, tissue fluid and gland contents in various
regions of the body. Only since a technique has been devised whereby whole
Epidermis freed from dermis can be obtained in a condition suitable for analysis,
not having been exposed to any fluids, has progress been possible.
Results of direct chemical analysis of any tissue may be misleading unless
interpreted in terms of its structural make up and of what has happened to it
since it existed in vivo. Among the experimental errors to be guarded against
are variability in sacrificing the animal, or the manner of death of the patient,
in excision of tissue allowing more or less blood and other fluids to drain out or
evaporate, in time and in temperature, in age, sex, and in conditions before
death.
The extracellular and intracellular fluids or phases, are large in volume, w^hen
all are taken together, but difficult to get at directly. To obtain data "the
deducive histochemical method" is suggested. This is described by Lowry,
0. H. and Hastings, A. B. in Cowdry's Problems of Ageing, 1942, 728-755.
Those wishing to analyse extremely small volumes of fluid which by contrast
can be collected for direct determinations cannot do better than to familarize
themselves with the techniques elaborated by A. N. Richards and his associates
at the University of Pennsylvania for the study of glomerular urine.
By the useful technique of Microincineration minerals which are not volatilized
at high temperature can be directly studied in the tissues in the positions which
they previously occupied in living organisms. They appear as shining particles
when viewed by the Dark Field Microscope. Microincineration is truly a
microchemical method for the localization of structure which is microscopic
in its fineness.
Quite a number of Microchemical Reactions capable of demonstrating the
precise location in the cells of minerals, fats, carbohydrates and proteins are
available.
XXIV CHOICE OF METHODS
By a Photoelectric Microphotometer it is possible to estimate quantitatively
reactions like that of Feulgen for Thymonucleic Acid which give distinctive
colors and numerous stains which are specific for tissue components and can
be standardized in their action. But the data obtained are relative, that is
it can be said that the reaction is say 60 per cent greater in one specimen than
in another. The absolute amount of the component demonstrated per gram
of tissue cannot yet be arrived at.
Several Enzymes (phosphatase, dopa-oxidase, arginase) can now be micro-
scopically identified and their position within cells determined. By close com-
parison of enz5Tnatic properties with the cellular composition of tissues, the
localization of many others can be inferred.
In the case of these and other microchemical methods the treatment of the
tissue after excision and before the special procedures are commenced is of con-
sequence. Even in the preparation of routine frozen sections, and much more
so when the specimens are fixed, dehydrated, cleared, imbedded and sectioned,
there are many opportunities for the loss of chemical substances and of change
in their position in the tissue and within cells. The best way to hold the com-
ponents in the positions they occupy in the living state is to instantaneously
freeze the tissue and dehydrate in vacuum while still frozen, thus avoiding all
fixatives, by the Altmann-Gersh technique. Moreover, the reagents used in
testing must contact all the tissue equally for unequal contact may well be
followed by stronger reactions in some areas than in others.
Quite recently chemical analysis has been accurately focussed, not merely
on cells, but on parts of cells. Nuclei, Mitochondria and many other cellular
components including even Chromatin Threads can now be collected en masse
by Centrifugation of broken up cells and analysed. This is a departure of con-
sequence.
Finally standard qualitative chemical methods are often appUcable on a
microscopic basis. The reader wishing to do so may well consult Chamot, E.
E., and Mason, C. W., Handbook of Chemical Microscopy. New York: John
Wiley & Sons, 1940, vol. 2, 439 pp. Another book that will be found of service,
especially for analysis on microscopic slides, is Benedetti-Pichler, A. A., In-
troduction to the Microtechnique of Inorganic Analysis. New York: John
Wiley & Sons, 1942, 302 pp. Sometimes one is held up by having to deal with
some unfamiliar chemical substance in which case aid may be secured from the
large and comprehensive "Dictionary of Organic Compounds" edited by Heil-
bron and published in 3 volumes, 1934, 1936 and 1938, by Oxford University
Press, New York. No attempt is made in this dictionary to include dyes but
thousands of other organic compounds are conveniently arranged in alphabetical
order. If the wanted material is some sort of medical preparation seek informa-
tion in the following reference books. (1) New and Nonofficial Remedies,
1946. Chicago: Am. Med. Assoc, 770 pp.; (2) The National Formulary.
CHOICE OF METHODS XXV
VII. Washington: Am. Pharmaceutical Assoc, 1942, 690 pp.; (3) The Phar-
macopoeia of the U. S. XII. Easton: Mack Printing Co., 1942, 880 pp.
8. To Employ Physical Techniques in the Investigation
OF Composition
Chemistry is, at rock bottom physics so that the distinction here made is
convenient but without vaUdity. Hydrogen Ion Indicators and Oxidation-
Reduction Potential could come under either heading.
Histospectrography is a quick and reliable method to gain information on
the presence or absence of many minerals. It is a kind of survey technique,
for the absorption lines of many elements can be obtained in a single spectrogram.
The density of the lines can be determined photometrically but data obtained on
concentration of a particular element are relative (more in one tissue than in
another) but not absolute (in mgm. per gm. of tissue). Ultraviolet Absorption
Spectra have been employed to advantage by Caspersson and others in the
intracellular determination of certain components but the technique requires
elaborate and costly instrumentation. It gives promise, however, of being
of great value in the solution of fundamental problems.
Utilization of physical techniques in biology and medicine is now the order
of the day and the limitations thereof cannot be envisaged. In this elementary
survey only a few others can be mentioned briefly in passing as examples. By
Electrophoresis measurements the electric charge on particles can be determined.
The Polarization Optical Method is of surpassing value and Fluorescence Micros-
copy, supplemented by fluorescence spectrography, is coming into its own.
Surface Tension measurements can be made in numerous ways. Particle
size can be measured by a flock of different techniques from which the one must
be chosen that best suits the material. The simplest way is to compare the
objects with rulings of a micrometer slide. DiflTraction methods are labor saving
and often preferable. Filters of d^erent porosity are available so that the
sizes of particles passing through can be roughly gaged. To employ Ultra-
centrifugation techniques are among several other possibilities. There are
now Microscopes of many varieties to choose from.
The Electron Microscope is a physical tool which can be used only by a spe-
cially trained individual, and it has the limitation that the cells and other ma-
terials must be very thin, sections not more than about j of a micron. See
Burton, E. F. and Kohl, W. H., The Electron Microscope. New York: Rein-
hold Publishing Corporation, 1946, 325 pp.
In biology and medicine it is clearly evident that the techniques of physics
and chemistry are so revealing that some knowledge of these basic sciences is
necessary. A little knowledge can however be a dangerous thing often leading
to half baked conclusions. Cooperation with real physicists and chemists is
essential and team work must take the place of isolated individual endeavor,
moreover a laboratory of whatever kind must be well organized to be effective.
XXVI CHOICE OF METHODS
An untidy laboratory is not a sign of industry but an indicator of carelessness,
and sometimes a source of actual danger to the occupants.
9. To Detect Deviations from Normal
The Normality of a tissue or organ is often in doubt. There is no single
technique capable of yielding an unqualified answer. Since some properties
may be normal while others are abnormal (pathological) we need first to be told
the property under consideration. If it is, for instance, the amount of contained
pigment, this can be said to be normal when it is the amount usually present in
a particular tissue under the same conditions. By the word "usually" is in-
tended in the majority of cases, that is in 51 per cent or in any higher percentage.
The phrase "same conditions" means that the conditions likely to influence the
amount of pigment are so nearly alike as to be not responsible for any difference
observed between the property of the tissue where normality is in question and
that of others of the same kind. Thus, we could say with reasonable assurance
that the amount of pigment is normal if it is that usually demonstrated by the
same technique in tissues of the same kind of animals of the same species, sex
and age living under the same conditions. Judgment is necessary in specifica-
tion of possibly modifying conditions which will depend to some extent on the
property under consideration and on the number of observations necessary to
establish the percentage within the limits of probability. It would not do to
compare the amount of pigment in the specimen, the normality of which is in
question, with that in too few others. This is the statistical definition of nor-
mality which is not universally accepted but which is useful and easily under-
stood.
Only a few samples of the various kinds of technique have been mentioned in
this survey as a kind of menu from which to make a selection or to obtain clues
to other methods that may fit the case. Many of them are very ingenious and
were only discovered after wisely conceived attempts to overcome practical
difficulties. This overcoming of obstacles is a pleasant experience. It calls for
actual work and experiment and appeals to many of our best minds. The
techniques may be regarded as keys by which scientific treasure can be unlocked.
Unused they are worthless.
STANDARDIZATION OF STAINS*
In the use of stains one encounters a multitude of names, many of which are
synonyms, and it is difficult to be sure of their meaning. Two comprehensive
dye indexes have been pubhshed. One, "Schultz' Farbstofftabellen", is now in
its 7th edition (1928 to 1939) but confusion is created by the fact that the index
numbers of the dyes given in it do not correspond to those in the earlier editions.
The other, the "Colour Index of the Society of Dyers and Colourists", was edited
by F. M. Rowe and published in 1924. It was followed in 1928 by a supplement,
but there has been no second edition. This Colour Index gives (1) the com-
mercial name, or much more frequently names for there are so many synonyms;
(2) the formula, (3) the preparation, (4) the discoverer and (5) the properties of
a vast assemblage of dyes. It is the standard of reference in the United States
and other English-speaking countries. When one wishes to be specific it is
customary to list after the dye used its colour index number, for example vital
red, C. I. No. 456.
The most recent Year Book of the American Association of Textile Chemists
and Colorists, New York: Hawes Publishing Co. 1945, 743 pp. is often of as-
sistance. It provides an alphabetical list of over 6,000 American made dyes with
classification, manufacturer and Colour Index Number if any. A listing of
American made Dyes arranged by Colour Index Numbers is also useful. For
example, if one is interested in Orange II, CI. 151, it will be seen that this is avail-
able under 26 names from 12 different makers. In another place the foreign
prototype names of dyes without Colour Index numbers are listed alphabetically
with the corresponding American dyes and their manufacturers so that the
available American substitutes for foreign dyes can be found. This Year Book
is unfortunately often lacking in medical school libraries but it is usually on
hand in the better Public Libraries like that of St. Louis.
Much aid is given to investigators by the Biological Stain Commission and
particularly by its distinguished Founder, Dr. H. J. Conn. This commission
is concerned with the inspection and standardization of stains, not with their
manufacture as is sometimes supposed. It was found in 1920, while the post-
war embargo on dyes was still in effect, that American scientists were being sup-
plied with dyes from three or four different stain companies and that their
products were not sufficiently uniform to be reliable. Accordingly, through the
cooperation of the National Research Council and of several national scientific
societies, the Commission on Standardization of Biological Stains (now the
Biological Stain Commission) was established. The Commission is now an
independent organization but includes in its membership representatives of
eight societies with which it cooperates. The work of the Commission is two-
fold. First, by cooperation of biologists and chemists it gathers information
* Kindly revised by Dr. H. J. Conn.
xxvii
XXVlll STANDARDIZATION OF STAINS
concerning the nature of dyes as related to their use in microscopic technique ;
secondly, by working with the manufacturers and dealers it endeavors to see
that the supply of available stains in America is of the highest possible quality
as judged by their performance in actual laboratory use. The first of these
purposes has inspired a useful book on "Biological Stains" by Conn, now in its
fifth (1946) edition, and at the same time has led to the pubhcation by the
Commission of a quarterly, "Stain Technology." The second object is being
brought about by the certifying of stains.
The certification plan has been adopted because of the great difficulty of
drawing up any chemical or physical standards to determine which stains are
satisfactory'- and which are not. If such standards were formulated, it would
be possible to prepare specifications with which manufacturers of stains ^^■ould
be expected to comply. In the early work of the Stain Commission an attempt
was made to draw up such specifications and they were published, in provisional
form, for a few stains in the first edition of "Biological Stains." Full specifica-
tions are given in the current edition and in the National Formulary.
Instead of drawing up specifications, therefore, the Stain Commission instructs
the manufacturers of stains to submit samples to it of every batch manufactured
of any of the stains that are on the certification basis. The Commission submits
these samples to certain definite tests which have now been formulated and
published (see Conn, pp. 246-276). The methods in question include chemical,
spectrophotometric, and biological tests, and only those dyes are certified which
are satisfactory in all these tests. Such dyes the manufacturers are allowed to
sell with a special label on the package indicating approval by the Stain Com-
mission.
The certification label on any bottle of stain means, therefore, that: (1) a
sample of the batch bearing the label has been submitted to the Commission for
testing and a portion of the sample is permanently on file in the chairman's
oflBce; (2) the sample proves true to type, as judged by spectrophotometric tests;
(3) its dye content is up to specification and is correctly indicated on the label;
(4) it has been tested by experts in the procedures named on the label and has
been found satisfactory by them ; and lastly, (5) no other batch can be sold under
the same certification number except by such a flagrant breach of confidence on
the part of the company as to risk losing the good will of the Commission. At
present (1950) the following stains have been placed on the certified list. In
descriptions of their use the names should be followed by C.C., indicating that
the products were Commission Certified, for instance, alizarin red S (C.C.).
Eight companies in the United States are now submitting their stains to the
Commission for certification before putting them on the market. It must be
realized, however, that no one of these concerns necessarily manufactures all
the stains which it thus submits ; but in the case of any stain which is manufac-
tured elsewhere, the company takes responsibility for its performance as a bio-
logical stain, on the basis of tests made to show its adequacy, and in many in-
stances carries out a certain degree of purification or other processing before
STANDARDIZATION OF STAINS
XXIX
Alizarin red S
Anilin blue, water soluble
Auramine O
Azocarmine G
Azure A
Azure B
Bismarck brown Y
Brilliant cresyl blue
Brilliant green
Carmine
Chlorazol black E
Congo red
Cresyl violet
Crystal violet
Eosin, bluish
Eosin, yellowish
Erythrosin B
Ethyl eosin
Fast green FCF
Fuchsin, acid
Fuchsin, basic
Giemsa stain
Hematoxylin
Indigo carmine
Janus green B
Jenner's stain
Light green, S.F., yellowish
Malachite green
Martius yellow
Methyl green
Methyl orange
Methyl violet 2B
Methylene blue chloride
Methylene blue thiocyanate
Methylene violet
Neutral red
Nigrosin
Nile blue A
Orange G
Orange II
Orcein
Phloxine
Pyronin P
Resazurin
Rose bengal
Safranin O
Sudan III
Sudan IV
Sudan black B
Tetrachrome stain (MacNeal)
Thionin
Toluidine blue O
Wright's stain
putting the stain on the market. One of these companies puts on the market
every stain now on the certification list. Two other companies submit samples
of over half the stains thus listed, while the other companies merely request
certification of one or two dyes in which they speciaUze. No dyes have yet
been certified by the Stain Commission submitted by any foreign concern
except for one located in Montreal. Cooperation among the Americas is
increasing (Conn, H. J., Stain Techn., 1942, 17, 5-6).
In several recent editions of the National Formulary, published by the Ameri-
can Pharmaceutical Association, a section has been included in which formulae
of staining solutions are given. Originally there was no agreement between
these formulae and the ones recommended by the Stain Commission. Begin-
ning in 1937, however, it was decided that the National Formulary Committee
and the Biological Stain Commission should cooperate in this matter. Accord-
ingly, the chairman of the latter was made a member of the former and a member
of the National Formulary was put on the Board of Trustees of the Commission.
This interlocking membership is assurance that the work of preparing staining
formulae for each edition of the National Formulary is carried on in close coopera-
tion with the Stain Commission. This cooperation has resulted in two important
steps :
1. Specifications of the most important stains now on the certification basis
have been published in the National Formulary (1942, 1946). These specifica-
XXX STANDARDIZATION OF STAINS
tions are partly chemical and spectrophotometric, but also contain detailed state-
ments as to how the stains should be tested as to their behavior for biological
purposes and state the results to be expected from these tests. In every case
these specifications have been made to harmonize with the tests as actually per-
formed by the Stain Commission.
2. The formulae given in the National Formulary, in "Biological Stains" and
in the "Manual of Methods for the Pure Culture of Bacteria," published by the
Society of American Bacteriologists, have been compared and critically studied
with the object of making them identical in all three.
The years since the second World War have seen more progress in stain
standardization than during any preceding similar period. Dr. E. H. Stotz,
Biochemist, of University of Rochester Medical School, has been made an officer
of the Stain Commission and is now in charge of its research and assay labora-
tory at Rochester, N. Y. This laboratory is making a comprehensive survey of
nearly every stain sample that has ever been submitted for certification, making
a systematic comparison between their physical and chemical characteristics
(notably spectrophotometric) and behavior in staining. If it is ever going to be
possible to draw up specifications that correlate with staining properties, such
a survey should furnish the necessary data.
ABBREVIATIONS XXXI
ABBREVIATIONS
1 fi (Greek letter for micron) = l/lOOOth part of a millimeter (mm.) = 0.001 mm. = 10~'
mm. = 10,000 A = approximately l/25,000th of an inch.
1 m^ (millimicron) = 1/lOOOth part of a micron = l/l,000,000th part of a mm. = 10~* mm.
= 0.001 M = 10 A.
1 A (Angstrom unit) = 0.1 m/ii = 0.0001 n = 10"^ mm.
1 MM (micromicron) = 1/1, 000,000th part of a micron = 1/1, 000, 000, 000th part of a mm. =
10-» mm. = 0.000,001 a« = lO"" A.
1 Kg. = approximately 2.2 lbs.
1 gm. = 10-' Kg., 0.001 K., 1000 mgm., 1,000,000 ng.
1 mgm. = 10-« Kg., 10-» gm., 1000 Mg-
1 /ig. = I7 = 10^ Kg., 10-8 gm., 10-' mgm.
m^g = 1/1,000,000 mgm.
A^ NaCl is normal solution of sodium chloride, see Normal Solution.
M HCl is molecular solution of hydrochloric acid, see Molecular Solution.
M = mole.
mM => millimole.
ME = milligram equivalent.
1 ml (milliliter = l/l,000th part of a liter = 1 cc. (approx.) that is 1 cc. + 0.000027 cc. at
40°C.
M» = 1/1,000 ml
1 ml (milliliter) = l/l,000th part of a liter = 1 cc. (approx.).
CI 76 means that the number of a dye is 76 in the Colour Index of the Society of Dyers and
Colourists.
CC. given after a dye signifies that it has been certified by the Biological Stain Commission
The following publications are simply referred to by author, or senior author,
or editor's name and page number (cf. Conn, p. 26).
Bensley, R. R. and S. H., Handbook of Histological and Cytological Technique, Univ.
Chicago Press, 1938, 167 pp.
BouBNE, G., Cytology and Cellular Physiology, Oxford: Clarendon Press, 1942, 296 pp.
(Second Edition, 1951, 524 pp.)
Conn, H. J., Biological Stains, Geneva, N. Y.: Biotech Publications, 1940, 308 pp.
CowDRY, E. v., Textbook of Histology, Philadelphia: Lea & Febiger, 1938, 600 pp., 3rd
Edition, 1950, 640 pp.
Craig, C. F., Laboratory Diagnosis of Protozoan Diseases, Philadelphia: Lea & Febiger
1942, 349 pp.
Downey, H., Handbook of Hematology, New York: Hoeber, 1938, 3136 pp.
Emig, W. H., Stain Technique, Lancaster: Science Press Printing Co., 1941, 75 pp.
Glasser, O. (Editor), Medical Physics, Chicago: Year Book Publishers, 1944, 1744 pp.
Glick, David, Techniques of Histo- and Cytochemistry. New York: Interscience Pub-
lishers, Inc., 1949, 531 pp.
Lee, Bolles, The Microtomists' vade-mecum. Philadelphia: P. Blakiston's Son & Co.
(Tenth Edition, Edited by J. B. Gatenby and T. S. Painter, 1937, 784 pp. Eleventh
Edition edited by J. B. Gatenby and H. W. Beams, 1950, 753 pp.)
LiLLiE, R. D., Histopathologic Technic. Philadelphia: Blakiston, 1948, 300 pp.
LisoN, L., Histochemie Animale, Paris: Gauthier-Villars, 1936, 320 pp.
Mallory, F. B., Pathological Technique, Philadelphia: Saunders, 1938, 434 pp.
McClung, C. a., Microscopical Technique, New York: Hoeber, 1938, 698 pp., 2nd Edition
by Ruth McClung Jones, 1950, 790 pp.
TECHNIQUES
A-V Bundle, see Todd, T. W., Cowdry's
Special Cytology, 1932, 2, 1173-1210.
Abopon. For mounting amyloid stains
(Leib, Am. J. Clin. Path., 1947, 17, 413).
Absorption. Every solid surface attracts
other substances more or less. This
holding is referred to as absorption.
The finer the structure of the solid the
greater the combined surface area of
the constituent particles and conse-
quently the greater the degree of ab-
sorption. An interferometer is an in-
strument employed to measure change
in concentration by absorption. There
are many other ways of obtaining this
information . See Water Absorption and
fat absorption after previous coloration
of fat with Sudan III or Sudan black
(see Vital Staining). See X-ray Ab-
sorption.
Absorption Spectra. Methods are avail-
able for the determination of absorption
spectra of cell structures. Caspersson
(T., J. Roy. Micr. Soc, 1940, 60, 8-25)
has described apparatus for absorption
from intracellular objects larger than
1 micron such as Nissl bodies. This
line of investigation is just developing
and is likely to be productive of im-
portant results. See Histospectroscopy.
Acacia, properties as a macromolecule
(Hueper, W. C, Arch. Path., 1942, 33,
267-290). See V. Apathy's Syrup.
Acanthocephala, see Parasites.
Acarina, see Parasites, Ticks.
Acetic Acid (L. acetum, vinegar). Widely
used as a component of fixatives. The
undiluted solution is often termed
"glacial acetic acid." This contains
99.5%CH3COOH. Causes a distinctive
swelling of fresh collagenic fibers.
Employed in dilute solution to destroy
red blood cells so that whites can be
examined. In 1% solution separates
epidermis from dermis. See Epidermis.
Acetic-Osmic-Bichromate fixative of Bens-
ley. 2% osmic acid, 2 cc; 2.5% aq.
potassium bichromate, 8 cc; glacial
acetic acid, 1 drop. Excellent for
mitochondria but very small pieces of
tissue must be used because the fluid
penetrates poorly. The best stain is
Anilin-Fuchsin Methyl Green, see also
Copper Chrome Hematoxylin.
Acetin Blue R (CI, 560)— Induline Alcohol
Soluble — a basic dye of light fastness 4.
Paraffin sections of plant tissues color
dull light blue (Emig, p. 58).
Acetic-Carbol— Sudan III, see Sudan III.
Aceto-Carmine (Schneider's). Add 10 gms.
carmine to 100 cc. 45% aq. glacial acetic
acid. Dissolve with heat and bring up
to boiling. Cool, filter, and store as
stock solution. Used for smears this
combines fixation with staining; but
it causes a swelling of some cellular
elements and is not recommended.
Aceto-Orcein-Fast-Green. — Written by Dr.
N. B. Kurnick, Dept. of Medicine,
Tulane University, New Orleans 12.
January 31, 1951 — This modification of
La Cour's aceto-orcein stain-fixative
for chromosomes permits a one-step
difi"erential staining of tissues. The
introduction of fast green and NaCl
(to prevent overstaining by the former)
provides a green counterstain for the
reddish-brown chromatin. The intensity
of this counterstain may be modified by
varying the salt concentration (increas-
ing the salt concentration reduces the
intensity of green staining), but the
method described here has proved satis-
factory for most materials. The stain
mixture may be used as a stain-fixative,
as for dipteran salivaries, some plant
materials, and for the study of isolated
chromosomes and nuclei, or as a stain
following other fixatives. Flood ma-
terial for few minutes in following solu-
tion: 27 ml. 1% orcein in 45% acetic
acid, 3 ml. 1% fast green in 95% alcohol,
2 ml. 2M NaCl; cover with cover slip,
press out on filter paper, if desired.
Paraffin sections must be brought to
water before staining Permanent
mounts may be prepared by rinsing
the stained material successively in
70%, 95%, 100% alcohol, xylene, and
mounting in Clarite. Cytoplasm, col-
lagen, and nucleoli are green, chromatin
is reddish-brown (Kurnick, N. B., C^old
Spring Harbor Symp. Quant. Biol.,
1947, 12, 191; Kurnick, N. B. and Ris,
Hans, Stain Tech., 1948, 23, 17-18).
Acetone, see Dehydration of Tissues, as
fixative for Phosphatases and Lipases.
Acid Alcohol is used for the differentiation,
or decolorization, of certain stains.
It is usually made by adding 1 cc.
hydrochloric acid to 99 cc. 70% ethyl
alcohol. It is also employed for clean-
ing cover glasses.
Acid Alizarin Blue (1) G.R. (CI, 1048). An
acid anthraquinone dye called for in
Buzaglo's Method which the author pro-
poses as substitute for Van Gieson.
(2) B.B. (CI, 1063) likewise an acid
anthraquinone dye little used, if at all.
ACID ALIZARIN GREEN G
ACID FAST BACILLI
Acid Alizarin Green G (CI, 1049), a direct
mordant dye of color fastness 1. Use
for staining blue green and green algae
and paraffin sections of animal tissues
after mordanting in 1% aq. ferric alum
is described (Emig, p. 63).
Acid Blue B (CI, 736), an acid dye of light
fastness 5 gives light, fugitive and in-
distinct coloration of tissue (Emig,
p. 52).
Acid Blue G (CI, 712)— Brilliant Acid Blue
V — an acid dye of light fastness 5 (Emig,
p. 52).
Acid Bordeaux, see Bordeaux Red.
Acid Congo R, see Vital Red.
Acid Dyes, see Staining.
Acid Fast Bacilli. Of these the organisms
of tuberculosis and leprosy are the most
important.
1. In smears apply Carbol Fuchsin
gently heat 3-5 min. or stain room
temperature 15 min.; decolorize 95%
ethyl alcohol containing 3% of cone,
hydrochloric acid until only slight pink
color remains; wash in water; counter-
stain sat. aq. methylene blue or Loef-
fler's Alkaline Methylene Blue; wash
and dry.
2. In sections the organisms can be
stained red in paraffin sections after
almost any fixation (formalin-Zenker
preferred). First color with Harris
hematoxylin. Wash in water and per-
haps decolorize a little in Acid Alcohol.
Wash again. Stain with warmed carbol
fuchsin 1 hr. or more. Decolorize in
acid alcohol. Wash carefully in water
plus few drops ammonia. 95% ale,
abs. ale, xylol, balsam. A critique of
the methods has been published (Fite,
G. L., Am. J. Path., 1938, 14, 491-508).
To color the organisms blue, fix 3-5 days
or more in equal parts 10% formalde-
hyde and 95% alcohol. Stain sections
in new fuchsin 0.5 gm.; phenol crystals,
5.0 gm.; alcohol methyl or ethyl, 10 cc.
+ aq. dest. to make 100 cc. at 60° C.
over night, 12-24 hrs. or at room tem-
perature 24-48 hrs. Longer for M.
leprae. Freshly distilled aq. formalde-
hyde 5-30%, 5 min. (Note that this
formalin must not be alkaline and that
it is safer to have it faintly acidified.)
2% hydrochloric acid in 95% alcohol,
5 min. 1% aq. potassium permanganate
2-5 min. (until brown). 2% aq. oxalic
acid, 1 min. Harris' hematoxylin 2
min. Stain in acid fuchsin, 0.1 gm.;
picric acid, 0.5 gm.; aq. dest. to make
100 cc. Without washing, dehydrate in
alcohol, clear in xylol and mount in
balsam. Nuclei, brown; connective
tissue fibers, red; muscle, yellow; acid
fast bacilli, dark ultramarine blue.
Good for photography (Fite, G. L., J.
Lab. & Clin. Med. 1939, 25, 743-744; re-
vised by G. L. Fite, U. S. Marine Hos-
pital, Carville, La. May 13, 1946.).
3. Mr. J. M. Albrecht employs the
following method in our laboratory.
Deparaffinize 5-6 n sections of 10%
formalin or Regaud fixed tissues. Wipe
off excess water around sections and
cover with strip of filter paper. Flood
filter paper with carbol fuchsin (Phenol
crystals, 8 gm.; basic fuchsin, 4 gm.;
95% ethyl alcohol, 20 cc; aq. dest., 100
cc). Steam for 3 min. and then allow
to stand for 30 min. adding more stain
if necessary. The filter paper prevents
deposition of ppt. of dye on sections.
Flush off stain with aq. dest. Partly
differentiate in 1 cc. cone hydrochloric
acid in 100 cc. 70% alcohol, sections be-
coming deep pink. Wash in aq. dest.
Stain Harris' Hematoxylin 10 min.,
wash in aq. dest. Complete differentia-
tion of both fuchsin and hematoxylin in
50 cc. 70% ale -f 4-5 drops hydrochloric
acid, sections becoming light pink.
Wash in aq. dest. Neutralize in 6 drops
cone ammonia + 50 cc. aq. dest.
Wash, dehydrate, clear and mount as
usual.
4. In frozen sections (Krajian, A. A.,
Am. J. Clin. Path., Techn. Suppl., 1943,
7, 45-47). Transfer frozen sections of
leprous tissue to slides. Dehydrate,
blot with filter paper, dip in celloidin.
Blow over surface till dry. Wash in tap
water. Apply Carbol Fuchsin steaming
gently for 3 min. Pour off and wash in
tap water. Differentiate with 1 gm.
arsenic acid in 100 cc. 60% alcohol ap-
plied by medicine dropper. Again wash
in tap water and counterstain with
Loeffler's methylene blue 2 min. Wash
in tap water, dehydrate with 3 applica-
tions of anhydrous isopropanol or
absolute ethyl alcohol. Apply imme-
diately equal parts anhydrous iso-
propanol or abs. alcohol and beechwood
creosote. Agitate slide removing ex-
cess blue color. Blot with filter paper,
clear with xylol and mount in damar.
See Tubercle and Leprosy Bacilli,
Fluorescence Microscopy, also paper by
Richards, O. W., Kline, C. K. and
Leach, R. E., Am. Rev. Tubere, 1941,
44, 255-266. Efficiency of Ziehl-Neel-
sen and fluorescence techniques com-
pared. The latter superior (Van Dyke,
A. E., Am. J. Clin. Path., Techn.
Suppl., 1943, 7, 6-8.) For acid fast
bacilli in urine see Kelso, R. E. and
Galbraith, T. W., Am. J. Clin. Path.,
Techn. Suppl., 1943, 7, 8-11.
Less is known about the conditions
that determine acid fastness than those
which determine Gram positiveness
(see Gram Stain). The facts are well
stated for mycobacteria in general and
ACID FUCHSIN
ADENOSINASE
especially for the Tubercle Bacillus by
Dubos, R. J., The Bacterial Cell.
Harvard Univ. Press, 1945, 460 pp.
There is present in the tubercle bacillus
mycolic acid which is acid fast even
after isolation in the pure state; but
the property of acid fastness is lost by
the bacilli under conditions that do not
destroy this acid. These conditions
involve destruction or impairment of
structure of the organisms by mechani-
cal, chemical or enzymatic means.
Apparently the cell surface must be
intact. Dubos quotes Yegian et al. as
showing that tubercle bacilli stained in
absence of electrolytes are uniformly
colored rods, that addition of electro-
lytes causes a beaded appearance and
that treatment with ethyl alcohol re-
stores uniform solid staining to beaded
organisms which means that the change
from beaded to uniform state is a re-
versible process. This dependence of
microscopic appearance on experi-
mental conditions of technique is ob-
viously a matter of great consequence
in leprosy as well as in tuberculosis.
The investigator has to check carefully
by study of living unstained bacilli.
Acid Fuchsin (CI, 692) — acid magenta, acid
rubin, fuchsin S, SN, SS, ST or S Ill-
Commission Certified. Since this is a
sulfonated derivative of basic fuchsin,
and, because there are 4 possible pri-
mary basic fuchsins, Conn (p. 118) points
out that at least a dozen primary acid
fuchsins are possible and samples are
usually mixtures of several. Acid
fuchsin is employed is so many ways
that to enumerate them would be both
futile and unnecessary. See New
Fuchsin.
Acid Green, see Light Green SF yellowish.
Acid Green O, see Naphthol Green B.
Acid Hemalum, see Hemalum.
Acid Magenta, see Acid Fuchsin.
Acid Orange II, Y or A, see Orange II.
Acid Phosphatase, see Phosphatase.
Acid Phloxine GR, see Chromotrope 2R.
Acid Rubin, see Acid Fuchsin.
Acid Violet. Several triphenyl methane
dyes come under this heading. Conn
(p. 132) says that the term "acid
violet" is too indefinite for identifica-
tion. This is unfortunate because dyes
bearing this label have been used in
several combinations as in Bensley's
Neutral Safranin acid violet. Bailey,
P., J. Med. Res., 1921, 42, 349-381 and
Maurer, S. and Lewis, D. D., J. Exp.
Med., 1922, 36, 141-156, working in
Bensley's laboratory, used it for the
pituitary. Acid violet is one of the
stains employed by Weiss, E., J. Inf.
Dis., 1928, 43, 228-231 to stain flagella
and spirochetes (J. Lab. & Clin. Med.,
1928-29, 14, 1191-1193).
Acid Yellow, see Fast Yellow.
Acid Yellow R, see Metanil Yellow.
Acidity, see Hydrogen ion indicators.
Acidophilic, see Staining.
Acids, see under first name, Acetic Acid,
Hydrochloric Acid, etc .
Ackerman, see Auer Bodies.
Acridine Dyes. As the name suggests they
are formed from acridine which is re-
lated to xanthene. Examples: acri-
flavine, neutral acriflavine and phos-
phine. Phosphine 3R is employed as a
fluorochrome for lipids.
Acridine Orange (CI, 788), a basic dye of
light fastness 1 to 2. Gives clear brown
or dark orange coloration of plant tis-
sues of exceptional fastness. Tech-
nique described (Emig, p. 55).
Acridine Red 3B is, according to McClung,
Microscopical Technique, 1950, p. 73,
not an acridine dye but a pyromin
closely related to Pyronin Y. It has
been employed by Gomori, G., Am. J.
Path., 1936, 12, 655-663 mixed with
methyl green to reveal calcium salts
and phosphatase activity.
Acriflavine (CI . 790) . A yellow fluorchrome .
It is useful as a vital stain for nuclei.
Farr, R. S., Anat. Rec, 1946, 94, 16,
has employed acriflavine hydrochloride
to label transfused leucocytes and to
determine how long they remain in the
circulation.
Actinomyces. Mallory's stain for actino-
myces in sections (Mallory, p. 279).
For the organisms, fixation in alcohol
or in 10% formalin is preferable; but
for the lesions, Zenker's fluid is better.
Stain deparaffinized sections in Alum
Hematoxylin 3-5 min. After washing
in water stain in 2.5% aq. phloxine or
in 5% aq. eosin in paraffin oven, 15 min.
After again washing, stain in Stirling's
or Ehrlich's aniline crystal violet (see
Anilin Crystal Violet), 5-15 min. Wash
in water and treat with Gram's Iodine,
1 min. Wash in water, blot and destain
in aniline oil until no further color
comes out. Rinse in xylol and mount
in balsam. Branched forms, blue;
clubs, pink to red.
Actinosphaerium, see McClung, Microscopi-
cal Technique, 1950, p. 469.
Addis Count to provide quantitative data
on number of red blood cells and casts
in the urine is critically described by
C. J. Gentzkow and H. A. Van Auken
in Simmons and Gentzkow, p. 32.
Adenosinase. A method for analysis of
adenosinase in lymphocytes and poly-
morphonuclear leucocytes (neutro-
philes) is given by Barnes, J. M., Brit.
J. Exp. Path., 1940, 21, 264-275.
ADENYLPYROPHOSPHATASE
AGONAL^CHANGES
Adenylpyrophosphatase. The technique of
localization of this inaportant enzyme
in cytoplasmic granules has been de-
scribed and used in extracts of chick
embryos by Steinbach, H. B. and Moog,
F., J. Cell and Comp. Physiol., 1945,
26, 175-183. These authors are, how-
ever, not sanguine about the feasibility
of its localization by histochemical
methods (Science, 1946, 103, 144) as
reported by Glick and Fischer, Science,
1945, 102, 429^30. However, Malngwyn-
Davies, E. D. and J. S. Friedenwald,
J. Nat. Cancer Inst., 1950, 10, 1379,
recently reported at the Histochemical
Society that specific localizations were
achieved when unfixed frozen sections
were incubated in muscle adenosine
triphosphate substrates.
Adermin, see Vitamin B6.
Adhesiveness, or stickiness of cellular sur-
faces is a phenomenon of great im-
portance in connection with movement,
phagocytosis embryological develop-
ment and other processes. There is no
standard technique to measure it, ex-
cept in special circumstances as when
it ia manifested by agglutination of
bacteria and sedimentation of red blood
cells. The way leucocytes stick to the
endothelial wall of a small blood vessel,
shown by Motion Pictures, is impres-
sive. Adhesion tests have been intro-
duced as means of diagnosis of various
trypanosomes. A fine general discus-
sion of this phenomenon is provided by
Beams and King in Calkins, G. N. and
Summers, F. M., Protozoa in Biologi-
cal Research. New York: Colombia
University Press, 1941, 1148 pp.
Adrenal. For routine purposes fix in
Zenker's Fluid and stain paraffin sec-
tions with Hematoxylin and Eosin.
There are many techniques for Lipids.
The Chromaffin Reaction is often used
for adrenalin but Cramer, W., J. Path.
& Bact., 1937, 44, 633, considers black-
ening with osmic acid vapor as more
specific. Silver methods for vitamin
C are difficult to apply but are appar-
ently reliable. They are given under
Vitamins. The Schultz cholesterol test
gives excellent results. A selection
may be made from several methods for
Reticular Fibers. Corner, G. W., Con-
trib. to Embryol., Carnegie Inst., 1920,
9, 87-93, employed for reticulum the
Bielschowsky-Maresch silver method
exactly as specified by Ferguson, J. S.,
Am. J. Anat., 1912, 12, 277-296. The
Bodian protargol method for nerve
fibers has been adjusted to the adrenal
by MacFarland, W. E., and Davenport,
H. A., Stain Techn., 1941, 16, 53-58,
also Cajal's chloral hydrate method.
If one contemplates ultracentrifugation
and the demonstration of the Golgi
apparatus consult Guyer, M. F., and
Claus, P. E., Anat. Rec, 1939, 73,
17-27.
Method proposed by Bennett, S. H.,
Am. J. Anat., 1940, 67, 151-227 for keto-
steroid cortical hormone said by Go-
mori, G., Proc. Soc. Exp. Biol. & Med.,
1942, 51, 133-134 not to be specific but
to indicate merely location of lipids
having keto or aldehyde groups. A
technique for microscopic study of
living grafts of adrenal cortex (Wil-
liams, O., Anat. Rec, 1945, 91, 307).
Adrenalin, see Chromaffin Reaction.
Aerosol, a detergent used in preparing bac-
teria for staining (Sineszko, S. F.,
Science, 1942, 96, 589).
Affixatives are materials used to fix sections
to slides. See Albumen-Glycerin.
Agar, as matrix for cutting plant material
with freezing microtome (Evenden, W.
and Schuster, C. E., Stain Techn.,
1938, 13, 145^146). Lillie (p. 42) says that
infiltration of tissues from water in 2%
aq. agar at 55-60°C. for 2-4 hrs. is useful
for holding friable tissues and exudates
in place before cutting frozen sections.
The Agar does not color appreciably
with the usual stains.
Age Changes are as manifold as life itself.
Some are detectable by structural
modifications while others can only be
measured by decrease in performance.
Many old tissues can easily be dis-
tinguished from new ones as for example
Bone. Some accumulate definite prod-
ucts with age like Lipofucsin. The age
of tissue and of cellular components,
that is the time they endure, can be
determined by attaching Tracer Sub-
stances to them so that their rates of
Replacement can be measured. With
the passage of time colloids age, become
less elastic and more granular. Old
Elastic Fibers can be distinguished from
young ones. Now that the ultra struc-
ture of Collagenic Fibers has been re-
vealed by the electron microscope we
may hope for more accurate means of
estimating their condition in relation
to age. Numerous physical techniques,
including the Polarization Optical
Method, may well bring to light sig-
nificant age changes. Obviously many
methods of chemical analysis and of
enzyme activity provide data on the
modes of run down of vital activities.
Aggeler, see Blood Platelets.
Agonal Changes are particularly difficult
to avoid in villi of small intestine.
They are evidenced by a ballooning of
the epithelial cap most marked when
absorption of ordinary food stuffs is
active. The ballooning phenomenon
can be produced in the living animal by
ALBERT'S STAIN
ALDOLASE
ligating arteries of supply or by em-
ploying fixatives which induce forcible
contraction of smooth muscle (Macklin,
C. C. and M. T., Chapter on Intestinal
Epithelium in Cowdry's Special Cy-
tology, N. Y., Hoeber, 1932, 1, 235).
Albert's Stain for Diphtheria Bacilli, which
see.
Albumen-Glycerin for mounting paraffin
sections. Egg white 50 cc, glycerin
50 cc, sodium salicylate 1 gm. This is
"Mayer's Albumen". Shake together
and filter during several days. See
also Starch Paste and Masson's Gelatin
Glue.
Alcohol. Unless indicated to the contrary
the word "alcohol" as employed in this
book refers to the ethyl variety. Alone
it is a good fixative preliminary to tests
for Amyloid, Copper, Fibrin, Glycogen,
Gold, Hemofuscin, Hyaline, Iron, Lead,
Palladium, Phosphatase, Potassium
and Thallium, which see. It is also
employed in the demonstration of Nissl
bodies by Gallocyanin, of mucus by
Mucicarmine, of proteins by the Ro-
mieu Reaction, etc. In combination
with other chemicals alcohol is also much
used as a fixative, see Alcohol Formalin,
Carney's Fluid and many others.
Alcohol of 70% is a good preservative
and celloidin blocks can be stored in it.
Absolute alcohol is supposed to contain
not more than 1% by weight of water.
It is considered to be 100 per cent. A
very rough test for absolute alcohol is to
mix with it a few drops of turpentine.
If it becomes milky it contains too much
water. To make a lower per cent from a
higher one by dilution take the number
of cc. corresponding to the percentage
required and add aq. dest. to make in cc.
the percentage of the alcohol diluted.
Thus to make 30% from 70% take 30 cc.
of 70% and add aq. dest. to make 70 cc.
Alcohol is the best dehydrating agent
for tissues. It is sometimes not easy to
purchase absolute alcohol so that it must
be prepared. Take say 10 liters of 95%
alcohol, add 400 gms. freshly ignited
calcium oxide. Leave, with occasional
shaking, 24 hrs. until most of the water
is absorbed by the oxide. Pour off
fluid (leaving oxide at bottom of con-
tainer) and distill using appropriate
precautions. Keep the "absolute" as
nearly so as possible by using a tight
glass stopper for the bottle, or in place
of the stopper an absorption tube con-
taining calcium chloride so that any
water in entering air will be absorbed
and will not reach the alcohol. See
Dehydration, also Amyl, n-Butyl, Ter-
tiary Butyl, Isopropyl, n-Propyl and
Polyvinyl Alcohols.
Alcohol -Formal in is a fixative containing 9
parts of absolute alcohol and 1 part of
formalin. Since it penetrates quickly
and dehydration can be commenced in
absolute alcohol immediately after fixa-
tion, skipping the lower grades of alco-
hol, permanent preparations can be
made within a few hours' time. For
routine purposes 3-6 hrs. fi.xation will
suffice but as a preliminary to Micro-
incineration 24 hrs. is recommended.
Alcohol-formalin is recommended for
Fibrin, Glycogen, Indigo-Carmine
stains and Peroxidase. It is employed
with acetic acid in Bodian's Method
for nerve fibers.
Aldehyde Green (CI, 676a) — Aniline Green,
Benzaldehyde Green— a basic dye of
light fastness 4, employed as counter-
stain for Biebrich Scarlet, Acid Fuch-
sin. On xylene and sclerenchyma gives
rather brighter shade than Malachite
Green (Emig, p. 48).
Aldehydes. The bound form of aldehyde
has been called "plasmalogen". From
this the loosely bound "plasmal" form
is developed on treatment with mercuric
chloride or by acid hydrolysis (the Schiff
Reaction for aldehydes). This is the
basis of the Feulgen reaction for Thymo-
nucleic Acid. According to Oster, K.
A. and Oster, J. G., J. Pharmacol, and
Exper. Therap., 1946, 87, 306-312, the
fuchsin sulphurous acid reagent em-
ployed in this reaction when "true" is
specific for aldehydes while other car-
bonyl compounds sometimes give a
"pseudo" reaction. Oster, K. A. and
Mulinos, M. G., J. Pharmacol, and
Exper. Therap., 1944, 80, 132-138 report
that the purple of the "true" reaction
can be decolorized with dilute sodium
hydroxide and restored with hydro-
chloric acid, whereas the reddish tint
of the "pseudo" reaction cannot be
restored in this way after decoloriza-
tion (see Glick p. 65). See Thymo-
nucleic Acid (desoxyribonucleic acid)
and Carbonyl Compounds.
Aldolase. Triose phosphate was used as
a substrate for the Gomori phosphatase
procedure by Allen, R. S. L. and G. J.
Bourne, J. Exp. Biol., 1943, 20, 61-64.
The phosphate ion liberated by enzymic
activity was precipitated in an alkaline
medium. The enzyme was not in-
hibited by fluoride in concentrations
which blocked alkaline phosphatase
activity. The pH of the mixture was
not stated, but was presumably about
9.5. The method was not completely
satisfactory because of spontaneous
precipitates; nevertheless, concentra-
tions of enzyme were noted in striated
and cardiac muscle, kidney and liver.
Little or none was seen in the lung.
ALGIRE
ALPHAZURINE 2G
Aldolase + Isomerase are known as
Zymohexase.
Algire, see Transparent Chamber Tech-
niques.
Alizarin (CI, 1027) a little used acid an-
thraquinone dye.
Alizarin No. 6, see Purpurin.
Alizarin Blue RBN, see Gallocyanin.
Alizarin Carmine, see Alizarin Red S.
Alizarin Cyanine R (CI, 1050), an acid mor-
dant dye which is not stable in solution,
and on heating yields reddish ppt.
(Emig, p. 64).
Alizarin SX, or anthrapurpurin, use same
as Alizarin Red S.
Alizarin Green G (CI, 917), an acid mordant
dye of light fastness 1. After mor-
danting in 1% aq. ferric alum stain for
30 min. at 50°C. in 0.1 gm. of dye in
100 cc. 1% aq. ammonium acetate.
The green color obtained is the clearest
given by a mordant dye. Additional
directions are supplied (Emig, p. 59).
Alizarin Line Test for new bone and vitamin
D (Martin, G. J., J. Lab. & Clin. Med.,
1940,26,714-719). See Line Test.
Alizarin Purpurin, see Purpurin.
Alizarin Red S (CI, 1034) — alizarin red
water soluble, alizarine carmine — Com-
mission Certified. By far the most used
of all the alizarin stains. An important
ingredient in Benda Method. Much
superior to Madder for the staining of
bone and dentine laid down while it is in
the circulation. Schour has employed
it extensively. The technique is de-
scribed in detail by him and his asso-
ciates (J. Dent. Res., 1941, 20, 411-418).
He employed an Alizarin red S (CI,
1034) obtained from Coleman and Bell
Co. The effective dose for rat, rabbit,
guinea pig, cat, monkey and human in-
fant is between 50^100 mg. per Kilo,
conditioned by species, age and weight.
For newborn white rats he recommends
0.2 cc. 2% Alizarin and for rats weighing
100-200 gms. 5-I cc. given intraperi-
toneally. Colors are retained in speci-
mens fixed in 10% neutral formalin or in
95% ale. As in the case of Madder
staining of bone, tissues can be cleared
and examined as whole preparations, or
ground sections can be prepared for
microscopic study. Decalcification
spoils the color. Age factor in alizarin
staining (Ercoli, N. and Lewis, M. N.,
Anat. Rec, 1943, 87, 67). See Ossifica-
tion and Line Test.
Alizarin Red Water Soluble, see Alizarin
RedS.
Alizarin Sapphire BN (CI, 1054) of NAC, a
direct mordant dye of light fastness 2
(Emig, p. 64).
Alkali Blue 6 B (CI, 703), an acid dye of
light fastness 4 to 5 and of little value
for permanent preparations (Emig,
p. 51).
Alkali Green (CI, 665), an acid dye of light
fastness 5 gives very fugitive pale dull
green color (Emig, p. 47).
Alkaline Methylene blue, see Loeffler's.
Alkaline Phosphatase, see Phosphatase
and Kidney.
Alkalinity, see Hydrogen Ion Concentration.
Allantoin, colorimetric method, Borsook,
J. Biol. Chem., 1935, 110, 481-493.
Allen's Fluids are modifications of Bouin's
often containing urea. They are excel-
lent for chromosomes. See McClung.
Allergy, see Pollens.
Allochrome Procedure, a differential
method segregating tissues, collagen,
reticulum and basement membranes
into two groups (Lillie, R. D., Am. J.
Clin. _Path._, 1951, 21, 484-488). The
term is derived from G. allochroos, a
different or changing color, since colla-
gen and some related substances during
the procedure changes from red to blue.
See Lillie's paper for details of this
Periodic Acid Schiff, picro-methyl blue
technique.
Alloxan Reaction. 1% alcoholic solution of
alloxan gives red color with a aminoacids.
Romieu (M., Bull. d'Hist. appl., 1925,
2, 185-191) employs a cold neutral solu-
tion. Giroud (A., Protoplasma, 1929,
7, 72-98) uses heat but states that great
care is necessary in interpretation. See
Lison, p. 129.
This reaction is described as follows
by Serra, J. A., Stain Techn., 1946, 21,
5-18. Fix tissue as given under Nin-
hydrin Reaction. "An alcoholic 1%
solution of alloxan gives with amino
acids and proteic compounds a pink
coloration, after a long time at room
temperature, or rapidly if the reaction
is activated by heating in a boiling
water bath. In our experience, this
test is relatively insensitive; besides
this, the coloring formed diffuses
easily, so that the reaction can be in-
distinctly localized. With fixed mate-
rials the reaction is weak.
"The test must be carried out in
neutral solutions; this is attained by
addition of a phosphate buffer, as de-
scribed for the ninhydrin. This reac-
tion is not specific for amino acids and
proteins, as it is also given by com-
pounds with free NH2 and perhaps SH
groups (see Winterstein, 1933)."
Almkvist-Christeller, see test for Mercury.
Alpha Naphthol, see Oxidase.
Alpha Particle, see Gross, J., Bogoroch, R.,
Nadler, N. J., and Leblond, C. P., Am.
J. Roentgenol. Rad. Therap., 1941,
65, 420-458.
Alphazurine 2G see Patent Blue.
ALTMANN'S FLUID
ALUMINUM CHLORIDE CARMINE
Altmann's Fluid. Equal parts of 5% aq.
potassium bichromate and 2% aq. osmic
acid. Employed in his method as well
as for staining with Copper Chrome
Hematoxylin. It gives good surface
fixation but penetrates very badly.
Altmann's Method of anilin fuchsin and pic-
ric acid for mitochondria. Fix small
pieces not more than 2 mm. in diameter
24 hrs. in Altmann's Fluid. Wash for
1 hr. dehydrate, clear imbed in paraffin
and cut sections i/i. Pass down to
water. Stain in anilin fuchsin (20%
acid fuchsin in anilin water) 6 min.
Blot with filter paper. Differentiate
and counter stain by flooding the sec-
tions with 1 part sat. ale. picric acid and
2 parts aq. dest. Rinse rapidly in 95%
ale, dehydrate in abs. ale, clear in
xylol and mount in balsam. The mito-
chondria are stained crimson against a
bright j^ellow background. Altmann's
magnificent original plates should be
examined (Altmann, R., Die Elementar-
organismen und ihre Beziehungen zu den
Zellen. Leipzig: Veit Co., 1894, 160
pp.). If these are not available see
Meves, F., Arch. f. mikr. Anat., 1913,
82, (2), 215-260.
Altmann-Gersh frozen-dehydration method
(Gersh, I., Anat. Rec, 1932, 53, 309-
337). — Account written by Dr. Gordon
H. Scott, Dept. of Anatomy, Wayne
University School of Medicine, De-
troit, Mich. This method has proved
to be of much value in the preparation
of tissues for microchemical proce-
dures. It has also been used as a pre-
liminary treatment for tissues destined
for examination by the electron micro-
scope (Wyckoff, R. W. G., Science,
1946, 104, 21-26). Tissues are frozen
in liquid nitrogen or in liquid oxygen
and dehydrated in vacuo at low tem-
peratures. The tissue sample remains
frozen at such a temperature that little
or no chemical change can take place.
It is believed that the only significant
revision in cellular organization takes
place during the freezing process. This
is occasioned by possible shifts in pro-
teins, etc., during ice crystal formation.
Some users of the method believe that it
is possible to freeze small tissue samples
at speeds which will actually prevent
ice crystal formations. Efforts in this
direction have been made by freezing
in cooled iso-pentane (technical)
(Hoerr, N. L., Anat. Rec, 1936, 65, 293-
317; Simpson, W. L., Ibid., 1941, 80,
173-189).
For many reasons it has been found
desirable to dehydrate at lower tem-
peratures than were first thought neces-
sary. Now the standard procedure is
to dehydrate in vacuo from 40-65°C.
Apparatus of special design has been
constructed a number of times to meet
various needs. In general the prin-
ciples are the same. What is needed
is a vacuum system with high pumping
speed and with provision for keeping
the frozen tissue at constant tempera-
ture. Several of these have been de-
scribed, each with its adaptation to the
needs of the case.
For general use in histochemistry the
device described by Packer and Scott
(J. Tech. Methods, 1942, 22, 85-96) and
by Hoerr and Scott (Medical Physics,
Otto Glasser, 1944, Year Book Pub-
lishers) is both easy to operate and re-
liable. It has the distinct advantage
that tissues can be infiltrated with
paraffinjwithout^exposure to air. This
apparatus can also be used for the
preparation of tissues for electron
microscopy. For this use only the de-
hydration device described by Wyckoff
is probably more suitable.
Recently developed equipment will
permit drying frozen tissues in 5 hours.
(Stowell, R. E., Stain Techn. 1951, in
press)
Alum. The alums are double salts of sul-
phuric acid. Aluminum potassium sul-
phate, or potassium alum, unless other-
wise stated is the one used in making up
hematoxylin solutions. Aluminum am-
monium sulphate, or ammonia alum,
should not be used as a substitute unless
called for. Ammono-ferric sulphate, or
iron alum is used as a mordant and differ-
entiator in the iron hematoxylin tech-
nique and for other purposes. The
crystals are of a pale violet color. Their
surfaces oxidize readily and become use-
less. The surface should be scraped off.
Only the violet crystals are of any use.
Alum-Carmine (Grenacher). Boil 1-5% aq.
ammonia alum with 0.5-1% powdered
carmine. Cool and filter. Does not
penetrate very well and hence is not
suitable for staining large objects in
bulk. But it is useful and does not
overstain (Lee, p. 140).
Alum-Cochineal, see Cochineal.
Alum Hematoxylin. Many hematoxylin so-
lutions contain alum, see Delafield's,
Ehrlich's, Harris', Mayer's.
Aluminium Chloride Carmine (Mayer).
Dissolve 1 gm. carminic acid and 3 gm.
aluminium chloride in 200 cc. aq. dest.
Add an antiseptic as formalin or 0.1%
salicylic acid. Employ in same way as
carmalum. Gives blue violet color.
Very penetrating but not so specific for
chromatin as carmalum (Lee, p. 142).
ALVEOLAR EPITHELIUM OF LUNGS 8
ALVEOLAR PORES
Alyeolar Epithelium of Lungs
1. Gold sodium thiosulphate (Bensley,
R. D. and S. H., Anat. Rec, 1935, 64,
41-49). Inject a mouse intravenously
through the tail vein with 100 mg. of
gold sodium thiosulphate in 1 cc. aq.
dest. The mouse dies in about 20 min.
from asphyxia. Fix pieces of lung in
10% neutral formalin, dehydrate with-
out washing in water, clear and imbed
in paraffin. Deparaffinise sections and
stain in 1% aq. toluidin blue (tested
for polychromatism) and examine in
water. The epithelium is raised by in-
crease in volume of ground substance
which is stained metachromatically
pink while the cells and their nuclei are
blue. The color of the ground sub-
stance can be changed to blue by alco-
hol and back again to pink by water.
To mount protect against reversing
action of alcohol by treating with equal
parts freshly prepared 5% aq. am-
monium molybdate (Kahlbaum or
Merck) and 1% aq. potassium ferro-
cyanide. Dehydrate, clear in xylol
and mount in balsam. (Revised by
R. D. and S. H. Bensley, Dept. of
Anatomy, University of Chicago, Chi-
cago, 111., April 18," 1946.)
2. Silver nitrate (Bensley, R. L). and S.
H., Anat. Rec, 1935, 64, 41-49). Use
guinea pigs. Silver Citrate sol. (which
see) is injected into lung substance by
hypodermic syringe, the roots of the
lung being first ligated, until the lung
is moderately distended. Cut out
pieces, fix in 10% formalin, imbed in
paraffin or celloidin, section, develop
with dilute photographic developer and
counterstain or examine unstained.
The margins of the cells are blackened.
For the most delicate results a slow
acting, fine grain developer such as the
following should be used: phenyl hy-
drazine hydrochloride, 1 gm., sodium
sulphite (anhydrous), 10 gm.; aq. dest.,
100 cc. Caution: Phenyl hydrazine
hydrochloride is extremely toxic to
some people producing skin reactions.
(Revised by R. D. and S. H. Bensley,
April 18, 1946.)
Alveolar Fluid. Method for collecting,
Terry, R. J., Anat. Rec, 1926, 32, 223-
304; 1936, 64, 75.
Alveolar Foam Cells. — Written by C. C.
Macklin, Dept. of Histological Re-
search, The University of Western
Ontario, London, Canada. November
28, 1951. — These represent nonphago-
cytic pneumonocytes which have be-
come free in the alveoli and air tract
of the lungs. They may be obtained
by the "gash-irrigation" and "wash-
out" techniques (which see). Macklin
found in them refractile vacuolelike
bodies or vacuoloids (which see) readily
demonstrable in fresh mounts by bright-
or dark-field illumination (Proc 6th
International Congress of Experimental
Cytology, Stockholm, 1947, published
1949, pp. 383-387). In ordinary sec-
tions these bodies appear empty or with
a very small granule within them.
When foreign particles appear in them
they are known as "Dust Cells" (which
see). Mitochondria in foam cells are
mainly in the frothy perivacuoloidal
cytoplasm (Macklin, C. C, Biol. Bull.,
1949,96, 173-178).
Alveolar Phagocytes of Lungs, see Dust
Cells.
Alveolar Pores of the lung.^Revised by
C. C. Macklin, Dept. of Histological
Research, The University of Western
Ontario, London, Canada. November
28, 1951— Formalin (10%) and Zenker-
formalin are among the fixatives sug-
gested. The fixative is injected into
the trachea or bronchus at a gravity
pressure of 4-6 inches until the lungs
are moderately distended. During this
operation they are covered with physio-
logical salt solution. The lungs are
then immersed in fixative for days or
even weeks. Slices about 1 cm. thick
are cut, imbedded in soft paraffin and
sections are made at 100/i or more.
Resorcin-fuchsin and other stains may
be used. The blood in the capillaries
is a useful guide. The pores can be
identified by their rounded edges
(Macklin, C. C, Arch. Path., 1936, 21,
202-216).
In lungs fixed by immersion of the
flayed intact thorax (IIT) or perfusion
of the pulmonary capillaries of the in-
tact thorax (PIT) the pores, in thick
sections, appear as short narrow tunnels
with funnel-shaped entrances joining
neighboring alveolar spaces. Their ex-
tremely thin walls are composed of parts
of the contiguous capillaries. (See
"Fixation of the Uncollapsed Lung"
and "Dust Cells".) Thus seen a pore
is the empty sheath or vagina from
which a process of a pneumonocyte
(septal cell, alveolar wall cell, etc.) has
been withdrawn. When such a process
cannot be withdrawn because it is bul-
bous the cell is seen as a dumbbell -
shaped structure with the thin con-
necting part in the pore. In its func-
tional state this vagina is occupied by
a part of a pneumonocyte, and the latter
is thus placed where nutrition from the
capillaries is constantly available.
Any good fixative suffices to show pores
by these methods. When pieces of
lung tissue are fixed by immersion the
ensuing contraction usually closes the
pores to that they cannot be seen
ALVEOLAR SIZE
9
AMLXE OXIDASE
(Macklin, C. C, Jour, of Thor. Surg.,
1938, 7, 53&-551, Macklin, C. C, The
Lancet, Feb. 24, 1951, 432-435). See
also Loosli, C. G., Arch. Path., 1937, 24,
743, and Loosli, C. G., Amer. J. of Anat.,
1938, 62, 375. When the entire fresh
collapsed lungs are fi.xed b}^ filling them
with preservative via the trachea, or
when parts of the lung are so filled via
a bronchus, the alveolar walls are com-
pressed and flattened, and here the
pores appear as holes punched in thick
paper; and if the distention has been
great the morphology of the pore and
its relation to the environing capillary
is not obvious (Macklin, C. C., Trans.
Roy. Soc. Can., Sect. V, 1934, 28: p. 28;
J. Anat. [pt. 2] 1935, 69, 188; J. Assoc.
Am. Med. Coll., 1935, 10, 265; Arch.
Path., 1936, 21, 202). Pores are well
seen "en face" in frozen sections which
have been dried on the slide.
The foregoing description refers to
true pores. A second type of communi-
cation between adjoining alveoli occurs
in "medical emphysema" or alveolar
ectasia and is due to the wasting of
the alveolar sidewalls or bases. These
openings may be very large and numer-
ous, and the walls are then said to be
riddled with them. Pathologists are
familiar with this type of "false pore".
The true type of pore is usually un-
discernible in the collapsed lung tissue
examined by pathologists.
Alveolar Size, in the lungs. For techniques
used in determining alveolar size in ten
mammalian types see the papers of
W. S. Hartroft and C. C. Macklin in
the bibliography of the 26th Lewis Linn
McArthur Lecture of the Frank Billings
Foundation; by C. C. Macklin in Proc.
of the Institute of Medicine of Chicago,
1950, 18, 78-95.
Alveolus of the Lungs. The morphologj',
in sections, can best be demonstrated
in small animals by immersion of the
fresh skinned intact thorax in a fixative,
such as Bouin's fluid. See Fixation of
the uncollapsed lung.
Alzheimer's Modification of Mann's eosin-
methyl blue for neuroglia and degenerate
nerve fibers as given by Mallory (p. 245)
is abbreviated. Fix thin slices, 14 days,
in Weigert's Neuroglia Mordant -f 10%
of formalin. Wash 8-12 hrs. in running
water. Mordant lO^i frozen sections
2-12 hrs. in sat. aq. phosphomolybdic
acid. Wash 2 changes aq. dest. Stain
in Mann's Eosin Methyl Blue 1-5 hrs.
Wash quickly in aq. dest. until color
"clouds" are no longer given off.
Treat with 95% alcohol until gray matter
becomes light blue and white matter
pink or bright red. Dehydrate quickly
in absolute alcohol, clear in xylol and
mount in balsam. Normal axis cylin-
ders, purple or deep blue ; degenerating
ones, red; neuroglia fibers, dark blue;
and neuroglia cytoplasm, pale blue.
Mallory states that change from blue to
red staining of axis cylinders occurs as
soon as 48 hrs. after experimental lesion.
Amanil Garnet H., see Erie Garnet B.
Amaranth (CI, 184) — azo rubin, Bordeaux,
Bordeaux SF, fast red, naphthol red S,
C or O, Victoria rubin O, wool red — An
acid mono-azo dye used long ago by
Griesbach, H., Zeit. wis. mikr., 1886,
3, 358-385 to color axis cylinders.
Amebae. The techniques that have been
and can be employed for the organisms
are almost endless. In brief, these are
their examination in the living condi-
tion unstained using ordinary, phase
and dark field microscopes, imple-
mented or not by supravital stains. As
a beginning, the method of Meyers is
suggested: washed amebae in a clean
vessel are allowed to settle to the
bottom. They are then fixed in warm
Bouin's Fluid, concentrated in a centri-
fuge tube and stained with Grenacher's
borax carmine and Indulin (Meyers,
E. H., Trans. Am. Micr. Soc, 1933, 52,
58). For showing cytoplasmic com-
ponents of Amoeba Proteus, see Mast,
S. O. and Doyle, W. L., Arch. f. Pro-
tistenk., 1935, 86, 155. To determine
the density of amebae a starch Density
Gradient is recommended by Lovtrup,
S. C. rend. Lab. Carlsberg, Ser. Chim.,
1950, 27, 137-144. For determination
of permiability of nucleus see Monn6,
L., Proc. Soc. Exp. Biol. & Med., 1935,
32, 1197. The technique for enucelation
of fresh water amebae advised by
Holter, H. and Kopac, M. J., J. Cell,
and Comp. Physiol., 1937, 10, 423 is
recommended. See Entameba.
Amethyst Violet (CI, 847)— heliotrope B,
iris violet — It is a basic azin dye of
little importance to histologists.
Amine Oxidase. Oster, K. A. and Schloss-
man, N. C, J. Cell. Comp. Physiol.,
1942, 20, 373-378. As explained by
Glick, p. 93, the method is based on
detection of aldehyde formed by amine
oxidation. The Fuelgen sulphurous
acid agent (see Thymonucleic Acid) is
employed for microscopic visualization
of aldehyde. Binding of naturally
occurring aldehydes and "plasmal" is
accomplished with bisulphite so that
they do not invalidate the method.
Because the color produced diffuses,
localization is subject to criticism.
Place frozen sections of fresh tissue
in 2% aq. sodium bisulphite at 37°C., 24
hrs. wash thoroughly. Control sec-
tions immersed in Feulgen agent should
remain colorless showing that free
AMIDONOPHTHOL GR
10
AMYL ACETATE
aldehyde has been bound. Incubate
these sections in 0.5% tyramine hydro-
chloride in M/15 phosphate buffer pH
7.2 at 37°C. 24 hrs. Incubate other
control sections in same solution minus
tyramine. Immerse both test and con-
trol sections in Feulgen agent. Ex-
amine when quickly produced blue
color seems to be at maximum. Foci
of enzymatic activity, blue in con-
venient contrast with reddish purple of
"plasmal" (see Aldehydes).
Amidonaphthol GR, see Azophloxine GA.
Amino Acids, see Alloxan Reaction, also
Schmidt, C. L. A., The Chemistry of
the Amino Acids and Proteins. Spring-
field, Charles C Thomas, 1938, 1031 pp.
See paper chromatography added by
Roberts.
Aminoacridines, some are strong antiseptics,
do not stain skin (Albert, A. and
Ritchie, B., J. Soc. Chem. Ind., 1941,
60, 120).
Amitosis is direct nuclear division by con-
striction without formation of a chro-
matin thread. No special technique
required. Study of embryonic mem-
branes and of bladder of mouse (Dogiel,
A. S., Arch. f. Mikr. Anat., 1890, 35,
389-406) is suggested.
Ammonia Carmine (Ranvier). A suspen-
sion of carmine in water, with slight
excess ammonia, is allowed to evaporate
in air. If it putrefies so much the
better. Dissolve the dry deposit in
aq. dest. and filter (Lee, p. 145).
Ammoniacal Silver for branchioles — Written
by C. C. Macklin, Dept. of Histological
Research, The University of Western
Ontario, London, Canada. November
28, 1951 — This is useful to demonstrate
the two types of epithelium of the finest
bronchioles, as in the albino mouse.
There are two stock solutions. Solu-
tion 1: Five grams of silver nitrate are
dissolved in 300 ccms. of distilled water
and dilute aqua ammoniae is added
until the precipitate is nearly redis-
solved; filter; add water to make 500
ccms. Solution 2: One gram of silver
nitrate is dissolved in a small quantity
of water and poured into half a liter of
boiling water. Rochelle salt (0.83 gm.)
is dissolved in a small quantity of water
and added to the boiling solution, which
is then boiled for half an hour till a gray
precipitate gathers at the bottom of the
flask. Filter hot; add water to make
500 ccms. In using, equal parts of the
two solutions are mixed. The separate
solutions, kept in the dark, remain good
for a month or two.
The etherized animals are exsangui-
nated, the lungs collapsed by carefully
nicking the diaphragm and filled via
the trachea with the ammoniacal silver
solution. At the end of two minutes
the lungs are emptied, refilled with 10%
formalin, and the trachea is tied. The
material is placed in 10% formalin for
a day or more. Frozen, paraffin, or
celloidin sections are cut and exposed
to direct sunlight or weak photographic
developer. Flattened frozen sections
are useful in affording surface views of
lengths of bronchiolar epithelium. The
following description is from C. C.
Macklin (Canad. Jour, of Research, D,
1949, 27, 50-58— Bibliography) : "Two
definite types of cells, dark and light,
are revealed in the terminal bronchiolar
epithelium by this supravital silveriza-
tion. The dark cells are ciliated and
scattered among the light unciliated
cells as singles, pairs, triads or larger
groups to form a striking and charac-
teristic surface pattern. The cuticles
of the dark cells, far outreached by the
neighboring light cells, appear en face
as dense crowds of small uniform golden
brown granules. Viewed laterally these
show as pairs in vertical alignment, and
make two layers with a thin lighter band
between. The sides and bases are in-
dicated by deposits of black grains.
Near the sharply marked margin of the
definitive epithelium the dark cells are
shorter, more dispersed, and formed
like truncated pyramids with narrow
densely impregnated apices on some of
which are single delicate points instead
of discrete cilia. The light cells have
bulging villuslike free ends and make
flutings on the contiguous dark cells.
Small silverized particles sparsely
stipple their air surfaces, and rounded
plaques crown their summits. A simi-
lar dicellular picture is found in the
terminal bronchiolar epithelium of the
golden hamster."
Ammonium Molybdate, as mordant for
Mann's stain and Weigert-Pal (Perdrau,
J. R., J. Path. & Bact., 1939, 48, 609-
610. Recommended by Bethe as a
fixative for supravital methylene blue,
see Lillie, p. 245.
Amoeba, see Entameba.
Amphinucleolus (G. amphi on both sides).
A nucleolus which is double consisting of
both acidophilic and basophilic parts,
the former is usually a central core ana
the latter plastered on its surface.
Amphioxus, as an ancestor of vertebrates
of interest to all, see the technique of
Conklin, E. G., J. Morph., 1932, 54, 69.
Amphophilic, see Staining.
Amy! Acetate, as solvent for imbedding
tissues (Barron, D. H., Anat. Rec,
1934, 59, No. 1 and Suppl., 1-3); as a
clearing agent for embryological material
(Drury, H. F., Stain Techn., 1941,
16, 21-22).
AMYL ALCOHOL
11
AMYLOID
Amyl Alcohol. Merck lists 3, commercial,
normal and tertiary. It mixes with
95% alcohol and with xylol. HoUande
(A. C, C. rend Soc. de Biol., 1918, 81,
223-225) was the first to recommend
amyl alcohol as a substitute for absolute
alcohol in the dehydration of specimens
sta,ined by the Romanovsky and Giemsa
techniques.
Amyl Nitrite. McClung (p. 620) says that
this may serve as a dilator of peripheral
capillaries when a complete injection
of small blood vessels is required. Add
it to the ether at time of anesthetization.
Amylase, micromethod for (Pickford, G. E.
and Dorris, F., Science, 1934, 80, 317-
319). This was later used with marked
success by Dorris (F., J. Exp. Zool.,
1935, 70, 491-527) in a study of relation
between enzyme production and histo-
logical development of gut of ambly-
stoma. An extract is made, adjusted
to proper pH, applied to slides coated
with a starch-agar solution and incu-
bated. The slides are then washed, the
coating fixed in formalin and colored
with dilute iodine solution. Sites of
amylase activity are clear or pink stain-
ing spots. For necessary details, see
author's description, van Genderen
andEngel (H.andC., Enzymologia, 1938,
5, 71-80) localized this enzyme by
analysis of horizontal sections through
the intestinal wall. It was found that it
is present in rabbits in maximum amounts
in Brunner's glands. Holtfir and Dogle
(C. R. Lab. Carlsberg, S6r. Chim., 1938,
22, 219-225) observed that in amebae it
is concentrated in association with the
mitochondria which they assume to be
carriers of amylase. See Barnes, J. M.,
Brit. J. Exp. Path., 1940, 21, 264-275
for identification of amylase in lympho-
cytes and polymorphonuclear leuco-
cytes .
Salivary amylase digests glycogen in
sections, but does not alter mucus,
cartilage matrix and other mucins which
give similar histochemical reactions.
Lillie, R. D., Stain Tech., 1947, 22, 67-
70, recommends a commercial prepara-
tion of diastase for this purpose, but
Dempsey and Wislocki prefer saliva,
since the commercial preparations ap-
parently contain traces of mucinase
which attacks mucus, cartilage and
mast cell granules.
Amyloid (G. arnylon, starch and eidos, re-
semblance), a substance which accumu-
lates in pathological conditions in the
tissue fluids between cells particularly
in chronic infections. Methods for its
detection are fully described by Mallory
and Parker (McClung, pp. 417-419).
From nimaerous tests the following are
selected :
1. Iodine and sulphuric acid: Stain
section lightly with Lugol's iodine.
Place in 1-5% aq. or cone, sulphuric or
hydrochloric acid. Color of amyloid
changes quickly from red through
violet to blue or it may become deep
brown .
2. Methyl-violet: Treat frozen sections
of fresh, formalin or alcohol fixed tissue
with 1% aq. methyl violet, 3-5 min.
Wash in 1% aq. acetic acid, and remove
acid by washing carefully in water.
Examine in glycerin or water. Amyloid
is violet and tissue blue. Colors will be
retained longer if sections are mounted
in Levulose Syrup.
3. Iodine green: Fresh or hardened
sections are stained 24 hrs. in 0.3%
aq. iodine green. Wash in water and
examine in water or glycerin. Amyloid
is stained violet red and tissue, green.
4. Mayer's stain: Transfer paraffin
sections immediately after cutting to
0.5% aq. methyl violet or gentian violet
at 40°C. for 5-10 min. Rinse in water
and differentiate in 1% aq. acetic acid
for 10-15 min. Wash thoroughly in wa-
ter. Change to ^ sat. aq. alum and wash
it off in water. Place section on slide and
let water evaporate. Remove paraffin,
clear in xylol and mount in balsam.
Crystal violet and iodine green can be
employed in the same way.
A Congo red test has been described
(Taran, A., J. Lab. & Clin. Med., 1936-
37, 22, 975-977) and a polysaccharide
has been isolated from amyloid bearing
tissues which closely resembles chon-
droitin-sulphuric acid obtained from
infantile cartilage (Hass, G., Arch.
Path., 1942, 34, 92-105).
As pointed out by Highman, B., Arch.
Path., 1946, 41, 559-562 the staining
methods for amyloid are in general
satisfactory when employed by skilled
workers. However, when stained sec-
tions are mounted in glycerin Apathy's
syrup, or some such medium, they tend
to fade quickly, or the stain diffuses out
into the surrounding tissue, or mount-
ing medium, and the nuclei are seldom
sharply colored. Highman therefore
recommends staining of deparaffinized
sections of formalin fixed tissues in iron
hematoxylin 5 min., washing in water,
staining in 0.5% crystal violet or methyl
violet in 2.5% aq. acetic acid, washing
again in water and mounting in Lillie 's
Apdthy's syrup modified by addition
of 50 gm. potassium acetate or 10 gm.
sodium chloride to 100 cc. of syrup.
He also gives a technique for mounting
in clarite.
See Mallory-Heidenhain rapid one
step stain.
AMNIOTIC FLUID
12
AXILIN BLUE
Amniotic Fluid, technique for study of ab-
sorption from, Wislocki, G. B., BulL
Johns Hopkins Hospital, 1921 32, 93.
Anaplasma is a small spherical body found
within red blood cells in anaplasmosis
diseases. There are two types A margi-
nale and A centrale depending upon
whether the bodies are situated near
the margin or in the centers of the cells.
The bodies are supposed to be parasites
consisting of nuclear material with little
if any cytoplasm. Anaplasmosis is im-
portant economically as a group of tick
borne diseases of domestic animals.
For demonstration stain blood smears
by the methods of Giemsa or Wright.
Anethol is anise camphor suggested as a
medium in which to soak tissues before
making frozen sections (Stephanow,
Zeit. wiss. Mikr., 1900, 17, 181).
Anethole Clearing Agent.— Written by Joan
Haberman, Parkland, Washington.
March 10, 1951 — Anethole is a useful
agent in clearing segments of brain
tissue because of its refractive index.
The basic principle is that homogeneous
tissue, which has been bleached and
dehydrated, may be cleared by placing
in an oil of similar refractive index was
discussed by Groat, R. A., Stain Techn.,
1941, 16, 111-117. Brain tissue consists
primarily of protein and lipids and is
therefore not homogeneous as are other
types of tissue such as muscle. Since
protein forms the framework of the
brain, it necessitates that the lipids be
removed to obtain a homogeneous
tissue.
The lipid composition of the brain
tissue must be known in order to per-
form an adequate extraction. Accord-
ing to Koch, as quoted by A. P.
Mathews, Physiological Chemistry.
Baltimore: Williams and Wilkins Co.,
1939, the lipid composition is as follows:
phospholipids— 27.3% of dry matter;
cerebrosides— 13.6% of dry matter;
cholesterol— 10.9% of dry matter. The
phospholipids, according to G. A. Hill
and K. Kelly, Organic Chemistry.
Philadelphia: Blakiston Co., 1943, are
composed mainly of : lecithin— 48 p. p.m.,
soluble in ether and in alcohol; cepha-
lin — 200 p. p.m., soluble in ether, in-
soluble in alcohol; sphingomyelin— 56
p. p.m., insolublejin ether, soluble in hot
alcohol. These are all insoluble in
acetone. The cerebrosides are soluble
in hot alcohol, insoluble in ether.
Cholesterol can be extracted with ether
and alcohol. (The data on solubilities
are taken from Harrow, B., Textbook
of Biochemistry. Philadelphia: W. B.
Saunders Co., 1943).
Brain tissue must first be dehydrated
by using the alcohol series starting at
35% or higher if one wishes to risk more
shrinkage and changing every few hours
depending upon the size of the tissue.
The lipids are then removed by placing
the tissue in 100% alcohol at 60 degrees
centigrade for 1-2 days with frequent
changes in solution. The remaming
lipids are extracted with ether for 2
days or longer depending upon the size
of the tissue. The procedure results
in a tissue that consists largely of pro-
tein and gives a refractive index of
1.560 as determined on the Abb6 re-
fractometer.
By placing the tissue in an oil of very
similar refractive index it will soon be-
come transparent when brightly illum-
inated. Anethole (C10H12O) having a re-
fractive index of 1.5614 was found to
be the oil of choice. It is colorless,
very slightly soluble in water, soluble in
alcohol and ether, and is liquid at ordi-
nary temperatures. It can be obtained
from the Eastman Kodak Company,
Rochester, New York.
After the tissue has been placed in
anethole the container should be left
uncovered so that the displaced ether
may escape.
The transparency of the tissue de-
pends upon the completeness of the
lipid extraction. Larger pieces of
tissue such as 4 x 6 x 3 cm must be kept
in 100% alcohol for a week and in ether
for 1-2 weeks. Frequent changes of
solution are advisable. This block of
tissue will still appear only translucent
when cleared in anethole. However,
sections of § to 1 cm. in thickness cut
from this block will be sufficiently clear
to insure visualization of injected
vessels etc. under the binocular with
good illumination. It is probable that
a large piece of tissue could be cleared
satisfactorily if the alcohol and ether
extraction were carried out by means of
an intermittent siphoning distillation
extractor.
Angina, see Vincent's Angina.
Angstrom Unit. lA = 0.1 m/* = O.OOOIm =
10-' mm.
Anhydrase, see Carbonic Anhydrase.
Anilin Blue Alcohol Soluble, see Spirit Blue.
Anilin Blue, WS (CI, 707)— China blue,
cotton blue, marine blue V, soluble blue
3M or 2R, water blue (Wasserblau)— A
mixture of trisulphonates of di-phenyl
rosanilin and tri-phenyl pararosanilin.
Conn (p. 135) explains that this desig-
nation (like acid fuchsin) applies not
to a single compound but to a group
of dyes. Anilin blue is, nevertheless,
the best stain for Collagenic Fibers and
is employed for many other purposes.
ANILIN CRYSTAL VIOLET 1.
Anilin Crystal Violet 1. Ehrlich's. Shake
up 5 cc. anilin oil with 95 cc. aq. dest.
Filter and to 84 cc. of filtrate addl6 cc.
Bat. ale. crystal violet. Leave 24 hrs.
before using. After about 10 days stain-
ing potency decreases (Mallory, p. 89).
2. Stirling's. Crystal violet, 5 gm. ;
abs. ale, 10 cc; anilin oil, 2 cc, aq.
dest., 88 cc. Keeps well (Mallory, p.
90).
See Anilin Crystal Violet and Gentian
Violet.
Anilin-Fuchsin Methyl Green method for
mitochondria. This technique is based
on Altmann's method. It was used by
Bensley to stain tissues fixed in his
Acetic-Osmic-Bichromate fluid. Cow-
dry recommends instead fixation in the
better penetrating Regaud's fluid.
Fix small pieces in freshly prepared
Regaud's fluid (3% aq. potassium bi-
chromate 4 parts, commercial formalin
1 part). Ordinarily it is not necessary
to neutralize the formalin before hand
by saturating it with magnesium car-
bonate. Keep in ice box and change
the fluid every day for 4 days. Pour
off fixative and mordant in 3% aq. po-
tassium bichromate 8 days changing
every second day. Wash in running
water over night or in several changes of
water. Dehydrate iu alcohol, clear in
xylol, imbed in paraffin and cut sections
about 4 fi thick. Pass mounted sec-
tions through xylol and alcohol to
water. Dry the slide with a cloth ex-
cept area covered by sections. Pour
on anilin acid fuchsin and heat to
steaming over a spirit lamp. (To make
this saturate 125 cc. aq. dest. with
anilin oil by shaking the two together.
Filter and add 15 gms. acid fuchsin
to 100 cc. of filtrate. Allow to stand
24 hrs. before using. It lasts about a
month.) Allow to cool and stain about
6 min. Pour stain back into bottle.
Remove most of remainder, except from
sections, with a cloth or filter paper.
Rinse in aq. dest. about 1 min. Allow
1% aq. methyl green, added with
a dropper, to flow over sections and
counter stain them. This usually takes
about 5 sec. but the time must be
determined by trial. Wash off excess
methyl green in 95% alcohol, dehydrate
quickly in absolute, clear in toluol
(or xylol) and mount in balsam. The
mitochondria are stained crimson and
the nuclei green. For colored illustra-
tions see Cowdry, E. V., Contrib. to
Embryol., Carnegie Inst, of Washing-
ton 1917, No. 11, 27-43. If the methyl
green does not stain intensely enough
treat the sections, before coloration with
fuchsin, with l%aq. potassium perman-
ganate 30 sec. followed by 5% oxalic acid
13 ANTERIOR CHAMBER
TRANSPLANTATION
30 sec. and wash in water. More methyl
green can be retained by blotting the
sections after staining in it with filter
paper and by then passing directly to
absolute alcohol. If the time of fixation
and mordanting is reduced much below
that specified the fuchsin itself may not
color with sufficient intensity. Such
preparations hold their colors for a year
or more unless they have been unduly
exposed to sunlight, or the balsam is acid.
Anilin Fuchsin Picric Acid, see Altmann's
method for mitochondria.
Anilin Fuchsin Toluidine Blue and Aurantia,
see Champy-Kull method for mito-
chondria.
Anilin Gentian Violet usually credited to
Ehrlich. Rarely is its composition
given exactly the same by any two
people. The "emended formula" (Soc.
Am. Bact.) is A: 2.5 gm. crystal violet
(85 per dye content) -f 95% ethyl alco-
hol, 12 cc. B: anilin oil 2 cc. -f aq.
dest. 98 cc. (shake, leave few minutes,
filter). Mix A and B. (McClung,
p. 137.)
Anilin Oil. A good product is easily obtain-
able. It is much used in the making of
stains (cf. anilin fuchsin) and to clear
tissues from 95% alcohol and even sec-
tions from 70%. Lee (p. 71) says that
it should not be employed after fixation
in osmic acid and that unless removed
by chloroform or xylol it will give the
tissues and mounting medium a brown
coloration .
Anilin Red, see Basic Fuchsin.
Anilin-Safranin (Babes). Aq. dest., 98
cc. ; anilin oil, 2 cc. ; excess of safranin O.
heat in flask in hot water bath at 70-
80°C. Cool, filter and use filtrate.
This is an excellent nuclear stain, but
it must be freshly prepared every month
or so. It colors very promptly. Dif-
ferentiation is in 95% ale or even in
Acid Alcohol.
Anilin Yellow, see McClung, 1950, p. 439.
Anterior Chamber Transplantation —
Written by Harry S. N. Greene, Labora-
tory of Pathology, Yale University
School of Medicine, New Haven. Sept.
11, 1951 — The anterior chamber of the
eye possesses many advantages over
other bodily regions as a transplanta-
tion site. The technique of transfer is
simple, a high percentage of takes is
obtained, and the growing tissue can
be followed by direct visual observa-
tion or even subjected to microscopic
examination. A further advantage de-
rives from the fact that the chamber
supports the growth of heterologous
embryonic or cancer tissue whereas in
other bodily sites such tissues generally
fail to survive.
The technique varies somewhat with
ANTERIOR CHAMBER
TRANSPLANTATION
the size of the animal used. Animals
larger than mice are immobilized on an
operating board with tie strings in such
a manner that the desired eye presents
to the operator. The cornea is anaes-
thetized by contact with a 5% aqueous
solution of cocaine administered with
a medicine dropper. An incision is
made at approximately the midpoint of
the upper border of the limbus utilizing
a sharp double-edged corneal knife.
The knife is directed slightly forward
so that the blade enters the anterior
chamber without damage to the iris.
The pressure necessary to pierce the
cornea is sufficient, even with a sharp
knife, to rotate the eyeball beneath the
lower lid and conceal the operative
field. A short, quick thrust of the
knife, however, results in an adequate
opening and the temporary obscurity
is inconsequential. Withdrawal of the
blade is accompanied by the escape of
a small amount of aqueous humor, but
unless the iris has been cut by a mis-
directed knife, there is no bleeding.
Transfer of the tissue is effected by
means of a trocar commensurate in
diameter with the corneal incision.
The trocar should be equipped with a
tight-fitting plunger and a short bev-
elled mouth with all edges filed to
smoothness. A small fragment of tissue
is placed in the mouth of the trocar
and forced into the barrel, a step greatly
facilitated by withdrawing the plunger
to produce suction. The tip of the
trocar is inserted through the incision
a short distance so that the bore is
entirely within the chamber and the
fragment is expelled. It is important
that all manual pressure about the eye
and head of the animal be released
before withdrawing the trocar to pre-
vent escape of the fragment. Finally,
the fragment is forced into the inferior
angle of the iris by applying light pres-
sure along the corneal surface with a
blunt instrument. The incision is not
closed.
The knife should be sharp and of such
width that a stab wound will admit the
trocar. The use of a narrow knife
necessitates side cutting to obtain a
sufl&cient opening and this may be
attended by iris damage with conse-
quent bleeding. Pointed surgical
blades or single-edged corneal knives
are undesirable, for the triangular cut
produced heals slowly and may result
in herniation of the iris.
The fragments of tissue to be trans-
planted should be cut with sharp instru-
ments and should not exceed 1 mm. in
diameter. The careful selection of
fragments is of the utmost importance
14 ANTERIOR CHAMBER
TRANSPLANTATION
in the heterologous transplantation of
human cancer. In addition to essential
parenchyma, all human cancers contain
stroma and many are infiltrated with
desmoplastic connective tissue. Such
tissues are adult in nature and will not
grow on heterologous transfer. In fact,
their presence in quantity will give rise
to a foreigh body reaction in the alien
host and result in death of the trans-
plant. It is essential, therefore, that
selection be based on the content of
tumor parenchyma and some knowledge
of gross pathology is necessary for such
a differentiation. Frozen sections ob-
tained from different areas of the tumor
mass are of considerable aid in some
cases. It is obvious that necrotic
tumor or normal tissue adjacent to the
tumor are not suitable materials for
transfer.
The placing of the fragment in a
wedged position in the inferior angle of
the iris is important for early vasculari-
zation. Occasionally, fragments so
placed work loose shortly after opera-
tion and an examination with the re-
quired readjustment is desirable before
returning the animals to the colony.
Fixation occurs within a few hours and
further check is unnecessary.
A slight modification of the technique
is desirable when applied to mice or to
newborn animals of larger species.
General anesthesia is preferable and
may be effected with ether or nembutal.
Both hands are employed in the opera-
tion and preliminary loading of the
trocar is necessary. The trocar is made
by shortening the bevel at the tip of
a 20-gauge hypodermic needle. A suit-
able, tight-fitting plunger can be manu-
factured or obtained simply be select-
ing a wire stylet of proper size from the
stock supplied with the needles and ap-
plying a knob of plastic material to one
end.
The mouse is held loosely in the left
hand and the lids of the right eye forced
apart with the thumb and index finger.
Slight pressure with the fingers causes
the eye to protrude sufficiently to allow
adequate exposure for the operation.
An incision is made at the upper border
of the limbus using a double-edged knife
of the same caliber employed in larger
animals.
The trocar, held between the thumb
and middle finger of the right hand, is
inserted into the chamber through the
incision and the fragment expressed
by pushing the plunger with the index
finger. In order to prevent extrusion
and escape of the fragment through the
incision, all pressure exerted on the
animal by the left hand should be re-
ANTHROCOSIS
15
ANTIGENS, HISTOCHEMICAL
leased before withdrawing the trocar.
Trouble may be encountered in pre-
venting the escape of soft, slippery
tissues such as embryonic brain. This
difficulty may be circumvented by in-
cising the iris as well as the cornea at
the limbus and directing the trocar
behind the superior half of the iris,
through the pupil and into the inferior
portion of the anterior chamber. With
withdrawal of the trocar, the fragment
is almost invariably caught at the
pupillary border and retained in the
chamber.
The tissue concerned may be trans-
planted immediately or stored at ice-
box temperature for several days before
use. It is essential that the material
be free of infection and that surgical
sterility be maintained throughout all
manipulations.
Aside from careful technique, the
success or failure of anterior chamber
transfer depends on the nature of the
tissue used and the species of the re-
cipient host. Adult, embryonic and
cancer tissues grow on homologous
transfer, while benign tumors and pre-
cancerous tissues fail to survive, and
heterologous transfer is successful only
in the case of embryonic tissue and
cancer. In the selection of recipient
species for the heterologous transplan-
tation of cancer, it should be noted that
transfer between species with the same
type of Vitamin C metabolism (man
and guinea pig) is comparatively easy,
while transfer between species with
different types (man and mouse) is
difficult.
Takes are first recognized by increase
in size and vascularization of the trans-
planted fragment. The time required
varies within wide limits; 1 day in the
case of homologous embyronic tissues
and 3 months in the case of a hetero-
logous glioblastoma multiforme. In
the former instance, the growing trans-
plant may fill the chamber in a week
while in the latter, 6 to 8 months may
be required. Serial transfer is readily
effected with fragments of the first
generation growth. For details see
Greene, H. S. N., Cancer Res., 1943, 3,
809-822; 1947, 7, 491-501, and Yale J.
Biol. & Med., 1950, 6, 611-620.
Anthracosis. The deposition of carbon,
usually in lungs and mediastinal lymph
nodes, distinguished by its resistance
to solvents and bleaching agents and
by its blackness. See Carbon.
Anthrapurpurin, see Alizarin SX.
Anthraquinone Dyes. Derivatives of an-
thracene through anthraquinone. Acid
alizarin blue GR and BB, alizarin,
alizarin red S, purpurin.
Antibiotics, influence on dehydrogenase.
Systems of bacteria, see Triphenyl-
tetrazolium Chloride.
Anticoagulant Solutions have been very care-
fully studied by Leichsenring, J. M.,
et al., J. Lab. & Clin. Med., 1939-40, 25,
35-44. They found that 1.6% potassium
oxalate prepared from dried salt is most
nearly isotonic for human blood. Win-
trobe, M. M., Clinical Hematology,
Philadelphia, Lea & Febiger, 1942, 792
pp. advises 0.06 gms. of ammonium
oxalate and 0.04 gms. of potassium oxa-
late for 5 cc. of blood. He dissolves 1.2
gm. ammonium oxalate and 0.8 gm.
potassium oxalate in 100 cc. aq. dest.
and adds 1 cc. formalin to prevent de-
terioration. Then he measures out with
a burette 0.5 cc. into each of the con-
tainers and lets it dry before taking into
each 5 cc. of fresh blood. Heparin is
also advised but it is much more expen-
sive. 0.075 gm. will prevent coagula-
tion of 5 cc. of blood. See citrate.
Antigens, Histochemical Identification Of —
Written by A. H. Coons, Dept. of Bac-
teriology and Immunology, Harvard
Medical School, Boston, August 31,
1951 — The localization of antigenic
substances in tissue cells can be carried
out by the use of specific antibody con-
jugated with fluorescein. The method
furnishes a means for localization and
identification with all the specificity of
immune reactions. Suitably prepared
tissue sections containing an antigenic
substance which it is desired to study
are flooded with a solution containing
antibodies against the substance pre-
viously conjugated with fluorescein
isocyanate. The antibody molecules
precipitate over those sites in the tissue
section containing the specific antigen,
the excess of fluorescent proteins is
washed away, and the tissue section
mounted in glycerol. When examined
under the fluorescence microscope, the
brilliant yellow-green fluorescence of
fluorescein is visible over those areas
where the immune reaction has taken
place.
The preparation and assay of immune
sera is described in standard works on
immunology. Two such recent ones
are Kabat, E. A., and Mayer, M.
M., Experimental Immunochemistry,
Thomas, Springfield, Illinois, 1948;
Boyd, W. C., Fundamentals of Im-
munology, 2nd Edition, Interscience,
New York, 1947. Whenever possible,
it is best to start with a purified antigen,
since antibodies against any impurities
present in the material injected may be
represented by antibody in the result-
ing serum. These antibodies against
biological impurities may react in tissue
ANTIGENS, HISTOCHEMICAL
16
ANTIGENS, HISTOCHEMICAL
sections with antigenic components
other than that under investigation.
However, it is possible to remove such
interfering antibodies by absorbing the
anti-serum with material containing the
* antigenic impurities, but not contain-
ing the antigen it is desired to study.
Pains should be taken to secure as high
a titer of antibody as is feasible. Pro-
longed courses of immunization and the
use of adjuvants may be necessary.
Concentration of antibodies. It is
often advantageous to concentrate the
globulin fraction of such immune sera,
either by precipitation of the globulins
with half-saturated ammonium sul-
phate, or the use of low temperature,
buffers, and alcohol after the method
of Nichol and Deutsch (J. Am. Chem.
Soc, 1948, 70, 80). If ammonium
sulphate is used, the ammonium ion
must be carefully dialyzed from the
final globulin solution as otherwise it
will interfere seriously with subsequent
procedures.
Conjugation with fluorescein isocyanate.
The derivatives of fluorescein leading
to the isocyanate are not as yet com-
mercially available. Fluorescein amine
may be synthesized and converted to
the isocyanate for conjugation to pro-
tein by the procedures desci-ibed by
Coons and Kaplan (J. E.xp. Med., 1950,
91, 1).
Conjugation of antibody solution with
fluorescein isocyanate. The protein con-
tent of the serum or isolated globulin
fraction to be conjugated must be de-
termined. It should be at least 1.7%.
A convenient amount of protein for one
run is from 300 to 600 mgm. The
amount must be known.
Fix a small beaker in an ice-bath and
equip it with good mechanical stirring.
Put reagents by volume into it in the
following order:
Saline (0.9% NaCl) to make 100%.
Carbonate - bicar-
bonate buffer (0.5
M, pH9.0) 15%
Dioxane (distilled
from and stored
over sodium) 15%
Acetone 7.5% (minus 2 ml.)
When the solution is 4°C. or below,
and the isocyanate solution is ready,
add
Protein solution, such that the pro-
tein concentration in the final mixture
is 1%.
For example, there are 30 ml. of a
concentrated antibody solution con-
taining 2.0% total protein. It is de-
sired to conjugate 500 mgm. (25 ml.),
holding the remainder for control pur-
poses. The reaction mixture:
Saline 6.75 ml.
Buffer 7.5 ml.
Dioxane 7.5 ml.
Acetone 1.25 ml.
Protein sol 25 ml.
Total 48 ml.
An amount of one of the two fluores-
cein amine isomers such that there is
0.05 mgm. of amine per mgm. of protein
(in the example, 25 mgm.) is dissolved
in dry acetone and treated with phos-
gene. This procedure should be carried
out in a good chemical hood with forced
exhaust. Phosgene is led out of the
tank through concentrated sulphuric
acid, thence to a vessel containing 15
ml. of dry acetone and fitted with a
dropping funnel, thence to an empty
vessel which serves as a trap, thence
through 20% sodium hydroxide to
destroy the excess phosgene, and finally
through a trap with a controlled leak
to a water suction pump. The whole
reaction train should be maintained
at a pressure slightly below atmospheric
by means of the controlled leak. Phos-
gene is turned on and allowed to bubble
through to remove air and to saturate
the acetone in the reaction flask. At
the end of a few minutes, the amine dis-
solved in 5 cc. of dry acetone is added
slowly from a dropping funnel to the
vessel containing the acetone saturated
with phosgene. When all the amine-
containing solution has been added to
the reaction vessel, phosgene is allowed
to continue bubbling through. During
this time the color of the solution in the
reaction flask slowly changes from a
fluorescent green to a pale yellow. A
small amount of heat is generated dur-
ing the reaction of the amine with
phosgene. At the end of about 15 min-
utes the reaction flask is transferred to
a vacuum still, immersed in a water
bath at about 45°C., and the acetone
boiled off under reduced pressure. Small
pieces of dry anthracite can be used as
antibumping chips. This step removes
the phosgene still dissolved in the ace-
tone. When the reaction flask is warm
and dry, a greenish brown gum is vis-
ible on the wall; this should be dis-
solved in 2 ml. of acetone. This solu-
tion is added in toto, drop by drop, to
the stirred, chilled, buffered protein so-
lution. (This additional acetone brings
the total acetone concentration up to
7.5%.) Stirring is allowed to continue
for 16 hours in the cold. The solution
is poured into a cellophane sac and
dialyzed against repeated changes of
saline buffered with 0.01 molar phoa-
AXTIGENS, HISTOCHEMICAL
17
ANTIGENS, HISTOCHEMICAL
phate at pH 7.0 in the cold until the
dialysate outside the sac shows fluores-
cence of less than 1 part in 20 million.
This can be roughly determined by eye
using a known solution of fluorescein as
a standard.
The antibody solution may be further
purified by one or more precipitations
with half saturated ammonium sulphate
followed by re-solution and dialj^sis,
and by precipitation with cold acetone
(Coons, et al., J. Immunol., 1942, 45,
159) or by 40% alcohol (Marshall, J.
Exp. Med., 1951, 94, 21). Merthiolate
(Eli Lilly Co.) should be added as a
preservative (1:100 of a 1% solution).
Despite these chemical purification
procedures, substances remain in such
fluorescein-protein conjugates which
stain some tissue elements. It has been
found necessary to shake such con-
jugates with dry acetone-powder de-
rived from animal tissues, usually liver
powder of the species whose tissue it
is proposed to study. Such powder
may be prepared by homogenizing the
tissue in a Waring blendor, washing
several times with distilled water in
the centrifuge, suspending the product
in saline and precipitating it with four
volumes of acetone. The acetone pre-
cipitate can be harvested on a Buchner
funnel and washed with dry acetone to
remove water. Such a powder is added
to a small aliquot of conjugate in the
proportion of 100 mgm. of powder to
each ml. of conjugate, the paste allowed
to stand for an hour at room temper-
ature, and the powder separated in the
centrifuge. The yield is higher if the
centrifugation is carried out in the cold
at 18,000 rpm. Two such absorptions
are often necessary to remove "non-
specific staining." Merthiolate should
be added again as above.
The preparation of tissue sections for
use ivith fluorescent antibody. The prob-
lem of preparing tissue sections retain-
ing the antigenic activity of the ma-
terial sought varies with the antigen in
question. The bacterial polysaccha-
rides which have so far been studied
survived fixation in Rossman's picric
acid-alcohol-formalin followed by
paraffin embedding. Such sections are
deparafRnized and hydrated and then
stained with the appropriate antibody
solution. Care must be taken not to
wash out the antigen during the pro-
cedures preceding the flooding of the
section with labeled antibody. In the
case of bacterial polysaccharides, it is
necessary to remove the picric acid in
70% alcohol, in which these polysac-
charides are insoluble.
In the case of less stable materials,
for example proteins, fixation of the
tissue-block is unsatisfactory; sections
must be prepared from unfixed material
and fixation carried out on the indi-
vidual section. There are two methods
available for the preparation of such
sections from unfixed tissue, one that
of Linderstr0m-Lang and Mogensen,
the other that of Altmann-Gersh, and
others.
With either of these two methods,
it is necessary to fix the tissue section
in some appropriate reagent before
applying labeled antibody solutions
lest the material looked for be dissolved
out of the section during exposure to
conjugated antibody. A certain
amount of experimentation is necessary
with each new antigen in order to find
the appropriate fixative. For mumps
and influenza A virus and the virus of
infectious canine hepatitis, acetone is
satisfactory. This is used at room
temperature for 15 to 30 minutes fol-
lowed by drying of the section in an
incubator. For proteins, 95% ethanol
by volume (start with absolute ethanol)
at 37°C. for 30 minutes is satisfactory.
For ACTH in the anterior lobe of the
hog pituitary, absolute methanol has
been shown to be a satisfactory fixative
(Marshall, J. Exp. Med., 1951, 94, 21).
In general, these organic solvents are
best removed by evaporation.
These fixatives and exposure-times
are cited as examples only. Any anti-
gen-antibody system chosen for study
must be investigated from this as well
as from other points of view.
The use of labeled antibody solutions
on tissue sections. A small drop of
fluorescein-antibody solution is placed
over the tissue section, and allowed to
react for from 10 minutes to 48 hours,
depending on the system under study.
Thirty minutes is usually satisfactory.
During the reaction, evaporation must
be minimized. Usually the reaction
can be carried out at room temperature,
although incubator temperatures or
refrigerator temperatures can be em-
ployed. Following exposure to the
fluorescent antibody solution, the sec-
tion should be placed in a Coplin jar
containing 0.9% saline buffered at pH
7.0 with 0.01 molar phosphate, and
washed with very gentle motion for
10 minutes. At the end of this time,
the slide should be wiped dry except
for the area of the section and the sec-
tion itself mounted under a cover slip
in glycerol containing a trace of buffer
at pH 7 (commercial glycerol is slightly
acid), and examined under the fluores-
cence microscope.
Control of specificity of staining.
ANTIGENS, HISTOCHEMICAL
18
ANTIGENS, HISTOCHEMICAL
Because of the ever-present hazard of
"nonspecific" staining, careful controls
of specificity must be carried out at
every step. When the antigenic material
sought is foreign to the tissue under
investigation, control is relatively
simple since the conjugate should fail
to stain normal tissue sections. Im-
munologically specific staining can be
greatly diminished or altogether pre-
vented by pretreatment of parallel sec-
tions with unlabeled homologous anti-
body, thereby blocking the antigen.
However, replacement of unlabeled by
labeled antibody occurs and the time
of staining must usually be decreased
in order to carry out this control suc-
cessfully. Failure to stain the tissue
under investigation with heterologous
labeled antibody is also a suitable
control, although the degree of purifica-
tion of conjugates varies and it is diffi-
cult to establish that any two conju-
gates are strictly comparable. There
are so many possible variations that
controls appropriate to each situation
must be carefully planned.
Fluorescence microscopy. Fluores-
cence microscopy is described in an-
other section. The amount of de-
posited antibody is quite small, and the
fluorescence therefore faint. Light
sources adequate for the study of
brightly fluorescent materials present
in high concentration are not appropri-
ate for use with labeled antibody.
Either a 10 amp. carbon arc or a high
pressure water cooled mercury vapor
arc (General Electric Co., AH -6) are
satisfactory. At this level of bombard-
ment, fluorescence of optical elements
becomes important. It is necessary to
use a quartz condenser since glass ones
often fluoresce in the ultraviolet beam.
Definition is improved at the cost of
intensity by the use of a cardioid
darkfield condenser.
Photography. Findings revealed by
this method can be recorded photo-
graphically using 35 mm. film (either
high speed panchromatic film or fast
green-sensitive film, e.g., "Photoflure"
Eastman). Exposure times vary with
the amount of fluorescent antibody
deposited and the autofluorescene of
the background, varying at "high dry"
(400 X) from 3 to 10 minutes. Focus-
ing on ground glass is very difficult
because of the low degree of intensity
of the projected image, but can be
carried out by the use of a magnifying
lens focused on a clear area in the
ground glass.
Anyone attempting to carry out these
procedures is advised to consult the
original papers to which reference has
been made (cf. Federation Proc, 1951,
10, 558).
Frozen Sections by the Method of
hinderstr^m-Lang and Mogensen
(Compt.-Rend. Trav. Lab. Carlsberg,
s6rie chim., 1938, 23, 27; Coons ,et al.,
J. Exp. Med., 1951, 93, 173). The prin-
ciple of this method is quite simple.
It involves the quick-freezing of tissues
at low temperatures, and cutting them
while frozen in a cryostat maintained
at —20. This cold chamber should be
equipped with adequate lighting, an
insulated window through which the
operator can see, and gloved armholes
through which he can work. Sections
are cut on a good rotary microtome,
the knife of which is equipped with a
glass guide to keep the sections from
curling as they are cut. Convenient
improvements in the method are de-
scribed by Coons, et al. Tissues may
be quick-frozen by placing thin slices
on the side-walls of test tubes which
are then stoppered and plunged but
not submerged into alcohol cooled to
the temperature of dry ice. They can
then be stored in a deep freeze below
— 20, or put in the cold cryostat for
immediate sectioning. Long storage
results in the growth of ice crystals.
The tissue is mounted by putting a
small drop of water on a previously
chilled tissue holder and touching the
tissue to it. Within a few seconds the
tissue block will be tightly frozen to
the holder. Care must be taken to
avoid ice formation near the cutting
area. The knife blade should be set
at an angle of approximately 20° from
the plane of movement of the tissue
block. The glass guide should be ad-
justed so that its upper edge is parallel
to and at the height of the cutting edge
of the knife. Each section as cut is
removed with forceps from the knife
blade, placed gently on a cold slide,
and thawed by placing a finger under
the section. It can then be dried in
the air stream from a fan at room tem-
perature. Appreciable movement of
tissue components during this momen-
tary thawing has not been troublesome,
although it could be serious in some
situations.
An adhesive is necessary on the slides;
the one in use by the authors quoted
has been formalinized gelatin. Acid
cleaned, dry glass slides are dipped in
0.5% gelatin, and placed on end to
drain and dry. When dry, they are
dipped in 10% formalin, drained, and
allowed to dry. They can then be
stored for long periods until required.
Good sections 10 ju thick are easy to
cut by this method, and with practice
ANTIRACHITIC VITAMIN
19
ARGENTAFFINE REACTION
sections about 4 ju thick can be cut as a
routine.
Antirachitic Vitamin, see Vitamin D3.
Antiscorbutic Vitamin, see Vitamin C.
Antimony Trichloride, see Carr-Price Re-
action.
Aorta, see Arteries and, for an account of
technique for measuring elastic proper-
ties, Saxton, J. A., Arch. Path., 1942,
34, 262-274.
Aortic Paraganglion (Glomus aorticum).
Technique for blood supply and innerva-
tion is provided by Nonidez, J. F., J.
Anat., 1936, 70, 215-224. Negative re-
sults in application of the chromaffin
reaction to the rabbit and guinea pig
are described by the same author. Am.
J. Anat., 1935, 57, 259-293. Carotid
glomus is very similar.
V. Apathy Syrup has been modified by
Lillie, R. D. and Ashburn, L. L.,
Arch. Path., 1943, 36, 432-435. Dis-
solve acacia (gum arable) 50 gm. and
cane sugar 50 gm. in aq. dest. 100 cc.
shaking frequently at 55-60°C. Add
aq. dest. to make up original volume
and merthiolate (sodium ethylmercuri-
theosalicylate) 15 gm., or thymol 100
gm. to act as a preservative. This
syrup is recommended as a mounting
medium for frozen sections stained
with Sudan III, or other alcohol soluble
dyes.
Aposiderin, see Lillie, p. 127.
Aquax — Written by C. C. Macklin, Dept.
of Histological Research, The Univer-
sity of Western Ontario, London,
Canada. November 28, 1951 — A water-
soluble wax for embedding purposes
produced by George T. Gurr, 136, New
King's Road, London, S.W. 6. It has
been found useful for the demonstra-
tion of osmiophil granules in pneumo-
pneumonocyies (which see) after levu-
lose mounting (See Levulose Syrup).
Its merit is the retention, in sections,
of materials which tend to diffuse away
in alcohol, clearing fluids and par-
affin.
Aqueous Humor, see Anterior Chamber of
Eye.
Arachnids, sectioning is facilitated by
methods intended to soften Chitin.
See also Fleas, Ticks.
Archelline 2B, see Bordeaux Red.
Argentaffine gastrointestinal cells (entero-
chromaffin cells). Rare even in duo-
denum. Occur singly, usually in deep-
est parts of crypts and may be free from
epithelium. Cytoplasmic argentaffine
granules are of small size, often closely
packed together and acidophilic. It is
said that they cannot be found in bodies
autopsied as late as 4-5 hrs. after death
(Hamperl, H., Ztschr. f. Mikr.-anat.
Forsch., 1925, 2, 506-535).
Fluorescence Microscopy brings out
the argentaffine cells sharply because
the cytoplasmic granules fluoresce a
yellow color. This color is not abol-
ished by fat solvents and is attributed
to pterins (McClung, Microscopical
Technique, 1950, p. 682). See Eros,
G., Zentralbl. f. Allg. Path. Anat.,
1932, 54, 385; Jacobson, W., J. Path.
&Bact., 1939,49, 1).
Two specific methods are advised by
Jacobson, W., J. Path. & Bact., 1939,
49, 1-19. For both fix in 10% formol-
saline, or 10% neutral formol, dehydrate
in alcohol, clear in cedarwood oil or in
methyl benzoate -\- 2% celloidin and
imbed in paraffin. In the first wash
deparaffinized sections 10 mm. in 2
changes glass-dist. water. Transfer for
12-24 hrs. to Fon tana's sol. prepared by
adding NH4OH to 5% AgNO, until ppt.
is dissolved, then AgNOs drop by drop
until fluid exhibits slight presistent
opalescence. Wash in glass-dist. water,
1 min., 5% NajSjOs, 1 min. and tap
water 10 min. Counterstain with car-
malum. Dehydrate, clear and mount
in balsam. Granules of argentaffine
cells appear black. In the second more
rapid method dissolve small amount
p-nitro-methyloxybenzene diazotate in
aq. dest. producing light yellow solution
alkalinize with a little Li2C03. After
about I5 min., when pH 10-11 is reached,
color has changed to dark orange-yellow.
Immerse sections brought down to aq.
dest., in this 30-40 sec. Then wash in
aq. dest., 1 min. Granules of argen-
taffine cells appear dark red in yellow
background. Counterstain with hema-
lum if desired.
Since Dawson, A. B., Anat. Rec,
1944, 89, 287-294 has found that a larger
number of argentaffine cells are demons-
trable in the rat's stomach by Bodian's
technique than are reported after silver
impregnations like those of Masson-
Hamperl, it is important to try the
Bodian Method in the manner suggested
by Dawson. Sharpies, W., Anat. Rec,
1945, 91, 237-243 used the Bodian
Method successfully in study of human
stomach.
Argentaffine Reaction. This, according to
Lison (p. 147) is given by polyphenols,
aminophenols and polyamines in ortho
and para position. It is a reduction of
ammoniated silver hydroxide into me-
tallic silver. He recommends Masson's
method for sections : Fix in Bouin's fluid
or other fixative. Deparaffinize sec-
tions and wash 2 hrs. in aq. dest. Treat
for 3&-40 hrs. in Fontana's fluid in dark-
ness and in a sheltered place. Wash in
much aq. dest. Tone with 0.1% aq.
gold chloride (few minutes). Fix in
ARGINASE
20
ARGININE REACTION
5% aq. sodium hyposulphite. Counter-
stain with alum carmine, mount in
usual way. To make Fontana's fluid
add ammonia drop by drop to 5% aq.
silver nitrate until ppt. formed is ex-
actly redissolved; then carefully drop
by drop 5% aq. silver nitrate until
appearance of persistent cloudiness and
the liquid does not smell of ammonia.
Decant before employing. See also
Clara, M., and Canal, F., Zeit. f. Zellf.
u. Mikr. Anat., 1932, 15, 801-808; Clara,
M., Ergeb. d. Anat. u. Entw., 1933, 30,
240-340.
Arginase. It is possible to localize arginase
in the cytoplasm and nuclei of liver cells
by Behren's technique (Zeit. Physiol.
Chem., 1939, 258, 27-32). Finely ground
tissue is dried to powder in frozen condi-
tion. It is then suspended and cen-
trifuged in different mixtures of benzene
and carbon tetrachloride. The nuclei
only are found in the lowest layer, next
comes nuclear debris and above this
cytoplasmic debris. His analysis
showed arginase present in the same con-
centration in the nuclei as in the cyto-
plasm. Blaschko and Jacobson (Bourne,
p. 217) remark that this is the first in-
stance of the demonstration of an enzyme
in the cell nucleus.
Arginine Reaction. The method of Serra,
J. A., Stain Techn., 1946, 21, 5-18 is
detailed by him as follows: Prepare
tissue as described under Ninhydrin
Reaction.
"1. Before the reaction the pieces or
sections are hardened with 10% for-
maldehyde during 12-24 hours, the
formalin being afterwards well washed
out. (If the fixative contains formalin
this step can be omitted.)
"2. Immerse the pieces for 15 minutes
in a mixture consisting of 0.5 ml. of
diluted a-naphthol ; 0.5 ml. of N NaOH ;
and 0.2 ml. of 40% aqueous urea solu-
tion. The diluted a-naphthol is pre-
pared at the moment of use by diluting
a stock solution (1% crystallized n-
naphthol in 96% alcohol) 1 : 10 with 40%
alcohol. The watch glass containing
the liquids is placed in an ice-bath and
the temperature of the reaction fluid
inside it must be 0.5°C.
"3. After 12-15 minutes add 0.2 ml.
of a 2% solution of NaOBr. This re-
agent is allowed to act for 3 minutes and
the solution must be well stirred during
this time. The 2% NaOBr must be
freshlj' prepared by pouring 2 g. (or
approximately 0.7 ml.) of liquid bro-
mine into 100 ml. of 5% NaOH, with
agitation and cooling.
"4. Add another 0.2 ml. of 40% urea
solution, stir, and immediately after-
ward,
"5. Add another 0.2 ml. of 2% NaOBr
and stir well. The coloration attains
its maximum after 3-5 minutes and
would last only for a short time if it
were not stabilized. To stabilize the
coloration:
"6. Take the pieces out of the reac-
tion mixture and immerse in pure
glycerin for 2-3 minutes and then trans-
fer to fresh glycerin. Repeat the opera-
tion another two or three times. The
passage through 4 glycerin baths is
sufficient to stabilize the coloration
for some months, even if the pieces are
left at room temperature. (We have
not mentioned this improvement in
any previous publication.)
"Besides this procedure, which we
may call the normal method, there is
also another method which results in
stronger colorations and very satisfac-
tory preparations. To accomplish this,
after step 5 the pieces are taken off the
reaction liquid and immersed in NaOBr
solution for not more than 3 minutes.
Afterwards the coloration is stabilized
in glycerin, as in the normal procedure.
The pieces are mounted and observed
in pure glycerin.
"This reaction is specific for guani-
dine derivatives in which only one H-
atom of one amino group is substituted
by a radical of the alkyl or fatty acid
type. In proteic compounds it is
specific for arginine. As all proteins
hitherto analyzed possess arginine in
their molecules, the reaction may be
used to demonstrate the presence of
proteins in general, other compounds
with a reactive guanidine group being
rare. The test may also be used to
characterize the basic proteins."
Arginine Reaction. The method of Thomas,
Lloyd E., Stain Techn., 1950, 25, 143-148,
has been modified as follows (unpub-
lished) written byL. E. Thomas, Dept.
of Biochemistry, University of Missouri,
Columbia. July 8, 1951 — Bouin's fixa-
tive has given the best results. Formal-
dehyde (4%) is almost as good. Carnoy's
(6:3:1) may be used. After fixation pre-
pare paraffin sections.
1. Remove the paraffin from the slide
with xylene and pass it through the
alcohols to 70%.
2. Place the slide in a 0.3% aq. of
8-hydroxyquinoline (oxine) in a Coplin
jar for 15 min. at room temperature.
This solution is prepared by diluting
with water a 1.0% stock solution of
oxine in absolute alcohol.
3. Move the slide with a quick motion
{not allowing it to drain) into a 0.15 N
sodium hypochlorite solution (0.015 N
with respect to potassium hydro.xide).
This solution is prepared by standardiz-
ARGON
21
ARTERIES
ing Clorox or other suitable hypochlorite
solution and using it as a stock solution.
Leave the slide in the hypochlorite
solution exactly 60 sec. at room temper-
ature, holding it stationary.
4. Move quickly [without draining)
into a solution containing per 100 cc:
15 gm. urea, 70 cc. tertiary butyl alcohol
and potassium hydroxide to make the
concentration of the latter 0.015 N.
Move the slide gently in the solution
for 10 sec, then transfer to another jar
of the same solution for 2 min.
5. Transfer to 100% tertiary butyl
alcohol, moving the slide gently for
10 sec, then place in a second jar of the
same reagent for 3^ min.
6. Pass through three changes of
xylene for 10 seconds, 1 minute and
2 min., respectively.
7. M.ount with Permount containing
aniline. This reagent is prepared by
dissolving 0.1 cc. of aniline in 100 cc.
of xylene. One volume of this solution
is mixed with four volumes of Permount.
Reagents 2, 3 and 4 must be made
fresh daily. It is best not to let any
water accumulate in the tertiary butyl
alcohol.
The three arginine methods are all
based on the Sakaguchi reaction, which,
in biological materials, is specific for
arginine, galegine and agmatine. The
latter two are extremely rarely en-
countered and so for most purposes, it
is specific for arginine. The histo-
chemical methods are specific for pro-
tein-bound arginine, since free arginine
is inevitably removed by the pro-
cedures.
Argon, see Atomic Weights.
Argyrophilic Fibers. Because of their affin-
ity for silver, Reticular Fibers are often
called argyrophilic.
Arneth Count of lobes of granular leucocytes
as a basis for estimation of their rela-
tive age. See Leucocyte Counts.
Arsenic 1. Use 10% neutral formalin in aq.
dest. after test with hydrogen sulphide
shows absence of trace of metals. To
100 cc. add 2.5 gm. copper sulphate.
Fix small pieces of tissue 5 days. Wash
24 hrs. in running water. Imbed in
paraffin. Direct examination of section
after removal of paraffin shows arsenic
as well defined green granules of hydro-
arsenite of copper (Scheele's green).
If neutral acetate of copper is employed
in place of the sulphate the green
granules are of acetoarsenite of copper
(Schweinf urth's green ) .
2. Fix pieces of tissue 12-24 hrs. in
abs. ale 50 cc. ; chloroform, 50 cc. ; pure
hydrochloric acid, 3 cc. saturatea by
passage of pure hydrogen sulphide. In
sections the arsenic ppt. appears as yel-
low granules. Double coloration with
hematein-eosin is possible. Both tech-
niques have been devised by Castel
(P., Bull. d'Hist. Appl., 1936, 13, 106-
112). He lias described the histologic
distribution of the arsenic. See, how-
ever, paper by Tannenholz , H . and Muir,
K. B., Arch. Path., 1933, 15, 789-795 who
employed a somewhat similar method
ana were unable to conclude that the
yellow crystals were in fact those of
arsenic trisulphide. They considered
them more probably a sulphur-protein
combination.
Consult the detailed account of Os-
borne's method for arsenic given by
Heuper, W. C, Occupational Tumors
and Allied Diseases. Springfield:
Thomas, 1942, 896 pp. (p. 50). This
releates particularly to localization of
arsenic in the skin.
The distribution to the several tissues
of radioactive arsenic injected intra-
venously into rabbits as sodium arsenate
has been investigated by duPont, O.,
Irving, A. and Warren, S. L., Am. J.
Syph. etc., 1942, 26, 96-118. It is impor-
tant to determine whether the results
conform with those given by the micro-
chemical techniques.
Arsphenamines. The specificity of the
silver reaction of Jancs6, N., Ztschr.
f. d. Ges. exper. Med., 1929, 65, 98 is
questioned by Gomori, G., J. Mt.
Sinai Hosp., 1944-45, 11, 317-326 since
it may demonstrate other reducing sub-
stances beside the arsphenamines.
Artefacts, see Artifacts.
Arteries. If one wishes an elastic artery
take a large trunk near the heart such as
the aorta, innominate or subclavian; if,
on the other hand, a typical muscular
artery is required select one further
afield like the radial or external carotid.
Arterial walls are seldom examined
microscopically in vivo because they are
relatively large and difficult to get at
without injury. An exception in man is
the retinal artery which can be seen
by ophthalmoscopic examination. To
closely observe excised pieces of arteries
is all too frequently neglected. The
tissue elements are so tightly bound to-
gether that to tease them apart for study
at high magnification is rather unsatis-
factory. However, when the adventitial
adipose and connective tissue is stripped
off from a fresh specimen, the remainder
of the wall can very advantageously be
made translucent by treatment with
Eure glycerin for 1-2 hrs. as described
y Winternitz, M. C, Thomas, R. M.
and LeCompte, P. M. in their book "The
Biology of Arteriosclerosis", Spring-
field: Thomas, 1938, 142 pp. Since the
color of the blood is preserved within
ARTERIOLES
22
ARTIFACTS
the intramural vessels their arrangement
can be studied (see Vasa Vasorum).
Fatty substances can also be located
because they are not removed by the
glycerin.
Chief reliance is ordinarily placed in
the appearance of arterial walls when
seen in sections of fixed tissue. It is
important to remember that, when carry-
ing blood during life, the lumina are
larger and the walls less folded than in
the fixed condition. The difference has
been graphically demonstrated by Gallo-
way, R. J. M., Am. J. Path., 1936, 12,
333-336. His figures should be exam-
ined. For routine purposes fixation in
Formalin-Zenker followed by Mallory's
Connective Tissue Stain supplemented
by Resorcin Fuchsin or Orcein for
elastic tissue is satisfactory. Special
methods may be needed for Lipids ; and
for minerals, see Calcium, Iron and
Microincineration. Innervation, like-
wise, is to be studied by methods em-
ployed to demonstrate Nerve Endings
in other tissues. See Vasa Vasorum.
Much literature on techniques is given
by various authors in Cowdry, E. V.,
Arteriosclerosis, New York: Macmillan,
1933, 617 pp. The investigation of
arterial walls is apt to be one sided
limited only to structure and composi-
tion demonstrated microscopically. It
is high time that these lines of study
are supplemented by accurate meas-
urement of the physical properties of
pulse wave velocity, sound production,
elasticity and so on of the same vessels
by methods described by Bramwell in
the above mentioned volume.
Arterioles, capillaries and venules, in con-
trast to the much larger arteries and
veins, can readily be examined in experi-
mental animals microscopically in the
living state. Since they are linked
together a single preparation by Sandi-
son's rabbit ear method shows all three,
or they may be viewed in the living
tadpole's tail or other transparent tissue
of lower forms. For convenience, how-
ever, it seems best to briefly mention
the microscopic techniques for each
separately. There is much to choose
from. Information is frequently de-
manded on the condition of the arterio-
lar walls. This can best be supplied
by staining paraffin sections of Forma-
lin-Zenker fixed material with Mal-
lory's Connective Tissue stain or with
Masson's Trichrome stain which is
closely related to it. Weigert's Re-
sorcin Fuchsin is satisfactory for elastic
tissue. The Silver Citrate technique is
capable of yielding valuable data on arte-
rioles and capillaries. Because arte-
rioles contain a higher percentage of
muscle than any other blood vessel their
appearance will vary greatly with the
degree of contraction or relaxation of
muscle. According to Kernohan, J. W.,
Anderson, E. W. and Keith, N. M.,
Arch. Int. Med., 1929, 44, 395-423 in
fixed preparations from normal persons
the average ratio of thi ckness of arteriolar
wall to width of lumen is 1:2.
Arteriovenous Anastomoses are direct con-
nections between arteries and veins
vrithout intervening capillaries. No
special histological technique is required
for their demonstration in sections but
one should look for them where they are
particularly numerous, as in rabbits at
the tip of the nose (diameter, 80-100/i)
and in humans in the palms of the hands,
the soles of the feet and near the ends
of the fingers where their diameter is
about 35m (Grant, R. T. and Bland,
E. F., Heart, 1930, 15, 385-411). The
best way is to study them in vivo (Clark,
E. R. and E. L., Am. J. Anat., 1934, 55,
407-467).
Arteriosclerosis. The arteries in this condi-
tion show changes well demonstrated
by Mallory's Connective Stain and its
modifications as well as by Weigert's
Resorcin Fuchsin. In addition, tech-
niques for Lipids, Calcium and Iron are
indicated. Methods for the measure-
ment of physical properties of arteries
might well be applied to arteries most
and least prone to develop arterio-
sclerosis. These are summarized by
Bramwell, C, in Cowdry's Arterio-
sclerosis. New York: Macmillan Co.,
1933, 617 pp.
Artifacts. Webster defines an artifact as
being "in histology, a structure or
appearance in a tissue or cell due to
death or to the use of reagents and not
present during life." The degree of
artifact is proportional to the difference
between the structure existing normally
in the living body and the structure in
the condition directly studied.
1. In the case of living tissues, ob-
served with blood and nerve supply
intact, there is a possibility of artifact.
It is at a minimum in the Rabbit Ear
Chambers and rather more to be reck-
oned with when tissues must be dis-
placed in order to supply the necessary
illumination. With increase in time
modifications due to changes in light,
temperature, hydrogen ion concentra-
tion, etc. are likely to also increase.
2. In living cells removed from the
body and examined in Tissue Cultures
the possibility of artifact is again at a
minimum ; but, though the cells in suc-
cessive generations in suitable media go
on living indefinitely, their environ-
ments are different from those existing
ARTICULAR NERVE TERMINALS
23
ATABRINE
within the body. When after Vital
Staining or Supravital Staining still
living cells are examined in approxi-
mately isotonic media, there is a grave
danger of artifact if the study is pro-
longed because the cells are slowly dying.
3. In fixed tissues the degree of di-
vergence from the normal living condi-
tion is obviously much greater than in
the case of still living ones. However
death has been sudden so that artifacts
due to gradual death are eliminated. If
the technique has been carefully stand-
ardized the same fixative applied to the
same type of cell in the same physiologi-
cal state is likely to yield similar results.
Among common artifacts are: 1. The
shrinkage and increased affinity of cells
near the surface for stains due to allow-
ing the surface of the tissue to dry be-
fore fixation. 2. The glassy appearance
of nuclei and cytoplasm sometimes oc-
casioned by overheating in imbedding
or in spreading out sections. 3. Mate-
rial within blood vessels faintly resem-
bling organisms caused by coagulation
of blood proteins. 4. Extraneous sub-
stances either present in the albumen
fixative used to mount the sections or
deposited as dust from the air. Careful
focussing is required. See Agonal and
Postmortem changes, Ice Crystal Arti-
facts. A paper by Bensley, R. R., Exp.
Cell Res., 1951, 2, 1-9 on "Facts versus
Artifacts in Cytology: the Golgi ap-
paratus" is illuminating. See Agonal
and Postmortem changes. Ice Crystal
Artifacts, Normality, Nucroscopic.
Articular Nerve Terminals. — Written by
Dr. E. D. Gardner, Wayne University
School of Medicine, Detroit. June 15,
1950— Gardner, E. D., Anat. Rec,
1942, 83, 401-419, adapted silver
methods to the demonstration of nerve
terminals in the knee joints of mice
1-60 days old. Subsequently, J. Comp.
Neur., 1944, 80, 11-32, similar methods
were applied to the knee joints of 33-
and 46-day-old cat fetuses. The Bodian
method was used, but the necessary
protargol seems no longer to be avail-
able. It appears, however, that similar
results can be obtained with Romanes'
staining method (J. Anat., 1950, 84,
104-115) . A variety of fixatives are satis-
factory, particularly Bouin and acetic-
formol-alcohol. Decalcify in 20%
sodium citrate and 50% formic acid,
equal volumes, prior to embedding.
Sections are placed overnight at 56 °C.
in the following solution: Distilled
water 50 ml., 0.1% silver nitrate 2.9
ml., and 0.1% sodium chloride 1.0 ml.
To this are added a few drops of very
weak ammonia sufficient just to turn
phenol red paper pale pink. Subsequent
treatment is similar to that of the
Bodian method. Silver methods are
excellent for following nerves in thin,
serial sections, for tracing nonmyeli-
nated fibers and for small nerve end-
ings. But large, proprioceptive endings
such as occur in the posterior region of
the knee joint capsule are best demon-
strated by methylene blue. Excellent
results may be obtained by using 0.05%
methylene blue in normal saline. It
may be perfused, injected into the
joint cavity or pieces of capsule can be
removed and placed in methylene blue
at 37°C. for 10-15 minutes. They are then
exposed to air for 10-15 minutes, placed
in 8% ammonium molybdate in normal
saline for at least 1-2 hours and then
dehydrated rapidly in cold alcohols.
Whole mounts are made after clearing
in xylol. This method shows better than
any other the grouping and distribution
of large endings, and the preparations
are also satisfactory for small fibers,
particularly those in vascular plexuses.
Artificial Fever, influence on adrenal (Bern-
stein, J. G., Am. J. Anat., 1940, 66,
177-196). See Cramer, W., Fever,
Heat Regulation and the Thyroid-
Adrenal Apparatus. London: Long-
mans, Green & Co., 1928, 153 pp.
Asbestos, see Lillie p. 135.
Ascorbic Acid. Colorimetric method of
Lowry, O. H., Lopez, J. A. and Bessey,
O. A., J. Biol. Chem., 1945, 160, 609-
615 for blood serum in volumes of 10
ix\ up. Pijoan, M. and Gerjovich, H. J.,
Science, 1946, 103, 202-203 advise cau-
tion in use with tissues. See titrimetric
technique of Click, D., J. Biol. Chem.,
1935, 109, 433-436. See Vitamin C.
Ascorbic Acid, see Vitamin C.
Aspirated Sternal Marrow, method for
preparing smears and sections (Gordon,
H., J. Lab. & Clin. Med., 1940-41, 26,
1784-1788).
Astra Violet, see Leishmania.
Astrocytes. These cells make up one of the
two divisions into which neuroglia is
usually divided. They also pass under
the names of "Classical neuroglia"
and "macroglia." They are star shaped
cells with processes radiating in all
directions some of which form peri-
vascular expansions on the surface of
small blood vessels. The most selective
methods for their demonstration usually
involve some form of metallic impregna-
tion. For details see Chapter by Pen-
field and Cone in McClung's Micro-
scopical Technique, 1950, p. 407 and
Lillie's Histopathologic Technic, 1948,
p. 237. In this book see Neuroglia.
Atabrine, anti-malarial agent; fluorescence
microscopical localization of atabrine
ATHEROMA
24
AUER BODIES
in the body (Jailer, J. W., Science,
1945, 102, 258-259.
Atheroma, see methods for Calcium, CoUa-
genic Fibers, Elastic Fibers, Lipids,
Atomic' Weights. See G. E. F. Lundell,
Chairman, Report of Committee on
Atomic Weights. J. Am. Chem. Soc,
1949, 71, 1141-1142.
International Atomic Weights
1949 Revision
Actinium Ac 227
Aluminum Al 26.97
Americium Am [241]
Antimony Sb 121.76
Argon A 39.944
Arsenic As 74.91
Astatine At [210]
Barium Ba 137.36
Beryllium Be 9.013
Bismuth Bi 209.00
Boron B 10.82
Bromine Br 79.916
Cadmium Cd 112.41
Calcium Ca 40.08
Carbon C 12.010
Cerium Ce 140.13
Cesium Cs 132.91
Chlorine CI 35.457
Chromium Cr 52.01
Cobalt Co 58.94
Columbium (see Niobium)
Copper Cu 63.54
Curium Cm [242]
Dysprosium Dy 162.46
Erbium Er 167.2
Europium Eu 152.0
Fluorine F 19.00
Francium Fr [223]
Gadolinium Gd 156.9
GalUum Ga 69.72
Germanium Ge 72.60
Gold Au 197.2
Hafnium Hf 178.6
Helium He 4.003
Holmium Ho 164.94
Hydrogen H 1.0080
Indium In 114.76
Iodine I 126.92
Iridium Ir 193.1
Iron Fe 55.85
Krypton Kr 83.7
Lanthanum La 138.92
Lead Pb 207.21
Lithium Li 6.940
Lutetium Lu 174.99
Magnesium Mg 24.32
Manganese Mn 54.93
Mercury Hg 200.61
Molybdenum Mo 95.95
Neodymium Nd 144.27
Neptunium Np [237]
Neon Ne 20.183
Nickel Ni 58.69
Niobium Nb 92.91
Nitrogen N 14.008
Osmium Os 190.2
Oxygen O 16.0000
Palladium Pd 106.7
Phosphorus P 30.98
Platinum Pt 195.23
Plutonium Pu [239]
Polonium Po 210
Potassium K 39.096
Praseodymium Pr 140.92
Promethium Pm [147]
Protactinium Pa 231
Radium Ra 226.05
Radon Rn 222
Rhenium Re 186.31
Rhodium Rh 102.91
Rubidium Rb 85.48
Ruthenium Ru 101.7
Samarium 8m 150.43
Scandium Sc 45. 10
Selenium Se 78.96
Silicon Si 28.06
Silver Ag 107.880
Sodium Na 22.997
Strontium Sr 87.63
Sulfur S 32.066
Tantalum Ta 180.88
Technetium Tc [99]
Tellurium Te 127.61
Terbium Tb 159.2
Thallium Tl 204.39
Thorium Th 232. 12
Thulium Tm 169.4
Tin Sn 118.70
Titanium Ti 47.90
Tungsten (see Wolfram)
Uranium U 238.07
Vanadium V 50.95
Wolfram W 183.92
Xenon Xe 131.3
Ytterbium Yb 173.04
Yttrium Y 88.92
Zinc Zn 65.38
Zirconium Zr 91.22
A value given in brackets denotes the mass number
of the most stable known isotope.
Auditory System, see Ear.
Auer Bodies. — Written by G. Adolph Acker-
man, Hinsman Hall, Ohio State Uni-
versity, Columbus 10, Ohio. May 24,
1951 — Auer bodies are rod-like struc-
tures occasionally present in the cyto-
plasm of leukemic myelocytes and
monocytes; they are less than 1 micron
in width and vary in length from 1-10
micra. Although the number of Auer
bodies observed within a single leukemic
cell is frequently limited to one or two,
more than fifteen have been observed.
Auer bodies are formed bj' the coas-
cervation of the cytoplasmic granules
in young leukemic cells. As the cell
matures, the Auer bodies undergo dis-
solution into cytoplasmic granules.
AUER BODIES
AUER BODIES
1. Unstained moisl preparations: A
drop of blood or bone marrow is placed
on a clean cover slip, inverted on a slide
and rimmed with vaseline or suitable
substance to prevent drying. The prepa-
ration is examined using the phase
microscope. Auer bodies appear as dis-
crete cytoplasmic structures.
2. Supravital technic: The supravital
technic is carried out in the same man-
ner as indicated above (No. 1.) for un-
stained moist preparations with the
exception of the fact that the slide has
been previously coated with neutral
red and janus green. Preparations may
be examined with the bright field, dark
field or phase microscope. Under the
bright field microscope, the Auer bodies
appear as discrete structures which
stain with neutral red. The color of the
Auer bodies varies from a deep red
(acidic reaction) in young cells to tan
(less acidic reaction) in the more mature
leukemic cells. The staining reaction
of the Auer bodies with neutral red
closely parallels that of cytoplasmic
granules. Auer bodies stain blue-purple
in supravital preparations prepared
with brilliant cresyl blue (Dameshek,
W. Arch. Int. Med., 1932, 50, 579).
3. Romanowsky stains: The Roman -
owsky dyes may be used to demonstrate
Auer bodies. Due to the solubility of the
azurophilic component of the Auer
body in water and alcohol, this technic
is not as satisfactory as the supravital
and the unstained moist technics.
4. Swlan black B technic: Dry blood
and bone marrow films are fixed with
either formalin vapor or with a 1% solu-
tion of formalin in 95% ethyl alcohol
for 20-60 seconds. The dried-fi.xed films
are placed in a saturated solution of
Sudan black B (National Aniline Co.,
New York) in 70% ethyl alcohol for
20-30 minutes. The solution of Sudan
black must be prepared at least 2 weeks
prior to using. The blood films are then
dipped in 70% ethyl alcohol and rinsed
in 50% ethyl alcohol and washed in dis-
tilled water, dried and mounted with
"permount." Auer bodies are sudano-
philic and appear black or black-brown.
This technic is an excellent method for
demonstrating Auer bodies.
5. Periodic Acid-Schiff {PAS) re-
action: Dried films are fi.xed with forma-
lin vapor for 20-60 seconds. The fixed
preparations are immersed in an
aqueous 0.5% solution of periodic acid
for 5 minutes, washed thoroughly with
distilled water and immersed in Schiff's
reagent 10 minutes, followed by 3 suc-
cessive changes in sulfurous acid, 3-5
minutes each, washed in distilled water,
dried and mounted with "permount."
Auer bodies are PAS-positive appear-
ing a moderate pink.
6. Toluidine blue ami Thionin: Dried
films may be fixed with formalin vapor,
4% aqueous basic lead acetate or other
suitable fixatives. Preparations are
washed, dried and immersed in a dilute
solution (0.2-0.5%) toluidine blue or
thionin, washed in distilled water, dried
and mounted with "permount." Auer
bodies stain lavender following the use
of this technic.
7. Plasinal reaction: Dried films are
fixed with formalin vapor for 20-60
seconds, washed in distilled water and
placed in a 1% aqueous solution of
mercuric chloride for 5 minutes, washed
in distilled water and placed in Schiff's
reagent; the films are placed in three
successive changes of sulfurous acid,
washed in distilled water, dried and
mounted with "permount." In staining
control preparations, the same pro-
cedure is followed with the exception
of the fact that distilled water is sub-
stituted for mercuric chloride. If the
control exhibits a positive reaction, the
length of exposure to Schiff's reagent
must be reduced. Following the plasmal
reaction, the Auer bodies appear a very
pale pink, and may best be identified by
means of the phase microscope followed
by bright field observation of the
stained bodies.
8. M. nmli reaction: Dried blood and
bone marrow films may be fi.xed either
with formalin vapor or 1% formalin in
95% ethj'l alcohol, washed with dis-
tilled water and dried. The fi.xed films
are immersed in a mixture containing
equal parts of 1% alkaline solution of
alpha-napthol and 1% aqueous solution
of p-aminodimeth_ylanaline (Eastman
Kodak, P2147) for 1-5 minutes, washed
in distilled water and mounted in water.
Auer bodies stain deep blue following
the M. nadi reaction. Preparations fade
rapidly.
9. Sato and, Sekeya Peroxidase Technic:
Dried blood and bone marrow films are
placed in a 0.5% aqueous solution of
copper sulfate for 30 seconds, washed
briefly in 50% ethyl alcohol and placed
in a benzidine-hydrogen peroxide mix-
ture (0.1 gm. benzidine in 100 ml. dis-
tilled water and 2 drops of 3% hydrogen
peroxide) for 2 minutes, washed with
distilled water, dried and mounted with
"permount". Counterstaining with 1%
aqueous safranin is optional. Auer
bodies are peroxidase-positive and ap-
pear blue or j'ellow.
Auer bodies are soluble in water,
saline and many organic solvents and
are readily digested bj' ribonuclease.
Digestion by ribonuclease may be pre-
AUERBACH'S PLEXUS
26
AZURE DYES
vented by immersing the Auer bodies in
an aqueous solution of lanthanum ace-
tate for 2 hours prior to exposure to the
enzyme. Wright's stain may be used to
demonstrate the basophilic properties
of the Auer rods. Auer bodies are not
demonstrable following the Bauer-
Feulgen, Lugol's aqueous iodine, Go-
mori acid and alkaline phosphatase and
lipase reactions.
Auerbach's Plexus. Supravital staining
by injecting methylene blue through
the aorta is apparently improved by
addition of hydrogen acceptors. Scha-
badasch, A., Bull. d'Hist. AppL, 1936,
13, 1-28, 72-89, 137-151 advises 0.03-
0.05 gm. per liter of p-amidophenol,
0.02-0.07 of p-phenylenediamine, 0.02-
0.05 of pyrocatechine or 0.05-0.9 of
resorcin. The methylene blue must be
of high quality and free from metallic
salts. He obtained in 5 min. intense
staining of the plexus in a cat which re-
ceived 1200 cc. of fluid of the following
concentration : aq. dest., 1000 cc. ; NaCl,
7 gm. ; resorcin, 0.15 gm. and methylene
blue (chlorzink free, Hoecht) 0.2 gm.
Aural Smears, see Ear Smears.
Auramin (CI, 655) — canary yellow, pyok-
tanin yellow, pyoktaninum aureum —
This basic diphenyl methane dye may
be of use in fluorescence microscopy.
Auramine O is Commission Certified.
It is one of the substances which arrests
mitosis in the metaphase, an action
which has been carefully studied by
Ludford, R. J., Arch. f. Exper. Zellf.,
1935-6, 18, 411-441. Tubercle bacilli
treated with auramin give golden yellow
fluorescence (Hageman, P. K. H.,
Munch. Med. Woch., 1938, 85, 1066).
Aurantia (CI, 12) — imperial yellow — An
acid nitro dye employed in Champy-
Kull method. Aurantia is explosive
and it can cause severe dermatitis.
All those using it should be warned of
the danger.
Aurin or rosolic acid (CI, 724).
Autoradiography, see Radioactive Isotopes.
Axenfeld Reaction. Giroud (A., Proto-
plasma, 1929, 7, 72-98) : Add to prepara-
tion few drops of formic acid, then 3-4
drops 0.1% aq. gold chloride and heat
slowly. A rose color appears, then vio-
let. Lison (p. 129) says that the reaction
is very little characteristic of proteins
since analogous reactions are given by
creatine, urea, uric acid, glycogen. Its
employment is contraindicated.
Axis Cylinders. These are the cytoplasmic
cores of the nerve fibers. Mitochondria
can often be seen in them unstained
and after supravital coloration with
Janus Green. The best method to
demonstrate mitochondria in fixed tis-
sues is Anilin Fuchsin Methyl Green
after Regaud fixation. Silver methods
show Neurofibrils. Alzheimer's modi-
fication of Mann's eosin-methyl blue
method is recommended to show early
degenerative changes . De Renyi , G . S . ,
Cowdry's Special Cytology, 1932, 3,
1370-1402 has fully described use of
methods of microdissection. See Ama-
ranth.
Azan Stain, see Heidenhain's.
Azidine Blue 3B, see Trypan Blue.
Azidine Scarlet R, see Vital Red.
Azins. Azin dyes are those formed from
phenazin. Two benzene rings are joined
by 2 nitrogen atoms forming a third ring.
Examples : amethyst violet, azocarmine
G, indulin alcohol and water soluble,
Magdala red, neutral red, neutral violet,
nigrosin water soluble, phenosafranin,
safranin O.
Azo Blue (CI, 463) — benzoin blue R and
direct violet B — This acid dis-azo dye
is one of those microinjected vitally
into cytoplasm against the nucleus of
amebae to ascertain whether the nucleus
can be vitally colored (Monn6, L.,
Proc. Soc. Exp. Biol. & Med., 1934-35,
32, 1197-1199). Butt, E. M., Bonynge,
C. W. and Joyce, R. L., J. Inf. Dis.,
1936, 58, 5-9 report that azo blue can
be substituted for India ink in the nega-
tive demonstration of capsular zones
about hemolytic streptococci.
Azo-Bordeaux, see Bordeaux Red.
Azocarmine G (CI, 828) — azocarmine GX,
rosazine, rosindulin GXF — This basic
azin dye is used in place of acid fuchsin
in Heidenhain's Azan stain. Azocar-
mine B is CI, 829.
Azocarmine GX, see Azocarmine G.
Azo Dyes. Chromophore — N=N — uniting
naphthalene or benzene rings. See
Mono-azo, Dis-azo and Poly-azo Dyes.
Lipophilic substitutions in, and slight
curative effect claimed in tuberculosis
and leprosy (Bergmann, E., Haskelberg,
L. and Bergmann, F., J. Am. Chem. Soc,
1941,63,2243.
Azo-fuchsin. Seven are recognized in the
Colour Index. Acid mono-azo dyes re-
lated to Bordeaux red and orange G.
Azolitmin, see Hydrogen Ion Indicators.
Azophloxine G. A. — Fast crimson GR.,
Amidonaphthol G— an acid Azo dye.
Azo Reaction for phenols. Formation of
azo color by action of diazonium salt on
tissue phenol (Lison, p. 140). See
Lison, L., C. Rend. Soc. de Biol., 1933,
112, 1237-1239).
Azo Rubin, see Amaranth.
Azure Dyes. These are basic thiazin stains
of great usefulness. The description
given by Conn (pp. 76-80) should be
consulted. It is here summarized.
Azure I (Giemsa) is a trade name for a
secret preparation apparently a variable
AZURE OR TOLUIDIN BLUE-EOSIN 27
BACTERIA
mixture of Azure A and B. Azure II
is an intentional mixture, in equal parts,
of Azure I and methylene blue. It is
the main constituent of Giemsa's stain.
1. Azure A is asymmetrical dimethyl
thionin and has been Commission Certi-
fied for some time. It is considered as
the most important nuclear staining
component of polychrome methylene
blue by MacNeal, W. J., J. Inf. Dis.,
1925, 36, 538-546. This dye has been
used as a nuclear stain following eosin
and after phloxine, see Phloxine-Azure
(Ilaynes, R., Stain Techn., 1926, 1,
68-69, 107-111).
2. Azure B is the tri -methyl deriva-
tive of thionin. It is specified by
Jordan, J. H. and Heather, A. H., Stain
Techn., 1929, 4, 121-126 as a stain for
Negri bodies. Roe, M. A., Lillie, R. D.
and Wilcox, A., Pub. Health Reports,
1940, 55, 1272-1278 recommend its in-
clusion in Giemsa's stain.
3. Azure C is mono-methyl thionin.
French, R. W., Stain Techn., 1926, 1,
79 has described a method for its use
followed by Eosin Y and orange II in
staining sections of formalin fixed mate-
rial; but Haynes, R., Stain Techn.,
1927, 2, 8-16 doubts whether it is sig-
nificantly better than Azure A and
thionin.
Azure or Toluidin Blue-Eosin. — Written
by Dr. R. D. Lillie, Division of Pathol-
ogy, National Institute of Health,
Bethesda, Md. May 8, 1950.— Prepare
a 1/1000 solution of Azure A, Azure C
or Thionin (85-90% dye content) or a
0.15% solution of Toluidin Blue (60%
dye content) and a 1/1000 solution of
Eosin Y or Eosin B (a redder shade).
Bring paraffin sections to water as
usual, including an iodine, thiosulfate
sequence for material fixed with mer-
curic chloride mixtures. Stain 1 hour in
stock azure, Toluidin Blue or Thionin
4 cc, stock eosin 4 cc, Mcllvaine buffer
of desired pH level 2 cc, acetone 5 cc.
and distilled water 25 cc. Rinse, de-
hydrate with acetone, clear with 50:50
acetone xylene and 2 changes of xylene,
mount in synthetic resin (polystyrene,
permount, clarite, HSR or the like).
The procedure has been used for techni-
con staining. The stain mixture is made
fresh weekly in this case.
For neutral formalin or Orth fixa-
tions, use pH 4.0-4.5, for acid formalin
pH 4.5 is better, for Zenker or Helly
pH 5.0, for Bouin pH 5.5-6.0 (less satis-
factory than others as the picric acid
seems to interfere), for Carnoy, alcohol
and similar fluids 4.8-5.5.
Color values are deep blue for nuclei,
bacteria, and rickettsiae, violet to
purple for mast cell granules and carti-
lage matrix, lighter blues for cyto-
plasms, varying pinks for muscle, ery-
throcytes, fibrin, necrotic cytoplasm
and oxyphil inclusion bodies.
This has been modified somewhat
from Histopathologic Technic, Lillie
(Blakiston, Phila., 1948), which gives
further details.
Azure II Eosin and Hematoxylin (Maximow,
A., J. Inf. Dis., 1924, 34, 549), gives,
in addition to coloration of chromatin
by hematoxylin, a granule stain some-
thing like that provided by Giemsa's
method. Make up: (1) azure II eosin:
A. eosin water soluble yellowish, 0.5
gm.; aq. dest., 500 cc. B. azure II,
0.5 gm.; aq. dest., 500 cc. Mix 10 cc.
A, 100 cc. aq. dest., and 10 cc. B. (2)
hematoxylin (Delafield's) 1-2 drops,
aq. dest., 100 cc. to make a pale violet
solution.
Formalin-Zenker fixed tissues (sec-
tions, smears, spreads) are stained up-
right in hematoxylin washed in aq. dest.
and counter-stained with azure II eosin
24 hrs. each. Transfer to 95% ale,
differentiate and dehydrate in abs. (2
changes); clear in xylol and mount in
balsam. Care must be taken to use
pure aq. dest. The proportions of A
and B can be varied slightly to suit the
tissue. In order to hold the azure II
eosin colors the balsam should be neu-
tral or nearly neutral as when Giemsa's
stain is employed.
To appreciate the beauty of this
method see numerous colored illustra-
tions marked "ZF, Ham, EAz"of agreat
many organs and tissues by Maximow, A.
Section on Bindegewebe und Blutbil-
dende Gemebe in Mollendorff's Handb.
d. mikr. Anat. d. Menschen, 1927, 2,
(1) 232-583.
Babes' see Anilin-Safranin.
Bacillus Typhosus, technique for dark field
study of flagella (Pijper, A., J. Path.
& Bact., 1938, 47, 1-17). See 9 plates
by author.
Bacteria. Methods employed for the micro-
scopic identification of bacteria and to
demonstrate their structure are legion.
The Committee on Bacteriological Tech-
nique of the Society of American Bac-
teriologists has prepared a useful leaflet
entitled "Staining Procedures" pub-
lished in Geneva, N. Y. (Fifth Edition
1934) to supplement their "Manual of
Methods for the Pure Culture of Bac-
teria" (1923). A detailed account of
Bacteriological methods by H. J. Conn,
F. B. Mallory and Frederic Parker, Jr.,
is contained in McClung's Microscopical
technique to which reference should
also be made. Bergey's "Manual of
Determinative Bacteriology" (Balti-
more: Williams & Wilkins, 1948), which
BACTERIA. BIOCHEMICAL TESTS 28
BACTERIA. MEDIA
is a key to identification of bacteria, is
often useful.
Motility, agglutination, lysis under
influence of bacteriophage, ingestion by
leucocytes and many other phenomena
can best be observed by examination of
living bacteria by direct illumination or
in the darkfield. Smears, usually fixed
by heat, are, however, most often used.
A choice must be made from many well
known stains including : Anilin Gentian
Violet, Loeffler's Methylene Blue,
Giemsa, Gram and Carbol Fuchsin.
Others are best listed under the particu-
lar structures to be demonstrated
Spores, Flagella, Capsules. In some
cases search for bacteria in Milk, Soil,
Cheese, Sputum, etc. is indicated.
When bacteria are so few in number that
they may be missed, or large numbers
are required separated from the tissues
for chemical analysis, Concentration
methods may be useful. Accurate
localization of bacteria requires their
study in sections. See Giemsa's stain,
Gram-Weigert stain, Goodpasture's
stain (!MacCallum's modification), Mal-
lory's Phloxine-Methylene blue and
Acid Fast Bacilli. The darkfield
examination of stained preparations is
said to be an advantage (Goosemann,
C, J. Lab. and Clin. Med., 1935-36,
21, 421-424). Appearance when viewed
at high magnification with electron
microscope (Mudd, S., Polevitsky, K.,
and Anderson, T. F., Arch. Path., 1942,
34, 199-207). See Fluorescence micros-
copy, Negative Strains, Dead bacteria,
Tubercle bacilli, Leprosy bacilli, Mito-
chondria and Bacteria in same cells,
Rickettsia, Gonococcus, Diphtheria Ba-
cilli, Bacterium Tularense, Bacterium
Monocytogenes.
Bacteria. Biochemical Tests. Given in
greater detail by H. R. Livesay in
Simmons and Gentzkow, 387-389.
1. Indicators of pH. Incorporate in
basic culture of medium measured
amounts of 0.02% aq. phenol red, 0.04%
aq. bromcresol purple, or 0.1% aq.
bromthymol blue. Their pH ranges
and colors are given under Hydrogen
Ion Indicators.
2. Indoltest. Use Bohme's reagents.
To 5 day culture in 1% aq. peptone add
1 cc. ether, shake and settle. Let 1 cc.
of following run down inside tube : p-
dimethylaminobenzaldehyde, 4 gm.;
95% ethyl alcohol, 380 cc; cone, hydro-
chloric acid, 80 cc. If after 1 min. no
color develops add 1 cc. sat. aq. po-
tassium persulf ate . Positive , pale pink
to deep magenta.
3. Ilosvay's Nitrate reduction. To
5 day culture at 37°C. in broth + 0.1%
HNO3 add 1 cc. of following solution.
Dissolve 1 gm. a-naphthylamine in 22
cc. aq. dest. Filter and add 180 cc. of
dilute acetic acid (sp. gr. 1.04). Then
1 cc. of sulfanilic acid (0.5 gm. in 150 cc.
dilute acetic acid). Positive, pink,
red or maroon; negative, no color.
4. Ammonia. To 5 day peptone
water culture add 0.5 cc. Nessler's Re-
agent. Positive, brown; negative, faint
yellow.
5. Hydrogen sulfide. Inoculate or-
ganisms on lead acetate agar made by
sterilizing extract broth containing 4%
peptone + 2.5% agar and equal volume
0.1% aq. basic lead acetate. Positive,
brown or black; negative, no color.
6. Reductase. To a 24 hr. broth cul-
ture add 1 drop 1% aq. methylene blue.
Incubate at 37°C. Positive, complete
decolorization; weakly positive, green
color; negative, no decolorization.
7. Catalase. Pour 1 cc. HjOj over
24 hr. agar slant culture incubated at
37''C. holding tube on incline. Posi-
tive, gas bubbles; negative, none.
8. Methyl red. To 4 day culture in
glucose phosphate medium at 37°C.
add 5 drops 0.04% methyl red in 60%
alcohol. Positive, red; negative, yel-
low.
9. Voges-Proskauer. To 4 day cul-
ture in glucose phosphate medium at
37°C. add 5 cc. 10% aq. KOH. After
18-24 hrs. positive, pink fluorescence;
negative, no color.
10. Oxidase. To surface of colony
add loop full or 1-2 cc. fresh 1% aq.
dimethylparaphenylenediamine hydro-
chloride. Positive, color change from
pink to maroon to black.
Bacteria Flagella. Electron microscopic
technique reveals the ultrastructure of
bacterial flagella as composite struc-
tures made up of a central coiled trypsin
resistant filament and a peripheral
sheath probably nonresistant (De
Robertis, E. and Franchi, C. M., Exp.
Cell Res., 1951, 2, 295-298).
Bacteria. Media. The following are brief
summaries of culture media as described
by H. R. Livesay in Simmons and
Gentzkow, 388-403.
(Glucose phosphate. Witte or Difco
proteose peptone, 0.5 gm.; K2HPO4, 0.5
gm.; glucose, 0.5 gm.; aq. dest., 100
cc; pH 7.5.)
Meat extract broth (routine). Add
to 1000 cc aq. dest., beef extract, 3 gm. ;
peptone, 10 gm.; sodium chloride, 5 gm.
Dissolve by stirring with heat (water
bath 65°C.). Make up weight loss with
aq. dest. and make pH 7.2-7.4. Boil
over flame, cool to 25°C., again make
up weight loss, clarify and check pH.
Place in flasks or tubes, autoclave 15
lbs., 15 min.
BACTERIA. MEDIA
29
BACTERIA. MEDIA
Meat extract broth (for water anal-
ysis). As above, using beef extract,
3 gm.; peptone, 5 gm.; aq. dest. 1000
cc. pH 6.4-7.
Meat extract agar (routine). Dis-
solve 20-30 gms. powdered agar in
1000 cc. meat extract broth stirring
over flame and titrate to pH 7.4. Cool
to 50°C., add stirred eggs, heat gently
till egg material is firmly coagulated.
Remove coagulum with fine wire mesh
strainer, filter through cotton, make
up filtrate to original weight with aq.
dest. and make pH 7.2-7.4. Tubes or
flasks. Autoclave 15 lbs., 15 min.
Meat extract agar (for water anal-
ysis). Add 15 gm. best quality agar
to 1000 cc. of above meat extract agar
and make pH 6.4-7.
Meat infusion broth. Mix 500 gms.
ground fat-free beef, or veal round, in
1000 cc. aq. dest in ice box 18-24 hrs.
Heat over small flame in Arnold steri-
liier, 1 hr., add 5 gm. sodium chloride
and 10 gm. peptone. Dissolve our
flame, filter, add aq. dest. to 1000 cc,
titrate to pH 7.4, tube or flask, and
autoclave 15 lbs., 15 min.
Meat infusion agar. Add 20 gm. agar
to 1000 cc. Meat infusion broth and
continue as in making meat extract
agar, pH to 7.4.
Gelatin, Nutrient. Add 120 gm.
gelatin to 1000 cc. meat extract broth
in double boiler, weigh, dissolve by
heat, titrate to pH 7.4 and add aq. dest.
to make original weight. Add 1 egg
clarified by mixture with small volume
of aq. dest., heat slowly till egg is
coagulated, filter through cotton and
sterilize filtrate in 10 cc. portions in
tubes in Arnold 20 min. 3 successive
days.
Huntoon's hormone. Add 500 gm.
fresh finely ground beef heart, 10 gm.
peptone, 5 gm. sodium chloride, 1
whole egg, 20 gm. agar (Bacto) to 1000
cc. aq. dest. in enamel-ware dish, heat
and stir constantly. Make pH 8.
Cover, place in Arnold 1 hr. Remove,
separate clot from sides and return to
Arnold IJ-hr. Remove, let stand in-
clined, room temperature, 10 min.
Remove clear part and filter it through
fine wire sieve into tall cylinders. Al-
low to stand 15-20 min. and skim off
fat. Clear further by passing through
glass, or asbestos wool, or by centrifug-
ing. Tube in 10 cc. lots, sterilize in
Arnold 30 min. on 3 successive days.
Glucose agar. Add 10 gm. glucose
to 1000 cc. meat extract or meat in-
fusion agar and dissolve by slowly
heating. Adjust pH to that of original
agar. Pour in tubes, or flasks, and
sterilize in Arnold 3 successive days.
Blood agar. Add 5-10% of sterile
defibrinated blood (preferably horse)
to meat infusion or meat extract agar
which first has been melted and cooled
to 45°C. Pour into plates or into tubes
and slant, then incubate to prove
sterilit}'.
Chocolate blood agar. Add 5% of
sterile defibrinated blood to meat in-
fusion agar at 50-55°C. mix avoiding
bubbles, slowly increase to 75°C. Pour
into plates, or into tubes and slant,
then incubate to prove sterility.
Serum agar. Add 100 cc. sterile
normal horse serum to 1000 cc. melted
meat infusion agar, pour into plates,
or tubes, and slant, then incubate to
prove sterility.
Liver infusion agar (for Br. abortus).
Mix 500 gm. ground beef liver with 500
gm. aq. dest. in cool place 24 hrs., strain
through cheesecloth and collect 500 gm.
resulting infusion (1) . Add 20 gm. agar
and 500 gm. aq. dest. and autoclave
15 lbs. pressure, 30 min. (2). Dissolve
10 gm. peptone and 5 gm. sodium chlo-
ride in No. 1, beef infusion (3). Add
aq. dest to 2 and 3 combined to make
up weight lost by evaporation, adjust
pH to 7 and cool to 50°C. Add 10 gm.
egg albumin (first dissolved in 10 cc.
aq. dest.), heat to 100°C. IJ-hrs., strain
through fine wire sieve, filter through
clean glass wool, adjust pH to 7, tube
in 15 cc. lots and autoclave at 15 lbs.,
30 min. When required melt and pour
plates, or make slants.
Trypagar. Put 500 gm. fat free,
finely ground beef or veal ground in
1000 cc. aq. dest. in container adding
20% aq. NaOH until slightly alkaline to
litmus. Cook at 75°C., 5 min., cool to
37°C. and add 0.5 gm. trypsin (Bacto).
Incubate 37.5°C., 5 hrs. If trypaniza-
tion is complete 5 cc. liquid -|- 5 cc. in
NaOH + 1 cc. dil. aq. CuSO^ will give
pink color. If not incubate again 1 hr.
and re-test. When complete, slightly
acidify with glacial acetic acid, slowly
bring to boiling point and hold 15 min.
Filter through wet paper, add 20 gm.
agar and 5 gm. sodium chloride. Dis-
solve agar with heat, clear with an egg,
adjust to pH 7.6 and autoclave 15 lbs.,
15 min.
Veal infusion brain broth (for Strep-
tococci and anaerobes). With large
bore pipette insert about 50 cc. ground
fresh calf brain in bottom 200 x 25 mm.
tube and add 35 cc. veal infusion broth
pH 7.6. Autoclave 15 lbs., 20 min.
Remove 10 cc. test reaction, pH 7.4-
7.6 being satisfactory, if a change has
taken place adjust to pH 7.6 and esti-
mate from titration of this 10 cc.
amount needed to bring to this figure
BACTERIA. MEDIA
30
BACTERIA. MEDIA
bulk and correct the whole. Fill tubes
with similar amounts, then incubate at
37°C. to prove sterility.
Robertson's (for Anaerobes). To
500 gm. ground fat, fascia and blood
vessel-free fresh beef heart, add 10 gm.
peptone and 1000 cc. aq. dest., bring to
boil and adjust to pH 8. Continue sim-
mering 1^-hrs. and again adjust reac-
tion. Separate broth from meat, place
former in flasks, autoclave 15 lbs., 15
min. Dry meat on filter paper in oven
56°C. 48 hrs. Place desired amounts
of meat plus 10 cc. broth in tubes.
Autoclave cool, remove broth and re-
titrate. Adjust to desired pH, finally
fill tubes same quantity meat and broth
and autoclave 15 lbs. 30 min. Final
pH should be 7.4-7.6.
Calcium carbonate broth (for Pneu-
mococci). Dissolve 10 gm. glucose in
1000 cc. meat infusion broth by heating,
make pH 7.6. Place clean marble chips
(CaCOs) in bottom of tubes pour in
broth, sterilize in Arnold 15 min. 3 suc-
cessive days.
Blood culture (Kracke). Add 500
gm. finely ground fat-free beef heart
muscle to 1000 cc. aq. dest. in ice box
over night. Press through 4 layers
gauze cloth, heat extract to boiling,
filter through small mesh wire gauze.
Add 250 gm. ground beef brain to 500
cc, treat in same way but do not filter
this suspension. Mix 800 cc. extract,
110 cc. suspension, 1 gm. sodium citrate,
10 gm. dextrose (Bacto), 10 gm. pro-
teose peptone (Difco), 2 gm. disodium
phosphate and 4 gm. sodium chloride
and place 50 cc. lots in tubes or flasks.
Autoclave 15 lbs., 20 min.
Bile (For typhoid group). Combine
900 cc. ox bile, 100 cc. glycerol and 20
gm. peptone by heating over water
bath. Pour in bottles or small flasks
and autoclave.
Brilliant green lactose bile. Dissolve
10 gm. peptone and 10 gm. lactose in
500 cc. aq. dest. add 200 cc. fresh ox bile,
or 20 gm. dehydrated ox bile dissolved
in 200 cc. aq. dest., the latter having
pH 7.4. Add 13.3 cc. 0.1% aq. brilliant
green and aq. dest. to make 1000 cc.
Filter through cotton, place in fer-
mentation tubes, sterilize after which
pH by potentiometer (not colorimeter)
should be 7.1-7.4.
Le vine's eosin methylene blue agar
(Standard for water analysis). Dis-
solve 10 gm. peptone, 2 gm. K2HPO4,
and 15 gm. agar in 1000 cc. aq. dest. by
boiling. Add aq. dest. to compensate
for evaporation and distribute meas-
ured amounts in flasks. Immediately
before use to each 100 cc. add 5 cc. 20%
aq. lactose (sterile), 2 cc. 2% aq. eosin
and 2 cc. 0.5% aq. methylene blue.
Mix, pour into Petri plates, harden and
incubate to prove sterility.
Endo's (Standard for water analysis).
Add 5 gm. beef extract, 10 gm. peptone
and 30 gm. agar to 1000 cc. aq. dest. in
container and weigh. Boil till dis-
solved, restore lost weight with aq.
dest., place in vessel with straight walls
and autoclave 15 lbs., 15 min. Let agar
harden, remove en masse to clean paper,
cut away and discard debris from bot-
tom. Melt clean agar, make pH 7.8-
8.2, pour in 100 cc. or larger amounts
and autoclave 15 lbs., 15 min. To each
100 cc. of this stock agar add 5 cc. 20%
aq. C.P. lactose (sterilized by fractional
method), 0.5 cc. 10% basic fuchsin in
95% alcohol (from filtrate of super-
natant fluid having let stand 24 hrs.).
Mix carefully, pour into sterile Petri
dishes, let agar set at room tempera-
ture and harden over night in incubator.
Check sterility.
Agar, sodium desoxycholate. Dis-
solve 10 gm. peptone in 1 Kg. water,
bring to pH 7.3-7.5 with sodium hy-
droxide, boil few minutes and pass
through filter paper. Add 12-17 gm.
agar. After soaking 15 min,, melt by
boiling. To each 1000 cc. add 6 cc.
1 N sodium hydroxide plus ferric am-
monium citrate, 2 gm. dipotassium
phosphate and 1 gm. sodium desoxy-
cholate. Titrate with phenol red in-
dicator to pH 7.3-7.5 and add 3 cc.
1% aq. neutral red. Sterilize in flowing
steam only sufficient to kill vegetable
cells (15 min. enough for tubes with
10-15 cc. medium).
Selenite-F enrichment. Use mono-
sodium and disodium phosphates in
exact proportions which experiment
shows that with particular lot of pep-
tone and brand of sodium selenite will
give pH 7.0-7.1. Dissolve with heat
10 gm. these phosphates (anhydrous),
4 gm. this sodium hydrogen selenite
(anhydrous), 5 gm. peptone, 4 gm. lac-
tose in aq. dest. to make 1 Kg. Boil.
Russell's double sugar agar. Mix
1000 cc. melted meat extract agar, 40 cc.
25% aq. lactose (sterile) and 4 cc. 25%
aq. glucose (sterile) and adjust to pH
7.2. Add 50 cc. 0.02% aq. phenol red,
filter if necessary, tube and autoclave
8 lbs., 25 min. Slant with deep butt.
Check reaction of medium with known
E. coli and E. iyphosa.
Simmons' citrate agar. Dissolve 5
gm. sodium chloride, 0.2 gm. MgS04,
1.0 gm. (NH4)H2P04, 2.28 gm. sodium
citrate (2H2O) in 1000 cc. aq. dest. and
add 20 gm. agar. Heat to dissolve
agar, make pH 7.2, and add 10 cc. 1.5%
alcoholic bromthymol blue. Filter
BACTERIA. MEDIA
31
BACTERIA. MEDIA
through cotton, tube, autoclave 15
lbs., 15 min. Slant with deep butt.
Check reaction of medium with known,
E. coll., A. aerogenes, S. schottmuelleri
and E. typhosa.
Jordan's tartarate agar. Dissolve by
heating 20 gm. agar, 10 gm. peptone,
10 gm. sodium potassium tartarate,
5 gm. sodium chloride in 1000 cc. aq.
dest. Adjust pH to 7.4 and add 12 cc.
0.2% alcoholic phenol red. Tube in
10 cc. lots, autoclave 15 lbs., 15 imn.
Check reaction of medium with known
S. aertrycke, S. enteritidis, S. paratyphi
and S. schottmuelleri.
Lead acetate agar (for H2S test). To
100 cc. sterile meat extract agar add
following sterile Seitz-filtered solutions:
4 cc. 25% aq. glucose, 4 cc. 25% aq.
lactose and 1 cc. 0.5% aq. lead acetate.
Tube aseptically and incubate to prove
sterility. Check reaction of medium
with known S. paratyphi and S. schott-
muelleri.
Dieudonne's alkaline blood agar (for
Vibrio comma). Make 700 cc. nutrient
agar and neutralize to litmus about pH
6.8. Ivlix 150 cc. defibrinated beef blood
and 150 cc. in 1 AT KOH and steam in
Arnold 30 min. Add this to blood agar
in proportion of 3 to 7. Pour Petri
plates, let harden uncovered (but pro-
tected by paper) placing strips sterile
filter paper between dish and protection
to take up ammonia and moisture.
Incubate 15 hrs. at 37°C. before use.
Carbohydrate broth (for fermenta-
tion tests). Inoculate 1000 cc. infusion
broth with active E. coli and incubate
18 hrs. at 37.5°C. Boil few minutes to
kill organisms. Put in large mortar
20-30 gms. purified talc. While grind-
ing add broth and thoroughly mix.
Pass through wet filter paper till clear.
Titrate and adjust pH to 7.3. Weigh
broth and add 1% of desired ferment-
able substances dissolved in a little hot
water. Then add 45 cc. 0.04% aq.
bromcresol purple per liter. Sterilize
in Arnold 20 min. on 3 successive days,
or autoclave 7 lbs., 10 min.
Lactose broth (Standard for water
analysis). Add 0.5% lactose to nu-
trient extract broth and adjust reac-
tion to pH 6.4-7. Autoclave 15 lbs.
15 min. restricting total heat exposure
to 30 min.
Clark and Lubs. Dissolve 5 lbs.
each of peptone, dextrose and dipo-
tassium phosphate in 1000 cc. aq. dest.
using heat. Filter through paper, add
water lost, tube in 10 cc. lots, sterilize
in Arnold 20 min., 3 successive days.
Bendick's saccharose peptone-water
(for Vibrio comma). Add 1 gm. an-
hydrous sodium carbonate to 1000 cc.
peptone solution neutralized to phenol-
phthalein. Boil, filter and to filtrate
add 5 gm. saccharose + 5 cc. sat. phe-
nolphthalein in 50% alcohol. Tube
10 cc. lots, sterilize in Arnold 15 min.,
3 successive days.
Dunham's peptone solution (for indol
test). Dissolve 10 gms. bacto-tryp-
tone (Difco) + 5 gm. sodium chloride
in 1000 cc. aq. dest. with heat. Make
pH 7.6 and filter if necessary, tube 10 cc.
lots, autoclave 15 lbs. 15 min.
Nitrate broth (for nitrate reduction
test). Dissolve 10 gms. peptone + 1
gm. potassium nitrate (nitrite-free) in
1000 cc. aq. dest. (ammonia-free) with
heat. Filter through paper, tube 10 cc.
portions and sterilize in Arnold 20 min.,
3 successive days.
Bromcresol purple milk. Remove
cream and heat remainder in cylinder
in Arnold 20 min. Again skim off fat
and to each liter remaining add 40
cc. 0.04% aq. bromcresol purple. Tube
10 cc. lots, sterilize in Arnold, 20 min.,
3 successive days. Prove sterility by
incubation.
Loeffler's (for C. diphtheriae) . Col-
lect beef blood in large glass vessels
and let clot without moving. Loosen
clot from wall with sterile glass rod and
place in refrigerator. To 3 parts clear
serum removed by pipette add 1 part
meat infusion broth containing 1%
glucose pH 6.8-7. Mix by stirring, in-
spissate on slant raising temperature
gently to approximately 85°C. Main-
tain temperature till coagulated firmly.
Sterilize in Arnold 20 min., 3 successive
days, paraffinize cotton plugs and test
sterility.
Hiss' serum-water (for fermentation
tests). Add 3 parts aq. dest. to 1 part
clear serum, mix, heat in Arnold 15 min.
Add 1% desired carbohydrate dissolved
in small quantity hot aq. dest. Add
50 cc. 0.02% aq. bromthymol blue to
each 1000 cc, tube, sterilize in Arnold
20 min., 3 successive days and prove
sterility by incubation.
Glycerol agar. Add 30 cc. pure
glycerol to 1000 cc. melted infusion
agar, adjust to pH 7.2, tube, autoclave
15 lbs., 15 min. and slant.
Petroff's (for M. tuberculosis). In-
fuse 500 gm. beef or veal in 500 cc.
15% aq. glycerol. After 24 hrs. put in
sterile press and collect extract in
sterile vessel. Place washed eggs in
70% alcohol, 10 min. Take out with
sterile tongs, flame and remove con-
tents to sterile vessel. To 2 parts egg
add 1 part meat extract. Add 1% alco-
holic gentian violet to make final con-
centration 1:10,000. Mix and continue
as with Loeffler's medium.
BACTERIA. MEDIA
32
BALSAM
Cystine blood agar (for P. tularensis) .
To 1000 cc. beef or veal infusion broth
add 15 gm. agar, 10 gm. peptone and
5 gm. sodium chloride. Autoclave
15 lbs., 15 min. Before use add 1 gm.
cystine (or cystine hydrochloride) and
10 gm. glucose. Dissolve by heating in
Arnold and sterilize 30 min. Cool to
50°C. add 50 cc' sterile horse blood,
tube aseptically in 10 cc. lots, slant and
incubate to prove sterility.
Noguchi's leptospira medium. Com-
bine sterile 80°C. 0.9% aq. sodium
chloride, 100 cc. fresh rabbit serum,
100 cc. 2% aq. agar (melted pH 7.4) and
10-20 cc. rabbit hemoglobin (1 part
blood, 3 parts aq. dest.). Tube asepti-
cally in 10 cc. lots. Incubate to prove
sterility.
Tryptone glucose extract milk agar.
Combine 15 gm. agar, 3 gm. beef ex-
tract, 5 gm. tryptone, 1 gm. glucose and
1000 cc. aq. dest. by boiling over free
flame. Make up volume lost with aq.
dest., adjust to pH 7, add 10 cc. skim
milk, place measured volumes in flasks
or tubes and autoclave 15 lbs., 15 min.
Tellurite (for C. diphtheriae). Melt
infusion agar, or 0.2% dextrose agar
and cool to 50°C. To each 10 cc. add
1 cc. citrated, or defibrinated, blood
-f 1 cc. sterile 2% aq. potassium tellu-
rite, mix and pour into Petri dishes.
Bismuth sulfite agar (Wilson and
Blair for E. iyphosa). Mix 20 gm. agar,
5 gm. beef extract and 10 gm. peptone
in sufficient hot aq. dest. to make
1000 cc. Dissolve by autoclaving 15
min. Store in refrigerator. (A). Dis-
solve 6 gms. bismuth ammonium citrate
scales in 50 cc. boiling aq. dest. (1), 20
gm. anhydrous sodium sulfite in 100 cc.
boiling aq. dest. (2), and 10 gms. dex-
trose in 50 cc. boiling aq. dest. (3).
Mix 1 and 2, boil and add 10 gms. an-
hydrous disodium phosphate while
boiling. Cool and add 3. Add water
to restore lost weight. Store in closely
stoppered pyrex container in dark at
room temperature (B). Dissolve 1 gm.
ferric citrate in 100 cc. aq. dest. using
heat and add 12.5 cc. 1% aq. brilliant
green. Store likewise in pyrex vessel
in dark. With 1000 cc. hot (A) thor-
oughlj' mix 200 cc. (B) and 45 cc. (C).
Immediatel}' pour into porous-top petri
dishes each 15-20 cc. After 2 hrs. at
room temperature store in refrigerator
and use within 4 days.
Chocolate agar (for Neisseria).
Grind strips lean meat of 5-6 beef
hearts. To each 500 gm. add 1000 cc.
tap water, infuse in refrigerator over
night, strain and press through course
gauze. Add 10 gm. proteose peptone
No. 3 (Difco) per liter, heat to 50°C.
1 hr. and boil 10 min. Strain through
gauze, dissolve 5 gm. sodium chloride
per liter and titrate to pH 7.6. Boil
lightly 10 min. pour off measured quan-
tities in flasks, autoclave 15 lbs., 15
min. Cool to 60°C., add 5% human or
horse blood, heat slowly on water bath
to 80-85''C. rotating to get even mix-
ture. Cool to 55°C. and plate.
Bacterial Pigments. These cannot be meas-
ured microscopically but a method has
been devised for doing so with spectro-
photometer and photoelectric colorim-
eter (Stahly, G. L., Sesler, C. L. and
Erode, W. R., J. Bact., 1942, 43,
149-154).
Bacterial Polysaccharides. Solutions of
reduced bases and leuco bases of penta-
and hexa-methyl triamino-triphenyl-
methane and tetramethyl diamino-
triphenylmethane and certain other
triphenylmethanes react with staphylo-
coccal polysaccharides and may be
useful in their detection (Chapman,
G. H. and Lieb, C. W., Stain Techn.,
1937, 12, 15-20).
Bacteriophage Localization by Electron
Microscopy, see Hennessen, W., Zeit.
f. wis. Mikr., 1951, 60, 172-180.
Bacteriostatic Titration of Dyes. (Reed,
M. V. and Genung, E. F., Stain Techn.,
1934, 9, 117-128).
Bacterium Monocytogenes. Intravenous
injections of this organism in rabbits
produce a marked increase in the num-
ber of circulating monocytes and there-
fore provide an important experimental
method (Murray, E. G. D., Webb, R. H.
and Swan, M. B. R., J. Path, and Bact.,
1926, 29, 407-439).
Bacterium Tularense in sections. Add 10
cc. sat. aq. nile blue sulphate and 6 cc.
l%aq. safranin to60 cc.aq. dest. Stain
sections over night. Wash quickly,
dehydrate in alcohols, clear in xylol
and mount (Foshay, L., J. Lab. & Clin.
Med., 1931, 17, 193-195).
Balances. Ordinary balances need no de-
scription but for weighing very small
amounts special balances are essential.
See review of literature by Gorbach,
G., Mikrochemie, 1936, 20, 254-336. The
torsion balances of Roller-Smith Co.,
Bethlehem, Pa., are sensitive to ap-
proximately 2 Atgm. The quartz fiber
balances are still more sensitive. See
Click, pp. 189-191.
Balantidium. Celloidin embedding and sec-
tioning (Scott, M. J., J. Morph. &
Physiol., 1927, 49, 417).
Balsam for mounting sections is usually
satisfactory as purchased. To make,
mix equal parts dry balsam and sodium
bicarbonate and grind in mortar. Add
sufficient xylol to make clear solution.
BARBER AND KOMP
33
BASOPHILE LEUCOCYTE
After few days filter and heat gently
(avoiding flame) to bring to suitable
consistency. The best mounting me-
dium when neutrality is essential is
Clarite or the cedar oil used for oil
immersion objectives. The latter sets
more slowly than balsam and it is ordi-
narily not necessary to employ it. See
Mounting Media.
Barber and Komp thick film for malaria
Plasmodia (Barber, M. A. and Komp,
W. H. W., Pub. Health Rep., 1929, 44,
2330) is described by Craig, p. 290-291
as the most used and satisfactory of the
thick film techniques. His account of
the method abbreviated: Place large
drop blood on clean slide and smear with
needle over area about half size of that
usually covered by a thin blood smear.
Dry in incubator at 37°C., 1-1| hrs.
Stain in 1 part good Giemsa and 6 parts
neutral or slightly alkaline aq. dest.,
about 30 min. Partly decolorize in
aq. dest. 5 min. (If films have back-
ground deep blue and leucocytes almost
black they may be worthless; but leav-
ing in aq. dest. longer may help).
Drain thoroughly, dry and examine.
Barium, spectrographic analysis of, in retina
(Scott, G. H. and Canaga, B., Jr., Proc.
Soc. E.xp. Biol. & Med., 1940, 44, 555-
556). Barium chloride and formalin are
advised as fi.xative for Bile Components.
Barium sulphate emulsion injections are
recommended by Woollard, H. H. and
Weddell, G., J. Anat., 1934-35, 69, 25-37
to demonstrate arterial vascular
patterns. The emulsion should be of
such consistency that it cannot easily be
forced beyond the small arterioles by a
pressure of 1 .5 atmospheres. Fi.x tissues
by hypodermic injection of formalin
and subsequent immersion in it. Take
x-ray photographs of the radiopaque
barium. See Cretin's Test for Calcium
and barium under Calcium 5.
Bartholomew, see Gram Stains Mechanism.
Bartonella, Try Giemsa's Stain for sections.
Basal Bodies of cilia (Wallace, H. M.,
Science, 1931, 74, 369-370). Fix in
Zenker (containing acetic) or in Zenker-
formalin (90 cc. Zenkers + 10 cc. 10%
formalin). Mount paraffin sections 5/x
thick. After very light staining with
hematoxylin and thorough washing in
tap water dip in 0.5% aq. eosin
(Grubler's wasserlich. If not available,
use Eosin Y.) ^ min. and wash quickly
in large volumes of water. Make up
stain by adding 9 parts sat. aq. methyl
violet (Grubler's 6B only. If not
available, use CC. which is 2B.) to 1
part abs. alcohol 33 cc. ; aniline oil 9 cc.
-f methyl violet in excess. Stain is
best 3-8 days after mixing but the two
solutions can be kept separately. After
staining sections for 2 hrs. wash well in
tap water, treat with Lugol's iodine
10-15 min. and repeat the washing.
Blot with filter paper. Differentiate in 1
part aniline oil -f 2 parts xylol. Wash
in several changes of xylol and mount in
balsam. Basal bodies deep purple,
nuclei dark blue. Good also for intra-
cellular bacteria and fibrin.
Basement Membranes of epithelia. Suggest
Mallory-Heidenhain's connective tissue
stain as modified by Schleicher, E. M.,
Am. J. Clin. Path.", 1943, 7, 3&^39 and
Schiff Reagent method as detailed by
McManus, J. F., Am. J. Path., 1948,
24, 643.
Basic Brown, G, GX, or GXP, see Bismark
Brown Y.
Basic Dyes, see Staining.
Basic Fuchsin — anilin red, basic rubin, and
magenta (CI 676 or 677) — Commission
Certified. The tri-amino tri-phenyl
methane dyes bearing this name are
mixtures of pararosanilin, rosanilin and
magenta II in varying proportions.
They are employed for a great many
purposes. Basic fuchsin in a cytologi-
cal technique for anterior pituitary is
described bj' Faire, W. R., and Wolfe,
J. M., Anat. Rec, 1944, 90, 311-314.
New fuchsin (CI 678) is a different com-
pound. It is the deepest in color of 4
dyes and pararosanilin is the lightest.
Basic Lead Acetate used as fixative for
Tissue Basophiles.
Basic Rubin, see Basic Fuchsin.
Basket Cell Arborizations, technique for,
Cajal, S. R., Trav. Lab. Rech. Biol.
Univ. de Madrid, 1926, 24, 217.
Basophila Erythroblasts, see Erythrocytes,
developmental series.
Basophile Leucocyte (mast-leucocyte, blood
mast cell). Least numerous granular
leucocyte ; percentage about 0-1 ;
slightly smaller (8-10m) than other
types; nucleus spherical or slightly
lobated, faintly staining and centrally
placed; specific granules only slightly
refractile, basophilic, large, variable and
less numerous than in other types;
function unknown. This cell is difficult
to study in fresh preparations of pe-
ripheral blood because it is so scarce.
Smears colored by the usual methods
(Giemsa, Wright, etc.) are satisfactory.
The basophilic granules appear to be
particularly soluble in water. Doan
and Reinhart (C. A. and 11. L., Am. J.
Clin. Path., 1941, 11, Tech. Suppl. 5,
1-39, with beautiful colored plates)
recommend supravital staining with
neutral red and janus green. There is
difference of opinion as to whether the
oxidase and peroxidase reactions are
positive (Michels, N. A. in Downey's
BASOPHILIC
34
BERBERIAN'S METHOD
Hematology, 1938, 1, 235-372). See
Tissue Basophiles.
Basophilic, see Staining.
Bauer Negative and positive substances,
for method see Glycogen.
Beams, see Ultracentrifuges.
Bell's Method for fixing and staining of fats
as described by the Bensleys (p. 114).
Intracellular fats are mobilized by heat
to form droplets which are chromated
and later stained. Consequently the
preparations show these fats, in addition
to other microscopically visible fat, but
not their true distribution in the cells.
Fix for 10 days at 45-50 °C. in 10% aq.
potassium bichromate 100 cc. + 5 cc.
acetic acid. Imbed and make paraffin
sections as usual. Pass them down to
absolute alcohol. Stain with freshly
prepared Sudan III 10 min. Rinse off
in 50% alcohol and pass to water to arrest
action of alcohol. Counter-stain with
Delafield's Hematoxylin. Wash in
water, differentiate in acid alcohol, wash
in water again and mount in Glycerine
Jelly.
Benda's Method of crystal violet and
alizarin for mitochondria. Fix in Flem-
ming's fluid 8 days (see Flemming's
Fluid). Wash in water 1 hr. Then
half pyroligneous acid and 1% chromic
acid, 24 hrs. 2% potassium bichromate,
24 hrs. Wash in running water 24 hrs.
Dehydrate, clear, imbed in paraffin and
cut sections at 4ju. Pass down to water
and mordant in 4% iron alum 24 hrs.
Stain amber-colored sol. sodium sulpha-
lizarinate made by adding sat. ale. sol.
to water, 24 hrs. Blot with filter paper
and color in equal parts crystal violet
sol. and aq. dest. (The sol. consists of
sat. crystal violet in 70% ale. 1 part,
ale. 1 part and anilin water 2 parts.)
Warm until vapor arises and allow to
cool 5 min. Blot and immerse in 30%
acetic acid 1 min. Blot, plunge in abs.
ale. until but little more stain is ex-
tracted, clear in xylol and mount in
balsam. The mitochondria are stained
deep violet in a rose background. The
colors are more lasting than in Altmann
preparations. This is one of the classi-
cal techniques of histology but it is
difficult. For colored illustrations see
Duesberg, J., Arch. f. Zellforsch., 1910,
4, 602-671.
Benda's stain for fat necrosis. See Fisch-
ler's modification.
Bensley's Neutral Safranin. For mitochon-
dria and secretion antecedents especially
in the pancreas. Fix in 2.5% aq. potas-
sium bichromate, 100 cc; mercuric
chloride, 5 gms. 24 hrs. Wash, dehy-
drate, clear, imbed and section. To
prepare stain slowly add sat. aq. acid
violet to sat. aq. safranin 0 in a flask
until ppt. ceases when a drop of mixture
on filter paper gives not an outside red
rim of safranin but a solid neutral color.
Filter. The filtrate should be as nearly
as possible colorless. Dry ppt. on filter
paper and make of it a sat. sol. in abso-
lute alcohol. Pass sections through 2
changes each of toluol and absolute
alcohol, then down through lower alco-
hols to aq. dest. (Bleach chrome and
osmium fixed tissues in permanganate
and oxalic acid, as described under
Anilin Fuchsin Methyl Green and
mercury fixed ones in Lugol's solution,
10 sec. finally washing in aq. dest.)
Dilute alcoholic neutral safranin with
equal volume aq. dest. and stain 5min.-
2 hrs. Quickly blot with filter paper.
Plunge into acetone and immediately
pass to toluol without draining. Exa-
mine and if further differentiation is
needed treat with oil of cloves. If this
is not enough rinse in abs. ale, flood
momentarily with 95% ale. and pass
back through absolute to toluol. Wash
in 2 changes toluol and mount in balsam.
This is a difficult method but the results
are worth it. (see Bensley, R. R.,
Am. J. Anat., 1911, 12, 297-388).
Benzamine Blue 3B, see Trypan Blue.
Benzene-Azo-a-Naphthylamine. A mono-
azo dye used by Carter, J. S., J. Exp.
Zool., 1933, 65, 159-179 as a vital stain
for Stenostomum.
Benzo Blue SB, see Trypan Blue.
Benzo New Blue 2B, see Dianil Blue 2R.
Benzo Sky Blue, see Niagara Blue 4B.
Benzoazurine G (CI, 502), a direct dis-azo
dye of light fastness 4 sometimes
polychromatic (nuclei red, cytoplasm
blue to blue-violet). Applied after
treating blue-green algae with copper
sulphate, spores orange red, vegetative
cells dark blue or violet (Emig, p. 41).
Benzene ring compounds distinguished from
pyrrols by Nitro Reaction.
Benzoin Blue R, see Azo Blue.
Benzopurpurin 4B (CI, 448) — cotton red,
diamin red, dianil red. Sultan and
direct red, all 4B — An acid dis-azo dye
no longer used.
Benzoyl Perioxide treatment is recom-
mended by McClung, Microscopical
Technique, 1950, p. 71 for revival of
staining capacity of old smears and
spreads.
Benzyl Benzoate is employed in the Spalte-
holz Method of clearing.
Benzyl Violet. Conn (p. 132) states that
this term relates to a group of violets
which are pararosanilins, some acid and
some basic, with benzyl substitution in
one or more amino groups.
Berberian's Method. Berberian, D. A.,
Arch. Dermat. & Syphil., 1937, 36, 1171-
1175, has developed a method for stain-
BERBERINE SULPHATE
35
BILE
ing fungi in epidermal scales and hair,
which differentiates epithelial cells,
blood cells, bacteria and 'mosaic
fungi'. The following account was
written by D. A. Berberian, American
University of Beirut, Beirut, Lebanon,
June 22, 1946:
Fix small pieces of scales or hair on a
slide with 50% aq. glacial acetic acid
by drying in an incubator. Defat,
clear, hydrate, and wash off the acid as
follows: Cover the preparation with
ether 2-3 times, 20-30 sec. each; flood
twice with absolute acetone, 30-60 sec.
each; and then flood consecutively with
absolute, 95, 70 and 50 per cent alcohol.
Stain for 3-5 min. with Martinotti's
solution (aq. dest., 75 cc; lithium car-
bonate, 0.5 gm.; and toluidine blue,
1 gm. After the stain dissolves, add
20 cc. glycerin and 5 cc. 95% alcohol).
Wash gently in water and differentiate
with 0.5% acetic acid. Dehydration is
best carried out by 3-4 changes of
absolute acetone kept 2-3 minutes each
time. Pass through xylol and mount
in Euparol or any other neutral mount-
ing agent. Success of preparation
depends largely on proper differentia-
tion, dehydration and de-acidification.
See Fungi.
Berberine Sulphate. An alkaloid used as a
fiuorochrome for malarial parasites
(Metcalf, R. L. and Patton, R. L.,
Stain Techn., 1944, 19, 11-22).
Bergamot Oil is sometimes used for clearing
because it will mix with 95% alcohol.
Berlin Blue is another name for Prussian
Blue (a metallic pigment). It is em-
ployed for microchemical detection of
Iron. Kremer, Zeit. f. wiss. mikr.,
1938, 54, 429-432 suggests proceeding as
follows: Fix in absolute alcohol. De-
paraffinize 10/x sections. Bleach in 3-5%
H2O2 3-5 days. Wash carefully in aq.
dest. Quickly darken in (NH4)2S.
Transfer to K ferrocyanide and HCl.
Iron gives blue color.
Curiously enough when injection of
blood vessels is demanded this mineral
pigment is usually called for as Berlin
blue. Thus the Bensleys (p. 153) give
directions for making up Tandler's
Berlin blue gelatin. Soak and melt 5
gms. pure gelatin in 100 cc. aq. dest.
Add sufficient Berlin blue to give desired
color and then 5-6 gms. potassium iodide
and a crystal of thymol as a preservative.
Inject this mass, which is fluid above
17°C. Fix tissues in 5% formalin which
preserves it even through decalcifica-
tion.
Beryllium. In various forms and dosages
in production of osteogenic sarcomata
in rabbits (Hoagland, M. B., Grier,
R. S., and Hood, M. B., Cancer Rea.,
1950, 10, 629-635.
Best's Carmine. Griibler's carminum ru-
brum optimum, or some other good
carmine, 2 gm. ; potassium carbonate,
1 gm.; potassium chloride, 5 gm.; aq.
dest., 60 cc. Boil gently until color
darkens, cool and add 20 cc. cone, am-
monia. Allow to ripen 24 hrs. This
is stock solution. Used to stain Glyco-
gen. See Bensley, C. M., Stain Tech.,
1939, 14, 47-52.
Beta Particles, influence in making radio-
autographs, see McClung's Microscopi-
cal Technique, 1950, p. 707.
Beyer Brown, a diazo dye, stains in aq. or
alcoholic solution like a good Ehrlich's
hematoxylin (H. G. Cannan, J. Roy.
Micr. Soc, 1941, 61, 88-94).
Biaxial Bodies, see McClung's Microscopical
Technique, 1950, p. 605.
Bichromate-Chromic-Osmic mixture, see
Champy's Fixative.
Blebrich Scarlet, water soluble (CI, 280) —
croceine scarlet, double scarlet BSF.
Ponceau B, scarlet B or EC — An acia
dis-azo dye much used in histology.
See Bowie.
Blebrich Scarlet and Picro-Anilin Blue,
as a differential stain for connective
tissue and muscle (Lillie, R. D., Arch.
Path., 1940, 29, 705). Deparaffinize
sections of material fixed in formalin,
Zenker's or Orth's fluid. Stain for 5
min. in following: Dissolve 1 gm.
hematoxylin in 95% ale. and 4 cc. 29%
aq. FeCla in 95 cc. aq. dest. -f- 1 cc.
cone, hydrochloric acid. Mix and use
while fairly fresh. Wash in tap water.
Stain for 4 min. in 0.2 gm. Biebrich
scarlet + 100 cc. 1% aq. acetic acid.
Rinse again inaq. dest. Stain for 4 min.
in 0.1 gm. anilin blue W.S. (CC.) +
100 cc. sat. aq. picric acid. Wash for
3 min. in 1% aq. acetic acid. Dehydrate
in acetone or alcohol. Clear and mount
in salicylic acid balsam. Connective
tissue, glomerular basement membrane
and reticulum, deep blue; muscle and
plasma, pink; erythrocytes, scarlet.
(Checked by R. D. Lillie, National In-
stitute of Health, Bethesda, Md., April
22, 1946.)
Bielchowsky Silver Methods. These are
designed for the nervous system and
consist essentially of formalin fixation,
silver impregnation, washing, treating
with ammoniacal silver solution, wash-
ing and reduction in formalin. Several
useful modifications are detailed by
Addison (McClung, pp. 463-466). See
Nervous System, Silver Methods.
Bile. This frequently comes in for micro-
scopic examination of centrifuged sedi-
ment. Stitt (p. 761) says that one must
be on the lookout especially for: (1)
BILE CAPILLARIES
36
BIOLOGICAL STANDARDS
Pus cells (neutrophiles), scattered
through the specimen and bile stained,
which, when occurring in fair numbers,
indicate cholecystitis. Unstained pus
cells associated with mucus are generally
from the mouth. (2) Bile colored epi-
thelial cells and cellular debris suggest
chronic cholecystitis. (3) Cholesterin
crystals are identifiable as opaque or
translucent, flat, rhombic plates or
irregular masses. (4) Large amounts of
light brown granules or dark black-
brown ppt. of calcium bilirubinate are
suggestive of gall stones. (5) Tiny gall
stones (bile sand) are identifiable by
their concentric lamination. Negative
findings are not, he is careful to point
out, conclusive of absence of lesions.
Bile Capillaries. 1. Hematoxylin staining.
Clara, M., Zeit. f. mikr. Anat. Forsch.,
1934, 35, 1-56 advises treatment of cel-
loidin sections of pieces of liver fixed in
Alcohol Formalin, formalin — absolute
alcohol — acetic acid (20:80:1) and other
mixtures by the Stolzner Holmer tech-
nique and his own method. According
to the former, mordant the sections in
liquor ferri sesquichlorati (try 10%
aq. ferric chloride) 30-45 min. Wash
quickly in aq. dest. Stain in ripe 0.5%
aq. hematoxylin, 20-30 min. Wash
quickly in water. Differentiate in much
diluted liquor ferri sesquichlorati.
Wash again quickly in water. Blue
with dilute aq. lithium carbonate.
Wash in spring water (tap water will do ) .
Dehydrate, clear and mount. According
to Clara, mordant the sections in equal
parts A and B at 40-50 °C. for 24 hrs.
(A = potassium bichromate, 2.0 gm. ;
chrome alum, 1 gm., aq. dest., 30 cc.
B = ammonium molybdate, 2.5 gm.;
chromic acid, 0.25 gm.;aq. dest., 100 cc.)
Wash briefly in aq. dest. Stain in
Kultschitzky's Hematoxylin. Wash in
spring water. Dehydrate, clear and
mount in balsam. See Clara's illustra-
tions.
2. Rio Hortega silver carbonate method
adapted by Mclndoe, A. H., Arch.
Path., 1928, 6, 598-614. Fix small pieces
normal human liver at least 20 days in
10% formalin. Heat gently but do not
boil and cool several times thin frozen
sections for 20 min. in silver bath until
they are uniformly of a golden brown
color. (To make the bath combine 30
cc. 10% aq. silver nitrate and 10 cc. sat.
aq. lithium carbonate. Wash ppt. re-
peatedly with doubly distilled water,
decanting washings. Add 100 cc. doubly
distilled water to ppt. Dissolve ^i
of it by adding ammonia water drop by
drop. Filter supernatant fluid into
opaque bottle and store in dark where it
can be kept 2-4 weeks. For use take
5 cc. of this stock solution and add 5 cc.
aq. dest. and 2-3 drops pyridine.)
Wash quickly in aq. dest. Place in 20%
neutral formalin, 1 min. Fix in 2% aq.
sodium thiosulphate, ^-1 min. Wash
thoroughly in tap water, 2-3 days adding
a little neutral formalin. Dehydrate
in 95% and abs. ale, clear in carbol-
xylol and mount in balsam. Canaliculi,
black.
Bile Components in hepatic cells. Place
small pieces of liver in 3% aq. barium
chloride for 6 hours ; fix 18 hours in 10%
formalin; dehydrate rapidly in alcohol,
clear in benzol and embed in paraffin.
The bile components, precipitated by
barium chloride, can be stained with
acid dyes especially the acid fuchsin in
Mallory's connective tissue stain (Fors-
gren, E., J. Morph., 1929, 47, 519-529).
Bile Pigments. Histochemical reaction.
Fix in 10% formalin or in alcohol. Pro-
longed fixation is contraindicated. Fix
paraffin sections to slides with egg
albumen. Deparaffinize and immerse
in 2 or 3 parts Lugol's solution and 1
part tincture of iodine, 6-12 hrs. Wash
in aq. dest. and cover with sodium hypo-
sulphite (5% aq.) 15-30 sec. until de-
colorized. Wash in aq. dest. and stain
with alum carmine 1-3 hrs. Wash in
aq. dest., dehydrate in acetone, clear
in xylol and mount in balsam. Bile
pigment granules emerald green (Stein,
J., C. R. Soc. de Biol., 1935, 120, 1136-
1138). See Gmelin's Test.
Bilharzial Cercariae. For intra - vitam
staining examine in serum plus a little
neutral red. For permanent prepara-
tions fix in hot lactophenol (equal parts
lactic acid, carbolic acid, glycerin and
aq. dest.). Stain with alcoholic borax-
carmine. Mount in following: dissolve
by boiling gum tragacanth 3 parts and
gum acacia 1 part in aq. dest. 100 parts.
Add equal parts lactophenol and use
filtrate. (Marshall, A., Lab. J., 1937,
7, 565-569).
Bilirubin, a reddish bile pigment which is
isomeric or identical with Hematoidin
and which by oxidation can be converted
into the green Biliverdin, see Bile
Pigments, Urobilin and Van den Bergh
Test.
Biliverdin, a green bile pigment produced
by oxidation of Bilirubin. See Bile
Pigments.
Bindschedler's Green (CI, 819). A basic
indamin dye easily reduced to a sub-
stituted diphenylamine. See use as a
Redox dye in study of metabolism of
tumor tissue (Elliott, K. A. C. and
Baker, Z., Biochem. J., 1935, 29 (2),
2396-2404).
Binnennetz, see Golgi Apparatus.
Biological Standards. Vitamins, antitoxins,
BIOTIN
37
BISMUTH PIGMENTATION
hormones and other substances adopted
internationally are critically considered
by Irwin, J. O., J. Hyg., 1950, 48, 215-
238.
Biotin, see Vitamins.
Bird's Eye Inclusions. Some of these
bodies, and the so-called Plimmer's
Bodies, seen in cancer cells are ap-
parently greatly enlarged Centrosomes.
Methods and results are given by Le-
Count, E. R., J. Med. Res., 1902, 7
(N.S. 2), 383-393.
Birefringence, see Polarization Optical
Method.
Bismark Brown Y (CI, 331) — basic brown,
G, GX, or GXP, Excelsior brown,
leather brown, Manchester brown,
phenylene brown, Vesuvin — A mixture
of basic dis-azo dj'es of different shades.
Quite widely employed, see Blaydes,
G. W., Stain Techn., 1939, 14, 105-110
for use with plant tissue. See Weissen-
berg's method, as described by McClung,
1950, p. 184, for the preservation in
sections of Bismark brown employed
for supravital staining of eggs.
Bismiocymol (see Pappenheimer, A. M.
and Maechling, E. H., Am. J. Path.,
1934, 10, 577-588.
Bismuth. Microchemical detection of :
1. Method of Christeller-Komaya.
Make frozen sections of formalin fixed
tissues. A = quinine sulphate, 1 gm.;
aq. dest., 50 cc; nitric acid, 10 drops.
B = potassium iodide, 2 gm., aq. dest.,
50 cc. Immediately before use mix
equal parts A and B and add 2 drops
nitric acid, C.P. After treating sec-
tions with this for 1 min. wash very
quickly in 10 cc. aq. dest. + 2 drops
nitric acid. Mount section on slicle.
Dry, counterstain with gentian violet.
Bismuth appears as dark brown grains
(Lison, p. 98). See Komaya, G., Arch,
f. Dermat. u. Syph., 1925, 149, 277-291
(good colored figures) and Califano, L.,
Zeit. f. Krebsf., 1927-28, 26, 183-190.
2. Another modification of the
Komaya method is given by Castel, P.,
Arch. Soc. d. Sci. Med. et. biol. de
Montpellier, 1934-35, 16, 453-456 as
follows : Dissolve 1 gm. quinine sulphate
in 50 cc. aq. dest. with aid of a few drops
of sulphuric acid. Dissolve 2 gm.
potassium iodide in 50 cc. aq. dest.
Mix, apply to section, gives red ppt.
of salts of bismuth in form of iodo-
bismuthate of quinine or double iodide
of bismuth and quinine. See Pappen-
heimer and Maecnling's (Am. J. Path.,
1934, 10, 577-588) study of nuclear
inclusions in the kidney.
3. Wachstein, M. and Zak, F. G.,
Am. J. Path., 1946, 22, 603-611 have in
turn improved the Castel method. See
Glick, Techniques of Histo- and Cyto-
chemistry, 1949, p. 31.
Reagents: A. Modified Castel: After
dissolving 0.25 gm. brucine sulphate in
100 cc. aq. dest. add 2 gm. aq. dest.
Store in brown bottle and filter before
using. B. Diluted Castel: One part A
to 3 parts aq. dest. C. Levulose: Dis-
solve 30 gm. in 20 cc. aq. dest. at 37°C.
for 24 hrs. and add 1 drop of B. D.
Counterstain: Add 1 cc. 1% aq. light
green S. F. (Hartman-Leddon Co.,
Philadelphia) to 100 cc. of B and filter
before use.
Technique: Treat frozen sections or
deparaffinized formalin fixed sections
on slides for few sec. with several drops
30% hydrogen peroxide (Superoxol,
Merck) thus removing black sulfide.
Wash in tap water and treat with A 1
hr. Transfer to B and shake slightly
to detach precipitates. Counterstain
in Z) 4 min. Blot and mount in C. Bis-
mith appears as an orange yellow de-
posit.
Bismuth Pigmentation. Histochemical
identification as advised by Wachstein,
M. and Zak, F. G., Am. J. Path., 1946,
22, 603-611 depends on ability of hydro-
gen peroxide to decolorize bismuth
sulfide instantaneously and of a slightly
modified Castel reagent to change bis-
muth sulfate into an orange red deposit.
Treat deparaffinized, or frozen, sec-
tions with few drops superoxol (30%
hydrogen peroxide, Merck) from dark
bottle kept in refrigerator. In a few
seconds black of bismuth sulfide dis-
appears. Wash thoroughlj' in tap wa-
ter and place in Coplin jar containing
modified Castel reagent made as fol-
lows: Dissolve 0.25 gm. brucine sulfate
(Merck or Eastman Kodak) in 100 cc.
aq. dest. plus 2 or 3 drops concentrated
sulfuric acid. Then acid 2 gm. potas-
sium iodide, keep in a brown bottle and
filrer before use. After 1 hr. transfer
sections to another jar containing some
of reagent diluted with 3 parts aq. dest.,
and shake gently to remove precipi-
tates. Remove most of fluid from sec-
tions by blotting and cover with levu-
lose solution made by dissolving 30 gm.
levulose in 20 cc. aq. dest. at 37°C. for
24 hrs. to which drop of diluted Castel
reagent has been added. To counter-
stain color 4 min. with freshly filtered
100 cc. nondiluted reagent plus 1 cc.
1% aq. light green S F (Hartman-Led-
don Co.).
Method also can be used for study of
fresh tissues and gross specimens. Add
cone, hydrogen peroxide drop by drop
to pigmented area. Decolorization is
rapid if bismuth sulfide is present.
Wash thoroughly in running water to
BISMUTOSE
38
BLOOD CELL VOLUME
remove excess hydrogen peroxide. Ap-
ply modified Castel reagent to surface
and examine for orange ppt. See de-
scription by authors of distribution of
bismuth pigmentation in the tissues
and comparison with other pigments.
Bismutose, a compound of bismuth and
albumen which on application becomes
concentrated in the area of the Golgi
apparatus (Kredowsky, Zeit. f. Zellf.,
1931, 13, 1).
Biuret Reaction. Described as follows by
Serra, J. A., Stain Techn., 1946, 21, 5-18:
Prepare tissue as described under Nin-
hydrin Reaction. "The pieces are im-
mersed in strong NaOH or KOH solu-
tion in a watch glass and some drops of
a 1% aqueous solution of CuSO^ are
then added with stirring. A blue-
violet coloration indicates the presence
of peptides or proteins.
"The reaction is given by the peptide
linkage when the peptides are composed
of at least three amino acids. The
color is more reddish with the simpler
peptides. For cytological or histologi-
cal work, the reaction has the disad-
vantage of requiring a strong alkaline
reaction, which tends to dissolve the
protoplasm. To avoid a serious dis-
solution the tissues must be hardened,
for instance with formalin (10% for-
maldehyde during 24 hours, followed
by a thorough washing). This reaction
has also the disadvantage of being in-
sensitive."
Blastomeres of eggs, see separation of in
McClung's Microscopical Technique,
1950, p. 557.
Blastomycosis. The differentiation of Zy-
monema (Blastomyces) dermatitidis , the
cause of blastomycosis, from Crypto-
coccus hominis, the cause of crypto-
coccosis or torulosis, is best accom-
plished by w^et India ink technique of
Weidman, F. D. and Freeman, W.,
J.A.M.A., 1924,83, 1163. Stir suspected
material in a drop of india ink, place on
a clean slide and cover. Use a small
drop so as to form a thin film. Work
rapidly before the ink dries out. In
blastomycosis the wall of the organism is
thick and presents a double-contoured
appearance. Cryptococciis hominis is
surrounded by a thick mucoid capsule
which, against a dark background, shows
up as a clear halo surrounding the fun-
gus. Spinal fluid usually dilutes the
ink making a lighter background. See
Fungi.
Bleaching of tissue fixed in osmic acid mix-
tures can be brought about by immers-
ing in dioxan for as long as 3 daj^s. Sec-
tions require only a few minutes (Asana,
J. J., Stain Techn., 1940, 15, 176).
Blendors, Micro-Waring for low temper-
ature use (Sorof, S. and Cohen, P. P.,
Exp. Cell Res., 1951, 2, 299-300).
Blood. Microscopically considered blood
is the field of the hematologist (see
Downey's Hematology, N. Y., Hoeber,
1938 in 4 volumes). Any conception of
the formed elements of the blood is
artificial and inadequate unless it is
based upon knowledge of their appear-
ance and behavior in vivo. To examine
circulating blood in the web of a frog's
foot is helpful but it is better to use
mammals. In the latter, the methods
devised by Covell and O'Leary for study
of the living Pancreas are recommended
for blood cells also. Probably the best
technique is that of Sandison for direct
e.xamination of contents of small blood
vessels and capillaries in transparent
chambers inserted into rabbits' ears.
Living blood cells can be observed
in vitro at high magnification in Tissue
Cultures; but, of course, circulation is
lacking.
When blood cells are removed from the
body and mounted on slides in approxi-
mately isotonic media, they can be
studied for a short time before they be-
come seriously injured and die.
Examination in the dark field and after
Supravital Staining may be helpful.
It is important in interpreting the
results to remember that the conditions
are very abnormal, that the cells are
often more flattened than in vivo, and
that the actual speed of movement is
not that seen, but is that observed di-
vided by the magnification because the
distance travelled per unit of time
naturally appears greater than it
actuallj^ is. The motion picture tech-
nique has great potentialities.
Examination is usually limited to fixed
and stained Blood Smears but valuable
data can also be secured from sections.
Normal values for blood cells during first
year of life (Merritt, K. K., 1933, 46,
990-1010). For details, see Blood Pro-
tein (coagulated). Bone Marrow, Chylo-
microns, Erythrocytes, Erythrocyte
Counts, Fibrin, Hematoidin, Hemato-
porphyrin, Hemofuscin, Hemoglobin,
Hemosiderin, Leucocytes, Leucocyte
Counts, Lymphocytes, Monocytes,
Platelets, Parhemoglobin, Reticulo-
cytes, Sulfmethemoglobin.
Blood Agar, see Bacteria, Media.
Blood Cell Volume. Dry Evans Blue
(Merck) at 100 °C. Dissolve 400-800
mg. in 1 liter aq. dest. Put 0.5-1 cc. in
tube 3-4 cc. capacity and evaporate to
dryness at 70 °C. Collect blood to
contain 2.0-2.5 units heparin or 0.2%
ammonium oxalate. Centrifuge and
transfer 1 cc. plasma to tube containing
dye. Remove 0.1 cc. dyed plasma to
BLOOD FLOW
39
BLOOD PLATELETS
9.9 cc. saline in photoelectric colorimeter
tube. Make blank without plasma.
Compare in Evelyn or Klet-Summerson
colorimeter using filter to pass only light
of about 620 m/x. Calculate as directed
for the colorimeter (Shohl, A. T. and
Hunter, T. H., J. Lab. & Clin. Med.,
1941, 26, 1829-1837). See also earlier
cell opacity method (Shohl, A. T., J.
Lab. & Clin. Med., 1939-40, 25, 1325-
1332).
Blood Flow, technique for local measure-
ment of, using radioactive sodium
(Semple, R., McDonald, L. and Ekins,
R. P., Am. Heart J., 1951, 41, 803-809).
Blood Grouping technique does not properly
come in the scope of this book; but since
it is involved in fundamental medical
and biological problems the following
leading reference is given: Schiff, F.,
and Boyd, W. C, Blood Grouping
Technic. New York: Interscience Pub-
lishers, Inc., 1942, 248 pp.
Blood Platelets— Written by Paul M. Ag-
geler, University of California Medical
Center, San Francisco 22, California.
November 15, 1951 — It is believed by
most authorities today that the plate-
lets originate from megakaryocytes,
chiefly in the bone marrow but perhaps
also in the lungs. The platelets are
thought to be detached fragments of the
cytoplasm of mature megakaryocytes.
In man the platelets usually vary be-
tween 2 and 3 microns in length, al-
though microplatelets of less than one
micron and macroplatelets as long as 25
to 50 microns have been observed.
They vary in thickness from 0.5 to 1.0
micron. In rapidly fixed blood they
usually assume the shape of an oval disc
or lentil although a variety of forms
may be encountered. In unfixed blood,
even in the presence of an isotonic
anticoagulant many degenerative forms
may occur. These may appear shrunken
or "exploded" and there may be numer-
ous spinelike projections from the sur-
face of the platelet. In dry smears of
imperfectly fixed blood stained with
Wright's stain the platelets appear to
be divided into two zones: the clear
blue hyalomere and the chromomere
made up of purple staining granules.
This separation into two zones is prob-
ably an artefact produced by changes
in distribution of the granular material
of the platelet after leaving the circula-
tion, for when blood is rapidly fixed
the granules are evenly distributed
through the body of the platelet.
Macroplatelets found in the blood in
periods of abnormal blood regeneration
often take a deeper stain and the
granules are coarse and do not show,
even in slowly dried preparations, the
clear separation between hyalomere
and chromomere.
Platelets are found in the circulating
blood, particularly in the capillaries of
the liver and lung, in the bone marrow
and in the spleen, both in the sinuses
and between the cells of the pulp.
They are not found in the lymph or in
the thoracic duct. More platelets are
found in arterial than in venous or
capillary blood.
Physiological decreases in the plate-
let count are said to occur during the
first day of menstruation and increases
have been found after violent exercise
and following a change to a high alti-
tude. An increased platelet count
(thrombocytosis) may be found in in-
fectious diseases, trauma, fractures,
asphyxiation, surgical operations, acute
blood loss, chronic myelocytic leu-
kemia, Hodgkin's disease and erythre-
mia. A decreased platelet count
(thrombocytopenia) is the basic defect
in idiopathic thrombocytopenic purpura
and also occurs secondarily in certain
acute infectious diseases of the blood
and blood forming organs, diseases of
the spleen, allergies, sensitization reac-
tions to certain drugs and chemicals,
and following the use of certain toxic
agents such as benzol or ionizing radia-
tions.
The platelets are thought to survive
in the circulation of the normal subject
for from three to five days. There is
recent evidence to suggest that in
idiopathic thrombocytopenic purpura
they are destroyed at a much more
rapid rate. The reduction of the plate-
let count in this disease had previously
been thought to be due either to failure
of production of the platelets or to
abnormally rapid removal from the
circulation by phagocytosis in the
spleen. The mechanism of reduction
of the platelet count in secondary
thrombocytopenic purpuras may be:
(1) destruction of megakaryocytes as
in ionizing radiation; (2) splenic in-
hibition of maturation of megakaryo-
cytes as in congestive splenomegaly or;
(3) a direct inhibition of maturation
of megakaryocj'tes as in sensitivity
reactions to drugs.
The platelets are concerned in the
coagulation of the blood, in retraction
of the blood clot, in the formation of
thrombi and in the maintenance of
capillary continuity. The most signifi-
cant property of platelets is the readi-
ness with which they agglutinate in
shed blood or when exposed to a for-
eign surface. Agglutination is gener-
ally followed by fusion and lysis.
Direct Methods: The principle of all
BLOOD PLATELETS
40
BLOOD PLATELETS
direct methods of platelet counting
consists in the accurate dilution of a
measured quantity of blood with a
suitable fluid. The diluted blood is
placed in a counting chamber and the
number of platelets in a circumscribed
volume is counted. These methods of
counting platelets involve the use of
the same apparatus as is employed in
the erythrocyte count. The Thoma
diluting pipette is generally used. It
consists of a capillary tube graduated
in tenths, which opens into a bulb con-
taining a glass bead. The bulb, when
filled to the mark 101 above it, will
hold 100 times the quantity of fluid
contained in the 10 divisions of the
capillary tube. The counting chamber
is a heavy glass slide, with two central
ruled platforms. They are separated
from each other by one moat, and from
elevated shoulders on each side by
transverse moats. These lateral shoul-
ders are so ground that a cover-slip
resting on them lies exactly 0.1 mm.
above each platform. A ruled area of
3 mm. by 3 mm. (9 sq. mm.) is engraved
on each side. This area is divided into
9 large 1 mm. squares. The central
square is divided into intermediate-
sized squares of 1/25 sq.rnm., each of
which is further divided into smaller
squares of 1/400 sq. mm.
In making a count, blood is drawn by
suction into the Thoma pipette to the
0.5 mark. The blood adhering to the
outside of the pipette is wiped off and
the diluent is drawn in until it fills the
bulb and reaches the mark 101. While
drawing in the diluent, the pipette is
revolved between the finger and the
thumb, in order to mix the blood thor-
oughly with the diluent. After the
desired quantity of solution has been
drawn into the pipette, it is held hori-
zontally and shaken for one-half niin-
ute, or it may be placed in a mechanical
shaking device, in order to secure
thorough mixing. The coverglass is
next placed on the chamber. Several
large drops of fluid are expelled from
the pipette and discarded, and a small
quantity of diluted blood is allowed to
run under the coverglass. The plat-
form should be completely covered with
fluid, and none should run over into
the moats.
The preparation is allowed to stand
10 minutes to allow settling of the cells,
then the number of platelets seen in
the entire central 1 mm. ruled area is
counted. This number is multiplied
by 2000 [1/10 (depth) X 1/200 (dilu-
tion)].
There may be errors due to uncleanli-
uess of the glassware, inaccurate
calibration of pipettes or chambers,
imperfect dilution, failure to mix the
blood and diluting fluid thoroughly,
imperfect filling of the chamber and
improper sampling, such as might occur
if a free flow of blood is not obtained
from the finger or ear when capillary
blood is employed, or from improper
sampling if venous blood is used. The
above sources of error can be avoided
by an experienced technician, so that
their contribution to the inaccuracy of
the platelet count is minimal. How-
ever, there are additional sources of
error when this method, which was
originally devised for erythrocyte
counting, is used for the enumeration
of platelets. Olef, I. (J. Lab. & Clin.
Med., 1935, 20, 416) has listed the fol-
lowing: 1) clumping of the platelets
during drawing of the blood into the
pipette, 2) the impossibility of visualiz-
ing the smaller platelets with the high
dry lens, 3) the failure to visualize
some of the platelets in the 100 micron
space that exists between the bottom
of the counting chamber and the over-
lying coverglass, 4) the sticking of the
platelets to the side of the pipette and
to the parts of the hemacytometer,
and 5) the confusion of foreign particles
or precipitates with platelets.
Platelet clumping, the adhesion of
platelets to glassware and the occur-
rence of morphological changes in the
platelets can be prevented only by the
immediate mixing of the blood with a
diluting fluid which contains both an
anticoagulant and a fixative. It is
not generally appreciated that de-
generative changes occur quite rapidly
in platelets, even in the presence of
an anticoagulant, unless a fixative is
also incorporated in the diluting fluid.
The anticoagulants which have been
employed are sodium, potassium or
ammonium oxalate, sodium citrate,
sodium metaphosphate, sodium sulfate,
magnesium sulfate, heparin, peptone
and gelatin. Of these, 3.8 per cent
sodium citrate appears to be the most
satisfactory, since it is isotonic with
the blood plasma, does not form crystals
or precipitates with the plasma, and is
not highly conducive to bacterial
growth. The fixatives most commonly
employed are mercury bichloride, osmic
acid, solution of formaldehyde, and
methyl or ethyl alcohol. Of these,
the solution of formaldehj^de is prefer-
able because it does not produce clump-
ing of the erythrocytes, does not form
protein precipitates with the plasma,
and does not produce secondary changes
in the platelets. In order to avoid
hemolysis from the formation of formic
BLOOD PLATELETS
41
BLOOD PLATELETS
acid, the diluting fluid should be made
fresh every week and only 38 per cent
neutral formaldehyde, U.S. P. should
be employed. A concentration of 0.1
per cent of formaldehyde in the dilut-
ing fluid is sufficient. Higher con-
centrations may hemolyze the erythro-
cytes and form precipitates with the
plasma.
It is generally' conceded that the in-
corporation into the fluid of a dye, such
as brilliant cresyl blue, methyl violet,
methylene blue, toluene red, crystal
violet and nile blue, is superfluous,
since it does not assist in the differenti-
ation of platelets from artefacts and
may even itself be the source of arte-
facts. Diluting fluids containing no
anticoagulant, such as Tyrode's or
Ringer's solution, produce many arte-
facts and, in addition, cause rapid
disintegration of platelets unless a
fixative, such as solution of formalde-
hyde, is incorporated in the solution.
A satisfactory diluting fluid, therefore,
is the one proposed by Rees, H. M.,
and Ecker, E. E. (J. A. M. A., 1923,
80, 621) without the brilliant cresyl
blue dye. This solution is prepared
by adding 0.22 ml. of neutral formalde-
hyde (38 per cent U.S. P.) to 100 ml.
of 3.8 per cent sodium citrate. The
solution should be kept in a well-stop-
pered bottle in a refrigerator and should
be filtered each time just before use.
Tocantins, L. M. (Arch. Path., 1937,
23, 850) also recommends sterilizing
the solution in order to reduce the num-
ber of artefacts caused by bacterial
contamination.
Despite the use of a satisfactory dilut-
ing fluid, the adhesion of platelets to
each other and to the walls of the
pipette is almost impossible to avoid
when capillary blood is used. Drawing
the diluting fluid to the 0.5 mark on the
pipette and subsequently drawing the
head of the column of fluid to the 1.0
mark while aspirating the blood into
the pipette is unsatisfactory, since
there is little opportunity for the blood
to mi.\ with the diluting fluid within
the narrow confines of the capillary
stem of the pipette. Furthermore,
even the very short time required to
draw the exact quantity of blood into
the pipette and to mix it with the dilut-
ing fluid is sufficient in many instances
to allow marked clumping of the plate-
lets to occur. The clumping of plate-
lets can best be avoided by mixing the
blood with the diluting fluid before it
is drawn into the capillary pipette.
This can be accomplished by the use of
venous blood. The blood may be drawn
into a silicone-lined syringe and then
immediately transferred to a tube con-
taining the diluting fluid or, preferably,
a given amount of blood is drawn into
a syringe containing a measured amount
of diluting fluid. Needles varying in
size from No. 18 to No. 26 have been
employed without any apparent effect
on the quality of the prep.-iration. A
satisfactory method for obtaining ve-
nous blood is as follows. Place exactly
1 cc. of diluting fluid in a 5 cc. syringe.
Attach a sterile dry No. 24 needle and
aspirate 1 cc. of blood from the vein,
without stasis, by withdrawing the
plunger to the 2 cc. mark. Withdraw
the needle from the vein and aspirate
the blood contained in it into the syr-
inge. Remove the needle and thor-
oughly mix the diluted blood in the
syringe and expell it into a collecting
bottle. It is important to use a syr-
inge whose plunger and needle fit
snugly, in order to avoid the leakage of
any air into the syringe while aspirat-
ing the blood. A 1 to 200 dilution of
the blood can be made by drawing this
mixture to the 1.0 mark on the Thoma
pipette and subsequently filling it to
the 101 mark with the diluent. If this
procedure is carried out carefully,
it is unnecessary to resort to methods,
such as those suggested bv Aynaud,
M. (Compt. Rend. Soc. Biol., 1910
68, 1062) and Preiss, W. (Zeitsch. Ges.
Exp. Med., 1932, 84, 1932) in which no
attempt is made to obtain an accurate
initial dilution in the syringe, and con-
sequently the final dilution of blood in
the counting chamber must be deter-
mined b}' establishing the ratio of an
erythrocyte count done on the platelet
preparation with an independent eryth-
rocyte count done in the usual manner.
There is still another limitation in
the accuracy of the direct platelet
count, imposed by the relatively small
concentration of platelets in the count-
ing chamber. The dilution of 1 part
blood in 200 parts of fluid is required
because with any greater concentration
the platelets would be obscured by the
erythrocytes. However, since there
are only appro.ximately 5 per cent as
many platelets as erj^throcytes present,
the statistical error is much greater
than that of the erythrocyte count,
even if all the platelets in the entire 1
square mm. central ruled area are
counted. Attempts have been made
to overcome this difficulty by increas-
ing the concentration of platelets in
preparations from which the erythro-
cytes have been eliminated. In some
methods, such as that of Brecher, G.
and Cronkite, E. P. (J. Applied Phj's-
iol., 1950, 3, 365) the erythrocytes are
BLOOD PLATELETS
42
BLOOD PLATELETS
hemolyzed. However, the use of hemo-
lytic diluting fluids, such as potassium
cyanide, urea, or 1 per cent ammonium
oxalate is to be discouraged since
hemolyzed erythrocytes may be the
source of artefacts. Furthermore, if
such diluting fluids contain no fixative,
dissolution of some of the platelets
may also occur. Another means of
attaining a higher concentration of
platelets in the counting chamber is
to do the platelet count on plasma.
In Reimann's modification of Thorn-
sen's method (J. Exper. Med., 1924,
40, 553) 0.9 CO. of blood is drawn into
a tuberculin syringe containing 0.1
cc. of 10 per cent sodium citrate. The
needle is removed and the open end
of the syringe is closed with a piece of
rubber tubing fastened to the barrel
with rubber bands. The plunger is
removed and the syringe is placed in
a vertical position. After sedimenta-
tion has occurred, a 1 to 20 dilution of
the supernatant plasma is made with
physiologic sodium chloride solution.
The platelets in the mixture are then
counted in the counting chamber in
the usual manner. If the platelets
seen in five intermediate sized squares
(80 small squares) are counted, the
number is multiplied by 1000 [1/5 (area)
X 1/20 (dilution) X 1/10 (depth)], in
order to find the number of platelets
per cubic millimeter of plasma. A
further procedure has been designed to
determine the number of platelets per
cubic millimeter of blood. The syringe
containing the blood is centrifugalized
for 20 minutes at 2000 r.p.m. The
relative amount of plasma and packed
cells is recorded and the number of
platelets per cubic millmeter of blood
is determined thus:
Number of
platelets per
cubic milli-
meter of
blood
Number of
platelets per
cubic milli-
meter of
plasma
Amount of plasma
Total amount
mixture
of
To the result, 10 per cent of the total
number is added to offset the original
dilution in the syringe. The determi-
nation of the platelet count in plasrna
by this method has the advantage of
increasing the concentration of plate-
lets per unit volume in the counting
chamber approximately ten times.
However, there is some question as to
the stability and uniformity of the sus-
pension of platelets in plasma during
the time required for sedimentation
of the erythrocytes. Furthermore, the
determination of the relative plasma
and packed cell volumes by the method
given is inadequate, since even at a
centrifugalization speed of 3000 r.p.m.
at least 15 per cent of the plasma is
retained in the packed cell mass.
In order to avoid the errors inherent
in the Thomsen method and still in-
crease the concentration of platelets
in the counting chamber, methods have
been devised for eluting the platelets
from the whole blood. In the method
of Villarino and Pimentel (Am. J.
Clin. Path., 1942, 12, 362) a 1 to 2 dilu-
tion of venous blood with Aynaud's
fluid is made in the syringe. Four cc.
of pooled eluate from 0.2 cc. of this
mixture are obtained by four separate
centrifugations for 1 minute at 1500
r.p.m. Only an insignificant number of
platelets can be recovered by further
washing. A similar method has been
devised by Scheff, G. I. and Ralph,
P. H. (Am. J. Clin. Path., 1949, 19,
1113) using an angle centrifuge at a
speed of 700 r.p.m., and dark field
illumination. Although it would ap-
pear that practically all of the plate-
lets are recovered by these methods
since only an insignificant number can
be recovered by further washing and
only a very few can be found in stained
smears of the washed sediment, there
is some question as to whether some of
them may not have been destroyed
during the process of repeated centri-
fugalization.
Regardless of the source of the speci-
men, type of diluting fluid or concentra-
tion of platelets per unit volume of
fluid in the chamber, there are certain
difficulties in differentiating platelets
from artefacts when high dry magnifica-
tion and bright field illumination are
used. Under these circumstances, a
platelet is defined simply as "a small
refractile body". According to Tocan-
tins, L. M. (Arch. Path., 1927, 23, 850)
"Only forms from 1 to 3 microns or
larger in size, rod or comma-like if seen
sidewaj^s, and thin, translucent and
disclike if flat on the floor of the count-
ing chamber, should be counted. Gran-
ules 0.8 micron in diameter or smaller,
jerkily moving about more or less ac-
tively, globules of oil, irregularly
shaped debris floating on the upper
layers of the fluid, strings of cocci,
and other minute objects may be dis-
tinguished from platelets after a little
practice. The error of counting too
few platelets may be equaled only by
the error of counting every particle in
the field as a platelet." That experi-
enced observers differ significantly,
even when using the same method, is
shown by the following results of cu-
taneous platelet counts on normal
adult subjects, using the Rees and Ecker
method.
BLOOD PLATELETS
43
BLOOD PLATELETS
Author
Number
of
Subjects
Mean
Stand-
ard
Error
of Mean
Stand-
ard
Devia-
tion
Tocantins, L. M.,
Arch. Path., 1937,
23,850
40
64
80
250,000
409,000
241,000
7458
8500
68,500
68,000
50,000
Aggeler, P. M., How-
ard, J. and Lucia,
S. P., Blood, 1946,
1,472
Sloan, A. W., J. Clin.
Path., 1951,4, 37
The author (Aggeler) is aware of the
fact that the platelet counts reported
by him and his associates could be
higher than those observed by Tocan-
tins and Sloan because certain arte-
facts were consistently counted as
platelets. On the other hand there is
no proof that the latter authors did
not mistake some of the platelets for
artefacts. It is begging the point to
demonstrate that any single observer
may obtain consistent results. This
means only that he is constant either
in identifying platelets as platelets,
platelets as artefacts, or artefacts as
platelets. It does not prove that the
particular observer is always identify-
ing platelets as platelets and artefacts
as artefacts. Furthermore, the fact
that several observers using the same
naethod may obtain reasonably con-
sistent results does not prove the valid-
ity of the method, since both observer
may be committing the same error.
The ultimate cause for the great varia-
tion in the reported results of different
observers using the same method is
that platelets cannot be distinguished
from artefacts with certainty in any
method in which the magnification and
resolution is not considerably better
than that which can be achieved with
the high dry lens and bright field il-
lumination. Some improvement can
perhaps be gained by the use of dark
field illumination, as recommended by
Scheff and Ralph (Am. J. Clin. Path.,
1949, 19, 1113) or by the use of phase
contrast illumination, as advocated
by Brecher, G. and Cronkite, E. P.
(J. Applied Physiol., 1950, 3, 365).
Nothing is gained by the use of ocu-
lars giving a magnification greater
than lOX since, in the absence of any
mprovement in resolution, the in-
creased magnification only serves to
increase the confusion. Attempts have
been made by Helber, E. (Arch. f.
Klin. Med., 1904, 81, 316) and by
Maixner and Von Decostello (Med.
Klin., 1915, 11, 14) to increase magnifica-
tion and resolution by the use of the
Zeiss D water immersion lens. With
this equipment, magnification of lOOOX
was attained. Approximately the same
magnification with better resolution
can be achieved with an oil immersion
lens. However, with these lenses, it is
necessary to use a specially constructed
counting chamber of 0.02 mm. depth
and a cover slip not more than 0.25 mm.
in thickness. Because of the reduced
depth, a 1 to 40 dilution of blood is
used in order to obtain the same num-
ber of cells per unit area of the counting
chamber as are present when using a
1 to 200 dilution in the 0.1 mm. depth
chamber. The author and his associ-
ates have found no difficulty in dis-
tinguishing artefacts from platelets
with a chamber and coverslip of this
type* used in conjunction with a Spen-
cer binocular microscope equipped with
1.8 mm., 97X (oil immersion) N.A.
1.25, medium dark contrast phase ob-
jective, standard condenser lower ele-
ment, standard N. A. 1.25 condenser
top element, 97X annular diaphragm
and lOX Hugenian eyepieces. Even
the morphologic characteristics of small
platelets were clearly visible. Most of
the platelets appeared as flat, round or
oval discs, about 2 microns in diameter
and 0.5 microns thick. The cytoplasm
showed a uniform, fine granulation.
Some of the platelets had a slightly
irregular shape, most had a single short
slightly curled filament, others had
more than one filament, and a few had
none. Occasionally two platelets at-
tached by a long streamer of cytoplasm
were observed. Rarely was an "explo-
sive" degeneration form of platelet
seen, and none of the platelets had the
multiple sharp spinelike projections
which always appear when no fixative
is employed in the diluting fluid. The
principal artefacts observed were bits
of amorphous debris which could be
distinguished by their irregular shape
and heavy granulation; erythrocyte
fragments, which were colored yellow,
had no granulation and were intensely
refractile; and clumps of bacteria,
which were identified by their regularly
spaced heavy granules separated by
fine dark filaments. Unfortunately,
while the problem of differentiation of
platelets from artefacts is solved by this
systern of microscopy, extreme differ-
ences in the platelet counts on aliquots
of the same venous blood specimen were
encountered, so that the advantage of
• Manufactured by the American Optical Co., Buf-
falo, N. Y., through the courtesy of Mr. C. E. Guellich,
Manager of Product Salea, Scientific Division.
BLOOD PLATELETS
44
BLOOD PLATELETS
better visualization of the platelets was
nullified. The variations in the platelet
count appear to be due to differences
in the volume of fluid contained in the
chamber caused by upward lifting or
downward bending of the coverslip.
Before this technique can be perfected,
it will be necessary to develop methods
for insuring scrupulous cleanliness of
the glassware. In addition, a radical
change in the design of the chamber to
prevent downward bending of the cover-
slip due to intense capillary attraction
will be required.
With regard to the established direct
methods of platelet counting, there-
fore, it appears that most of the sources
of error can be minimized, except that
of accurate identification of the plate-
lets. This error can be made a constant
for a given method by an experienced
observer, but may lead to large in-
consistent variations in platelet counts
done by inexperienced individuals.
Indirect Methods: One of the principal
advantages of indirect methods of
platelet counting is that microscopic
objectives giving higher magnification
and greater resolution can be employed.
Furthermore, the blood can be mixed
immediately with the diluting fluid
and the platelets fixed before it is neces-
sary for them to come in contact with
any foreign surface, except perhaps
momentarily with the skin or a veni-
puncture needle. In all indirect
methods of platelet counting unknown
quantities of blood and diluent are
mixed. The number of platelets seen
per 1000 erythrocytes is multiplied by
the number of thousands of erythro-
cytes found in an independent erythro-
cyte count done in the usual manner.
There are three methods of determining
the ratio of platelets to erythrocytes:
in a counting chamber, a wet slide
preparation or a dry smear.
Methods, such as that of Kemp, G. T.
and Calhoun, H. (Brit. Med. J., 1901,
2, 1539) in which capillary blood is em-
ployed and the ratio of erythrocytes
to platelets is determined in the count-
ing chamber, are subject to the same
error involved in identifying the plate-
lets as is inherent in all direct methods
of platelet counting.
Methods such as those of Aynaud, M.
(Compt. Rond. Soc. Biol., 1910, 68,
1062) and Preiss, W. (Zeitsch, Ges.
Exp. Med., 1932, 84, 810) referred to
above, in which venous blood is used
are sometimes referred to as indirect
methods. They are not, since in these
methods, the ratio of the erythrocyte
count in the platelet preparation to the
erythrocyte count done in the usual
manner only serves to establish the dilu-
tion of blood employed in the plate-
let count. The number of platelets
counted per unit volume is an absolute
not a relative value. The additional
step of establishing the ratio of the two
erythrocyte counts could be avoided
by accurate measurement of the degree
of dilution of the blood in the syringe.
These methods are also subject to the
errors involved in identifying platelets
with the high dry lens in the standard
counting chamber.
Some of the objections to the indirect
method of platelet counting in which
the ratio of platelets to erythrocytes
is determined in a wet preparation or
a dry smear have been summarized by
Tocantins (Arch. Path., 1937, 23, 850).
1) The mixture of blood and diluting
solution is seldom, if ever, uniform and
not the same each time. 2) Platelets
and erythrocytes are not distributed
evently through the preparation, since
no provision is made for shaking before
counting. 3) The method has defects
intrinsic in any determination done
indirectly, that is, in relation to another
equally changeable element. 4) The
greatest source of error, however, is
in the assumption that platelets and
erythrocytes keep an even proportion
in numbers toward each other between
the two main steps of the method.
The markedly different physical proper-
ties (adhesiveness, specific gravity,
size and others) of platelets and eryth-
rocytes lead to continuous changes in
this ratio. 5) The proportion of plate-
lets to erythrocytes varies at the same
time in different portions of the circula-
tion and this variation is even more
marked within short spaces of time in
capillaries than venules.
The term "indirect platelet count"
has come to imply that the count is
done on capillary blood. Curiously
enough it seems never to have occurred
to anyone to do an indirect platelet
count on accurately diluted venous
blood. This would overcome some of
Tocantins' objections since it would
allow for a constant uniform dilution
of the blood, shaking of the diluted
blood before mixing and the determina-
tion of the erythrocyte count on the
same specimen as is used for the plate-
let count.
Olef (J. Lab. & Clin. Med., 1935, 20,
416) has also raised objections to the
technique employed in certain indirect
methods of platelet counting. In those
in which a drop of blood is allowed to
fall into the diluting fluid on a glass
slide or contained in a special vessel
(Pratt, J.H.J. A. M. A., 1905, 45, 1999).
BLOOD PLATELETS
45
BLOOD PLATELETS
the undiluted blood is allowed to come
into contact with the surface of the
skin and with the external air, thus al-
lowing the platelets to clump. In
methods in which the finger is punctured
through a drop of fluid (Fonio, A.,
Deutsche Ztschr. f. Chir., 1912, 117,
176) the first drop of blood must be
used. This procedure is said not to
yield accurate counts because the blood
contains disintegrated products of
crushed and injured cells and is also
diluted by an admixture of Ij'^mph.
With regard to methods in which
the blood and diluent are mixed on the
finger, Olef stated, "This technic in-
volves a number of inaccuracies. Dur-
ing the process of stirring the mixture
there is unavoidable contact of blood
and skin with resulting destruction and
clumping of platelets. If the blood is
flowing freely, as it should if a correct
count is to be obtained, the blood and
diluting fluid form a very large drop in
which it is rather difficult to obtain a
uniform distribution of the blood and
which frequently rolls off the finger,
especially in women in whom the surface
at the tip of the finger is small. Fur-
thermore, freely flowing blood mixed
with only one drop of preserving fluid
yields preparations too thick for ac-
curate platelet counting. Dameshek
does not stir the blood-diluent mixture
at all ; he places a drop of the preserving
fluid over the puncture wound after the
first drop or two of blood has been wiped
away, than allows some blood to escape
into the overljdng drop of diluent and
by applying a cover slip to the mixture
carries some of it away. This pro-
cedure is inaccurate because the plate-
lets, being very light, quickly rise to
the surface of the drop of diluting fluid
before the considerably heavier eryth-
rocytes have become uniformlj^ dis-
tributed. The fluid on the cover slip,
therefore, contains a relatively larger
number of platelets than red cells."
Olef has also pointed out that all glass-
ware must be scrupulously clean since
hemolysis may occur with soiled glass-
ware. For use in wet preparations, he
advocates a 1 to 5 dilution of blood,
since in very thin preparations both
the platelets and erythrocytes are
likely to be destroyed, whereas in thick
preparations the erythrocytes may ob-
scure some of the platelets. Olef's ob-
jection to dilutions of blood of greater
than 1 to 5 on the grounds that this
maj' cause dissolution of the platelets
is not valid if a fixative is contained
in the diluting fluid.
In Olef's method, the first drop or
two of blood is wiped away. A drop
of diluting fluid is then placed over
the puncture wound before the blood
reaches the surface of the skin, and the
hand is quickly turned over so that the
palmar surface is directed downward.
After a sufficiently large drop has es-
caped, the entire mixture is applied to
the surface of a small quantity (three
to four drops) of diluting fluid contained
in a paraffin cup. The entire drop on
the finger, consisting of approximately
equal parts of blood and diluent, drops
off into the cup. The contents of the
cup are then stirred gently with a
wooden applicator, the end of which
is coated with paraffin. The mixture
is allowed to stand for a minute or two,
stirred again, and then is transferred
by means of a clean paraffin-coated ap-
plicator to a glass slide. Usually three
preparations are made. A coverslip
is placed over each drop and after the
preparations have been allowed to stand
for ten to fifteen minutes, a relative
platelet-erythrocyte count is made,
using the oil immersion lens. While
this method has certain advantages over
other indirect methods, it does not
overcome the principal objection raised
by Tocantins, i.e., that the platelets
and erythrocytes may not keep an even
proportion in numbers toward each
other between the two main steps of the
method. That they do not can be easily
demonstrated by counting both the
erythrocytes and platelets in successive
microscopic fields in different parts of
the same preparation. It will be found
that the platelets maintain a fairly even
distribution despite large differences
in the erythrocyte concentration. This
leads to variation in the ratio of plate-
lets to erythrocytes in different parts
of the same preparation. The observer
must arbitrarily choose areas to be
counted, but because of unconscious
bias in selection he will tend to count
only those which he thinks have an
average distribution of erythrocytes.
However, in this type of preparation it
is impossible to determine what the
average distribution is. This bias in
sampling greatly increases the sub-
sampling error. The uneven distribu-
tion of erythrocytes occurs regardless
of whether the blood is capillary or
venous, or whether it has been thor-
oughly shaken in a pipette or simply
mixed with a stirring rod before the
preparation is made. This maldistribu-
tion of erythrocytes cannot be avoided
since it is caused by physical phe-
nomena which occur during the very
act of placing the coverslip on the drop
of blood.
Dry slide preparations made from a
BLOOD PLATELETS
46
BLOOD PLATELETS
TABLE 1
Characteristics of various direct methods of platelet
enumeration
. •-» 1
^
■0
P4
(3
(L,
Cb
W
w
«
H
X
w
if
5
J3
(U
V
4.J
3
td
_ O
a.
M
^
.£)
a
c3
11
T3
a
to
%
T3
2j
a
d
a
o 5?
d
K
'•t-J
a
'a
J3
CO
i
r&
lo"
C3
(J
o
o
0)
)-4
(J
J^
2
Pi
H
H
P3
H
>
W
a
1. Diluting fluids
With dye
X
Without dye.
X
X
X
X
X
X
X
With fixative.
X
X
X
X
Without fixa-
tive
X
X
X
X
With hemo-
lytic prop-
erties
X
Without
hemolytic
properties...
X
X
X
X
X
X
X
2. Source of speci-
men
Capillary
blood
X
X
Venous blood.
X
X
X
X
X
X
3. Type of prepa-
ration
counted
Diluted whole
blood
X
X
X
X
X
Plasma
X
Eluate from
whole blood
X
X
4. Counting cham-
ber em-
ployed
Standard 0.1
mm. depth.
X
X
X
X
X
X
Special 0.02
mm. depth
X
X
5. Microscope lens
employed
High dry
X
X
X
X
X
X
X
Water
immersion.
X
6. Microscope illu
mination
employed
Bright field..
X
X
X
X
X
X
Dark field...
X
Phase contras
t
X
1 to 2 dilution of blood, stained in the
usual manner, and examined with the
oil immersion lens have the advantage
of a somewhat more uniform distribu-
tion of erythrocytes and platelets, but
there is question as to whether some of
the platelets and/or erythrocytes may
not be destroyed during the process of
making the smears.
The above multiplicity of methods,
and numerous other variations not men-
tioned, is not the result of idle inven-
tion but rather of a persistent effort on
the part of each investigator to over-
come the errors inherent in the methods
of his predecessors. In many instances
however, the successful solution of one
difficulty has only served to give rise
to other sources of error. The im-
possibility of achieving a uniform dis-
tribution of erythrocytes and platelets
makes it unlikely that a satisfactory
indirect method can be devised. On
the other hand the inadequate visualiza-
tion of platelets with the high dry lens
makes all direct methods in which the
standard 0.1 mm. depth counting cham-
ber is employed unreliable. The only
solution to the problem appears to be
the perfection of a technique for using
an oil immersion lens in conjunction
with a chamber of 0.02 mm. depth and
phase contrast lighting.
There is, at the present time, no
standard procedure for the enumeration
of blood platelets. Numerous methods
have been devised, which vary in the
following manner: 1) Manner of count-
ing— direct or indirect; 2) type of dilut-
ing fluid — with or without a variety of
dyes, fixatives and anticoagulants —
with or without hemolytic properties;
3) source of specimen — capillary or
venous blood; 4) material on which the
count is made — whole blood, plasma or
eluate from whole blood; 5) type of
counting chamber — standard 0.1 mm.
depth or special 0.02 mm. depth with
thin coverslip; 6) microscopic mag-
nification and resolution — 430X (high
dry) to lOOOX (water or oil immersion) ;
7) microscopic illumination — bright
field, dark field or phase contrast (see
tables 1 and 2).
Reports of average normal platelet
counts in man have varied from 200,000
per cu. mm. (1) to 800,000 per cu. mm.,
"J. A. M. A., 1923,80,621.
* .\rch. Path., 1937, 23, 850.
« S. Gynec. et Obst., 1927, 15, 436.
^ J. Applied Physiol., 1950, 3, 365.
' Exper. Med., 1924,40, 553.
/Am. J. Clin. Path., 1942, 12. 362.
9 Am. J. Clin. Path., 1949, 19, 1113.
* Arch. f. Clin. Med., 1904, 81, 316.
BLOOD PLATELETS
47
BLOOD SMEARS
TABLE 2
Characteristics of various indirect methods of platelet
enumeration
u
-a
a
a
Wv.
Hi
-a
6
a
•a
a
a
o
Q
<
o
'c
(2
m
rtpq
1. Diluting fluids
With dye
X
X
X
X
X
Without dye.
X
X
X
With fixative.
X
X
X
Without fixa-
tive
X
X
X
X
X
With anti-
coagulant...
X
X
X
X
X
X
Without anti-
coagulant. . .
X
X
2. Source of speci-
men
Capillary
blood
X
X
X
X
X
X
X
Venous blood .
X
3. Type of prepa-
ration
counted
Dry smear
(stained)... .
X
Wet prepara-
tion
X
X
X
X
X
Counting
chamber
X
X
4. Microscope lens
employed
High dry
X
X
X
Oil immersion
X
X
X
X
X
5. Microscope
illumina-
tion em-
ployed
Bright field...
X
X
X
X
X
X
X
X
Dark field....
Phase contrast
« Arch. Path., 1937, 23, 850.
*J. A. M. A., 1923,80,621.
' J. A. M. A., 1905, 45, 1999.
''Arch. Int. Med., 1932, 50, 579.
• Deutsche Ztschr. f. Chir., 1912, 117, 176.
/J. A. M. A., 1921,76,427.
ePrit. Med. J., 1901,2, 1539.
''Lancet, 1929, 1,992.
depending upon the methods employed.
The range of reported normal platelet
counts in man has varied from a mini-
mum of 130,000 per cu. mm. (2) to a
maximum of 900,000 per cu. mm. (3)
Since all methods so far devised are
subject to inherent errors, there is no
sound basis for a choice between the
mutually exclusive standards of normal-
ity which have been reported.*
Blood Protein. Coagulated blood protein
within the vascular lumina of stained
sections of fixed tissues is an artifact
in the sense that its appearance has been
greatly modified by the technique. It
is sometimes made up of particles of
quite uniform size and has been
mistaken for masses of microorganisms ;
but it docs not exhibit both acidophilic
and basophilic staining reactions sug-
gestive of cytoplasmic and nuclear
components.
Blood Smears. These should be made on
slides rather than on cover glasses for
several reasons. A larger film of blood
is thereby provided for examination.
Smears on slides are easier to make and
to handle. They can be studied without
covering them whereas a smear on a
cover glass cannot be moved about on
the stage of the microscope unless it is
mounted smear side down on a slide.
The colors are often more permanent in
smears on slides which are not covered
with cover glasses. A good way is to
spread a thin film of immersion oil over
them. This dries much more quickly
than balsam or any other medium under
a cover glass.
Slides of good quality with ground
edges and scrupulously clean are neces-
sary (Cleaning Glassware). A finger
tip or ear lobule is first cleaned with 95%
alcohol. As soon as the surface^ has
dried a small puncture is made with a
previously sterilized needle. Special
needles with lance shaped cutting ends
are better than ordinary pointed ones.
A small droplet of blood should appear
on slight pressure. The first is wiped
away with sterile gauze and the second
and following ones are used. Unless
the blood is very strongly pressed out,
the differential count of white cells will
not be affected. Some advise holding
the fingers in hot water beforehand to
produce a temporary hyperemia in them
but this is seldom advisable. A droplet
of size sufficient to produce a smear of
the desired thickness (determined by
trials ) should be touched to the surface of
a slide about 3 cm. from one end conven-
iently placed on a table. Immediately
the end of a second slide, with its edge
• Original observations and confirmation of published
data contained in tliis paragraph were done under a con-
tract (No. AT-ll-l-GEN-10, Project 2), between the
United States Atomic Energy Commission and the Uni-
versity of California.
BLOOD SPECIES CHARACTERISTICS 48
BODIAN METHOD
squarely across the first slide is brought
in contact with the blood on the remote
side of the drop from the nearest end of
the first slide. The blood spreads
quickly along this edge toward the sides
of the slide on the table which is steadied
with the left hand. The end edge of the
second slide is slowly but steadily
pushed the length of the first slide and
the blood is drawn out in a thin layer
after it. The angle of inclination of the
second to the first slide determines the
thickness of the smear. It is well to
make the first smear at an angle of about
45 degrees; increase it for a thicker
smear and decrease it for a thinner one.
In the making of smears it is important
to have plenty of elbow room. To rnake
good smears is a fine art and a credit to
the individual.
Blood smears, whether simply dried
by waving in air or thereafter fixed by
gently heating, retain their staining
properties for a few days but they
should be colored without undue delay.
However they can be kept unstained or
stained if protected by dipping in
melted paraffin (Queen, F. B., Am. J.
Clin. Path., Techn. Suppl., 1943, 7, 50).
It is both wasteful and undesirable to
cover the whole slide with stain. Part
of the slide will have to be used for
record written with a diamond pencil.
Therefore draw two lines across the
slide near each end with a wax pencil or
a piece of paraffin. The stain added
with a dropper will cover only theinter-
vening part. For stains see Giemsa,
Wright, Ehrlich, Oxidase, Peroxidase
and Gordon's Silver Method.
For electron microscopy of blood
cells, see Bessis, M., Blood, 1950, 5,
1083-1098.
Blood Species Characteristics. References
to the literature on the blood of many
different kinds of animals and data on
their differential counts, total counts,
hemoglobin concentrations and so on
are often found of great service (Win-
trobe, M.M., Clinical Hematology.
Philadelphia: Lea & Febiger, 1942,
703 pp.).
Blood Vessels. These comprise structures
of different sorts, existing in a wide
variety of environments, which can be
investigated from many angles. Con-
sequently to present examples of avail-
able techniques under the expected
headings involves a lot of mind-reading.
The blood vessels of the Skin are of
course the most accessible. Detailed
methods for their direct and indirect
study are presented by Sir Thomas
Lewis (The Blood Vessels of the Skin
and their Responses. London: Shaw
& Sons, 1927, 322 pp.).
But to microscopically examine all
the blood vessels of any particular organ
is not possible in the living state because
of lack of accessibility, thickness and
other mechanical obstacles. Resort is
therefore made to various devices for
viewing the vessels by themselves
unobscured by surrounding tissue. The
unwanted tissue is removed by corrosion
when the vessels are demonstrated by
Neoprene injection. It is simply
passed over when x-ray photographs
are examined after the vascular injec-
tion of radiopaque substances like
Bismuth Sulphate and Diotrast. It is
rendered transparent when the vessels
are filled with easily visualized materials
such as Carmine or Berlin Blue, or is
relatively colorless after their walls are
selectively stained by Janus Green,
Silver Citrate or Silver Chloride Di-
chlorfluoresceinate. See red lead and
glue method for blood vessels of nerves
(Epstein, J., Anat. Rec, 1944, 89, 65-
69).
Though the larger blood vessels are
too thick and cumbersome for micro-
scopic study in vivo, this is not so with
the smaller ones. Indeed excellent
moving pictures can be made of them.
A film entitled "Control of Small Blood
Vessels" by G. P. Fulton and P. R.
Lutz of Boston University is very help-
ful. The supravital method of studying
Nerve Endings with methylene blue
must be combined with careful dissec-
tions (Woollard, H. H., Heart, 1926, 13,
319-336) in order to gain an impression
of the innervation of blood vessels. See
Arteries, Arterioles, Capillaries, Sinus-
oids, Venous Sinuses, Venules, Arterio-
venous Anastomoses, Veins, Vasa
Vasorum, Valves, Perfusion. See
Quartz Rod Technique.
Bodian Method. For staining nerve fibers
in paraffin sections (Bodian, D., Anat.
Rec, 1937, 69, 153-162; MacFarland,
W. E. and Davenport, H. A., Stain
Tech., 1941, 16, 53-58). The following
details of this very useful technique
have been supplied by Dr. J. L. O'Leary.
Fix by vascular perfusion, with 80%
alcohol containing 5% formol and 5%
acetic acid, or by immersion in 10%
formalin or Bouin's fluid. For boutons
terminaux, perfuse tissue with 10%
chloral hydrate and extract tissue with
alcohol for several weeks. Run paraffin
sections (15/i or less) to aq. dest. Place
in 1% Protargol (Winthrop Chemical
Co.) with 4-6 gms. of metallic copper
per 100 cc. (This can be used only
once.) Wash in redistilled water 1
change. Transfer for 10 min. to : hydro-
chinone, 1 gm.; sodium sulfite, 5 gm.;
aq. dest., 100 cc. Wash in redistilled
BOEDEKER'S METHOD
49
BONE
water 1 change. Tone in 1% gold chlo-
ride with 3 drops of glacial acetic acid
per 100 cc, 5-10 min. Wash in re-
distilled water 1 change. If sections
do not have a light purple color place
in 2% oxalic acid until the entire section
has the slightest blue or purplish tinge.
Pour off as soon as tissue gets slightly
blue. Remove residual silver salts in
5% sodium thiosulfate 5-10 min. Wash,
dehydrate, clear and mount. Note :
the Coplin jars used must be cleaned in
Cleaning Fluid. The Bodian method
has been adjusted for the demonstra-
tion of melanin by Dublin, W. B., Am.
J. Clin. Path., 1943, 7 (Technical Sec-
tion), 127.
Boedeker's Method, see Enamel matrix.
Bogoroch, see Radioautographic Technique.
Boling, see Teeth, Decalcification.
Bollinger Bodies, see Borrel Bodies.
Bone. A good account of methods is
provided by Shipley (McClung, pp.
344-352). Examination without decal-
cification involves the cutting and
grinding of thin sections. The instru-
ments used by dentists for the making
of sections of undecalcified teeth are of
the greatest service and should be pur-
chased or borrowed. If they are not
available Grieves' method for dental
tissues is suggested. In order to de-
termine the structure of bone with
organic material removed, Shipley ad-
vises cutting away all soft parts after
which the bone may or may not be split.
Place in tap water, or in a 2% aq. gelatin,
to which a loop full of culture of B. coli
has been added. After 5-6 days wash
in running water 24-48 hrs. in a stink
cupboard. This will dissolve and wash
away all organic material. Sterilize the
bone by boiling or immersion in alcohol.
Saw into sections, grind these to the
necessary thinness and polish. De-
hydrate in ether. Dry thoroughly and
mount in balsam. Routine examination
includes some method of fixation, de-
calcification and staining. Hematoxylin
and eosin are recommended, likewise
phosphomolybdic acid hematoxylin and
Mallory's connective tissue stain.
For different structural components
special techniques are reauired. Bone
corpuscles may be isolated by putting a
thin section of bone in concentrated
nitric acid for a few hours to a day.
Then place the section on a slide, cover.
Pressure on the cover glass will squeeze
out ellipsoidal bone cells with their
processes (Shipley). Bone lamellae ca,n
be peeled off easily when decalcified
bone has been allowed to simmer in
water for several hours (Shipley).
Lacunae and canaliculi. The easiest
method is to impregnate sections of
ground bone with 0.75% aq. silver
nitrate for 24 hours. Wash, polish the
sections on a fine hone to remove preci-
pitated silver, dehydrate in alcohol,
clear in xylol and mount in balsam.
The lacunae and canaliculi appear black
in a yellowish brown background. To
impregnate thin sections with acid
fuchsin, dry them after extraction with
alcohol. Place them in watch glasses
in a 20% aq. sol. of acid fuchsin in a
desiccator connected with a suction
apparatus. Extract air for about an
hour and close the dessicator. After
24 hrs. the solution will have dried.
Rub off ppt. on a hone, pass through
xylol and mount in damar or balsam
(Shipley).
Linings of lacunae and canaliculi.
(Schmorl's method modified by Ship-
ley.) Employ a fixative not containing
mercury. Decalcify in Miiller's fluid,
wash in running water, embed in cel-
loidin and section not over 10 microns.
Stain in thionin solution alkalinised
by 2 drops ammonia. Transfer with
glass needle to sat. aq. phosphotungstic
or phosphomolybdic acid. Leave until
blue, gray or green. Place in water
until sky-blue. Ammonium hydroxide
1 cc. and aq. dest. 10 cc, 3-5 min.
Several changes 90% alcohol. 95% ale.
Clear in carbolxylol and mount in
damar (or balsam). This method is
suggested for bones of children.
Processes of young osteoblasts in grow-
ing bone. Shipley suggests following
treatment of slices of bone of a rickety
animal. 4% aq. citric acid 20^30 min.
in the dark. Rinse in aq. dest. 1% aq.
gold chloride in the dark, 20-30 min.
3% formic acid in the dark, 48 hrs.
Rinse in aq. dest. and preserve in pure
glycerin. Make frozen sections, mount
in glycerin and ring with damar, balsam,
paraffin or cement. Keep specimens in
dark when not is use.
To determine relative age of deposi-
tion the following method has proved
useful in senile osteoporosis. Saw sec-
tions of bone not more than 0.5 cm.
thick and fix in 4% formalin 2-4 days.
Decalcify in 6% isotonic formalin, 40
cc, 85% formic acid, 60 cc, and sodium
citrate, 5 gm. changing every second
day for, say, a week, that is until they
become flexible and can be penetrated
by a fine needle. Embed in celloidin
(slow method). Prepare stain by dis-
solving 30 gm. potassium alum in 1 liter
hot water and by adding 1.5 gm. hema-
toxylin crystals. Cool and add 1 gm.
chloral hydrate. Ripening in sunlight
to rich dark color is hastened by addition
of crystal of potassium hydroxide.
Stain celloidin sections about 2 days
BONE MARROW
50
BOTANICAL TECHNIQUE
checking by microscopic examination
until some areas are definite violet azur,
others lighter or colorless. Wash in tap
water 24 hrs. Stain in 100 cc. aq. dest.
+ 2-3 drops 1% aq. eosin 1-2 days
(uncolored areas become dark rose
color). Dehydrate, clear in xylol and
mount in balsam. Old bone azur; new-
bone bright rose (Belloni, L., Arch.
Ital. Anat. e Istol. Path., 1939, 10,
622) . See Madder staining of new bone,
Alizarin Red S staining of dentine,
various tests for Calcium, and Ossifica-
tion, Line Test for vitamin D potency.
Polarized light is excellent for the
demonstration of bone camellae.
The micro-diffraction technique per-
mits obtaining diffraction patterns of
small areas such as a single Haversian
system. Using it Enstrom, A. and
Zetterstrora, R., Exp. Cell Res., 1951,
2, 268-274, found that the orientation
of mineral salts is relatively unchanged
in different physiological conditions.
Bone Marrow. Microscopic examination of
bone marrow in vivo has not been
achieved because of the obvious techni-
cal difficulties involved. The best that
can be done is to study still living cells
removed from bone marrow unstained
or supravi tally stained. The methods
are essentially the same as for blood.
From humans samples can be obtained
by sternal puncture (Young, R. H. and
Osgood, E. E., Arch. Int. Med., 1935,
55, 186-203, and many others). Pri-
mitive cells of the erythrocytic and
leucocytic series can only be identified
when hemoglobin and specific granules
respectively appear within them. Mi-
crochemical tests for Hemoglobin should
be more used. For the granules the
methods of Giemsa, Wright, Ehrlich
and others are the best available.
Special techniques have been described
for Megakaryocytes particularly in rela-
tion to platelet formation. The normal
megakaryocyte concentration is as-
pirated human bone marrow is described
by Ebaugh, F. G. Jr. and Bird, R. M.,
Blood, 1951, 6, 75-80. To demonstrate
the vascular pattern special methods
are required (Doan, C. A., Johns Hop-
kins Hosp. Bull., 1922, 33, 222-226).
To reveal the nerve supply is par-
ticularly difficult. Glaser (W., Ztsch.
f. Anat. u. Entw., 1928, 87, 741-745) has
described a fine network accompanying
the vessels but Doan and Langworthy
(Downey, p. 1852) were less successful.
Sternal bone marrow during first week
of life (Shapiro, L. M., and Bessen, F.
A., Am. J. Med. Sci., 1941, 202, 341-
354). Bone marrow of normal adults
(Plum, CM., Acta Med. Scand., 1941,
107, 11-52). See chapters by Sabin and
Miller and by Doan in Downey's Hand-
book of Hematology, New York,
Hoeber, 1938, 3, 1791-1961 for details.
A method for studying numerical and
topographic problems in the whole
femoral marrow of rats and guinea pigs,
with the use of undecalcified sections
(Mayer, E. and Ruzicka, A. Q., Anat.
Rec, 1945, 93, 213-231). A technique
for the quantitative estimation of mast
cells in bone marrow is advanced by
Mota, Ivan, Blood, 1951, 6, 81-83.
Borax Carmine (Grenacher). Make con.
sol. of carmine in borax (2-3% carmine
in 4% aq. borax) by boiling for 30 min.
Allow to stand 2-3 days with occasional
stirring. Dilute with equal volume 70%
ale, again allow to stand and filter.
Much used for staining tissues in bulk.
They are colored for days if necessary,
transferred directly to acid ale. (70%
ale. 100 cc, hydrochloric acid 4 drops)
in which they assume a bright red trans-
parent appearance. Then wash in alco-
hol, mount as whole specimens or embed
in paraffin and cut sections. Borax
carmine can also be employed to stain
sections (Lee, p. 146).
Borax Ferricyanide, see Weigert's.
Bordeaux, see Amaranth.
Bordeaux Red (CI, 88) — acid Bordeaux,
archelline 2B, azo-Bordeaux, cerasin R,
fast red B, BN or P — An acid mono-azo
dye very widely employed in histology.
Bordeaux SF, see Amaranth.
Boron, see Atomic Weights.
Borrel Bodies (Bollinger bodies) in fowl pox.
References to earlier staining methods
and directions for applying the microin-
cineration technique with figures show-
ing the comparative results are given by
Danks, W. B. C, Am. J. Path., 1932, 8,
711-716. See microincineration of Mol-
luscum bodies (Van Rooyen, C. E., J.
Path. & Bact., 1939, 49, 345-349).
Borrelia Vincenti, see Vincent's Angina.
Borrel's Stain. Fix in osmic acid, 2 gm.;
platinum chloride, 2 gms. ; chromic acid,
3 gm. ; glacial acetic acid, 20 cc. and aq.
dest., 350 cc. for 24 hrs. Wash in run-
ning water several hours. Dehydrate,
clear, embed and section. Stain sections
in l%aq. magenta Ihr. Then in sat. aq.
indigo-carmine, 2 parts and sat. aq.
picric acid, 1 part. Wash in ale, dehy-
drate, clear and mount. The above has
been partly taken from Lee's Vade
Mecum, p. 433. Other more convenient
fixatives will do equally well. The stain
has been used for the Borrel bodies in
fowl pox.
Botanical Technique. Many of the methods
used in animal histology are applicable
also in plant histology and vice versa.
Details are given in a chapter by W. R.
BOUIN'S FLUID
51
BRAZILIN-WASSERBLAU
Taylor in McCIung, p. 155-245. See
Plants.
Bouin's Fluid. Sat. aq. picric acid, 75 cc;
formalin, 25 cc; acetic acid, 5 cc. For
mammalian tissues fix 24 hrs., wash in
water, dehydrate and embed in the usual
way. This is the most generally useful
of all fixatives containing picric acid.
Almost any stain can be used after it.
The picric acid need not be altogether
washed out because it serves as a desir-
able mordant. Giemsa'a stain gives
good coloration of protozoan parasites
after fixation in Bouin's fluid (Cowdry,
E. V. and Danks, W. B. C, Parasitology,
1933, 25, 1-63) . The use of this fixative
is specified under Argentaffine Reaction,
Bodian's Method, Elementary Bodies,
Foot's Method, Gold, Johnson's Neu-
tral Red Method, Laidlaw's Method,
Liebermann-Burchardt Reaction, Mas-
son's Trichrome, Purkinje Cells, Tape-
worm Proglottids, etc. It is a fixative
rapidly gaining in popularity and there
are naturally many modifications. The
application of Davenport's silver tech-
nique to Bouin fixed tissues is described
by Foley, J. O., Stain Techn., 1938, 13,
5-8.
The cytological action of Bouin's fluid
has been investigated at the University
of Pennsylvania. Three formulae are
particularly recommended by McClung
and Allen (McClung, p. 561). (1)
Allen's fluid: sat. aq. picric acid, 75 cc;
formalin C.P., 15 cc. ; glacial acetic acid,
10 cc; urea, 1 gm. (2) The same plus
1 gm. chromic acid. (3) The original
formula plus 2 gms. urea and 1.5 gms.
chromic acid. For details regarding use
in study of cell division, shrinkage, etc.
see Allen, Ezra, Anat. Rec, 1916, 10,
565-589.
Bourne, see Golgi Apparatus, Mitochondria.
Boutons Terminaux. For this special type
of nerve ending the methods given
under Nerve Endings are useful, partic-
ularly that of Bodian. These terminal
buttons or swellings can be visualized
and their behavior determined in living
tadpoles by techniques introduced by
Speidel, C. C, J. Comp. Neurol., 1942,
76, 57-73. Several special methods for
their demonstration in fixed tissues are
recommended by Gibson (McClung,
1950, pp. 389-398). Distinction be-
tween normal and degenerating in the
inferior olive of the cat made by silver
methods (Blackstad, T., Brodal, A.
and Walberg, F. Acta Anat., 1951, 11,
461-477).
Bowie's Ethyl Violet-Biebrich Scarlet stain
for pepsinogen granules (Bowie, D. J.,
Anat. Rec, 1935-36, 64, 357-367). Dis-
solve 1 gm. Biebrich scarlet in 250 cc.
aq. dest. and 2 gms. ethyl violet in 500
cc. Filter the former through a rapid
filter paper into a beaker and then the
latter into the same beaker. The end
point of neutralization is when a little
of the mixture placed on filter paper does
not show any scarlet color. Collect the
ppt. of neutral dye by filtering and dry
it. To make stock solution dissolve 0.2
gm. in 20 cc. 95% alcohol. To make
staining solution add 1-5 drops to 50 cc.
of 20% alcohol. Stain paraffin sections
of Regaud fixed gastric mucosa in this
for 24 hrs. Wipe dry around edges and
blot with smooth filter paper. Differ-
entiate by covering section with equal
parts clove oil ancl xylol. This takes
about 30 min. and should be observed
under microscope. Pass through several
changes of xylol, rinse in benzol and
mount in benzol balsam. Pepsinogen of
pepsin-forming cells, violet ; and parietal
cells, red. Bowie also makes a crystal
violet-orange G stain which does not
differ materially from Bensley's Neutral
Gentian.
Brandt's glycerin jelly. Melted gelatin, 1
part; glycerin I5 parts plus few drops
carbolic acid to serve as a preservative.
See Kaiser's glycerin jelly under gly-
cerin.
Bryan, see Ear Cell Smears, Nasal Cell
Smears.
Brazilin (CI, 1243) is a substance produced
from red wood of Brazil. Its formula
is like that of hematoxylin minus 1
hydroxyl group and in its use, as well
as its origin, it resembles hematoxylin.
Ripening may be required for both.
Thus we have an iron brazilin method
(Hickson, S. J., Quart. J. Micr. Sci.,
1901, 44, 469-471) and O'Leary's Bra-
zilin for myelin sheaths. See also
Brazilin-Wasserblau technique of
Bensley.
Brazilin-Wasserblau for secretion ante-
cedents of thyroid gland (Bensley, R.
R., Am. J. Anat., 1916, 19, 37-54) as
described later by the Bensleys (p. SO)
is : To make up the Brazilin stain dis-
solve 0.05 gm. in a little aq. dest. with
aid of heat and add this to 100 cc. 1%
aq. phosphotungstic acid. Ripen by
addition of 2 drops hydrogen peroxide.
Solution should not be employed after
3 days. Run paraffin sections of forma-
lin-Zenker fixed thyroids down to aq.
dest., mordant briefly in a fresh aq.
ammonium stannic chloride, and stain
in above solution 1 or more hrs. Wash
in water and treat for 1-5 min. with aq.
dest., 100 cc. + 1.0 gm. phosphomolyb-
dic acid and 0.2 gm. Wasserblau (anilin
blue). Wash quickly in water, dehy-
drate in absolute alcohol, clear and
mount. See colors in R. R. Bensley's
plate. Nuclear chromatin, red; secre-
BRAZILWOOD
52
BUFFERS
tion antecedents in pale blue droplets;
mitochondria, reddish-purple; connec-
tive tissue, blue; erythrocytes, orange-
red; etc.
Brazilwood. The true brazilwood is of the
tree, Caesalpina echinata and its varie-
ties. It yields a dye stuff formerly
much used after an aluminum mordant
for fabrics, except silk, to which it gave
a bright red color. After potassium
bichromate as a mordant the color ob-
tained was purple red. The term
"brazil" is from the arable word
"braza" meaning fiery red. Leggett
writes that increased use of brazilwood
in Europe resulted from the delivery
of Asiatic brazilwood directly to Lisbon
made possible by Vasco da Gama's dis-
covery of an all water route from India
around the Cape of Good Hope and,
further, that three years later a Portu-
guese expedition bound for India missed
the mark and landed on the north east-
ern bulge of South America where the
voyagers found many brazilwood trees
so they called the land "Terra de
Brazil" (Leggett, W. F., Ancient and
Medieval Dyes, Brooklyn: Chemical
Publishing Co., Inc., 1944, 95 pp.).
Breast, see Mammary Glands.
Brilliant Alizarin Biue(CI, 931), a basic dye
of light fastness 3 to 4. Gives darker
color than New Methylene Blue (Emig,
p. 61).
Brilliant Blue C, see Brilliant Cresyl Blue.
Brilliant Congo R, see Vital Red.
Brilliant Congo Red R, see Vital Red.
Brilliant Cresyl Blue (CI, 877)— brilliant
blue C, cresyl blue 2RN or BBS-
Commission Certified. This basic oxa-
zin dye is used for making Platelet
Counts and for many other purposes.
Brilliant Dianil Red R, see Vital Red.
Brilliant Fat Scarlet B, see Sudan R.
Brilliant Green (CI, 662) — diamond green,
ethyl green, malachite green G, solid
green JJO — Commission Certified. This
di -amino tri-phenyl methane dye is used
to color culture media.
Brilliant Pink B, see Rhodamine B.
Brilliant Ponceau G, see Ponceau 2R.
Brilliant Purpurin R (CI, 454). An acid
dis-azo dye. Conn (p. 62) says that
this is the dye which Gutstein, M., Zeit.
f. Ges. Exp. Med., 1932, 82, 479-524
called "brilliant purpur R" and used as
a vital stain for yeasts.
Brilliant Vital Red. Use in determination of
plasma volume is justified, since the dye
is not taken into the erythrocytes (Gre-
gersen, M. I., and Schiro, H., Am. J.
Physiol., 1938, 121, 284-292). See Vital
Red.
Brilliant Yellow (CI, 364), an acid dis-azo
dye of light fastness 3 apparently of
little use as a stain for paraflRn sections.
In acid solutions colors resinous tissues
bright yellow, and in alkaline solutions,
blue-green algae a clear yellow (Emig,
p. 39).
Bromcresol Green. See Hydrogen Ion Indi-
cators.
Bromcresol Purple. See Hydrogen Ion In-
dicators.
Bromine. According to Lison (p. 110)
bromine has not been investigated histo-
chemically in animal tissues. For its
detection in plants consult Mangenot,
H. G., Bull. d'Hist. Appl., 1927, 4,
52-71.
Bromphenol Blue. See Hydrogen Ion Indi-
cators.
Bromphenol Red. See Hydrogen Ion Indi-
cators.
Bromthymol Blue. See Hydrogen ion Indi-
cators.
Bronchial Aspirates, see Papanicolaou Tech-
niques.
Bronchiolar Epithelium — Written by C. C.
Macklin, Dept. of Histological Re-
search, The University of Western
Ontario, London, Canada. November
28, 1951— For the dark and light cells,
as revealed by supravital silverization,
see Ammoniacal Silver. For a means to
demonstrate the continuation of the
network of surface silver lines from the
bronchiolar epithelium to the alveolar
walls, in en face views, see Silver Linea-
tion. Mitochondria in the "villus"
cells are abundant and often apparently
merged (Macklin, C. C, Anat. Rec,
1949, 103, 550; Rev. can. de Biol., 1949,
8, 328; and Proc. Instit. of Med. of
Chicago, 1950, 18, 78-95— the 26th
Lewis Linn McArthur Lecture). They
are well demonstrated by Altviann^s
method of anilin fuchsin and picric acid
(which see). Tumor formation in the
bronchiolar epithelium of rats that have
been subjected to urethane (which see)
has been described by Rosin (Cancer
Res., 1949, 9, 583).
Bronz Bromo, see Eosin Y.
Brown Salt R, see Chrysoidin Y.
Brownian Movement. Calculation of cyto-
plasmic viscosity through measurement
of displacement of particles in Brownian
movement gives results not very differ-
ent from determinations by the centrif-
ugation method (Danielli in Bourne,
p. 31).
Brucella Ring Test, see Triphenyltetra-
zolium Chloride.
Buffalo Garnet R, see Erie Garnet B.
Buffers. For many purposes it is essential
to use solutions buffered at a certain pH.
Details concerning numerous buffers are
given by Clark, W. M., The Determina-
tion of Hydrogen Ions. Baltimore:
Williams & Wilkins, 1928, 717 pp.
BUNDLE OF HIS
63
CADMIUM
French, R. W., Stain Techn., 1930, 5,
87-90 (see correction, 1932, 7, 107-108)
recommends Sorensen's phosphate mix-
tures and Palitzsch's borax-boric acid
mixtures each over certain ranges of pH.
He emphasizes the fact that the addition
of buffer salts is known to have a decided
influence in some cases on the behavior
of the dyes irrespective of pH. See
also Clark and Lubs BuflFers, also
Veronal Acetate BuflFers.
Petrunkevitch, A., Anat. Rec, 1937,
68, 267-280 explains that aqueous solu-
tions of stains at certain pH's are more
selective than alcoholic ones and that
the greatest differentiation is obtained
with the former ones with pH suit-
ably adjusted by addition of HCl or
NaOH. Next in desirability come
stains dissolved in acetate, phosphate
and borate buffers. Citrate buffers are
in his experience less suitable because a
more diffuse staining results while
phthalate buffers should not be used.
He gives specific directions for the
preparation of solutions at pH of maxi-
mum staining of acid fuchsln, aniline
blue, aurantia, benzoazurine, eosin Y,
light green, metanil yellow, methylene
blue, orange G, toluidin blue, Wrights
stain and eosin methylene blue.
For safranin O, see Sawyer, C. H.,
Stain Techn., 1940, 15, 3-7 and for hema-
to.xylin, malachite green and eosin Y,
Craig, R. and Wilson, C, ibid, 1941, 16,
99-109. Levine, N. C, ibid, 1940,
15, 91-112 contributes useful data on
buffered stains in relation to isoelectric
point of cell components. Obviously
the maximum intensity of staining
depends not only on pH but also on
properties of substances stained and
their treatment from beginning to end
of the technique. Lillie, R. D., Stain
Techn., 1941, 16, 1-6 employed McU-
vaine citric buffers in order to improve
Romanowsky staining (see Toluidine
Blue Phloxinate) after various fixatives.
See McJunkin-Haden Buffer. Use of
buffered thionin as Nissl stain (Windle,
W. F., Rhines, R. and Rankin, J., Stain
Techn., 1943, 18, 77-86). For buffering
in connection with silver impregnation
see Davenport, H. A., McArthur, J.
and Bruesch, S. R., Stain Techn., 1939,
14, 21-26; Silver, M. L., Anat. Rec,
1942, 32, 507-529. When accuracy is
essential check the actual pH of the
solution to which buffers have been
added by the glass electrode method
which anyone can learn to use in a few
hours and which gives the answer very
quicklv. See Hydrogen Ion Indicators.
Bundle of His, see Todd, T. W., Cowdry's
Special Cytology, 1932, 2, 1173-1210.
Burettes. For accurate volume determina-
tions use Microliter Burettes.
Burns. Methods of experimental produc-
tion, vital staining with trypan blue,
and histological changes (Ham, A W.,
Ann. Surg., 1944, 120, 689-697.
Butter Fat, reactions in tissue to fat stains
after various fixations (Black, C. E.,
J. Lab. & Clin. Med., 1937-38, 23,
1027-1036).
Butyl Alcohol, see n-Butyl and Tertiary
Butyl.
Buzaglo's Connective Tissue Stain. (Bu-
zaglo, J. H., Bull. d'Hist. Appl., 1934,
11, 40-43). This method is intended to
replace that of Van Gieson. Solutions
required: (1) Gallocyanin (Hollborn,
2264). Boil 0.1 gm. in 100 cc. 5% aq.
chrome alum for 10 min. After cooling
make up to 100 cc. with aq. dest., filter
and adci a little formalin to filtrate. (2)
Orcein (Hollborn, 2466). Dissolve 1
gm. in 100 cc. acid alcohol (70% alcohol,
100 cc. + 1 cc. hydrochloric acid stand-
ard). (3) Acid alizarin blue (Hollborn,
2559). Boil for 10 min. 5 gm. in 100 cc.
10% aq. aluminum sulphate. After
cooling make up to 100 cc, filter and add
formalin. (4) Alizarine-viridine (Holl-
born, 2035). Dissolve 0.2 gm. in 100
cc. aq. dest. acidulated to pH 5.8 with
hydrochloric acid. He advises fixation
in formalin, Maximow's fluid, Susa or
Hoffker (of which he does not give
composition). Pass sections (presum-
ably paraffin) down to aq. dest. Stain
nuclei in gallocyanin as deeply as pos-
sible 5 times, 24 hrs. Rinse twice in
aq. dest. Stain elastic fibers in orcein,
then aq. dest., 3 times, 5 min. Stain
muscle in acid alizarin blue, 7 min., aq.
dest. twice. Differentiate in 5% aq.
phosphomolybdic acid 25-30 min., aq.
dest. twice. Stain collagen in alizarine
viridine 7 min. Blot with 4 layers filter
paper. 95% ale 96% ale Carbol-
xylol, 2 changes xylol. Balsam. Nu-
clei, dark blue ; elastic fibers, red brown ;
muscle and epithelium, pale blue violet ;
collagen, mucus, cartilage, shades of
§reen; myelin sheaths, rose; axis cylin-
ers, dark blue; erythrocytes, red
brown .
Cabot Rings. Ring-shaped formations in
erythrocytes which color red with
Wright's Blood Stain. The color in
the concavity of the ring is the same
as that in the rest of the cell. Oc-
casionally observed especially in per-
nicious anemia and lymphatic leukemia.
Cadmium. The chloride is employed in
fi.xation of Golgi apparatus prior to silver
impregnation (Aoyama, F., Zeit. wiss.
mikr., 1929, 46, 489-191). See comment
by Baker (Bourne, p. 19) on this and
use by Ciaccio of cadmium nitrate to
CAJAL'S
54
CALCIUM
render phospho- and galactolipines less
soluble. Bourne (p. 106) refers to
Joyet-Lavergne's claim that cadmium
lactate reacts with glutathione in the
cell producing a cadmium glutathione
compound which is microscopically
visible.
Cajal's. Properly the name should be listed
as Ramon y Cajal. 1. Brom-formol-
silver method for neuroglia. Details
supplied by Dr. J. L. O'Leary. Fix
small fresh pieces, 3-15 days, in: aq.
dest., 85 cc; formalin, 15 cc; ammo-
nium bromide, 2 gm. Cut 25/i frozen
sections and return to: aq. dest., 50 cc;
formalin, 6 cc; ammonium bromide,
3 gm. for 4-6 hrs. at 30-38°C. or for 8-10
hrs. at room temperature. Wash for a
few seconds in aq. dest. Place in the
following fluid in a porcelain dish and
heat over the flame: aq. dest., 10-15 cc;
ammoniacal silver oxide, 5 cc; pyridine
C.P., 4-5 drops. (To prepare silver
oxide solution: Take 10 cc. 10% silver
nitrate, add 12 drops 40% NaOH. Col-
lect the ppt., wash 5-6 times with aq.
dest., then add ppt. to a beaker con-
taining 60-70 cc. aq. dest. Redissolve
with least quantity of ammonia neces-
sary. If too much ammonia is added,
results are bad.) Remove when sec-
tions have reached a tobacco brown
color. Wash through 2 changes aq.
dest. not more than 5 sec. in all. Re-
duce in 5% formalin for 2-3 min. Tone
with 0.2% aq. gold chloride and fix in
5% aq. sodium hyposulfite. After
washing carry to 95% alcohol, carbol-
xylol, xylol balsam. See Microglia and
Oligodendroglia.
2. Chloral hydrate method as de-
scribed by Willard, D. M., Quart. J.
Micr. Sci., 1935-36, 78, 475-485 for
innervation of adrenal. Fix for 24 hrs.
in : chloral hydrate, 2.5 gm. ; 95% alcohol,
40 cc. ; aq. dest., 40 cc. ; pyridine, 20 cc
Wash in aq. dest. until smell of pyridine
disappears. 97% alcohol, 24 hrs. Wash
again in aq. dest. and transfer to 2.5%
aq. silver nitrate at 37°C. for 9-12 days
(longer times better for nerve cells).
Wash for 1 min. in aq. dest. Reduce for
12-24 hrs. in: hydroquinone, 1 gm.;
neutral formol, 10 cc; aq. dest., 90 cc.
Dehydrate rapidly, embed in paraffin
and cut 15-30m sections. Nerve fibers,
black; background, yellow.
Cajal Silver Methods. These depend
mainly on silver impregnations reduced
by photographic developers such as
hydroquinone. They have all been
very greatly improved by a preliminary
fixation and in other ways and have
played a leading r61e in neurology. See
Ranson pyridine method and other
modifications given by Addison (Mc-
Clung, pp. 452-463). Many techniques
spring from a combination of Cajal and
Bielchowsky methods.
Calcareous deposits. Vital staining with
Alizarin Red S (Ham, A. W., Arch.
Path., 1932, 14,613-626).
Calciferol, see Vitamin D2.
Calcium. There is no absolutely specific
microchemical test for calcium in sec-
tions. A critical account by Cameron
(G. R., J. Path, and Bact., 1930, 33,
929-955) affords instructive reading.
1. von Kossa test. Sections are trans-
ferred from aq. dest. to 10% silver
nitrate and exposed to bright light for
30 min. or more. Wash carefully in aq.
dest. Mount in glycerin, or dehydrate
clear and mount in balsam. Inorganic
material in most cases calcium phos-
phate or carbonate is deep black. See
comments of Gomori, G., J. Mt. Sinai
Hosp., 1945, 11, 317-326. Test has been
adapted to investigation of bone by
McLean, F. C. and Bloom, W., Anat.
Rec, 1940, 78, 333-359.
2. Alizarin. Sections from aq. dest.
are stained in 1% aqueous alizarin S
(sodium alizarin sulphonate) or in 1%
alcohol tetra-hydroscy-anthraquinon (or
anthrapurpurin) for an hr. or more.
They are then differentiated in 1 part
concentrated ammonia and 9 parts
absolute alcohol. This is followed by
rapid washing in acid alcohol (hydro-
chloric acid 5 cc, 95% alcohol 95 cc).
It may be desirable to alternate alkali
and acid alcohols 2 or 3 times. Wash
thoroughly in aq. dest. ; dehydrate clear
and mount. The alizarin forms a fast
compound with earthy salts especially
calcium more easily in young than in
old bones. Substances may exist in the
tissues that inhibit the combination
(see Bone, Madder staining).
3. Hematoxylin. This is not, as is
generally supposed, a stain for calcium
though it may color calcium as well as
other materials when mordanted with
chromium salts or alum. According to
Cameron, in bone, "staining with
hematoxylin is dependent on the essen-
tial ground substance and the presence
of certain heavy metals especially iron
chromium and aluminum ; it has no
direct relation to calcium salts." He
thinks that areas of pathological calci-
fication which stain deeply with alum
hematoxylin do so because of the pres-
ence of free iron.
4. Fluorescence x-radiation. Used for
thin sections of undecalcified bone. It
is not feasible to magnify much but the
method is said to be almost specific for
calcium (Dershem, E., Proc Nat. Acad.
Sci., 1939, 25, 6-10).
5. Cretin, A., Bull. d'Hist. Appl.,
CALCOZINE RED CG
55
CANNULAS
1924, 1, 125-132 has proposed a blue
color reaction with trioxymethylene and
gallic acid. In comparison with calcium
strontium and barium show green, mag-
nesium rose and iron brownish violet.
See Lillie p. 251 for details.
6. With magnesium, but free from all
other minerals in muscle, by electron
microscope (Scott, G. H. and Packer,
D. M., Anat. Rec, 1939, 74, 17-45).
7. Sulfuric and oxalic acid. Lillie (p.
251) refers to the granular, opaque and
white appearance of unstained calcium
deposits. If the material is mounted
under a cover glass in water and sulfuric
acid is drawn through by removal of
water from one side with filter paper the
deposits dissolve but colorless mono-
clinic calcium sulphate (gypsum) crys-
tals are formed while if 5-10% oxalic
acid is used typical cubic calcium
oxalate crystals appear. Carbonates,
on the contrary, are dissolved by run-
ning through acetic acid with the forma-
tion of gas bubbles. Phosphates are
dissolved by the acetic acid without
gas bubbles. The development of these
crystalline calcium salts is of course
specific.
8. Microincineration. To distinguish
between the dense white ashes of cal-
cium and magnesium it is suggested that
a "microdrop" of 0.1 N hydrochloric
acid be added, plus a similar drop of
0.1 N sulphuric acid in order to produce
needle like calcium sulphate crystals
(Moreau, P., Bull, histol. appl. physiol.
et path, et tech. microscop., 1931, 8,
245-248). As follow up on the above
microchemical methods a curvette
colorimetric by Sendary, J. Jr., J. Biol.
Chem., 1942, 144, 243-258; 1944, 152,
539-556 and a titrimetric technique by
Sobel, A. E. and Kaye, I. A., Ind. Eng.
Chem., and Ed., 1940, 12, 118-120 are
possibilities. By the latter as little as
4 Mgm. of calcium can be measured in
a 5 ml. burette. See Glick, p. 273.
Calcozine Red CG, see Rhodamine CC.
Camphor, see Sandarac.
Camsal is a mixture of camphor and salol
used by McClung in making San-
darac.
Canada Balsam, see Balsam.
Canary Yellow, see Auramin.
Cancer. Because cancer and other malig-
nant tumors can develop in so many
organs and tissues that contain inter-
mitotic or reverting postmitotic cells
(Cell Classification), techniques de-
signed to compare the malignant cells
with their non-malignant prototypes
are altogether too numerous to mention.
They will be found under the several
tissues: Pancreas, Connective Tissue
and so forth.
There is no known technique which
will reveal a structure or a substance in
cancer cells wholly absent in normal
cells of the sort from which the particu-
lar cancer cells have originated.
Neither can the reverse be demon-
strated, that is something absent in
cancer cells and present in normal ones.
Available methods are only capable of
demonstrating quantitative differences
in properties exhibited by normal and
malignant cells. Properties of cancer
cells have been systematically reviewed
by Cowdry, E. V., Arch. Path., 1940,
30, 1245-1274. Yet the Dopa Reaction
is of service in diagnosis of Melano-
carcinoma.
Frequently it is helpful to excise can-
cers and transplant them into other
situations such as the Anterior Chamber
of the Eye where they can conveniently
be studied. The Tissue Culture
method is of great service, likewise
Motion Pictures made of cancer cells.
The most recently developed line of
investigation is by Radioactive Isotopes.
See also Papanicolaou Techniques.
Candida Albicans. Method for demonstrat-
ing this parasite with fat soluble dyes
in frozen sections by Fuentes, C, J.
Bact., 1946, 51, 245-246.
Cannulas. Glass cannulas are required for
insertion into blood vessels in the Per-
fusion technique. To make one of about
the size for guinea pig's thoracic aorta
file and break 6 mm. outside, 4 mm.
inside diameter soft glass tubes into
pieces about 15 cm. long. (Pyrex of
this size will do. It requires a little
more heating.) Take one of these,
place middle in gas flame rotating it so
as to heat it evenly. When fairly soft
remove from the flame, draw the ends
apart to a distance of about 50 cm. and
hold until solid. File and break in the
middle. With a little practice this will
give two tubes, each tapering evenly
from the 6 mm. outside diameter to
about 2-3 mm. within a distance of
approximately 3 cm. Next bring the
tube where it has a diameter of 2-3 mm.
near to a fine flame, like that of a small
alcohol lamp. Let it get soft and pull
just enough to produce a slight narrow-
ing to be used later to prevent the
thread employed to tie the cannula in
the vessel from slipping. Then fracture
with file and break off the thin end
about 4 mm. beyond the constriction
and distant from the wide part of the
tube. If this break can be made at an
acute angle to the length of the tube, so
much the better; because then one rim
of the small end of the tube will project
out beyond the rest which will facilitate
its insertion into the vessel to be cannu-
CAPILLARIES
56
CAPRI BLUE
lated. When the break is made across
the tube, at right angles, the rim on one
side can be ground down on a water stone
so as to produce a similarly projecting
lip. In either case it is necessary to
remove sharp cutting edges from both
ends of the cannula by smoothing in a
flame. The 6 mm. wide body of the
cannula should be 3-4 cm. long for con-
venient attachment of rubber tube.
Obviously larger cannulas are required
for larger vessels. Those for Micro-
injection are very much smaller, made
of hard glass and do not require to be
tied in.
Capillaries. In living humans these can
best be seen in the skin by the method
of Capillaroscopy. Render the epider-
mis at the root of the finger nail trans-
lucent by addition of a drop of highly
refractive oil and examine directly at
fairly high magnification the capillary
loops in the dermal papillae. It is
possible to record their changes by
making moving pictures through a long
period of time. See review by Wright,
I. S. and Druryee, A. W., Arch. Int.
Med., 1933, 52, 545-575. See also
Gingiva.
In living mammals the most favorable
site in which to watch capillaries at high
magnification is in the transparent
chambers of the Sandison's Technique.
For shorter periods they can be studied
in the displaced but living pancreas by
the methods of Covell, W. P., Anat.
Rec, 1928, 40, 213-223 and O'Leary, J.
L., ibid, 1930, 45, 27-58. Some changes
in Permeability of living capillaries are
evidenced by the trypan blue capillary
permeability test. If microdissection
is intended and a shift to the tongues
and nictitating membranes of frogs is
made consult Zweifach, B. W., Anat.
Rec, 1934, 59, 83-108, and Am. J. Anat.,
1937, 60, 473-514. The results have
been recorded in moving pictures.
Supravital staining of the tissues just
mentioned with janus green (Bensley,
R. R., and Vimtrup, B., Anat. Rec,
1928, 39, 37-55) affords beautifully clear
views of the muscular elements of
arterioles grading into capillaries. See
Perivascular Cells, Rouget Cells.
For investigations on the topographic
arrangement of capillaries arterial injec-
tions with Carmine, Berlin Blue or
some other easily recognizable material
followed by clearing by the Spalteholz
method may be helpful. When however
any fluid is injected, under great pres-
sure, into a fresh, relaxed tissue that can
easily swell there is a chance that an
exaggerated idea of the capillaries will
be conveyed. In resting muscle for
instance a large proportion of the
capillaries are collapsed (Krogh).
The structure of the endothelial
capillary wall is relatively uncompli-
cated. The outlines of the endothelial
cells are nicely revealed in pink by the
Silver Chloride Dichlorfluorescineate
technique or in black by simply treating
with silver nitrate. Nuclear and cyto-
plasmic structure can be brought out by
methods used for other tissues. Nerve
fibers closely accompany most capil-
laries. The existence of actual nerve
endings on the wall is debated. The
most convincing looking preparations
of human tissues have been secured by
Stohr, Ph., Zeit. f . Zellf . u. Mikr. Anat.,
1926, 3, 431-448 who employed a modifi-
cation by Gros of the Bielchowsky
silver technique (see particularly his
Fig. 2). See Sinusoids.
Capillaries of brain. Lepehne-Pickworth
Eeroxidase method simplified by Camp-
ell and Alexander (Mallory, p. 257).
Fix for 1-3 weeks in 10% formalin. To
make required solution dissolve 0.1 gm.
benzidine in 0.5 cc glacial acetic acid
and add 20 cc. aq. dest. Dissolve 0.1
gm. sodium nitroprusside in 10 cc. aq.
dest. and add benzidine solution. Add
aq. dest. to 100 cc. In case a ppt. forms
filter it out. Solution must be fresh.
Cut frozen sections 200-300/:( and wash
in aq. dest. H hr. Change to above
described solution for 5 hr. at 37 °C.
agitating often. Wash in aq. dest. 10
sec. and transfer to 100 cc. aq. dest. +
2-3 drops 30% hydrogen peroxide for
i hr. at 37°C. shaking frequently.
Wash in aq. dest. and dehydrate in 70%,
95% and absolute alcohol. Clear in
xylol and mount in balsam. Blood ves-
sels black in almost colorless back-
ground. This method has the advantage
of not involving vascular perfusion.
See comparison of injection and red cell
staining methods for quantitative study
of capillaries of central nervous system
(Drummond, S.P., Anat. Rec, 1944, 89,
93-106). Microinjection of capillaries,
Chambers, R. W. and Kopac, M. J.,
McClung's Microscopical Technique,
1950, p. 530.
Capillary Fragility Tests. Discussion (Gold-
man, L. and Corrill, E. M., J. Invest.
Dermat., 1945,6, 129-147).
Capillary Respirometry. The development
of the techniques is described bv Tobias,
J. M., Physiol. Rev., 1943, 23, 51-75.
A differential respirometer is described
by Cunningham, B. and Kirk, P. L.,
J. Gen. Physiol., 1940, 24, 135-149.
Whole problem is discussed by Glick,
pp. 314-326.
Capri Blue (CI, 876), a basic dye of light
CAPSULE STAIN
57
CARBOL-THIONIN
fastness 3. 0.1 gm. in 95 cc. aq. dost.
+ 5 cc. 5% aq. ammonium alum + 0.5
cc. acetic acid stains plant tissues blue
or black. Can be employed in prefer-
ence to Cyanine. Should stain well
after Erythrosin (Eniig, p. 58).
Capsule stain. 1. Hiss' method for smears
(McClung, p. 145). Dry organisms in
ascitic or serum medium on slides.
Stain, slightly heated in 5-10 cc. satu-
rated ale. gentian violet or basic fuchsin
made up to 100 cc. aq. dest., few sec.
Wash off dye with 20% aq. copper sul-
phate crystals. Dry by blotting. See
also: Huntoon, F. M., J. Bact., 1917, 2,
241. See Pasteurella.
2. W. H. Smith's method for sections
(Mallory, p. 275). Cover deparaffin-
ized sections of Zenker fixed material
with Anilin Crystal Violet (either
Ehrlich's or Stirling's). During few
seconds warm by passing slide through
flame 2 or 3 times. Wash in Gram's
Iodine solution followed by formalin
(commercial). Decolorize in 95% ale.
Quickly wash again in Gram's iodine.
Cover with aniline green eosin and heat
as before. To make this shake 1 part
aniline green with 200 parts 3-6% aq.
eosin yellowish W.S. and after 1-2 hrs.
remove ppt. bj' filtering. Wash in aq.
dest. Dehydrate in 95% and abs. ale,
clear in xylol and mount in balsam.
Bacterial capsules, red; Gram positive
bacteria, blue. Mallory says that a
stronger iodine may be desirable (iodine,
1 gm., potassium iodide, 2gm. ;aq. dest.,
100 cc.) and that the times must be
suited to each preparation.
3. Churchman's (S. Bayne-Jones in
Simmons and Gentzkow, p. 385).
Flood air-dried films with Wright's
stain and leave until almost evaporated
to dryness. Original blue of stain is
replaced by pinkish color. Wash
quickly in water, or in Clark and Lubs
buffer pH 6.4-6.5. Do not blot but dry
with fan. Body of organisms, blue;
capsular material, purplish-pink; often
surrounded by capsular membrane or
peripheral zone, deep purplish-pink.
Capsule Substance. This obviously is un-
der investigation in many sorts of cells
and the methods introduced for one
kind may well be of service for others.
See Cell Membrane for physical proper-
ties, thickness, etc. See Adhesiveness
and Acid Fast Bacilli. Under Gram
Stains is a description of the mechanism
of their action which includes data ob-
tained by use of the enzyme, ribonu-
clease, on the nature of walls of Gram
positive bacteria. Under Enzymes, see
enzymatic destruction of capsules of
pneumococci.
Carbanthrene Blue GO (CI, 1113), Carban-
threne Brilliant Orange RK, Carban-
threne Jade Green (CI, 1101), Carban-
threne Red BN (CI, 1162) Carbanthrene
Red BN (CI, 1162) and Carbanthrene
Violet 2R (CI, 1104) all of NAC are
referred to by Emig, p. 64.
Carbohydrates, see Starch.
Carbol-Anilin Fuchsin methylene blue
method for Negri bodies (Goodpasture,
E. W., Am. J. Path., 1925, 1, 547-582).
Fix in Zenker's fluid 24 hrs. (not Helly's
fluid). Color for 10-30 min. in mixture
made by adding 1 cc. of pure phenol and
1 cc. of anilin oil to 100 cc. of stock 0.5%
basic fuchsin in 20% alcohol. Wash in
running water, blot with filter paper and
decolorize with 95% alcohol until sec-
tions become pink. Then wash in water
and stain with Loeffler's methylene
blue, 15-60 sec. Wash again in water.
Dehydrate and destain for few sec. in
absolute alcohol, clear in xylol and
mount in balsam. Negri bodies, crim-
son; background, blue. Also excellent
for Borrel Bodies.
Carbol-Crystal Violet. Because the solu-
tions as prescribed in Nicolle's original
formula for carbol gentian violet tend
to gelatinize, the following formula is
recommended by Conn, H. J., Stain
Techn., 1946, 21, 31-32: Mix solution of
0.4 gm. crystal violet C. C. in 10 cc.
95% ethyl alcohol with solution of 1 gm.
phenol in 100 cc. aq. dest.
Carbol-Fuchsin, The original formula of
Ziehl has been much modified. Ziehl-
Neelsen is sat. ale. basic fuchsin, 10 cc. ;
5% aq. carbolic acid, 90 cc. Verhoeff
(F. H., J.A.M.A., 1912, 58, 1355) advises
basic fuchsin, 2 gm.; abs. ale, 50 cc;
melted carbolic acid crystals, 25 cc.
McClung (p. 136) suggests mixing 10 cc.
3% basic fuchsin (90% dye content)
with 95 cc. 5% aq. phenol. The im-
portant thing is the character of the
fuchsin not its concentration relative to
carbolic acid. Carbol-fuchsin is em-
ployed in stains for Acid Fast Bacilli.
DeipoUi, G. and Pomerri, G., Mon.
Zool. Ital., 1938, 49, 123-124 have ad-
vised its use as follows for Nissl Bodies.
Fix small pieces in 95-98% alcohol or in
10% formalin water or in physiological
saline 24 hrs. or longer. Stain deparaf-
finized sections 3-4 min. in carbol-
fuchsin (basic fuchsin, 0.2 gm.; cone,
phenol, 1 cc; 95% ale, 2 cc. ; aq. dest.
20 cc.) 2.5 cc. ; aq. dest., 100 cc. ; glacial
acetic acid, 0.5 cc. Wash rapidly in aq.
dest. and destain in: aq. dest., 100 cc;
formalin, 1 cc. ; glacial acetic acid, 1 cc.
Wash in aq. dest., dehydrate in alcohols,
clear in xylol and mount in neutral
balsam. Nissl bodies and nucleoli dark
red, rest unstained.
Carbol-Thionin, see King's.
CARBOL-XYLOL
58
CARBOWAX EMBEDDING
Carbol-Xylol. Xylol saturated with car-
bolic acid crystals. After using it for
clearing celloidin sections, wash quickly
in xylol before naounting them in
balsam.
Carbon from inspired air occurs abundantly
in lungs and bronchial lymph nodes.
It may be transported to the great blood
filters (spleen and liver) where it is
distinguishable by its black color and
by its insolubility in cone, sulphuric
acid which dissolves all other body
pigments. Fine suspensions of carbon
are of great service as vital stains to
demonstrate phagocytosis. See Hig-
gins' Ink and Lampblack.
Carbon Monoxide, Measurement of, see
Scholander, P. F., and Roughton, F.
J. W., J. Biol. Chem., 1943, 148, 551-
563, or Glick, p. 334.
Carbonic Anhydrase. This can be localized
in the oxyntic (or parietal) cells of the
fundus of the stomach. Davenport,
H. W., Am. J. Physiol., 1940, 128,
725-728; 129, 505-514 employed an
adaptation of Linderstr0m-Lang's tech-
nique and observed that in rats and cats
the parietal cells contain 5 to 6 times as
much of the enzyme as red blood cells
while the peptic cells are free from it.
A microspectroscopic method for demon-
stration of carbonic anhydrase within
erythrocytes depends on the action of
methemoglobin as an indicator which
changes both its color and pattern of
absorption spectrum with change of pH
from 6.5-9.5 (Keilin, D. and Mann, T.,
Nature, 1941, 148, 493-496). For data
on the distribution of this enzyme in
lower forms, see Blaschko and Jacobson
(Bourne, p. 200).
Carbonyl Compounds, water insoluble alde-
hydes and ketones, see critical state-
ment by Glick, pp. 69-72. Bennett,
H. S. (Am. J. Anat., 1940, 67, 151-228)
regarded his phenylhydrazine reaction
for carbonjd compounds as indicative
of ketosteroids in the adrenal cortex.
Gomori, G. (Proc. Soc. Exper. Biol. &
Med., 1942, 51, 133-134) however does
not agree unless there is additional evi-
dence. Glick is of the same opinion
that in the absence of such evidence the
carbonyl reactions only indicate lipid
aldehyde or ketone. According to
Albert, S. and Leblond, C. P. (Endo-
crinology, 1946, 39, 386-400) it is plasmal-
ogen instead of ketosteroid which is
demonstrated by the phenylhydrazine
reaction.
1. Bennett's phenylhydrzine reac-
tion. Place frozen sections of fresh
tissue from microtome into M/10 ace-
tate buffer, pH 6.0-6.5. If sections of
fixed tissue are employed place in water.
Add 1% iodine in ale. drop by drop till
pale straw yellow color persists. Let
stand 15 min. Add 1% aq. sodium
thiosulphate drop by drop till color is
lost and a small amount more is added.
Let stand 5 min. Wash sections re-
peatedly in aq. dest. Transfer sections
to buffered phenylhydrazine solution
just prepared by mixing equal volumes
of 2% aq. phenylhydrazine hydro-
chloride and the acetate buffer and by
removing oxygen by gently bubbling
through carbon dioxide for 15 min.
This solution is to be poured into glass-
stoppered bottles so that with the sec-
tions added no air bubbles remain under
the stopper. Control slides are taken
through the same procedures but minus
the phenylhydrazine treatment.
2. Albert and Leblond's 2,4-Dinitro-
phenylhydrazine reaction. Saturate
2,4-dinitrophenylhydrazine (No. 1866
Eastman Kodak Co.) in 30% ale. and
bring pH to neutrality by addition of
0.2 N sodium acetate. This is the re-
agent. Fix tissue in formalin neutra-
lized with magnesium carbonate for
48 hrs. and wash in running water for
24 hrs. Cut frozen sections 10-15 n
and transfer to 17% ale. 4 hrs. Place
them in the reagent over night and
wash in 17% ale. 20 min. Change to
aq. dest. and mount in glycerol gelatin
(see Glychrogel). Yellow color indi-
cates positive reaction.
3. Seligman, A. M. and Ashbel, R.
(Cancer, 1951, 4, 579-596): Frozen sec-
tions, 10 to 20 M, are cut from formalin-
fixed tissues and attached to slides by
air-drying, after which the formalin is
washed out wath several changes of
water. Sections are incubated for one
or more hours at room temperature in
a 0-1% solution of 3-hydroxy-2-naph-
thoic acid hydrazide in 50% aldehyde-
free alcohol and 5% acetic acid. Re-
move e.xcess reagent by washing for
2 hrs. in 50% alcohol followed by 2 hrs.
in several changes of water.
A blue pigment is produced at the
sites of carbonyl reactivity by immer-
sion in a solution prepared from equal
volumes of absolute ale. and an aqueous
solution containing two parts water
and one part 1/15 M phosphate buffer
(pH 7-2), followed by the addition of
tetrazotized o-dianisidine in powered
form (50 mg. for 50 cc. of solution).
The development of a blue color
reaches a maximum in one or two min.
The sections are washed in several
changes of water (acidified with a few
drops of acetic acid) and are mounted
in glycerogel.
Carbowax Embedding — Written by Dr.
H. I. Firminger, Pathology Section,
National Cancer Institute, Bethesda,
CARBOWAX EMBEDDING
59
CAREY'S
Maryland. February 9, 1951 — Carbo-
wax (Carbide and Carbon Chemical
Division, 30 East 42nd Street, New-
York 17, N. Y.), a water soluble wax,
is an excellent embedding medium for
tissues. It circumvents the long de-
hydration process necessary for em-
bedding in paraffin or celloidin and yet
sections prepared by this method show
excellent preservation of cytological de-
tail. Sections of Carbowax embedded
tissue are easy to cut at from 1 to 10 ^i
in thickness which makes this embed-
ding method well suited both for the
study of minute cytological details and
for routine histological examinations.
In contrast to paraffin and celloidin
embedded tissues, lipids can be studied
in sections of the same tissue block
(Firminger, H. I., Stain Tech., 1950,
25, 121-123). Any type of fixation may
be used and almost all staining pro-
cedures can be performed on Carbowax
sections with the exception of osmic
acid. Staining with osmic acid is
better after the conventional methods.
Carbowax is not miscible with fats
and penetrates adipose tissue, brain or
spinal cord only very slowly. Such
tissues can sometimes be embedded
after long periods of infiltration in the
oven with resultant distortion or by
previous removal of lipid with fat sol-
vents. Other disadvantages are the
difficulty in mounting ribbons on the
slide because of the solubuility of the
Carbowax in the aqueous bath used for
floating the sections, and the difficulty
of making sections stick on the slide
during the staining procedure. Blank
et al. (Blank, H. and McCarthy, P. L.,
J. Lab. and Clin. Med., 1950, 36, 776-
781) recommend placing sections on an
aqueous bath containing gelatin and
potassium dichromate, floating sec-
tions onto a clean slide and drying
thoroughly. An alternate procedure
which avoids exposure to chromates
(undesirable for certain staining pro-
cedures) is to cover the sections with
thin colloidin prior to staining. Blank
has also suggested mounting ribbons
directly on a slide wet with the gelatin-
dichromate solution.
The solution recommended by Blank
et al. for floating and affixing sections
to slides is made by dissolving 0.2 gm.
of potassium dichromate and 0.2 gm. of
gelatin in 1000 cc. aq. dest. The mix-
ture is boiled in daylight for five
minutes, cooled and filtered.
Embedding in Carbowax ordinarily
employs a mixture of Carbowax "4000"
and Carbowax "1500". The exact pro-
portions of the components must be
varied to suit climatic conditions.
Pure Carbowax "4000" may be neces-
sary in hot climates. In cooler climates
one can use a mixture composed of 85
gms. of Carbowax "4000" and 15 gms.
Carbowax "1500". For use, the Carbo-
waxes are combined in the proper pro-
portions, heated to 175°C. for 30 seconds
and placed in an oven at 56°C. This
solution should be kept in the oven. If
the temperature of the oven should drop
and the Carbowax mixture solidifies,
it requires reheating above 56°C. to
remelt it. To embed:
1. Place fixed tissue in small Stender
dish containing the above Carbowax
mixture in oven at 56°C. 1-3 hrs.
2. Agitate dish and contents every 10
min. to aid penetration. All tissues,
including lung tissue, should sink before
further embedding.
3. After sufficient infiltration remove
tissue and place in fresh mixture in
another Stender dish.
4. Cover dish and place in icebox to
harden at 5°C. to avoid crystal forma-
tion.
5. Trim block with hot knife.
6. Block on hot object holder; then
cool object holder with ice, taking care
that water or ice do not come in con-
tact with block.
7. Cut sections (1 to 10 n). If satis-
factory ribbons are not obtained the
procedure is not working properly.
8. (a) Float sections on a water bath
at room temperature to which 2 drops
of a detergent or the first ribbons of
Carbowax have been added to prevent
"explosion" of the sections by the sur-
face tension. Stain sections before
mounting on slide; or, float sections
onto the slide from the water bath,
cover carefully with a few drops of a
mixture of equal parts of absolute al-
cohol and ether. Pour off excess and
cover with thin collodion; harden in
70% ale. or water. Stain.
(b) Or, place sections on a bath con-
taining 0.02 gm. % gelatin and 0.02 gm.
% potassium dichromate. Float onto
clean slide, permit to drj^ thoroughly
and stain.
Carey's method for motor end plates is an
adaptation for his study of their ameboid
motion (Carey, E. J., Anat. Rec, 1941,
81, 393-413) of Wilkinson's (H. J., Med.
J. Austral., 1929, 2, 768-793). Modifica-
tion of Ranvier's gold chloride technique.
— Written by the late Dr. E. J. Carey,
Dept. of Anatomy, Marquette Uni-
versity School of Medicine, Milwaukee,
Wis.
1. Remove any muscle from rat or
chameleon from its origin to insertion
while the animal is under ether ornemo-
butal anesthesia. Using a very sharp
CAREY'S
60
CARMINE DUSTING
knife cut the muscle quickly into pri-
mary pieces, 0.5 cm. long, and 0.5 cm.
thick, following the long axis of the
muscle fibers. Then cut the primary
pieces longitudinally into thin strips
1 to 2 mm. wide.
2. Soak strips in freshly prepared
filtered lemon juice for 5 to 10 min.
until they become clear or translucent.
Rinse in cold tap water 4 to 5 times.
3. Place strips in 1% aq. gold chloride
at 30°C. using at least 10 times the
volume of gold chloride solution to each
volume of muscle. While muscle is in
gold chloride solution, stir at least once
a min. The time for the optimum im-
pregnation of gold varies in the different
muscles of the same animal at a rela-
tively constant rate, for example, the
sternocleido-mastoid muscle of the
normal rat requires 16 min.; the pec-
toralis major, adductors of the thigh,
and biceps femoris, 13 min.; and the
gastrocnemius, tibialis anterior, and
the intercostal muscles 10 min. After
these muscles have been in the gold
chloride solution for the proper length
of time, they assume a yellowish-tan
color and have a firm consistency. It
is highly important that this variability
in the reaction of different muscles in
the same animal to gold impregnation
be realized. This may have been one
of the factors that led to the discarding
of the gold technique because it could
not be rigidly standardized.
4. Pour off gold chloride solution and
rinse the tissue with tap water until the
water remains clear. Then place muscle
in 25% aq. formic acid in the dark 16 to
24 hrs. Too little time gives incomplete
reduction of the gold and too long time
excessive softening and maceration.
5. Quickly rinse in tap water 5 or 6
times to remove as much of the formic
acid on the surface of the muscle as
possible. Even small amounts of for-
mic acid in the preserving fluid may
cause ultimate maceration of the tissue.
6. Store the muscles until they are
teased in a mixture of § glycerine and
I5 70% alcohol. (The muscles have
been preserved in a good condition for
teasing in this mixture for 7 years.)
7. To tease the muscle cut from one
edge with a flat bladed teasing needle a
piece 1 mm. thick and the full length of
the muscle fiber of short muscles. The
edge of the teasing needle may be flat-
tened by hammering the needle after it
has been placed in a Bunsen flame until
the needle is red hot. Orient this strip
of muscle in a drop of glycerine on a
clean, 1x3 slide. Gently add a clean
cover slip. Lightly press down with
the teasing needles, using a gentle
lateral movement at right angles to the
long axis of the muscle fibers. The
muscle fibers, by this means, are gently
rolled out so that the preparation is one
muscle fiber thick. Check with micro-
scope. Such a preparation will keep
without any sealing of the cover slip
for at least 7 years. Any of the usual
cements, however, used for glycerine
mounts, may be used to make the prepa-
ration permanent. We have success-
fully used clarite.
8. When cross or longitudinal sections
are desired reduce the gold by placing
muscle in a mixture of formalin 10% for
its hardening effect, and in formic acid
3% for the reduction of the gold. The
gold may, likewise, be reduced by strong
electric light for 16 to 24 hrs. The rou-
tine method for celloidin embedding is
then used. After the tissues have been
cut in sections, the nuclei can be coun-
terstained by various techniques.
Carmalum (Mayer). Dissolve, if necessary
with heat, 1 gm. Carminic acid and 10
gms. ammonia alum in 200 cc. aq. dest.
Filter and to filter add 1 cc. formalin as
a preservative. The tissues stained
should not be alkaline (Lee, p. 141).
Carmine has been very widely used as a
stain. Most of the formulae for stain-
ing of fixed tissues were proposed 40 or
more years ago chiefly by Ranvier and
Mayer. Now aniline dyes are more
popular but carmine is still of great use
for staining small animals m toto, for
staining tissues in bulk which are later
sectioned, as the best counterstain for
blue vital dyes like trypan blue, as the
most specific stain for Glycogen and for
Mucus in the form of mucicarmine, for
coloring gelatin used to inject blood
vessels and as a vital stain. Karsner,
H. T. and Swanbeck, C. E., J. Med.
Res., 1920, 42, 91-98 employed 15-25
cc. of fairly thick suspension for intra-
pleural injections in cats. At present
carminic acid is available and can be
employed instead of powdered carmine.
The only advantage is that the acid is of
more uniform composition. See Aceto-
carmine (Schneider), Alum Carmine
(Grenacher), Aluminum Chloride-Car-
mine (Mayer), Ammonia Carmine
(Ranvier), Best's Carmine for glycogen,
Borax Carmine (Grenacher), Carma-
lum (Mayer), Lithium Carmine (Orth),
Mucicarmine for mucus, Para-Carmine
(Mayer), Picro-Carmine (Ranvier).
Many more carmine combinations are
given by Lee (pp. 139-149).
Carmine Dusting of the Lungs— Written
by C. C. Macklin, Dept. of Histological
Research, The University of Western
Ontario, London, Canada. November
28, 1951 — Mice or other mammals are
CARMINE-GELATIN INJECTIONS
61
CARR-PRICE REACTION
exposed in a closed compartment to air
laden with the dust of dry powdered
carmine. Agitation is by fan or blast
from air-main. Atropinization facili-
tates entry into the lung alveoli. One
hour suffices to mark the alveolar phago-
cytes (phagocytic pneumonocytes —
which see) with red particles. The
cytological picture varies with the
time elapsing after cessation of the
dusting (Macklin, C. C, The Lancet,
Feb. 24, 1951, 432-435). See Dust Cells.
Carmine-Gelatin Injections of blood vessels.
Methods have been reviewed by Moore,
R. A., J. Tech. Methods, 1929, 12, 55-
58. He proposes a more accurate
technique for preparation of the gelatin
mass. Allow 80 gms. gelatin to take up
200 cc. cold water and heat to complete
the gel . Suspend 20 gms . carmine in 100
cc. water and add ammonia until dis-
solved. Mix the gelatin and carmine
solutions and add 15 gms. potassium
iodide to reduce gelation point to less
than 25°C. Place in water bath at
25 °C. and immerse a prepared platinum
electrode in it. Pass electrolytic hydro-
gen from a tank over the electrode and
agitate the gelatin with a motor stirrer.
Read electrical potential by balancing
against a standard cell. Add acetic acid
cautiously until reading of voltage corre-
sponds to pH 7.2.
Two other techniques are listed by
Moore: 1. Dissolve 40 gms. carmine in
40 cc. strong ammonia and add water.
Allow to stand 12-24 hrs. and filter
through paper. Boil filtrate until it is
ammonia free. Precipitate the carmine
as a colloidal gel by adding 95% alcohol.
Filter, wash well with alcohol and dry
material collected. Dissolve 2 gm. in
5 cc. water and add 5 cc. 100 percent
gelatin in water thus making the product
20% carmine and 50% gelatin (Bensley,
R. R., personal communication to Dr.
R. A. Knouff). 2. Triturate 40 gms.
carmine Merck NFIV with 40 cc. strong
ammonia and add water to 200 cc . After
standing 24 hrs. filter through paper.
Boil filtrate down to 100 cc, add water
to 200 cc. and repeat. Add 70 gms.
gelatin dissolved in water and make up
with water to 1 liter (MacCallum, D. B.,
Am. J. Anat., 1926,38, 153-175).
Carmoisine, see Chromotrope 2 R.
Carnoy-Lebrun fixative for insects and ticks.
Equal parts chloroform, absolute alcohol
and acetic acid saturated with mercuric
chloride. See Slifer-King Method.
Carnoy's Fluid in abs. ale, 6 parts; chloro-
form, 3 parts; and glacial acetic acid, 1
part. Also known as Van Gehuchten's
mixture. A very quick fixative. Do
not wash in water but in 95% ale. It is
employed for many purposes. See
Fibrin, Foot's Method, Glycogen Neu-
rofibrils.
Carotene (Carotin), put green leaves in sat.
aq. KOH, 1 part; 40% ethyl alcohol, 2
parts and tap water 3 parts in wide
mouthed bottle with tight glass stopper
to prevent absorption of CO2 from air
or seal with vaseline. Keep several
days in dark until tissue is yellow and
fluid is green. Change pieces to aq.
dest. several hours. Remove small
pieces, dry on slide with filter paper.
Add 1 drop cone. H2SO4. It turns
green, then blue. Under microscope
carotene crystals appear dark blue
(Steiger, A., Microkosmos, 1941, 8,
121-122). Carotene is a precursor of
Vitamin A.
Carotinalbumins. Combinations of caro-
tinoid pigments with protein. Rather
uncommon. As an example Lison (p.
245) cites the blue carotinalbumin in
the carapace of the lobster which on
boiling is split into a protein and a red
carotinoid.
Carotinoids. Pigments which are non-
saturated and nonnitrogenous hydro-
carbons. Entirely different chemically
from fats, they are nevertheless only
present in vivo as solutions within
lipoids. They generally appear yellow,
orange or brown in unstained frozen
sections mounted in syrup of levulose.
Lison (p. 244) indicates that tissues con-
taining these pigments can sometimes
be embedded in paraffin, because they
are only slowly soluble in cold alcohol.
They are however more quickly soluble
in chloroform, acetone petroleum ether
and toluol. According to Lison (p. 245)
they are always easily identifiable by
the fact that when treated with concen-
trated sulphuric acid they turn intense
blue before being destroyed. Treated
with solution of iodine-iodide (say
Gram's, Lugol's) they give a black green
or brown color. When treated with
solution of chromic acid they lose their
color more or less quickly. See Lipids,
tabular analysis, also Carotin.
Carr-Price Reaction for vitamin A. When
frozen sections of liver are plunged
directly into a solution of antimony
trichloride in chloroform and immedi-
ately examined therein mitochondria
take bright blue color which fades within
30 min. (Bourne, G., Austral. J. Exp.
Biol. & Med. Sci., 1935, 13, 238-249).
Antimony trichloride is said not to be
specific for vitamin A since it also gives
blue color with carotinoid pigments
(Bourne, p. 106). Sterols yield by this
reaction a red color (Raoul, Y. and
Meunier, R., J. Pharm. Chim., 1939, 29,
112-118).
CARRUTHERS
62
CASPERSSON
Carruthers, see Oxidation Reduction Poten-
tial, Vitamins.
Cartesian Diver Manometry, see detailed
description of apparatus and technique
by Glick, pp. 342-393.
Cartilage. This is one of the most awkward
tissues of the body to examine in the
living state because of the mechanical
difficulties involved in separating its
component parts sufficiently thinly for
examination at high magnification in
approximately isotonic media. But the
differentiation of cartilage in tissue
cultures has been studied to advantage
(Fell, H. B., Arch. f. exper. Zellf.,
1929, 7, 390-412) and an account of the
direct investigation of living cartilage
in Sandison transparent chambers in-
serted in the ears of rabbits (Clark, E.
R., and E. L., Am. J. Amt., 1942, 70,
167-200) sounds very promising. The
varieties of cartilage (hyaline, articular,
elastic and fibrous) depend upon the
quantitative and qualitative differences
in the three chief components — cells,
fibers and ground substance.
When the cartilage is fixed to bone,
which is also to appear in the sections,
it is obviously necessary to employ
decalcification, see Bone. Otherwise
cut thin slices, 2-4 mm. thick, and fix by
immersion. Fixation by perfusion is
not a great help because cartilage is
practically avascular. The choice of
fixatives and stains will depend upon
what it is desired to demonstrate. For
routine purposes Zenker's Fluid is
satisfactory followed by coloration of
paraffin sections with Hematoxylin and
Eosin or Mallory's Connective Tissue
stain. But many prefer Celloidin sec-
tions. Resorcin Fuchsin is recom-
mended for the elastic fibers of the
matrix. Since the fibers are somewhat
obscured by the ground substance in
hyaline cartilage dark field and polarized
light may be useful as employed by
Lubosch, W., Zeit. f. mikr. Anat.,
Forsch., 1927, 11, 67-171. A paper by
Dawson, A. B., and Spark, C, Am. J.
Anat., 1928, 42, 109-137 also contains
useful information. If it is desired to
show the Golgi apparatus in the cells
follow the technique used by Fell, H.
B., J. Morph., 1925, 40, 417-459. See
Chondriotin Sulphuric Acid and Phos-
phatase as components of cartilage.
The specific staining of cartilage cells
with crystal violet has been reported by
Hass, G. M., Arch. Path., 1942, 33,
174-181. The characteristic basophilia
of the ground substance is the basis for
the following excellent method for the
demonstration of cartilage in whole
mounts.
Van Wijhe^s methylene blue (Noback,
G. J., Anat. Rec, 1916-17, 11, 292-294).
This, by demonstrating cartilage in blue
in transparent whole mounts, supple-
ments very nicely the vital coloration of
growing bone by Madder feeding or
Alizarin injections. Use embryos, or
bones of young animals like rats or mice,
long bones, ribs, chrondocranium, etc.
Fix in 10% formalin a day or more. 1%
hydrochloric acid in 67% alcohol several
days or a week. Same solution + 0.25%
methylene blue or toluidin blue 1 or 2
weeks until thoroughly stained. De-
colorize in Acid Alcohol. Change alco-
hol when it becomes much colored or
every 1 or 2 days. Continue until only
the cartilage retains deep blue color.
Wash several days in 82% ale. Dehy-
drate in 95% and abs. Equal parts abs.
and benzene. Benzene change twice.
Leave in this or mount in xylene damar
which is better than balsam because of
its light color.
R(^ioactive gold distribution in carti-
lage (Ekholm, R., Acta Anat., 1951,
Suppl. 15 to 11, 75 pp., a first rate study
especially on the knee joint).
Cartilaginous Skeleton of mammalian fe-
tuses. A modification of the Wijhe,
Lundvall and Schultze techniques used
in the Department of Embryology,
Carnegie Institution of Washington is
given by Miller, C. H., Anat. Rec,
1921, 20, 415-419. Wash formalin fixed
material over night in water plus few
drops ammonia. Transfer to 70% alco-
hol and leave 7-14 days changing alcohol
daily for first five. Stain for 3-10 days
in: toluidin blue (Grubler), 1 gm.;
70% alcohol, 400 cc; and hydrochloric
acid, 4 cc. Decolorize for 7-10 days
until decolorizer is but slightly tinged
with the dye in: 70% alcohol, 100 cc.
plus hydrochloric acid, 1 cc. Then 80%
and 95% alcohol, 3 days each. Transfer
to 2% potassium hydroxide, in aq.
dest. and leave 2-3 days until cleared.
Change to 20, 40, 60, and 80% glycerin
in aq. dest. 2 days or more in each.
Store or mount in pure glycerin plus few
crystals of thymol. Obviously length
of times depends chiefly upon size of
specimen. This staining of cartilage
with toluidin blue can be combined with
the coloration of bone with Alizarin
Red S to make very contrasty prepara-
tions (Williams, T. W., Stain Techn.,
1941, 16, 23-25).
Carycinel Red is l-amylaminoanthraqui-
none, an oil soluble dye, recommended
by Lillie, R. D. Stain Techn., 1945, 20,
73-75 as a stain for fat which it colors
deep red. Employ as described for
Coccinel Red.
Caryospora, see Coccidia.
Caspersson, see Absorption Spectra.
CASEATION
63
CELL MEASUREMENT
Caseation (L. caseus, cheese). This change
follows local Necrosis. It is charac-
terized by grayish or light yellow cheesy
masses of tissue which look amorphous
and have lost their original structure.
Identification is morphological. Almost
any good staining method is satisfactory.
In some cases fibrin is present.
Cason, see Mallory-Heidenhain Rapid One-
Step Stain for Connective Tissue.
Catalase. Method for demonstration in
elementary bodies of vaccine virus
(Macfarlane, M. G., and Salaman, M.
H., Brit. J. Exp. Path., 1938, 19, 184;
Hoagland, C. L. et al., J. Exp. Med.,
1942, 76, 163-173). See Holter, H. and
Doyle, W. L., J. Cell Comp. Physiol.,
1938, 12, 295-308.
Cataphoresis. Most solid particles sus-
pended in water move under electric
stress. A positively charged one moves
toward the cathode and a negatively
charged one toward the anode. Micro-
cataphoretic cells are employed to de-
termine and measure the movement
which obviously has an important
bearing on bacterial agglutination.
Electrophoresis is a better term than
cataphoresis. (Holmes, H. N. in Glas-
ser's Medical Physics, 257-263) see
Coagulation.
Cataract, see Optic Lens.
Cathepsin. A method for analysis of
cathepsin in lymphocytes and poly-
morphonuclear leucocytes (neutro-
philes) is given by Barnes, J. M., Brit.
J. Exp. Path., 1940, 21, 264-275.
Cebione, see Vitamin C.
Cedar Oil, see Clearing, Immersion Oils
and Mounting.
Celestin Blue B (CI, 900)— coreine 2R— A
basic quinone-imine dye employed by
Proescher, F. and Arkush, A. S., Stain
Techn., 1928, 3, 28-38 and by Lendrum,
H. C, J. Path. & Bact., 1935, 40, 41&-
416 as a nuclear stain.
Cell Classification according to manner of
life. lutermitotic cells live from the
mitosis which gives them birth to the
mitosis by which they divide to produce
two other cells. They thus cease life as
individuals by division not by ageing,
degeneration and death. There are 2
kinds of intermitotic cells: First, the
vegetative intermitotics some of which
continue a sort of vegetative life con-
stituting a reservoir of undifferentiated
cells on which the body can draw in
some cases as long as it lives. They are
found in the epidermis bone marrow
and other places. Second, the differ-
entiating intermitotics, which exist in
series, one building up a certain degree
of differentiation, which, when it di-
vides, it passes on to its daughter cells.
The progeny of these daughter cells
differentiate still further and pass on
this higher level of specialization to
their successors. Good examples are
myeloblasts and myelocytes in leuco-
cytogenesis. But the first differentiat-
ing intermitotic in any line of differen-
tiation is produced by division of a
vegetative intermitotic. One of the
daughter cells of this division, or in
some instances both daughter cells from
mitosis of a dividing vegetative inter-
mitotic, achieve no further differentia-
tion than their parent cells, for
otherwise the reservoir of vegetative
intermitotics would not be maintained
but would differentiate itself out of
existence.
Postmitotic cells, on the other hand,
are cells whose lives are postmitotic in
the sense that they perform their duty,
age and die. They are the culminations
of the various lines of differentiation.
Again, two sorts are recognizable:
First the reverting postmitotics, which
are capable of full functional activity
and usually go on to death, yet, on
occasion, some of which can revert and
divide. Hepatic and renal cells are
examples. Second, the fixed postmi-
totics, which are different insofar that
they are incapable of mitosis so that
aging and death is for them inevitable
as for instance nerve cells of adults,
sperms and polymorphonuclear neutro-
phile leucocytes. In contrast with the
other 3 kinds these fixed postmitotics
have lost the potentiality of malignant
transformation (Cowdry, E. V., Prob-
lems of Aging. Baltimore, Williams
& Wilkins, 1942, 626-629).
Cell Components can be examined by tech-
niques too numerous to list including
Staining, Supravital and Vital Staining,
Impregnation, Microdissection, Micro-
manipulation, Microinjection, Centrif-
ugation, many Microchemical Reac-
tions, and Indicators by at least 6 differ-
ent kinds of Microscopes. Methods for
many of these components are given
under Capsule Stains, Mitochondria,
Zymogen, Nissl Bodies, etc.
Cell Division, see Mitosis, Amitosis and
series of papers on chemistry of cell
division (Mauer, M. E. and Voegtlin,
C, Am. J. Cancer, 1937, 29, 483-502).
Cell Enlargement, see Giant Cells.
Cell Injury detected by fluorescence
(Herick, F., Protoplasma, 1939, 32,
527-535). See Dead Cells.
Cell Measurement, The Elliptometer —
Written by Dr. J. D. Hamilton, Dept.
of Medical Research, University of
Western Ontario, London, Canada.
February 13, 1951 — The geometric shape
of the section of many histological
structures is circular or elliptical. The
CELL MEASUREMENT
64
CELL MEASUREMENT
cross sections of cell nuclei, the bound-
aries of many cells such as sea urchin
eggs, nerve cells, the central zone of
cells undergoing division, ovarian fol-
liculi, glomeruli, blood vessels and
ducts, may all be described in terms
of their geometrical parimeters.
A quantitative measurement of the
area, eccentricity, and geometric center
of these structures may often be made
by means of an elliptometer (Hamilton,
J. D. and Barr, AL L., Stain Tech.,
1948, 23, 123).
Essentially the elliptometer method
provides a means of fitting an ellipse of
light to a camera lucida drawing of the
cell or structure. Alternatively in
principle, the camera lucida drawing
board may be replaced by a ground
glass screen and an ellipse of light of
suitably controlled intensity, angle,
and size matched to the structure as
viewed directly in the ocular of the
microscope. In both methods, by
direct graphic means, the axes of their
equivalent ellipse or ellipse of best fit
is then determined.
In the instrument a variable circular
iris such as a camera diaphragm, is
used to define a cone of light arising
from a point source. Point sources of
light provided by a zirconium or con-
centrated arc lamp are quite suitable
and make possible the construction of
the apparatus without the use of a con-
densing lens system to define a point
source. The cone of light falls upon
a screen upon which is mounted a grid
of graph paper. An alternative to the
above design uses a lens between the
illuminated diaphragm and the screen.
The lens provides an image of the
diaphragm in the perpendicular plane
of the screen.
The screen maj^ be rotated by means
of an attached arm which rotates in a
sleeve bearing lying parallel to the hori-
zontal lines of the grid. By tilting
the screen out of the vertical plane it
is thus possible to create a family of
ellipses. The minor axes will be con-
trolled and fixed by the diameter of
variable diaphragm. The points at
which the ellipse touches the horizontal
and vertical grid lines may be deter-
mined and the axes calculated by addi-
tion.
In practice the camera lucida draw-
ing is placed flat on the screen and the
elliptometer aperture and screen angle
adjusted to give the best fit. The two
ends of the major axes are marked on
the drawing for future reference, and
the grid values noted.
Derived Measurements: a) Area: If A,
and B, are the major and minor diam-
eters of the ellipse then the area is
K TT A,B,/4 n^ where K is a propor-
tionately constant depending on the
grid system used and the magnifica-
tions entering into the camera lucida
tracing. In our experience with motor
nerve cells (Barr, M. L. and Hamilton,
J. D., J. Comp. Neur., 1948, 89, 93)
the areas determined by elliptometer
and planimeter measurements agree
within five per cent on an absolute basis
in comparing individual cells, and the
statistical parameters of populations
examined by the two methods of meas-
urement are of equal value when con-
trol and experimental populations are
compared. Area measurement using
the elliptometer are more rapid and less
fatiguing than planimeter measure-
ments.
b) Center and Foci: The center and
foci of elliptic sections may be readily
determined by using a rule or by graphic
methods. If the plane of section is
transverse, sagittal, or coronal, a refer-
ence line running dorsal-ventral or
antero-posterior or medio-lateral may
be drawn through the center of the
elliptic figure. The orientation of the
ellipse or the location of inclusions or
other features of the figure, may then
be measured with respect to the axes
of the body as a whole. By this type
of orientation and definition for ex-
ample, it has been possible to show that
the axone hillock of motor cells of the
dorso-lateral group of the ventral horn
arise predominantly in the ventral
medial quadrant of the cell.
c) Eccentricity: The eccentricity is
the ratio of the minor to the major
axis B/A. The eccentricitj^ of indi-
vidual sections may possess some value
as a descriptive measurement. The
average eccentricity of populations may
be of value in following the time course
of changes of shape, as for example in
hypertrophy, cell division, or blastula
development.
d) Cell Shape and Value: Consider
an ellipsoid having major, intermediate,
and minor diameters, A, >B, -^ C,
lying at random in space related to the
plane of section. The eccentricities of
sections drawn from an ellipsoidal
population, homogenous in respect to
shape (but not necessarily size) will
range from a maximum C/B (which
may be unity if the body is an ellipse
of "revolution) to a minimum C/A.
This distribution of eccentricities is
true even if the plane of section does
not pass through the center of the el-
lipsoid.
The eccentricity data may be used
to secure an estimate of the shape and
CELL MEMBRANES
65
CELLOIDIN IMBEDDING
volume of the average body. Accord-
ing to experience, eccentricities are
placed in several classes, from 1.0 to
0.4, say, with class intervals of 0.2.
From the first class, 1.0 to 0.8, an esti-
mate of the eccentricity C/B can be
made, since ellipses of this class are
primarily of the type C, B, particularly
if B and C are appro.ximately equal and
somewhat less than A. Similarly eccen-
tricities of the last class interval 0.6
to 0.4 will provide an estimate of C/A.
Combining these two estimates the
average ratio B/A may be determined.
The minor axes of sections of the
first and last eccentricity groups are
representative of the C or minor axes
of the space figure. Hence an estimate
of the average value of C may be made,
and using the eccentricitj^ ratios al-
ready determined the average values of
A and B can be calculated. The aver-
age volume V equals iir ABC can then
be calculated.
Cell Membranes do not require any special
technique for their demonstration. Al-
most any good fixative will do and they
can be stained a host of different colors.
There is however some difference in the
interpretation of what we see with the
microscope. The essential component
of the walls of all cells is called the
plasma membrane. This conditions per-
meability and its integrity is essential
to the life of the cell. It is said to con-
sist of a continuous layer of lipoid
molecules (phosphatides, sterols, fats)
not more than 2-4 molecules thick on
which proteins are adsorbed, the lipoids
give permeability and the proteins
elasticity and great mechanical strength.
The evidence is critically presented by
Danielli (Bourne, pp. 68-98). He says
that it is improbable that the lipoid
layer is ever thicker than 10 m/x and
that the whole membrane is between Ifx
and 1 m/i thick. Consequently in many
cases we cannot expect to visualize the
plasma membrane itself directly with
visible light because the theoretical
limit of visibility is a particle size of
0.25m. However the position of the
plasma membrane is made clear by the
difference in properties of the cytoplasm
which it limits and the fluid without
and also in the dark field by the light
reflected from its surface. In addition
it is often backed internally by a thin
layer of cytoplasmic cortex (ectoplasm)
which is typically free from cytoplasmic
granules. The plasma membrane may
be supplemented externally by special
membranes such as the myelin sheaths
about nerve fibers. There are many
special techniques for its investigation.
Some are briefly referred to under
Lysis, Permeability, Surface Tension
and Wetting Properties, Nuclear Mem-
brane, PinocytosiB.
Cell Shape. The shape of epithelial cells,
and of all cells for that matter, is deter-
mined by perfectly definite causes.
Obviously those suspended in fluid tend
to be spherical (lymphocytes) unless
their internal organization conditions
some other shape (erythrocytes) . Con-
tact with a surface generally promotes
flattening on that surface. Epithelial
cells are sessile. The study of their
rnorphology is not complicated by mo-
tility. When disposed in a single layer
and subjected to lateral pressure from
their neighbors they take a distinctive
shape which has been analyzed in a
convincing way by F. T. Lewis (Am.
Scientist, 1946, 34, 357-369, and many
earlier papers). In sections of the
laj^er parallel to the surface it may be
seen that most of the cells are six-sided,
or hexagonal. They form a mosaic,
the character of which can easily be re-
membered by students forced to dream
of the benzene "ring" with its 6 carbon
atoms. By drawing many such chemi-
cal symbols side by side a similar mosaic
is formed. As Lewis points out, the
intersections are three-raj'ed not four-
rayed as might be the case if the cross-
sections were squares. Mechanically
this is a great advantage. When the de-
ithelium is stratified provision must be
made for contact with cells on all sides.
Nature adheres to the same three-rayed
intersection and molds the cells in that
shape which provides the smallest sur-
face area for closely crowded bodies.
Lewis found that this could be deter-
mined mathematically as a 14-sided
figure and by careful reconstruction of
actual cells proved that they were all
primarily tetrakaidecahedral in shape.
Examination of his clear illustrations
will be more helpful than pages of de-
scription. The same architectural prin-
ciples apply to many other cell
aggregates, like fatty tissue for ex-
ample. No longer is the histologist
justified in vaguely referring to such
cells as polyhedral. Evidently in the
construction of epithelial surfaces the
cells are fitted together in a much more
effective way than bricks in the building
of a wall. Except for the reference,
the above paragraph is quoted from the
Second Edition of Cowdry's Histology,
Philadelphia : Lea & Febiger , 1938. See
technique for three-dimensional study
of cell shape in plants, Holtzman, D. H.,
Am. J. Bot., 1951, 38, 221-234.
Celloidin Imbedding. Celloidiu is a kind
of generic term covering various cellu-
lose compounds, nitrocellulose, soluble
CELLOIDIN IMBEDDING
66
CELLOIDIN INJECTIONS
gun cotton, etc., employed for imbed-
ding. The collodions are solutions of
pyroxylin made as specified in the
U.S.P. Pyroxylin U.S.?. XI consists
chiefly of cellulose tetranitrite (Merck
Index, p. 465). Obviouslj'^ a purified,
nonexplosive form of pyroxylin is
necessary. There are several in the
market of which Parlodion (Mallinck-
rodt) is the one used in our laboratory.
The Bensleys (p. 37) use as celloidin
"RS 5 sec. low viscosity nitrocellulose
30 per cent solvent in absolute alcohol"
obtained from the Hercules Powder Co.,
Gillespie, N. J._ To make 20% stock
solution they dissolve 140 gms. nitro-
cellulose in 250 cc. ether and 210 cc.
absolute alcohol. This requires 4-5
days shaking occasionally. It is diluted
with ether alcohol to make 10 and 5%
solutions respectively. Nitrocellulose
is much used especially in neurological
technique. It is abbreviated L.V.N.
Some advantages over "celloidin" are
claimed for it by Davenport, H. A.,
and Swank, R. L., Stain Techn., 19^4,
9, 137-139.
Celloidin imbedding is less popular
than it used to be owing to certain
advantages of Paraffin Imbedding rein-
forced by the mania for speed. But
celloidin imbedding is in some respects
superior. It yields sections in which
the affinity of the tissue components for
dyes is often greater. Clearing of the
tissue in xylol and similar fluids is not
required and it need not be subjected to
heat. The tissue usually shrinks less
and seldom becomes so brittle. Brain
specimens can easily be cut in celloidin
even after long mordanting. When
sections are required of large pieces of
tissue in which cavities, such as the
lumina of the paranasal sinuses, alter-
nate with stout bony walls this method
is indicated because the celloidin in the
spaces gives more support than paraffin
(see also Double Imbedding).
The slow method, which is the best,
requires for tissue slices not more than
5 mm. thick, at least 1 day each in 95%
alcohol, absolute alcohol, and in half
absolute and ether. This is followed by
1 day in thin celloidin (about 4% dried
strips of celloidin — Parlodion, Mal-
linckrodt— dissolved in equal parts
absolute alcohol and ether) and 1 or
more weeks in thick 8% celloidin.
The tissue, with some celloidin about it,
is then mounted on a fiber block, hard-
ened in chloroform 1-2 hrs. and stored
in 80% alcohol.
Mallory (p. 60) gives the following as
a rapid method. Fix thin tissue pieces
12-18 hrs. in Formalin-Alcohol. Then
95% alcohol, 2 changes, 2 hrs.; absolute
alcohol, 2 changes, 3 hrs.; alcohol -ether,
3 hrs. ; thick celloidin 12-15 hrs. ; mount
and harden in chloroform, 1 hr.; 80%
alcohol.
A still quicker technique has been
proposed (Richardson, G. D., J. Tech.
Meth., 1934, 13, 81) : To make celloidin
solution, add 1100 cc. absolute ethjd
alcohol to 8 oz. celloidin (dried in air)
and leave over night. Add 1100 cc.
ether. Let stand several days. It is
ready when celloidin is dissolved.
Fix tissue in 10% formalin, 2 hrs.;
acetone, 2 hrs.; oil of cloves ^-2 hrs. or
until clear; celloidin 6 hrs. at room
temperature or ^-3 hrs. in water bath
at 55 °C. (being careful to keep away
from flame). Block and harden in
chloroform j-2 hrs.
Another so called hoi celloidin method
is proposed with all steps in the tech-
nique at an elevated temperature
(Koneff, A. A., and Lyons, W. R., Stain
Techn., 1937, 12, 57-59). Fix pieces
not thicker than 2-3 mm. in 10% neutral
formol, Bouin or Siisa. Wash in aq.
dest. several changes (1 hr. each) at
room temperature. Dehydrate at 50°C.
70, 80, 95 and abs. ale. 2 changes ^ hr.
each. Equal parts abs. ale. and ether
1 hr. Infiltrate at 56 °C. in (1) 10%
nitrocellulose (R.S. ^ second, viscosity
■ia~z^> Hercules Powder Co.) in equal
parts abs. ale. and ether, 1 hr. (2) 25%
in 45 cc. ale. + 55 cc. ether, over night.
(3) 50% in 40 cc. ale. + 60 cc. ether
2-3 hrs. Then transfer tissue to micro-
tome block moistened with ether-alcohol.
Add 50% nitro-cellulose and the tissue.
Harden in 2 changes chloroform during
1 hr. Then pass through 3 changes 80%
ethyl alcohol and cut. The authors
mention fixation in "Carnoy II" and
removal of mercury with iodized alcohol
in case a fixative containing mercuric
chloride was employed. Obviously
every precaution must be taken to avoid
explosion.
Store celloidin blocks in 80% ale. See
special methods for imbedding Teeth
and Bone.
Celloidin Injections of lungs. For smaller
vessels and bronchi use : acetone, 100 cc. ;
celloidin, 4 gm.; and camphor, 3 gm.
For larger vessels and bronchi employ :
acetone, 100 cc, sheet celloidin, 20 gms.,
and camphor, 15 gm. In place of sheet
celloidin old x-ray films can be used if
first the emulsion is removed by washing
in warm water and they are then dried
and cut into strips. If colors are desired
employ oil paints. If Roentgenograms
are to be made of the corrosion specimens
add 10-12% sodium iodide or barium
sulphate to a 30% suspension. In case
of the vessels wash out blood first by
CELLOIDIN SECTIONS
67
CENTRIFUGATION
forcing physiological saline solution into
vena cava thence through right heart
and via pulmonary arteries to lungs
evacuating by pulmonary veins. Allow
injected lung to stand in running water
over night thus hardening celloidin.
Immerse in concentrated hydrochloric
acid to digest away tissues leaving
celloidin cast. This usually takes 24
hrs. Wash thoroughly in gentle stream
of water. Mount dry or mount wet in
solution made up as follows : Boil for 10
min. 100 cc. aq. dest. + 20 cc. glycerin.
When cool add formalin to 2% and filter
until clear (Marquis, W. J., J. Tech.
Methods, 1929, 12, 59-64). See illus-
trations of Marquis and arrangement of
pressure bottles. A celluloid corrosion
technique for the kidney is described by
N. W. Baker, J. Tech. Methods, 1929,
12, 65-68.
Celloidin Sections. Cut side of celloidin
block to smooth plane surface. Moisten
this and surface of microtome block
holder with alcohol-ether. Add drop
thick celloidin. Press together, harden
in chloroform and cut in 80% alcohol on
a sliding microtome with knife at an
angle. Keep surface of knife and block
wet with 80% alcohol from overhead
dropping bottle. (A method has been
described for treating block with cedar
oil and cutting dry with rotatory micro-
tome, Walls, G. L., Stain Techn., 1936,
11, 89-92). Sections are usually cut at
a thickness of 10-16 p. (It is possible to
arrange the sections serially but it is a
tedious business. If serial sections are
needed, paraffin should be selected in
place of celloidin.) The sections un-
mounted can be stained without remov-
ing the celloidin after which they are to
be dehydrated and cleared before mount-
ing. The object is not to remove the
celloidin but to soften it. The following
mixture is recommended by Lee (p. 108)
in place of xylol, toluol or benzol : creo-
sote, 40 cc. ; Bergamot oil, 30 cc. ; xylol,
20 cc. and origanum oil, 10 cc.
Cellosolve is ethylene glycol monoethyl
ether. It mixes with water, acetone,
alcohol, ether and dissolves many oils,
waxes, etc. Employed by Lendrum
(A.C., J. Path. & Bact., 1939, 49, 590-
591).
Cellulose, microchemical reaction for. Solu-
tion A : Dilute 20 cc. of 2% iodine in 5%
aq. potassium iodide with 180 cc. aq.
dest., add 0.5 cc. glycerin and mix by
shaking. Solution B : Saturate 15 cc.
aq. dest. with lithium chloride at 80°C.,
cool and use supernatant solution.
Tease out section or fibers. Apply 2-3
drops "A" by glass rod and leave 10 sec.
Blot with filter paper and dry. Add
drop "B", cover and examine. Cellu-
lose blue, green, yellow depending upon
its source (Post, E. E. and Laudermilk,
J. D., Stain Techn., 1942, 17, 21-26.
See Polysaccharides.
Cements. W. C. Tobie (in Simmons, and
Gentzkow, p. 356) gives two useful
types :
Vacuum wax for ordinary vacuum
seals not subjected to high temperature
is made by melting together equl parts
of beeswax and rosin. It is pliable and
easily removed with hot water.
Acid resisting cement is made by
mixing asbestos powder and sodium
silicate solution (water glass) into a
paste of desired consistency. Will dry
in 24 hrs.
For ringing specimens mounted in
glycerin, etc. see Kronig's Cement and
Mounting Media.
Centigrade temperature to Fahrenheit
1. Above 0°C. multiply by 9, divide by 5,
add 32. Example: 37°C. = 37 X 9 =
333 -^ 5 = 66.6 -f 32 = 98.6°F.
2. Between -17.77 and 0°C. multiply by
9, divide by 5 subtract from 32. Ex-
ample: -12°C. = 12 X 9 = 108 -T- 5 =
21.6; 32 - 21.6 = 10.4°F.
3. Below -17.77°C. Multiply by 9, di-
vide by 5, subtract 32. Example:
-18°C. = 18 X 9 = 162 -^ 5 = 32.4 -
32 = 0.4°C.
Central Body, see Centrosome.
Centrifugation. To even sketch in outline
the techniques that come under this
heading is difficult because the centrifu-
gation of so many materials and tissues
is helpful and the instruments vary from
simple hand driven machines to power-
ful ultracentrifuges which may weigh
several tons and which certainly require
experts to care for them. See Svedberg,
T. and Pedersen, K. O., The Ultra-
centrifuge, Oxford, Clarendon Press,
1940, 478 pp.
The centrifuge has long been of help
in the displacement of certain com-
ponents of cells (especially marine eggs)
in order to determine their functional
r61es. It has also proved invaluable in
the investigation of cytoplasmic and
nuclear Viscosity, which see.
In recent years centrifugation has
opened a new chapter in microchemistrj'
by the part which it has played in the
collection of cellular components in
sufficient volume for analysis. Pioneer
work was done with the liver. The
Bensleys (p. 6) give instructions which
are in part as follows. First perfuse the
abdominal organs of a guinea pig with
about 1000 cc. 0.85% aq. sodium chloride
(see Perfusion). This removes a good
deal of the blood. Excise liver and
grind up thoroughly in a mortar. Place
the resulting thick fluid in large centri-
CENTRIFUGE MICROSCOPE
68
CENTROSOMES
fuge tubes, add about twice the volume of
0.85% aq. sodium chloride and balance
the tubes with more as may be necessary.
If complete separation of mitochondria is
desired centrifuge for 1 min. at 3000
r.p.m. which results in stratification.
In first and lowest stratum, at the bot-
tom of the tubes, will be found liver cells,
cell debris and connective tissue ele-
ments ; in the second, nuclei and red
blood cells; in the third mitochondria
and small cell fragments; and in the
fourth and uppermost, free fatty drop-
lets. The materials in any of these
layers can then be collected by drawing
up in a pipette, suspended again in salt
solution and purified by further cen-
trifugation.
For the isolation of ellipsin (structural
protein) and mitochondria see Bensley,
R. R. and Hoerr, N. L., Anat. Rec,
1934, 60, 251-266 and 449-455. Since it
is in the mitochondrial fraction resulting
from centrifugation that vitamin A is
found the Goerners have greatly ex-
tended the usefulness of the method in a
series of studies on tumors (Goerner)
A., J. Biol. Chem., 1937-38, 122, 529-
538 and A., and M. M., ibid, 1939, 128,
559-565). The technique has been
further improved by Claude (A., Sci-
ence, 1938, 87, 467-468 ; Cold Spring Har-
bor Symposia on Quantitative Biology
1941, 9, 263-270) who used 18000 r.p.m.
See, particularly, standardized tech-
niques in his 1941 paper. Beams,
H. W. and King, R. L., Anat. Rec,
1940, 76, 95-101, and in a series of
other papers, have greatly contributed
to the use of ultracentrifugation in the
solution of biological problems. See
Lucas, A. M., Am. J. Path., 1940, 16,
739-760 on intranuclear inclusions.
Centrifuge Microscope. By this ingenious
combination of microscope and cen-
trifuge it is possible to observe living
cells with the highest dry objectives
while they are actually being cen-
trifuged. Cells or organisms to be
examined are placed in isotonic media
of appropriate density in special slides
constructed so that the centrifugal
force derives them into approximately
the focus of the objective. The clear-
ness of the 2 dimensional image is not
conditioned by the speed of rotation.
The slide is fixed into the centrifuge
head remote from the axis of rotation.
Strong light is focussed by condensing
lens from above onto the slide. A prism
below the slide in the centrifuge head
directs the light toward the axis of
rotation directly through an objective.
When received at the axis of rotation it
is directed upward by reflecting prisms
into an ocular in position above the
center of the centrifuge head. Not only
can stages in displacement of intra-
cellular components be watched but
permanent records are easily made in
the form of motion pictures. Since its
introduction by Harvey and Loomis in
1930 several structural improvements
have been achieved. A commercial
design is made by Bausch and Lomb
Optical Company (Harvey, E. N., in
Glasser's Medical Physics 1944, 147).
Centriole, see Centrosome.
Centrosomes (G. Kentron, center; soma,
body), sometimes called a "central
body", is a minute spherule which is a
dynamic center of some sort involved in
cell division. It is sometimes called a
centriole though Conklin (Cowdry's
General Cytology, pp. 542 and 544) says
that a central body, the centriole,
appears within the centrosome during
mitosis. When the centrosome is double,
that is consists of two minute bodies
side by side, it is designated a diplosome.
About the centrosome, or diplosome,
there is usually a clear area which is
known as a centrosphere. The centro-
some, or centriole plus the clear area is
called the cytocentrum. For terminology
see Wilson, E.B., The Cell. New York:
Macnaillan Co., 1925, 1232 pp. For
functional significance see Fry, H.J.,
Biol. Bull., 1929, 57, I3I7I5O. Giant
centrospheres in degenerating cells are
described by Lewis and Lewis (Cow-
dry's General Cytology, p. 427) and
multiplication of centrioles in striated
muscle tumors by Wolbach, E. B., Anat.
Rec, 1928, 37, 255-273.
Centrosomes are not easily demon-
strated in tissue sections. The tech-
nique originally used by Heidenhain
(Arch. f. mikr. Anat., 1894, 42, 665) ap-
pears to be the best. It consists of
fixation in a Sublimate Acetic, or Sub-
limate Alcohol Acetic, and of staining
the sections 24 hours in a dilute aq. sol.
of Bordeaux red or of anilin blue fol-
lowed by iron hematoxylin in the usual
way. The centrosomes are stained
black or gray with a tinge of red or blue.
In glandular epithelial cells look for
them in the cytoplasm between the
nucleus and the lumen.
To reveal centrosomes in non-dividing
nerve cells is difficult, probably because 1
they are seldom present. Hatai (S.,
J. Corap. Neurol., 1901, 11, 25) was able
to stain them in certain nerve cells of
adult rats. He fixed in sat. mercuric
chloride in formalin, 30 cc; glacial
acetic acid, 50 cc. and physiological salt
solution, 15 cc. for 6-12 hrs., then
washed, 4-5 hrs. in running water, im-
bedded in paraffin, stained in sat. aq.
toluidin blue or thionin, dehydrated,
CEPHALIN
69
CHAMPY-KULL'S METHOD
cleared and mounted the sections. Rio
Hortega (P., Trab. Lab. Invest. Biol.
Univ. Madrid, 1916,14, 117)has obtained
beautiful silver preparations of centro-
somes. Addison (McClung, 1950 p. 378)
advises fixation in Flemming's Fluid
or in Allen's chromic-urea modification
of Bouin's Fluid followed by staining
with Heidenhain's Iron Hematoxylin.
A detailed investigation of the effects
of a great many fixatives on the mitotic
figure in chaetopterus eggs has been
made by Fry (Fry, H.J. Biol. Bull., 1933,
65, 207-237). He concluded (1) that
acetic acid, picric acid, formaldehj'de
and alcohol and certain combinations of
them are most useful as fixatives (2)
that anesthetics like chloroform and
ether and inorganic fixatives are to be
avoided; (3) that the fixatives must be
diluted to about 10% of the original con-
centration with aq. dest. or better with
sea water. Comparable information for
human tissues is lacking.
Cephalin, a phosphatide, is a compound of
phosphoric acid, glycerol, 2 fatty acid
molecules and amino ethyl alcohol. It
differs also from lecithin in being only
very slightly soluble in alcohol, see
Lipoids.
Cerasin R, see Bordeaux Red.
Cerasln Red, see Sudan HL
Cerebrosides are galactosides, that is com-
pounds of fatty acid, galactose and
sphingosine, without phosphorus, sol-
uble in benzene, pyridine and hot
alcohol and almost insoluble in ether,
see Lipoids.
Cerebrospinal Fluid. Total cell count is
best made in a Fuchs-Rosenthal count-
ing chamber. In making smears for
the differential count it may be neces-
sary first to add a little albumin fixa-
tive to the slides to get the cells to
stick (C. J. Lind in Simmons and Gentz-
kow, p. 91).
Ceresin Imbedding. Ceresin is purified
ozokerite, a mixture of hydrocarbons,
with melting point 61-78°C. used as a
substitute for beeswax and for other
purposes. Waddington, C. H. and
Kriebel, J., Nature, 1935, 136, 685 ad-
vise for hard objects like feathers addi-
tion of ceresin to a paraffin of slightly
lower melting point than that usually
employed. The whole, when cooled, has
a very fine texture. See the methyl
benzoate celloidin ceresin method of
'Espinasse for imbedding hard objects
in a suitable condition for sectioning as
described by Lee (p. 96) and Waterman,
H. C, Stain Techn., 1939, 14, 55-62.
Ceresin can be obtained from Shell Oil
Co., melting point, 82-85°C.
Cerium, see Atomic Weights.
Ceroid. This is a wax like endogenous pig-
ment (G. keros, wax -f eidos, resem-
blance). It is greenish yellow to golden
brown in color, fluorescent, acid fast,
stains with fat dyes as well as with
methyl green, and is relatively insoluble
in fat solvents. Ceroid has oeen sepa-
rated from the tissues of rats, collected
en masse and analyzed by Moore, T.
and Wang, Y. H. (Brit. J. Nutr., 1947,
I, 53-64). Mason, K. E. and Emmel,
A. F. (Anat. Rec, 1945, 92, 33-59) con-
sider its demonstration in muscle to
be reliable indication of vitamin E
deficiency. Grenados, H., Mason, K.
E. and Dam, H. (Acta Path., 1947, 24,
86-95) present evidence in rats of a
metabolic relationship between vitamin
E and unsaturated fatty acids. A help-
ful summary of the distribution of
ceroid pigment in human tissues is
supplied by Pappenheimer, A. M. and
Victor, J. (Am. J. Path., 1946, 22,
395-412). The properties of ceroid pig-
ment in relation to experimental necro-
sis in rats and mice, as revealed by many
histochemical techniques, are presented
by Lee, C. S. (J. Nat. Cancer Inst.,
II, 339-347). The important point is
made that there are easily noticeable
differences between the ceroids of these
two species. An interesting technique
for the study of ceroidlike substances
is to produce them in vitro and in vivo
from certain lipids and erythrocytes
as has been done by Hartroft, W. S.
(Science, 1951, 113, 673-674).
Cerotine Ponceau 3B, see Sudan IV.
Cerulein MS (CI, 783) — Anthracene Green,
Coerulein MS — a mordant dye of light
fastness 3 to 4 gives unsatisfactory
coloration of animal tissues. Direc-
tions for plants (Emig, p. 55).
Cervical Swab-Smears, see Paparnicolaou
Techniques.
Cesares-Gil flagella stain evaluated,
Thatcher, L. M., Stain Techn., 1926,
1, 143-144.
Cesium, spectrograph c analysis of, in
retina (Scott, G. H. and Canaga, B.,
Jr., Proc. Soc. Exp. Biol. & Med., 1939,
40, 275).
Cestoda, see Parasites, Taenia.
Cevitamic Acid, see Vitamin C.
Chalkley ratio method for determining rela-
tive volumetric composition of tissue
sections (Chalkley, H. W., J. Nat.
Cancer Inst., 1943, 4, 47).
Chambers, see Micromanipulation.
Champy-KuH's Method of anilin fuchsin,
toluidine blue and aurantia for mito-
chondria. Fix in Champy's fluid (3%
potassium bichromate, 7 cc. ; 1% chromic
acid, 7 cc. ; 2% osmic acid, 4 cc.) 24 hrs.
Wash in aq. dest. Place in pyrolig-
neous acid, 1 part and 1% chromic acid,
2 parts 20 hrs. Wash aq. dest. 30 min. ;
CHAMPY'S FLUID
70
CHLORAZOL PAPER BROWN B
mordant 3% aq. potassium bichromate,
3 days. Wash running water 24 hrs.,
dehydrate, clear, imbed and section
at 4ju. Remove paraffin from sections.
Stain with anilin acid fuchsin (acid
fuchsin 10 gms., anilin water 100 cc.)
heated over spirit lamp and allow to cool
6 min. Rinse in aq. dest. Counter-
stain in 0.5% aq. toluidine blue 1-2 min.
Rinse inaq. dest., then 0.5%aurantiain
70% alcohol 20-40 sec. Differentiate in
95% alcohol, dehydrate, clear and
mount. Mitochondria red, nuclei blue
and ground substance yellow.
Champy's Fluid is 3% potassium bichro-
mate, 7 parts ; 1% chromic acid, 7 parts ;
and 2% osmic acid, 4 parts. It is an
excellent fixative for cytologic details.
Charcot-Leyden's Crystals. Octahedral
phosphate crystals found in stools of
persons infected with Endameba his-
tolytica and in a variety of other condi-
tions. See description and illustration
by Craig, p. 58.
Cheese. Bacteria in, see Hucker, G. J.,
N. Y. Agric. Exp. Sta. Tech. Bull.
1921,87(McClung, p. 147).
Chelidonium, see Fluorescence Microscopy,
shows "secondary" fluorescence.
Chicago Blue, see escape from venules after
intravenous injection (Smith, F. and
Rous, P., J. Exp. Med., 1931, 54, 499-
514).
Chick, see Chorioallantoic Membrane.
China Blue, see Anilin Blue.
Chitin. This is a keratoid, or keratin-like,
substance which is an important part
of the exoskeleton and hard parts of
invertebrates (G. chiton, a coat). It is
soluble in hot concentrated sulphuric
and hydrochloric acids; relatively in-
soluble in alcohol, ether, dilute acids
and alkalies. There are several color
reactions for chitin. Lillie (p. 147)
applies to chitin, thoroughly washed
after treatment with potassium hydrox-
ide, 33% aq. zinc chloride to which 3-5
drops cone. aq. iodine potassium iodide
have been added to each 10 cc. Chitin
becomes brown on the surface, violet
within. Chitin is colored red violet
by a solution containing: iodine, 50
mg., potassium iodide 50 mg., calcium
chloride 16 gm. and aq. dest. 4 cc.
1. A method for softening of chitin in
formalin fixed insects (Murray, J. A.,
J. Roy. Micr. Soc, 1937_, 57, 15). Fix
primarily in 10% formalin in 0.8% aq.
sodium chloride, or indefinitely. Fix sec-
ondarily and dehydrate in equal parts
absolute alcohol, chloroform and glacial
acetic acid + corrosive sublimate to satu-
ration (about 4%). Warm together equal
parts chloral hydrate and phenol until
they fuse and form an oily liquid which is
fluid at room temperature . Leave speci-
mens in this 12-24 hrs. or longer. Clear
in chloroform, xylol or carbon disul-
phide. Imbed in paraffin.
2. According to Hennings (see Lee,
p. 597) fixation of insects in the following
mixture softens the chitin sufficiently
to permit the making of paraffin sections:
nitric acid, 16 cc. ; 5% aq. chromic acid,
16 cc; sat. corrosive sublimate in 60%
alcohol, 24 cc; sat. aq. picric acid, 12
cc; and abs. ale, 42 cc. Fixation is
12-24 hrs. followed by washing in iodine
alcohol. An older method is to soften
chitin by treatment with a solution of
hypochlorite of soda (Lee, p. 249).
See Diaphanol, N. Butyl Alcohol, In-
sects, and Ticks.
Chloral Hydrate, as a fixative for peripheral
nerves (Bank, E. W. and Davenport,
H. A. Stain Techn., 1940, 15, 9-14).
Chloral hydrate is also recommended as
a macerating medium for the separation
and isolation of epithelial and lining
cells by the Bensleys (p. 5). Accord-
ing to their instructions remove small
pieces alimentary tract of pithed or
freshly killed frog and leave them in
5% aq. chloral hydrate 12-48 hrs. Then
tease with fine needles and examine.
See Cajal's chloral hydrate method.
Chlorazol Black E (CI, 581) of British Dye-
stuffs Corporation — Erie black G X 00
(National Aniline and Chemical Com-
pany), Pontamine black E (I. E.Du Pont
deNemours & Co.) — an acid poly-azo
dye. First described as a new biological
stain by Cannan (H. J., Nature, 1937,
139, 549). Review of its uses (Cannan,
H. J., J. Roy. Micr. Soc, 1941, 61,
88-94). As a vital dye (Baker, J. R.,
Nature, 1941, 147, 744). Stains chro-
matin black, cytoplasm greenish gray
after Zenker fixation (Darrow, M. A.
Stain Techn., 1940, 15, 67-^8). As an
acetocarmine auxiliary stain for chro-
mosomes (Nebel, B. R., Stain Techn.,
1940, 15, 69-72) . As a simple connective
tissue stain (Levine, N. D., and Morril,
C. C, Stain Techn., 1951 16, 121-122)
it is excellent for arterial elastic tissue.
Chlorazol Blue 3B, see Trypan Blue.
Chlorazol Fast Pink used as anticoagulant
in experiments designed to influence
growth of transplants of lymphosar-
comas (Williams, W. L., Cancer Re-
search, 1946, 6, 344-353). Toxicity as
an intra vitam stain is presented by Wil-
liams, W. L. and Hodge, H. C, Anat.
Rec, 1943, 87, 181.
Chlorazol Paper Brown B. A sat. aq. sol.
of this dye has been employed to stain
plant tissues. It is differentiated in
1% aq. nitric acid. Acetone is used
for dehydration and Euparal for mount-
ing (Verdcourt, B., Stain Techn., 1947,
22, 155-156).
CHLORAZOL PINK Y
71
CHLORIDE
Chlorazol Pink Y, see Thiazine Red R.
Chloride. In 1908 Macallurn reviewed the
older literature and described his silver
test for chloride (Macallum, A. B.,
Ergeb. d. Physiol., 1908, 7, 552-652).
The possibility, which has not yet been
finally answered, is that at some stage
in the technique there is a shift in the
position of chloride. The mere applica-
tion of the silver reagent may conceiv-
ably withdraw chloride from the cell.
For these reasons prior treatment of the
tissue by the Altmann-Gersh freezing
and drying method which reduces the
chance of movement of chloride to a
minimum is recommended.
1. Gersh (Gersh, I., Anat. Rec, 1938,
70, 311-329) gives details of the proced-
ure on which the following instructions
are based. Tissues frozen in liquid air,
dried in vacuum, embedded in paraffin
and sectioned at 15m are mounted near
one edge on chemically clean large cover
slips by simply pressing down with a
finger, just melting over a flame and
pressing down again. Immerse cover-
slips with attached sections in anhydrous
petroleum ether (b.p. 20-40°C.) freshly
distilled over sodium in a watch glass
covered by another at all times except
during actual manipulations. This re-
moves the paraffin. Remove and burn
off the ether quickly by a flame and allow
to cool to room temperature. Then treat
two coverslips with attached sections
differently.
A. Cover for few seconds with drop
of 60% aq. silver nitrate diluted with
sufficient quantity of cone, phosphoric
acid to prevent precipitation of rather
large concentrations of phosphates and
then saturate with silver chloride. After
filtering 2-3 drops aq. dest. are added to
every 10 cc. before using.
B. Cover similarly with: 60% aq.
silver nitrate saturated with silver phos-
phate and silver chloride and dilute
after filtering in the same way.
Decant fluids from both coverslips.
Add to each 1 drop chemically pure
glycerin and mount with section plus
glycerin down on chemically clean slides.
Expose both to carbon arc radiation for
same length of time but at a distance
not to warm the specimens. Examine
immediately the reduced silver by direct
illumination or in the dark field. A.
shows specifically only the chloride and
B. the same amount of chloride plus
maximal concentrations of phosphate
and some carbonate.
2. Dichlor fluorescein method (Bens-
ley, R. D. and S. H., Anat. Rec, 1935,
64, 41-49). For the lung of a rabbit.
Inject 1% aq. dichlorfluorescein intra-
venously until the animal becomes
quite yellow. Then kill it and inject
10% aq. silver nitrate or Silver Citrate
solution either intratracheally or di-
rectly into the lung substance by a hy-
podermic syringe until the lung is
moderately distended. In about 20
min. the color reaction reaches its
maximum. The silver chloride becomes
pink owing to adsorption of the dichlor-
fluorescein on the positively cliarged
silver chloride molecule. Then fix
pieces of lung in 10% neutral formalin
and make frozen sections. Examine
immediately for best color reaction.
Dehydrate the sections, clear in absolute
alcohol and iso-safrol and mount in bal-
sam. The color reaction is not perma-
nent but is masked and finally lost by
the browning and blackening of the sil-
ver. It is not a true microchemical
test; but it does detect the presence of
chlorides though they are mobilized by
the silver and tend to move to the per-
iphery of the cell. The alveolar epi-
thelial cells are outlined by pink stip-
pling and their cytoplasm is also stippled
and the nuclei are richly stippled.
Mesothelial and endothelial cells are
brilliantly and completely outlined in
pink. The technique was first sug-
gested by David M. Ritter.
The location of chloride is a matter of
great importance. Lowry, O. H. and
Hastings, A. B. in Cowdry's Problems
of Ageing, Baltimore: Williams & Wil-
kins, 1942, 936 pp. cite the following as
evidence for the extracellular position
of chloride in skeletal muscle :
(1) Direct microscopic studies show-
ing that chloride is exclusively extra-
cellular (Gersh, I., Anat. Rec, 1938,
70,311-329).
(2) Perfusion experiments showing
that chloride can be removed without
apparently affecting the intracellular
phase (Amberson, W. R. et al.. Am. J.
Physiol., 1938, 122, 224-235).
(3) Variations in amount of chloride
and in acid base balances of tissues can
only be accounted for by assuming
an extracellular position for chloride
(Hastings, A. B. and Eichelberger, L.,
J. Biol. Chem., 1937, 117, 73-93).
(4) Isolated tissues equilibrated in
vivo against solutions of varying chloride
concentrations retain chloride in pro-
portion to the concentration in the
medium but at a very much lower level
(Fenn, W. O., Cobb, D. M. and Marsh,
B. S., Am. J. Physiol., 1934, 110, 261-
272; Eggleton, M. G. and P. and Hamil-
ton, A. M., J. Phvsiol., 1937, 00, 167-
182).
(5) Conclusion that in many tissues
for all practical purposes all radioactive
sodium and radioactive chloride remain
CHLOROPHENOL RED
72
CHLOINESTERASE
outside the cells (Manery, J. F. and
Bale, W. F., Am. J. Physiol., 1941,132,
215-231; Manery, F. W. and Haege,
L. F., ibid, 134, 83-93).
See, however, Heilbrunn, L. V. and
Hamilton, P. G., Physiol. Zool., 1942,
15, 363-374 for demonstration of chloride
in muscle fibers.
If chloride is always extracellular in all
tissues it is possible accurately to meas-
ure the amount of extracellular fluid
and a new chapter in histochemistry is
opened. Lowry and Hastings give an
example. If rat muscle is found to
contain 10.5 milliequivalents of chloride
per kilogram of tissue and the serum of
the same animal 105.2 milliequivalents
of chloride per kilogram of serum water,
in view of the Donnan effect on chloride
distribution it can be calculated that a
kilogram of extracellular fluid contains
109.7 milliequivalents of chloride. Con-
sequently the sample of muscle contains
10 5
rrr^ X 1000 = 96 gms. of extracellular
fluid per kilogram. When the extra-
cellular fluid contains coUagenic and
elastic fibers, collagen and elastin must
be determined and the necessary correc-
tions made as well as for blood and fat
when these are present. When the in-
tracellular phase is chiefly composed of
a single type of cell as in skeletal or
cardiac muscle the further evaluation of
intracellular components is not diffi-
cult. Taking every known precaution,
evidence can apparently be collected of
the relative composition of extracellular
and intracellular phases.
If it is desired to determine chloride
in very small amounts of fluid, as in
the analysis of glomerular urine, a
method described by Westfall, B. B.,
Findlev, T. and Richards, A. N. (J.
Biol. Chem., 1934, 107, 661-672) is sug-
gested. Glick (p. 200) says this per-
mits chloride determination in a frac-
tion of a m1 of fluid containing 1 Mgni.
or less of the choride. The technique
of Sendroy, J. (Jr., J. Biol. Chem.
Chem., 1942, 142, 171-173) is adequate
for 10 (mI of serum. There are in addi-
tion several titrimetric methods for
chloride which should likewise be con-
sidered as possibilities. See Glick, pp.
281-283.
Chlorophenol Red. See Hydrogen Ion Indi-
cators.
Chlorophyll. The green pigment of plants
is a mixture of 2 substances chlorophyll
a and b, of which many derivatives are
known. In man several fluorescent
chlorophyll porphyrins are identifiable
in feces and urine. A detailed account
of chlorophyll is provided by Rothe-
mund. P., in Glasser's Medical Physics,
1944, 154-180.
Chloroplasts. Isolation and collection en
masse from spinach leaves by centri-
fugation (Menke, W., Zeit. f. Physiol.
Chem. , 1938-39, 257, 43. See Glick.
Chloroprene, see Neoprene.
Chlorothymols, as preservatives of gelatin,
glues, starches, etc. (Law, R. S., J. Soc.
Chem. Ind., 1941, 60, 66).
Chocolate Blood Agar, see Bacteria, Media.
Cholesterol (esters) = cholesterides. In
unstained frozen sections mounted in
syrup of levulose they show no color of
their own; but the Liebermann-Bur-
chardt Reaction in frozen sections of
formalin fixed tissue is positive. Digi-
tonine Reaction in similar sections
yields a complex in which the esters, if
present, will color with Sudan III and
lose birefringence in polarized light.
See Lipids tabular analysis, see Schultz
test for cholesterol and its esters.
Technique for determination in buffer
is given by Nieman, C. and Groot, E. H.,
Acta Physiol, et Pharmacol. Neerland.,
1950, 1, 488-501.
Cholesterols (free). In unstained frozen
section mounted in syrup of levulose,
they show no color of their own. Lie-
bermann-Burchardt Reaction in frozen
sections of formalin fixed tissue is posi-
tive : blue, purple or violet then becom-
ing green. Digitonine Reaction in simi-
lar sections yields strongly birefringent
cr3-stals and rosettes which do not stain
with Sudan III. See Lipids, tabular
analysis.
Choline. See Florence's Reaction for Semi-
nal Stains.
Choline Deficiency. Use of fluorescence
microscopv in (Popper, 11. and Chinn,
H., Proc. Soc. Exp. Biol. & Med., 1942,
49, 202-204). See Vitamin B complex.
Cholinesterase — Written bj' E. W. Demp-
sey, Dept. of Anatomy, Washington
University, St. Louis, February 26, 1951
— Important since it is implicated in
nervous transmission. It is present in
high concentration in the neuromuscu-
lar junction and in the electric organ of
eels, and has also been detected in the
axis cj4inder of nerves. Anfinsen, C.
B., O. H. Lowry and A. B. Hastings
(J. Cell, and Comp. Physiol., 1942,
20, 231-237) have developed a method
whereby the same section of rat brain
cortex can be stained for microscopic
examination and thereafter used for
enzyme measurement. Recently, a
number of techniques have been pro-
posed for its detection on slides. Go-
mori, G. (Proc. Soc. Exp. Biol, and
Med., 1948, 68, 354-358) reported that
long-chain fatty acid esters of choline
were hydrolyzed by tissue sections, and
CHONDRIOSOMES
73
CHOR'S MODIFICATION
that the fatty acids could then be
visualized. However, hydrolysis of
such substrates is slow and probably
caused by a non-specific esterase.
Koelle, G. B. and J. S. Friedenwald
(Proc. Soc. Exp. Biol, and Med., 1949,
70, 617-622) proposed the use of acetyl-
thiocholine iodide as a substrate, and
obtained beautiful localizations within
the central nervous system. These au-
thors have also differentiated between
the true and pseudocholinesterases by
means of specific inhibitors (J. Nat.
Cancer Inst., 1950, 10, 1364). Seligman,
A. M., M. M. Nachlas, L. H. Man-
heimer, O. M. Friedman and G. Wolf
(Ann. Surg., 1949, 130, 333-341) have
proposed a naphthyl derivative of ace-
tylcholine as a substrate. After hydro-
lysis, the naphthyl moiety is visualized
by diazotization.
Chondriosomes, see Mitochondria.
Chondriotin Sulphuric Acid. Present in
cartilage and bone, stains metachro-
matically with basic dyes, described in
detail by Lison, L., Arch, de biol.,
1935, 46, 599-668. See Muccproteins.
Chorioallantoic Membrane. 1. Vital stain-
ing of virus lesions in membrane (Cooke,
J. V. and Blattner, R. J., Proc. Soc.
Exp. Biol. & Med., 1940, 43,255-256).
Place 1 cc. 0.5% aq. trypan blue directly
on membrane through window in shell.
Rotate egg gently and return to incu-
bator, 10-30 min. Small lesions require
longer time to stain than large ones.
Remove membrane, wash it gently in
physiological saline and fix flat in 10%
formalin, a few minutes. Make up
glycerin jelly by soaking 5 gms. gelatin
in 44 cc. aq. dest. Then add 50 cc.
glycerin and 1 cc. phenol. Heat gently
and stir. Flatten membrane on a
2 X 2.5 in. slide, warm glycerin jelly to
about 70°C. Add drop by drop to mem-
brane until well covered. Flame a cover
glass and apply with slight pressure until
it has begun to set. Remove hardened
jelly around edges and seal with balsam.
Foci of virus increase are sharply marked
by clumps of deep blue stained cells.
2. Cultivation of microorganisms.
The membrane has been shown to be an
excellent medium for the cultivation of
viruses by Goodpasture, E. W., Wood-
ruff, A. M. and Buddingh, G. J., Am. J.
Path., 1932, 8, 271-282 and many others.
Its usefulness has been extended to
Rickettsiae and spirochetes by Good-
pasture, E. W., Am. J. Hyg., 1938, 28,
111-119, to fungi by Moore, M., Am.
J. Path., 1941, 17, 103-125 and to acid-
fast bacteria by Moore , M . , Am . J . Path . ,
1942, 18, 827-847. This method of inocu-
lation has the advantage over laboratory
animal inoculation in that lesions will
develop in the former within 5-8 days as
compared to weeks or months in the
latter; most organisms will produce defi-
nite and usually characteristic lesions in
the chick membrane, whereas they may
have no effect on experimental animals,
often requiring human subjects; and
because the lesions are so readily visible
and traceable the chlorioallantois serves
well as a means of virulence deter-
mination.
The technique is essentially that of
Goodpasture and Buddingh (E. W.and
G. J., Am. J. Hyg., 1935, 21, 319-360)
with some slight changes. Fertile eggs
are incubated 12 days in an electrical
thermostat-controlled incubator regu-
lated to maintain a temperature of 98°F.
The eggs are turned twice daily. A cm.
square window is cut in the shell above
the embryo, exposing the chorioallantoic
membrane. The position of the em-
bryo is determined by candling. The
membrane is then inoculated directly
with the fungus and the window is cov-
ered with a sterile coverslip and sealed
with a paraffin-vaseline mixture (9 parts
vaseline, 1 part paraffin). After inocu-
lation, the eggs are set in a bacteriologic
incubator and maintained at a tempera-
ture of approximately 33°C., without
turning. The membrane is watched
daily through the window. When the
inoculated area has shown marked
change, the shell is cut below the window
and the membrane exposed. The
chorioallantois is cut with a pair of fine
curved-end scissors, removed, fixed in
Zenker's solution (with 5% glacial
acetic). After washing, dehydrating,
clearing in xylol, and imbedding in
paraffin, it is sectioned and stained.
Various staining techniques can be used
depending on the organism inoculated.
In general, for fungi, Loeffler's meth-
ylene blue and eosin have given satis-
factory results. For experimental tech-
nique of growing mouse sarcoma in
chorio-allantoic membrane, see Jacoby,
F. , McDonald, S. and Woodhouse.D. L.,
J. Path, and Bact., 1943, 55, 409-417.
Chor's Modification of Ranson's pyridine
silver method was worked out in our
laboratory to show alterations in motor
end plates in biceps and triceps of mon-
keys in experimental poliomyelitis
(Chor, H., Arch. Neurol. & Psychiat.,
1933, 29, 344-357). Fix in 1% ammonia
water (28% Merck) in 95% alcohol for
24 hrs. Wash in aq. dest., ^ hr. Pyri-
dine, 48 hrs. Wash in 8 changes aq.
dest. during 24 hrs. 2% aq. silver nitrate
in dark at room temperature, 72 hrs.
Reduce 6-8 hrs. or over night in : pyro-
gallic acid, 4 gm.; aq. dest., 95 cc;
formalin, 5 cc. Dip in water and trans-
CHROM BLUE GCB
74
CHROMOPHIL
fer immediately to 95% alcohol for a few
seconds. Place tissue on slide with
longitudinal markings of fibers visible.
Add a second slide and squeeze gently.
Trim edges with sharp knife so that neat,
flat blocks result. 95% alcohol, 30 min.
Absolute alcohol, 2 changes, over night.
Xylol, 10-12 hrs. until blocks are clear.
Imbed in paraffin 8 hrs. changing re-
peatedly each hr. for first five. Cut
serial sections 10/it. Mount in neutral
balsam. Nerves, dark brown or black;
muscle and connective tissue, yellow.
Chrom Blue GCB, see Gallocyanin.
ChromaflBn Reaction (chromic salts + L.
ajjinis, akin). Brown coloration when
treated with fixatives containing bi-
chromate. In adrenal medulla adrenalin
is revealed by this brown color but the
reaction can also be elicitated by po-
tassium iodate and is not altogether
specific for adrenalin. Lison (p. 147)
advises fixation in Formol-Miiller or in
6% potassium iodate containing 10% of
formol. After the usual fixations chro-
maffin substances can be demonstrated
simply by treating the sections for a few
hours with 3% aq. bichromate or iodate
of potassium (Lison). See Vulpian Re-
action and Osmic Acid.
Chromatin Filaments. The studies of
Claude, A. and Potter, J. S., J. Exper.
Med.,1943,77, 345andof Mirsky, A. E.,
and Pollister, A. W., Biological Sym-
posia., 1943, 10, 247-260 indicate that
chromatin is almost wholly made up of
fibrous nucleoprotein. By extraction,
precipitation and centrifugation the
chromatin filaments can be collected.
They are of very uniform diameter,
like chromosomes, are very resistant to
deforming mechanical injury, can easily
be stained with acetocarmine are given
a positive Feulgen reaction. Mirsky
and Pollister favor the view "that
chromatin is largely, if not entirely, a
complex of highly polymerized desox-
yribose nucleic acid with a basic protein
of either the protamine or histone
type."
Chromatin Stains. The most specific stain
for basic chromatin is methyl green.
Bismark brown is less so. Safranin is
useful for chromatin if a red coloration
is desired as in the safranin-light green
combination. Tests for Iron and Thymo-
nucleic Acid are listed separately.
See Idiochromatin, Linin, Chromosomes
and Nucleolus.
Chromatolysis of nerve cells investigated by
absorption spectra of Nissl bodies
(Gersh, I., and Bodian, D., Biological
Symposia, 1943, 10, 163-184).
Chromatophores. These, when present in
the dermis, are also called melanoblasts,
see Dopa Reaction for their demon-
stration.
Chrome Violet CO (CI, 727). A carboxyl
derivative of pararosolic acid.
Chromic Acid is purchased as the red crys-
tals of chromic anhydride which dissolve
easily in water forming chromic acid.
The crystals should be kept in a bottle
with closely fitting glass stopper because
they are highly deliquescent. Alone in
very dilute solution chromic acid is
helpful in Maceration. When applied in
aqueous solutions of about 1% to a slice
of fresh adrenal it produces a brown color
in the medulla known as the chromaffin
reaction. In mixtures with other chem-
icals it was more used as a fixative 50
years ago than today but in Perenyi
Fluid it is recommended strongly by
Lee (p. 32) for embryos, segmenting eggs,
etc. It is also a component of Flem-
ming's fluid.
Chromidial Substance, a designation often
applied to basophilic cytoplasmic ma-
terial supposed to be of nuclear origin
and therefore to resemble theextranu-
clear chromatin (chromidia) of protozoa.
It is nongerminal chromatin or tropho-
chromidia in contrast to germinal or
idiochromidia (G. idios, individual,
one's own). See Nissl bodies.
Chromolipoids. In contrast to the caro-
tinoids, which are hydrocarbons, the
chromolipoids are fats or derivatives of
fats themselves colored. They occur
frequently especially in nerve cells, in-
terstitial cells of the testicle and in the
adrenal, and are easily distinguishable
from carotinoids because they do not give
the color reactions with sulphuric acid
and iodine-iodide. From melaninsthey
are to be distinguished by not dissolving
in alkalies, by staining with sudanand
scharlach and by not reducing am-
moniacal silver nitrate. The following
method of Hueck is given by Lison :
Stain with nile blue. Treat the sections
for 24 hrs. with aq. dest. oxygenated
3% (= commercial hydrogen peroxide
diluted with 12 volumes water). This
leaves the chromolipoids blue, themela-
nins decolorized. Lison concludes that
distinction from pigments of hema-
togenous origin is not so easy because
some chromolipoids contain iron. See
Lipids, tabular analysis.
Chromophil (G. chroma, color and phileo,
I love), a loose term applied to almost
any granule, cell, or tissue which has a
pronounced affinity for stains. Baso-
philic cytoplasmic materials in gland
cells and in nerve cells (Nissl bodies) are
sometimes called chromophil, moreover
chromophil reaction is unwisely used to
designate the chromaffin reaction of
epinephrin producing tissues.
CHROM-OSMIC-ACETIC
75
CHROMOSOMES
Chrom-Osmic-Acetic fixative, see Lillie's.
Chromosomes. — Written by A. R. Gopal-
Ayengar, Barnard Free Skin and Cancer
Hospital, St. Louis, Sept. 10, 1946—
(Now Pata Memorial Hospital, Bom-
bay) . These are discrete bodies usually
constant in number in the cells of a
given species and frequently having
distinctive structure into which the
chromatin material of a nucleus re-
solves itself during the mitotic process
(see Mitosis). From a chemical stand-
point the chromosome is a protein fiber
like silk or hair, presumably depending
on a peptide chain linkage — C — C — N — .
On this structural framework the per-
manent hereditary units, the genes
(which may be considered as the atoms
of heredity), are located at definite
loci. In a sense, therefore, the chromo-
some may be considered a giant mole-
cule (Darlington, C. D., Nature, 1942,
149, 66-69, Astbury, W. T., Proc. 7th
Int. Genet. Congress., 1939 (Camb.),
1940, 49-51). It is generally stated
that the chromosomes of sperm cells
consist of basic proteins, such as pro-
tamines or histones, in combination
with highly polymerized desoxyribose
nucleic acid (Mirsky, A. E., Advances
in Enzymology, 1943, 3, 1-34).
Smear-Squash technique. The rapid
and spectacular advances in our knowl-
edge of cytology and cytochemistry
during the last fifteen years have
greatly altered our ideas of chromo-
some structure and behavior. Progress
in this direction has been possible
through the introduction of newer tech-
niques, such as smears and squashes,
which have largely supplanted the
classical methods of paraffin sectioning.
In order to obtain the most satisfactory
results, it is imperative to employ cyto-
logical techniques calculated to bring
out fine structures and details as
quickly and accurately as possible.
Most of the smear-squash methods, de-
spite their extreme simplicity, give
superior results because of instantane-
ous fixation and rapidity of staining and
finishing schedules. Moreover, it is
possible to examine thin layers of cells
or even isolated cells and their parts.
They are especially useful in the anal-
ysis of chromosome complexes and
associations and in the exact establish-
ment of numerical relations. Squash
preparations have special advantages.
Individual chromosomes can be recog-
nized more readily and easily, inter-
relations between chromosomes become
clearer, the preparations are almost
two-dimensional, which is of undoubted
value in chromosome measurement
since it obviates errors of measurements
due to differential focussing of three
dimensional structures. However, there
are a few disadvantages resulting
from the disturbances of the natural
relationships of the chromosomes.
These are more than offset by the merits
of the method.
Of course a uniform application of the
same technique is not likely to prove
suitable for every kind of material, but
the general principles are valid, requir-
ing a few modifications depending upon
the particular type of material. No
single method can be recommended
which would prove adequate for all
stages of development. The methods
that have proved particularly satisfac-
tory and have given the best results are
the Feulgen-smear-squash technique of
Coleman, L. C, Am. J. Bot., 1940, 27,
887-895; Coleman, L. C, Genetics,
1943, 28, 2-8; Hillary, B.B., Bot. Gaz.,
1939, 101, 276-300; Hillary, B.B., Ibid,
1940, 102, 225-235; Heitz, E., Ber. d.
biol. Ges., 1936, 53, 870-878; Darlington,
C. D., and LaCour, L. F., The Handling
of Chromosomes, 1942. New York:
The Macmillan Company; and McClin-
tock, B., Stain Tech., 1929, 4, 53-56.
In my experience of making prepara-
tions for the study of somatic and meio-
tic chromosomes, the method given in
the schedule here has proven most satis-
factory. It is essentially a modifica-
tion of the technique developed by Dr.
Coleman and his associates of the Uni-
versity of Toronto and may be applied
to a wide variety of materials, both
plant and animal. The tissues are
fixed in Carnoy, one of the Navashin
modifications or Flemming-Heitz. One
of the best fixatives for small mam-
malian tissues is that given by LaCour,
L. F., Proc. Roy. Soc. Edin. B., 1944,
62, 73-85. It is a mixture of methyl
alcohol (15 parts), 5% acetic acid (5
parts), formalin (1 part), and water
(5 parts). The proportions may need
to be varied according to the material.
For a study of the morphology of mouse
chromosomes the liver tissue of a new-
born mouse is particularly good.
Chromosome structure. The nuclear
cycle, whether in plants or animals, is an
alternation between two stable states —
spiralization and despiralization. The
metaphase chromosomes usually repre-
sent a state of maximum spiralization
and the chromosomes in the resting
nucleus, the maximum of despiraliza-
tion or minimum of spiralization. For
demonstration of the spiral structure
of the chromosomes and unravelling of
the coils, fixation should be preceded
by some form of pretreatment. Differ-
ent methods such as hydration, dessi-
CHROMOSOMES
76
CHYLOMICRONS
cation, exposure to acid vapors or sub-
jection to dilute solutions of alkalis,
treatment with dilute solutions of salts
of strong alkalis and weak acids such
as KCN, NaCN, in fact anything that
tends to change the pH, have been em-
ployed to bring out the real structure
(Nebel, B. R., Zeitschr. Zellf. u. Mikr.
Anat., 1932, 16, 251-284; Kuwada, Y.
and Nakamura, T., Cytologia, 1934, 5,
(2), 244-247; Sax, K., and Humphrey,
L. M., Bot. Gaz., 1934, 96, 353-362;
Huskins, C. L., and Smith, S. G., Ann.
Bot., 1935, 49, 119-150; LaCour, L. F.,
Stain Tech., 1935, 10, 57-60; Oura, G.,
Zeit. f. Wiss. Mikr., 1936, 53, 36-37;
Kuwada, Y., Shinke, N., and Oura, G.,
Zeit. f. Wiss. Mikr., 1938, 55, 8-16; Cole-
man, L. C, and Hillary, B. B., Am. J.
Bot., 1941, 28, 464-469; Gopal-Ayen-
gar, A. R., Genetics, 1942; Coleman,
L. C, Genetics, 1943, 28, 2-8; Ris, H.,
Biol. Bull., 1945, 3, 242-257). Some of
the best results have been obtained by
treatment with K or NaCN 21-^ to 21-6
mol. solutions for periods varying with
the material.
Stain with aceto-carmine, acetic
orcein, acetic lacmoid or Feulgen. If
Feulgen is used a counter stain with
fast green in acetic acid may be used
if desired. The cells are squashed on
the slide after staining. The amount
of pressure needed is determined by
experience. The following schedules
of treatment for mouse chromosomes
may be applied mutatis mutandis in the
study of chromosomes from other
tissues.
Fix pieces of liver from a newborn
mouse in a mixture of methyl alcohol-
formalin-acetic acid of LaCour for 15
min. Wash in 70% ale. Transfer
small piece of material on to a slide and
add first drop of acetocarmine or acetic
orcein and then coverslip. Gently tap
with the rubber tipped end of a pencil
until the cells are loosened up and are
more or less one layer in thickness.
Squeeze out gently the excess of stain.
Apply pressure on the coverslip with
thumb or by carefully rolling a round
edged pencil over it, taking care to see
that the coverslip does not slide during
the process. The amount of pressure
needed is judged by experience. If air
bubbles get in add a drop or two of the
stain at the edge of coverslip and repeat
the process if necessary. Seal edge of
coverslip with beeswax and vaseline.
If it is desired to make slides permanent
follow McClintock's method (McClin-
tock, B., Stain Tech., 1929, 4, 53-56).
For Feulgen-squash preparations fix
material as in the preceding outline.
Wash in water thoroughly. Hydrolyse
in N.HCl at 60°C. for 6-8 min. Trans-
fer to Leuco-basic fuchsin for 20 min.
to ^ hr. Pour off stain and add SO2 —
water and allow it to remain for 3 min.
Change 2-3 times. Place a small piece
of material in a drop of 45% acetic acid
on a slide and add a coverslip. Gently
tap and squeeze out excess of stain as
described above. Flatten out the cells
by applying pressure with thumb or by
rolling a round edged pencil over the
coverslip. Transfer slide into large
petri dish containing dioxan until cover-
slip floats off. The cells will adhere
either to the coverslip or slide. Use
dioxan balsam as mounting medium.
Chlorazol black E + acetocarmine
(Nebel, B. R., Stain Techn., 1940, 15,
69-72). Fixation in cold Flemming's
fluid plus urea (Hance, R. T., Anat.
Rec, 1917, 12, 371-382). Microincin-
eration of (Barigozzi, CI., Bull. d'Hist.
Appl., 1938, 15, 213-219). Method of
localization of genes by experimental
deletions, distribution of protein and
nucleic acid, classification, etc. (Pain-
ter, T. S., J. Roy. Micr. Soc, 1940, 60,
161-176). Feulgen stain for chromo-
somes (Mensinkai, S. W., J. Roy Micr.
Soc, 1939, 59, 82-112). Aceticorcein
is advocated as a new stain-fixative for
chromosomes (LaCour, L., Stain
Techn., 1941, 16, 169-174). Demonstra-
tion of alkaline phosphatase in chromo-
somes (Krugelis, E. J., J. Cell. & Comp.
Physiol., 1942, 19, 376-379).
Chromotrope 2R (CI, 29) — acid phloxine
GR, chromotrope blue 2R, fast fuchsin
G,XLcarmoi3ine6R — An acid mono-azo
dye employed by Lendrum, A. C, J.
Path. & Bact., 1935, 40, 415-416 in a
study of breast carcinoma and skin
lesions as counterstain for celestin blue.
Chromotrope Blue 2R, see Chromotrope 2R.
Chrysamine G (CI, 410) an acid dis-azo dye
of light fastness 5 of no value as a tissue
stain (Emig, p. 40).
Chrysoidin Y (CI, 20)— brown salt R, dark
brown salt R — A basic mono-azo dye
suggested by Conn (p. 46) as a substi-
tute in some techniques for Bismark
brown. Used as stain for mitochondria
and Golgi apparatus viewed in polarized
light (Monne, L., Protoplasma, 1939,
32, 184-192).
Chryosomonadina. Fixation and staining
for, Doflein, F. (Arch. f. Protistenk.,
1922, 44, 149), also Wenrich, D. H. and
Diller, W. F., in McClung's Microscopi-
cal Technique, 1950, p. 470.
Chrysophenine (CI, 365), a direct dis-azo dye
of light fastness 4 to 5, for paraffin sec-
tions too light and fugitive a color
(Emig, p. 39).
Chylomicrons (lipomicrons). These tiny
fatty droplets are easily demonstrated by
CIACCIO
77
CILIA
dark field examination of blood of a person
or animal fed butter or cream. The
increase begins about 1 hr. there after
and reaches a maximum at 4 hrs. after
which the number of chylomicrons de-
clines. By contrast a carbohydrate meal
of rice and sugar or a protein meal of
whites of boiled eggs and salt does not
result in an increase. For details see
Gage, S. H. and Fish, P. H., Am. J.
Anat., 1924-25, 34, 1-86; also, Had-
jiolofT, A., Bull. d'Hist. Appl. 1938,
15, 81-98.
Ciaccio, methods for lipoids. One of the
simplest is : Fix small pieces 2 days in :
5% potassium bichromate, 80 cc; for-
malin, 30 cc, acetic acid, 5 cc. 3%
potassium bichromate for 5-8 days.
Running water 24 hrs. Ascending alco-
hols, 24 hrs. Abs. alcohol 2 hrs., xylol,
1 hr., xylol -paraffin at 60°C., 1 hr.
Paraffin 1-1 J hrs. Pass sections down
to 70% alcohol, stain ^1 hr. at 30 °C.
in: 80% alcohol, 95 cc, acetone 5 cc.
saturated at 50°C. with sudan III then
cooled and filtered. Rinse in 50% alco-
hol, wash in water, counterstain with
hemalum. Mount in syrup of Apathy
(or glycerin). Lipoids yellow orange.
Lison (p. 206) questions specificity for
lipoids and gives in addition, with useful
comments, several other methods of
Ciaccio.
Cilia — written by Alfred M. Lucas and
Miriam S. Lucas, U. S. Regional Poultry
Research Laboratory and Biological
Science Department, Michigan State
College, East Lansing, Michigan. Au-
gust 10, 1951 — Ciliary activity can be
studied in isolated cells, in rows of cells,
and in broad epithelial surfaces. Cilia
and flagella are found throughout most
of the animal kingdom except in nema-
todes and arthropods. They perform
many functions, such as locomotion of
whole organisms, driving fluids through
tubes, and propelling sheets of mucus
across epithelial surfaces.
The simplest method of study is to
collect isolated cells by gently scraping
a ciliated surface and observing the
vibrations of the cilia in a suitable
fluid on a slide under the microscope.
However, numerous special techniques
are required to answer problems relat-
ing to the shape of cilia during active
and passive phases of their cycle, ciliary
coordination and how much work they
can do. The beats of cilia may oc-
casionally be counted by eye; for ex-
ample, Lucas, A. M., and Doublas, L.
C. (Arch. Otolaryng., 1935, 21, 285-
296) reported 2.2 to 5.5 vibrations per
second for cilia on epithelium of the
turtle trachea, at about 30°C. More
rapid vibrations require special devices.
Martius (Arch. f. Physiol., 1884, 456-
460) who was the first to use the strobo-
scope, found 10 to 17 vibrations per
second for the cilia of the frog's pharynx
and values as high as 32 to 42 vibrations
per second are given by Plammond,
J. C. (Science, 1935, 82, 68-70) for the
membranelle of the protozoan, Episty-
lis. The use of the stroboscope and
moving pictures have been the methods
most used, not only to determine the
frequenc}'^ of vibrations but also the
succession of shapes taken by the cilia
or flagella during the cycle of vibration.
Martius emphasized a fundamental cau-
tion in using the stroboscope that one
should reduce the speed until all mul-
tiples of the ciliary frequency have been
eliminated. Hammond, on the other
hand, recommends using a known har-
monic of the frequency. The shapes
taken by vibrating cilia and flagella have
often been subject of study. One of the
simplest methods is to reduce the rate of
movement by cooling the fluid in which
they are beating. Gray, J. (Proc Roy.
Soc, B, 1930, 107, 313-332) and Jenni-
son, M. W., and J. W. M. Bunker
(J. Cell, and Comp. Physiol., 1934, 5,
189-197) used both photographic and
stroboscopic methods to study the form
of the isolated, giant compound ab-
frontal cilia of the mollusc gill. It is a
peculiarity of this cilium to swing usu-
ally through an arc of only 90° instead
of 180° as characteristic of most cilia
and thus it may be atypical material
for study. Gray noted that in these
cilia the active stroke was longer than
the recovery stroke. Brown, H. P.
(Ohio J. Sci., 1945, 45, 247-301) has given
an extensive analysis of types of ciliary
and flagellar movement. He tested his
theories in various practical ways and
one was the construction of a mecha-
nical model which would swim through
the water. It was composed of a test
tube which contained a strong bent wire
holding a rubber band. The rubber
band as it unwound rotated a wire pass-
ing through a cork stopper. The free
end of the wire revolving in the water
propelled the tube.
Couch, J. N. (Am. J. Bot., 1941, 218,
704-713) recommends the use of dark
field to study movement of individual
cilia and flagella. The three common
types of dark field, the use of a disc
stop below the ordinary condenser, the
Zeiss cardioid condenser and even mov-
ing the diaphragm laterally to give
oblique light worked satisfactorily.
With dark field are often produced sha-
dow effects of one cilia lying above and
across others, which sometimes re-
CILIA
78
CILIA
semble cross-striations and may be con-
fusing.
Metachromism is shown best by cili-
ated cells arranged in rows. The most
studied examples are the lateral cilia
of the mollusc gill, especially Mytilus
and Modiolus, because in these species
the gills are primitive and simple. The
location and shape of the cells are shown
in Modiolus (Lucas, A. M., J. Morph.,
1931, 51, 147-193; and J. Morph., 1932,
53, 265-276). Atkins, D. (Quart. J.
Micr. Sci., 1938, 80, 331-344) has made
a comparative study of these cells for
many families and genera of lamelli-
branchs. Gray, J. (Proc. Roy. Soc,
B. 1930, 107, 313-332) observed that the
waves were a succession of spikes and
semicircles and with the stroboscope,
which caused them to appear to stand
still, he measured the relative time con-
sumed by the active and recovery
phases of the beat. The ratio was
about 1 to 5. A photographic set-up
for obtaining a permanent record of
coordination of lateral cilia has been
described in some detail by Lucas, A.
M. (J. Morph., 1932, 53, 243-263).
However by this method stroboscopic
effects of the movie camera shutter may
give false impressions of the rate of
wave propagation.
The most commonly used material
for studies on ciliary activity is the
frog's pharyngeal membrane, yet it is
poorly adapted for practically all the
problems for which it has been used
as will appear later. Many earlier
workers set up recording devices by
which records of ciliary activity were
recorded on smoked kymograph drums;
the cilioscribe, devised by Dixon, W.
E., and Inchley, O. (J. Physiol., 1905,
32, 395-400) is a good example and still
has merit for classroom demonstration.
The apparatus consists of a vertical
spindle against which is gently pressed
the ciliated surface of a strip of frog
epithelium. The cilia cause the spindle
to rotate and this in turn moves a light
weight drum on which an interval timer
marks rate of movement. The chief
difficulty is the variable amount of
mucus which collects on the spindle
interferes with its smooth rotation.
Many investigators have used the
ciliated epithelium of the frog's pharynx
as a delicate indicator to show the re-
sponse of living tissue to a wide variety
of chemical substances, therapeutic
compounds, and biological extracts, yet
it was not recognized until the work of
McDonald, J. R., Leisure, C. E., and
Lenneman, E. E. (Am. Acad. Ophthal.
and Oto-Laryng., 1928, 318-354) that
the cilia of the frog's pharynx are under
definite nervous regulation. A few
years later Seo, A. (Jap. J. Med. Sc.
Ill Biophysics, 1931, 2, 47-75) estab-
lished clearly that cilia respond to
stimuli through the glossopharyngeal
nerves and that the motor fibers are
carried along the palatine nerves.
Methods which had been used thus
far involved placing fluids or particles
on the surface but two years later Lu-
cas, A. M. (Arch. Otblaryng., 1933,
18, 516-524) devised a method whereby
ciliary activity could be followed di-
rectly under very low powers of the
microscope focusing on the high-lights
reflected from the surface of the moving
ciliary waves. Application of this
method the same year to the frog
(Lucas, A. M., Proc. Soc. Exp. Biol,
and Med., 1933, 30, 501-506) demon-
strated conclusively that the cilia in
the frog's mouth are normally not ac-
tive and are completely at rest. They
become active when particles, no matter
how fine and light they may be, are
added to the surface; even the addition
of clear saline solutions has the same
effect. Thus, the normal baseline for
ciliary activity in the frog's pharynx
is zero instead of some positive value
derived by the use of foreign stimulating
agents. Recently Steward, W. C. (Am.
J. Physiol., 1948, 152, 1-5) although
recognizing these facts, sought to estab-
lish some arbitrary baseline values for
cilia which had been stimulated by discs
and weights placed on the mucous sur-
face. His experiments gave a mean
velocity of 0.75 mm/sec. but he found
that even very light stimuli on the
membrane, well removed from the route
covered by the test object, would in-
crease the velocity 142 to 415 per cent.
Lucas, A. M. (Am. J. Physiol., 1935,
112, 468-476) designed a moist chamber
in which threshold levels of the nerve-
cilia and nerve-muscle preparations
could be determined simultaneously.
He found that the threshold current
which would stimulate the cilia by way
of the palatine nerve was 15.4 times
stronger than that required to activate
the muscles of the toe. The behavior of
of excised mucous membrane is quite
similar to that found in vivo, the cilia
are normally quiescent and become ac-
tive only when stimulated.
What is needed is a different biologi-
cal material for studies where chemicals
are to be tested in which the cilia beat
incessantly, as in the oviduct of birds.
This was one of the materials chosen
when ciliary studies were just beginning
(Purkinje and Valentin, Muller's Arch.
Anat. and Physiol., 1834, 1, 391-400).
They used macerated black pigments
CILIA
79
CILIA
of the retina suspended in fluid to fol-
low ciliary movement. The oviduct
or trachea of turtles or other reptiles
would be useful where it is not conven-
ient to control the temperature of tis-
sues from a warm blooded animal. The
ciliature of the avian and reptilian
oviducts has been described by Parker,
G. H. (Phil. Trans. Roy. Soc. B, 1931,
219, 381-419). Umeda, T. (Acta Der-
matologica, 1929, 6, 629-646) used ox
trachea which provides large ciliated
areas. He employed it to study the
effects of temperature, sugar solutions,
alkaloids, alcohol, x-ray, and ultra-
violet light radiation. The underlying
tracheal cartilage was removed with the
ciliated epithelium in pieces about 2 x
3 cm. and pinned out beneath a layer of
Ringer's solution at 38°C. It was fixed
at a slant of 10 to 15 degrees to facili-
tate the movements of millet seeds
placed on the surface. There is ob-
viously need for someone to recheck the
reactivity of the frog's pharyngeal cilia
against several other kinds of ciliated
epithelium and sort out the effects due
to the type of biological material used
from the real effects of chemicals or
other agents being tested.
In the frog's pharynx and in the ten-
tacle of the snail (Merton, H., Pfluger's
Arch. Ges. Phys., 1923, 198, 1-28),
nerves are responsible for activation
of ciliary movement; whereas, in the
Ctenophore swimming plates (Gothlin,
G. Fr., J. Exp. Zool., 1920, 31, 403-441)
and the velar cilia of the nudibranch
veliger (Carter, G. S., Brit. J. E.xp.
Biol., 1926, 4, 1-26) the nerves are re-
sponsible for inhibition of ciliary ac-
tivity. The procedures used by these
authors are well adapted to differentiate
between inherent ciliary activity and
nerve regulation. In this same cate-
gory should be included the work of
Copeland, M. (Biol. Bull., 1922, 42,
132-142) who studied the r61e played
by nerves in regulating the ciliary ac-
tivity on the foot of the snail.
Polarity and ciliary reversal have
been problems of considerable academic
interest. Coonfield, B. R. (Biol. Bull.,
1936, 70, 460-471) described his opera-
tive techniques for reversing rows of
swimming plates in Ctenophores and
Twitty, V. C. (J. Exp. Zool., 1928, 50,
319-344) and later Luther, W., (Roux
Arch. Entw. Organ. 1934, 131, 532-539)
reported the relatively simple methods
used in reversing small segments of the
ciliated epidermis of the amphibian
larva. Induction effects on ciliary po-
larity have been worked out recently by
Twitty, V. C. and Bodenstein, D. (J.
Exp . Zool . , 1941 , 86, 343-379) . Reversal
of tracheal epithelium in dogs was ac-
complished by Isayam, S. (Zeit. f. Biol.,
1924, 82, 155-156) who found no reversal
of direction of ciliary beat. Ciliary
reversal is a well known reaction in
some ciliated protozoa, such as Para-
mecium and minimal techniques are
required for study of its physiology
(Oliphant, J. F., Physiol. Zool., 1942,
15, 443-452). Ciliary reversal in Meta-
zoa is rare indeed. Parker, G. H. (Am.
J. Physiol., 1905, 14, 1-6) employed
simple techniques to demonstrate its
existence in the labial cilia of sea-
anemones. Equally simple procedures
were followed by Matthews, S. (J. Exp.
Zool., 1928, 51, 209-262) to demonstrate
that the seeming reversal of the cilia-
ture of the pelecypod palp did not actu-
ally exist. Atkins, D., (J. Marine Biol.
A. United Kingdom, 1930, 16, 919-970)
observed permanent, natural reversal
in frontal cilia of the gill filaments of
Mytilus following injury.
Numerous investigators have pre-
sented diagrams of the direction of cili-
ary movement in a field such as Irving,
L. (J. Exp. Zool., 1924, 41, 115-124) who
plotted the circulation of fluids and
particles within the coelom of the star-
fish. Another good example is the work
of Atkins, D. (Quart. J. Micr. Sci.,
1936-1937, 79, 181-308, 339-373, 375-421)
who worked out carefully the direction
of ciliary movements in a great many
molluscs and evolved a phylogenetic
tree based, in part, on the lateral-
frontal cilia (Quart. J. Micr. Sci., 1938,
80, 345-436). Also the study made by
Meyer, A. (Biol. Zentralbl., 1936, 56,
532-548) on Nephthys hombergli illus-
trates a careful approach to this type
of problem. Barclay, A. B., Franklin,
K. J., and MacBeth, R. G. (J. Physiol.,
1937, 90, 347-348) observed that mucus
is moved in a clockwise direction up
through the mammalian trachea.
Hilding, A. (Arch. Otolaryng., 1932,
15, 92-100) plotted the direction of cili-
ary movement in the human nose by
watching the direction of drainage of
the mucous sheet with a speculum after
dusting with face powder and observed
in the posterior two-thirds of the nose
a new mucous layer about every 10
minutes and about once an hour in the
anterior third. Lucas, A. M. (Am. J.
Anat., 1932, 50, 141-177) and Lucas,
A. M. and Douglas, L. C. (Arch. Oto-
laryng., 1934, 20, 518-541) used carbon
particles to plot the drainage pattern
for monkey, rat, mouse, rabbit, cat,
cow, and sheep. The potential error
resulting from following mucous flow
rather than direct observation of cilia
is shown on some wound experiments
CILIA
80
CILIA
on the frog's palate by Lucas, A. M.
(Arch. Otolaryng., 1933, 18, 516-524).
Hill, L. (Lancet, 1928, 2, 802-805) had
previously shown that cuts across the
trachea arranged in alternating fashion
completely stopped the flow of mucus
and also showed a high sensitivity to
ultra violet light. A combination of
both direct and indirect techniques
gives the most accurate results. The
double nature of the mucous layer and
the three ways in which ciliary move-
ment and mucous flow could act to-
gether or independently were suggested
by Lucas, A. M., and Douglas, L. C.
(Arch. Otolaryng., 1934, 20, 518-541).
Most ciliary activity can be defined
in terms of work. Bowditch, H. P.
(Boston Med. and Surg. J., 1876, 15,
159-164), one of the first to study this
problem, permitted a sheet of ciliated
epithelium from the frog to climb up an
inclined plane set at various angles and
carrying various loads. He cooncluded
that cilia are capable of doing only
about one-thirty-fifth the work that the
heart does in pumping blood. Parker,
G. H. (J. Exp. Zool., 1914, 16, 443-446)
placed a tube in the osculum of the
sponge and ascertained that the pres-
sure developed in the system by the
collar cells was only a few millimeters
but that the volume turn-over was
large. A similar technique was applied
by Hecht, S. (J. Exp. Zool., 1916, 20,
429-434) to the large Bermuda ascidian.
A 100 gm. animal could circulate about
173 liters of sea water in a day. Hecht
gives his technique for getting the glass
tube into the excurrent siphon. Galt-
soff, P. S. (Bull. U. S. Bur. Fish. 1928
(1930) 44, 1-39) has gone farther than
anyone thus far in designing apparatus
to measure rate of flow of water due to
ciliary action. He used the oyster and
collected data on feeding and effects
of temperature and seasonal and diurnal
cycles. Hilding, A. C. (Trans. Am.
Acad. Opth. and Otolaryng., 1944, 367-
378) found that the trachea of the hen
was particularly well suited to measure
the positive and negative pressures de-
veloped at the two ends of the tube.
He collected mucus from other hens
and used it to form a plug at the lower
end of the trachea being tested. A
negative pressure of 34 mm. and a posi-
tive pressure of 32 mm. of water was
developed at the two ends of the tube.
The techniques used are simple but
effective. The procedures devised by
White, H. L. (Am. J. Physiol., 1929,
90, 689-704) to measure the pressure
developed by the nephostomal cilia in
the Necturus kidney is a good example
of how the microscopic methods can be
applied. In general, in vivo studies of
ciliary movement have been rather few
but a nice technique was used by Ernst,
A. M. (Arch. Internat. Pharmacodyn.
et de Th^rap., 1938, 58, 207-212) in
which periodic roentograms were made
of the cat's thorax to show the rate of
elimination of "Neobar" powder
(Merck) which had previously been
blown into the trachea and bronchial
spaces. Normally the trachea was
cleared in an hour and from this base-
line the effect of various anesthetics
could be determined. X-ray radiation
in itself has very little effect on ciliary
activity as shown by Goldhaber, A.,
and Black, A. (Proc. Soc. Exp. Biol,
and Med., 1941, 48, 150-151) who ob-
served that the oral epithelium of the
toad transplanted as a tissue culture
required 1,000,000 to 1,400,000 r to stop
ciliary activity. The essential details
of their x-ray set-up are given.
Numerous papers mention the pres-
ence of cilia lining various parts of the
central canal of the nervous system and
suggestions have been offered concern-
ing the function they perform but only
one author (Chu, H. Y., Am. J. Physiol.,
1942, 136, 223-228) to our knowledge
has selected a suitable material (trans-
lucent stages of amphibian larva) and
thus been able to study this activity
in situ. He followed the movements
of naturally occurring pigment granules
within the ventricles and also injected
red cells.
Satisfactory methods for examination
of ciliary movement in tubular organs
such as the lungs are not always easy.
SoUmann, T., and Gilbert, A. J. (J.
Pharmacol, and Exp. Therap., 1937, 61,
272-285) filled the excised organ with
10 per cent gelatin in Ringers and then
chilled it in iced Ringers. Free-hand
sections were pinned on rings of cork
and studied in shallow dishes contain-
ing Ringer's warmed to 37 °C. Cilia
were vigorously active up to about 8
hrs.
A method for testing the phagocytic
properties of ciliated epithelium was
employed by Ropes, M. W. (Contrib.
to Embryol. #128, Carnegie Inst.,
Wash., 1930, 22, 77-90). He used the
tracheal mucosa of the rabbit. In-
haled carbon particles were taken up by
the cytoplasm and could be recognized
in the living ciliated cells.
The older editions of Lee's Vade
Mecum suggest boric acid methods for
maceration of ciliated epithelia. This
technique has been omitted from some
of the more recent editions but is men-
tioned again in the last edition (11th).
The method was revived by Goodrich,
CILIA
81
CILIA
E. L. (Quart. J. Micr. Sci., 1942, 83,
245-258) as a new technique with slight
modifications. Lucas, A. M. (J.
Morph., 1931, 51, 147-193) used sodium
borate to which was added a trace of
iodine or eosin. The cells swelled as
they separated. Poska-Teiss, L. (Zeit.
f. wiss. Mikr., 1934, 51, 238-243) used
Ranvier's 1/3 alcohol method to isolate
the cells. Loginoff, W. J. (Anat. Anz.,
1911, 38, 353-361) who worked with
horses, cows and sheep, discovered that
preliminary fixation of ciliated cells of
the trachea for 30 min. in 1% formalin
followed by 1/3 alcohol for 24 hrs. gave
well preserved cells which could be
stained under the coverglass with picro-
carmiue.
In vitro explants of ciliated epithelium
show, eventually, dedifferentiation and
loss of cilia. More often short term
studies on surviving cells have been
resorted to. Isolated cells from the
frog's palate under tissue culture condi-
tions beat continuously since they are
no longer regulated by the nervous sys-
tem and are suitable for testing pur-
poses (Ishikawa, S., ActaDermat., 1927,
9, 339-364). Verne, J. (Compt. Rendu
Assoc. Anat., 1932, 27, 564-578) using well
known tissue culture techniques cul-
tivated lung tissue of 15 to 17 day old
chick embryos. In this case the cil-
iated epithelium did not undergo meta-
plasia but remained active. Proetz, A.
W., and Pfingsten, M. (Arch. Otolar-
yng., 1939, 29, 252-262) combined cul-
ture of guinea-pig nasal epithelium with
motion picture photography.
Umeda, T. (Acta Dermat., 1930, 1,
13-38) tested some 700 dyes for their
vital staining characteristics and found
that thionin blue and Nile blue gave
satisfactory results with frog ciliated
epithelium. Vital methylene blue has
frequently been used to stain lining
ciliated cells. Carter, G. S. (Brit. J.
Exp. Biol., 1926, 4, 1-26) observed that
it was the region of the ciliary rootlets
which showed granules staining strongly
with this dj'e and Coonfield, B. R.
(Biol. Bull., 1936, 70, 400-471) found
the greatest staining in Nephthys where
the rootlets converged near the nucleus.
Most of the usual histologic or cyto-
logic techniques will demonstrate cilia.
Cilia are stained chiefly with acid dyes
but may hold Heidenhain's iron hema-
toxylin if the tissues have been only
lightly destained with iron alum.
When staining the very short sensory
ciliary hairs on olfactory epithelium,
the iron hematoxylin without counter
stain or only a light counter stain makes
them stand out quite well.
A cuticular border is present on some
types of ciliary cells and absent on
others. It is refractile to most stains
and oftentimes appears as a very nar-
row clear space between the line mark-
ing the surface of the cuticle and the
underlying cell membrane. If the over-
lying mucus is stained with mucicar-
mine, the outer surface of the cuticle
is clearly delimited. Frequently, the
lower margin of a nonciliated striated
cuticular border looks like a row of basal
bodies and Heidenhain's iron hema-
toxj'lin gives the best differentiation.
Likewise it is the stain usually chosen
to show flagellate diplosomes and stages
in ciliogenesis.
Ciliary rootlets are as difficult to
demonstrate in the stained as in the
living condition. In order to see them
clearly it is important to select the right
kind of cell — one which has a clear
protoplasm containing a minimum of
pigmented opaque or refractile gran-
ules. Even living unstained ciliated
cells of the mammalian nose when iso-
lated on a slide show clearly the root-
lets in the narrow clear zone of proto-
plasm just beneath the cell membrane
and in relatively transparent cells they
can be observed converging toward the
nucleus as an inverted truncated cone.
In the latero-frontal ciliated cells of
the mollusc gill the cilia form two rows
transversely across the surface of the
cells so that the rootlets lie in rows one
behind the other and under these condi-
tions they show up very easily. Grave,
C, and Schmitt, F. O. (J. Morph. and
Physiol., 1925, 40, 479-515) recom-
mended the Ehrlich-Biondi triple mix-
ture as a counterstain to Heidenhain's
iron hematoxylin and this works very
well although sometimes more than one
attempt is necessary to obtain a satis-
factory mixture of Ehrlich-Biondi
stain.
Considerable latitude is permitted in
the use of fixatives. Allen's Bj and Bu
are good fixatives although the alveolar
appearance that picric-containing fixa-
tives give to the appearance of the cyto-
plasm may be a disturbing factor. Del-
linger, O. P. (J. Morph., 1909, 20, 171-
209) made an informative comparative
study of the fixatives and the basic con-
stituents which go into them. He found
that HgCli emphasized fibrillar struc-
tures and enhanced the staining and so
fixatives such as Zenker's, with formalin
or acetic acid, are often used for preser-
vation of ciliated tissues. These are
vigorous fixatives and may result in
some cell distortion. Bellinger recom-
mended 0.4 to 2% osmic acid as best for
cilia. Thanhoffer, L. von. (Zeit. Anat.
Entwickl., 1929, 90, 713-724) employed
CILIA
82
CILIA
Heidenhain's "Susa mixture" in his
study of ciliogenesis. Mihalik, P. von.
(Anat. Anz., 1935, 79, 259-268) preferred
the "Susa mixture" for the study of
intracellular ciliated cysts in the rabbit
oviduct. Meves, Fr. (Arch. mikr.
Anat., 1897, 50, 110-114) used Hermann's
osmic mixture for the study of sperm
flagella of the salamander. Kindred,
J. E. (J. Morph. and Physiol., 1927,
43, 267-297) recommended Meves' fluid
as giving the most constant results in
his investigation of ciliogenesis in the
pharynx of the frog. Flemming's fluid
also gave good results but he did not
find 2% osmic acid satisfactory. Ap-
plication of Da Fano's modification of
Cajal's silver method by Cowdry, E. V.
(Anat. Rec, 1921, 22, 289-299) revealed
flagella present on the thyroid follicles
of the dogfish. The blackened flagel-
lum showed up nicely against a yellow-
ish background. The collars and fla-
gella of sponge choanocytes are difficult
to preserve for microscopic study. Rob-
bertsou, M. and Minchin, E. A. (Quart.
J. Micr. Sci., 1910, N.S._55, 611-640)
found Hermann's fluid satisfactory and
stained with Heidenhain's iron hema-
toxylin and light green.
Cilia and flagella of protozoa can be
demonstrated in fresh preparations by
first introducing strands of some ma-
terial such as cotton fibers or frayed
lens paper beneath the cover glass which
will limit activity of the organisms.
Maier, H. N. (Arch. f. Protist., 1903,
2, 73-179) drew 1% osmic acid and sub-
sequently 5% soda solution beneath the
cover glass to study cilia and this
method is still used. Noland, L. E.
(Science, 1928, 67, 535) used a gentian
violet stain (20 mg. gentian violet to
1 cc. aq. dest ; plus 80 cc. sat. aq. phenol ;
20 cc. of 40% formaldehyde; 4 cc. gly-
cerin) which he mixed with a drop of
ciliates or flagellates in culture. Don-
aldson, R. (Lancet, 1917, 2, 571-573)
demonstrated protozoa in feces by using
0.1 to 0.5% aq. of eosin, or with iodine
solutions of various strengths, or with
a mixture of the eosin and dilute iodine.
These solutions are also good for dem-
onstrating cilia and flagella.
Fixation of flagella by cupro-picro-
formol acetic mixture and staining by
eosin and phosphomolybdic acid ac-
cording to A. C. Hollande's (Arch, de
Zool. exper. et gen., 1920, 59, Notes et
Revue, 75-77) method is satisfactory.
This technique is described in detail by
Wenrich, D. H. (McClung's Micr. Tech-
nique, 1937, Hoeber, p. 547).
Relief staining demonstrates ciliary
rows and other surface markings on
protozoa: B. M. Klien's silver method
(Zool. Anz., 1926, 67, 160-162) opal blue,
china blue, and other stains dried on
the protozoa (Bresslau, E., Arch. f.
Protist., 1921, 43, 467-480) and uigrosin
(Coles, A. C, Watson's Micr. Rec,
1927, 23-25).
Owen, H. M. (Trans. Amer. Micr.
Soc, 1947, 66, 50-58) maintains that the
"brush" or "flimmer" effect produced
on flagella of bacteria by Loeffler's
stain is an artifact due to interaction of
heavy metals and mordant. He recom-
mends a fixative which does not produce
the "brush" on flagella (10 parts, 2%
osmic acid to 1 part 20% formalin).
Ciliogenesis can be observed occur-
ring in a number of protozoa. Lucas,
M. S. (Arch. f. Protist., 1932, 77, 407-
423) used vom Roth's platinic chloride
fixative followed by Heidenhain's iron
hematoxylin stain on smears of Cya-
thodinium from the guinea pig intestine,
demonstrated formation of new basal
bodies and cilia within cysts which later
evert upon the protozoan's surface.
When cilia or flagella are to be studied
under the electron microscope, it is
necessary, of course, that they be dried
under high vacuum. This may intro-
duce distortion. A critique on the ad-
vantages, limitations, and possible arti-
facts of electron microscope techniques
has been given by Williams, R. C.
(Growth Symposium, 1947, 11, 205-222).
Baylor, M. R. B., Nalbandov, A., and
Clark, G. G. (Proc. Soc. E.xp. Biol, and
Med., 1943, 54, 229-232) studied the
sperm head and axial filament. They
observed that fresh sperm, dried and
dehydrated showed a fraying out of the
axial filament into its component fibrils
whereas stained sperm did not and they
conclude that the stain is sufficiently
adhesive to prevent the separation.
Brown, H. P. (Ohio J. Sci., 1945, 45,
247-301), in his study of flagella, gives
his technique for preparation of his
material in great detail, including the
results from his tests on numerous fixa-
tives and stains suitable for use with the
electron microscope. Jakus, M. A. and
Hall, C. E. (Biol. Bull., 1946, 91, 141-
144) studied the trichocyst and cilia of
Paramecium and used the shadow-cast-
ing technique.
Microdissection has been used oc-
casionally to study the mechanisms of
ciliary movement and coordination.
The techniques of microdissection are
well known from various books and
articles. It was used by v. R6nyi, G.
(Zeit. f. Anat. u. Entwick, 1926, 81,
692-709) to determine if cilia, separated
from their basal bodies, were contrac-
tile. Carter, G. S. (Proc. Roy. Soc.
B, 96, 115-122) made use of this tech-
CINEPHOTOMICROGRAPHY
83
CLEARING
nique to demonstrate that the latero-
frontal cilia of Mytilus are compound
and that the separate components can
beat independently of the others.
Peterfi, T., and Woerderman, M. W.
(Biol. Zentralbl., 1924, 44, 264-268),
Grave, C. and Schmitt, F. O. (J. Morph.
and Physiol., 1925, 40, 479-515), Lucas,
A. M. (J. Morph. 1931, 51, 147-193) and
Worley, L. G. (J. Cell, and Comp.
Physiol., 1941, 18, 187-197) employed
this method to gain information con-
cerning ciliary coordination.
Cinephotomicrography. A convenient illus-
trated account of apparatus and meth-
ods is given by Tuttle, H. B., in Glas-
ser's Medical Physics, 183-194. See
Motion Pictures.
Cinnamon Oil (Cassia oil) resembles clove
oil and is particularly recommended by
Lee (p. 70) for clearing. Two kinds are
given in Merck Index. The U.S.P.XI
variety contains 80-90% cinnamalde-
hyde.
Citrate of sodium can be used as an antico-
agulant in the proportion of 18 cc. of 2%
aq. sodium citrate to 100 cc. of blood.
Clarite X (Neville Co., Pittsburg) 60% in
toluol is suggested as substitute for
balsam owing to its neutral reaction,
lack of yellow color and quickness oi
hardening. Clarite, also called Nevil-
lite V, is useful if added to paraffin when
one wishes to obtain thin sections when
it is not convenient to imbed in a very
high melting point paraffin. Wehrle,
W., Stain Techn., 1942, 17, 131-132 ad-
vises imbedding in a mixture of 90%
paraffin (m.p. 53°C.), 5% bleached bees-
wax and 5% clarite and the elimination
of electrical charge when ribbons are
cut by a spark-coil device described by
Blandau, R. J., Stain Techn., 1938, 13,
139-141.
Clark and Lubs Buffers (Clark, W. M. The
Determination of Hydrogen Ions, Balti-
more: Williams & Wilkins, 1928, 717
pp.). Prepare: (1) A solution contain-
ing M/5 boric acid and M/5 potassium
chloride made by dissolving 12.368 gms.
of H3BO3 and 14.912 gms. of KCl in aq.
dest., and diluting to 1 liter. (2) A
M/5 sodium hydroxide (carbonate free)
solution by dissolving 50 gms. of NaOH
in 50 ml. (cc). aq. dest. in a Pyrex
flask. Let stand overnight to allow the
sodium carbonate to settle, or filter
through a Gooch or sintered glass cruci-
ble. (Exclude air to prevent formation
of more carbonate by atmospheric CO2.)
Keep the strong alkaline solution in a
paraffin-lined glass bottle. Dilute with
aq. dest. which has been boiled to re-
move the excess CO2 so that the solution
is about 1 N. Then make an approxi-
mately M/5 solution of the alkali which
can be accurately standardized against
potassium acid phthalate.
To make buffer of the desired pH add
to 50 cc. of (1 ) M/5 HjBC-KCl the desig-
nated amount of (2) M/5 NaOH and
dilute to 200 cc. with aq. dest. Or
combine the two in similar proportions
but in larger amounts to minimize error
in measurement.
pH
CO. of M/6 NaOH
7.8
2.61
8.0
3.97
8.2
6.90
8.4
8.60
8.e
12.00
8.8
16.30
9.0
21.30
9.2
26.70
9.4
32.00
.6
36.85
.8
40.80
10.0
43.90
Cleaning Glassware. Pulverize 20 gms.
potassium bichromate. Dissolve this in
200 cc. aq. dest. with aid of a little heat.
Add slowly 20 cc. sulphuric acid C.P.
Before treating beakers, graduates,
bottles, etc. with this acid cleaning solu-
tion first wash them in soap and hot
water. Rinse in water to remove the
soap. Leave in cleaning solution 2 hrs.
or more. Rinse in running tap water and
dry with opening downward on drying
racks as in biochemical laboratories if
possible in a dust free cupboard. For
new slides and cover glasses wash in the
same way and after final rinsing in tap
water store in fresh 95% alcohol in
covered dishes until they are required
for use when they should be wiped with
gauze. For old slides and cover glasses
soak in xylol to permit separation and
removal of most of balsam. Then leave
in waste alcohol several days. Soak for
a day or more in strong soap solution.
Wash in running water. Clean in clean-
ing solution. Wash in water and store
in 95% alcohol. Unless strict economy
is necessary it is hardly worthwhile to
use slides and covers twice especially
when the former have been marked with
diamond pencils.
Clearing is a process in microscopic tech-
nique which is required in three different
situations.
1. As the step following dehydration
in paraffin imbedding. The tissue be-
comes translucent but this is not the
essential feature of the process. What
is necessary is for the alcohol, which is
not a paraffin solvent, to be removed by
the clearing agent before the tissue is
infiltrated with paraffin. Consequently
the agents must mix freely with alcohol
on the one hand and with paraffin on the
CLOTH RED B
84
COAGULATION
other. Of them xylol is by far the most
widely used and rightly so. Two
changes of half absolute alcohol and xylol
within 1 hr. and 2 changes of xylol within
the next 3-4 hrs. are usually sufficient
for slices of tissue 4-6 mm. thick, but the
time should not be extended beyond
that needed to attain translucency be-
cause so doing causes a hardening and a
shrinkage of the tissue.
Several other substances can be used
in place of xylol. Cedar wood oil is ac-
cording to Lee (p. 80) the very best
clearing agent for paraffin imbedding.
It penetrates rapidly, does not make the
tissues brittle, and, when not entirely
displaced by paraffin, does not seriously
interfere with sectioning. First treat
the tissue with ^ absolute and xylol for
about 2 hrs. The time required in the
oil of cedarwood is however a little longer
than in the case of xylol used alone, say
12 hrs. Some recommend 2 changes of
xylol (about 30 min.) after the oil of
cedarwood before entering ^paraffin and
cedarwood oil.
Methyl benzoate is now quite popular.
Pass the tissue from absolute alcohol
through 2 changes of pure methyl ben-
zoate within 12-24 hrs. When it has
been definitely cleared remove benzoate
by 2 changes of benzol (^-1 hr.) before
passing into paraffin, or half benzol and
paraffin.
Chloroform penetrates pxaorly and
should not be employed unless called for.
It has the further disadvantage that
unless completely removed in the paraf-
fin bath, it will make the final paraffin
block soft and unfit for cutting. The
usual practice is to clear very small
pieces for about 12 hrs. in 2 changes, or
as long as may be necessary to make
them transparent, and in the imbedding
to use 4 changes of paraffin.
A more rapid method is to pass di-
rectly from the fixative, Bouin or forma-
lin, without washing, to 3 changes of
pure dioxan within 4 hrs. and thence
into 3 changes of paraffin as advised by
Graupner, H. and Weissberger, A.,
Zool. Anz., 1931, 96, 204-206. Stowell,
R. E., Stain Techn., 1941, 16, 67-83
confirms and extends earlier work of
Seki which shows that, although xylol
shrinks tissues more than dio.xan, in
placing in hot paraffin, the final shrink-
age is greater in tissues after dioxan.
When great haste is necessary Mallory
(p. 54) suggests acetone \-2 hrs. ; benzol,
15-30 min. ; and paraffin 3 changes, 30-90
min. The shrinkage, however, is very
marked and it would probably be better
to use Frozen Sections.
By the Altmann-Gersh technique,
which is at once very time consuming
and very valuable for special purposes,
fixation, alcoholic dehydration and clear-
ing can be side stepped and the dried
tissue directly impregnated with
paraffin.
2. As the step following dehydration
of sections before mounting. The clear-
ing is of course easier and much quicker
owing to the thinness of the tissue.
Again xylol comes first and will probably
not be displaced though some prefer
toluol. It is not necessary to protect
against shrinkage and brittleness.
When desired, abs. ale. can be omitted
and the clearing be done from 90 or
even 80% ale. with terpineol, clove oil,
anilin oil, beech wood creosote, Bergamot
or some other substance.
3. As a means of rendering clearly
visible certain structures in embryos or
whole tissues. Clearing is generally
done by the Spalteholz method. See
Cartilaginous Skeleton and Ossification
centers. When glycerin mixtures are
employed as Mounting Media they also
clear the tissues. See Groat, R. A.,
Stain Techn., 1941, 16, 111-117 for clear-
ing tissues with mixtures of tributyl
and tri-o-cresyl phosphates.
Cloth Red B (CI 262). A sulfonated azo
dye. For formula and influence on
mouse tumors, see Stern, K., Cancer
Res., 1950, 10,565-570.
Cloudy Swelling. This is a marked swelling
and granulation of the cytoplasm of
cells. It is sometimes observed post-
mortem in acute febrile conditions
especially in the kidneys, liver and m5'o-
cardium. An almost meaningless syno-
nym, often used, is Parenchymatous
Degeneration. The extent of cloudy
swelling that may occur in vivo and
from which the cells may recover is
not known. The fatty droplets present
can be demonstrated in Sudan stained
frozen sections of formalin fixed mate-
rial. Special stains for Fibrin, Myo-
fibrils and Mitochondria may be de-
sirable.
Coacervates (L. acervus, a cloud or swarm)
are masses of particles clumped together
(but encased in a little water) by a
change in their electrical charge while
in colloidal suspension in water or
by dehydration with resultant loss
of loosely bound water. Ilirsch (G.
C, Form und Stoffwechsel der Gol-
gi-Korper. Protoplasma Monographs,
Berlin, 1939) has likened the Golgi
apparatus to a coacervate. See Bensley,
R. R., Anat. Rec, 1937, 69, 341-353 for
critical consideration of suggestion that
mitochondria are coacervates.
Coagulation. A phenomenon frequently
encountered in the case of blood and
lymph is of wide occurrence and is in-
COBALT NITRATE SILVER
85
COLLAGEN IC FIBERS
fluenced by many factors. Small quan-
tities of many electrolytes cause coagu-
lation of colloids. Some ions are much
more powerful in this respect than
others and certain "protective col-
loids" such as gelatin protect colloidal
suspensions against coagulating action
of electrolj'tes. Peptization is dis-
integration of the coagulum into col-
loidal particles. Water is employed as
a peptizing agent in dissolving glue,
agar, and similar materials (Holmes,
H. N., Glasser's Medical Physics, 257-
263).
Cobalt Nitrate Silver for Golgi Apparatus.
Cocarboxylase, see Method of Westen-
brink, H. G. K., Enzymologia, 1940, 8,
97-107, capable of determining as little
as 0.01 fjL gm. of carboxylase.
Coccidia. These sporozoa include many
parasites of great importance not only
to physicians and veterinarians but also
to cj'tologists who are interested in
their intracellular behavior. Conse-
quently the volume by Becker, E. R.,
Coccidia and Coccidiosis of domesti-
cated, game and laboratory animals
and of man. Ames: Collegiate Press,
Inc., 1934, 147 pp. will contain numerous
helpful leads on the coccidia of the
digestive tracts of vertebrates and in-
vertebrates. See also McClung, 1950,
p. 455.
Coccinel Red is 1, 5-diamylaminoanthra-
quinone, an oil soluble dye, recom-
mended by Lillie, R. D., Stain Techn.,
1945, 20, 73-75 as a stain for fat which
it colors deep orange red. Make up
stock solution of 4.2% in absolute
(99%) isopropanol. Dilute this down
to 30 or 40% isopropanol with water and
treat frozen sections of normal cat kid-
ney and human adrenal with resulting
solution for 10-20 min. This solution
is only usable for several hours. Coc-
cinel red is a good counterstain after
hematoxylin.
Coccinine (CI, 120), an acid monoazo dye,
light fastness 3 to 4, which colors sec-
tions pale pink not equal to Biebrich
Scarlet (Emig, p. 31).
Cochineal (CI, 1239). This crimson dye
was in use by the Aztecs before the
Spanish conquest. It is derived from
an insect which feeds on a cactus. So
highly prized was it that Montezuma
took as yearly tribute from the State of
Huaxyacas (Now Oaxaca) 20 sacks of
cochineal. The invading Spaniards
were not slow to note the superiority of
cochineal over Kermes, the crimson
stain in use at home (1523 A.D.).
Charles V of Spain commanded Cortez
to inform him immediately "whether
what has been reported is true that
Kermes were to be found in abundance
in New Spain and, if so, could be sent
with advantage to Spain". So coch-
ineal figured largely in the Aztec
tributes to Cortez and the industry
became a Spanish monopoly. In 1858
A.D. aniline red became a competitor,
depressed the sales of cochineal, which,
latter as a commercial dye, was defi-
nitely replaced when azo dyes came into
the market about A.D. 1880. (Leggett,
W. F., Ancient and Medieval Dyes.
Brooklyn: Chemical Publishing Co.
Inc., 1944, 95 pp.). See Kermes, Lac.
In microscopy cochineal is used
mostly for staining in tola of small in-
vertebrates. Mayer's alcoholic cochi-
neal is a popular preparation made, ac-
cording to Lee (p. 149), by powdering
5 gm. cochineal with 5 gm. calcium
chloride and 5 gm. aluminum chloride to
which 100 cc. 50% alcohol and 8 drops of
nitric acid (sp. gr. 1.20) are added.
Heat to boiling point, cool, shake oc-
casionally during several days and filter.
Before staining bring objects to 70%
alcohol, destain if necessary in 70%
alcohol containing 0.1% hydrochloric
acid. Dehydrate, clear and mount in
balsam. Nuclei are colored red and
other structures a variety of colors from
red to deep purple. In some respects
it is better than carmine. Neither fade.
Cochlea, see Ear.
Coelestin Blue, see Skyblue.
Coeline, see Skyblue.
Coeruleum, see Skyblue.
Colchiceine, different from colchicine, see
Ludford, R. J., Arch. f. exper. Zellf.,
1935-36, 18, 411-441.
Colchicine, see Mitosis Counts.
Collagenase. An enzyme which specifically
destroys collagenous fibers. Bidwell,
E. and W. E. van Heyningen, Biochem.
J., 1948, 42, 140-151, report on its isola-
tion and purification.
Collagenic Fibers — Written by A. I. Lans-
ing, Dept. of Anatomy, Washington
University, St. Louis 10, Mo. October
5, 1951 — These are widely distributed in
the body, occur in large bundles in
tendons and are best viewed in spreads
of loose connective tissue. Unlike elas-
tic fibers which are yellow and highly
refractile, coUagenic fibers are white
and poorly refractile, form broad wavy
bands which do not branch, have great
tensile strength, and are attacked by
dilute acids and alkalis. On boiling
they yield gelatin. The fact that they
pass from the gel to the sol state on
alkalinization or warming is the basis
for methods of separating epidermis
from dermis. Collagenic fibers are
readily digested by pepsin in acid solu-
tion but resist trypsin. A specific col-
lagenase has as yet not been found.
COLLAGENIC FIBERS
86
COLOR PRESERVATION
Amino acid analyses (see Elastic Fi-
bers) indicate an absence of aromatic
amino acids, an abundance of proline,
hydroxylysine and particularly hy-
droxyproline, the latter being almost a
diagnostic feature. The isolectric
point of collagen is about pH 7.0.
Although tinctorial reactions would
imply that reticulum and coUagenic
fibers differ, recent studies indicate that
reticulum is but a finer unit of collagen.
Both have a marked affinity for aniline
blue. They differ in that reticulum is
strongly argyrophilic while collagenic
fibers are not; the former is weakly
acidophilic (in H & E) while the latter
takes up much eosin.
Electron microscopy and x-ray dif-
fraction studies have done much to re-
veal the submicroscopic structure of col-
lagenic fibrils (Gross, V., J. Gerontol.,
1950, 5, 343). These are apparently
composed of parallel polypeptide chains
approximately 10 A° in diameter which
are bonded together laterally. Elec-
tron microscopy reveals considerable
fine structure in fibrils. There is a
regular periodicity of 640 A° with much
intra-period detail.
A protein termed procollagen may be
prepared by extraction with citrate at
pH 4. Such procollagen can form fibrils
with regular periodicity by the addi-
tion of monovalent salts or mucoprotein
(Highberger, J. H., J. Gross and F. O.
Schmitt, Proc. Nat. Acad. Sci., 1951,
37, 286).
The best stain for collagenic fibers in
sections after Zenker fixation is aniline
blue in Mallory's Connective Tissue
Stain and in Masson's Trichrome Stain.
Phosphomolybdic Acid Hematoxylin
also gives a fine coloration of collagenic
fibers. See Van Gieson, Buzaglo, Bieb-
rich Scarlet and Picro-Aniiin Blue of
Lillie and Curtis' Substitute for Van
Gieson.
Lillie, R. D. (J. Tech. Methods, 1945,
No. 25, 45 pp.) has performed a very
useful service in testing the effective-
ness of a large series of dyes as colla-
genic fiber stains in the Van Gieson,
Mixed Masson-Van Gieson and Masson-
Mallory procedures. He found the best
to be Naphthol blue-black (CI, 246),
Fast Green FCF, Acid Fuchsin (CI,
692), Methyl Blue (CI, 706), Anilin Blue
(CI, 707), Wool Green S (CI, 737) and
Volamine R (CI, 758) . For photometric
histochemical determination see Sto-
well, R. E., J. Invest. Derm., 1945, 6,
183-189.
The technique of microincineration
as adapted to collagenic fibers is de-
scribed by AUara, E., Bull. d'Hist.
AppL, 1938, 15, 220-242. See Tendons.
Collargol, as negative stain for spirochetes
(Harrison, Brit. Med. J., 1912, 2, 1547).
Collodions. There are several. See U.S.P.
XI. All are solutions of Pyroxylin.
Colloxylin, see Pyroxylin.
Colophonium, usually dissolved in turpen-
tine is employed to mount sections.
Not advised.
Color Estimation. Accuracy in reporting
differential stains and micro-chemical
reactions yielding colors is highly de-
sirable. The same holds for colors
determined by naked eye inspection.
A monograph, Ridgway, R., Color
Standards and Color Nomenclature,
Washington, D. C, 1912 with 53 colored
plates, is the accepted standard for
comparison. In general, however, it is
desirable to achieve some measure of
uniformity by limiting oneself when-
ever possible to use of the terms recom-
mended in the National Formulary VII.
Washington: American Pharmaceutical
Association, 1942, 690 pp., a publication
which is available in most medical
libraries:
pink yellow greenish blue
red olive-brown blue
reddish orange greenish yellow purplish blue
reddish brown olive bluish purple
orange-pink yellow-green purple
orange olive-green reddish purple
brown yellowish green purplish pink
yellowish orange green red-purple
yellowish brown bluish green purplish red
blue-green
For accurate measurement of color
employ Photoelectric Colorimeter or
Photoelectric Microphotometer. See
Hemoglobin Estimation.
Color Index, p. xxvii.
Color Preservation in museum specimens.
Fix 24 hrs. or less in 10% formalin.
Wash in running water 3-6 hrs. Stand
in 2% aq. ammonia 5-10 min. which
hastens return of original colors. Run-
ning water another hour. Mount for
permanent exhibition in mixture made
as follows: Filter a sat. sol. antimony
trioxide in aq. dest. (about 5 gm. per
liter). To each 1000 cc. filtrate add 100
gm. potassium acetate, 100 gm. chloral
hydrate and 50 cc. glycerin. Stir until
completely dissolved (Meiller, F. H.,
J. Tech. Methods, 1938, 18, 57-58).
Mallory (p. 380) recommends for this
purpose the methods of Kaiserling and
Jores.
There are 3 Kaiserling solutions :
1. For fixation: Formalin, 40 cc; tap
water, 2000 cc; potassium nitrate, 30
gm. and potassium acetate, 60 gm.
Small specimens require 1-14 days.
Large ones can be more uniformly fixed
by vascular Perfusion. Sometimes it
is advisable to inject fixative into central
COLORS
87
CONCENTRATION
parts of the tissue with a hypodermic
syringe and long needle. Do not use
too much pressure and be careful not to
let any of the fixative spurt back into
one's face. Before the next step wash
in running water for about 12 hrs.
2. For color restoration: Place the
tissue in 80% ethyl alcohol for 10-60
min. and watch for optimum coloration.
If left too long in the alcohol the colors
fade. Rinse in water and transfer to
No. 3.
3. For final preservation: Change to
glycerin, 500 cc. ; 1% aq. arsenious acid,
200 cc; tap water, 2300 cc; potassium
acetate, 250 gms.; thymol, 2.5 gm. To
obviate difficulty of dissolving the
arsenious acid and to sterilize add 25
gms. arsenic trioxide to 2500 cc. water
+ the thymol crystals first ground up
in a mortar and place in steam sterilizer
for 6 hrs. Then add other substances.
There are 2 J ores solutions.
1. For fixation: Chloral hydrate, 50
gms.; artificial Carlsbad salts (sodium
sulfate, 22 gm.; sodium bicarbonate, 20
gm. ; sodium chloride, 18 gm. ; potassium
nitrate, 38 gm.; potassium sulphate, 2
gm.), 50 gm.; formalin, 100 cc ; tap
water, 1000 cc Allow to act 2-14 days
depending on size, wash 12 hrs. in run-
ning water.
2. For final preservation: Potassium
acetate, 300 gm., glycerin, 600 cc; aq.
dest., 1000 cc.
Mai lory suggests fixation in Jores'
first solution and preservation in Kaiser-
ling's third solution.
Colors, Interference, see Interference
Colors.
Columbium, see Atomic Weights.
Concentration. 1. Tubercle bacilli in spu-
tum. Nagy (A.H., J. Lab. & Clin.
Med., 1939, 25, 67-71) having critically
evaluated several techniques recom-
mends Pottenger's Dilution-Flotation
method. Shake equal parts sputum and
0.5% aq. sodium hydroxide for 10 min.
Digest in water bath at 56°C. for 30
min. Add 1 ml. (= 1 cc.) hydrocarbon
(gasoline or xylene), then 200 ml. aq.
dest. and shake 10 min. Allow hydro-
carbon to collect at top 15-20 min.
Take up hydrocarbon layer in rubber
bulbed pipette. Keep in vertical posi-
tion until supernatant fluid separates
from hydrocarbon, 5-10 min. Make
smears from hydrocarbon and dry.
Remove hydrocarbon by washing with
ether. Stain with carbol fuchsin 3 hrs.
or longer. Decolorize with acid alco-
hol 30 sec. or less. If further decolor-
ization is required employ 10% aq.
sodium sulphite. Counterstain with 1%
aq. picric acid or with methylene blue.
The concentration of bacilli is about 33
times. Perhaps a modification of the
method could be used for leprosy or-
ganisms in emulsions of tissues. See
also Pottenger, J. E., Am. Rec Tuberc,
1939, 40, 581. Concentration of tuber-
cle bacilli in spinal fluids (Hanks, J. H.
and Feldman, H. A., J. Lab. & Clin.
Med., 1939, 25, 886-892). It is often
necessary to concentrate for micro-
scopic study objects which are not
present in abundance and which might
otherwise be overlooked. See exami-
nation of Feces for ova of parasites, of
Urine for sediment.
2. Leprosy bacilli for chemical analy-
sis. Ra void's method for leprosy bacilli
can perhaps be used for others. Rela-
tively large masses of bacilli-laden cells
are dissected away from neighboring
uninvolved tissue and from necrotic
tissue when present in the centers of
the nodules. They are placed in a
Wueller press without addition of any
fluid. On exertion of pressure many
of the cells are ruptured and the tissue
fluid, together with cytoplasm, nucleo-
plasm and some entire cells, passes
through minute holes in the press and is
collected, leaving most of the fibrous
elements behind. Then a little saline
solution is added and the material is
ground up in sand and made up to a
volume of about 50 cc. The sand is
allowed to sediment out at the bottom
of a centrifuge tube. The supernatant
fluid is then centrifuged at low speed
(300 r.p.m.). This throws all the rest
of the debris to the bottom while the
bacilli remain in suspension. The
supernatant fluid, containing the bacilli,
is again decanted and centrifuged at high
speed (3500 r.p.m.) in an angle
centrifuge for 1 hr. The supernatant
fluid is discarded and the pasty material
at the bottom of the tube, made up of
bacilli, is diluted and washed by re-
peated centrifugation in some experi-
ments with saline solution and in others
with distilled water.
Beginning with a large nodule or with
several small ones it is a simple matter
to collect in 4 or 5 hrs. billions of bacilli.
The pasty bacterial mass can be desic-
cated and weighed in grams. For our
experiments we used only the wet
bacilli. When viewed en masse they
appear dense white with a faint shade
of gray. They are not yellow or even
yellowish. Examination of a thick
smear, made after washing in saline,
shows myriads of bacilli without any
trace of cellular material. The bacilli
retain to a remarkable degree their
characteristic morphology, as seen in
sections and in smears of fresh tissue,
and their acid-fast properties are not
CONDENSER MANOMETERS
88
COPPER
interfered with. After washing in
distilled water until the supernatant
fluid gave no precipitate when added
to an aqueous solution of silver nitrate,
the bacilli do not fuse together but still
remain discrete bodies though their
shape is different. (Cowdry, E. V.,
Ravold, A. and Packer, D. M. Proc.
Soc. Exp. Biol. & Med., 1939, 41, 341-
345). See Floatation Techniques for in-
testinal parasites.
Condenser Manometers in differential pres-
sure measurements (Hansen, A. T. and
Warburg, E., Acta Physiol. Scand.,
1951,22, 211-215).
Congo Blue 3B, see Trypan Blue.
Congo Corinth G or GW, see Erie Garnet B.
Congo Red (CI, 370). Synonyms: Congo,
cotton red. A, B or C, direct red C, R or
Y. An acid dis-azo dye which is an
excellent indicator and a useful stain.
Matsuura, S., Fol. Anat. Jap., 1925, 3,
107-110 has obtained very fine coloration
of the skin which he has illustrated in
colors. Congo red is the basis of Kra-
jian's stain for elastic fibers. See also
Blackman, V. H., New Phytol., 1905,
4, 173-174 (uredineae); Merton, H.,
Arch. Protistenk., 1932, 76, 171-187;
Cumley, R. W., Stain Techn., 1935,
10, 53-56 (negative stain for bac-
teria), etc.
Connective System. Provides both for the
binding together of parts and for their
separation one from another by capsules,
membranes and other structures (see
Cowdry, p. 429-466). It ranges all the
way from Loose Connective Tissue
and Fatty Tissue through Fibrous
Connective Tissue and Tendons to
Cartilage and Bone. Neuroglia is a
special form of it. In general there are
three components. Fibroblasts, Fibers
and Tissue Fluid (ground substance).
Cells of hematogenous and lymphatic
origin may be present since blood vessels
and lymphatics run in connective tissue
pathways. See techniques under these
headings, also Masson's Trichrome
Stain, Mallory's Connective Tissue
Stain, Phosphomolybdic Acid Hema-
toxylin, Van Gieson, Buzaglo, Mallory-
Heidenhain rapid one step stain, etc.
Connective Tissue Cells, preservation of
trypan blue and neutral red in those of
loose connective tissue. Inject sub-
cutaneously 5 cc. fresh sterile 1% aq.
vital trypan blue (Coleman and Bell
Co.) into a mature white rat weighing
about 90 gras. and wait 48 hrs. Make up
0.02% certified neutral red (National
Aniline in 0.9% NaCl). After slight
etherization exsanguinate the animal.
Inject neutral red into subcutaneous
tissue of groin in several places near
original puncture. After 3-5 min. re-
move small blobs of edematous tissue.
Tease these out on clean slides with aid
of needles and filter paper. When
corners are dry spread is ready for
direct observation under cover glass or
for fixation. Make up 10% formalin.
Test it by addition of a drop or two of
neutral red. If this turns orange add
a little N/10 HCl until it becomes red.
Fix in this formalin over night or for
several days. Rinse in aq. dest. Coun-
terstain in 1% fast green F.C.F. (War-
ner-Jenkinson Co.) in 2% aq. acetic
acid for ^1 min., pass through suc-
cessive changes dioxan, 3-5 min. each.
Agitate slightly. Mount in dioxan
employing medium hardened diaphane
(Will Corp.), redissolve in dioxan or
pass through xylol and mount in balsam.
Avoid alcohols. Note blue granules in
macrophages and fine red granules in
mast cells (Snook, T., Stain Techn.,
1939, 14, 139-142). See Connective
System.
Contraction Bands, or waves, demonstration
of in smooth muscle. Remove intestine
of freshly killed cat, expose to air of room
or rub with blunt end of scalpel. When
preparations are made numerous con-
traction bands will be seen. Contrast
with this intestine of cat killed with
chloroform and not excised until rigor
mortis begins in which muscle fibers
are fully extended (Dahlgren, McClung,
p. 430).
Coons, see Antigen Localization.
Copper. 1. Microchemical tests. Fix in
formalin or alcohol, use same hema-
toxylin or methylene blue stain as for
Lead. With former copper hemofuscin
is blue and hemosiderin (iron pigment)
is black, while with latter copper pig-
ment is pale blue and the iron pigment
uncolored (Mallory, F. B. and Parker,
F., Jr., Am. J. Path., 1939, 15, 517-522).
See also Okamoto, K., Utamura, M. and
Mikami, G., Acta Sch. Med., Univ.
Imp. in Kioto., 1939, 22, 335-360 (il-
lustrated in colors); Mendel, L. B. and
Bradley, H. C, Am. J. Physiol., 1905,
14, 313-327 (bromine test for) ; Claude,
A., Cold Spring Harbor Symposia on
Quantitative Biology, 1941, 9, 263-270
(copper of respiratory pigment) ; Hoag-
land, C. L. et al., J. Exper. Med., 1942,
76, 163-173 (copper and other substances
in virus elementary bodies). Water-
house, D. F., Bull. Council for Scientific
and Industrial Research, Melbourne,
Australia, 1945, No. 191, 20 pp.: add 1
drop 0.1% aq. sodium diethyl dithio-
carbamate to fresh tissue followed by
1 drop cone, hydrochloric acid which
yield yellow product with copper. Iron
interferes with this result but the sen-
sitivity for copper is much greater than
COPPER CHROME HEMATOXYLIN
89
CORONARY ARTERIES
for iron (quoted from Click p. 23).
When search is necessary for traces
of copper without need for microscopic
localization an emission spectrograph
may give the information qucikly, see
Histospectrography. If quantitative
determinations of copper in small
amounts of tissue are required use the
polarographic technique elaborated by
Carruthers, C, Indust. and Engin.
Chem., 1945, 17, 398-399. Details for
determination of copper in epidermis
are given bj^ Carruthers, C. and Sunt-
zeff, v., J. Biol. Chem., 1945, 159, 647-
661.
2. As vital stain. Intravenous in-
jections of colloidal solutions of copper
in rabbits are described by Duhamel,
B. G., C. rend. Soc. de Biol., 1919, 82,
724-726.
Copper Chrome Hematoxylin (Bensley's)
for mitochondria. Fix very small pieces
in Altmann's Fluid or in Acetic-Osmic-
Bichromate fixative of Bensley 12-24
hrs. Wash, dehydrate, clear, imbed in
paraffin ana cut sections at 4 or 5 mi-
crons. Deparaffinize. Sat. aq. copper
acetate, 5 min. Several changes aq.
dest., 1 min. 0.5% aq. hematoxylin, 1
min. After rinsing in aq. dest. pass to
5% aq. neutral potassium chromate, 1
min. which should turn sections dark
blue-black. If they are only light blue,
rinse in aq. dest. again place in copper
acetate and repeat if necessary several
times until no increase in color is ob-
tained. Wash in aq. dest. and treat for
few sec. with copper acetate. Wash in
aq. dest. and differentiate under the
microscope in Weigert's borax-ferri-
cyanide mixture (borax, 1 gm. ; potas-
sium ferricyanide, 1.25 gm.; aq. dest.
100 CO.) diluted with twice the volume
aq. dest. Wash in tap water, 6-8 hrs.
Dehydrate, clear and mount in balsam.
The mitochondria appear a beautiful
deep blue against a yellowish back-
ground. It is important to have good,
ripe hematoxylin. It is usually made
by dilution from a 10% sol. in abs. al-
cohol. This method of staining should
be tried after fixation in Regaud's fluid.
Coproporphyrin of megaloblasts in embryos,
see Porphyrins. Coproporphrin III can
be isolated from human tubercle bacilli
by chromatographic and fluorescence
analysis (Crowe, M.O'L., and Walker,
A., Brit. J. Exp. Path., 1951, 32, 1-6).
Coreine 2R, see Celestin Blue B.
Corinth Brown G, see Erie Garnet B.
Coriphosphine O (CI. 787). An acridine dye
used as a fluorchrome (Metcalf, R. L.
and Patton, R. L., Stain Techn., 1944,
19. 11-27).
Corn Blue B, see Victoria Blue R.
Corn Blue BN, see Victoria Blue B.
Cornea. This is a difficult tissue to prepare
in stained sections because of its curva-
ture and avascularity. A valuable sil-
ver method is minutely described by
Pullinger, B. D., J. Path, and Bact.,
1943, 55, 97-99.
Fix anterior and posterior surfaces
in 10% aq. neutral formalin before ex-
cision of eye, if possible, by flooding
anterior surface with fixative and by
injecting fixative into anterior chamber
through a hypodermic needle at the
same time withdrawing fluid from the
chamber likewise bj' hypodermic. Re-
move eye, inject fixative into vitreous
at same time removing fluid from it.
Leave in fixative 24 hrs. Excise cornea
along corneo-scleral margin, detach
iris, ciliary body and lens. Fix latter
separately and cornea for further 3
days, 4 altogether. Indicate location
future sections by nick in opposite edge.
Transfer cornea to aq. dest. avoiding
metal instruments then and thereafter.
Wash and leave over night in aq. dest.
+ 3 drops ammonia (S. G. 0.88) per, say,
50 cc. After washing in 2 or 3 changes
aq. dest., and pouring off last aq. dest.,
filter onto cornea through cotton wool
moistened with aq. dest. 20 cc. del Rio-
Horiega's solution. To make this add
300 cc. 5% aq. sodium bicarbonate to
100 cc. 10% aq. silver nitrate in brown
glass stoppered bottle. Add few drops
ammonia waiting each time for smell
of ammonia to disappear until almost
but not all ppt. is dissolved. They
add 250 cc. aq. dest.
Place container with cornea plus fil-
tered solution in incubator at 37°C.
4 hrs. Pour off solution and wash
cornea in several changes aq. dest.
Then reduce by pouring onto cornea
10% aq. neutral formalin, 15 min. Cut
away "dome" of cornea with knife and
support its concave surface with the
lens, freeze and section at about 15 /x.
parallel to surface. Take sections into
aq. dest.; mount at once in glycerin
jelly or pass through alcohols to abso-
lute, clear in creosote and mount in
balsam. Collagen pale yellow, nuclei
and cytoplasm well shown and espe-
cially Descemets membrane.
Cornyebacterium Diphtheriae. Evaluation
of methods for staining metachromatic
granules (Morton, H. E., Stain Techn.,
1942, 17, 27-29). See Gobar, M. A., J.
Bact., 1944, 47, 575, also Diphtheria
Bacilli.
Coronary Arteries. Their distribution may
be demonstrated by injection of the
easily recognizable fluids listed under
Blood Vessels. Owing however to their
great importance it is well to mention
two special adaptations of the said fluids.
CORPORA AMYLACEA
90
GROSSMAN'S
Gross (L., The Blood Supply of the
Heart in its Anatomical and Glinical
Aspects. New York: Iloeber, 1921)
employed injections of barium sulphate
suspensions in gelatin followed by x-ray
photographs; while Spalteholz (W.,
Die Arterien der Herzwand, etc.,
Leipsig: Herzel, 1924) used injections
of cinnabar and other pigments likewise
in gelatin which were later cleared by
his method. Ehrich, Ghapelle and Gohn
(W., C., and A. E., Am. J. Anat., 1931,
49, 241-282) found the latter technique
preferable. Celloidin injections also
give good results. Histological demon-
stration of the blood supply of the
coronaries is described under Vasa
Vasorum.
Corpora Amylacea, see Prostate.
Corpuscles, see those of Pacini, Meissner,
Krause, etc.
Corrosion Preparations. In them the struc-
tures to be demonstrated are left while
all the surrounding tissue is corroded
and washed away, for instance Celloidin
and Neoprene injections.
Corrosive Sublimate, see Mercuric Chlo-
ride.
Corti, organ of, see Ear.
Cortin (interrenalin), hormone of adrenal
cortex.
Cotton Blue, see Anilin Blue, Methyl
Blue. See Fungi.
Cotton Corinth G, see Erie Garnet B.
Cotton Red, see Safranin O.
Cotton Red, A, B, or C, see Congo Red.
Cotton Red 4B, see Benzopurpurin 4B.
Covell, see Ear.
Cover Glasses, see Cleaning.
Creatine and Creatinone, see colorimetric
methods of Borsook, H., J. Biol. Chem.,
1935, 110, 481-493 and of Sure, B. and
Wilder, V. M., J. Lab. Clin. Med.,
1941, 26, 874-878.
Cresol Red. See Hydrogen Ion Indicators.
Creosote (Beechwood) is an important
clearing agent for celloidin sections.
It is a mixture of phenols, mainly
guaiacol and creosol.
Cresyl Blue 2RN, or BBS, see Brilliant
Cresyl Blue.
Cresyl Violet — cresylecht violet (cresyl fast
violet) — Commission Certified. A basic
oxazin dye. A technique for its use
(or that of toluidin blue) in studies on
the cytoarchitectonics of the nervous
system is proposed by Landau, E.,
Bull. d'Hist. Appl., 1934, 11, 44^6.
As a stain for nerve cells in celloidin
sections (Tress, G., and M., Stain Tech.,
1935, 10, 105-106). Wash low viscosity
nitrocellulose (celloidin) sections of 10%
formalin fixed tissues in aq. dest. Stain
for 30 min. at 50°C. in cresyl violet,
0.5 gm.; aq. dest., 100 cc. ; glacial acetic
acid, 4 drops (filtered before using).
Wash in aq. dest. Differentiate in 70%
alcohol until most of stain leaves cel-
loidin. Completely immerse for 2-5
min. in: chloroform, 60 cc; abs. ale,
10 cc; and ether, 10 cc. Almost no
destaining of cells occurs but stain is
removed from background. Differen-
tiate in 100 cc. 95% ale + 4 drops 1%
aq. hydrochloric acid but stop while
cells are a little darker than desired.
Neutralize sections in 90% alcohol +
a little sodium bicarbonate. Wash in
95% alcohol to remove the bicarbonate.
Complete dehydration in 2 changes n
butyl alcohol. Clear in 4 changes xylol
and mount. See Kallichrom. Note:
There are two different dyes sold as
cresyl violet: (1) The CC. product
(Nat. Anilin, Mfgrs.; see Conn, 1940,
p. 93) which is good in biopsy work;
(2) The Grtibler product (also sold by
Coleman and Bell, but not on the market
during the war) which is needed in
neurological work, cf. Tress, above.
Cresylecht Violet, intensification of meta-
chromatic properties (Williams, B. G.
R., J. Lab. & Clin. Med., 1934-35, 20,
1185-1187). A new domestic cresylecht
violet has been made available by Cole-
man and Bell and is stronglj'- recom-
mended by Banny, T. M. and Clar, G.,
Stain Techn., 1950, 25, 195-196.
Cretin's Test, see Calcium.
Crime Detection Techniques. These are of
course legion. Many of them are mi-
croscopic and involve identification of
materials. See for example, Hair,
Semen Stains and Hemoglobin. In re-
spect to the latter the object is to deter-
mine whether blood is human by pre-
cipitin tests and to which group it be-
longs by detection of agglutinins as is
well described by Schiff, F. and Boyd,
W. C, Blood Grouping Technic New
York: Interscience Publishers, Inc.,
1942, 248 pp. The identification of
metals, such as chips from a razor blade,
by spectroscopic examination is often
conclusive, see Histospectrography.
Cracks in metal surfaces can be de-
tected with astonishing delicacy by the
Magnaflux. An interesting elementary
account of Crime Detection Techniques
is provided by Hoover, J. E., Scientific
Monthly, 1945, 60, 18-24.
Croceine Scarlet, see Biebrich Scarlet,
water soluble.
Grossman's modification of Mallory's con-
nective tissue stain (Grossman, G.,
Anat. Rec, 1937, 69, 33-38). Deparaf-
finize sections of Zenker fixed material.
Lugol's iodine, 5 min. Rinse in 70%
alcohol, several changes. Wash 10 min.
in running water. Overstain nuclei in
Mayer's acid Hemalum or Weigert's
Iron Hematoxylin. Wash in running
CRYOSTAT
91
CURTIS' SUBSTITUTE
water 10 min. Stain for 1 min. or more
in: acid fuchsin (C.C.), 1 gm.; orange
G (CO.), 0.4 gm.; aq. dest., 300 cc;
thymol, 0.2 gm.; glacial acetic acid, 3
cc. Rinse in aq. dest. Decolorize in
fresh 1% aq. phosphotimgstic or phos-
phomolybdic acid until arterial media
is red and adventitia is colorless. Rinse
very quickly in aq. dest. Counterstain
in 2% aq. anilin blue, W.S. (CC.)
100 cc. + glacial acetic acid, 2 cc. or in
1% aq. light green SF yellowish (CC.)
100 cc. + glacial acetic acid, 1 cc. Rinse
in aq. dest. Decolorize in 1% acetic
acid under microscope. Rinse in aq.
dest. Dehydrate in 3 changes abs. ale.
Clear in 3 changes .xylol and mount.
Like original method but nuclei brown or
black and collagen blue or green de-
pending on counterstain.
Cryostat. Written by Dr. Gordon H. Scott,
Dept. of Anatomy, Wayne University,
School of Medicine, Detroit, Mich. —
This apparatus is one which is designed
to dehydrate tissues at low tempera-
tures. A detailed description has been
given by Packer and Scott (J. Tech.
Methods, 1942, 22, 85-96) and by Hoerr
and Scott (Medical Physics, Otto Glas-
ser, 1944, Year Book Publishers). Tis-
sues frozen in liquid air or nitrogen are
placed in a chamber which is connected
with a fast pumping vacuum system.
Water vapor which is released from the
tissues is trapped by P2O5 as well as by
a cold trap. In the Packer-Scott ap-
paratus the relative amount of water
vapor in the system is determined by
its flow past a spaced pair of ionization
gauges between which is placed the
P2O5 trap. When these gauges are in
balance it is assumed water vapor is no
longer being released in quantity, and
therefore the tissues are dry. As soon
as the tissues, placed on a container
of solid out-gassed paraffin, are dry,
the paraffin is melted and the tissues
are infiltrated. This latter procedure
is accomplished without the necessity
of breaking the vacuum. This small
but important step provides tissues
which have been frozen-dried and pre-
pared for cutting without their having
been partially rehydrated by exposure
to air at ambient pressure and temper-
ature. See Altmann-Gersh frozen de-
hydration method.
Cryptococcus Hominis, see Blastomycosis.
Cryptosporidium, see Coccidia.
Crystal Violet as vital stain for fibroblast
nuclei (Bank, O. and Kleinzeller, A.,
Arch. exp. Zellforsch., 1938, 21, 394-
399). See Anilin Crystal Violet and
Gentian Violet.
Crystal Violet-Acid Fuchsin. This is one
of R. R. Bensley's neutral stains espe-
cially advocated for the demonstration
of secretion antecedents in gland cells.
The technique is described by the
Bensleys (p. 97). To make stain add
filtered sat. aq. acid fuchsin to similar
solution crystal violet until precipita-
tion is complete. Collect ppt. on fdter
paper, wash through once with aq. dest.
Dry and dissolve in absolute alcohol to
saturation. For staining add 5 cc. of
above stock solution to 45 cc. 20%
alcohol made from absolute. In this
color paraffin sections of Formalin-
Zenker fixed material for 5 min. Blot
with filter paper in one hand and add
with other hand absolute alcohol from
a pipette, flood with absolute. Blot
immediately. Add few drops clove oil.
When differentiation, observed under
microscope, is optimum transfer to
pure benzol and mount in balsam.
Crystal Violet and Alizarin, see Benda's
Method for Mitochondria.
Crystals. These are encountered in many
forms, see Charcot-Leyden, Ice, Sul-
fonamides, Hemin, Florence, Virchow's,
Spermin, Lubarsch, Neumann's, Teich-
mann's, Mineral residue of Microincin-
eration, Polarization Optical methods.
Numerous Microchemical Reactions
especially for minerals, yield crystal-
line materials. Fat crystals are often
distinctive as for beef, duck, lard, etc.
(Schneider, A. The Microbiology and
Microanalysis of Foods. Philadelphia:
P. Blakiston's Son & Co., 1920, 262 pp.) .
Study of crystals is really a problem for
experts. For the best techniques con-
sult Section I on "Identification" in
Bunn, C. W., Chemical Crj^stallog-
raphy, Oxford University Press, 1946,
234 pp. Comparison of the crystals to
be diagnosed with some of the 234
figures in the book may result in prompt
recognition.
Culture Media, see Bacteria, Leishmania,
Protozoa, Tissue Culture, Trypano-
somes, NNN Medium.
Curcumine, see Brilliant Yellow.
Curettings, gelatin method for rapid frozen
sections of (Meeker, L. II., J. Techn.
Meth. & Bull. Int. Assoc. Med. Mu-
seums, 1936, 16, 41-42).
Curtis' Substitute for Van Gieson stain as
modified by Leach, E. H., Stain Techn.,
1946, 21, 107-110. Use any desired
fixative. Bring sections to water and
treat with iodine and hypo (sodium
thiosulfate) if necessary. Stain for 5-
10 min. in Weigort's hematoxylin. To
make this mix (just before use) 1 part 1%
hematoxylin in absolute alcohol with
1 part of mixture containing 30% aq.
ferric chloride 4 cc, cone, hydrochloric
acid, 1 cc. 2% acetic acid 100 cc. and add
2 parts aq. dest. Wash for 5 min. in
CYANOCHIN
92
DARK-FIELD MICROSCOPE
running water. Stain 2-4 min. in Cur-
tis' substitute: 2% Ponceau S, CI, 282,
(National Aniline) 5 cc; sat. aq. picric
acid, 95 cc. ; 2% acetic acid, 2 cc. Rinse
in 96% alcohol, dehydrate, clear and
mount. Chromatin, black; cytoplasm,
yellow; collagen and reticular fibers,
red. Red and yellow colors are said
to be purer than those given by the
Van Gieson technique and too heavy
staining with red is less likely. In
original account volumes are given in
ml. which are of practically the same
value as cc.
Cyanochln of Bresslau, E., Arch. f. Protis-
terik., 1921, 43, 467, see Cyanosine.
Cyanosine, see Phloxine B.
Cyclohexanone has been recommended for
dehydration and clearing instead of
absolute alcohol and xylol by Bourdon,
P., Bull. d'Hist. Appl., 1942, 19, 55.
After dehydrating tissue in 95% alco-
hol, 12 hrs.; pass to cyclohexanone,
4 hrs.; then to another lot of cyclo-
hexanone, 2 hrs.; and impregnate with
paraffin 2 baths 2 hrs. or le.ss each. For
pieces more than 3 nmi. thick longer
times are necessary. This saturated
cyclic ketone has density similar to
water, mixes with organic solvents and
paraffin and does not harden tissue.
From Review by Jean E. Conn in Stain
Techn.
Cyclospora, see Coccidia.
Cytocentrum, centrosome plus centrosphere.
Cytochrome. This is the name given by
Keilin (D., Proc. Roy. Soc, 1925, B,
98, 312-339) to hemin compounds of a
reddish color which occur in oxidized
or reduced condition in almost all living
cells. Blaschko and Jacobson (Bourne,
p. 192) have summarized our knowledge
about them. They say that the red
color of cytochrome can be observed
when a slice of brain tissue, from which
the blood has been carefully washed out,
is suitably illuminated by transmitted
light. A thick suspension of yeast and
the thoracic muscles of insects are also
recommended as material. There are
4 cytochromes : a, b, c and as recog-
nizable spectroscopically.
Cytochrome Oxidase. Cytochrome is ox-
idized by cytochrome — oxidase which is
identical with indophenol o.xidase and
Warburg's respiratory enzyme. See
study of cytochrome oxidase-cyto-
chrome system in kidne}^ (Flexner, L.
B., J. Biol. Chem., 1939, 131, 703-711).
See Oxidase.
Cytolipochrome Pigment, see Lillie, p. 127.
Cytophaga Group of organisms, enrichment
cultures, pure culture techniques,
methods of examination and identifica-
tion (Stanier, R. Y., Bact. Rev., 1942,
6, 143-197).
Cytoplasmic Inclusions caused by viruses.
They are more diversified in size, shape
and chemical composition than the
Nuclear Inclusions. Frequently, as in
the case of large Negri Bodies, they
contain both acidophilic and basophilic
components (Trachoma Bodies). Gly-
cogen tests for Trachoma inclusion
bodies are described by Thygeson, P.,
Am. J. Path., 1938, 14, 455-462. The
techniques mentioned for Nuclear In-
clusions may be employed. See de-
scription by Goodpasture, E. W. and
Woodruff, A. M., Am. J. Path., 1930,
6, 699-711 ; 713-720 of the reactions of
fowl-pox inclusions to potassium hy-
droxide and other chemicals and the
nature of the particles. See also Borrel,
Guarnieri and KurlofiT bodies. Rickett-
sia are not to be listed as cytoplasmic
inclusions but Giemsa's stain is the
best for them.
In plant cells, as in animal ones, cer-
tain cytoplasmic inclusions are indica-
tive of virus action. They are of two
sorts: (1) X bodies, which are rather
amorphorus structures, and (2) crystal-
line inclusions. The latter are best
seen in the dark field and in polarized
light and are made up chiefly of virus.
For technique employed to demonstrate
the relationship of virus to inclusion
and a critical review of the whole prob-
lem of plant viruses, see Bawden, F. C.
Plant Virus Diseases, Waltham:
Chronica Botanica Co., 1943, 294 pp.
Cytosiderin Pigment, Lillie, p. 127.
Dahlia, see Hofmann's Violet.
Dahlia B, see Methyl Violet.
Damar is gum damar dissolved in xylol
and used to mount sections.
D'Antoni's Iodine solution. First make
standardized 10% aq. potassium iodide.
Adjust by specific gravity method to
exact 10% concentration. To 100 cc.
of 1% aq. potassium iodide made from
it add 1.5 gm. powdered iodine crystals.
Allow to stand for 4 days before using.
Recommended for staining intestinal
protozoa (D'Antoni, J. S., Am. J. Trop.
Med., 1937, 17, 79-84). See McClung,
1950, p. 450.
Dark Brown Salt R, see Chrysoidin Y.
Dark-Field Microscope (From account in
Cowdry's Histology, 1950). In dark-
field microscopy the light comes in at
an angle, and does not enter the ob-
jective lens at all. It may be thought
of as oblique illumination carried to the
limit of obliquity. If there is nothing
in the field of view the background will
of course be perfectly dark; but the
presence of objects will result in the
reflection of some light laterally into
the objective lens. Since only a minute
fraction of- the illumieation beam of
DARK-FIELD MICROSCOPE
93
DAVENPORT'S
light will go toward the formation of
an image this system will require a very
strong light source as well as a dark-
adapted eye for observation. If a spe-
cial dark-field condenser is not avail-
able, one can be easily improvised by
adding a central opaque stop just be-
low the regular condenser in the fol-
lowing manner:
Select an objective of not over 0.66 N.
A. and a condenser of at least 1.25 N.
A. and set up the illumination as for
bright field, with the slide oiled to the
top of the condenser. Stop down the
iris diaphragm until it just encircles the
bright central disk which is seen through
the tube with ocular removed. Now
cut from black paper or thin metal a
disk of diameter equal to the diameter
of this opening in the diaphragm and
cement it to a piece of glass that fits
the insertion slot under the condenser.
This central stop should block all light
from entering the objective if it is
properly centered below the iris open-
ing. Next open the diaphragm com-
pletely, thus permitting a hollow cone
of light to focus on the specimen but
not to enter the objective. If the
microscope is already supplied with a
dark-field stop it should be tested in
this manner.
The great advantage of dark-field
microscopy is that it enables one to per-
ceive the presence of particles far be-
low the theoretical limit of resolution.
Even though a particle may be much
smaller than the wave length of light it
does scatter incident light laterally into
the objective and is imaged as a rather
fuzzy point of light. We have here an
exact analogy of the situation whereby
we can "see" dust particles dancing in
a strong beam of light when it enters a
darkened room. Most of these particles
are of a size far below the limit of visual
resolution. Another advantage is that
small, transparent objects, like chylo-
microns, can be seen in dark-field
whereas they are invisible in the glare
of bright-field illumination.
For the examination of ordinary his-
tological sections little is to be gained
by dark-field observation. Neverthe-
less Ralph, P.H. (Stain Tech., 1942, 17,
7-10) recommends dark-field examina-
tion in the study of stained blood
smears. It is most helpful however in
the search for very small, scattered
bodies in a more or less empty medium,
such as chylomicrons or spirochetes in
blood plasma. Dark field examination
is the standard technique for the study
of microincineration preparations.
The cytological results of 20 years of
of microincineration have been summa-
rized by Policard, A. (J. Roy. Micr.
Soc.,1942, 42, 25-35).
The source of the light must be very,
very strong. To obtain the best results
do not rely on improvised, or home
made, equipment. A special condenser
is needed. Probably the highest ob-
jective that can be usefully employed
18 a 3 mm. oil immersion objective with
iris diaphragm. See Microincineration,
Spirochetes, Chylomicrons, etc.
Davenport's 2-hour method for staining
nerve fibers in paraffin sections with
protargol. 1946 modification written
by Dr. H. A. Davenport of original
(Davenport, H. A., McArthur, J., and
Bruesch, S. R., Stain Techn., 1939, 14,
21-26). Fix for 1 to 3 days in: Form-
amide (Eastman Kodak Co.), 10 cc;
paranitrophenol, 5 gm.; 95% ethyl alco-
hol, 45 cc; aq. dest., 45 cc. Transfer
thru graded alcohols to absolute, then
either n-butyl alcohol or xylene and
embed in paraffin. Sections are cut and
mounted in the usual manner, paraffin
removed and the slides run thru graded
alcohols to dist. water. Impregnate
for 1 hr. at 58-^2 °C. in a 5% aq. silver
nitrate. Rinse in 3 changes of aq.
dest. with 20-30 sec. allowed for each
change. The rinse water should cover
the slides completely, each slide sepa-
rate (not back to back) and the water
discarded with each change to prevent
carry-over of silver nitrate into the
protargol. Place the slides in 0.2%
protargol (Winthrop Chemical Co.) for
1 hour at room temperature. Rinse
quickly (2 sec.) in aq. dest. and reduce
for 1 to 2 min. in the following mixture :
Sodium sulfite, 5 gm. ; Kodalk (Eastman
K. Co.), 0.5 gm.; hydroquinone, 1 gm.;
aq. dest., 100 cc. Wash in running tap
water several minutes and rinse once in
dist. water. Tone in 0.1% aq. gold
chloride for 5 to 10 min. Wash again
for about 1 min. and reduce in 1% aq.
oxalic acid for 10-20 sec. Rinse and
place in hypo (10% aq. sodium thio-
sulfate) for about 1 min. Wash in run-
ning water, dehydrate and cover.
Notes: If the stain is too dark, try
any or all of the following modifications :
rinse longer after the protargol, use
0.1% protargol, omit the oxalic acid re-
duction after gold toning. If too pale:
double the concentration of the pro-
targol, double the time of either or both
silver impregnations, omit rinsing after
protargol, double the concentration of
kodalk in the reducer, lengthen the
time of reduction in oxalic acid. The
technic is suitable for mammalian cen-
tral or peripheral nervous tissue, but
for sympathetic fibers in intestine and
uterus a moderate degree of success has
DEAD BACTERIA
94
DECALCIFICATION
been obtained with material fixed in
Bouin's picric-formalin-acetic (aq.)-
Use clean glassware and fresh solutions!
Dead Bacteria. To distinguish from living
try:
1. Proca-Kayser stain (Gay, F. P.
and Clark, A. R., J. Bact., 1934, 27, 175-
189). Fix bacterial smear by drying
and flaming. Stain 3-5 min. in Loef-
fler's alkaline methylene blue. Wash
quickly and stain in Ziehl-Neelsen's
carbol fuchsin only 5-10 sec. Wash and
dry. Living bacteria blue, dead ones
purple to red.
2. Neutral red (Knaysi, G., J. Bact.,
1935, 30, 193-206). Add a little neutral
red to the medium. Escherichia coli
and Schizosaccharomyces pombi are
considered dead when tinged even
slightly by the stain.
3. Decolorization (Prudhomme, R. O.,
Ann. Institut Pasteur, 1938, 61, 512-
518). Living bacilli separated from all
tissue decolorize solutions of 1-naphthol-
2-sodium sulphonate-indo-2-6-dibrom-
phenol, O-cresol-2-6 dichlorophenol
and 0-chlorophenol-indo-2-6-dichloro-
phenol. Bacilli killed by 100 °C. for 15
min. do not decolorize them.
The value of these methods is
questionable.
Dead Cells. Often it is very difficult to
say whether a particular cell was dead
or alive when the preparation was made.
The appearance of nuclei in Postmortem
Degeneration may be a clue. Evans
and Schulemann (H. M. and W.
Science, 1914, 39, 443-454) remarked
upon the extraordinary rapidity with
which dead cells take in vital benzidine
dyes and the diffuse, uniform coloration
that ensues.
In cells supravitally stained with
neutral red Lewis and McCoy (W. H.
and C. C, Johns Hopkins Hosp. Bull.,
1922, 33, 284-293) employed the follow-
ing criteria for death: " (1) loss of color
from the granules and vacuoles; (2)
diffuse pink staining of the cytoplasm
and nucleus; (3) the appearance of a
sharp and distinct nuclear membrane
and a change in texture of the cyto-
plasm and nucleus." Using dark-field
illumination W. H. Lewis (Anat. Rec,
1923, 26, 15-29) observed the appear-
ance in dying cells of certain very small
brightly shining (white) bodies which
he called d or "death granules." These
were first in Brownian movement which
soon ceased. To quote Lewis: "During
the period when the cells were dying,
spherical blebs often appeared on both
the flat and rounded cells. These were
pale grayish sacs with very thin walls
and fluid contents in which va,rying
numbers of small white granules in ac-
tive Brownian motion were seen. The
blebs varied in size and were occasion-
ally as large as a contracted cell.
Sometimes the blebs were so crowded
with granules that they were milky in
appearance. Frequently one would
burst, freeing its granular contents into
the surrounding fluid medium where
they showed Brownian motion until
they settled down on the slide."
Luyet's (B., Science, 1937, 85, 106)
method for the differential staining of
living and dead plant cells may prove
of value for animal cells also. He has
written the following account: A piece
of the lower epidermis of the scale of
the onion bulb is peeled off and placed,
cutin side down, on a sHde. A drop of
a .5 per cent, slightly alkaline, aqueous
solution of neutral red is deposited on
the piece of epidermis and left there for
2 minutes; then it is blotted off and re-
placed by a drop of a .4 per cent potas-
sium hydroxide solution, which is imme-
diately removed (also with a blotter) ;
then the preparation is washed with
tap water. The living cells take with
that treatment a bright cerise red color,
while the dead cells are of an intense
orange yellow. The contrasts are vio-
lent. There are intermediate tints
which correspond to the dying cells.
See Necrosis, Necrobiosis, Survival
of tissue.
Decalcification. The removal of calcium so
that bony tissues can be cut in sections.
There are many methods almost all of
which involve acid treatment. It is
generally better to apply the de-
calcifying agent after fixation, particu-
larily so when the agent is a poor fixative.
The volume of decalcifier should be
about 100 times that of the tissue. The
usual, crude, way of testing the progress
of decalcification is to stick a fine needle
into the bone being careful to avoid the
area that will be cut in sections; but
less objectionable methods can be used,
see Teeth, Decalcification.
Saturated aq. sulphurous, 5% tri-
chlorlactic, 5% hydrochloric and equal
parts of 1% hydrochloric and 1%
chromic acids are all fairly good de-
calcifiers. Lactic, acetic, phosphoric
and picric acids are usually unsatis-
factory. Shipley (McClung, p. 347)
recommends slow decalcification by
long immersion in Muller's Fluid
through liberation of small amounts of
chromic acid from the bichromate.
The bones of an adult rat require 21-30
days. The process can be hurried
somewhat by using an incubator at
37°C. Adequate decalcification is de-
tected by slight bending of the bone or
DEGENERATION
95
DEHYDRATION
by the needle method. Over decal-
cification is not likely.
For rapid decalcification he advises
using sat. aq. phloroglucin to which
6-30% Nitric Acid is added. A some-
what slower formula is : nitric acid, 5
cc; phloroglucin, 70 cc; 95% ale, 1
cc; and aq. dest., 30 cc. The phloro-
glucin allows use of stronger acids.
1-2% aq. hydrochloric acid decalcifies
quickly but it causes the tissue to swell.
Formic Acid 1-5% in 70% alcohol is,
according to Shipley, the best decal-
cifying agent for large masses of bone.
With 5%, the decalcification is com-
pleted in 4-5 days. Use 70% ale. not
water, to wash out the acid.
Kramer and Shipley devised a Magne-
sium Citrate method of decalcification
in neutral solutions. To make the de-
calcifier dissolve 80 gms. citric acid in
100 cc. hot aq. dest., add 4 gms. magne-
sium oxide and stir until completely
dissolved. If the magnesium oxide
contains carbonate it should be freshly
ignited. Cool and add 100 cc. ammonium
hydroxide (density 0.90) and aq. dest.
to make 300 cc. Allow to stand 24 hrs.
and filter. Titrate filtrate with
hydrochloric acid to about pH 7.0-
7.6 and add equal volume aq. dest. In
decalcifjdng, this reagent should be
changed every 3 days. A dog's rib is
decalcified in approximately 15 days.
After decalcification, by whatever
method, the bone, or the area of calcifica-
tion, must be thoroughly washed to
remove the decalcifer and imbedded in
paraffin or celloidin. Some investiga-
tors prefer the latter but celloidin
sections are not so easily handled. See
Bones, Teeth.
The ion exchange resin technique for
bone is new and interesting (Dotti, L.
B., Paparo, G. P. and Clarke, B. E.,
Am. J. Clin. Path., 1951, 21, 475-479).
Try keeping tissue in cork stoppered
bottle containing 10 gms. of the resin
(Win-3000 supplied by Winthrop-
Stearns, Inc. 1450 Broadway, New York
18) in 80 cc 10-20% formic acid for 1-4
days. The optimum time should be
determined for the particular kind of
bone and the size of piece. The authors
supply helpful figures illustrating the
dependence of intranuclear details on
time of decalcification.
Degeneration. Because the structural or-
ganization of various sorts of cells is,
like their function, so very different
the types of degeneration leading to
death are also different at least in many
of their aspects. See Nerve Fiber
Degeneration, Cloudy Swelling, Necro-
sis, Caseation, Parenchymatous Degen-
eration, Postmortem Changes.
Dehydration is the removal of water from a
tissue preliminary to clearing and paraf-
fin or celloidin imbedding. This is
routinely done by treating the tissue
after Fixation and Washing by passing
it through a series of ethyl alcohols of
increasing concentration. Usually the
percentages are 30, 50, 70, 80, 95 and
absolute. The time depends upon the
size and kind of the tissue and the sort
of fixative. For slices of tissue less
than 3 mm. thick the dehydration can
be accomplished in 6-12 hours. The
alcohols for large slices fixed say in
Zenker's fluid are ordinarily changed
every morning and evening, but it is not
desirable to leave them in absolute
alcohol very long because it makes them
brittle. Three to 6 hours should be
sufficient. Tissues fixed in alcoholic
solutions take a shorter time to de-
hydrate. After fixation in alcohol-
formalin or in Carnoy's fluid the tissue
can be dehydrated and partly washed in
several changes of absolute alcohol
skipping the lower grades of alcohol
entirely.
When, for some reason, it is desired
to eliminate treatment with absolute
alcohol the tissues can be passed directly
from 95% alcohol into Aniline Oil (say
30 min.) which is itself later removed,
at least partly, in 5-10 minutes by
washing in 2 changes of chloroform.
Clearing is continued in chloroform for
imbedding in paraffin, or the tissue may
be passed from 95% alcohol, even from
80%, into Terpineol and cleared in half
terpineol and xylol. Still another way
to avoid absolute alcohol is to transfer
from 95% alcohol to Bergamot Oil
which serves as a clearing agent.
Several substitutes for ethyl alcohol
as a dehydrating agent are available.
Acetone is the best known. This is
strongljr recommended by R. D. Lillie,
p. 43. Four changes of acetone each
lasting 40 minutes are suggested for
routine work but this can be reduced
to 4 changes each 20 min. Thereafter
pass, the blocks of tissue to a paraffin
solvent such as benzene, toluene or
xylene before placing in melted para-
ffin. The schedules which he provides
(p. 46) for dehydration, clearing and
infiltrating with paraffin are useful.
See Cellosolve.
Dioxan will not only take the place
of the alcohol but also that of the clear-
ing agent so that it is possible to greatly'
simplify the technique and make the
sequence: fixative to dioxan to paraffin.
See Dioxan and note as to possible
danger to those using it. Cellosolve
has also been proposed as a dehydrating
agent. Lee (p. 64) says that it is ex-
DEHYDROGENASE
96
DESOXYRIBONUCLEIC ACID
pensive, inflammable and quickly takes
up water from the air. Wtiether it is
injurious when breathed remains to
be determined. On the whole it ap-
pears that little is to be gained by such
substitutes. However, Cyclohexanone
deserves further trial. If alcohol must
be avoided it is always possible to fix
in formalin and to use frozen sections.
By the Altmann-Gersh technique the
tissues are dehydrated in vacuo while
still frozen.
Dehydrogenase — Written by E. W. Demp-
sey, Dept. of Anatomy, Washington
University, St. Louis. February 26,
1951 — Sometimes used synonomously
with Oxidase, since it is an enzyme
which catalyzes the transfer of hydro-
gen from one substance to another, and
therefore operates to reduce one ma-
terial and simultaneously to oxidise
another. A variety of dehydrogenases
are recognized, depending upon the sub-
strate which acts as the hydrogen
donor (e.g. succinic, malic, lactic
dehydrogenase). Dehydrogenases have
been measured in slices or homogenates
of tissues, particularly with reference
to malignancy (Greenstein, J. P., Bio-
chemistry of Cancer, New York: Aca-
demic Press, 1947, 389 pp. ) and to changes
in the reproductive cycle, a review of
which is presented in Chapter 4 of
The Enzymes, New York: Academic
Press, 1950, Vol. 1, Part 1, 724 pp.
Methylene blue and other dyes have
been used as hydrogen acceptors in
the dehydrogenase systems. The rate
of decolorization of the dye serves
as an index of activity. Recently, tet-
razolium salts, which form colorless
solutions but which upon reduction
are converted into colored, insoluble
formazans, have been used to localize
the enzymes in tissue sections or blocks.
Rutenberg, A. M., R. Gofstein and
A. M. Seligman, Cancer Research, 1950,
10, 113-121 present a review of the
use of tetrazolium salts and methods
for studying both non-specific and spe-
cific dehydrogenase systems in living
tissue and in frozen sections. These
methods are still somewhat lacking in
histological precision, but are provid-
ing interesting data showing altered
concentrations of the enzyme in states
of different physiological activity
(Zweifach, B. W.,'M. M. Black and E.
Shorr, Proc. Soc. Exp. Biol, and Med.,
1950, 74, 848-854). See Succinic De-
hydrogenase and Triphenyltetrazolium
Chloride.
Dehydropyridines. Warburg noted a marked
whitish fluorescence in ultraviolet light.
Blaschko and Jacobson (Bourne, p. 196)
report that the pyridines do not show
this fluorescence and that the small gran-
ules that exhibit it in sections of living
liver tissue may well be dehydropyri-
dines. Their brilliant white fluores-
cence quickly fades.
Delafield's Alum Hematoxylin. To 400 cc.
sat. aq. ammonia alum add 4 gms.
hematoxylin dissolved in 25 cc. 95%
ale. Leave exposed to air and light 4
days. Add 100 cc. methyl ale. and 10
cc. glycerin; filter. Filtrate will slowly
ripen. To hasten ripening add 10 cc.
hydrogen peroxide.
Delta Dye Indicator, see Nitrazine.
Dempsey, see Phosphatases, Esterases, En-
zymes, Dehydrogenase, Nucleases.
Dempster, see Shaddow Casting.
Density Determinations. Technique de-
scribed for amebae is by use Starch
Density Gradient (L0vtrup, S., C. rend.
Lab. Carlsberg, S6r. Chim., 1950, 27,
137-144).
Dental Enamel, see Enamel.
Dentin. Can be studied in ground sections
of undecalcified teeth as well as in
paraffin and celloidin sections of de-
calcified ones (see Teeth). For the
latter Hematoxylin and Eosin, Mal-
lory's Connective Tissue stain and
many others can be applied as in the
case of decalcified bone. Hanazawa's
(Dent. Cosmos, 1917, 59, 125) methods
for the minute structure of dentin are
given in detail by Wellings, A. W.,
Practical Microscopy of the Teeth and
Associated Parts, London: John Bale,
Sons & Curnow. Ltd., 1938, 281 pp.
Dentin can be advantageously ex-
amined after vital staining with Alizarin
Red S. Its pH can be estimated
(Grossman, L. I., J. Dent. Res., 1940,
19, 171-172). For determination of
rate of mineral replacement see Radio-
active Phosphorus; for Korff's fibers,
see Teeth, Developing; and for nerve
endings, see Teeth, Innervation.
Desmoglycogen, see Glycogen.
Desoxyribonuclease is an enzyme for de-
grading desoxyribonucleic acid. It has
been used for histochemical observa-
tions (Catheside, D. G., and Holmes
B., Symp. Soc. Exp. Biol., No. 1,
Nucleic Acids, 1947, 225-231, Cambridge
University Press) to remove this type
of nucleic acid from cells.
Desoxyribonucleic acid. Method for deter-
mination in Isolated Hepatic Nuclei —
Written by Joseph A. Falzone, Dept.
of Anatomy, Washington University,
St. Louis 10, Mo. October 26, 1951—
This technique may be applied, with
slight modifications to a wide variety of
tissues and organisms, but is here de-
scribed for use with rat liver. In prin-
ciple, the nuclei of a tissue homogenate
are isolated and washed by centrifu-
DESOXYRIBONUCLEIC ACID
97
DESOXYRIBONUCLEIC ACID
gation, counted in an hemocytometer
chamber, and the Desoxyribonucleic
Acid (DNA) extracted with hot per-
chloric acid and determined by the
Dische (diphenylamine) reaction. By
this means, the DNA content of a
known number of nuclei is determined,
making it possible to calculate the av-
erage DNA content per nucleus (Boivin,
A., Vendrely, R., and Vendrely, C,
Compt. rend. Acad, sci., 1948, 226,
1061-1063.
Isolation, Counting, and Washing of
Nuclei: Anesthetize the rat, expose ab-
dominal and thoracic viscera, clamp
the inferior vena cava just below the
liver, sever the portal vein, and perfuse
the liver through the hepatic vein or
thoracic inferior vena cava, using about
50 ml. of cold normal saline, followed
by 30-50 ml. of cold 2% citric acid.
Remove the liver, which will weigh
about 10 gm., and dissect away from
it any adhering diaphragmatic and con-
nective tissues. Frozen liver may be
used, but nuclear yield is reduced, and
increased cellular debris makes counting
difficult.
The following steps are to be carried
out in a cold room at 5°C. After taking
a specimen for histological control, ho-
mogenize remainder of the liver in about
50 ml. cold 2% citric acid (Cunningham,
L., GrifRn, C., and Luck, J. M., Gen.
Physiol. 1950, 34, 59-63) using a Waring
Blendor with metal head equipped with
an ice-brine cooling jacket. The cold
room alone does not prevent heating,
but with a cooling jacket, the tempera-
ture should not exceed 5°C. Homogenize
for 5 minutes, adding a few drops of
capryl alcohol to prevent foaming.
The yield is 50-70 ml. of a 20% ho-
mogenate, which is filtered through four
layers of cheesecloth. Microscopic ex-
amination at this stage reveals a uni-
form suspension of relatively undis-
torted nuclei, without any lumped or
intact cells.
Nuclei which are spun down for analy-
sis cannot be counted directly, due to
clumping, but are estimated by first
counting the whole homogenate then
subtracting from this value the numbers
remaining in the various supernates
after centrifugation, as described below.
Thoroughly shake the homogenate,
withdraw four 5 ml. aliquots, and dilute
each with 10 ml. 2% citric acid. These
are the counting dilutions, each of
which is counted twice in the red cell
space (0.1 mm.') of an hemocytometer
chamber. Eight to ten individual
counts, totaling 3000-5000 nuclei, should
keep the error within 5%.
Fifty ml. graduated conical centrifuge
tubes are used in the following steps.
Remove four 10 ml. homogenate ali-
quots (each containing about
200,000,000 nuclei as determined above)
and carefully layer each over 20 ml. of
a solution containing 2% citric acid
and 10% sucrose. Centrifuge for 20
min. at about 500 x G. By use of this
layering technique nuclei are both
washed and isolated in a single step
(Wilbur, K. M., and Anderson, N. G..
Exp. Cell Res. 1951, 2, 47-57).
Decant and keep this supernate. Re-
wash sediment (containing nuclei) in
35 ml. 2% citric acid, centrifuging as
above. Combine supernates 1 + 2 from
each aliquot, measure volumes, and
count nuclei without diluting, if more
than 10 per chamber (0.9 mm.^) are
present.
Extraction of DNA: A recent modi-
fication of the Schneider procedure is
suggested (Schneider, W. C, Hoge-
boom, G. H., and Ross, H. E., J. Nat.
Cancer Inst., 1950, 10, 977-982). Ex-
tract sediment once with cold 12%
perchloric acid and twice with cold 6%
perchloric acid, centrifuging for 15 min.
at 500 X G each time. This removes
nucleotides and sucrose. Combine
these supernates (3, 4, + 5), measure
volumes, and count nuclei as above,
adding this value to that of supernates
1-1-2, and subtracting the total from
that for the whole homogenate. Super-
nates 3, 4 + 5 should not be mixed with
1 + 2 because cytoplasmic proteins
in the latter would be precipitated, with
clumping of nuclei.
Extraction of phospholipids with ab-
solute alcohol may be omitted in work-
ing with liver and some other tissues.
It is necessary for brain.
Extract sediment with 30 ml. 6%
perchloric acid at 90°C. for 15 minutes,
cool, and centrifuge. Wash sediment
with 10-15 ml. cold 6% perchloric acid
and combine these supernates (6 +
7) as the DNA extract. This may be
stored for 24 hrs. in a deep freeze with
little change but longer storage (several
weeks) produces unreliable results.
Determination of DNA: The Dische
reagent should be prepared with di-
phenylamine that is colorless or nearly
so, with a well defined melting point
at 53°C. Otherwise this compound
must be recrystallized before use.
Dische Blank
Reagent Dische
Glacial acetic acid 100 ml. 100 ml.
Concentrated H2SO1 2.75 ml. 2.75 ml.
Diphenylamine 1.0 gm. —
Following the Seibert procedure (J.
DESOXYRIBONUCLEIC ACID
98
DEUTERIUM
Biol. Chem. 1940, 133, 593-604) set up
10 8" X 1, pyrex tubes as below.
1 3 ml. DNA extract from aliquot 1 + 6 ml. blank
Dische
2 3 ml. DNA extract from aliquot 2 + 6 ml. blank
Dische
3 3 ml. DNA extract from aliquot 3 + 6 ml. blank
Dische
4 4 ml. DNA extract from aliquot 4 + 6 ml. blank
Dische
5 3 ml. DNA extract from aliquot 1 + 6 ml. Dische
reagent
6 3 ml. DNA extract from aliquot 2 + 6 ml. Dische
reagent
7 3 ml. DNA extract from aliquot 3 + 6 ml. Dische
reagent
8 3 ml. DNA extract from aliquot 4 + 6 ml. Dische
reagent
9 3 ml. 6% perchloric acid + 6 ml. blank Dische
10 3 ml. 6% perchloric acid + 6 ml. Dische reagent
Heat tubes 10 minutes at 100°C., cool
to room temperature and read optical
density (D) at GOO m/i. Read unknowns
against corresponding blanks set at zero,
as below:
5 10
C D C D — = Corrected DNA concentration of
1 ® tube 5
a in
Q J) Q J) = Corrected DNA concentration of
tube 5 against tube 1 as a blank
tube 6 against tube 2 as a blank
tube 7 against tube 3 as a blat
(°t)
tube 8 against tube 4 as a blank ( D — I
/ 10\
tube 10 against tube 9 as a blank 1 D — I
The nucleic acid concentrations (C)
corresponding to the five D readings
are then obtained from a standard
curve. The latter is constructed in
the usual manner from at least 20 points,
by subjecting various concentrations of
a standard DNA to the Dische pro-
cedure and plotting the resulting D
readings against these concentrations.
The solvent (O.OIN NaOH or hot 6%
perchloric acid) plus Dische reagent
is used as a blank. Beer's law should
be closely obeyed in the useful range.
The DNA concentration correspond-
ing to the D reading of tube 10 against
tube 9 ( C D^ ) is the correction for
color developed by the reagents alone
and is subtracted from the concentra-
tions found for the unknowns.
tube 6
etc.
The volumes of DNA extracts are
measured and the total DNA per aliquot
thus found. This value is divided by
the number of nuclei per aliquot (ho-
mogenate nuclei minus supernate nu-
clei) to obtain the average DNA content
per nucleus, most conveniently ex-
pressed in fifig (mgm. X 10 — 9). This
will usually range from 5-10 nixg., de-
pending upon the purity of DNA em-
ployed in constructing the standard
curve. The values of the four aliquots
should agree within 5%.
If an efficient means could be found
of separating the various nuclear types
of a given tissue, the value of this
technique would be greatly enhanced.
A method for determination of De-
soxyribonucleic Acid in isolated nuclei
of tumor cells (Dounce, A. L., J.
Biol. Chem., 1943, 151, 235-240).
Same as DNA and Thymonucleic
Acid. The structure of this acid in
relation to the cytochemical significance
of methyl green-pyronin staining is
carefully considered by Vercauteren,
R. , Enzymologia, 1950, 14, 134-140. See
Nucleic Acid.
Destin's fixative. 1% aq. chromic acid, 99
cc; formalin, 6 cc; glacial acetic acid,
2 cc. After standing for a few days it
becomes green when it can be used.
Detergents, see discussion of cutaneous
detergents by Lane, C. G. and Blank,
I. H., J.A.M.A., 1942, 118, 807-817.
See Aerosol.
Deuterium is heavy hydrogen. It is an iso-
tope having atomic weight of 2.0135 and
the symbol H^. Schoenheimer, R.,
Harvey Lectures, 1937, 32, 122-144 em-
ployed deuterium combined with oxy-
gen as heavy water H|0 to mark fatt}'-
acids. In his experiments on mice,
held on a carbohydrate diet plus heavy
water the fatty acids of the body are
replaced by new fatty acids containing
deuterium. The rate of replacement of
fatty acids can therefore be deter-
mined. For further experiments along
this line see Symposium on Interme-
diate MetaboUsm of Fats. Biological
Sj'mposia Lancaster: Jaques Cattell
Press, 1941. Leading references on
deuterium: Cope, O., Blatt, H. and
Ball, M. R., J. Clin. Invest., 1943, 22.
111-115; Flexner, L. B., Gellhorn, A.
and Merrell, M., J. Biol. Chem., 1942,
144, 35-40; Stern, K. and Dancey, T. E.,
DEUTROPLASM
99
CENTRIFUGATION OF
PARTICULATES
Proc. Soc. Exp. Biol. & Med., 1941, 48,
619-620.
Deutoplasm, see Paraplasm.
Diacetin (glycerol diacetate) use in flatten-
ing paraffin sections (Carleton, H. M.
and Leach, E. H., J. Path. & Bact.,
1939, 49, 572-576).
Diamin Red 4B, see Benzopurpurin 4B.
Diamine Bordeaux CGN, see Erie Garnet B.
Diaminoacridines have marked affinity for
nuclei in vivo. They can be visualized
by their fluorescence in near ultraviolet
light. Their localization resembles the
chromatin pattern as revealed by "nu-
clear" dyes. These compound are ap-
parently not toxic because regeneration
of rat liver cells while they are still
within the nuclei takes place at the
same rate as in controls (DeBruyn, R.
S., Anat. Rec, 1950, 108, 279-307).
Di-Amino Tri-Phenyl Methane Dyes. Ex-
amples : brilliant green, fast green FCF,
light green SF yellowish and malachite
green.
Diamond Green, see Brilliant Green.
Diamond Green B, BX or P Extra, see
Malachite Green.
Diamond Fuchsin, see Basic Fuchsin.
Dianil Blue H3G, see Trypan Blue.
Dianil Blue 2R (CI, 265)— benzo new blue
2B, direct steel blue BB, naphthamine
brilliant blue 2R — Conn (p. 63) gives
the same formula for this acid dis-azo
dye as that supplied by Corner, G. W.
and Hurni, F. H., Am. J. Physiol., 1918,
46, 483-486 and Sutter, M., Anat. Rec,
1916, 16, 164-165 for dye employed by
them in study respectively of corpora
lutea and mammary glands but these
authors do not employ the name : dianil
blue.
Dianil Red 4B, see Benzopurpurin 4B.
Dianthine B, see Erythrosin, bluish.
Diaphane for mounting Giemsa preparations
(Coulston, F., J. Lab. & Clin. Med.,
1940, 26, 869-873).
Diaphanol is according to Lee (p. 598) the
trade name for a mixture, formerly
obtainable from Leitz, produced by
passing chlorine dioxide vapor into ice
cold 70% acetic acid. It should be
fresh. He advises against attempts to
make it and outlines its use in the soft-
ening of Chitin. Rinse well fixed tissues
in 63% alcohol and transfer them to
diaphanol until they are softened and
bleached. If the diaphanol becomes
discolored, repeat. Transfer to 63%
alcohol, dehydrate, clear in tetralin
(if not available, benzol) and imbed in
paraffin. See use of diaphanol in
demonstrating Melanins.
Diazin Black, see Janus Black.
Diazin Green, see Janus Green B.
Diazo Reaction. Serra, J. A., Stain Techn.,
1946, 21, 5-18 gives the technique as
follows : Prepare tissue as described
under Ninhydrin Reaction. "Treat the
pieces for 2-3 minutes with a saturated
aqueous solution of sodium carbonate;
afterwards add some drops of the diazo
reagent and stir the liquid well. Ob-
serve in glycerin. (The coloration de-
velops rapidly and lasts for some days.)
Preparation of the diazo-reagent: into
a 50 ml. flask immersed in an ice bath,
pour 1.5 ml. of a sulphanilic acid solu-
tion (dissolve 0.9 g. of pure sulphanilic
acid in 9 ml. of concentrated HCl and
add water to 100 ml.); add 1.5 ml. of a
5% aqueous solution of NaN02, shaking
the flask meanwhile. After 5 minutes
in the ice bath add, also while shaking,
another 6 ml. of nitrite. After 5 min-
utes fill up to 50 ml. with cooled dis-
tilled water. The reagent must be
prepared every day and kept in the ice
chest.
"The reaction gives an orange or yel-
low color with the histidine and the
tyrosine of the proteins."
Dichlorofluorescein. Structure of, Milligan,
R. F. and Hope, F. J., J. Am. Chem.
Soc, 1945, 67, 1507-1508.
Dientamoeba fragilis. Technique of stain-
ing and points to be considered in diag-
nosis (Hood, M., J. Lab. & Clin. Med.,
1939-40, 25, 914-918).
Diethylene Dioxide = Dioxan.
Diflferential Centrifugation of Cell Particu-
lates— Written by Joseph A. Falzone,
Department of Anatomy, Washington
University Medical School, St. Louis.
November 27, 1951 — Since the pioneer-
ing work of R. R. Bensley and N. Hoerr
(Anat. Rec, 1934, 60, 449-455), this
technique has proven one of the most
versatile and direct in the armamen-
tarium of cytology. In essence it con-
sists of a rather drastic mechanical
disruption of large numbers of cells in
various media, separation of the result
ing particulates by centrifugation, and
determination of chemical components
and enzymatic activities in these frac-
tions. There are almost as many varia-
tions in the technique as investigators,
each variation having its peculiar merits
or limitations, the one chosen depend-
ing upon the particular cell organ-
elle or chemical data desired.
The obvious and inherent weakness
of these methods is their tendency to
produce morphological and chemical
artefacts. For example, when a tissue
is homogenized in an aqueous medium,
enzymes and other substances may be
lost by denaturation or solution, or
what is worse, adsorbed to particulates
that never contained them in life.
Large particles may fragment and sedi-
ment with an unrelated small granule
CENTRIFUGATION OF
PARTICULATES
100
CENTRIFUGATION OF
PARTICULATES
fraction. With nuclei, at least, these ob-
stacles are in part overcome by the M.
Behrens technique (Ztschr. f. physiol.
Chem., 1932, 209, 59) by which tissue
is frozen and dehydrated at the outset,
fractionation being accomplished in non-
polar organic media.
The factor of tonicity is poorly under-
stood. A solution isotonic to eryth-
rocytes may not be so to mitochondria
or nuclei. Mitochondria eventually
swell and burst in distilled water, but
appear well preserved in almost syrupy
sucrose solutions. The review of W.
C. Schneider and G. H. Hogeboom
(Cancer Res., 1951, 11, 1-22) should be
consulted in this respect. Nuclei, on
the other hand, do not appear to behave
as osmometers.
Hydrogen ion concentration, of
course, is an important variable and
should be adjusted according to experi-
mental aims. In using citric acid
media, for example, we find a number of
EH dependent effects. At pH 4 or
elow (2% citric acid) nuclei are readily
isolated in bulk, morphologically free
of cytoplasm, with no tendency to
clumping, and with an apparently com-
plete complement of desoxyribonucleic
acid (DNA) . At pH 4-6, agglutination
of cytoplasmic particles produces nu-
clear clumping. At pH 6, nuclei are
again dispersed, and contain, in addi-
tion to DNA, some enzymatic activity.
Above pH 6.5, they disintegrate com-
pletely, in contrast to cytoplasmic com-
ponents, which are better preserved in
nearly neutral media (Bounce, A. L.,
Ann. N. Y. Acad. Sci., 1950, 50, 982-
999).
It might appear that ideal media
would duplicate the tonicity, pH, and
electrolyte pattern of cytoplasm, and
some attempts in that direction have
been made (Wilbur, K. M. and Andre-
son, N. G., Exp. Cell Res., 1951, 2,
47-57). However, the most versatile
media employed to date have been simple
iso- or hypertonic sucrose solutions,
without buffers or electrolytes. These
media, especially if hypertonic, yield
excellent morphological preservation of
all components, including nuclei, which
resemble those of living cells in their
optical homogeneity (Schneider and
Hogeboom, Ibid.). One wonders if this
is really an advantage in the determina-
tion of nuclear nucleic acids, where
acid precipitation may be desirable,
but the question is not fully answered.
Bearing on this problem is the fact that
many such unbuffered homogenates are
slightly acid, due probably to glycoly-
sis, but that liver appears to be an
exception in this respect (Wilbur and
Anderson, Ibid.).
The separation of cell components
by centrifugation has relied more upon
difference in particle size, with resulting
difference in velocity of fall, than upon
any variation in specific gravity. This
would be expected from a consideration
of Stokes' Law, which states that the
velocity of particle fall is proportional
to the square of its radius, but only
directly proportional to the density
difference between particle and medium.
Moreover, we are dealing with semi-
permeable or frankly porous cell parti-
cles, whose density is altered with that
of the medium, so that very dense (and
correspondingly viscous) fluids must
be employed to effect separation by
flotation. In these cases we may be
roughly measuring 'dry weight densi-
ties', as in the Behrens procedure. An
obvious exception to these considera-
tions is that of lipid-rich constituents,
which migrate centripetally.
As a result, whole cells are commonly
sedimented at very low speeds, nuclei
at approximately 5(X) x g mitochondria
at 2000-20,000 x g, and microsomes at
20,000 to over 100,000 x g. The "super-
nate" is the remaining non-sediment-
able fraction, and with the preceding
particulates, completes the list of
usually studied components. Others,
such as chromosomes and melanin gran-
ules, will not be considered here. The
time of centrifugation or field required
varies with the viscosity of the medium,
the time ranging from a few minutes to
several hours.
A layering technique, as emphasized
by Wilbur and Anderson (Ibid.), is the
most efficient means of centrifugation,
as the mean distance of particle fall is
both increased and nearly equalized.
This naturally has the effect of both
isolating and washing the most rapidly
sedimenting fraction at a single step.
From this and the above considerations
it is obvious that a more efficient centri-
fuge would be one constructed to hold
longer tubes. With such an instru-
ment, employing tubes only double the
length of standard models, an even
further fractionation of particulates
might be achieved, with diminished loss
due to washing. Separation of nuclear
types suggests itself, and some en-
deavors in that direction are promising
(Marshak, A., Cancer Res., 1950, 10,
232).
Below is a brief outline of some of
the more popular and useful techniques,
listed according to homogenizing fluids
employed. Centrifuging media are us-
ually similar to these, or made slightly
CENTRIFUGATION OF
PARTICULATES
101
DIGITONINE
denser by addition of sucrose, if layer-
ing is employed. Temperature should
be kept at 5°C. or below throughout.
No attempt at completeness has been
made, and some interesting methods,
including ultrasonic and enzymatic cell
disruption, are omitted.
1) Citric acid, low pH (Bounce, Ibid;
Cunningham, L., Griffin, A. C. and
Luck, J. M., J. Gen. Physiol., 1950,
34, 59-63).
Procedure: Tissue homogenized sev-
eral minutes in cold 2% citric acid in
a Waring Blendor. The latter should
be equipped with a cooling jacket.
Particulates obtained: Nuclei.
Morphology: Reasonably good.
Nuclei plump and unwrinkled, but
with fine internal granulation. No
clumping or cytoplasmic tags.
Value: Simplicity and use of large
volumes of tissue, if desired. Nuclei
readily counted and DNA per nucleus
determined by the Dische or other
suitable analytical technique. The
method of choice for this purpose,
but of little other value.
Limitations: Water soluble sub-
stances, including much protein and
probably RNA, are lost; enzymes
inactivated.
2) Citric acid, controlled pH
(Bounce, Ibid.).
Procedure: Enough O.IM citric acid
is added dropwise to partially homog-
enized tissue in ice water to give a
pH of 6.0. Used with a low speed
Waring Blendor or glass homogenizer.
Particulates obtained: Nuclei.
Morphology: Similar to procedure 1.
Value: Suitable for BNA and many
enzyme studies.
Limitations: Similar to 1, except
that apoenzj'mes are retained. Co-
enzymes must often be added in de-
terminations of their activities, how-
ever. Adsorption effects must be
controlled by repeated washing of nu-
clei.
3) Sucrose, near pH 7 (Schneider and
Hogeboom, Ibid.).
Procedure: Small amounts of tissue
homogenized by ground glass appara-
tus or other "gentle" mechanical
means, in a medium of neutral but
unbuffered iso- or hypertonic (usually
0.88 M) sucrose. iProbably best to
avoid NaCl and other electrolytes for
general purposes.
Particulates obtained: Nuclei, mito-
chondria, microsomes, supernate.
Also melanin granules and particulate
glycogen.
Morphology: Excellent, with pres-
ervation of all particulates in a
form resembling that in living cells.
Mitochondria filamentous, at least
in hypertonic sucrose, and stainable
with Janus Green B; nuclei homo-
geneous with several nucleoli.
Value: Versatility, due to the large
number of fractions obtained. Suit-
able for determinations of enzymes,
nucleic acids, proteins and lipids of
these fractions. The method of
choice for microspectrophotometry of
stained nuclei, as optical homogeneity
is a definite prerequisite for valid
results with this method.
Limitations: Solution and adsorp-
tion effects again come into play, but
many artefacts can be partially ruled
out. Nuclei probably not so readily
obtained in bulk as with methods 1)
and 2).
4) Behrens technique (Behrens,
Bounce; Schneider and Hogeboom,
Ibid.).
Procedure: Tissue frozen, dried in
vacuo, ground in ball mill to disrupt
cells, and centrifuged in non-aqueous
media, usually hydrocarbons.
Particulates obtained: Nuclei.
Morphology: More seriously dis-
torted than with any other proce-
dure; nuclear membranes wrinkled.
Contamination with cytoplasm must
be appraised from smears stained
with both acid and basic dyes.
Value: Probably the most widely
applicable method for nuclei. Pro-
cedure of choice for water soluble
substances, i.e., coenzymes, vitamins,
free amino acids, etc. Results with
total protein and RNA also appear
the most reliable of any method.
Suitable also for BNA and many
enzyme studies.
Limitations: Procedure is laborious.
Lipids, lipases, and many other en-
zymes removed or destroyed.
This brief summary can only suggest
the variety of applications of cell frac-
tionation to cytology, as new ones are
continauUy uncovered. For example,
B. L. Opdyke has recently described a
valuable technique for the isolation of
keratohyaline granules of epidermis,
using isotonic saline and a Waring
Blendor for homogenization. The par-
ticles are sedimented at 25,000 x g and
appear to have all the morphological
and staining characteristics of these
granules (See Keratohyaline Granules,
procedure for isolation).
Differential Leucocyte Count, statistical
study of uniformity in (Klotz, L. F.,
J. Lab. & Clin. Med., 1939, 25, 424^34).
Diffraction Methods for measuring diameter
of red blood cells (Haden, R. L., J.
Lab. & Clin. Med., 1937-38, 23, 508-518).
Digitonine reaction of Winaaus for free
DILATOMETRIC TECHNIQUES
102
DIRECT GARNET R
cholesterol. This has been adapted to
histochemical use by Brunswick and
by Leulier and Noel (A., and R., Bull.
d'Hist. Appl., 1926, 3, 316-319). Lison
(p. 211) recommends a slight change.
Immerse frozen sections of formalin
fixed tissue in 0.5% digitonine in 50%
ale. for several hrs. Rinse in 50% ale,
then in water and mount in Apathy's
syrup or glycerin gelatin. With
crossed nicols (polarizing microscope)
one observes appearance of needles or
rosettes of the complex cholesterol-
digitonide. To resolve this complex
stain with sudan. The esters will color
and lose their birefringence while the
cholesterol will remain uncolored and
retain birefringence.
Dilatometric Techniques. These have been
adjusted so that they will give the fine
quantitative measurements needed in
histochemistry by Linderstr0m-Lang, K
Nature, 1937, 139, 713. He reported
especially ultra-microestimations of
peptidase activity.
Di-Nitrosoresorcinol test for iron, see Iron.
Diodrast, trade name for an organic iodine
preparation recommended by Gross, S.
W. (Proc. Soc. Exp. Biol. & Med.,
1939, 42, 258-259) for injection into com-
mon carotid with later x-ray photo-
graphs of the vascular tree. For visual-
ization of ventricular chambers and
large arteries see method of Ponsdome-
nech, E. R. and Nunez, V. B., Am.
Heart J. 1951, 41, 643-651.
Dioxan is diethylene dioxide. It mixes
with water, ethyl alcohol, many clearing
agents and paraffin (slightly). McClung
(p. 39) recommends its use to replace
ordinary agents like xylol. Dioxan
fumes are said to be dangerous to
laboratory workers so that it should be
used under a hood or in a well ventilated
room with container covered when not
in use (Magruder, S. R., J. Lab. & Clin.
Med., 1937-38, 23, 405-411).
For fixation the following mixtures
are recommended (McClung, p. 39) :
(1) Sat. aq. picric acid, 5 parts; glacial
acetic, 1 part; dioxan, 4 parts. (2)
Sat. picric acid in dioxan , 4 parts ; glacial
acetic, 1 part; absolute alcohol, 4 parts.
Graupner and Weissberger (von H. and
A., Zool. Anz., 1933, 102," 39-44) suggest:
dioxan 80%, methyl alcohol 20%, paral-
dehyde 2%, and acetic acid 5%. See
Clearing, Pituitary. See as ingredient
of Lison's gh'cogen method; also dioxan
imbedding of Pituitary.
A method for the dehydration, puri-
fication and clarification of dioxan so
that its use in tissue technique can be
continued has been described by Hall,
W. E. B., Am. J. Clin. Path., 1943, 7
(Technical Section), 98-100.
Dipeptidase can be localized in chief cells
of stomach. See review of methods
(Gersh, I., Physiol. Rev., 1941, 21,
242-266).
Di-Phenyl Methane Dyes. Of these only
auramin need be referred to.
Diphosphopyridine Nucleotide, see tech-
nique of Anfinsen, C. B., J. Biol. Chem.,
1944, 152, 285-291.
Diphtheria Bacilli. 1. Neisser's stain
(Stitt, p. 863). A = methylene blue,
0.1 gm.; 95% ale, 2 cc; glacial acetic
acid, 5 cc; aq. dest., 95 cc. B =
Bismark brown, 0.2 gm. ; aq. dest. (boil-
ing) 100 cc. Dissolve and filter. To
stain smear pour on A , 30-60 sec. Wash.
Then B, 30 sec. Wash in water, dry
and mount. Bacilli brown with dark
blue dots at either end. Better results
can be secured by adding 1 part of
crystal violet (Hoechst) 1 gm.; 95%
ale, 10 cc; aq. dest., 300 cc. to 2 parts
of A before using. Chrysoidin 1 gm.
in hot aq. dest. 300 cc. is more satis-
factory counterstain than Bismark
brown. Most American brands of crys-
tal violet are satisfactory.
2. Pander's stain (Stitt, p. 863).
Toluidin blue (Grubler) 0.02 gm.; aq.
dest., 100 cc; glacial acetic acid, 1 cc ;
abs. ale, 2 cc Add small amount to
fixed film on cover glass. Invert and
mount on slide. Diphtheria bacilli
recognizable by metachromatic granules
intensely stained, diphtheroids by their
strong color in contrast with ordinary
cocci and bacilli the bodies of which
are only faintly blue.
3. Laybourn's modification of Albert's
stain (Stitt, p. 863). A = toluidin
blue, 0.15 gm. ; malachite green, 0.2 gm. ;
glacial acetic acid, 1 cc. ; 95% ale, 2
cc, aq. dest., 100 cc. B = iodine
crystals, 2 gm.; potassium iodide, 3
gm.; aq. dest., 300 cc. Let both stand
24 hrs. and use filtrate. Apply A to
heat fixed smears 3-5 min. Wash in
water. Apply B for 1 min. Wash,
blot and dry. Granules of diphtheria
bacilli, black; bars, dark green; inter-
mediate parts, light green and all three
in sharp contrast.
Diplosome, a double centrosome.
Direct Black, see Chlorazol Black E.
Direct Fast Orange (CI, 326)~Erie Fast
Orange (NAC), Erie Fast Scarlet YA
(NAC) — a direct disazo dye of light
fastness 3 (Emig, p. 38).
Direct Fast Scarlet 4 BS (CI, 327)— Pont-
amine Fast Scarlet 4 BS of DuPont — , a
disazo direct dye of light fastness 3, can
be employed instead of carmine as a
general stain. Details of use in study
of plant and animal tissues are de-
scribed (Emig, p. 38}.
Direct Garnet R, see Erie Garnet B.
DIRECT GREEN B
103
DUCTS
Direct Green B (CI, 593)— Diazine Green
B — a direct disazo dye of light fastness
3 to 4. Recommended as counterstain
for Crocein Scarlet 7 B of invertebrates
or paraffin sections, time 5 min. (Emig,
p. 43).
Direct Green G (CI, 594)— Alkali Green D—
a direct disazo dye of light fastness 3 to
4. Formula for blue green algae and
whole mounts is given (Emig, p. 43).
Direct Red 4B, see Benzopurpurin 4B.
Direct Red, C, R, or Y, see Congo Red.
Direct Sky Blue, see Niagara Blue 4B.
Direct Steel Blue BB, see Dianil Blue 2R.
Direct Violet B, see Azo Blue.
Direct Violet C, see Erie Garnet B.
Dis-Azo Dyes. Azo blue, benzopurpurin
4B, Biebrich scarlet, Bismark brown
Y and R, brilliant purpurin R, Congo
red, dianil blue 2R, Erie garnet B,
Niagara blue 4B, orseillin, trypan blue,
trypan red, sudan III, sudan IV,
vital new red, vital red, etc.
Dissociation, see Maceration.
Distrene 80 is a polysterene which forms a
water clear solution in xylol. It is
recommended by Kirkpatrick and Len-
drum (J. and A. C, J. Path, and Bact.,
1939, 49, 592-594) as a naounting medium
giving good preservation of color in
microscopic slides. See also Kirk-
patrick, J. and Lendrum, A. C, J. Path.
& Bact., 1941, 53, 441.
Dominici's Stain, see Eosin-Orange G and
Toluidin blue.
Donaldson's lodine-Eosin Method, see lo-
dine-Eosin.
Dopa, Oxidase Reaction for Melanoblasts
(Laidlaw, G. F., Anat. Rec, 1932, 53,
399-407). Dopa is short for 3.4-dihy-
droxyphenylalanin, a substance which
when applied in a certain way picks out
the melanoblasts by blackening them.
Use frozen sections of fresh material or
of tissues fixed 2 to 3 hours but not
longer in 6% formalin. Rinse 4 or 5
seconds in aq. dest. and immerse in
buffered dopa. (To make dopa stock
solution dissolve 0.3 gm. dopa powder-
manufactured by Hoffmann-La Roche,
Nutley, New Jersey— in 300 cc. cold
aq. dest. Keep in refrigerator and dis-
card when solution becomes dark red.
To make buffers dissolve 11.87 gms. di-
sodium hydrogen phosphate (Na2HP04
+ 2H2O) — or what would be better
9.47 gm. anhydrous Na2HP04— in 1000
cc. aq. dest. and 9.08 gms. anhydrous
potassium dihydrogen phosphate
(KH2PO4) in an equal amount aq. dest.
Immediately before use buffer to pH 7.4
by adding 2 cc. potassium phosphate
solution, and 6 cc. sodium phosphate
solution to 25 cc. dopa solution). The
reaction is slow for 3-4 hours at room
temperature. If solution becomes
sepia brown it is likely to overstain.
Observe under microscope. Wash in
aq. dest., dehydrate and counterstain
if desired with alcoholic crystal violet,
clear and mount in balsam. Melan-
oblasts should be black.
This much used method has been
criticized by 11. Sliarlit et al. (Arch.
Dermat. and Syph., 1942, 45, 103-111)
chiefly on the ground that the incuba-
tion for 3 hrs. at room temperature may
itself increase the amount of melanin
present which happened in their ex-
perience at 37 °C. See also remarks
by Blaschko and Jacobson (Bourne,
p. 198) on specificity of the reaction.
It is given by phenoloxidases but thus
far they have not been found in mam-
malian tissues.
Dorothy Reed Cells, see Reed-Sternberg
Cells.
Double Green, see Methyl Green.
Double Imbedding. To facilitate section
cutting by making a celloidin block
firmer, harden first in chloroform vapor,
then in chloroform, transfer to benzol
until it becomes transparent and in-
filtrate with 38°C. paraffin (Lee, p.
104). See Fleas,
Another method of double imbedding
is that of Peterfi (T., Zeit. f. wiss.
mikr., 1921, 38, 342-345). As employed
in this laboratory it is as follows : Make
1% and 3% solutions of celloidin in
methyl benzoate which take about a
month. Foursome 1% into a dish. Add
absolute alcohol containing the tissue
which gradually sinks down into the
celloidin. Transfer tissue to 3% solu-
tion, 48-96 hrs. Drop tissue directly
into benzol for a few hrs. Then infiltrate
and imbed in 40 °C. paraffin about
12-24 hrs.
Double Scarlet BSF, see Biebrich Scarlet,
water soluble.
Downey's Fluid, see Megakaryocytes.
Ducts. These structures lead (L. ducere)
the products of glands to the site of
discharge. They are of considerable
variety. Ordinarily they are easily
identified by their morphology in hema-
toxylin and eosin preparations. But
special techniques are required for their
visualization in whole mounts of some
glands.
In the pancreas for example the
system of small ducts (ductules) can
easily be demonstrated by perfusion of
the pancreas with pyronin — one of the
many methods discovered by R. R.
Bensley. Proceed as described under
Perfusion using a solution made up by
adding 10 cc. of 1% aq. pyronin to 1000
cc. 0.85% aq. sodium chloride. When
the pancreas has assumed a rose red
color the optimum intensity of which
DUGGINS
104
DUST CELLS
must be determined by trials, remove a
piece of it, tease out a small lobule and
examine under low power mounted in
0.85% aq. sodium chloride. The com-
plicated system of ducts should be
sharply delineated by their deep rose
red color in an almost colorless
background. If there is any question of
their identification examine the original
figures of Bensley, R. R., Am. J. Anat.,
1911, 12, 297-388. A double staining of
ducts and Islets of Langerhans can be
obtained by perfusing in the same way
with pyronin solution to 1000 cc. of
which 6 cc. 1% aq. neutral red has been
added. The islets appear yellow red in
contrast to the rose red ductules. See,
in addition, ducts in whole mounts of
Mammary Glands and in sections of
Submaxillary Glands which are of par-
ticular interest in detecting the action of
salivary gland viruses.
Duggins, see Hairs
Duodenal Fluid. Microscopic study must
be prompt because of the presence of
cytolytic engymes. Examine sediment
after centrifugal concentration as in the
case of urinary sediments. Epithelial
cells from the entire alimentary tract
leading to and including the duodenum
may be present, generally bile stained,
also a few neutrophiles. A great in-
crease in both or either may indicate
inflammatory lesions. A polarizing mi-
croscope is helpful, but not essential,
in recognizing cholesterol crystals as
thin, flat, colorless fragments with
chipped edges. The more irregular the
crystals the more significant they are
of calculi formation. Bilirubin is easily
detected as amorphous amber, brown or
black material and calcium bilirubinate
as bright yellow granular deposits.
See Gentzkow and Van Auken in Sim-
mons and Gentzkow, p. 63.
Duodenal Drainage Smears, see Papani-
colaou Techniques.
Duran-Reynals, see Spreading Factors.
Dust Cells of the Lungs— Written by C. C.
Macklin, Dept. of Histological Re-
search, The University of Western On-
tario, London, Canada. November 28,
1951 — These phagocytes develop in the
alveolar walls of the lungs of man and
other mammals from the primitive
pneumonocy tes to arrest particles of car-
bon and other particulate matter which
elude the apprehensional mechanism of
the respiratory tract; and to dispose of
them by conveying them to the ciliary
escalator which evacuates them. Col-
lapse of the lungs dislodges them from
their normal position in the alveolar
wall (Macklin, C. C, Lancet, Feb. 24,
1951, 432-435) where they are wedged
in between capillaries, whence they
derive their nutriment. Thus the ordi-
nary human lung material available
to pathologists is unfavorable in that
it shows phagocytes lying loose which
normally are tethered. If the skin and
outer musculature be removed from a
fresh intact thorax of a small animal
such as the mouse and it be at once im-
mersed in a fixing fluid such as Regaud
or Bouin's, the lung is quickly fixed in
its normal uncollapsed condition. Pen-
etration is facilitated by exposing the
lower surface of the diaphragm, but this
must not be breached. Sections from
such material show as many as 99% or
more of the dust cells morphologically
affixed to the alveolar walls, while only
1% or less are free, and these are re-
garded as spent and on their way to
the exterior. If, however, fresh normal
mouse lungs are collapsed and promptly
filled with fixing fluid via the trachea,
and cut into sections, it is found that
only about 5% of the dust cells remains
fixed in the alveolar walls, the re-
mainder now appearing free. An er-
roneous picture of the relation of the
dust cells to the alveolar walls is thus
presented. That collapse alone dis-
lodges many of the phagocytes formerly
affixed in the alveolar walls is shown by
finding undue numbers of free dust cells
in sections from pieces of lung tissue
which have been fixed by immersion.
For larger lungs the method of perfusion
of fixing solution through the pulmo-
narvvasculature of the unopened thorax
(Hartroft, W. S., Anat. Rec, 1942, 82,
419) also showed the majority of alveo-
lar phagocytes affixed to the walls rather
than free. Thus dust cells are funda-
mentally mural phagocytes, and are
regarded as originated ultimately from
endodermal epithelium (Macklin, C. C,
Trans. Roy Soc. of Canada, Sect. V,
1946, 40, 93-111) . The presence of fluid
in the alveoli favors a shedding of mural
phagocytes from their walls. No ev-
dence of dust cell entry into the con-
nective tissue or lymphatic channels
of the lung was found, contrary to the
opinion of many pathologists. On the
other hand, dust cells are often found
stuck in the mucus overlying the epi-
thelium of the bronchioli and bronchi,
and these are probably wornout cells
being carried to the glottis by ciliary
movement (Macklin, C. C, Can. J.
of Res., D, 1949, 27, 50-58; Macklin,
C. C, Proc. Instit. of Med. of Chicago,
1950, 18, 78-95). They are recoverable
from sputum, and then have been re-
ferred to by the unsuitable term "heart
failure cells" (which see).
In the mouse most alveolar phago-
cytes are in alveolar angles and have
DYES
105
EAR
processes inserted into tunnels encircled
by capillary loops; but a lesser number,
resting on connective tissue, occupy
sockets. After brief treatment of fresh
lungs with ammoniacal silver solution,
many of the dust cells are blackened
and their mode of insertion into mural
vaginae are made clear (Macklin, C. C,
Anat. Rec, 194S, 100, 693). After with-
drawal of such processes these vaginae
or tunnels, now vacated, have become
pores (Macklin, C. C, J. of Thor.
Surg., 1938, 7, 536-551). These mural
phagocytes may have as many as four
functional air faces or particle receptors
of varying area. These often conform
to the contour of the alveolar wall,
but, in presumably active cells, project
into the air space. The edges may
extend upon adjacent capillaries and
have been mistaken for respiratory
squames by some workers. They are
sister cells of the alveolar granular
cells (septal cells, niche cells, etc.) and
the term "pneumonocyte" (which see)
includes both types. Dust cells may be
recovered from fresh lungs by the
"gash-irrigation" and "wash-out"
methods (which see), and studied in
fresh mounts or after being dried and
stained like a blood smear. Mito-
chondria are scarce or absent in them.
One hour after e.xposure to carmine
particles in the inspired air they con-
tain much carmine, which is almost
completely absent on the remaining
alveolar wall surface, and almost 100%
are inserted into the walls. One week
after such dusting, however, only 35%
are mural phagocytes, the rest being
free. Since dust cells are constantly
being lost to the body they must be
replaced correspondingly by the mul-
tiplication of sister cells remaining in
the walls. Dust cells often show bi-
zarre shapes and a common one is that
of a dumb-bell in which the middle
narrow bridge occupies a pore. Such
cells are probably not in transit from
one avleolus to another.
Histocj^tes of the lung connective
tissue often pick up dust particles which
have passed the inefficient surface guards
of the broncho-alveolar system. These
are regarded as quite different from the
endodermal alveolar phagocytes.
Great amounts of such aberrant dust
may accumulate and may give rise to
disease processes.
Dyes, see "standardization of Stains" pp.
xxvii-xxx of this book and Staining.
Dysentery, see Endamoeba.
Dysprosium, see Atomic Weights.
Ear— Written by W. P. Covell, Dept. of
Anatomy, Washington University, St.
Louis 10, Mo. October 26, 1951— Micro-
scopic examinations of the ear are
nearly always made on sections. This
is understandable, but it is possible that
the study of still living tissues, removed
by careful and minute dissections, is a
field of considerable promise. The close
apposition of epithelial and nervous
components to bone necessitates de-
calcification except in the case of young
embryos. The frequent use of celloidin
in place of paraffin for imbedding is
occasioned bj^ the wide range of diver-
sity in resistance of the organ to the
microtome knife, fluid containing
lumina being surrounded bj' hard dense
bone. The histological techniques
actually in use for the ear are fewer in
number and more limited in range than
those employed for most other parts of
the body. The difficulty experienced
in obtaining fresh and normal adult
specimens has turned investigation
toward human fetuses and the ears of
experimental animals.
The commonly used fixatives are
either Zenker's fluid, with or without
acetic acid, Zenker-formol, 10% forma-
lin, Wittmaack's solution and Heiden-
hain-Susa. Mygind, S. H. and cowork-
ers (Acta oto-laryng., 1945, 33, 273-
280) prefer the Wittmaack's for fixation
of hair cells and use the latter for
study of such structures as the stria
vascularis. The best results are to be
obtained by the use of animal material
for which prompt fixation by perfusion
methods has been done. Kristensen,
H. K. (Acta oto-laryng., 1945, 33. 225-
244) recommends the use of a 6% gum
arable in physiologic saline for intravital
perfusion to precede the fixative. Iso-
lated temporal bones placed in fixative
are prone to show autolytic changes
in end organs and ganglion cells in
one-half hour following death. The lit-
erature is filled with autolytic changes
described as specific pathologic altera-
tions due to drugs, toxins, poisons, and
so forth. Actually many of these are
the result of poor penetration of fixa-
tives and elapse of time between au-
topsy and fixation. In an attempt to
overcome the slow penetration of a fixa-
tive and prevention of artefacts Guild
made use of water from which gases
had been exhausted as the medium for
fixatives, decalcifying solutions and al-
cohols.
A variety of decalcificants have been
used with the view to preserving finer
cell structures of the soft tissues, viz:
Formic, trichloracetic, and trichlora-
lactic acids, long immersion in MuUers'
fluid and so forth. Nitric acid in 2 to
5% concentration is generally used for
human temporal bones. The lower con-
EAR
106
EAR
centration while it takes longer to act
is less likely to overdecalcify. A few
investigators recommend the use of 3%
nitric acid in water and a constant tem-
perature (37^°C.) to hasten the proce-
dure. Degree of decalcification is us-
ually judged by probing with a needle,
or a simple test with an indicator such
as phenol red. Most small animal
bones are decalcified in about 4 to 10
days. However, human temporal
bones vary considerably and may take
as long as 6 to 8 weeks with weekly
change of the solution. After decalci-
fication, thorough washing for 24 hours
in running water is necessary following
which neutralization in 5% sodium sul-
fate may be used and washing in run-
ning water repeated.
In order to preserve cytologic detail
attempts have been made to circumvent
decalcification in strong acids. Small
laboratory animals may be perfused
with Regaud's solution and following
fixation mordanted in potassium bi-
chromate for a considerable length of
time. The blocks can be embedded in
paraffin and sections made although de-
calcification is usually incomplete.
Mitochondria in hair cells, stria vas-
cularis and spiral ganglion cells can be
studied by this method.
In his study of kittens, young rabbits,
dogs and rats, Van der Stricht, O.,
Contrib. to Embryol., Carnegie Inst.,
1920, 9, 109-142 fixed isolated cochleas
in 5% aq. trichlorlactic acid, Bouin's
and Zenker's fiuids, mordanted for
"many weeks" in 70% alcohol + a few
drops of iodine solution. After the last
2 fixatives he completed decalcification
in 2% nitric acid in 70% alcohol. Be-
fore imbedding in paraffin he stained
with Borax Carmine and he colored the
sections with Iron Hematoxylin, Congo
Red and Light Green. Directions will
be found in his paper for the demonstra-
tion of mitochondria in the sustentacu-
lar and hair cells. A differential stain
for hair cells is described by MacNaugh-
ton, I. P. J., and Peet, E. W., J. Laryng.
and Otol., 1940, 55, 113-114 with a fine
colored figure of the results.
Celloidin is generally used for im-
bedding animal and human material.
It is not ideal since it is difficult to
handle, takes considerable length of
time to infiltrate and is expensive.
Various nitrocellulose samples have
been tried for small blocks of bone with
success but usually centers of large
blocks, particularly human temporal
bones, do not become sufficiently hard.
Concentrations of celloidin usually
ranging up to 15% are employed in suc-
cessive steps. While the material is in
8%, 10% and 15% celloidin negative
pressure is used in moderate amounts
to insure infiltration of celloidin into
chambers of the inner ear. This should
be done with considerable caution as
rupture of the delicate membranes may
result. When the specimen is ready for
embedding it is amply covered with 15%
celloidin and allowed to remain in the
refrigerator (the lower temperature pre-
vents excessive bubble formation) until
it can be blocked. Blocking of the ma-
terial is important and depends upon
whether vertical or horizontal sections
through the cochlea are desired. This
is readily determined by such land-
marks as the eminentia arcuata, and
external and internal auditory meati.
Sections of large blocks are usually
cut at 10 to 15 micra in thickness on a
sliding microtome. Every section is
numbered and kept for further study
if necessary, while every tenth or every
twentieth section is put aside for stain-
ing as a "tracer" series.
The nerves of the tympanic mem-
brane were successfully stained intra-
vitally by the use of methylene blue;
Wilson, J. G., J. Comp. Neurol, and
Psychol., 1907, 17, 459-468. Peripheral
endings of the cochlear nerve were
stained with 1:5000 methylene blue in
isolated pieces of the fresh membranous
cochlea removed under the dissecting
microscope; Covell, W. P., Ann. Oto.,
Rhino., Laryngo., 1938, 47, 62-67.
The peripheral fibers of the cochlear
nerve have recently been demonstrated
by Fernandez, C. (Laryngoscope, 1951,
59, (in press)) using Bodian and Cajal
silver Methods. The course of the
fibers were traced in pieces removed
by dissection and mounted on slides.
A method for study of Wallerian de-
generation in the cochlear nerve by
use of the Swank-Davenport osmic mix-
ture is described by Rasmussen, G. L.
(Abstr., Anat. Rec, 1950, 106, 120).
Ross, E. L. and Hamilton, J. W. (Arch.
Otol., 1939, 29, 428-436) allowed mer-
curochrome to remain in the middle
ear cavities of dogs for 20 minutes to
2 hours, fixed the mercurochrome in
acid solution, decalcified the bones, and
studied the distribution of the dye in
frozen sections of the cochlea. The pas-
sage of fluorescein after arterial injec-
tion was observed by Gisselsson, L.
(Acta oto-laryng., 1949, 37, 268-275) in
the cochlea. Trypan blue has been
utilized to ascertain the effects of
trauma on scala media cells of the
cochlea (Lurie, M. H., Ann. Otol., Rhin.,
Laryng., 1942, 51, 712-717). The capil-
lary areas of the cochlea have been
further studied in animals by Smith,
EAR SMEARS
107
EAR SMEARS
C. (Laryngoscope, 1951, 59, (in press)).
The precipitation of Prussian Blue in
the small vessels or the lead chromate
method of Williams, T. W. (Anat. Rec,
1948, 100, 115-125) gave satisfactory
preparations.
A method for graphic reconstruction
of the organ of Corti was introduced by
Guild, S. R., Anat. Rec, 1921, 22. 141-
157. This method has been used for
ascertaining damage to the organ of
Corti and for measurements of the
length of the organ of Corti in man by
Hardy, M., Am. J. Anat., 1938, 62, 291-
311. A simple technique for measuring
the length of the basilar membrane is
reported by Keen, J. A., J. Anat., 1939-
40, 74, 524-527. To study the mode of
vibration of the basilar membrane
B^k^sy, G. v., J. Acous. Soc. Am., 1948,
20, 227-241, used fresh human temporal
bones and suspended fine silver crystals
in the cochlear duct to visualize the
transparent memarane.
Various methods of reconstruction
have been employed particularly for
study of development of the ear. See
Bast, T. H., Arch. Otol., 1932, 16, 19-38
and others. Casts of the labyrinth
have been made of a number of different
materials including Wood's metal, wax,
rubber and so forth. Cummins, H.,
J. Comp. Neurol., 1924-25, 38, 399-459
used mercury for this purpose. With
monomeric methyl methacrylate (Pera-
pe.x) Gray, 0., J. Laryng. and Otol., 1948,
62, 308, developed a method for making
an accurate anatomic cast of the laby-
rinth. See Endolymph.
Ear Smears — Written by Marian Pfingsten
Bryan, Dept. of Otolaryngology, Wash-
ington University, St. Louis 10, Mo.
September 20, 1951 — Cytological studies
of aural exudates are valuable in help-
ing to understand the patterns of disease
pertaining to the middle ear, mastoid
and external canal of the ear. The
smear technique, more fully appreci-
ated now, although stressed by Dean,
L. W. (J. A. M. A., 1932, 99, 543-546),
yields reliable information. When this
is accurately correlated with clinical
symptoms it is of diagnostic value.
With repeated consecutive smears the
course of an inflammatory reaction in
the middle ear can be charted and the
bacteria generally observed. The se-
verity and type of infection is often
indicated by the number and variety
of inflammatory cells. The response of
the individual, as evidenced by the
number and type of phagocytes is im-
portant. The phagocytic power of the
polymorphonuclear neutrophilic leuco-
cytes along with the monocytes and
other cellular forms can be evaluated.
These, with other distinguishing cy-
tological features, are evident in the
following-categories of aural disease:
chronic and acute suppurative otitis
media, cholesteatoma of the middle ear
and mastoid, acute and chronic mas-
toiditis, external otitis and carcinoma.
Studies of these aural secretions have
been sparsely scattered through the
literature. Ts'en, Shih-Ping (China
Med. J., 1926, 40, 136) reported seven
aural smears with case histories and
suggested that the differences in
cytology were due to the duration of
the discharge. He noted that in
chronic cases the neutrophiles were more
degenerated than in acute ones. Since
then it has been found that chronic
suppurative otitis media can readily
be differentiated from acute suppurative
otitis media by smears. The amount
of fatty squamous epithelial degenera-
tion is of importance. This type of
degeneration is rarely found in acute
otitis media. The cytology in these
cases was studied by Dean, L. W. Jr. and
Pfingsten, M. G. (Ann. Oto., Rhinol.
and Laryngol., 1933, 42, 484-496).
Chronic suppurative otitis media is
also characterized by excessive numbers
of mixed bacteria and the neutrophiles
usually exhibit marked degeneration.
If there is an acute exacerbation of a
chronic condition, the typically chronic
picture is seen plus the acute one, in
which the neutrophiles are many, well
preserved, and often exhibit phagocytic
activity as evidenced by containing
bacteria. In acute otitis media all gra-
dations of monocytes are found from
those characteristic of the circulating
blood to other larger mononuclears,
but in chronic otitis media the larger
ones are rare.
In some cases of chronic otitis media
an increase of eosinophiles has been
observed in the exudates. Dohlman,
F. G. (Nord. Med. Tidskr., 1943, 17,
224) worked on this problem. In 178
cases of varying types of otitis he found
in 99 of them some increase in eosino-
philes. Koch, Hjalmar (Acta Otolaryn-
gol., 1947, Supp. 62) has also made a
complete and detailed study concerned
with the finding of eosinophiles in the
ear discharges from cases of chronic
otitis media. He stated that in the
210 chronic ears examined, there were
52 cases which exhibited an increase
in eosinophiles. He concluded that in
the eosinophile cases the healing time
of the lesion was lengthened and that
they were characterized by a very vis-
cous secretion varying from clear glass
to serum-like in appearance. Hansel,
F. K., Allergy of the Nose and Para-
EAR SMEARS
108
EAR SMEARS
nasal Sinuses; St. Louis: C. V. Mosby
Co. 1936, 383 pp.) believes that increase
of eosinophiles in affections of the
middle ear is due to the chronicity of
the infection rather than to an allergic
condition comparable to that which
appears in the nose. Eosinophiles are
frequently noted where there is a con-
tinual irritation factor. In aural polyps
there may be eosinophilic infiltration
in the tissue and if discharge is present
eosinophiles may be seen. Proetz, A. W.
(Ann. Otol., Rhin. and Laryngol., 1931,
40, 67) reported in detail an asthmatic
infant who had attacks of otitis media
accompanied by asthma. The secre-
tion from the ear did not contain eo-
sinophiles. The problem merits careful
consideration and further investigation.
Considerable significance in the past
has been attached to the microscopic
findings of cholesterol crystals and fatty
degenerated epithelium in chronic mid-
dle ear suppurations. Some have re-
garded these cytological findings as
diagnostic of cholesteatoma of the mid-
dle ear and mastoid. Particular care
must be taken in these conditions when
studying the cytology of the ear, as it
has been shown by Dean, L. W., Jr. and
Pfingsten, M. G. (Ann. Otol., Rhinol.
and Laryngol., 1933, 42, 484-496) that
characteristic cholesterol crystals and
positive chemical tests for cholesterol
can be found in acute otitis media and
in external otitis as well as in chronic
otitis media. Normal cerumen from
the ear may contain more amorphous
and crystalline cholesterol than choles-
teatoma. It is thus important that
the ear canal be thoroughly cleansed
and that the exudate studied, be taken
from the point of perforation of the
drum membrane. It would seem that
the finding of cholesterol crystals along
with fatty degenerated epithelium in
aural secretions is not alone diagnostic
of cholesteatoma, but may be sugges-
tive in the light of the clinical symp-
toms.
Cholesterol crystals show double re-
fraction of polarized light, so are best
observed in unstained direct smears of
secretions with a microscope equipped
with polarizer and analyzer. Since
lipoid substances are the only ones, so
far as is known, that doubly refract
polarized light, this method is simple
and convenient for detecting cholesterol
in its crystalline state. When the Nicol
prisms of the polarizing apparatus are
crossed the field appears dark, but
cholesterol crystals, when present, are
brightly illuminated against the dark
background. They are seen in the char-
acteristic flat rhomboid plates, often
with irregular edges. The crystals, be-
ing very fragile, may be broken into
fragments lacking true crystal forma-
tion. What the actual association of
the crystal formation may be to the
fatty degenerated epithelial cells is not
known.
Cholesterol is also evident in the
secretions of infected ears and in ceru-
men in the form of liquid crystals ob-
served only with a polarizing micro-
scope. They appear as small luminous
spheres with a black maltese cross
superimposed on each one. The phe-
nomenon is caused by a molecular for-
mation of cholesterol esters that takes
place in a liquid medium. The maltese
crosses are the result of interference
lines of light rays passing through the
crystals. They are sometimes seen
within large phagocytic cells. Nothing
is known of their significance except
that their presence indicates choles-
terol.
In mastoiditis the smear is equally
useful in helping to evaluate whether
the condition is acute or chronic. Some
consider the clinical signs and symp-
toms of the patient sufficient, but in
these serious diseases every laboratory
aid available is needed to facilitate
diagnosis. In acute suppurative mas-
toiditis, the secretion, if there is ample
opportunity for it to drain through the
tympanic membrane, may contain large
lipoid bone phagocytes, which hint at
bone destruction. These same cells are
usually found at mastoidectomy in cell
pockets of diseased bone containing
purulent material where the bone is
actively being destroyed. They were
first observed in the ear and mastoid
by Pfingsten, M. G. in 1934 by using
the supravital staining technique as
developed by Sabin, F. R. (Bull. Johns
Hopkins Hosp., 1923, 34, 277-288).
Their identification was reported at
that time to the clinical conference for
Otolaryngology, Barnes Hospital. A
complete report concerning these cells,
with case histories, before and after
the use of antibiotics, is to be published
this year by Bryan, M. P. and Bryan,
W. T. K.
Such cells are best studied in the liv-
ing condition since stains and fixations
dissolve the lipoid substance within
the cell leaving large empty vacuoles
in the cytoplasm giving it a foamy
appearance. The cell membrane in ei-
ther the fixed or living condition may
be indistinct and irregular. The nu-
cleus is usually eccentric and sometimes
double. The cells are for the most
part spherical varying in size from 20-
42 microns in diameter. In comparison
EAR SMEARS
109
EAR SMEARS
to the size of the cell the nucleus is
small and ovoid, often obscured by
the lipoid globules which completely
fill the cytoplasm. Pseudopodia may be
present but active motility has never
been observed. They stain positively
with Sudan III in the fresh condition.
The stain dissolves the globules and the
cytoplasm fills with the orange dye.
These large phagocytes, when not filled
with lipoid material, may be seen to
phagocytose cellular debris, red blood
cells and entire neutrophiles as well as
bacteria.
All of the cellular elements should
be taken into consideration in order
to evaluate the inflammatory response.
The display of polymorphonuclear neu-
trophilic leucocytes is important. It
can be demonstrated that 45-65% of
these cells will engulf carmine particles
suspended in tyrode or neutral saline
solution. If the same preparation is
counterstained with dilute neutral red
the identical vacuoles containing car-
bon will react to neutral red dye, in-
dicating that neutral red staining is a
fairly accurate criterion for judging
phagocytic activity. Hesse, Herr
(Ztschr. f. Hals, Nasen u. Ohrenh.,
1927-1928, 18, 377-382) studied fresh
exudates from middle ear suppurations
and distinguished phagocytic and non-
phagocytic leucocytes, but he stated
that ceil death occurred very rapidly.
For staining he used the Synderhel-
mishe dye, a preparation of trypan blue
and Congo red. The dye has been used
here and found to be very toxic for the
cells. It does not give sufficient time
for observation in the living state. He
made no mention of the giant bone
phagocytes.
Other cells encountered in acute mas-
toiditis include monocj^tes, lympho-
cytes, eosinophiles and basophiles.
Many variations in the mononuclear
cells are found. Besides the typical
blood monocytes there are gradual tran-
sitions between these cells and the
giant phagocytes. Often it is advisable
to distinguish between these cells when
they are not engorged with lipoid ma-
terial, but yet are larger than the
typical monocyte with many varying
shades of neutral red vacuoles and a
smaller ovoid eccentric nucleus, rather
than the typical horse-shoe nucleus
of the monocyte. These are termed
"transitional mononuclears", or cor-
respond in appearance to the "clasmato-
cytes" in the classification of Sabin,
F. R., Doan, C. A. and Cunningham,
R. S. (Contrib. to Embryol., 1925, 16,
127-162). The lymphocytes may show
slight motility in fresh preparations
and sometimes a few neutral red in-
clusions. If Janus Green is used the
mitochondria may be observed. Eosin-
ophiles, if seen in these secretions, may
exhibit motility in the living state but
are never seen to store particulate
matter. In acute mastoiditis there are
rarely more than a few seen. Baso-
phile cells are also noted in many cases.
They are usually few in number and
their significance is not known.
In contrast to the various cells as-
sociated with active mastoiditis, there
are those observed in chronic mas-
toiditis, namely, large numbers of de-
generated neutrophiles, fattj^ degen-
erated squamous epithelial cells and
masses of mixed bacteria. Bacteria are
numerous along with cellular debris.
Giant phagocytes are rarely found in
the chronic condition unless there is an
acute exacerbation of the infection.
Many other cellular details require to
be correlated with the symptoms of the
patient in these diseases.
Cytological studies aid in differentiat-
ing the many types of external otitis.
Senturia, B. H., Matthews, J. I. and
Adler, B. C. (The Laryngoscope, 1950,
60, 543-550) have made important con-
tributions showing that the smear gives
information as to the causative agents
in external otitis, whether they are
bacilli, cocci or fungi. Examination of
the smear is helpful in distinguishing
between suppurative otitis media and
external otitis (except the circum-
scribed type). Senturia states that the
ear with a hidden tympanic perforation
and a secondary diffuse external otitis
may be difficult to differentiate from a
diffuse external otitis with exudate cov-
ering the tympanic membrane. Cyto-
logical examination usually makes the
difference clear. Otitis media with per-
foration shows neutrophiles, lympho-
cytes, mucus strands, with a few bac-
teria and epithelial cells. Diffuse
external otitis shows a predominance of
epithelial cells and bacteria, with per-
haps an occasional leucocyte or mucus
strand in the secretion. The most
striking finding in the exudates of acute
and diffuse external otitis is the absence
of neutrophiles.
In regard to the early diagnosis of
malignant and benign tumors of the
middle ear and external canal, the
cytology of the discharge should be
studied carefully with the staining tech-
nique developed by Papanicolaou, G.
N. (Science, 1942, 95, 438-439). This
is a reliable aid in conjunction with
biopsy and it is especially important if
biopsy is not possible. Fortunately
carcinoma of the middle ear is somewhat
EAR SMEARS
110
EHRLICH'S TRIACID
rare . House , H . P . (Ann . Otol . , Rhinol .
and Laryngol., 1949, 58, 789-797) re-
viewed the literature and reported that
201 authentic cases of the disease have
been reported. He discussed two cases
in which the technique of Papanicolaou
aided in diagnosis and indicated, that
since the majority of malignancies of
the middle ear are superimposed on
chronically discharging ears, the method
should prove of value in the early
diagnosis of carcinoma of the middle
ear. Diamont, M. (Acta Otolaryng.,
1941, 29, 77-79) pointed out the diffi-
culty even with the Papanicolaou stain
of differentiating clinically between
granulations in chronic otitis and early
malignancy. Smears, however are very
useful in these cases in efforts to follow
the cytology of the lesions after opera-
tive procedures. Subsequent biopsies
are not always feasible. The smear
technique causes no inconvenience to
the patient. It is reliable in the evalua-
tion of x-ray and radium therapy since
the effects of such treatments are re-
flected in the cellular response.
It seems important, in order to ob-
serve all of the cellular details possible,
to use the method of Papanicolaou as
well as a good polychrome stain, such
as Wright's or Hansel's, especially in
the chronic ear conditions, so that the
exudate can be studied in both stains.
Details of the light staining with
Wright's and of the use of buffer solu-
tion are described in the staining of
Nasal Smears. Short drying of the
slide in air, rather than flaming, is
recommended for maximum cellular de-
tail. Whenever possible, in order to
complete the cytological picture, it is
interesting to use the supra-vital tech-
nique on living fresh material. There
are vast differences in appearance be-
tween living and stained cells so that
accurate cellular differentiation be-
comes a complicated problem. In order
to insure good results from any of the
staining techniques, a fresh sampling
of the discharge is imporatnt. It has
often been found satisfactory to use a
frontal sinus silver cannula with rubber
bulb to obtain the secretion as close as
possible to the point of perforation of
the drum membrane. The discharge
may then be released and spread evenly
and thinly on a clean glass slide. At
mj^ringotomy it is taken directly follow-
ing the incision of the drum membrane.
Since there are a number of reliable
staining methods that are adaptable
to the study of aural exudates, the
knowledge gained thereby can be cor-
related with the clinical symptoms of
the patient. This laboratory aid is
important in otologic examination and
stimulates an awareness of the ever
changing pathological processes.
Earle, see Tissue Culture.
Ectoplasm. Cytoplasm lying immediately
internal to the plasma membrane. It
is usually gelled, and, being free from
various formed bodies present in the
endoplasm, has a clear hyaline appear-
ance.
Egg, inoculation of hen's eggs, see Chorio-
allantoic Membrane. Egg of hel-
minths, see Floatation Techniques.
Transplantation of living fertilized
eggs, see account of Placenta.
Ehrllch-Biondi Stain, known also as the
Ehrlich-Biondi-Heidenhain mixture, is
one of the classical stains.
Add 20 cc. sat. aq. acid fuchsin and 50
cc. sat. aq. methyl green to 100 cc. sat.
aq. orange G agitating the fluid while
doing so. Add 60-100 cc. aq. dest. The
diluted mixture should redden slightly
if a little acetic acid is added. A drop
placed on filter paper should be bluish
green at the center and orange at the
periphery. If there is an outside red
zone too much fuchsin has been used.
Stain sections of sublimate fixed tissues
12-24 hrs. Do not wash in water but
dehydrate quickly. Clear and mount.
This stain gives beautiful results when
properly employed but it is fickle.
Many helpful suggestions are given in
Lee, p. 179.
Ehrlich's Acid Hematoxylin. Dissolve 2
gm. hematoxylin in 100 cc. 95% alcohol
and add; aq. dest., 100 c; glycerin, 100
cc; ammonium (or potassium) alum, 3
gm., glacial acetic acid, 10 cc. Ripen
by exposure to air (but not dust) 2 or
3 weeks, or immediately by addition of
0.4 gm. sodium iodate.
Ehrlich's Aldehyde Reagent. 2 gms. para-
dimethj^lamino-benzaldehyde in 100 cc.
20% aq. hydrochloric acid. See Uro-
bilin.
Ehrlich's Triacid blood stain. This, also,
is one of the classic stains, now seldom
used. It contains methyl green, orange
G and acid fuchsin; but methyl green
is a basic dye so that it is not made up of
three acid dyes. Ehrlich explained that
it is so called "because in it all the three
basic groups of the methyl green are
combined with acid dye-stuffs" (Lee,
p. 167) with which modern chemists do
not agree. Air dried smears are fixed
by heat (110°C) about 2 min.; stained
in triacid (Griibler) 5 min. ; washed in
aq. dest. until no more color is extracted
and dried with smooth filter paper.
Said to color neutrophile granules and
leave azur granules unstained.
EIMERIA
111
ELASTICA-TRICHROME STAIN
Eimeria, see Coccidia.
Einarson, see Gallocyanin-Chromalum
Staining of Basophilic Cell Structures.
Elacin, see Elastic Fibers.
Elastase. An elastolytic enzyme from pan-
creas has been reported by Bal6, J. and
I. Banga, Biochem. J., 1950, 46, 384-
387. This enzyme renders elastic tis-
sue soluble, without the formation of
amino acid residues. Consequently, it
apparently depolymerizes elastin.
Since elastic tissue is highly insoluble,
this enzyme should prove most useful
both for chemical and histological in-
vestigations.
Elastic Fibers — Written by A. I. Lansing,
Dept. of Anatomy, Washington Uni-
versity, St. Louis 10, Mo. October 5,
1951 — Viewed in fresh unstained spreads
of Loose Connective Tissue these fibers
are generally yellow and are more highly
refractile than coUagenic fibers. They
are optically homogeneous, branch re-
peatedly to form networks, are of vari-
able thickness and do not swell in dilute
acids. Elastic fibers are resistant to
both pepsin and pure trypsin and are
slowly digested in commercial grade
trypsin. The latter may be due to
contamination by elastase, a new, rela-
tively specific enzyme which solubilizes
elastic fibers (Bal6, J. and Banga, I.,
Biochem J., 1950, 46, 384). Elastic
fibers are also solubilized by prolonged
boiling in 0.25 N oxalic acid (Adair, G.
S., Nature, 1951, 167, 605).
Elastin may also be distinguished
from collagen by its amino acid compo-
sition. As indicated in the accompany-
ing table, collagen is very rich in hy-
droxyproline while elastin has only
small amounts. Not all elastins have
the same amino acid compositions.
Ligamentum nuchae (cow) differs sig-
nificantly from elastin of human arteries
which differ from one another. Indeed
age influences the amino acid composi-
tion of elastin from human aortas.
Age influences many of the properties
of elastic tissue. Senile elastic tissue
of skin is often called elacin. This
material is not unlike elastic tissue in
old arteries. Age differences in elastic
tissue may be summarized as follows:
Elastic fibers are readily demon-
strated in sections by the use of one of
several fairly specific stains including
Weigert's Resorcin-Fuchsin, Verhoeff's
Hematoxylin Stain, Unna's Orcein
Method, Krajian's Congo Stain. After
oxidation elastic fibers are colored red
by the Schiff Reagent. Victoria blue
and Basic Fuchsin also effectively stain
elastic fibers.
When viewed with polarized light
elastic fibers are not birefringent but
become so when stretched. This would
suggest that, although the fibers are
optically homogeneous, they possess
internal structural orientation. Elec-
Amino Acid Composition of Collagen and Elaslin*
Amino Acid
Total N
Glycine
Alanine
Leucine
Isoleucine
Valine
Phenylalanine. ..
Tyrosine
Tryptophan
Serine
Threonine
Cystine
Methionine
Proline
Hydroxyproline .
Lysine
Hydroxylysine. .
Arginine
Histidine
Aspartic acid ....
Glutamic acid. . .
Amide N
•CO
c4
i-i
O
V
a-*-*
<
"2
flla
SI?
a
o
<
SfS
lastin
(Liga
Nuch
so
•52
sU
o"-^
^t
ssy
U
W
w
w
<
&
rt
a
o
a
3
C.S
gN per 100 gN
18.6
26.2
9.5
3.22
2. IS
3.4
4.2
1.4
0.0
3.4
2.4
0.0
0.8
15.1
14.0
4.5
1.3
8.8
0.8
6.3
11.3
0.66
Total found 119.00
17.1
15.71
29.9
26.10
18.9
23.18
8.7
4.52
4.0
2.10
17.4
13.00
5.0
1.73
1.61
1.45
0.01
0.06
.82
0.29
.96
0.65
0.15
0.06
0.03
0.06
17.0
10.10
2.0
—
0.39
0.49
0.89
1.78
0.07
0.15
0.63
0.38
2.1
1.83
0.04
2.90
—
90.83
15.56
21.30
21.58
4.76
2.33
11.50
1.97
1.76
0.24
0.70
1.13
0.10
0.35|
9.20i
1.17
4.35
0.75
l.Il
3.01
2.86
16.00
32.00
4.78
2.28
12.9
90.17
11.0
0.62
1.75
1.51
• Adapted in part from Gross: J. Gerontol., 1950, 5,
343.
t Bowes, J. H., and Kenton, R. H.: The amino acid
composition and titration curve of collagen. Biochem.
J., 1948, 43, 358-365.
t Neuman, R. E.: Amino acid composition of gela-
tins, coUagens and elastins from different sources. Arch.
Biochem., 1949, 24, 289-298.
§ Lan.sing, A. I., Roberts, Eugene, Ramasarma, G.
B., Rosenthal, Theodore B., and Alex, Morris: Changes
with age in amino acid composition of arterial elastin.
Soc. Exp. Biol. Med., 1951, 76, 714-717.
tron microscopy has so far failed to
reveal internal structure. Elastic fibers
partially digested with elastase do re-
veal the presence of intertwined fibrils.
Elastic Properties, see Surface Tension.
Elastica-Trichrome Stain. In order to
demonstrate elastic fibers with equal
clearness to the smooth muscular and
collagenic fibers, especially in the walls
ELASTIN
112
ELECTRON MICROSCOPY
of blood vessels, a useful combination
of Weigert's elastic tissue stain and
Masson's trichrome stain has been
worked out by Mendeloff, J., Am. J.
Clin. Path., 1943, Tech. Suppl. 7, 65.
Deparaffinize sections in usual way,
wash thoroughly in water and stain in
Weigert's Resorcin Fuchsin mixture for
60 min. Wash quickly in Acid Alcohol,
dehydrate and differentiate in abs. ale.
till section is only faintly red. Pass
Some
Properties of Human
Arterial Elastin
Young
Senile
Physical
Straight, anasto-
Frayed, fragmented,
appear-
mosing threads or
thin strands and
ance
ribbons
granules
Glistening, refrac-
Tend to clump, yel-
tile, water-clear
low, dull
Tinctorial
1. Not stained by
1. Take up hema-
hematoxylin
toxylin
2. Red color with
2. Yellow - orange
Congo Red
with Congo Red
3. Resorcin-fuchsin,
3 Stain more
orcein "Van
densely with re-
Giesen" positive
sorcin, etc.
Chemical
1. Mineral -free
1. Severely mineral-
2. Phosphorus-free
ized. Contains as
3. Amino acids:
much as 14% cal-
a) trace of as-
cium
partic acid
2. Large amounts of
b) 1% glutamic
phosphorus
acid
3. Amino acids:
a) appreciable
amounts of as-
partic acid
b) 4% glutamic
acid
Physical
Dry isolated elas-
Dry isolated elastin.
tin, has specific
has specific gravity
gravity less than
greater than 1.30
1.30
through 70% ale. to aq. dest. and stain
in Harris' Alum Hematoxylin 8 min.
Differentiate in water 5 min. Stain in
Ponceau acid fuchsin mixture (see Mas-
son's Trichrome) 5 min. Wash thor-
oughly and place in 3% aq. phospho-
tungstic acid, 10 min. Wash again
thoroughly in water and stain with
light green. Transfer directly to 1%
acetic acid, 3 min. Do not wash but
dehydrate, clear and mount in Gum
Damar. Elastic tissue, blue -black;
smooth muscle, red; collagen, green.
Elastin, see Elastic Fibers.
Electric Tissues of fishes, methods for are
given by Dahlgren (McClung, 1950,
p. 343).
Electrical Resistance and capacity or
Impedence. By employing alter-
nating currents of varying frequencies
figures for apparent resistance and
capacity can be obtained. Red cells,
yeast cells, ova etc. have been investi-
gated. The technique is not micro-
scopic but the data have an important
bearing on structure. In view of the
wide variety of cells studied it is inter-
esting, as Danielli remarks (Bourne,
p. 42), that a definite pattern should
emerge of a cell plasma membrane only
10~*-10~' cm. in thickness corresponding
to a specific resistance of lO^^-lO" ohms.
Electrodes. See the several varieties de-
scribed in full with literature references
and diagrams by Click, pp. 183-188.
Electromagnet Technique to determine elas-
ticity (Heilbroun, A., Jahrb. wiss. Bot.,
1922, 61, 284), employed by Seifriz, W.
and Hock, C. W. (Paper Trade J.,
1936, 102, 36) and described by Cham-
bers, R. W. and Kopac, M. J. in Mc-
Clung's Microscopical Technique, 1950,
p. 542.
Electron Microscopy — Details originally
Erovided by Dr. W. L. Simpson; revised
y Dr. T. B. Rosenthal, Dept. of Anat-
omy, Washington University, St. Louis.
June 6, 1951.
1. Transmitted electron beam type.
The relationship of the wave length
(X) of light employed and to the nu-
merical aperture (N.A.) of a lens system
as expressed in the relation R.P. equals
T;^—r- proved for many years an ap-
parently insurmountable limitation to
the biologist's desire to investigate di-
rectly minute structure of cells and
tissues. Even when ultraviolet light
of 2250A was employed the limit of
resolution was 0.08 y. in & system of
N.A. 1.40. With visible light the limit
was approximately 0.2 y.. On the as-
sumption that the angle of visual acuity
is 1 minute of arc, the greatest mag-
nification that was practical with visi-
ble light ranged from 1750 to 2100 times.
There is, of course, no limitation to the
actual magnification that may be
achieved. Increases beyond the limit
mentioned, however, do not reveal new
structures. As long as this was true
there seemed no hope of direct confir-
mation of the amazing findings made
possible by such new methods as x-ray
diffraction, ultracentrifugation studies,
chemical studies of virus structure, and
polarized light methods.
Small wonder is it then that the
biologist has grasped with enthusiasm
at the possibilities of visualizing ultra-
microscopic structure by means of
devices that have grown from the fertile
ELECTRON MICROSCOPY
113
ELECTRON MICROSCOPY
field of electron optics. Of most general
interest is the electron microscope.
With this instrument, using the same
equation for resolving power, it should
be possible to reach a resolution of at
least O.OOl/x- Thus, an improvement of
at least 200 times over the limit with
visible light might be achieved. The
practical limit on magnification has been
placed at from 70,000 to 100,000 times.
Historically the electron microscope
is now twenty-four years old. Busch
described the first such instrument us-
ing magnetic lenses (Busch, H., Arch,
f. Elektroteknik, 1927, 18, 583-594).
Though many improvements were made
in design it was not until 10 years later
that the instrument reached the point
of being of practical use. Chiefly
through the work of Ruska and Borries
(numerous papers, 1934-1940) the in-
strument was developed to the state
that it is in at present. In this country
an e.xcellent instrument, capable of
giving high resolution has been de-
veloped and commercially marketed by
the Radio Corporation of America.
The apparatus is described by Zwory-
kin, V. K. (Science, 1940, 92, 51-53).
In this instrument electrons emitted
from a hot wire filament are accelerated
by a potential of 30,000 or more volts.
This beam is condensed and passed
through the object which is carried on
a wire screen supported nitro-cellulose
film. The transmitted electron beam is
focussed in a greatly enlarged image by
means of two magnetic lenses. The
image can be seen on a fluorescent screen
or photographed on a sensitive plate.
The conditions under which good re-
sults are obtainable are rather stringent.
The ideal object must be very small, or
capable of being minutely divided with-
out losing its identity; it must maintain
its form on drying in vacuum; and it
must be rigid enough to resist the heat
and disruption caused by exposure to
the electronic bombardment. Rela-
tively few biological structures fall into
this category; hence early studies were
confined to bacteria, viruses, connective
tissue fibers, blood cells, spermatozoa,
etc.
The great need in histological in-
vestigation with the electron micro-
scope has been a method for uniformly
cutting tissues no thicker than 0.1 ^
and about 1 mm* or larger in area.
With these dimensions a section will
yield acceptable electron micrographs.
Such a method seems to have been
found in a modification of the conven-
tional microtome whereby the advance
of the block is reduced about tenfold,
either mechanically (Baker and Pease,
J. Appl. Phys., 1949, 20, 480) or by
means of a thermal expansion device
(Newman, Borysko, and Swerdlow,
Anat. Rec, 1949, 105, 267). The tissue
must be embedded in celloidin or plas-
tic, but a special blade is probably
necessary for the best results. Since
1950 publications have appeared with
electron micrographs of nearly all tis-
sues of importance. See Excerpta Med-
ica, Sect. I, for listings and abstracts.
Histologists have also borrowed spe-
cial methods from metallurgists for
investigation of hard, opaque structures
like bone, tooth, hair, keratinized epi-
thelium, etc. These methods involve
the casting of very thin replicas of
surface details. Additional contrast is
gained by the ingenious process of
"shadow casting", either on the original
specimen or on its replica. A very thin
layer of metal is deposited over the
object in a vacuum by evaporation from
a hot filament. When done at an acute
angle, the elevated portions of the
object shadow the depressed areas, thus
giving a striking three-dimensional pic-
ture (Williams and Backus, J. Appl.
Phys., 1949, 20, 98). Methods have
also been developed for true stereoscopic
images (Heidenreich and Matheson, J.
Appl. Phys., 1944, 15, 423). See Shad-
dow Casting.
The old technique of selective stain-
ing has been combined with this newest
of procedures in histology. It has been
shown that the salts of heavy metals,
such as osmium and phosphotungstate,
are deposited in a highly localized way
on certain protein structures, e.g. mus-
cle fibrils, thus enabling visualization
of practically molecular details (Hall,
Jakus, and Schmitt, J. Appl. Phys.,
1945, 16, 459).
With the proper selection and com-
bination of histological methods now
on hand the electron microscopist
should have little difficulty in studying
any problem in morphology. A practi-
cal handbook for the guidance of novice
and expert has been prepared by the
Royal Microscopical Society: "The
Practice of Electron Microscopy",
edited by D. G. Drummond and pub-
lished as'Part I of vol. 70, 1-141, 1950 of
the J. Roy. Micro. Soc. Papers dealing
with details of manipulation are to be
found regularly in the Journal of Ap-
plied Physics.
2. Emission electron type. The earli-
est description of an electron micro-
scope in this country was of an entirely
different type from the new R.C.A. mi-
croscopes that give such prodigious
magnifications. McMillan and Scott
(J. H. and G. H., R.S.I. , 1937, 8, 288-
ELECTROPHORESIS
114
ELEMENTARY BODIES
290) published an account of an electron
microscope of simple design that used
as a source the electron emission of
heated sections of tissues. These were
accelerated by a potential of 1000 to 2000
volts, focussed by a magnetic lens onto
a fluorescent screen. An improved
design (Scott, G. H. and Packer, D. M.,
Anat. Rec, 1939, 74, 17-29) makes pos-
sible magnifications of at least 150
times. By certain modifications the
magnification can be increased con-
siderably. It is feasible with this in-
strument to obtain photographs that
record the precise localization of cal-
cium and magnesium salts in tissues.
Scott and Packer {ibid, 31-45) showed
that the calcium and magnesium of
skeletal muscle was confined almost en-
tirely to the muscle fibers themselves,
and that in contracted fibers a great
concentration of magnesium appeared
in the contraction nodes.
Tissues to be studied with this tech-
nique must be preserved in a manner
that permits no redistribution of min-
erals. The satisfactory method is that
of Altmann-Gersh.
Electron microscopic technique sup-
plements histospectrography by pre-
cisely locating certain elements within
tissues and is very useful in conjunction
with the technique of microincineration
as a means of identifying certain com-
ponents of the ash seen in sections.
Electrophoresis. Most particles suspended
in water carry electricity. If placed
in an electric field those possessed of
positive charge move toward the cath-
ode and those with a negative charge
toward the anode. Obviously there-
fore the nature of the charge and the
speed of movement can be determined
by microscopic study of particles sus-
pended in fluid in what is known as a
micro-electrophoresis cell. Types of
cell and precautions to be observed in
their use are described by Moore, D. H.
and Abramson, H. A. Glasser's Medical
Physics, 403-407. Their account of the
"moving boundary" method of electro-
phoresis and of the Tiselius apparatus
is clear and to the point. This latter
method, in contrast with the micro-
scopic one, affords a technique of great
accuracy and sensitivity for separating
concentrations and purifying submicro-
scopic components in blood serum and
other complete liquids.
Eleidin (G. elaia, oil) gives to the stratum
lucidum its clear, glassy appearance.
It may be a dissociation product of
keratohyalin. There has been no great
improvement on the specificity of the
older methods. Mallory (p. 260) gives
the method of Buzzi (1889), first cau-
tioning that fixation must be in formalin,
Orth's or Bouin's fluid. Stain frozen
sections of 10% formalin fixed tissue in
sat. aq. picric acid (approximately
1.2%) 5 min. Rinse in aq. dest. and
counterstain for 1 min. in 1% aq. nigro-
sin. Wash in water and then in 95%
ale. (Skip absolute) Clear in ter-
pineol or origanum oil. Mount in bal-
sam: keratin, bright yellow; eleidin,
blue black. Ranvier's Picro-Carmine
gives a fine red staining of eleidin. See
finger Nails.
Elementary Bodies are the smallest particles
of viruses. Those of certain viruses are
large enough for direct microscopic
examination in suitably stained prepara-
tions which usually show also the larger
Inclusion Bodies if these are present.
Various methods designed for Rickettsia
are usually satisfactory. Many special
techniques have been proposed of which
2 follow :
1. Methyl violet or Victoria blue
for smears (Gutstein, M., J. Path. &
Bact., 1937, 45, 313-314). Dry smears
on perfectly clean slides in air or incu-
bator. If necessary remove excess
protein by rinsing in physiological saline
solution followed by aq. dest. Fix in
methyl alcohol 1 hr. Stain in either of
2 ways: (1) Place slide in Petri dish.
Mix equal parts 1% aq. methyl violet
and 2% aq. NaHCOs. Filter imme-
diately onto the slide, cover dish and
incubate at 37 °C. 20-30 min. Rinse
in aq. dest., dry and mount in cedar oil
or liquid paraffin. Elementary bodies
light violet. (2) Same except filter
onto slide equal parts (a) Victoria blue
4R 1 gm., ale. (abs.) 10 cc. and aq. dest.
90 cc. and (b) 0.02% aq. KOH and leave
at room temperature over night. Ele-
mentary bodies of vaccinia and other
viruses dark blue.
2. Methyl blue acid fuchsin for sec-
tions (Nicolau, S. and Kopciowska, L.,
C. r. Acad. d. Sci., 1937, 204, 1276-1278).
Fix in alcoholic Bouin's fluid. Stain
4-5 micron paraffin sections 30-60 min.
in: methyl blue (Griibler) 1.5 gm., aq.
dest. 65 cc, methyl alcohol 35 cc, glyc-
erin 5 cc, 3% aq. oxalic acid 5 cc.
Wash well in aq. dest. and change to
absolute alcohol. Stain 20 min. in:
acid fuchsin 1.5 gm., aq. dest. 100 cc,
3% aq. oxalic acid 2 cc Wash directly
in absolute alcohol and mount in the
usual way. Small particles in cells
associated with following viruses :
herpes, Borna, Zoster, rabies and
pseudo-rabies are stained bright red.
A summary of methods for demon-
strating elementary bodies is given by
Seiffert, G., Virus Diseases in Man, Ani-
mal and Plant. New York : Philosophi-
ELLIPSIN
115
ENAMEL
cal Library, Inc., 1944, 332 pp. Under
favorable conditions some kinds of
of elementary bodies are visible at high
magnification unstained by both direct
and dark field illumination. Supra-
vital stains such as brilliant crcsyl blue,
neutral red, methylene blue and azur II
are recommended. Before staining
smears, fixed in a variety of ways, pre-
treatment with 2.5% aq. potassium per-
manganate or 2% aq. chromic acid is
advised. Giemsa stain gives good re-
sults but the methods of Paschen, Moro-
sow and Herzberg are suggested by
Seiffert. The fluorescence technique
of Hagemann consists of staining thin
air dried smears with 1 gm. primuline
dissolved in 1000 cc. aq. dest. + 20 cc.
pure phenol for 15 sec. washing in aq.
dest. and observation in ultraviolet
light by fluorescence microscope.
New methods for the collection and
purification of elementary bodies permit
their direct examination at very high
magnifications with the electron micro-
scope (von Borries, E. G., Ruska, E.
and H., Klin. Woch., 1938, 17, 921 ; Green,
R. H., Anderson, T. F., and Smadel,
J. E., J. Exp. Med., 1942, 75, 651-656)
and their chemical analysis for vitamin
catalysts, copper and enzymes (Hoag-
land, C. L., Ward, S. M., Smadel, J. E.,
and Rivers, T. M., J. Exp. Med., 1942,
76, 163-173). See fluorescence of ele-
mentary bodies (Turevich, E. I. ab-
stracted in Stain Techn., 1941, 16, 182.)
Ellipsin is structure protein of cells. Meth-
ods for its isolation from liver cells of
rabbit and guinea pig by grinding fresh
tissue, washing, centrifugation and so
on are fully described by Bensley, R. R.
and Hoerr, N. L., Anat. Rec, 1934, 60,
251-266.
Embedding, see Imbedding.
Embryo Chick, see Chorioallantoic Mem-
brane.
Embryological Methods. In general the
techniques which give good results with
adult tissues are also satisfactory for
embryos ; but there are differences as for
example in silver impregnations. More-
over greater care is necessary to avoid
too sudden changes in the fluids used.
Helpful suggestions are given in Mc-
Clung, pp. 279-286. Application of
trichrome staining methods to embryos
(Baxter, J. S., J. Anat., 1940-41, 75,
137-140). See demonstration of Car-
tilaginous Skeleton, Ossification and
Spalteholz method. Technique for
handling chick embryos (Adamstone,
F. B., Stain Techn., 1931, 6, 41-42).
Block staining of nervous tissue of em-
bryos with silver (Davenport, II. A.,
Stain Techn., 1934, 8, 143-149).
Emission Electron Microscopy, see Electron
Microscopy.
Enamel (dental). This can best be studied
in ground sections of Teeth. 1. Cuticle.
Wash and brush tooth in tap water. 4%
neutral formalin, 24 hrs. Wash tap
water, 24 hrs. Mallory's anilin blue
(0.5% aq.) 24 hrs. Again wash and
brush in tap water. 10% aq. hydro-
chloric acid, 10 min. As enamel is dis-
solved delicate opaque white membrane
appears. Tease membrane off onto slide
coated with egg albumen (Albumen-
Glycerin). Blot with filter paper. 5%
aq. sodium thiosulphate or bicarbonate
10 min. Wash in tap water 10 min.
Dehydrate in alcohols, clear in xylol
and mount in gum damar (McClung,
p. 371).
2. Rods. Macerate tooth in 5-10%
aq. hydrochloric acid for 24 hrs. Re-
move a little softened enamel and
examine (McClung, p. 372). See Chase,
S. W., Anat. Rec, 1927, 36, 239-258.
3. Organic Matrix. Boedeker's
method abbreviated from McClung (p.
372). Dehydrate small piece (0.5-
1 mm. thick), free from dentin, through
alcohols 10 min. each. Methyl alcohol
1-2 hrs. Decalcify in celloidin mixture
(parlodion, DuPont) made by dissolving
sufficient in methyl ale. C.P. to give
thick syrupy solution. To 150 cc. of
this add drop by drop constantly stir-
ring nitric acid C.P., 10 cc. -f methyl
ale. 40 cc. Keep tissue in this mixture
in glass dish with air tight cover. Or-
ganic matrix appears as brown, spongy
material in 10-12 hrs. care being taken
to leave the dish stationary. After
decalcification is completed, 2-7 days,
uncover and permit celloidin to harden.
Cut out specimen with narrow margin of
celloidin. 70 and 40% ale. 1-2 hrs. each.
Aq. sol. alum, 24 hrs. Running water,
6-12 hrs. Ascending alcohols to 95%
1-2 hrs. each. Anilin oil, 6-12 hrs.
(becomes brown and transparent).
Equal parts anilin oil and chloroform,
6-12 hrs. Imbed in paraffin not over
52°C. Mount 3-10^ sections, dry and
treat with xylol 3 min. Dissolve cel-
loidin in ether-alcohol. Abs. ale. 1
min. Descending alcoliols to water.
Stain in Iron Hematoxylin.
Improved results may be obtained by
slow decalcification and concurrent fixa-
tion as described b.y Sognnaes, J. Dental
Res., 1949, 28, 558-564. Teeth are
placed in celloidin bags filled with 10%
formalin and immersed in a solution of
5 gm. trichloroacetic acid, 2^ gm. po-
tassium bichromate in 100 cc. distilled
water. Ten centimeter of formalde-
hyde is added to the solution. Decalci-
fication of enamel is completed after
ENDAMOEBA
116
ENTEROCHROMAFFIN CELLS
one week in a refrigerator at a tempera-
ture of 1° C. Decalcification of dentin
is completed by placing the bag in
5% trichloroacetic acid. Not more
than two weeks should be required.
Washing and dehydration in ethyl alco-
hol and butyl alcohol is carefully ac-
complished with tooth still in the bag.
Imbed in paraffin, section and stain by
ordinary methods. Constant pressure
during decalcification may further im-
prove results (Sognnaes, R. F., J. Den-
tal Res., 1948, 27, 609-622).
4. Cape-Kitchin celloidin decalcifica-
tion method. Cut DuPont's parlodion
into small cubes and dissolve in acetone
free methyl alcohol making thick solu-
tion. To 200 cc. add 90 cc. methyl
alcohol constantly stirring and 9 cc.
nitric acid, sp. gr. 1.42. Follow decalci-
fication of enamel in this mixture be-
tween crossed nicols of polarizing micro-
scope with 24 mm. objective. Double
refraction disappears with decalcifica-
tion (Bodecker, C. F., J. Dent. Res.,
1937, 16, 143-150).
5. Permeability. When the apex of a
tooth is immersed in strong alcoholic
solution of fuchsin -f NaCl the enamel
becomes stained (v. Beust, T., Dental
Cosmos, 1912, 54, 659). Another way
is to test for penetration of lead, boron
and other easily recognizable chemicals
(Howe, P. R., Dental Cosmos, 1926, 68,
1021-1033). After intraperitoneal in-
jections of trypan blue blue coloration
can be observed in developing enamel
only (not adult) as well as in dentin of
dogs (Gies, W. J., J. Nat. Dent. Assoc,
1918, 5, 529-531). Marshall (J. S., J.
Dent. Res., 1921, 3, 241-255) employed
Naphthamine brilliant blue similarly
as a vital stain. See Dentin, vital
staining. A "Triple Embedding" tech-
nique is described by Brain, E. B., J.
Roy. Micr. Soc, 1950, 70, 313-316.
Endamoeba, see Entameba.
Endocervical Smears, see Papanicolaou
Techniques.
Endolymph. To demonstrate its circulation
employ method used by Guild, S. R.,
Am. J. Anat., 1927,39, 57-81. Introduce
solution of potassium ferrocyanide and
iron ammonium citrate into cochlear
ducts of living guinea pigs under anes-
thesia. Kill at intervals up to 48 hrs.
Excise tissue and fix in acid fluid which
precipitates Prussian Blue wherever
the solution has circulated.
Endometrial Smears, see Papanicolaou
Techniques.
Endospore stain for bacteria in blood smears.
Smear, air dry and fix by flaming 3 times.
5% aq. malachite green 5 min., wash in
tap water 10-20 sec. 0.5% aq. safranin,
10 sec, wash quickly, dry and examine
(Bruner, D. W. and Edwards, P. R.,
3. Lab. & Clin. Med., 1939, 25, 543-544).
Enrichment techniques, see Concentration.
Entameba. Craig (p. 35) gives a useful
table of diagnostic features of intestinal
amebae in man; also, on p. 55, a list of
objects that may be mistaken for
amebae in unstained and stained prepa-
rations; and details as to media for cul-
tivation of which the Boeck and Doboh-
lav media and the simpler Craig media
are the most helpful.
This genus includes E. histolytica,
the cause of amebic dysentery and E.
coli and E. gingivalis, two apparently
harmless commensals. The technique
is essentially the same for all three.
In searching for E. histolytica or E. coli
take a small amount of fresh feces, mix
with physiological saline solution and
examine directly. Recognize amebae
by large size and movements if slide
is kept warm. E. histolytica frequently
contains erythrocytes. Mallory (p.
296) advises mixture with Gram's
Iodine solution to demonstrate glycogen
if present, or mixing with drop 1-2%
formalin, then treatment with drop 2%
acetic acid and coloration with 1 drop
1% aq. neutral red. E. gingivalis is to
be found in decayed teeth. Only E.
histolytica extensively invades tissues.
1. To make permanent smear prepara-
tions (Mallory, p. 296) fix thin smear
while moist in 95% alcohol, 1 part, and
sat. aq. corrosive sublimate, 2 parts,
for 15 min. Wash for few sec. in water
and cover with 1% alcoholic iodine for
3 min. Wash in aq. dest. until iodine
color is extracted. Wash again and stain
with Phosphotungstic Acid Hema-
toxylin, 30 min. Wash in water, dehy-
drate in 95 and abs. alcohol, clear in xylol
and mount in balsam. Nuclei and ecto-
sarc, deep blue; cytoplasm, bluish.
2. To stain differentially in sections
(Mallory, p. 297). Fix in 95% or abs.
ale, and make paraffin or celloidin sec-
tions. Stain in 0.25% aq. thionin 3-5
min. Differentiate in 2% aq. oxalic
acid, i-1 min. After washing in water,
dehydrate in 95% and abs. ale Clear
in xylol and mount in balsam, except for
celloidin sections which require clearing
in terpineol, or origanum oil, after 95%
ale. Nuclei of amebae brownish red,
those of all other cells, blue. See
lodine-Eosin stain and Walker's
Method.
Enterochromaffin Cells. Perhaps the best
technique is Bodian's protargol method
as described by Dawson, A. B. and
Barnett, Julia, Stain Techn., 1944, 19,
115-118. For the influence of pilo-
carpin on enterochromaffin cells see
Hamperl, II., Ztschr. f. Mikr. Anat.
ENTOMOLOGICAL TECHNIQUES
117
EOSIN -ORANGE G
Forsch., 1925, 2, 506-535. See Small
Intestine.
Entomological Techniques, see Mosquito,
Ticks, Insects, Arachnids, Parasites.
Enzymes — Written by E. W. Dempsey,
Dept. of Anatomy, Washington Uni-
versity, St. Louis. February 26, 1951 —
Their name is legion. At present only
a few can be localized with any degree
of histological precision, but the number
of histochemical methods available is
increasing rapidly. There are no bet-
ter examples of felicitous association
between histological and biochemical
methods. Four principal kinds of tech-
niques are employed for localization:
(1) By spectrographic identification in
the tissues — especially the metal-con-
taining Cytochromes and Peroxidase.
(2) By close comparison of enzymic
activity with cellular composition of
tissues. See Glick for detailed meth-
ods, derived from the Linderstr0m-
Lang procedures — Amylase, Pepsin,
Peptidase, Esterase, Protease, Cho-
linesterase, Lipase, Urease, Carbonic
Anhydrase, etc. (3) By separation of
cellular components, such as nuclei,
granules and mitochondria, from homo-
genates of tissue. Such separation is
accomplished by differential flotation or
centrifugation, and is followed by esti-
mation of the enzymic activity of the
purified component fractions. Argi-
nase, Adenylpyrophosphatase, Phos-
phatase, etc. have been investigated by
such methods. (4) By the develop-
ment of characteristic insoluble prod-
ucts within tissues or cells — Aldolase,
Acid and Alkaline Phosphatase, Cholin-
esterase. Cytochrome Oxidase, Dehy-
drogenase, Dopa Oxidase, Esterase
Glucuronidase, Lipase, Peroxidase,
Phosphamidase, Sulfatase.
Enzymes are coming into their own
as technical tools. Purified enzymes
may be used to destroy certain tissue
components. Ribonuclease selectively
destroys basophilic substances in cyto-
plasm and nucleus, Desoxyribonuclease
similarly attacks nuclear chromatin.
Hyaluronidase solubilizes certain meta-
chromatic ground substances, whereas
other mucoid materials react only with
more potent Mucinases. The connec-
tive tissue fibers have long been charac-
terized by their digestibility in Pepsin
and trypsin, and recently an Elas-
tase has been prepared. A purified
Collagenase has been reported. The
solubility of glycogen in solutions of
salivary Amylase is an old histochemical
procedure. The effects of Lysozyme
and other enzymes on the capsules of
pneumococci and upon the Gram stain
has been summarized by DuBos (The
Bacterial Cell, Harvard Univ. Press,
1945).
Eosin B or bluish (CI, 771)— eosin BN, BW,
or DHV, eosin scarlet, eosin scarlet B,
imperial red, nopalin G, saffrosin,
scarlet J, JJ, V — Dibrom derivative of
dinitro-fluorescein. Chemistry of
(Holmes, W. C, Melin, C. G. and
Paterson, H. R., Stain Techn., 1932,
7, 121-127).
There are several fluorescein dyes
and guidance may be needed in the
choice of the one best suited for a par-
ticular purpose. Conn, H. J. and
Holmes, W. C, Stain Tech.. 1926, 1,
87-95 ; 1928, 3, 94-104 have made a study
of color, acidity and chemical structure
and Conn (p. 145) gives further data.
Their color increases in depth in this
order: eosin Y, ethyl eosin, eosin B,
erythrosin B, phloxine and rose bengal.
This increase in color is proportional to
increase in number of hologen atoms.
Their acidity increases in a different
order: rose bengal, phloxine, erythrosin,
eosin Y and eosin B. (1) When the
eosin is to follow in alcoholic solution a
basic dye always in aqueous solution
(cf. hemato.xylin) the more acid and
lighter colors are recommended (eosin
Y, ethyl eosin and eosin B. (2) When
it is to precede in aq. solution a basic
dye (cf. methylene blue) also in aq.
solution, use phloxin or erythrosin (see
phloxine-methylene blue).
Eosin lOB, see Phloxine B.
Eosin BN, BW, or DHV, see Eosin B or
bluish.
Eosin J, see Erythrosin, bluish.
Eosin-Methyl Blue, see Mann's.
Eosin-Methylene Blue has been employed
in many combinations for years. But
when the acid dye is applied first,
phloxine is preferred to eosin. See
therefore Phloxine Methylene Blue.
Eosin-Orange G — Toluidine Blue for bone
marrow, spleen and connective tissue
(Dominici, M. C. rend. Soc. biol., 1902,
54, 221-223). Stain eosin-orange G
(eosin B. A. of Hollborn or eosin yellow-
ish of American manufacturers 0.5 gm. ;
aq. dest., 100 cc; orange G. 0.5 em.)
7 min. Rinse quickly in aq. dest.
Counterstain in 0.5% aq. toluidin blue
20-30 sec. Rinse again aci. dest. Dif-
ferentiate in 95% ale, dehydrate in
abs., clear in xylol and mount in balsam.
Instead of eosin, 0.5% aq. acid fuchsin
gives a little sharper contrast. In
place of toluidin blue 0.1% Azur A can
be employed to advantage. Phloxine-
orange G can be tried as a substitute for
eosin-orange G. (phloxine 0.12 gm., aq.
dest. 100 cc, orange G, 0.3 gm.). The
crucial point is the differentiation in 95%
ale. This should be quickly checked
EOSIN SCARLET
118
EPIDERMIS
under the microscope until the time has
been determined.
Eosin Scarlet, see Eosin B or bluish.
Eosin Scarlet B, see Eosin B or bluish.
Eosin Y or yellowish (CI, 768). Tetrabrom
fluorescein with some mono- and di-
brom compounds. This is the usual
kind of eosin employed. Eosin Y and
thionin as substitute for Wright's stain
(Saye, E. B., Am. J. Clin. Path., Tech.
Suppl., 1943, 13, 12).
Eosinophile Leucocyte (acidophilic or
coarsely granular leucocyte). Can
easily be examined while still living in
mounts of fresh blood. The dark field
is useful. Most frequently studied in
Blood Smears, which see. Mitochon-
dria are readily stainable with Janus
Green. For occasional presence of
basophile granules and pigment see
Downey, H., Folia Haemat., 1915, 19,
148-206. Techniques for rapid experi-
mental increase of eosinophiles in
circulating blood are described by
Banerji, N., Am. J. Med. Sci., 1933,
186, 689-693; Chillingworth, F. P.,
Healy, J. C. and Haskins, F. E., J. Lab.
and Clin. Med., 1933-34, 19, 486-494;
Hajos, K., Nemeth, I., and Enyedy, Z.,
Zeit. f. d. ges. Exper. Med., 1926,
48, 590-592. Variations and errors in
eosinophile counts of blood and bone
marrow are described by Best, W. R.
and Samter, M., Blood, 1951, 6, 61-74.
Epidermis. This can be studied in situ
with the dermis, see Skin, or it can be
examined in 3 ways apart from the
dermis.
1. Isolated pieces. Examination of
scrapings of the epidermal surface is of
limited usefulness in special cases. To
cut away a few of the deeper cells, sepa-
rate them by teasing and to study them
in the still living state with or without
supravital stains is not particularly
helpful. But their microdissection is
capable of giving important data on
cellular consistency and connections
(Chambers, R. and deRenyi, G., Am.
J. Anat., 1925, 35, 385-402 and Than-
hoffer, L., Zeit. f. Anat. u. Entw., 1933,
100, 559-562). Their cultivation is
possible, see Tissue Culture.
2. Whole mounts for microscopic study
(Cowdry's Histology, p. 530). Place
excised fresh skin in 1% acetic acid in
ice box for 12-36 hrs. depending upon
size, age and region. Wash in tap water,
5 min. Pin skin down with epidermis
up and cover with water. Strip off
epidermis as a compete sheet. Wash in
aq. dest., 5 min. Stain in Harris'
hematoxylin, 20 min. Wash in aq. dest.,
1 min. Differentiate in 50 cc. 70%
alcohol plus 3 drops hydrochloric acid
until epidermis becomes light pink color.
Treat with 50 cc. aq. dest. plus 6 drops
ammonia until it becomes blue. Wash
in aq. dest. 5 min. several changes.
Dehydrate in 50, 70, 95 and 2 changes of
absolute alcohol, 10 min. each. Clear
in 2 changes xylol, 1 hr. each and mount
in balsam inner side up.
If the skin is hairy, before excising it,
remove hair with scissors and electric
razor or depilatory solution. Hair fol-
licles and sebaceous glands, unless par-
ticularly large, generally remain at-
tached to the epidermis, but the coiled
bodies of the sweat glands are too deeply
situated to come off with it. Conse-
quently only their straight ducts are to
be seen. Before dehydration, in the
above technique the sebaceous glands
can be sharply counterstained with
Sudan IIL
Such whole mounts of epidermal
sheets are of value insofar that their
study gives a concept of the morphology
of the epidermal covering of the body
which can be obtained in no other way.
For the counting of mitoses they are far
better than sections and have been
extensively employed for this purpose
by Dr. Cooper and her associates in The
Barnard Free Skin and Cancer Hospital.
See her latest paper (Cooper, Z. K. and
Reller, H. C, J. Nat. Cancer Inst.,
1942, 2, 335-344). Since the mucous
membrane covering the nasal septum
can be similarly prepared as a whole
mount it is likely that the method may
be of service in the study of other sheets
of epithelial cells.
3. Sheets of epidermis for chemical
analysis. Until very recently the
handicap experienced in chemical analy-
sis of the skin has been the difficulty of
separating epidermis and dermis by
themselves for analysis . All data on the
epidermis are of doubtful value because
variable amounts of dermis have been
included. The method of obtaining
pure epidermis by dilute acetic acid
separation is unsatisfactory for numer-
ous reasons. Baumberger, J. P., Sunt-
zeff, V. and Cowdry, E. V., J. Nat.
Cancer Inst., 1942, 2, 413-424 have
discovered that dilute alkali will serve
as well as dilute acetic but this also
is objectionable from the chemical
point of view. They therefore advance
a heat method. Place excised skin with
dermis down on warm plate such as is
used for mounting paraffin sections.
Apply temperature of 50°C. for 2 min.
which loosens the epidermis so that it
can be easily pushed off with a blunt
instrument. Separation is more diffi-
cult when temperature is over 51 °C.
Epidermises removed in this way for a
time continue to consume oxygen and
EPINEPHRIN
119
ERYTHROCYTES
are very suitable for chemical analysis.
They have been used for epidermal iron
and ascorbic acid by Carruthers, C. and
Suntzeff, v., J. Nat. Cancer Inst., 1942,
3, 217-220, and for total lipid-protein
nitrogen ration by Wicks, L. F. and
Suntzeff, v., 3, 221-226. _
Epinephrin (adrenin, adrenalin), hormone
of adrenal medulla.
Erbium, see Atomic Weights.
Erhlicki's Solution. Potassium bichromate,
2.5 gm.; copper sulphate, 1 gm.; aq.
dest., 100 cc. Used for hardening
nervous tissues.
Erie Fast Red F D (CI, 419) of NAC is a
direct disazo dye of light fastness 3 to 4.
Resembles Congo red insofar that wash-
ing in water, or in 95% alcohol, takes
all color out of paraffin sections. In
alkaline solutions it colors blue-green
algae deep red to reddish brown (Emig,
p. 40).
Erie Fast Rubine B cone. A sulfonated azo
dye. For formula nad influence on
mouse tumors, see Stern, K., Cancer
Res., 1950, 10, 565-570.
Erie Fast Yellow WB, see Titan Yellow.
Erie Garnet B (CI, 375). — amanil garnet
H, Buffalo garnet R, Congo corinth G or
GW, corinth brown G, cotton corinth
G, diamine Bordeaux CGN, direct
garnet R, direct violet C — an acid dis-
azo dye used for staining frozen sections
(Geschickter, C. F., Stain Techn.,
1930, 5, 81-86).
Erie Violet BW (CI, 387) of NAC is an acid
disazo dye of light fastness 2 to 3.
Directions for use in making prepara-
tions of animal and plant tissues are
described (Emig, p. 40).
Erie Violet 3R (CI, 394) of NAC is a direct
disazo dye of light fastness 3 not as
satisfactory for microscopic work as
Erie Violet BW (Emig, p. 40).
Eriochrome Azurol V (CI, 720), a mordant
dye of acid fastness 3 to 4. Gives color
like that of Niagara Sky Blue. Direc-
tions for use (Emig, p. 52).
Eriometer, apparatus advocated by Em-
mons, W. F., Quart. J. Med., 1927,
21, 83 to measure mean diameter of
erythrocytes. See Erythrocytometer.
Erythroblasts, see Erythrocytes, Develop-
mental Series.
Erythrocyte Counts do not fall in the scope
of this book. It is sufficient to state
that they are going out of fashion be-
cause of the large experimental error
involved and since it is so easy to detect
variations in sliapc, size and maturity
of erythrocytes in smears and to measure
hemoglobin content of blood by hemo-
globinometers. Blum, L. L., Am. J. Clin.
Path., 1945, 15, 85 has introduced a rabid
photoelectric technique for estimating
the number of erythrocytes. See Retic-
ulocytes,
Erythrocytes. For chemical and physical
studies erythrocytes are particularly
adapted, because they can be collected
in enormous numbers free from other
kinds of cells and from intercellular
substances. In order to determine
marked differences in size and shape
and hemoglobin content examination of
fresh blood with direct illumination, or
in the dark field, is probably the best
procedure. An interesting photographic
method for the stereoscopic visualiza-
tion of the shape of erythrocytes has
been described and illustrated by
Haden, R. L., J. Lab. & Clin. Med.,
1936-37, 22, 1262-1263. For more accu-
rate techniques see Wintrobe, M. M.,
Clinical Hematology, Philadelphia : Lea
& Febiger, 1942, 792 pp. A new aniso-
cytosis index is proposed by van den
Berghe, L., and Weinberger, E., Am. J.
Med. Sci., 1940, 199, 478-481. The
refractile body of Isaacs (R., Anat. Rec,
1925, 29, 299-313) can also be well
studied in fresh blood. See Flagella.
Smears, colored by Giemsa or Wright's
stain, are satisfactory for Howell-Jolly
bodies, Cabot rings, basophilic stippling
and polychromalophilia. For resistance
to hemolysis in hy potoni c sodium chloride
solutions, see Daland, G. A., and Worth-
ley, K., J. Lab. & Clin. Med., 1934-35,
20, 1122-1136. A lysolecithin fragility
test is described by Singer, K., Am.
J. Med. Sci., 1940, 199, 466-477. For
microfragility tests see Kato, K., J. Lab.
& Clin. Med., 1940, 26, 703-713 and for
basophilic erythrocytes of the newborn
see McCord, C. P., and Bradley, W. R.,
Am. J. Clin. Path., 1939, Tech. Suppl.,
2, 329-338. A thorough investigation of
erythrocytes in fetus and newborn has
been made by Wintrobe, M. M. and
Schumacker, H. B., Jr., Am. J. Anat.,
1936, 58, 313-328. A simple method for
determination of specific gravity of
erythrocytes is described by Reznikoff,
P., J. Exper. Med., 1923, 38, 441-444.
After hemolysis the stroma remains and
can be studied microscopically or chemi-
cally. Lipid analyses are particularly
significant (Erickson, B. N., et al., J.
Biol. Chem., 1937-38, 122, 515-528).
Isolation and collection en masse of
nuclei of chicken erythrocytes by
Dounce, A. L., and Lan, T. H., Science,
1943, 97, 584-585.
Experiments have been made with
radioactive iron as a means of tagging
red blood cells (Cruz, W. O., Hahn,
R. F., Bale, W. F. and Balfour, W. M.,
Am. J. Med. Sci., 1941, 202, 157-162)
which open up a new field for study of
age changes because the cells are
ERYTHROCYTES, DEVELOPMENTAL 120
SERIES
ESTERASES
thereby dated. Stratification of con-
tents of erythrocytes by ultracentrifu-
gation (Beams, H. W., and Hines, E. H.,
Anat. Rec, 1944, 89, 531). Special meth-
ods are given under Hemoglobin,
Flagella, Reticulocytes, Cabot Rings,
Jolly Bodies, Pencil Red Cells, and
Target Cells. For red fluorescent
erythrocytes in anemia, see Seggel,
K. A., Ergeb. d. inn, Med. u. Kinderh.,
1940, 58, 582.
Erythrocytes, Developmental Series. The
technique employed apparently makes
a great deal of difference in the conclu-
sions reached. See Cowdry's His-
tology, 1938 p. 99.
1. Maximo w and Bloom employing
mainly permanent preparations list:
Hemocytoblasts: "... large (up to
15m) ameboid, non-granular basophil
cells of lymphoid nature." Occur ex-
tra vascularly.
Basophil erythroblasts : The youngest
erythroblasts, characterized by the
intense basophilia of their cytoplasm.
Also called megaloblasts , but "this term
is misleading because it was first used
for the erythroblasts of pernicious
anemia which are cells of quite different
nature."
Polychromatic erythroblasts: So-called
because after "fixation and staining with
the Romanowsky mixture, especially in
dry smears, the protoplasm has a mixed
color varying from purplish-blue to lilac
or gray." This is due to the presence
of two substances, a basophile material
and hemoglobin.
Orthochromatic erythroblasts or normo-
blasts: These are smaller "and only
slightly larger than the mature, non-
nucleated erythrocytes." Since the
basophile substance diminishes and the
hemoglobin increases, the protoplasm
becomes acidophilic "and stains a bright
pink with the Romanowsky mixture."
They continue to divide mitotically for
an unknown number of generations until
the nucleus disappears.
2. Sabin and associates relying chiefly
on supravital stains list :
Endothelial cells: Occur in special
"erythrogenic capillaries."
Megaloblasts: "... a daughter endo-
thelial cell which starts to synthesize
hemoglobin." "The megaloblast has
maximum basophilia, a moderate num-
ber of rod-shaped mitochondria, a trace
of hemoglobin, and a nucleus with a
minimum of chromatin and conspicuous
nucleoli."
Early erythroblasts: "The young ery-
throblast represents a growth phase,
with less rapid division, for the cell is
much larger than the megaloblast; it
contains the maximum number of mito-
chondria. The amount of hemoglobin
is still small, but sufficient to give a
poly chroma tophilia , predominately
basophilic in methylene blue-azur. The
nucleus has a marked increase in
chromatin."
Late erythroblasts: This cell "is inter-
mediate in size between the early
erythroblast and the definitive red cell.
The nucleus has lost the nucleoli but
still has massive chromatin. . . . The
increase in hemoglobin is marked and in
fixed films the cytoplasm is more
acidophilic."
Normoblasts: "The stage of the nor-
moblast is defined as a nucleated red
cell after its last cell division. It has
a small pyknotic nucleus ready for
extrusion or fragmentation."
Erythrocytometer for measuring the diam-
eter of red blood cells. Pijper, A., Med.
J. South Africa, 1919, 14, 472 and Lan-
cet, 1935, 1, 1152, deserves great credit
for the discovery independently of
Thomas Young (1813) of a technique
for the measurement of small objects
utilizing the principle of diffraction and
Zeiss has manufactured an instrument
on his specifications. Another, the
Haden-Hausser erythrocytometer, is
made by C. A. Hausser and Son and is
sold by Arthur H. Thomas Co., Phil-
adelphia (Haden, R. L. J. Lab. & Clin.
Med., 1939-40, 25, 399-403).
Erythrosin B, see Erythrosin, bluish.
Erythrosin BB or B extra, see Phloxine.
Erythrosin, bluish (CI, 773)— dianthine B,
eosin B, erythrosin B, iodeosin B, pyro-
sin B — Fluorescein with 2 iodine atoms.
See Eosins.
Escherichia Coli, see Triphenyltetrazolium
Chloride.
Ester Wax. An embedding medium de-
signed especially to promote ribboning
of sections. It is made up of diethylene
glycol distearate, 73 gm.; ethyl cellu-
lose, 4 gm.; stearic acid, 5 gm.; castor
oil, 8 gm.; and diethylene glycol mono-
stearate, 10 gm. (Steedman, H. F.,
Quart. J. Micr. Sci., 1947, 88, 123-133).
Esterases. — Written by E. W. Dempsey,
Dept. of Anatomy, Washington Uni-
versity, St. Louis. February 26, 1951^
Strictly speaking, these are enzymes
which hydrolyze the ester linkage de-
rived from any acid, organic or inor-
ganic. Thus, the phosphatases, cho-
linesterases, glucuronidase, lipase, and
sulfatase properly belong among the
esterases. However, ordinary usage
restricts the term to the enzymes
hydrolyzing carboxy esters, particu-
larly those of fatty acids. These es-
terases apparently exhibit some sub-
strate specificity; at least, the enzymes
hydrolyzing esters of short-chain fatty
ETHYL EOSIN
121
EYES
acids appear to differ from the true
lipases, which act upon long-chain
substrates, and from cholinesterase.
Gomori, G. (Proc. Soc. Exp. Biol, and
Med., 1945, 58, 362-364, and ihid,
1949, 72, 697-700) has devised a method
for localizing lipase. Nachlas, M. M.
and A. IM. Seiigman (J. Nat. Cancer
Inst., 1949, 9, 415-425) believe the
histochemical methods do not differen-
tiate a true lipase, but only a nonspe-
cific esterase. They describe a new and
vivid method for this enzyme, based
upon the hydrolysis of the acetyl ester
of naphthol and staining the liberated
naphthol by diazotization. Seiigman,
A. M., M. M. Nachlas, L. H. Man-
heimer, O. M. Friedman and G. Wolf.
(Ann. Surg., 1949, 130, 333-341) describe
the development of specific methods
for a number of hydrolytic enzymes.
Ethyl Eosin (CI, 770). The ethyl ester of
eosin Y. Sold often as alcohol soluble
eosin. See Eosins.
Ethyl Green (CI, 685) . This is, Hke methyl
green, prepared from crystal violet but
differs from it insofar that an ethyl group
is added instead of a methyl one. For
most purposes it is a satisfactory sub-
stitute for methyl green.
Ethyl Purple 6B, see Ethyl Violet.
Ethyl Violet (CI, 682)— ethyl purple 6B—
It is he.xaethyl pararosanilin, a basic dye
employed by Bowie, D. J., Anat. Rec,
1924, 29, 57 to make a neutral stain with
biebrich scarlet for staining islets of
Langerhans of fish. Kernohan, J. W.,
Am. J. Clin. Path., 1931, 1, 399-403
has used in Heidenliain's modification
of Mallory's ethyl-violet orange G after
formalin fixation.
Ethyl Violet-Biebrich Scarlet, see Bowie's
stain for pepsinogen.
Ethylene Glycol Mono-Ethyl Ether =
Cellosolve.
Euchrisine, see Acridine Orange.
Eunematoda, see Parasites.
Euperal is, according to Lee (p. 227), a mix-
ture of camsal, eucalyptol, paraldehyde
and sandrac, n = 1.483 of two sorts
colorless and green. Since the green
one contains a copper salt it strengthens
hematoxylin stains.
Euporium, see Atomic Weights.
Evans Blue (T. 1824 Eastman Kodak Co.).
Used clinically in man for estimation of
blood volume. Vital staining of malig-
nant tumors in man (Brunschwig, A.,
Schmitz, R. L., and Clarke, T. H.,
Arch. Path., 1940, 30, 902-910). It is
not taken in by red cells and hence is
valuable for the determination of plasma
volume (Gregersen, M. I., and Schiro,
H., Am. J. Physiol., 1938, 121, 284-292.
See Blood Cell Volume.
Excelsior Brown, see Bismark Brown Y.
Excretion contrasted with secretion (Cow-
dry's Histology, p. 259).
Exfoliative Cytology, see Papanicolaou
Techniques.
Exogenous Pigments, classified by color,
Lillie, p. 134
Extracellular fluid or phase, see Chloride.
Exudates, see Agar infiltration to hold
materials in place, also Papanicolaou
Techniques.
Eyes. Techniques easily used for other
parts of the body require special care in
the case of the eye. When sections
through the entire eye are required it is
important to see that the fixative chosen
penetrates properly and that the normal
shape of the organ is retained. Fixation
by vascular injection may be helpful but
it is not sufficient because so much of the
eye is avascular. After removal of the
eye from the orbit, whether previously
injected or not, and after the dissecting
away of unwanted muscular and other
tissues, it should be immersed in the
fixative. This will harden the outer
coats somewhat. After a few minutes
small amounts of the fi.xative should be
injected by a hypodermic syringe into
both chambers choosing locations not in
the plane of the proposed sections and
providing opportunity for fluid also to
leave. Then, with a sharp razor blade,
a deep cut should be made to permit free
entrance of the fixative. After several
hours, more of the tissue on either side
of the plane should be cut away. Im-
bedding in celloidin by the rapid method
is preferable to paraffin since it affords
much needed support to the less dense
parts. Orientation for sectioning is
also easier in celloidin because one can
see through it fairly well.
If, on the other hand, preparations are
needed of small parts of the eye these
parts should be carefully dissected out
and the paraffin technique employed.
Much time will be saveu by following
the excellent suggestions made by S. L.
Polyak, The Retina. Univ. of Chicago
Press, 1941, 607 pp. and by G. L. Walls
(Stain Techn., 1938, 13, 69-76).
Dr. Polyak in a letter dated April 19,
1946 calls attention to the advisability
of soaking celloidin blocks in oil as first
described by Apdthy, S., Zeit. f. wis.
Mikr., 1912, 29, 464. The same method
is well presented by Kranse, R., Enzyk.
d. Mikr. Technik., 3rd edit., 1926, 1,
281. For the investigation of perme-
ability, oxidation-reduction potential,
enzyme sj'stems, and such properties,
see Friedenwald, J. S. and Stiehler,
R. D., Arch. Ophth., 1938, 20, 761-786.
Useful data are to be found in Kurzes
FAHRENHEIT TEMPERATURE
122
FECES
Handbuch der Ophthalmologie (Schieck
and Bruckner, Berlin: Julius Springer,
1930, 1, 882 pp.) The Anterior Chamber
is a favourite site for tissue trans-
plantation.
Frozen sections of bird's eyes. (Oak-
ley, C. L., J. Path. & Bact., 1937, 44,
365-368). Fix in 10% formol saline 4
days, in Miiller's fluid, 6 weeks in incu-
bator, or, in case speed is necessary, in
Perdrau's fluid 4 days. Incise large
eyes to aid penetration. Wash in run-
ning water at least 24 hrs. because
formalin and bichromate should be com-
pletely removed. Cut eye in half being
careful not to disturb various structures.
12.5% gelatin + 1% phenol over night,
25% 24 hrs. at 37 °C. Employ at least
25 cc. for each half eye. Mount with
cut surface down in dish containing 25%
melted gelatin. Set overnight in run-
ning water or in icebox (not refrigera-
tor). Cut out block, trim away excess
gelatin. Harden in large amount 10%
formalin, 2-3 days, store in 4% formalin.
Before freezing soak 15 min. in tap
water. Freeze slowly, over-freeze and
then stain usual methods but carefully
avoid strong alcohols. They will stand
70% and 1% HCl provided washing in
water has been thorough. Use glycerin
jelly for mounting. Fluorescence Mi-
croscopy of the eye is very revealing,
see Evans, J. N. and Singer, E., Arch.
Ophthal., 1941, 25, 1007.
Fahrenheit Temperature to Centigrade.
Use the following relation:
8 (F°- 32) =0°
302 °F ± I (302 - 32) = a (270) = 160° C.
.5°F ± a (5 - 32) = J (- 27) = - 15°C.
- 13°F ± § (- 13 - 32) = S (- 45) = - 25°C.
Fallopian Tubes (oviducts, uterine tubes).
References to many techniques will be
found in C. G. Hartman's chapter in
Allen, Danforth and Doisy's Sex and
Internal Secretions. Baltimore: Wil-
liams and Wilkins, 1939, 1346 pp.
Falzone, see Desoxyribose Nucleic Acid.
Farrant's Medium. Gum arabic, 30 gm.;
glycerin, 30 cc; arsenous oxide (arsenic
trioxide), 0.1 gm.; aq. dest., 30 cc.
There are many types of this medium
differing slightly in composition, see
Gray, P. and Wess, G., J. Roy. Micr.
Sci., 1950,70,287-291.
Fast Acid Blue R (CI, 760). An acid xan-
thene dye. Conn (p. 143) says that it
is almost the same as violamine 3B which
contains small amount of a red dye. See
Romell, L. G., Stain Techn., 1934, 9,
141-145 under Soil, bacteria.
Fast Acid Green N, see Light Green SF
yellowish.
Fast Blue B, OB, R, etc., see Indulin,
water soluble.
Fast Blue 3R, see Naphthol Blue R.
Fast Crimson GR, see Azophloxine GA.
Fast Fuchsin G, see Chromotrope 2R.
Fast Green FCF. Commission Certified.
Closely related to Light Green SF
yellowish and recommended as a sub-
stitute because it fades less.
Fast Oil Orange II, see Oil Red O.
Fast Phosphine NAL, see Rheonine A.
Fast Red, see Amaranth.
Fast Red B, BN or P, see Bordeaux Red.
Fast Violet, see Gallocyanin.
Fast Yellow (CI, 16)— acid yellow, fast
yellow FY, G, S, BG, etc.— An acid
mono-azo dye. Employed by several
investigators, see use by Wallart, J. and
Houette, C, Bull. d'Hist. Appl., 1934,
11, 404-407 in rapid trichrome hematox-
ylin, acid fuchsin fast yellow method.
They used "Jaune solide G or GG
(Ciba).
Fasting. Structural changes in human di-
gestive tract (Cowdry's Histology,
p. 305).
Fat Blue B, see Victoria Blue B.
Fat Blue 4R, see Victoria Blue 4R.
Fat Ponceau, see Oil Red O.
Fat Ponceau, see Sudan IV.
Fat Ponceau G, see Sudan III.
Fat Ponceau R or LB, see Sudan IV.
Fats, see Lipids.
Fatty Acids, see Lipids, examination with
polarized light, also lack of specificity
of blue color with Nile Blue Sulphate.
A review of the method of tagging fatty
acids with radioactive isotopes is given
by Bloor (W. R., Physiol. Rev., 1939,
19, 557-577).
Feathers, see Ceresin imbedding.
Feces. 1. To demonstrate ova of parasites
(Mallory, p. 301). If they cannot be
seen when a small bit of feces is mixed
with water on a slide attempt to concen-
trate them. To a small amount of feces
add sufficient sugar solution (common
granulated sugar, 500 gm., water, 360 cc,
phenol, 1%) to almost fill tube. Cover
and gently mix contents. Centrifuge
at 1000 r.p.m. 5-6 min. Remove ma-
terial from surface in wire loop and
examine microscopically for ova.
Another method is to use hypertonic
salt solution in proportion to feces of not
more than 20:1 in the same way, remov-
ing large particles as may be necessary
before centrifuging.
2. To find segments and whole adult
worms. Wash feces in small amount
water through medium mesh screen,
collect and examine at low magnification.
For identification consult a text book of
parasitology.
See Floatation Techniques, Intestinal
Protozoa.
FELL
123
FISCHLER'S
Fell, see Organ Culture in Vitro.
Ferments, see Enzymes.
Ferric Chloride-Osmic Acid for demonstra-
tion of Golgi apparatus (Owens, H. B.
and Bensley, R. R., Am. J. Anat., 1929,
44, 79-100). Fix and impregnate each
piece of tissue 7-10 days at 37 °C. in
ferric chloride, 0.05 gm. ; 2% osmic acid,
10 cc.
Ferrihemate, see Hematin.
Fettblau -braun, -griin, -orange, -rot and
-Schwartz. These are lipid stains of
Hollborn. For use of hydrotropes
(Hadjioloff, A., Bull. d'Hist. Appl.,
1938, 15, 37-41).
Feulgen Reaction, see Thymonucleic Acid.
Fiberglass, see Glass Cloth.
Fibers. Many are recognized. See Nerve,
Collagenic, Reticular, Elastic, Neu-
roglia. Muscle fibers are given under
Muscle.
Fibrils. These are really small fibers many
of which are intracellular. See Neuro-
fibrils, Myofibrils, Epidermal Fibrils,
Fibroglia, Myoglia.
Fibrin. Usually easily identifiable in Hem-
atoxylin and Eosin preparations. Wei-
gert's (1887) standard differential stain
for fibrin may be used as advised by
Mallory (p. 193). Paraffin sections of
material fixed in abs. alcohol, Carnoy
or Alcohol-Formalin can be employed.
If the fixative contains chrome salts
(Zenker, Helly) treat first with 0.25%
aq. potassium permanganate, 10 min.,
then 5% aq. oxalic acid, 20 min. and
wash in aq. dest. Stain nuclei with
Lithium Carmine. Mix 3 cc. of A: abs.
ale, 33 cc; anilin oil, 9 cc. saturated
with methyl violet (crystal violet) with
27 cc. of B: sat. aq. methyl violet.
Stain 5-10 min. Drain and blot. Treat
sections with Gram's Iodine, 5-10 min.
Drain and blot. Differentiate in equal
parts anilin and xylol drop by drop until
purple ceases to be removed. Blot and
remove anilin with xylol. Mount in
balsam. Fibrin blue-black, nuclei red.
Fibroblasts. There is no specific stain for
fibroblasts. In fresh spreads of Loose
Connective Tissue they are fairly con-
spicuous elements identifiable by their
large usually slightly kidney shaped
nuclei (possessed generally of a single
nucleolus) and tapering cytoplasmic
processes devoid of specific granulations.
In sections less cytoplasm is seen and
it may be impossible in some cases to
identify the nuclei with assurance.
Recognition is mainly by position and
the exclusion of other possibilities.
View the beautiful colored plates of
Evans, H. M. and Scott, K. T., Contrib.
to Embryol., Carnegie Inst., 1922, 47,
1-55 for a comprehensive picture of the
responses of fibroblasts to vital stains.
Pure strains of fibroblasts can easily be
cultured, their behavior watched and
their nutritional and other requirements
investigated. See Tissue Culture.
Fibroglia Fibrils. Mallory's Phosphotungs-
tic Acid Hematoxylin stain for.
Fibrous Connective Tissue. Since this is
much denser than Loose Connective
Tissue the method of making spreads
is not feasible. It can best be examined
in sections of Zenker fixed material
colored by Mallory's Connective Tissue
Stain supplemented by specific stains
for Elastic Fibers.
Figge, see Porphyrins, Hematoporphyrins.
Filament-Nonfilament Count. Neutro-
philic leucocytes are divided into two
classes: filament, in which nuclear seg-
ments are connected by delicate strands
consisting apparently of nuclear mem-
brane only and nonfilament in which
there are no filaments the strand being
so coarse that it may be resolved into
nuclear membrane plus nuclear con-
tents. The former are mature and the
latter are less differentiated cells. Ac-
cording to Pepper, O. H. and Farley,
D.L., Practical Hematological Diagnosis,
Philadelphia, Saunders, 1933, 562 pp.,
8-16%of neutrophiles are normally non-
filament cells. A shift to the right is a
decrease in this percentage. The count
is easier to make than the Arnett or
Schilling count and is probably of equal
value. See also Nonfilament-Filament
Ratio.
Filterable Viruses, see Victoria Blue 4B
and Virus.
Filters. Choice and use of the various types
of filters employed in the study of
viruses and bacteria are well described
by J. R. Paul (Simmons and Gentzkow,
584-586). There are 4 principal kinds.
Berkefeld. German, from diatoma-
ceous earth. V. pores 8-l2fi; N, pores
5-7 fi; and W, pores 3-4^.
Mandler. American modification of
Berkefeld but made of kioselguhr, as-
bestos and plaster of Paris. Corre-
sponding grades of porosity are styled
"preliminary", "regular" and "fine."
Chamberland, French, from unglazed
porcelain, in 9 grades of porosity.
Seitz. Made of asbestos, in 2 grades
K (coarse) and E. K. which filters out
ordinary bacteria.
Elford. Made of collodion.
Firminger, see Carbowax Embedding.
Fischler's modification of Benda's stain for
fatty acids and soaps (Fischler, F.,
Zentralbl f. Allg. Path. u. path. Anat.,
1904, 15, 913-917) lias been severely criti-
cized by Lison (p. 203) who concludes
that it is of no microchemical value.
Mallory (p. 120) has, however, given
a somewhat different description of the
FITE
124
FIXATION
technique. He explains that since the
Na and K fatty acid salts (soaps) are
soluble in formalin, it is necessary to
change them into insoluble Ca soaps by
saturating the 10% formalin fixative with
calcium salicylate. Comparison of
stained sections of such material with
others fixed simply in formalin shows the
presence and absence of the fatty acid
salts (soaps) . Calcium soaps can be dis-
tinguished from falty acids because they
resist solution in a mixture of equal parts
abs. ale. and ether or in hydrochloric
acid whereas the fatty acids are soluble
in this mixture and calcium in hydro-
chloric acid. The method, as detailed
by Mallory, is : Mordant frozen sections
of 10% formalin fixed material in sat.
aq. copper acetate (12.5%), 2-24 hrs. at
room temperature. Wash in aq. dest.
Stain 20 min. or more in Weigert's he-
matoxylin made up by mixing 1 gm.
hematoxylin dissolved in 10 cc. abs. ale.
with 1 cc. sat. aq. lithium carbonate
(about 1.25%) plus 90 cc. aq. dest.
several days before use. Differentiate
in Weigert's borax-potassium ferri-
cyanide, (2.5gms.ferricyanideand 2gm.
borax plus 100 cc. aq. dest.) much
diluted until red blood cells become
decolorized. Wash thoroughly in aq.
dest. Mount in glycerin jelly or glyc-
erin. Fatty acids deep blue black. Fe,
Ca and hemoglobin may also be stained.
To stainneutralfats inaddition stain with
scarlet red after washing out Weigert's
fluid, rinse in 70% ale. and in water and
mount in glycerin.
Fite, see his method for Acid Fast Bacilli.
Fixation by immersion is usually the first
step in making permanent preparations.
Compared with the direct microscopic
examination of still living cells removed
from the body and placed in approxi-
mately isotonic media, it has both ad-
vantages and disadvantages. Among
the first is the fact that the normal form
relations of the tissue components are
more faithfully preserved in large pieces
by fixation; because it is not necessary
to separate the tissue by teasing, or in
some other way, into sufficiently small
or thin pieces for microscopic study.
Moreover, by fixation, the cells are
suddenly and uniformly killed, so that
the changes resulting from unfavorable
fluid environment outside the body,
leading slowly or quickly to injury and
death, are not encountered. The chief
objection to fixation is that the structure
is very definitely modified therebj* and
care must be exercised in reaching con-
clusions as to living tissues from the
study of fixed ones. It is important to
restrict these structural changes to
those inseparable from the action of the
fixative itself, and of the subsequent
technique under the most favorable
conditions.
Reduce to a minimum the time in
which these complicating alterations can
occur by prompt fixation. Remove the
tissue from an animal under general
anesthesia, or immediately after it has
been killed, by a method unlikely to
injure the tissues. In the case of human
tissues removed at operation one should
be on the look out for complicating
factors. If the tissue is collected at
autopsy the autopsy should be made at
the earliest possible moment after death.
See Postmortem Changes. If delay is
unavoidable, keep the body,orthe tissue,
inaniceboxto reduce the speed of chemi-
cal change. In case an excised tissue
cannot be immediately fixed, place it in
a covered glass container with some cot-
ton moistened with physiological saline
solution. Do not put it in the solution.
Keep the container likewise at a low
temperature.
Carefully avoid injury to the tissue
from any cause. Letting its surface dry
during removal from the body, or at any
time before fixation, produces Artifacts.
So also does mechanical manipulation.
If forceps must be used, do not pinch the
part of which the preparation is to be
made. It is better to lift the tissues.
Scissors tend to squeeze the tissue, but
it is necessary to cut with them in some
cases. The ideal way is to cut with a
sharp razor blade. This is easy with the
liver, kidney, brain and other more or
less compact organs, but the sweep of a
razor blade tends to draw the tissue and
cause displacement, especially when the
specimen is heterogeneous, some parts
being loose connective tissue, others
muscle, others gland, etc. When feas-
ible, cut the tissues into slices and lift
them into the fixative. For fixatives that
penetrate easily (formalin, Zenker's and
Bouin's fluids, etc.) make the slices 4-6
mm. thick. For the poor penetrators,
in which osmic acid is the principal
ingredient (Bensley's A.O.B., Flera-
ming's fluid, etc.), the slices must be
not more than 2 mm. thick. In the case
of surface tissues (skin, gastric mucous
membrane, bladder wall, etc.) fix a strip,
flattened on the surface of a piece of
wooden tongue depressor or stiff paper
card. A volume of fixative at least 20
times that of the tissue fixed is required.
Agitate the bottle slightly to prevent the
tissue from sticking to the bottom and
to ensure penetration from all sides.
It may be desirable to inject the fixa-
tive via a large artery supplying the
tissue to be examined. This eliminates
mechanical injury to the tissue before
FIXATION
125
FIXATIVES
fixation, preserves gross form relations
better and is suggested when sections are
required of large specimens. Before in-
jecting the fixative wash out some of
the blood by Perfusion with physio-
logical salt solution, or at least let the
blood drain out from the veins, because,
if all is left in, it may clog the arteries
and block the entry of the fixative.
After fixation by vascular injection it is
customary to cut, with a razor blade,
suitable slices and to continue the fixa-
tion by immersion. Obviously such
tissues should not be employed for micro-
chemical analyses because there is a
danger of washing out chemical sub-
stances. Clearly, also, the speed of
fixation depends upon the degree of vas-
cularity. For avascular tissues such as
epidermis, cornea and cartilage fixation
by injection is not recommended.
After the tissues have hardened a
little by immersion in or injection with
the fixative, it may be helpful to remove
them from the fi.xative and trim them
with a razor blade so that their size and
shape will be almost what is needed when
they are finally cut into sections. The
slices should have smooth upper and
lower surfaces including an area which
will yield sections that will fit nicely
under a 22 x 22 mm. cover glass unless
larger covers are to be used. The shape
should be rectangular with opposite edges
parallel. In general it is well to have two
longer parallel edges and two shorter
ones, because a square surface is not so
convenient to section as an oblong
one. However one must bear in mind
exactly what one wishes to demonstrate.
This making of uneven surfaces smooth
does however introduce an experimental
error; because, where much is shaved
off, the fixation has penetrated less than
where little or no tissue has been re-
moved. After trimming return tissues
to a fresh supply of fixative. Tissues
fixed in poor penetrators should not be
trimmed.
The time of fixation depends upon the
tissue, the fixative and the purpose in
mind. In general, 24 hrs. is suitable.
Some fixatives, particularly those con-
taining potassium bichromate and/or
osmic acid, are not very stable and for
this reason should be renewed. The
fixative deteriorates less quickly if the
fixation is carried out at a low tempera-
ture in an ice box. The speed of fixation
is probably also somewhat diminished.
The effect of pH on chromium fixatives
has been studied by Zirkle (C, Proto-
plasma, 1928, 4, 201-227). See results
obtained by adding Wetting Agents and
Hydroxybenzene Compounds to fixa-
tives. Fixation involving Decalcifica-
tion and Mordanting are special cases
described under these headings. For
choice of fi.xative see Fixatives.
After fixation Washing may be neces-
sary, or Mordanting. The tissue may
be prepared as a Whole Mount, or Frozen
Sections may be made, or it may be
dehydrated, cleared and imbedded in
Paraffin or dehydrated and imbedded in
Celloidin for Sectioning.
Fixatives. The number from which to
choose is enormous but the number
actually employed is comparatively
small. Formalin unquestionably heads
the list as being used for a far greater
Acetic osmic bichro-
Hischler
mate
Kleinenberg
Alcohol (ethyl)
Kolatohew
Allen
Lactophenol
Barium chloride and
LUlie
formalin
Mann
Basic lead acetate
Marchi
Bouin
Maiimow
Cadmium chloride
Mercuric chloride
Carnoy
Methyl alcohol
Carnoy-Lebrunn
MuUer
Champy
Orth
Chloral hydrate
Osmic acid
Destin
Parabenzoquinone
Diaphanol
Perenyi
Dioxan
Petrunkevitch
Downey
Regaud
Erlicki
Rabl
Ferric chloride-osmio
Schandian
acid
Silver nitrate
Flemming
Formalin
Susa
Formalin-Zenker
Tellyesnicky
Giemsa
Weigert
Gilaon
Van Gehuchten
HeUy
Zenker
Hermann
Zweibaum
variety of purposes than any other fixa-
tive. It penetrates well and is an ex-
cellent preservative. It is the only
satisfactory fixative for use before the
cutting of frozen sections and as a pre-
liminary to certain microchemical re-
actions. Alcohol comes next in variety
of services performed but unfortunately
it brings about considerable shrinkage.
Both formalin and alcohol are frequently
combined with other ingredients.
For routine purposes Zenker's Fluid,
either alone or with formalin, is perhaps
the most popular fixative. Tissues so
fixed give better contrasts of acidophilic
and basophilic components than are
obtained after fixation in formalin or
alcohol by themselves. Bouin's Fluid
is also an excellent fixative for general
use and is being employed with increasing
frequency. It is particularly advocated
by dermatologists. Regaud's Fluid is
FLAGELLA
126
FLOATATION TECHNIQUES
the fixative of choice for mitochondria
because it penetrates so much better
than Osmic Acid containing fixatives.
No important new fixatives have recently
been devised.
In making the selection one is natu-
rally guided by data concerning the
structures which it is desired to demon-
strate (see Nerve Endings, Mitochon-
dria, etc.) or the substances to be re-
vealed (Lead, Copper, Oxidases, Lipids,
etc.) or the techniques that seem best
adapted to the purpose in mind (Mal-
lory's Connective Tissue stain, Wei-
gert's Method, etc.). Some of the more
important fixatives are listed, further
data being given under each heading.
Flagella. 1. Of bacteria. Loeffler's stain.
Mordant in fresh 20% aq. tannic acid,
10 cc; sat. aq. ferrous sulphate, 5 cc;
3-5% basic fuchsin in 95% ale, 1 cc.
gently heated, 1 min. Rinse in water
stain with slight heat in Carbol Fuchsin
1 min. wash and dry. For other flagella
stains see discussion in McClung (pp.
143-145) and Shuuk, I. V., J. Bact.,
1920, 5, 181 ; Galli-Valerio, B., Centralbl.
f. Bakt. Orig., 1915, 76, 233; Gray, P. H.,
J. Bact., 1926, 12, 273. See technique
for darkfield study of flagella (Pi j per,
A., J. Path. & Bact., 1938, 47, 1-17).
2. Of erythrocytes (Oliver, W. W., J.
Inf. Dis., 1934, 55, 266-270). Add 1 mg.
hirudin to 2-3 cc. sterile Ringer's solu-
tion in small, sterile test tube. Draw
up about 0.5 cc. into a sterile Pasteur
pipette fitted with rubber bulb. Apply
to drop fresh normal blood from finger.
Suck up quickly into pipette and expel
into test tube. Incubate at 37 °C. 40-50
min. which promotes flagella production.
Add small drop to clean slide held at
40° angle. After the drop has rundown
slide, let dry completely in horizontal
position at room temperature. Mor-
dant in fresh 10% aq. tannic acid, 50 cc. ;
sat. aq. ferrous sulphate, 25 cc. and sat.
ale. basic fuchsin, 5 cc. which is poured
on slide and warmed slightly 20 min.
Wash thoroughly in running tap water
and dry. Flood with fresh Ziehl-Neelsen
(1 gm. fuchsin, 10 cc. alcohol -j- 90 cc.
5%aq. phenol acid) 20 min. not warmed.
Wash carefully in running water, blot
dry and examine with oil immersion.
It will be helpful to examine Oliver's
illustrations. (Revised by Wade Oli-
ver, Dept. of Bacteriology, Long Island
Medical College, Brooklyn, N. Y.,
1946).
The interpretation of observations on
bacterial flagella offers many pitfalls.
Dubos, R. J., The Bacterial Cell.
Harvard Univ. Press, 1945, 460 pp.
calls attention to their fineness, the
slight affinity of their substance for
stains, the use of mordants which ad-
here to their surface increasing their
apparent diameter when stained, and
the fact that mechanical agitation
alone is sufficient to detach them from
the cells. By thus releasing flagella
sufiicient flagellar material can be col-
lected for immunological study and the
action of flagellar antibody on mobile
flagella can be followed microscopically.
Dubos remarks that the amounts of
flagellar material available are too
small to permit chemical analysis but
we may hope that techniques both of
collecting material and of analysis will
be so improved as to make this feasible.
He refers to numerous papers on elec-
tron microscopic examination of flagella
as revealing structural details pre-
viously unknown.
Details in the structure of flagellae
are revealed by Electronmicroscopy.
See Brown, H. P., Ohio J. Sci., 1945,
45, 247; and DeRobertis, E., and
Franchi, C. M., Exp. Cell Res., 1951,
2, 295-298. See also Cilia and Polysac-
charides.
Flagellates, intestinal. Those commonly
found in man are, according to Craig,
p. 115, Giardia lamblia, Chilomastix
mesnili, and Trichomonas hominis; less
frequently seen are Embadomonas in-
testinalis and Enteromonis hominis.
Stains much the same as for Endameba
and Leishmania. See Craig for choice
of suitable culture medium.
Flame Photometer. Use of this instrument
in the analysis of biological materials
is critically presented by Wallace,
W. M. et al., J. Lab. & Clin. Med.,
1951, 37, 621-629.
Flavins under fluorescence microscope show
green fluorescence in liver tissue. See
Riboflavin.
Fleas, see method of double imbedding for
(Lee, p. 598).
Flemming's Fluid. Weak: 0.25% chromic
acid, 0.1% osmic acid and 0.1% glacial
acetic acid in aq. dest. Strong: 1%
chromic acid, 15 cc; 2% osmic acid,
4 cc. ; glacial acetic acid, 1 cc. These are
classic fixatives now not much used.
The Bensleys (p. 45) advocate same
ingredients differently made up. A:
1% aq. chromic acid, 11 parts; glacial
acetic acid, 1 part; and aq. dest., 4 parts.
B : 2% osmic acid in 1% aq. chromic acid.
Immediately before use, mix 4 parts of A
with 1 part of B and employ a volume
ten times that of the tissue. Fix 2-72
hrs. and wash in water 24 hrs. See
Safranin-Gentian Violet and Orange G
method. Mitosis, Benda's Method.
Floatation Techniques. Many methods are
available for separating helminth eggs
from feces for microscopic examination.
FLORENCE'S REACTION
127
FLUORESCENCE MICROSCOPY
They are floated out by the use of hyper-
tonic salt and other solutions, some-
times with the aid of centrifugal force
(E. C. Faust, in Simmons and Gentz-
kow, p. 684).
Florence's Reaction. The standard test for
choline in seminal stains. As described
by Pollak, O. J. Arch. Path., 1943, 35,
140-196: Place one drop semen, or of
aqueous extract of seminal stain, on
slide. Add drop of reagent (Pot.
iodide, 1.65 gm.; iodine, 2.54 gm.; aq.
dest., 30 cc), cover and examine micro-
scopically. Dark brown, rhombic crys-
tals appear, about 25m long and Sm wide
with bifurcated ends resembling swal-
low tails and Teichmann's hemin crys-
tals. In polarized light these show
double contours.
Fluids. Samples of body fluids are often
presented for microscopic examination.
In a human being containing, say, 100
lbs. of water the}^ are naturally of great
variety even under normal conditions.
Abnormal fluids are usually described
as transudates or exudates. The for-
mer compared with the latter are
mainly filtrates, are more watery, have
lower specific gravity, less albumin, no
bacteria and are the result of mechani-
cal forces rather than inflammation.
See:
Aqueous humor Intracellular phase
Cerebrospinal Pericardial
Duodenal Peritoneal
Endolymph Pleural
Extracellular phase Sjiiovial
Tissue
Fluoran Derivatives. As explained by Conn
(p. 144) fluoran is not a dye but a prod-
uct of phthalic anhydride containing a
xanthene ring and a lactone ring with
introduced hydroxyl groups and halogen
atoms in particular positions. Ex-
amples : eosin B and Y, erythrosin
bluish and yellowish, ethyl eosin,
fluorescein, mercurochrome 220, methyl
eosin, phloxine, phloxine B, rose bengal.
Fluorescein (CI, 766) is simplest fluoran
dye. It stains very poorly but is highly
fluorescent. Its sodium salt is called
uranin.
Fluorescence Microscopy. Details pro-
vided by Dr. W. L. Simpson of The
Barnard Free Skin and Cancer Hospital.
Supplemented by Dr. T. B. Rosenthal,
Dept. of Anatomy, Washington Univer-
sity, St. Louis. June 6, 1951.
Fluorescence is the property, pos-
sessed by many substances, of convert-
ing short wavelengths of light into
longer wavelengths. In the field of
microscopy those structures and sub-
stances are of most interest that convert
ultraviolet light into light of the visible
spectrum, since it is only these sub-
stances that can be observed directly.
Though fluorescence microscopes de-
signed for this type of observation have
been available commercially for many
years, their use has been limited until
recently by their relatively high cost
and by the apparent failure of biolo-
gists to appreciate the possibilities of
this type of observation. Recent tech-
nological developments in the glass
and electric lamp industries now make
it possible to assemble an apparatus
for fluorescence microscopy at a cost
well within the budget of most labora-
tories. Evidence of heightened interest
in this field is found in the numerous
papers concerning fluorescence micros-
copy within the past 10 years. Al-
though several reviews of the subject
already exist (Haitinger, M., Flu-
orescenz-Mikroscopie, Akademische
Verlagsgesellschift, Leipzig, 1938; Ham-
perl, H., Virchows Arch. f. path. Anat.,
1934, 292, 1-51; Sutro, C. J., Arch.
Path., 1936, 22, 109-112; and McClung's
Handbook of Microscopical Technique,
New York, Paul B. Hoeber Inc., 1937),
the technique will be described as it
can be used with an assembly of low
cost apparatus available in the United
States at the present time.
Apparatus required:
1. An intense source of ultraviolet
light that is rich especially in the region
from 300 to 400 millimicrons. Certain
electric arcs using electrodes of special
metal alloys (the Haitinger Arc, C.
Reichert — Vienna) have been developed
for this purpose. More easily avail-
able, low in cost, and having an intense
output in the desired region, are the
medium pressure mercury vapor arcs in
capillary quartz tubes (the A H 4 lamp
of the General Electric Company or
Westinghouse Electric Co. and lamps
made by Hanovia Chemical Co., etc.).
2. Filters that remove all or nearly
all of the visible light. A considerable
selection of glass and liquid filters may
be used for this purpose. Since most
of the so-ca,lled ultraviolet filters pass
also a certain amount of red light,
supplemental blue filters must be used
with them. A solution of copper sulfate
in a cell or tube of quartz, or of ultra-
violet transmitting glass, is satisfactory
and readily available. A combination
of Shott glass filters U G 2 and B G 14
are recommended by Jenkins (R., Stain
Techn., 1937, 12, 167-173). Corning
Filters ^5840, 5860, or 5874 used with a
copper sulfate solution are satisfactory
in our experience. An entirely liquid
filter, using solutions of cobalt sulfate
and nickel sulfate, is described by
Backstrom (H. L. J., Arkiv. for Kemi.
FLUORESCENCE MICROSCOPY
128
FLUORESCENCE MICROSCOPY
Mineralogi Och Geologi, 1940, 13A,
1-16).
3. Condensing lenses, if used at all,
must be of quartz or ultraviolet trans-
mitting glass.
4. A quartz prism or mirror of polished
metal having a high reflecting power for
ultraviolet. Aluminum and magne-
sium-aluminum alloys are best for this.
By mounting the microscope and light
source horizontally this item can be
eliminated.
5. An ordinary microscope that is
fitted with a substage condenser of
quartz or ultraviolet transmitting glass.
Since the ultraviolet light has served its
purpose when it has reached the tissue,
ordinary glass objectives and eyepieces
are used. With some older objectives
the balsam of the lenses fluoresces in
ultraviolet and causes an unpleasant
diffuse light to appear in the microscope
that masks the fluorescence of the tissue.
This may be eliminated with a darkfield
stop that prevents direct rays of ultra-
violet light from entering the objective.
Newer lenses are free from this fluores-
cence and may be used without a dark-
field stop. This is desirable since it
permits the utilization of a greater por-
tion of the light that strikes the con-
denser. Popper has reported that the
fluorescence of Vitamin A can be ob-
served with an ordinary microscope with
glass condenser. Ordinary optical glass
transmits sufficiently far into the near
ultraviolet that this type of apparatus
might be successfully used for strongly
fluorescent substances.
6. Slides for the specimens of ultra-
violet transmitting glass. (Corex D
glass slides, obtainable from Corning
Glass Co. are suitable.)
7. An eyepiece filter that excludes
ultraviolet light with a minimum ab-
sorption of visible light. This may be
of glass (Leitz ultraviolet protecting
filter no. 8574 A, Corning Glass Works
filters no. 3389 or 3060) or, simplest and
cheapest, a circle of Wratten 2A gelatin
filter cut to fit within the eyepiece (the
Wratten 2 filter is not suitable since it
fluoresces itself in ultraviolet light).
8. Non-fluorescent media for mount-
ing the section to be examined. Me-
dicinal mineral oil, or glycerin is suit-
able. If immersion lenses are to be usep
a non-fluorescing immersion medium
must be employed. Sandlewood oil has
been recommended for this purpose.
Preparation of tissues: Hamperl (loc.
cit.) recommends that tissues for fluores-
cence examinations be fixed only in a
dilute solution of formalin, since metal
containing fixatives destroy the fluores-
cence of some substances. A 5-10%
solution of U.S. P. formalin in aq. dest.
is ordinarily employed. Tissues should
should not be fixed longer than 24 hrs.;
certain components of tissue acquire
abnormal fluorescence if the time of
fixation is prolonged. If fats and other
alcohol soluble substances are to bo ex-
amined, i.e., vitamin A, polycyclic
organic carcinogens, etc., frozen sections
must be made. If these substances are
not of interest, the tissue may be de-
hydrated, cleared, and imbedded in
paraflan in the usual manner. High
quality reagents are required, because
the impurities found in many organic
substances themselves fluoresce. All
paraffin must be removed since this too
fluoresces. The section can be cleared
in anhydrous glycerin or pure medicinal
mineral oil. Gelatin and celloidin are
not recommended for imbedding because
of their fluorescence.
Two types of fluorescence may be pro-
duced in tissues with this type of appa-
ratus. The first is that seen in tissues
that have been subjected to no special
treatment and is due to the presence of
fluorescent substances in the tissues
themselves. This is termed "primary"
fluorescence or natural fluorescence and
is exhibited by many substances found
in animal organisms. In most tissues
there are present sufficient quantities of
these materials to permit the observer to
recognize the general structure of the
tissue without recourse to stained con-
trol sections studied with transmitted
visible light. Hamperl {loc. cit.) de-
scribes, in considerable detail, the
natural fluorescence of many human
tissues. Jenkins (loc. cit.) summarizes
the findings in the most common animal
tissues. Cornbleet and Popper (T.and
H., Arch. Dermat. & Syph., 1942, 46,
59-65) review the natural fluorescence
of human skin. Popper and his co-
workers have contributed a series of
papers on the fluorescence of vitamin A
in animal tissues (Popper, H., J. Mt.
Sinai Hosp., 1940, 7, 119-132. Arch.
Path., 1941, 31, 766-802; Popper, H. and
Brenner, S., J. Nutrition, 1942, 23, 431-
443; Popper, H. and Ragins, A. B.,
Arch. Path., 1941, 32, 258-271). Simp-
son and Cramer (W. L. and W., Cancer
Research, 1943, 3, 362, 515, 604) have
used the method to follow the distri-
bution and persistence of methylcholan-
threne in skin. Fluorescence color of
various tissues and of drugs in tissue
sections is described by Helander, S.,
Acta Physiol. Scand., 1945, 10, Suppl.
29, 103 pp.
Another kind of fluorescence is the
"secondary" fluorescence that appears
in certain components of the tissue after
FLUORESCENCE MICROSCOPY
129
FOOT'S METHODS
sensitization with dyes and plant ex-
tracts. This extends considerably the
range of fluorescence microscopy and has
been developed chiefly by Haitinger
(loc. cit.) in conjunction with Hamperl
and Linsbauer. Various fluorescent al-
kaloids, azo dyes, primulins, auramine,
berberine sulfate, chelidonium, rhubarb
extracts, etc., are selectively absorbed
by certain parts of the cell and cause
them to show characteristic fluorescences
in ultraviolet light. Such substances
are called fluorochroraes. Sections of
tissue are immersed in such substances
for a short period of time before being
examined. Examples of the use of these
fluorochromes are found in papers by
Haitlinger (loc. cit.),. Jenkins (loc. cit.),
Clark and Perkins (W. M. and M.E., J.
Am. Chem. Soc, 1932, 54, 1228-1248),
Lewis (M. R., Arch. f. exp. Zellf., 1935,
17, 96-105) and Popper (H., J. Mt.
Sinai Hosp., 1940, 7, 119-132). A good
account of fluorescence microscopy of
insects is given by Metcalf, R. L.. and
Patton, R. L., Stain Techn., 1944, 19,
11-27.
Noteworthy applications have been
made in the use of acridine derivative
dyes. Krebs and Gerlach (Am. J.
Roentgenol. Rad. Therap., 1951, 65,
93-98) have demonstrated that acridine
orange, C.I. 788, is a sensitive indicator
of the viability of cells following ther-
mal and radiational damage. The
same dye was used by Zeiger and Har-
ders (Z. Zellforsch., 1951, 36, 62-78)
for flurochroming of nerve tissues. In
a comprehensive investigation of 24
diaminoacridine stains by DeBruyn,
Robertson and Farr (Anat. Rec, 1950,
108, 279-307) it was found that nuclei
of many tissues and organs were vitally
fluorochromed without perceptible toxic
or degenerative effects.
Primulin is recommended by
Schmidt-LaBaume and Jager (Arch. f.
Dermat. Syph., 1939, 179, 531) in an
ingenious method for visualizing sur-
face detail of the epidermis.
A most interesting method of demon-
strating the distribution of the right
and left coronary arteries is given by
Peterson and Gibson (Med. Radiogr.
Photogr., 1951, 27, 14-17), who inject
the vessels with plastics containing
red and green fluorescing pigments.
The heart is then encased in a plastic
shell, following which the tissues are
digested by KOH. Finally, the shell
holding the arterial cast is filled with
the transparent plastic. Under ultra-
violet illumination the arterial system
is revealed with extraordinary clarity.
The use of fluorescein dyes in the diag-
nosis of malignancy with special refer-
ence to tumors of the central nervous
system is described by Hubbard, T. B.
and Moore, C. E., J. Nat. Cancer
Inst., 1949, 10, 303-314 (good bibliog-
raphy). The Diaminoacridines are im-
portant vital stains for nuclei in the
sense that they accumulate within
nuclei without toxic action and can
there be revealed b}' fluorescence
microscopy (de Bruyn,P. P. H., Robert-
son, R. C. and Farr, R. S., Anat. Rec,
1950, 108, 279-307). See Vitamin A,
Tubercle Bacillus, Cell Injury, Ura-
nium, Porphyrins, etc.
Fluorescence Spectra. The technique in
some detail is described for 3:4-Benz-
pyrene by Hieger, I., Am. J. Cancer,
1937, 29, 705-714 who thinks that the
photographs of the spectra can well be
studied by simple visual examination.
Fluorescent Blue, see Resorcin Blue.
Fluorescent X. A special type of reduced
neutral red (Clark, W. M. and Perkins,
M. E., J. Am. Chem. Soc, 1932, 54,
1228-1248) employed for tissue cultures
(Lewis, M. R., Arch. f. exp. Zelf.,
1935, 17, 96-105).
Fluorine, see Atomic Weights.
Fluorochromes. See Fluorescence micros-
copy.
de Fonbrune pneumatic micromanipulator
can be obtained from Aloe Scientific,
5655 Kingsbury, St. Louis 12, Mo.
Foods. The examination of foods to ascer-
tain their suitability for human con-
sumption involves not only organolep-
tic tests (use of unaided senses, sight,
smell, taste, etc.), but direct micro-
scopic examination and certain cul-
tural, experimental feeding, and other
tests. The techniques for adultera-
tions, bacteria, fungi, crystals, spores,
parasites and so on are usually the
routine ones. However, much time
will be saved by knowledge as to what
to look for in each case, how to look and
the best means of making the observa-
tions accurately quantitative (Schnei-
der, A., The Microbiology and Micro-
analysis of Foods. Philadelphia: P.
Blakiston's Son & Co., 1920, 262 pp.).
Foot's Methods. 1. Rapid silver impreg-
nation of reticular fibers (Foot, W. C,
J. Tech. Meth., 1929, 12, 117-119).
Fix in 10% formalin (not necessarily
neutral), Zenker's, Bouin's or Helly's
fluids, 24 hrs. Make paraffin sections.
Remove mercury, if present, with iodine.
Treat with 0.25% potassium permanga-
nate, 5 min. and 5% oxalic acid, 10 min.
Wash in aq. dest. Impregnate 15 min.
in following silver solution at 50°C. : Add
40 cc 5%, aq. NajCOa to 10 cc 10% aq.
AgNOa. Let precipitate settle. De-
rant supernatant fluid. Make up to
50 cc. with aq. dest. Shake, repeat sett-
FORAMINIFERA
130
FORMALIN
ling and decanting. Dissolve ppt. in
just sufficient NH4OH, added drop by
drop, to almost completely dissolve it
leaving a few gray granules. Heat to
steaming to drive off excess NH3 and
cool to 50 °C. Reduce in 1% formalin
2 min. Wash in tap water. Tone2min.
in 0.2% aq. gold chloride. Wash. Tone
in 5% aq. sodium thiosulphate. Coun-
terstain with hematoxylin-Van Gieson.
Reticulum, black; collagenic fibers,
Vermillion; cytoplasm, yellow; and
nuclei, brown.
(2). Silver method for nerve fibers in
paraffin sections (Foot, N. C, Am. J.
Path., 1932, 8, 769-775). This is a
modification of Cajal's technique. Fix
in fresh Carney's Fluid for 24 hrs.
Transfer to absolute alcohol for 1-2 hrs.,
clear in chloroform and imbed in par-
affin. Remove paraffin from sections in
usual way. Treat with 2 parts pyridine
and 1 part glycerol for 1-12 hrs. Wash
in 95% alcohol and then in aq. dest. to
remove most of pyridine. A trace re-
maining does no harm. Immerse in
10% aq. silver nitrate at 37 °C. for 12 hrs.
or so covering container to avoid evapo-
ration. Wash in 2 changes aq. dest.
Place in 5% aq. neutral formalin con-
taining 0.5% pyrogallol in which sections
become yellow-brown, 20 min. Wash
under tap. Tone in 1:500 aq. gold
chloride, 5 min. (Nuclear precision is
improved and glacial impregnation is
made less intense if 2% glacial acetic is
added to gold solution). Then place in
2% oxalic acid containing 1% neutral
formalin for 5 min. Wash at the tap and
transfer to 5% aq. sodium thiosulphate
for 5 min. Finally washagain in running
water, dehydrate, clear and mount.
Foot also recommends Rogers' technique
practically as given by him (Rogers,
W. M., Anat. Rec, 1931, 49, 81-85)
The idea of intensifying the gold toning
with oxalic acid he credits toLaidlaw,
G. F., Am. J. Path., 1929, 5, 239-247.
See general remarks on Silver Methods.
Foraminifera, see Carpenter, W. B. The
Microscope and its Revelations, Lon-
don, 1901.
Formaldehyde is a gas (HCOH) soluble to
40% in water producing a solution which
is termed commercial formalin or for-
mol. See Formalin.
Formalin (Formol) is a 37% aq. solution of
the gas, formaldehyde. Solutions em-
ployed as fixatives and preservatives
are made in terms of the percentage of
formalin, not of formaldehyde. Thus,
a 10% solution of formalin (formol) is by
convention 10 cc. of formalin plus 90 cc.
of water. It is not however 10% for-
maldehyde. (Obviously to dilute 10 cc.
cone, hydrochloric acid with 90 cc. of
water would not give 10% hydrochloric
acid because cone, hydrochloric acid is
not 100%, so that this practice cannot be
extended.) Formerly it was necessary
to neutralize commercial formalin in
various ways, and it still is for special
purposes. The best way to obtain
neutral formalin is to distil. Atkins
(Lee, p. 61) advises addition of borax
to the diluted formalin until it shows a
good red color with phenolphthalein or
slaty blue with thymol blue. Others
simply add a little calcium, sodium,
magnesium or even lithium carbonate.
Obviously the addition of such minerals
greatly complicates the problem when
formalin is employed with alcohol as a
fixative preliminary to microincinera-
tion. Lillie (p. 28) specifies a neutral
buffered formaldehyde solution (pH
70) as follows: 37-40% formaldehyde
solution, 100 cc; water, 900 cc; acid
sodium phosphate, monohydrate, 4 gm. ;
anhydrous disodium phosphate, 6.5
gm. Constant pH is desired. Unless
neutral formalin is specified and the
manner of neutralization, it is best
simply to use the fairly pure product
which now can readily be obtained.
Experiments by Davenport, H. A.,
Stain Techn., 1934, 9, 49-52 show that
as a neurological fixative slightly acid
formalin is somewhat better than neu-
tral formalin. A few of the manj^ de-
mands for formalin as a fixative will
be found under:
Alizarin red S
Alveolar pores
Amyloid
Argentaffine cells
Arsenic
Articular nerve ter-
minals
Bile pigments
Bismuth
Bodian
Bone
Buzaglo
Cajal's brom-formol
Cartilage
Chitin
Chloride
Chorioallantoic mem-
brane
Christeller-Koyama
Chromaffin reaction
Color preservation
Connective tissue cells
Dopa oxidase
Fatty acids
Fluorescence micros-
copy
Foot
Frozen sections
Giemsa staining
GUa staining
Gomori
Gordon
Grieves
Johnson's neutral red
Kinney
Krajian
Liebermann - Burch-
ardt
Madder staining
Mallory's connective
tissue stain
Microglia
Mucus
Nile blue sulphate
Perdrau
Pia mater
Romieu
Schultz cholesterol
Sebaceous glands
Silver citrate
Smith- Dietrich
Spirochetes
Vorhoeff
Weigert-Pal
Weil
Wilder
FORMALIN-ALCOHOL
131
FROZEN SECTIONS
In combination with other reagents
formalin is also a good fixative cf. For-
malin-Zenker in which formalin is sub-
stituted for acetic acid, Bouin, Regaud's
Fluid and many others. Since, how-
ever, formalin is a strong reducing agent
mixtures of which it is a part are un-
stable so that it must be added immedi-
ately before use. As Mallory (p. 40)
points out, formalin also has certain
disadvantages. It is inferior to alcohol
as a preservative for iron and other
pigments. It often changes the color of
bile concretions from yellow to green and
it may produce in the tissues a trouble-
some brown-black finely divided crystal-
line precipitate from laked hemoglobin.
He advises removal of this precipitate
by treating sections for 30 min. in 75%
alcohol, 200 cc; plus 25-28% ammonia
water, 1 cc. (Schridde's method), or for
10 min. in 80% alcohol, 100 cc. plus 1%
aq. potassium hydroxide, 1 cc. (Vero-
cay's method) after either of which they
are washed thoroughly in water before
placing in 80% alcohol and staining.
When employed as a preservative con-
centration of formalin should be 4%.
Formalin-Alcohol, see Alcohol-Formalin.
Formalin-Zenker. Zenker's fluid modified
by substituting 5% formalin in place of
the 5% acetic acid. It is also known
as Helly's fluid and Zenker-formol.
This is one of the three major routine
fixatives the others being Zenker and
Bouin. See Acid Fast Bacilli, Alveolar
Pores, Arteries, Basal Bodies, Brazilin-
Wasserblau, Mucus, Goodpasture's
Method, Methyl-Green Pyronin. In
some cases 10% formalin is inserted
instead of 5%.
Formalose see Formalin.
Formamide of Eastman Kodak Co. is a sub-
stance, called a "modifier", which when
added in 10% to 50% alcohol improves
fixation and staining of peripheral nerve
(Bank, E. W. and Davenport, H. A.,
StainTech.,1940, 15, 9-14).
Formazan, see Triphenyltetrazolium Chlo-
ride.
Formic Acid, see Decalcification.
Formol is a synonym for formalin.
Formol-Miiller, This is 1 part of formol to
10 parts MuUer's fluid.
Formol-Nitric fixative. 3 parts 10% for-
malin and 1 part 10% nitric acid. This
has, according to McClung, proved very
valuable for chick embryos.
Formol-saline is the fluid resulting when
formalin is diluted with isotonic salt
solution (presumably 0.85% aq. sodium
chloride) instead of with aq. dest. It is
not advised as a fixative.
Formvar, a plastic occasionally employed
to make supporting films in electron
microscopy. It is made by Shawinigan
Products Corporation, New York, N. Y.
Fowl Pox, see Borrel Bodies.
Fractionation, see collection of cell com-
ponents under Centrifugation.
Fractures. Vital staining with Alizarin
Red S (Schour, et al., J. Dent. Res.,
1941,20,411-418).
Fragility Tests. Micro for erythrocytes
(Kato, K., J. Lab. & Clin. Med. ,1940,
26, 703-713. See Capillary Fragility Tests.
Freezing. Details on the formation of
ice within cells are given by Chambers,
R. and Hale, H. P., Proc. Roy. Soc,
B, 1932, 110, 336. See Revival after.
Freezing and Drying, see Altmann-Gersh.
Freifeld's Blood Stain. To 20 cc. tap water
add 7 drops Ziehl's Carbol Fuchsin
and 5 drops 1% aq. methylene blue.
Stain methyl alcohol fixed blood smears
1 hr. Shows clearly basophilic granules
of toxic neutrophiles (Naegeli, O.,
Zlutkrankheiten und Blutdiagnostik,
Berlin, 1931, p. 19, quoted from Mc-
Clung, 1950, p. 225).
Frozen Sections. These are of great value
when preparations must quickly be
made and when methods of alcoholic
dehydration before sectioning are contra-
indicated. They are specified elsewhere
in this book under several headings
including :
Amyloid Lipase
Cholesterol Lipids
Digitonine reaction Microglia
Dopa oxidase Millon's reaction
Gold Oxidase
Indigo-carmine Pepsin
Krajian'a Congo stain Spirocheta pallida
Liebermann-Burchardt Urease
To make the sections take recently
excised still living tissue, or better fresh
tissue fixed for about 30 min. in 10%
formalin. First freeze a little water on
the block of a freezing microtome.
Then add the tissue and freeze it too
plus a drop more of water. Allow block
to thaw to optimum consistency, cut
sections 15-50m thick as desired, and
remove them with a camel's hair brush
from the microtome knife to formalin,
water or physiological saline. When
many are required, it may be necessary
to freeze several times as the tissue be-
comes too soft. If thinner sections are
wanted resort to Gelatin Imbedding
before sectioning.
For quick staining Thibaudeau, A. A.,
J. Lab. & Clin. Med., 1933, 19, 204-209
advises that sections of formalin fixed
tissue be stained in Harris' hematoxylin
5-15 sec, rinsed in aq. dest., blued in
aq. dest. -f few drops NH4OH, passed
up through 70, 85 and 95% alcohol
counterstained in absolute alcohol and
FROZEN SECTIONS
132 FROZEN-DEHYDRATION METHOD
eosin (5 sec), cleared in carbol xylol,
blotted with filter paper and mounted
in balsam. Proescher, F., Proc. Soc.
Exp. Biol, and Med., 1933, 31, 79-81
recommends pinacyanol as giving ex-
cellent color contrasts. Perhaps the
simplest method advised by the Bens-
leys (p. 138) is to stain the sections in
Goodpasture's Acid Polychrome Meth-
ylene Blue (which see) 1 min. or longer,
wash and mount in aq. dest. This
colors nuclei dark purple and connective
tissue bright rose red. But methylene
blue is less permanent than hema-
toxylin. Adamstone and Taylor (Stain
Techn. 1948, 23, 109-116) have devel-
oped a modified technique useful for
histochemical and routine studies.
For reticular and collagenic fibers in
frozen sections proceed as follows
(Krajian, A. A., Arch. Path., 1933, 16,
376^378) : After fixation in 10% for-
malin, cut sections 5-10 microns and
wash in aq. dest. Then 10% aq.
NH«OH at 60°C., 15 min. Wash in 3
changes aq. dest. and place in 0.3%
KMn04 for 5 min. Rinse in aq. dest.,
decolorize in 1.5% oxalic acid until
brown color has entirely disappeared.
Wash 4-5 times in aq. dest. and soak
in 5% AgNOj at 60°C. for 1 hr. Wash
twice in aq. dest. Transfer to ammoni-
acal silver sol. (to make add 6 drops 10%
NaOH to 8 cc. 10% AgNO,. Then add
freshly prepared 10% NH4OH drop by
drop until almost entirely clear. Dilute
to 28 cc. with aq. dest.) 16 min. at 60°C.
Wash 3 times quickly in aq. dest.
Change to 30 cc. formaldehyde + 70 cc.
aq. dest. 1-3 min. at 60 °C. Wash in
tap water. Mount on slide. Dehydrate
with a little absolute alcohol and blot
into position. Dehydrate more, blot,
3 changes equal parts anilin oil and xylol,
xylol, balsam. Reticular fibers jet
black, collagenic ones dark brown.
For serial sections of brain (Marshall,
W. H., Stain Tech., 1940, 15, 133-138)
fix slices 24 hours or longer in 10 or
15% formalin and then treat them with
a 20-30% alcohol or in 15% formalin in
20% alcohol. The object of the alcohol
treatment is to avoid formation of hard
and brittle ice crystals which fracture
the sections as they are made. Cut
tissue into blocks about 1.0 cm. thick.
Place on a CO2 ice freezing disc which
has been covered by a piece of wet blot-
ting paper. (In our laboratory we use a
regular COj gas freezing disc which has
been adapted to a precision sliding
microtome.) Freeze the block of tissue
slowly throughout. The proper degree
of freezing depends on the thickness of
the sections to be cut. Marshall recom-
mends a paraffin knife, 20-30° angle with
block, knife set in a line perpendicular
to the direction of motion. Remove cut
sections by a camel's hair brush to 50%
alcohol and keep them in serial order.
Mount sections serially on slides coated
with Albumen-Glycerin. Smooth out
wrinkles and flatten sections by gentle
pressure with blotting paper moistened
with 50% alcohol. Remove slides to a
38 "C. oven for 4-6 hrs. when they are
ready for staining. (In some cases it
may be inadvisable to press the sections
flat upon the slide. Thin sections re-
quire less drying than thick ones. In
any case until one has gained confidence
in the use of the technique, the sections
should be observed at intervals in the
38 °C. oven. At the least sign of exces-
sive drying (whitening of parts of the
section) the sections shoula at once be
removed to the stain.) The Cresyl
Violet method of Tress and Tress is
recommended.
Frozen-Dehydration Method for histologi-
cal fixation — Written by Normand L.
Hoerr, Department of Anatomy, West-
ern Reserve University School of Medi-
cine, Cleveland, Ohio. November 28,
1951 — This Method has distinct ad-
vantages over the usual methods of
preparation of tissues for microscopy,
particularly for histochemical studies
and for microincineration. Tissues are
frozen as rapidly as possible and then
maintained below the freezing point
while being dried in vacuo. The
method changes tissues little or not at
all chemically, and physically only by
the removal of water. If the freezing
of a block of tissue can be effected
rapidly enough the ice crystals which
form during the freezing out of free
water will be below microscopic size.
The constituents of the tissue are then
not displaced to an extent appreciable
by microscopic examination. To pre-
vent displacement of any constituent
of the tissue after freezing, it is neces-
sary that the dehydration be carried
out below the eutectic point of the
tissue. There is no way of knowing
what the eutectic point of such a com-
plex mixture of substances as obtains
in animal tissues may be but, since in
tertiary and quaternary systems the
eutectic point is usually lower than the
eutectic points of mixtures of any two
of the substances, it is reasonable to
assume that the absolute depression of
the freezing point in tissues may be
well below — 54.9°C. (the eutectic
point of aqueous calcium chloride solu-
tion). From our experience, we would
say that better cytologic appearance
of the tissues — i.e., an appearance com-
paring most favorably with the appear-
FUCHSIN NB
133
FUNGI
ance of living tissues — is obtained by
dehydrating at temperatures below
— 3(J°C. If the freezing can be effected
rapidly enough, the constituents of a
tissue are not appreciably changed
morphologically.
Die Elementarorganismen und ihre
Beziehungen zu den Zellen, Altmann,
R., /Leipzig, Veit and Co., 1890, intro-
duced the method of freezing tissues
and dehydrating them over sulfuric
acid in vacuo at temperatures below
-15°C. Gersh, I. (Anat. Rec, 1932,
53, 309-337) overcame many early diffi-
culties and elaborated the technic so
that good histologic fixation could be
procured on a number of tissues.
Packer, D. M. and Scott, G. H. (J.
Tech. Methods, 1942, 22, 85-96) have
overcome, by a newly designed cryo-
stat, many of the dehydration difficul-
ties. The frozen dehydration method
has been of value in the preliminary
fixation of tissues for a study with the
electron microscope of the localization
of their contained salts by microincin-
eration. It has been used for the pre-
liminary preparation of tissues in the
study of mitochondria and Nissl sub-
stance, of secretion in the stomach and
the thyroid gland, and in a histochemi-
cal study of the Golgi apparatus. More
extended discussions of the process of
freezing and of the subsequent process
of dehydration, with considerations of
the advantages and limitations of the
method are given by Hoerr, N. L.
(Anat. Rec, 1936, 65, 293-295) and
Simpson, W. L. (Anat. Rec. 1941, 80,
173-189).
A number of cryostats have been
designed recently, including those by
Stowell, R. E. (Stain Technology, 1951,
26, 105-108) Emmel, V. M. (Anat. Rec,
1946, 95, 159-175) Scott, G. H., and
Hoerr, N. L. (Medical Physics, 1950,
2, 292-296) Wang, K. J., and Grossman,
M. I. (J. Lab. and Clin. Med., 1949,
34, 292-296) and Mendelow, H., and
Hamilton, J. B. (Anat. Rec, 1950, 107,
443-451). A good commercial design
is available from Scientific Specialties
Corporation, Cambridge, Mass., or
Euclid Glass Engineering Laboratory,
11310 Wade Park Avenue, Clevelend,
Ohio.
Fuchsin NB, see New Fuchsin.
Fuchsin S, SN, SS, ST or S III, see Acid
Fuchsin.
Fungi. — Written by Morris Moore, Barnard
Free Skin and Cancer Hospital, St.
Louis, Mo. November 10, 1951.
1. Skin scrapings and hair. The
usual method is to mount the material
in an alkali — either sodium hydroxide
(NaOH) or potassium hydroxide
(KOH). The latter is preferable and
should be used in a 10-30% solution.
For rapid work 40% is employed but this
tends to swell and disintegrate the
fungi. A weak solution takes longer to
clear the skin. The skin usually clears
in 5 min. to 2 hrs. in concentrations of
10-30%. A little heat helps. Use sub-
dued light in order to avoid high lights.
The fungus is clearly discernible against
the irregular nondescript background
of skin which is usually clear. Dip
infected hairs taken from scalps, par-
ticularly those that are oily, in ether or
in alcohol (absolute alcohol is preferable
to 95%) for a moment in order to get rid
of the oil which often simulates spores
in sliape and size.
Adamson (H. G., Brit. J. Dermat.,
1895, 7, 201-211, 237-244) has recom-
mended clearing with 5-10% KOH and
staining by the Gram method. Chal-
mers and Marshall (A. J. and A., J. Trop.
Med. Hyg., 1914, 17, 256-265, 289-291)
suggest soaking scales in 40% KOH for
some hours in a watch glass in an in-
cubator at 40 °C. Transfer specimens
to watch glass containing 15% alcohol for
30 min., remove to slide, allow alcohol
to evaporate and dry over flame ; stain
with Anilin-Gentian Violet for 20 min.
Treat with Gram's Iodine for 3 min.;
decolorize with anilin oil, 30 min.; stain
in concentrated alcoholic eosin, 1 min.;
wash off eosin with anilin oil or clove oil ;
treat with xylol and mount in balsam.
Priestley (H., Med. J. Australia,
1917, 2, 471-475) recommends lacto-
phenol (lactic acid, 1 part; phenol, 1
part; glycerol, 2 parts, aq. dest., 1 part)
for clearing instead of 40% KOH ; or
chloral hydrate crystals, 2 parts; lactic
acid, 1 part; phenol crystals, 1 part,
may be used. For thick material
Langeron suggests : chloral hydrate
crystals, 40 gm. ; phenol crystals, 40
gm.; lactic acid (U.S.P.), 20 gm.; and
sodium salicylate, 10 gm. Slight heat
facilitates clearing. To stain, Priestley
recommends treatment with chloroform
to remove the fat; boiling, 2-3 min.,
with formic acid ; washing for a few
minutes in water and staining with
Sahli's methylene blue : after which the
tissue is to be washed, differentiated
with alcohol if necessary, dehydrated,
cleared and mounted in balsam.
Bachman (R. W., Arch. Dermat. &
Syph., 1920, 1, 50-54) recommends the
following procedure : Place scrapings in
a drop of water on a cover slip, tease
thoroughly with a dissecting needle,
dry over a flame but do not scorch.
Stain for 2 min.; decolorize in 95% al-
cohol, 15-30 sec; immerse in aq. dest.,
15-30 sec. ; pour off excess, dry by heat,
FUNGI
134
FUNGI
and mount in balsam. Spores and
mycelium, blue; scrapings, yellow.
The dye is sat. ale. gentian violet, 2.5
parts; aq. dest., 17.5 parts; orange G
solution, 9 parts; acetic acid, 1 part;
95% ale, 5 parts. The orange G solu-
tion is orange G, 2 parts; 95% ale, 20
parts; water, 80 parts. Decolorize with
10-20% KOH.
The hydroxide method of examination
is simple and often rapid, but unless
used by one familiar with it the results
may be misleading. There is danger of
confusion with structures which Becker
and Ritchie (J. W. and E. B., Arch.
Dermat. & Syph., 1940, 22, 790-802) have
indicated as resembling yeast cells.
These artifacts may be removed by
treating the material progressively with
absolute alcohol, ether, absolute and
95% alcohol. They have been termed
'mosaic fungus' and have been reported
by Greenwood and Rockwood (A.M. and
E. M., Arch. Dermat. & Syph., 1930,
21, 96-107) as degenerate fungi. In
fact they are cholesterol crystals. The
use of dyes eliminates in great measure
such artifacts. However, the use of
dyes is not practical with thick sections
for which recourse must be had to the
hydroxide method.
When the scrapings or scales are thin,
or when sputum, pus or exudate are ex-
amined, a 1% aq. methylene blue and
glycerin can be used as follows : One
drop of the 1% solution of methylene
blue is placed on a clean slide and the
material is stirred within it, allowed to
stand for approximately 2 min. when a
clean cover slip is placed over the mix-
ture and pressed down to flatten out the
material and to express the excess solu-
tion. The superfluous stain is taken up
by filter paper. A drop of glycerin is
then placed along one edge of the cover
slip and allowed to seep under, dis-
placing the stain and giving a clear back-
ground to the stained material. The
fungus appears bright blue.
The lactophenol-cotton blue technique
was developed in the French labora-
tories using the formula of Amann (J.,
Zeit. Wiss. Mikr., 1896, 13,18-21). Lac-
tophenol consists of phenol crystals,
20 gm.; glycerin, 40 gm.; lactic acid,
20 gm. andaq. dest., 20 gm. Cotton blue
(anilin blue, China blue) is a mixture of
the trisulphonates of tri-phenyl para-
rosanilin (C.I. 706) and of di-phenyl
rosanilin. Place a drop of the cotton
blue (0.5% aq.) on the slide ; stir up the
material within it and allow to stand for
about 2 min. Add cover slip and press
down to squeeze out any excess dye,
which is taken up by filter paper. Add
a drop of lactophenol to the edge of cover
slip and allow it to replace the cotton
blue which dries out. The stain may be
rapidly replaced by holding a bit of filter
paper at the edge of the cover slip op-
posite the lactophenol. The cell wall
stains lightly as compared with the
darkly colored central portion of the
fungus. The tissue elements also stain
light blue.
Swartz and Conant (J. H. and N. F.,
Arch. Dermat. & Syph., 1936, 33,
291-305) have modified the lactophenol
and cotton blue procedure. First put
a few scrapings in 5% aq. potassium
hydroxide, heat somewhat and wash in
water. Place material in a drop of the
combined cotton blue (0.5%) and lacto-
phenol. The fungi stain a darker blue
than the tissue cells.
Schubert M., Dermat. Wchnschr.,
1937, 105, 1025-1029) has modified the
Swartz-Conant technique. Soak the
scales in 2% KOH for 30 min. or until
they appear glassy and then wash in
aq. dest. 2-10 hrs. Transfer small
particles to a slide and add 1 or 2 drops
of following stain : cotton blue, 0.25 gm. ;
lactic acid, 10 gm.; phenol crystals, 10
gm.; and aq. dest., 20 gm. The fungi
appear dark blue while the epidermal
cells stain lightly. See also Berberian's
Method.
2. Sputum, pus and exudates: Exam-
ine for fungi after mounting directly
on a slide after mixing in 20% KOH or
on stained smears. The latter are not
very satisfactory because smearing
tends to disturb the arrangement of the
cells but they are useful for detection of
mycelium. Many contaminating or-
ganisms are generally present in these
exudates unless material is secured from
fresh lesions opened aseptically. Sev-
eral examinations may be necessary since
the organisms in exudates are seldom
numerous. The hydro .xide usually dis-
solves most of the tissue elements and
the fungi stand out as refractile bodies.
Several of the staining methods em-
ployed in the study of hair and scrapings
may be used. Of these, the methylene
blue and glycerin method is best but the
lactophenol-cotton blue technique is
likewise advised.
3. Vesicles, blister fluid, spinal fluid
or urine: These can also be directly
examined. But vesicle, or blister, fluid
yields only a small amount of material
and for best results, the methylene
blue-glycerin method or the lactophenol-
cotton blue technique is advised.
Urine, or spinal fluid, should be con-
centrated by centrifugation before
examination. The same staining pro-
cedures are advocated. See Blasto-
mycosis.
FUNGI
135
FUNGI
4. Skin: Unna, Jr. (P., Dermat.
Wchnschr., 1929, 88, 314-321) advises
the following modification of the Pap-
penheim-Unna, Sr. method for stainins
fungi in skin. Fix in absolute alcohol,
then run through the alcohols to xylol
and imbed in paraffin. Cut sections at
10/x, stain with pyronine-methyl green
(pyronine, 9 parts; methyl green, 1
part; 96% alcohol, 90 parts; glycerol,
100 cc; 0.5% phenol to make 1000 cc),
5-10 sec; rinse in water; dry with
absolute alcohol; and mount in balsam.
Fungi, rubin red; leukocytes, green to
blue green ; nuclei of cells of basal horny
layer of the epidermis, red.
Fungi in tissue can be easily stained
by Iron-Hematoxylin and eosin. The
fungous elements take the hematoxylin
stain nicely, although some difficulty
may be encountered in distinguishing
spherical cells or spores from tissue
elements. The Gram method of stain-
ing for bacteria has been used with a
measurable amount of success since
fungi are, in general, gram -positive.
Unna's Alkaline Methylene Blue
(Unna, P., Monatsh. f. prakt. Dermat.,
1891, 13, 225-237, 286-311), although
recommended for staining plasma cells
and as a general stain in combination
with phloxine or eosin, has been espe-
cially adapted for staining organisms in
the stratum corneum. It consists of
methylene blue, 1 gm.; potassium
carbonate, 1 gm.; and aq. dest., 100
cc. The solution stains better after
ripening for a week or two and should
be diluted 1 to 10 or 1 to 5 before use.
Malcolm Morris (Mallory, F. B. and
Wright, J. H., Pathological Technique,
Philadelphia and London, 1924, p. 175)
in staining various parasites of the skin,
avoids the use of potassium hydrate.
Place skin in ether, or in 1:1 alcohol-
ether; stain for 5-30 min. in 5% gentian
violet in 70% alcohol. Then pass
through iodine solution, 1 min.; anilin,
or anilin plus 2-4 drops of nitric acid;
anilin; and xylol (2 changes) to balsam.
5. Other tissues: A number of methods
listed for staining Bacteria in tissue
can be used successfully for fungi.
Mallory's Connective Tissue stain is
good for Cryptococcus hominis in brain
tissue. Fungus cells, red ; thick mucoid
capsules, light blue. TheGram-Weigert
staining method is also excellent.
Organisms, deep violet; nuclei, blue to
violet; connective tissue, red.
Actinomyces in sections may be
stained successfully with Alum-Hema-
toxylin followed by strong eosin. Mal-
lory (p. 279) lists 2 methods of which
the following gives good results with
paraffin sections of formalin or Zenker
fixed tissue. Stain in alum-hematoxy-
lin, 3-5 min.; wash in water; stain in
a 2.5% a,q. phloxine or 5% aq. eosin,
15 min. in the paraffin oven; wash in
water; stain in Anilin Crystal Violet
(try Stirling's), 5-15 min.; wash in
water; treat with Gram's Iodine solu-
tion, 1 min.; wash in water and blot
with filter paper; differentiate in
several changes of anilin until no more
color comes off; rinse in several cliangea
of xylol and mount in balsam. The
branched organisms stain blue while
the hyaline sheaths ("clubs") become
pink to red.
The Hotchkiss-McManus or Periodic
Acid-Schiff Stain (Kligman, A. L. and
Mescon, H., J. Bact., 1950, 60, 415-421)
may be used to find fungi in tissue or
sections. Tissue fixed, embedded in
paraffin and sectioned in usual manner.
After deparaffinizing, sections rinsed
in absolute alcohol; washed in distilled
water; immersed in 1% aq. periodic
acid C.P. (Eimer & Amend) 5 min.;
washed in tap water, 10 min.; placed in
Schiff reagent, 10 to 15 min. ; transferred
to 1 normal HCl, 5 min.; washed in
tap water, 10 min.; counterstained with
1% aq. light green, for sec. ; dehydrated,
cleared and mounted. Fungi stain red
to purple. Tissue cell nuclei do not
stain.
Schiff reagent prepared as follows:
Dissolve 0.5 gm. basic fuchsin (Cole-
man & Bell) by passing over it 100 cc.
boiling water; cool to 50°C.; filter and
add 10 cc, 1 normal HCl and 0.5 gm.
potassium metabisulfite dry reagent
(Eimer & Amend) to filtrate. Solu-
tion becomes colorless to pale straw
colored by standing in dark overnight.
Add 0.25 to 0.5 gm. activated charcoal,
shake well and filter immediately to
completely decolorize. Refrigerate in
tightl}^ stoppered bottle.
For smears or nails: Use thin smears
and fine nail scrapings. Material made
to adhere to slide with egg albumen.
Coplin jar or drop bottle technique
employed. Immerse material in 95%
alcohol, 1 min.; cover with 5% aq.
periodic acid, 3 minutes; wash in run-
ning water. 2 min.; stain in Schiff re-
agent, 5 min.; rinse in running tap
water, 1 min.; dehydrate in 95% then
absolute alcohol and two changes
xylol, 1 min. each. Mount in clarite.
See Polysaccharides.
After the fungi have been successfully
cultivated on the various mediums
recommended (Moore, M., Arch.
Dermat. & Syph., 1936, 34, 880-886)
they can be examined microscopically
by transferring part of the growth with
a sterile platinum or nichrome wire to
FURFURAL
136
G ALLOC YAN IN -CHROMALUM
STAINING
a clean slide. This should be done
fently to avoid destruction of the
ungous growth. The fungus is teased
apart gently in one of several fluids
such as water, alcohol, alcohol and
glycerine (equal parts) or other mount-
ing fluids. Water has a high surface
tension and causes disruption of the
growth; while alcohol evaporates rap-
idly and must be replaced. The
following solution serves well : 2%
potassium acetate, 50 cc; glycerin, 20
cc; and 95% alcohol, 30 cc. The
preparation is examined with reduced
light. The preparations may be stained
using one of the several methods listed :
lactophenol-cotton blue ; methylene
blue-glycerin; or Giemsa-glycerin. See
Chorioallantoic Membrane, Actlno-
mycetes.
Furfural. Has been suggested but is not
recommended as substitute for formal-
dehyde (Stowell, R. E. and Stokes,
J. M., J. Tech. Meth. and Bull. In-
ternal. Assoc. Med. Museums, 1944, 24,
25-30).
Fuscin (L. fuscus, dusky), a dusky pigment
of retinal epithelium usually present
in crystalline formations made up of
albuminous cores, which determine
their shape, plus the adsorbed fuscin
material. A relationship to melanin
is debated but the pigment is very
resistant to chemical attack. It can,
however, be bleached completely when
exposed to light in vitro. For details
see Arey, L. B. in Cowdry's Special
Cytology, 1932, 3, 1218.
Fustics. "Young" fustic is a stain obtained
from the smoke tree, Rhus cotinus of
West Indies and South America giving
colors from bright yellow to dark olive
now seldom used by dyers. "Old" fus-
tic is obtained from a tree of the mul-
berry family, Chlorophora tinctora,
which grows in the same countries. It
is chiefly employed for woolens giving
shades of lemon and old gold (Leggett,
W. F., Ancient and Medieval Dyes.
Brooklyn: Chemical Publishing Co.
Inc., 1944, 95 pp.).
Gadolinium see Atomic Weights.
Galliamine Blue (CI. 894) can be employed
in place of hematoxylin as an iron lake
stain for nuclei.
Gallein (CI, 781), a mordant dye of light
fastness 1. Use as solution 0.5 gm. in
100 cc. of either 1% aq. anmionium
acetate or 0.1% sulphuric acid. Small
invertebrates should be previously
mordanted, 30 min. in 1% aq. ferric
ammonium sulpha e and rinse in aq.
dest. before staining for 1 to 2 min. in
the solution at 50°C. Color blue black.
If copper sulphate is employed for mor-
dant color is hematein purple. In
paraffin sections of animal tissues nuclei
color blue black in 15 to 20 sec. at 50°C.
Directions are also given for plant tis-
sues and Blue-green algae (Emig, p.
54-55).
Gallium, see Atomic Weights.
Gallocyanin-Chromalum Staining of Baso-
philic Cell Structures — Written by
Ldrus Einarson. Normal-Anatomisk
Institut. Aarhus Universitet, Aarhus,
Denmark. February 27, 1951. — Baso-
philia is an essential property common
to some most important cell structures,
and the study of the nature as well as
the attainment of a method for quanti-
tative estimation of basophily have
been among the outstanding general
problems in histology and cytology.
Here, the nerve cells make an especially
favourable object on account of their
high degree of cytoplasmic basophily
due to the Nissl substance, which con-
tains nuclein, acid and basic proteins
respectively (Einarson L. J. comp.
Neur., 1935, 61, 101-133).
An accurate estimation of basophily
can be achieved by staining with dis-
solved colour lakes of some synthetic
dye-stuffs (Ranvier, 1875; Grenacher,
1879; Rawitz, 1896; Becher, 1921), and
the staining by gallocyanin-chromalum
affords the most accurate representative
of this principle of staining by inner-
complex dye-metal salts (Einarson, L.,
Acta path. & Microbiol. Scand., 195,
28,82-102).
The staining solution is made as fol-
lows: 5 gm. chromalum puriss. is dis-
solved in 100 cc redistilled water, then
0.15 gm. gallocyanin (Griibler-HoU-
born or Nat. Aniline Division, New
York) is added and the whole is mixed
by shaking the bottle. The mixture is
warmed up gradually and boiled for 5
min. After cooling at room tempera-
ture, filtration through filter paper and
addition of redistilled water through
the filter until the volume again is 100
cc, the solution is ready for use; its
pH is 1.64. Staining time is 48 hrs at
room temperature. After staining
washing in aq. dest., alcohols, xylol
balsam.
The process by which the lake is
formed consists in the formation of a
soluble lake-cation (reddish), a slightly
soluble lake-sulphate (blue) and a non-
soluble lake-hydroxide; the latter is
formed by an inmiediate hydrolysis of
some of the lake under formation.
After the solution has been prepared
no further hydrolysis occurs until 4-5
weeks later (late hydrolysis), and a
gradual sedimentation of lake-hydrox-
ide takes place; at the same time the
staining power of the solution be-
GALLOCYANIN-CHROMALUM 137
STAINING
comes weaker. Thns, for safety the
solution should not be used for more
than 3 weeks. Lake-sulphate and lake-
hydroxide are the main constituents of
the precipitate filtered off the solution
before use. Although such inner-com-
plex salts all have very low solubilities
in water, the lake-sulphate, however,
reamins dissolved in a sufficient amount
to become dissociated into the mono-
valent lake-cation and an anion ac-
cording to the equation:
(gallocyanin Cr(H20)4)2 S04^ 2 galloc
^ Cr(H20)4+ + SO4
In the lake-cation, Cr(H20)6+++ is
attached to one gallocyanin molecule
by two valency bonds to its OH and
COOH, and by two coordinating bonds
to its =0 and/0\ through substitu-
tion of two HoO-molecules from the
internal sphere of the Cr-atom. The
designations =0 and /0\ are used
for the sake of brevity. =0 means
the 2-carbonvl-O, and /0\ means the
oxazin-0 of the chromophor-group).
The reddish lake-cations, the actual
staining compound, unite progressively
and selectively with the nucleoproteins
of the fixed cell structures to form a blue
salt of the lake-cation and the tissue.
This proceeds until maximum occupa-
tion has taken place; then no further
attachment of the stain to the baso-
philic cell structures is possible. When
the staining has attained a certain in-
tensity it will not be further increased,
even if the tissue be left in the staining
solution for a considerable length of
time; in this respect the staining is
independent of the staining time {ex-
quisite progressivity) ; no other histo-
logical staining known to me possesses
this quality in the same degree. Owing
to the great stability of the staining it
is also completely unaffected by alcohol
and xylol during the procedure of de-
hydration and mounting. In consid-
eration of these qualities the staining
intensity depends directly on the in-
herent capacity to bind the stain, pos-
sessed by the living cell at the moment
of fixation.
Briefly the staining consists of :
1. A specific binding of the lake-
cation to the nucleic acids, in which it
reacts with the phosphoric acid groups
to form a lake-salt of nucleic acid;
within the range from pH 0.83 to 4.35
this specific binding always takes place
by means of the free -f-valency of the
lake-cation, regardless of the type of
nucleic acid.
2. An adsorption of lake-sulphate
to the tissue, i.e., an unspecific co-
staining of non-basophilic structures,
G ALLOC Y AN IN -CHROMA LUM
STAINING
which increases directly with the pH
of the dye-solution; it mainly takes
place by the basic 7-(CHj)2N-group of
the dye molecule; by staining at a suffi-
ciently low pH the co-staining is re-
duced to a minimum.
3. A binding of the lake-cation to the
proteins of the basophilic structures,
which, however, only takes place in a
definite range of pH on the alkaline
side of the iso-electric point of the pro-
teins and in fact is unimportant; on the
acid side of the iso-electric point the
lake-cation combines with the nucleic
acids alone.
As the lake compounds stabilize
(buffer) the staining solution towards
acids and alkalies its pH can be varied
simply bv adding 1 to 10 cc of N/1
HCl and' N/1 NaOH respectively to
each 40 cc. of stock solution. In the
range from pH 1.50 to 1.80 the specific
staining reaches its maximum intensity
at the same time as the co-staining re-
mains completely negligible; pH 1 .64
represents the optimum acidity for the
specific attachment of the lake-cations to
the nucleic acids, the relative quantity
of which can be estimated by photometric
or densitometric measurements. The in-
crease of the co-staining first sets in at
pH 1.80 to reach its maximum between
pH 3.4 and 3.5 whereupon every stain-
ing fades away; at pH 4.27 it is barely
visible. The co-staining at pH 2.90-
3.42 may be used for demonstrating
axons and neuroglia (Einarson &
Ringsted 1938, p. 43). After the addi-
tion of alkali the solution should not be
used longer than 4-8 days.
The usual basic blues preferably stain
proteins and other amphoteric electro-
lytes which display ''facultative baso-
phily",\.e., under another set of condi-
tions they are less basophilic or even
acidophilic; they are amphophilic sub-
stances, and the staining is a mere ad-
sorption of the dye.
Gallocyanin-chromalum indicates the
degree of "genuine basophily" which
depends directly on the quantity of
nucleic acids present; genuine baso-
phily is not in the same way dependent
on the external conditions as the
facultative one, and its changes reflect
the decomposition during neuronal
function or regeneration and the sub-
sequent repair of cytoplasmic nucleic
acid from the nucleus (Einarson, L.,
Am. J. Anat., 1933, 53, 141-176).
Gallocyanin (CI. 883)-alizarin blue
RBN, chrom blue GCB and fast violet.
It is a basic oxazin dye.
Gamma =
1000
mg. or 0.001 mg.
GARDNER
138
GELATIN E^IBEDDING
Gardner, see Articular Nerve Terminals.
Garven's Gold Chloride method for nerve
endings in muscle (Garven, H.S.D.,
Brain, 1925, 48, 380-441). This is Fis-
cher's modification of Ranvier's tech-
nique as used in Golgi's Laboratory.
Immerse small pieces of tissue in 25%
aq. pure formic acid and tease a little
to assure penetration 10-15 min. Blot
with clean cloth. Place in 1% aq. gold
chloride just sufficient to completely
cover tissue and shake. Avoid all iron
instruments. Cover dish with blue or
yellow glass. Leave 20 min. Blot
with clean cloth and repeat above treat-
ment with formic acid and gold leaving
this time in latter 24 hrs. in absolute
darkness. Repeat still again. Pass to
glycerin and leave in closed vessel in
ordinary light. The sharpness of the
intensely purple black nerves in a
lightly colored background increases
with time. Small pieces can then be
transferred to aq. dest. and the indi-
vidual fibers separated. This is facili-
tated by dissociation in dilute nitric
acid. Wash and make final mounts in
glycerin. The author used panniculus
carnosus of hedgehog, striated muscle
of frog and lizard, extrinsic eye muscle
of rabbit and human pectoral muscle.
Gas Analysis. — Techniques are given in de-
tail by Glick, pp. 313-412.
Gash-Irrigation recovery method for lung
cells (GI).— Written by C. C. Macklin,
Dept. of Histological Research, The
University of Western Ontario, London,
Canada. November 28, 1951. — Fresh
collapsed mouse or other mammalian
lung is cut through a drop of physiologi-
cal salt solution, blood serum or other
suitable liquid, inverted and drained
onto a slide. It is then covered and ex-
amined as a fresh mount, or spread,
dried, stained and mounted like a blood
smear. Liberated phagocytic and gran-
ular pneumonocytes (dust and foam
cells — which see) are thus obtained
(Macklin, C. C, Proc. 6th Intern. Con-
gress of exper. Cytol., Stockholm, 1947;
published 1949, 383-387; Macklin, C. C,
The Lancet, Feb. 24, 1951, 432-435).
Gastric Contents. Examine microscopically
material obtained by stomach tube after
test meal as described by Stitt (p. 753).
Look for mucus, epithelial cells, leu-
cocytes, Gram positive bacilli in
smears.
Gastrointestinal Tract. Immediate fixation
is desirable because postmortem changes
occur especially quickly. Do not wash
first with water but with physiological
saline or with the fixative itself. It may
be desirable to place the excised pieces,
with peritoneal surface down, on wooden
tongue depressor or stiff paper. Some
flattening is required. The mucous
surface must not be allowed to dry.
See Small and Large Intestine. See
Papanicolaou Techniques.
Gautheria Oil used to be employed as a
clearing agent. It has been displaced
_ by the artificial oil, methyl salicylate.
Geiger Counters are instruments for the
counting of electrons which provide
quantitative data of great importance
in this electron age. A concise descrip-
tion of the history of counter develop-
ment and of the Geiger-Miiller type is
supplied by Rovner, L. in Glasser's
Medical Physics, 487-495.
Gelatin-Carmine injections, see Carmine
Gelatin injections.
Gelatin Glue, method of mounting sections,
see Masson's.
Gelatin Imbedding and Sectioning. This is
used when sections are required of loose,
friable tissues which easily fall apart.
Since the imbedding is directly from
water, no alcoholic or other dehydration
is required. Probably the best method
is that of Zwemer (R. L., Anat. Rec,
1933, 57, 41-44), devised primarily for
the study of adrenal lipoids. Wash
material fixed in formalin or other fluid
in water, 4 hrs. 5% gelatin in incubator
at 35-37 °C. 24 hrs. 10% gelatin at same
temperature, 12-16 hrs. Imbed by
placing in 10% gelatin in Petri dish in
refrigerator. Cut out blocks of tissue
and fix in 10% formalin several hours
to make gelatin insoluble in water.
In this formalin solution tissues can be
preserved indefinitely. Before section-
ing rinse block in water and trim.
Freeze with CO2 until block is uniformly
white. Allow to thaw until knife cuts
easily. Sections as thin as 5 microns
can be obtained. Float onto slide in
aq. dest. Drain off excess water and
run a drop or two of 1% gelatin under
setion. Again drain off excess. After
heating in drying oven at 33-37°C. place
slide in 10% formalin for 10 min. to fix
gelatin. In this formalin solution the
mounted sections can be stored. Stain
sections in usual way with Sudan, Nile
Blue Sulphate, Osmic Acid, Laidlaw's
Silver Method, and mount in Gly-
chrogel.
Wright's method as described by
Mallory (p. 34) is much quicker and is
recommended for fragmented tissues
such as those from curettings. Make a
10% solution of gelatin in warm aq.
dest. and while still fluid add 0.5%
carbolic acid. Do not overheat. The
tissue, unfixed or fi.xed, preferably in
10% formalin, is "dried" and placed in
a small "pool" of gelatin liquified by
heat on a or slide in a glass vessel. This
is allowed to solidify in the ice box for
GELATIN MEDIA
139
GIEMSA'S STAIN
2 hrs. or more. If necessary, store
gelatin blocks in 10% formalin. Cut
out block containing the tissue, freeze
and section. Float sections from water
onto slide well coated with albumen-
glycerin and spread. Remove excess of
fluid and cover with piece of thin
cigarette paper. Blot with fine filter
paper till cigarette paper is partly dry.
Cover cigarette paper with equal parts
anilin oil and oil of cloves for few
seconds. Drain and peel off cigarette
paper. Remove oil by washing in 95%
alcohol and pass to water when sections
are ready for staining. Mallory suggests
methods for Amyloid, Fat and staining
with Hematoxylin and Phloxine for
general purposes.
Gelatin Media, see Bacteria, Media.
Gelatin-Ringer electrode vessel, modifica-
tion by Kriest, A. C, Acta Physiol, et
Pharmacol. Neerland., 1950, 1, 32-34.
Gentian Blue 6B, see Spirit Blue.
Gentian Violet. The problem afforded by
this dye, like many others, has been
attacked by the Stain Commission.
The stain thus referred to has no con-
stancy. Originally it was a mixture
in about equal parts of dextrin and
methyl violet, the latter itself a mixture
in widely varying proportions of tetra-,
penta- and hexa-methyl pararosanilins.
Later were placed on the market methyl
violets with and without dextrin and
crystal violet (the hexa methyl com-
pound) all under the label of Gentian
violet. As Conn (p. 124) advises the
term Gentian violet should be elim-
inated and crystal violet used
wherever in the past the former has
been specified. See Neutral Gentian,
Methyl Violet, Crystal Violet.
Geranine G (CI, 127). An acid thiazole
dye employed in fluorescence studies
on account of color imparted by it
under ultraviolet illumination (Conn,
p. 70).
Germanium, see Atomic Weights.
Giant Cells. There is no special technique
for their demonstration. Since the
features usually employed in classifica-
tion are size and nuclear detail and
arrangement, Hematoxylin and Eosin,
or Iron Hematoxylin the latter followed
by various counter stains as for Acid
Fast Bacilli are recommended. The
following is a much abbreviated classi-
fication of Giant Cells from Cowdry's
Histology 1938 Edition :
1. Megakaryocytes of bone marrow,
granules in cytoplasm, best demon-
strated by Giemfsa's Stain.
2. Foreign body gianl cells formed
probably by a fusion of cells of mesen-
chymatous origin, perhaps of non-
granular leucocytes, in response to
foreign materials of many kinds —
tubercular giant cells, foam cells in
leprosy, lympsocystic giant cells of fish
(Weissenberg), and possibly Reed-
Sternberg cells in Hodgkin's disease.
3. Osteoclasts (polj^karyocytes) of
bone marrow and Langhans' giant cells
of placenta are normal inhabitants of
these organs. Myeloplague and Myelo-
plax are other terms for osteoclast.
Chorioplague is a plate like giant cell
of the chorion. See original account
for lack of specific properties of so-
called Langhans' cells which designa-
tion should be abandoned.
4. Epithelial giant cells are clearly of
epithelial origin. Found in epidermis
in chicken-pox and other diseases, oc-
casionally in the liver and in kidney in
many conditions. Often show nuclear
irregularity and evidence of nuclear
budding.
5. Hypertrophied cells can be either
normal to meet physiological demands,
as enormously enlarged smooth muscle
cells of pregnant uterus, or due to vari-
ous pathological conditions. Mauth-
ner's Giant Cell in the fish brain is al-
ways of tremendous size in adults.
Giemsa's corrosive sublimate fixative. Sat.
aq. corrosive sublimate 2 parts, absolute
alcohol 1 part.
Giemsa's Stain. 1. For hlood or bacteria
in smears. Fix air dried smears in
methyl alcohol in a covered dish 3-4
minutes. Remove and blot dry. Di-
lute stock solution of Giemsa in propor-
tion of 1 drop to 1 cc. aq. dest. and stain
for 15 minutes. Then wash in aq. dest.,
blot and dry. If a precipitate is formed
in the smear by the stain, invert the
slide, support both ends, and the stain
will adhere like a hanging drop, kept
away from the ends by lines ruled in
wax or paraffin. The pH of the aq. dest.
used to dilute the stain may be altered
by adding very dilute acid or alkali.
Optimum pH of 6.4 is given by the
McJunkin-Haden buffer. This may be
used as diluting medium in place of aq.
dest. Usually the azurophile are
stained more distinctly and the neutro-
phile granules less sharply than by
Wright's stain. Bacteria and intra-
cellular protozoa are better colored than
by Wright's stain. The May-Giemsa,
and Jenner-Giemsa and the panchrome
stains of Pappenheim are important
modifications. They are listed sepa-
rately. Present situation concerning
Giemsa's stain is that American
products give equally good results with
thin films but the German product
appears to be better for thick ones
(Conn, H. J., Stain Techn., 1940, 15,
41-43).
GIEMSA'S STAIN
140 GLIA STAINING WITH ANILIN DYES
2. For sections. Much depends upon
the choice of fixative. Formalin, gener-
ally employed in 10% solution, acts as
a sort of mordant for the blue component
so that the blue coloration is particularly
strong. Fixation in Regaud's gives good
results particularly with Rickettsia,
Zenker's fluid is recommended by
Wolbach. When this is used it is neces-
sary to remove the mercuric chloride by
treating the sections with Lugol's solu-
tion. They are then washed in 95%
alcohol and the last traces of iodine are
extracted by 0.5% aqueous sodium
hyposulphite for 10-15 min. The hypo-
sulphite in turn is washed out in run-
ning water about 5 min. and rinsing
in aq. dest. See Cowdry's colored
figures of Rickettsia, J. Exper. Med.,
1925, 42, 231-252. Bouin's fluid (75
cc. saturated aq. picric acid, 26 cc.
commercial formalin and 4 cc. glacial
acetic acid) is suggested for intracellular
protozoa (East Coast fever parasites)
by Cowdry and Danks (Parasitology,
1933, 25, 1-63) because after Giemsa
staining it gives the chromatin a
desirable purple color (see colored
plate). Stain sections placed vertically
in staining jars in 1.5 cc. Giemsa 's
solution plus 50 cc. aq. dest., changed
during the first hour, overnight. Dif-
ferentiate in 95% alcohol, dehydrate
quickly in absolute alcohol, clear in
xylol and mount in balsam.
If the sections are not blue enough add
1-2 drops 0.5% sodium bicarbonate and
1.5 cc. methyl alcohol to the stain; or
remove excess of mordanting potassium
bichromate from Zenker fixation by
rinsing 1 min. in 1% potassium per-
manganate followed by 5% oxalic acid
4 min. and thorough washing in aq.
dest., or do both. If on the contrary
they are too blue mordant in 5% potas-
sium bichromate 15 min., rinse in aq.
dest. until no more yellow is removed
and stain; or add a little colophonium
to the alcohol used in differentiating
and dehydrating of the sections, as
advised by Wolbach, or again do both.
Usually Giemsa's stain gives satis-
factory results without any special pre-
cautions. The difficulty is that the
colors fade quite rapidly particularly
when the balsam is noticeably acid and
when the sections are left in direct
sunlight. Their period of usefulness
can be extended by mounting in cedar
oil, used for oil immersion objectives,
instead of in balsam. Try Clarite.
If a variety of fixatives is employed
it may be necessary to suit the stain to
the fixative by use of buffers, in which
case see Lillie, R. D., Stain Techn.,
1941, 16,1-6.
To demonstrate the "nucleoids" of
bacteria in smears the technique of
C. F. Robinow published as Addendum
to Dubos, R. J., The Bacterial Cell.
Harvard Univ. Press, 1945, 460 pp. is
suggested. Fix smears in osmium
tetroxide vapor, treat 7-10 min. with
N/1 HCl at 60°C. and color with
Giemsa's solution. Bj' this method nu-
cleoids are stained whereas similar
bacteria not treated with the acid are
uniformly colored by Giemsa. Robi-
now prefers this staining of nucleoids
by Giemsa after hydrolysis to the Feul-
gen technique.
Gilson's Fluid. Nitric acid (sp. gr. 1.456),
15 cc; acetic acid, 4 cc; mercuric
chloride, 20 gm.; 60% ale, 100 cc; aq.
dest., 880 cc. Used mostly for inverte-
brates.
Gilson's Mixture is equal parts chloroform
and cedar oil.
Gingiva. Capillaroscopy of (McClung, Mi-
croscopical Technique, 1950, 328); Eo-
sinophile leucocytes in (Orban, B., J.
Dent. Res., 1940, 19, 537-543.)
Glacial Acetic Acid, see Acetic Acid.
Gland Cells contrasted. Endocrine, exo-
crine, apocrine, merocrine, holocrine,
serous, zymogenic and mucous (Cow-
dry's Histology, p. 257).
Glass Cloth, as a substrate for tissue cul-
ture, Warner, D., Hanawalt, C. and
Bischoff, F., J. Nat. Cancer Inst., 1949,
10, 67-74.
Glass Electrode. Sisco, R. C, Cunning-
ham, B. and Kirk, P. L., J. Biol. Chem.,
1941, 139, 1-10 have devised an open
cup variety described with diagrams by
Click, pp. 183-184. See Claff and Swen-
son glass capillary electrode and the
Pickford sealed-in capaillary glass
electrode also described by Click.
Glia Staining with Anilin Dyes (Proescher,
Fr., Stain Techn., 1934, 9, 33-38).
Fix in 10% formalin or in 90% alcohol
followed by formalin. Wash frozen
sections, 10-15 microns thick, in aq.
dest. Stain in sat. aq. victoria blue B
(not filtered but poured off from the
undissolved dye), 14-24 hrs. Wash
quickly in aq. dest., mount with glyc-
erin-albumen, blot and dry in air.
Treat with ultraviolet light 30 min.
Pass to N/20 iodine few sec. Remove
iodine, blot, dry, destain in xylol-
anilin, clear first in clove oil, then
xylol, mount in balsam. Glia blue,
nerve cells lightly stained, connective
tissue metachromatic violet or colorless.
Instead of ultraviolet light stained
sections can be treated with 0.5%
potassium bichromatic for 30 min. In
place of victoria blue, methyl violet 2B,
ethyl violet or crystal violet can be
employed.
GLICK
141
GLYCOGEN
Glick, see Linderstr0m-Lang, Kaj, u., and
Holter, Heinz, Histochemical Advan-
ces.
Glomus. Aortic and carotid, see Aortic
Paraganglion.
Glucose Agar, see Bacteria Media.
Glutathione. Demonstrated by Nitro-
prusside Reaction. Inhibiting factor
in Vitamin C silver test.
Glycerides, see Neutral Fats.
Glycerine. Much used in histological tech-
nique in the making up of stock solu-
tions of hematoxylin, like Delafield's,
in Albumen-Glycerin used for mounting
paraffin sections, etc. It serves as an
excellent clearing agent for the walls
of large Arteries so that the intramural
vessels can easily be distinguished by
the blood in them. With potassium
hydrate it is employed to clear speci-
mens in the demonstration of Ossifica-
tion centers. As a mounting medium
for frozen sections glycerin is invaluable.
In the form of Brandt's glycerin jelly
(which see) glycerin is specified in the
technique for Sebaceous Glands and
many other structures. To make Ilai-
ser's glycerin jelly (Mallory, p. 100)
soak 40 gms. gelatin in 210 cc. aq. dest.
for 2 hrs. Add 250 cc. glycerin, stir
and heat gently 10-15 min. Keep in
ice box and melt before use. The 5
gms. carbolic acid crystals specified in
Kaiser's formula has unfortunately,
according to Mallory, a deleterious
influence on alum hematoxylin prepara-
tions. See also Glychrogel and
Lactophenol.
Glychrogel, as a mounting medium for teased
preparations, Marchi stained sections,
gelatin sections, etc. To make 100 cc.
dissolve 0.2 gm. chrome alum (potas-
sium chromium sulphate) in 30 cc. aq.
dest. with aid of heat. Add 3 gm.
Knox granulated gelatin in 50 cc. hot
aq. dest. Add 20 cc. glycerin with
constant stirring and warm. When
thoroughly mixed add crystal of camphor
(Wotton, R. M. and Zwemer, R. L.,
Stain Techn., 1935, 10, 21-22). For
use in mounting nematodes (Wotton,
R. M., Stain Techn., 1937, 12, 145-146).
Glycogen, the 3 chief microchemical meth-
ods have been critically studied by
C. M. Bensley (Stain Techn., 1939, 14,
47-52). This account follows her pre-
sentation. Since glycogen is labile,
immediate fixation of very small pieces
of tissue (2-3 mm.) and agitation of the
fixative are necessry. She recom-
mends 9 parts absolute ethyl alcohol -f 1
part commercial formalin (i.e. 37%
formaldehyde) neutralized with MgCOj.
If desired the alcohol in this fixative can
be saturated with picric acid. After
fixation for say 24 hrs. wash in aboslute
alcohol, embed in the usual way in par-
affin (carefully avoiding overheating)
or in celloidin.
1. Best's carmine. Griibler's car-
minum rubrum optimum or some
other good carmine 2 gm., potassium
carbonate 1 gm., potassium chloride 5
gm., aq. dest. 60 cc. Boil gently until
color darkens, cool and add 20 cc. con-
centrated ammonia. Allow to ripen 24
hrs. This is stock solution. Mount
paraffin sections, bring down to aq.
dest. Stain nuclei with hematoxylin
as in the H. and E. technique. Transfer
to fresh stain (stock solution 10 cc, 15
cc. cone, ammonia and 30 cc. pure
methyl alcohol) for 20 min. Rinse in
3 changes methyl alcohol, dehydrate in
acetone, clear in toluol and mount
in balsam. Glycogen brilliant red.
2. Iodine (Gage). Mount paraffin
sections as before, being again careful
to avoid unnecessary heat, and bring
down to water. Lugol's aq. iodine
10-15 min. Blot with filter paper and
dry in air. Mount in yellow vaseline
as advised by S. H. Gage (J. Comp.
Neur., 1917, 27, 451-465) with minimum
of heat. Glycogen reddish brown.
3. Bauer -Feidgen. To make Feulgen
reagent dissolve 1 gm. basic fuchsin in
100 cc. aq. dest. by heat. Filter while
warm and add when cool 20 cc. normal
HCI. Add 1 gm. NaHSOs. Allow to
rest 24 hrs., when it should be of pale
straw yellow color. Treat deparaffinized
sections with 4% chromic acid for 1 hr.
or with 1% chromic acid over night.
After washing in running water 5 min.,
place in Feulgen reagent 10-15 min.
Rinse IJ min. in each of 3 changes of
molecular sol. NaHSOs 1 part and tap
water 19 parts. Wash in running
water 10 min. Counterstain nuclei with
hematoxylin if desired. Dehydrate,
clear and mount in balsam. Glycogen
deep reddish violet, nuclei lavender.
See Polysaccharides.
Control. Prepare at same time some
sections of liver rich in glycogen. Be-
cause glycogen is quickly removed by
salivary digestion, when sample sections
are brought down to aq. dest., spit on
them and allow to rest 15-30 min. chang-
ing saliva several times. Wash thor-
oughly in water at body temperature
to remove mucus and stain by either of
the 3 above mentioned techniques. If
the material is then absent in such
sections and present in other similarly
stained and not digested, it is evidently
glycogen. Fixation by the freezing and
drying method is even better than with
the alcohol, picric, formalin mixture
because it is quicker and there is less
GLYCOGEN
142
GOLD
chance for displacement of glycogen in
the cells.
See also for glycogen staining of
Trachoma inclusions Thygeson, P., Am.
J. Path., 1938, 14, 455-462. Glycogen is
immobilized in its natural position
within the cells by the Freezing and
Drying technique (Altmann-Gersh).
Compare figures 3 and 4 of Bensley and
Gersch (R. R. and I., Anat. Rec, 1933,
57, 205-215) showing results by this
and other methods.
A new ammoniacal silver nitrate
method for glycogen is described by
Mitchell, A. J., and Wislocki, G. B.,
Anat. Rec, 1944, 90, 261-266. To pre-
pare silver solution dissolve 1 gm. silver
nitrate in 10 cc. aq. dest. and add 11
drops 40% aq. potassium hydroxide.
Dissolve ppt. by adding 26% ammonia
drop by drop and make up with abs.
ale. to 100 cc. Allow to stand over
night before use.
Fix livers of guinea pigs and placentas
of same and other animals for 6-12hrs.
in sat. picric acid in abs. ale, 90 cc.
and neutral formaldehyde, 10 cc.
Wash in abs. ale. several times likewise
in chloroform and abs. ale. Transfer
to chloroform and embed in paraffin.
Place sections in 0.25% aq. potassium
permanganate, 5-10 min.; rinse in aq.
dest. 1-2 min., decolorize in 5% aq.
oxalic acid, 5 min. and rinse again in aq.
dest. Place in 2% aq. silver nitrate,
12-24 hrs., transfer to ammoniacal sil-
ver nitrate, 15-30 min., rinse in 4%
neutral formalin, 5-20 sec. and in run-
ning water, 1 min. Fix in 5% aq.
sodium thiosulphate, 5-10 min. After
washing in running water, 1 min.,
counterstain in paracarmine (Mayer),
dehydrate, clear in xylol and mount in
balsam. Glycogen, dense black corre-
sponds with that shown by Bauer-
Feulgen technique. Excellent illus-
trations.
The recently developed techniques
of Gomori (Am. J. Clin. Path., 1946, 16,
177) and Hotchkiss (Arch. Biochem.,
1948, 31, 131) can be used on tissue sec-
tions or blood smears (Gibb, R. P., and
Stowell, R. E., Blood, J. Hematology,
1949, 4, 569-579). The evaluation of
methods for the histochemical study of
glycogen by Carpenter, A.M., Polon-
sky, B. and Mesiten, M. U. (Arch.
Path., 1951, 51, 480-485) may be help-
ful.
The best way to separate out glycogen
en masse is by centrifugal isolation as
employed by Lazarow, A. (Anat. Rec,
1942, 84, 31-50; Biol. Symposia, 1943,
10, 9-26) for suspensions of fragmented
liver cells.
Colorimetric methods for glycogen
may afford valuable evidence. See
Boettiger, E. G. (J. Cell. Comp.
Physiol., 1946, 27, 1-8) and Van Wagten-
donk, W. J., Simonsen, D. H. and Hack-
ett, P. L. (J. Biol. Chem., 1946, 163,
301-306) and the critical discussion by
Click, p. 247. See Heatley, N. G. and
Lindahl, P. E. (Proc. Roy. Soc, B,
1937, 122, 395-402) for separation of
desmo- and lyoglycogen.
Glycol Stearate. As an imbedding medium
(Cutler, O. L, Arch. Path., 1935, 20,
445-446). Pass up through alcohols to
equal parts 95% ale. and glycol stearate
in incubator at 56''C. 12-24 hrs. Pure
glycol stearate at 56°C. 24 hrs. Imbed
as in paraffin.
Glucuronidase. An enzyme, widespread in
occurrence in the mammalian organism,
which hydrolyzes esters of glucuronic
acid. Glucuronides are important de-
toxification products. Chemical meth-
ods for identification of glucuronidase
are available (see Fishman, W. H.,
Chapter 18, The Enzymes New York:
Academic Press). 1950 Vol. 1, part 1,
pp. 635-652, Friedenwald, J. S. and B.
Becker (J. Cell, and Comp. Physiol.,
1948, 31, 303-309) have described a
method for localizing glucuronidase on
tissue sections, and Seligman, A.M.,
M. M. Nachlas, L. H. Manheimer, O.
M. Friedman and G. Wolf (Ann. Surg.,
1949, 130, 333-341) describe a method
involving the hydrolysis of the beta
glucuronide of beta naphthol. The
liberated naphthol is converted to a
dye by diazotization.
Glyoxal. As substitute for formaldehyde
in tissue fixation (Wicks, L. F. and Sunt-
zeff, v.. Science, 1943, 98, 204; Stowell,
R. E. and Stokes, J. M. J. Tech. Meth.
and Bull. Internat. Assoc. Med. Mu-
seums, 1944, 24, 25-30). Concentra-
tions 2-6% produce less shrinkage and
give better cytoplasmic preservation
than 4% formaldehyde. Glyoxal is
only recommended as general substi-
tute for formaldehyde when latter is
not available.
Gmelin's test for bile pigments. On addi-
tion of nitric acid containing a little
nitrous acid, color changes to green,
then red and finally blue observable
under microscope.
Gold, microchemical detection of: 1. Method
of Borchardt. Modified by Michaelis,
O., Biochem. Zeit., 1930, 225, 478-488.
Treat sections of formalin or alcohol
fixed tissues for 15 min. in a boiling
water bath or for 12-24 hrs. at 40 °C.
with 5% aq. silver nitrate. Remove
ppt. from section with 20% aq. nitric
acid. Gold appears as black granules
(Lison, p. 100).
2. M.ethod of Okkels, H., C. rend.
GOLD
143
GOLGI APPARATUS
Soc. Biol., 1929, 102, 1089-1091. Simply
produce gold salt in sections by exposing
for at least 12 hrs. to sunlight or to
ultraviolet lamp for same time (Gau-
thier-Villars, P., C. rend. Soc. de Biol.,
1932, 109, 197-198). Lison (p. 100)
explains that whatever the technique
used it is necessary to prove that the
black granules are gold by their insolu-
bility in concentrated acids, solubility
in aqua regia (equal parts nitric and
hydrochloric acids) and solubility in
solutions of potassium or sodium cya-
nide.
3. Method of Roberts, W. J., Bull.
d'Hist. Appl., 1935, 12, 344-361. Fix
tissues in 20% neutral formalin or in
Bouin's fluid. Avoid fixatives contain-
ing a metal. Wash thoroughly in water.
Make paraffin or frozen sections. The
latter has the advantage of speed. Make
2 solutions : A. Add 2 gm. silver nitrate
pure for analysis to 100 cc. 10% gum
arable in the dark immediately before
use. B. Add 1 gm. hydroquinone pure
to 100 cc. 10% gum arable the day before
use. Take off the frozen sections in aq.
dest. Mix 2 cc. A and 2 cc. B, add 1-3
drops 5% citric acid, shake 30 sec.
Leave sections in this mixture 5-10
min. Then without first washing plunge
into 5% aq. sodium hyposulphite for a
few minutes. Wash thoroughly and
mount. Gold in cells is covered with
black deposit of reduced silver. Said
to be more sensitive method than
spectrographic analysis. See author's
illustrations.
4. A technique for demonstration
of gold in abs. ale. or neutral formalin
fixed tissues, based upon reaction with
p - Dimethylaminobenzylidenrhodanin
is described by Okamoto, K., Akagi,
T. and Mikami, G., Acta. Scholae
Med. Univ. Imp. in Kioto, 1939, 22,
373-381.
5. Tin chloride method (Elftman, H.
and Alice G. Stain Techn., 1945, 20,
59-62. After rats and guinea pigs are
injected intraperitoneally with aqueous
yellow gold chloride fix by injection of
neutral formalin through heart. Make
paraffin sections. Pass down to water
in usual way. Place slides in mixture
of 10 parts stock 5% aq. SnCl2-2H20
(with some pieces metallic tin added to
retard oxidation) and 1 part cone. HCl
(mixture prepared and filtered just be-
fore use) in incubator at 56°C. for 24
hrs. Wash several changes aq. dest.
before dehydrating clearing and mount-
ing in damar. Presence of gold indi-
cated by particles exhibiting purple of
Cassius grading into brown. Colloidal
gold in red, blue and black may likewise
occur. To eliminate disadvantages of
occasional precipitates of tin unrelated
to gold and possible confusion with bile
pigments and others the following tech-
nique is proposed by these authors.
6. Fix in neutral formalin, bring down
mounted sections to water. Place in
3% HjOs in incubator at 37°C. for at
least 24 hrs. better 3 days. Wash in aq.
dest. Run up and mount in damar.
Gold thus reduced to metallic form
shows range of colors, rose chiefly grad-
ing into purple, blue and black.
7. Christeller, E., Verh. deutsch.
Path. Ges., 1927, 22, 173 reports, as de-
scribed by Gomori, G., J. Mt. Sinai
Hosp., 1944-45, 11, 317-326, demonstra-
tion of gold salts by reduction to metal-
lic gold with SnCh. Similar to No. 5.
8. For micro-determination of gold
in biological fluids and tissues, see
Block, W. D., Ann. Rheumatic Dis.,
1944-45, 4, 39-42. Use of this tech-
nique provides a good check on above
described microchemical methods.
Radioactive gold, distribution of
within cartilage of knee-joint, Ekholm,
R., Acta Anat., 1951, Supp. 15 to II,
75 pp.
Gold Chloride for nerve endings, see
Craven's and Carey's methods.
Gold Orange, see Orange IL
Gold Orange MP, see Methyl Orange.
Gold Particles. The particles of gold are
held in colloidal state by the protective
colloid, sodium lysalbinate, and are
employed to stimulate macrophage pro-
duction by intravenous injections in
animals (Simpson, M. J., J. Med. Res.,
1922,43,77-144).
Goldman, see Iron Hematoxylin Single
Stain.
Golgi Apparatus — Written by Geoffrey
Bourne, London Hospital Medical Col-
lege, London, England. November 5,
1951 — -Most recent books which give
details of techniques for demonstration
of the Golgi apparatus preface their
descriptions with the statement that, as
some doubt exists as to the nature of the
apparatus, it is difficult to describe
techniques for demonstrating it. This
doubt is still unresolved and various
authors hold widely divergent views
as to the structure of the apparatus.
These may be summarized as follows:
Gatenby (IVIicrotomist's Vade Me-
cum, nth Ed. 1950) believes that the
original conception of the Golgi appara-
tus in vertebrate cells as a juxta-nuclear
argentophil network is still correct.
Baker's view (Quart. J. Micr. Sci.
1944, 85, 1-71 — a modification of that
expressed by Parat, M. Arch. d'Anat.
Micr., 1928, 24, 73) is that the apparatus
is composed of a series of neutral red
staining vacuoles more or less sur-
GOLGI APPARATUS
144
GOLGI APPARATUS
rounded by a zone of dense phospholipid
material and in some cases embedded
in a zone of diffuse phospholipid.
Palade and Claude (J. Morph. 1949, 85,
71) claim that the Golgi apparatus is
composed solely of neutral red staining
vacuoles which possess a membrane con-
taining an appreciable proportion of
lecithin and that the classical Golgi
apparatus is formed by myelin figures
produced by the action of fixatives on
these vesicles. Bensley (Exp. Cell.
Res. 1951, 2, 1-19) contends that the
Golgi apparatus is composed of vesicles
or canals containing a watery solution
in which various substances, e.g.,
polysaccharides are dissolved (Gersh,
I., Arch. Path. 1949, 47, 99-109). The
canalicular conception of the Golgi ap-
paratus is also claimed by Gatenby and
Moussa for the mammalian neurone.
Against these views we must put the
fact that no canals have been seen in
cells by numerous workers using the
phase contrast microscope and as
Hibbard, H. (Quart. Rev. Biol. 1945,
20, 1-19) has pointed out Lewis has
never seen anything resembling the
classical apparatus in a life-time of
study of tissue culture cells. Most
workers on the Golgi apparatus have
tended to range themselves behind one
or other of these views. It should be
realized, however, that all these points
of view about the structure of the ap-
paratus simply continue the con-
troversy which has gone on almost since
its discovery. The canalicular concep-
tion of the apparatus originated in 1902
with Holmgren's Trophospongium, the
neutral red vacuole theory found its
origin in Parat's 1928 work and has
seen some extension in Cowdry's labora-
tory by the work of Cowdry, E. V. and
Scott, G. H. (Arch. Inst. Pasteur de
Tunis, 1928, 233), Covell, W. P. and
Scott, G. H. (Anat. Rec, 1928, 38, 377),
and of course the argentophil network
theory originated with Golgi himself
in 1898 (Arch. Ital. de Biol., 30, 60) and
in more recent years has been supported
bj'^ Ludford and particularly by
Gatenby. So, it is apparent that our
knowledge of the nature of the Golgi
apparatus has remained more or less in
the same state as it was 30 or 40
years ago.
In view of this discrepancy of views
techniques wall be given for demon-
strating the classical Golgi net and also
for demonstrating the apparatus as
discrete bodies.
The Classical Golgi Apparatus: Even
if the Golgi network is an artefact as
some workers believe the conventional
Golgi preparation does give us informa-
tion about its position in the cell and
whether the Golgi material is present in
small or in large amount.
Golgi's original technique involved
the fixation of tissue in a mixture con-
taining potassium bichromate and
osmic acid followed by impregnation
with silver. The apparatus with this
technique appears jet black against a
yellowish background. It is a con-
spicuous structure consisting of an
intricate network of anastomosing
strands. This network may closely en-
velop the nucleus, be concentrated to
one side of it or else be scattered rather
diffusely throughout the cytoplasm.
In glandular cells the apparatus grows
in size with the development of secre-
tory granules and strands from it ramify
between the various granules.
Kopsch, F. (Sitzungsber. K. Akad.
Wissensch, 1902, 40, 929) showed that
the Golgi apparatus can be blackened
by prolonged treatment with 2% osmic
acid. On this affinity for both silver
and osmium all the conventional meth-
ods of demonstrating the Golgi appara-
tus are based. Few cytological re-
actions are more fickle and incon-
stant; but when, after many attempts,
the technique is successful, convincing
and very beautiful preparations result.
Mitochondria can be stained supra-
vitally by some vital dyes but no vital
dyes will show up the reticular Golgi
apparatus, a fact which is taken by
some authors to indicate the non-exist-
ence in vivo of such networks. How-
ever, neutral red will stain spheres in
the region of the apparatus.
With both silver and osmium methods
considerable experimentation is neces-
sary in order to obtain the best results.
The factors to be varied are principally
the composition of the fixative and im-
pregnating substance and the time
during which they are allowed to act.
During impregnation it is always ad-
visable to keep the tissues in the dark
and instructions as to temperature re-
quirements should be carefully fol-
lowed. When either the silver or
osmium solution becomes blackened
it should be renewed. It is important
for the beginner to start with the most
favorable material. The spinal
ganglion cells of young mammals such
as the rabbit are perhaps the best for
this purpose. The acinous cells of the
pancreas are also recommended but are
somewhat more difficult to handle. All
the methods of impregnation outlined
below frequently bring to light the
mitochondria also.
GOLGI APPARATUS
145
GOLGI APPARATUS
Osmic Acid Technique:
1. Mann-Kopsch method (Lee's Mi-
crotomists Vade Mecum, Uth Ed.
1950, edited by J. Bronte Gatenby and
H. W. Beams). Fix in Mann's fluid
(equal parts of 1% osmic acid and sat.
sublimate in normal saline), for J-3 hrs.
Wash in aq. dest. 15-30 min. 2% osmic
acid room temperature 10-14 days.
Wash in ruiming water 3 hrs. or more.
Dehydrate clear and embed. In the
sections Gatenby was able to extract the
blackening step "by step with turpentine
and thus to improve considerably the
preparations.
2. Liidford's modification (Ludford,
R. J., J. Roy. Micr. Soc, 1926, 107).
Fix mammalian and avian tissues in
Mann's corrosive osmic solution 18 hrs.
Wash aq. dest. 30 min., 2% osmic at
30°C. for 3 days. Water at 30°C. for 1
day, dehydrate, clear, embed in paraffin.
A useful variant is to fix in the same
way, and wash in aq. dest. Then
osmicate at 35°C. for 3 daj'S, first day in
2% osmic, second in 1% and third in
0.5%. Leave in water for 1 day at
35°C. He recommends various counter
stains. See Lee's 11th Ed. (pp. 404-
410) for a discussion of osmication
methods; also Owens, H. B. and
Bensley, R. R. (Anat. Rec, 1929, 44,
79) for a careful study of factors in-
fluencing the osmic acid changes and for
their ferric chloride osmic method.
3. Sjovall's method (Sjovall, E., Anat.
Hefte, 1906, 30, 261-291). Fix in 10%
formalin 8 hrs. Wash in aq. dest. 2%
osmic acid at 35°C., 2 days. Dehy-
drate, clear and embed.
4. Kolatchew's method (Nassonov, D.
N., Arch. f. Mikr. Anat., 1924, 103,
437). Fix in 3% aq. potassium bi-
chromate, 10 cc; 1% chromic acid 10
cc; and 2% osmic acid, 5 cc. for 24 hrs.
Wash in running water 24 hrs. 2% osmic
acid 40°C. 8 hrs. 3-5 days at 35°C.
Wash in aq. dest., dehydrate, clear and
embed. Osmic methods sometimes im-
pregnate mitochondria as well as the
Golgi material particularly if the period
in osmic acid is prolonged, care must be
taken therefore in interpreting results.
Silver Nitrate Methods: Tissues from
young animals usually respond best to
silver methods but ganglia from older
animals respond very well.
1. Aoyaina's method (Baker, J. R.,
Cytological Technique, 3rd Ed., 1950,
p. 194). Fix tissues in Aoyama's fixa-
tive (cadmium chloride 1 gm., neutral
formalin 4%, 15 cc, aq. dest. 85 cc.)
for 4 hrs. Wash with aq. dest. and then
place in silver nitrate solution for 12-14
hrs. Wash with aq. dest. and then
place in silver nitrate solution for 12-14
hrs. After 8-12 hrs. (kept in dark or in
diffuse light). Wash with aq. dest. and
place in Aoyama's reducer (Hj'dro-
quinone 1 gm.. Neutral Formaldehyde
40% 15 cc, aq. dest. 80 cc, anhydrous
sodium sulphite 0.15 gm.) for 5 hrs.
Leave for I hr. in running water and
then place in 50% alcohol overnight.
Dehydrate and embed.
2. Cajal's method (Carleton, H. M., J.
Roy. Micr. Soc, 1919, 321-329). This
is one of the many methods devised by
Cajal. It is recommended for embryos
and young animals. Fix in uranium
nitrate, 1 gm., formalin 15 cc, and aq.
dest. 100 cc, 8-24 hrs. Wash quickly
in aq. dest. 1.5% aq. silver nitrate 24^8
hrs. Rinse in aq. dest., hydroquinone
2 gm., formalin 6 cc, aq. dest. 100 cc,
anhydrous sodium sulphite 0.15 gm. 12
hrs. Wash in aq. dest., dehydrate
quickly, clear, embed and section.
3. Da Fano's method (Da Fano, C., J.
Roy. Micr. Soc, 1920, 157-161). Here
the uranium nitrate is replaced by co-
balt nitrate. In other respects the
technique is similar. Da Fano has,
however, so carefully attempted to con-
trol troublesome experimental condi-
tions that the various steps are given in
detail. Fix in cobalt nitrate 1 gm., aq.
dest. 100 cc, formalin 15 cc 6-8 hrs.
The formalin need not be neutralized
unless it is strongly acid. For embryos
and delicate tissues where there is dan-
ger of shrinkage reduce formalin to 6
cc. Cartilage and small pieces of
tissue (not more than 3 mm.) fix half
fixation time. Hollow organs (e.g.
stomach and intestine) fix 1 hr. then
cut into smaller pieces. Spinal cord,
cerebellum and cerebrum of adults fix
8-10 hrs. (fixation should never go
beyond 24 hrs.). Testicle, inject fixa-
tive through aorta then immerse testicle
in fixative. Wash quickly in aq. dest.
and impregnate in 15% aq. AgNOs
24-48 hrs. Very small fragments im-
pregnate in 1% AgNOs, 2% for tissues
containing much fat and for spinal
cord. Impregnation normally satis-
factory at room temperature. If un-
satisfactory at 35°-37°C. Wash rapidly
in aq. dest. and cut down tissues again
to a thickness of 2 mm. or less. Reduce
in Cajal's hydroquinone mixture, above
mentioned, 12-24 hrs. Wash in aq.
dest. i hr. Cut with freezing micro-
tome or embed in wax. Golgi ap-
paratus dark brown or black against a
yellow background. Tone sections
with gold to clear preparation. Pass to
water. Then 0.1-0.2% gold chloride 2
GOLGI APPARATUS
146
GOLGI METHOD, QUICK
hrs. Counterstain, dehydrate, clear
and mount.
It is of interest that all silver prepara-
tions depend upon the treatment of the
tissue by fixatives which contain the
salt of a heavy metal. Silver, M. L.
(Anat. Rec, 1942, 82, 507-529) has
pointed out that silver micelles are not
adsorbed on to the Golgi material un-
less the cells have been treated with
salts of heavy metals — hence the pres-
ence of metals like cobalt and ura-
nium in the fixatives used for silver
techniques.
Stains:
1. Baker's Sudan Black Method (Baker,
J. R., Quart. J. Micr. Sci., 1944, 85,
1-71). Fix small pieces of tissue in
formol calcium (formalin 40%, 10 cc,
calcium chloride, anhydrous 10% aq. 10
cc, aq. dest. 80 cc.) for 3 days, embed in
gelatine. Harden block in formalin-cal-
cium-cadmium (formalin 10 cc, calcium
chloride, anhydrous 10% aq. 10 cc,
cadmium chloride, 10% aq. 10 cc, aq.
dest. 70 cc.) and then wash 3-4 hrs. in
running water. Section on freezing
microtome at 15m. Sections when fixed
to the slide are placed in filtered for-
malin-calcium-cadmium solution until
ready for staining. Then wash slides
for 3 min. in running water, pass
through 50% and 70% ale to a sat. solu-
tion of Sudan black in 70% ale, leave for
7 min. Pass through 3 lots of 50% ale,
rinse in aq. dest., counterstain, mount
in glycerine jelly or Apathy's medium.
This method does not demonstrate the
Golgi apparatus as a network but as a
series of discrete bodies, a form which is
claimed by some authors to represent
more nearly the true form of the Golgi
apparatus in living cells. Many of the
vesicles which are demonstrated by
this method also stain with neutral red.
2. Baker's Neutral Red Method (Baker,
J. R., Quart. J. Micr. Sci., 1944, 85,
1-71). This is a vital method. Cells
are separated by teasing in a salt mix-
ture (sodium Chloride, 0.7% aq. 100
cc, calcium chloride, anhydrous, 10%
aq., 0.2 cc). To 3 drops of solution
containing a suspension of cells add 3
drops of a solution made up of Neutral
red 0.1% aq., 1 cc. and sodium and
calcium chloride solution (as above)
9 cc. Final concentration of dye is
0.005%. Mix cell suspension with dj^e
by sucking up with pipette and pass out
again. Leave preparation (covered)
for 20 min. Put 2 drops of mixture on
the glass of a compressorium in such a
way as to include some air. Cover edge
of compressorium with soft paraffin
(e.g. Vaseline). Examine under im-
mersion lens.
Golgi Cox Method for adult nervous system.
— Written by J. L. O'Leary, Dept. of
Neuropsychiatry, Washington Uni-
versity School of Medicine, St. Louis
10, Mo. May 8, 1950.— Fix pieces 3-6
mm. thick in following fluid : add 20 cc
5% aq. potassium bichromate to 20 cc
6% aq. mercuric chloride. Dilute 16
cc. 5% aq. potassium chromate with 40
cc. aq. dest. and add this to the first
two. Do not agitate but leave in
fixative until scum forms on surface,
usually after 1^-2 months. When im-
pregnation is nearly complete, wash
rapidly, dehydrate through graded alco-
hols and imbed in low viscosity celloidin
(see Celloidin Imbedding). Cut cel-
loidin sections serially at 80 to 120
microns. Arrange in serial order on
slides (80% alcohol). Blot sections
dry and cover immediately with 1%
celloidin. When somewhat dry, bring
slides with sections to water. The
sections on each slide may thereafter
be treated as a unit. Run sections
from water into a saturated solution
of sodium sulfite. They rapidly turn a
yellow gray. Wash over night and de-
hydrate through graded alcohols to ab-
solute. Coat with the following var-
nish, applying it repeatedly in thin even
layers, and allowing each to dry par-
tially before applying the next (san-
darac, 75 gm.; camphor, 15 gm.;
turpentine C.P., 30 cc; oil of lavender,
22.5 cc; abs. ale, 75 cc; add castor oil,
7 drops. Mixture dissolves very
slowly). Since sections are somewhat
opaque, the varnish must dry for several
days until abs. ale has evaporated.
Golgi Methods. Fundamentally these are
different from both the Cajal and Biel-
chowsky techniques which were later
developments. They depend upon a
preliminary fixation in a potassium
bichromate solution often containing
formalin and sometimes other sub-
stances such as osmic acid. The silver
is selective tending to impregnate a few
cells completely which become black-
ened when it is reduced. Except for the
occasional demonstration of the Golgi
Apparatus these methods do not reveal
details of the inner structure of nerve
cells like Neurofibrils and Nissl Bodies.
They are of great service in the demon-
stration of many non-nervous tissue
components, the parietal cells of the
stomach, bile canaliculi of the liver,
Rouget or perivascular cells, etc.
Golgi Method, Quick. For brains of new-
born animals, and of those 1 day to 30
days old. — Written by J. L. O'Leary,
Dept. of Neuropsychiatry, Washing-
ton University School of Medicine, St.
Louis 10, Mo. May 8, 1950.— It is es-
GOLGI, METHOD
147
GOMORI'S METHODS
sential to determine the age of the
animal at which the cell or fiber selected
for study is reaching maturity. For
example, if new born kittens are chosen,
and the area striata is the object of
study, the best impregnations of enter-
ing fibers are obtained at 12 to 15 days
after birth ; of short axon cells, at 18 to 21
days; and of pyramids at 21 to 24 days.
Cut slices of brains 3-4 mm. in thick-
ness by quick cuts of a sharp scissors.
Fix in: potassium bichromate, 10 gm.;
osmic acid, 1 gm.; aq. dest., 330 cc.
Time of fixation must be determined
for each part of the CNS studied. In
general the older the animal, the longer
it is. After fixation, blot blocks of
tissue on filter paper and transfer to a
bottle containing f% aq. silver nitrate.
After 24 hrs. the reaction is complete.
Imbed in celloidin. Subsequent treat-
ment is very important. Place block in
95% ale. for about 5 min., remove and
blot dry. Place block on paraffin disc
mounted on a block holder in the orienta-
tion desired for cutting. Using a hot
teasing needle, melt paraffin around the
block so as to fasten block to paraffin.
Be sure that melted paraffin does not
creep up on the block. Use knife at 45°
angle to the block. Cut serially 80-100ai.
Place each section as cut in order in 95%
ale. using Petri dishes. Be sure not to
miss first and last section of the block
for these are often more valuable than
the entire remainder of the block.
Using a spatula, transfer to another 95%
ale. after 5 min. After another 5 min.
transfer to oil of cloves, arranging in
serial order, by placing each section as
it enters oil of cloves near the edge of
the Petri dish so that it adheres to the
edge. When all sections are transferred
the group will be placed around the
circumference of the Petri dish. As the
sections start to retract from the edge,
begin to arrange them in the usual order
for serial sections. After clearing (clove
oil 5 to 10 min.) transfer in serial order
to slides. Blot off excess of clove oil
and apply xylol, blot off xylol similarly
and apply a thin layer of Damar, using
the drop method. Let the slide dry on
an even surface adding more Damar as
necessary to keep sections protected.
Golgi, Method (Porter, R. W. and Daven-
port, H. A., Anat. Rec, 1949, 103, 583).
Radical departure from prior methods
because silver impregnation precedes
the potassium bichromate solution.
Fix 48 hours at 25°C. in 90 cc. 0.5 aq.
AgNOj, 10 cc. formalin, 0.5 cc. Pyridine.
Mix in order given, disregarding slight
turbidity. Colorimetric test of fixing
solution with bromcresol purple should
show 5.5 to 6.0. Fixation can be done
by perfusion, or only by immersion.
Cut slices to thickness of 0.5 to 1.0 cm.
After fixation rinse blocks with dis-
tilled water and place in 2.5% (aq) po-
tassium bichromate to which 1 cc. of
1% osmic acid is added for each 100 cc.
Leave there 3 to 5 days. Dehydrate
quickly through alcohols and xylol to
soft paraffin. Sections should be cut
50 to 100 microns thick.
Gomori's Methods For Reticulum and Acid
Phosphatase.
1. Silver impregnation of reticulum
(Gomori, G., Am. J. Path., 1947, 13,
993-1001). Treat deparaffinized sec-
tions of formalin fixed material with
0.5-1% aq. potassium permanganate.
1-2 min. Rinse in tap water and
decolorize in 1-3% aq. potassium meta-
bisulphite, 1 min. Wash for several
minutes in running tap water. 2%
aq. iron ammonium sulphate (violet
crystals), 1 min. Wash in tap water
few minutes and then pass through 2
changes aq. dest. Impregnate for 1
min. in following solution: To 10%
aq. silver nitrate add g to J of its volume
of 10% aq. potassium hydroxide. While
shaking add strong ammonia drop by
drop until ppt. is completely dissolved.
Add carefully silver solution drop by
drop as long as resulting ppt. easily
disappears on shaking. Finally add
equal vol. aq. dest. Can be kept 2 days
in stoppered bottle. Rinse in aq. dest.,
5-10 sec. Reduce in commercial forma-
lin diluted 5-10 times with tap water.
Wash under tap few min. Tone in
0.1-0.2% aq. gold chloride, 10 min.
1-3% aq. potassium metasulphite for 1
min. Fix in 1-2% aq. sodium thio-
sulphate (hyposulphite) for 1 min.
Wash under tap, dehydrate, clear
and mount. Reticulum black. Note
author's figures of sarcomata (Revisde
by G. Gomori May 7, 1946).
2. For Acid phosphatase — Written
by G. Gomori (University of Chicago.
May 7, 1950— see Stain Techn., 1950,
25, 81.
1. Fix thin slices of tissues in ice cold
acetone for 24 hours.
2. Change acetone at room tempera-
ture twice for the next 24 hours.
3. Two changes of benzene, 45 min.
each.
4. Embed in paraffin (not abo\'e 56°C.
and preferably below), 2 changes, 30 to
45 min. each.
5. Cut sections. Float them on luke-
warm (30°C.) water.
6. Carry sections through xylene and
2 alcohols to dist. water.
7. Incubate in the following solutions
GOMORI'S METHODS
148
GORDON'S SILVER METHOD
for U to 24 hours at 37°C.:
Molar acetate buffer pH 5* 2.5 ml.
5% lead nitrate 1.5 ml.
Dist. water 40.0 ml.
2% Na glycerophosphatet 7.5 ml.
• 100 cc. of 13.6% CHiCOONa-3HiO plus 60 cc. 6%
acetic acid,
t Commercial grade (mixture of alpha and beta salts) •
Shake well, heat to ±60°C. for about
10 min.; filter.
8. Rinse sections thoroughly first in
dist. water and afterwards in 2 to 3%
acetic acid, followed again by dist.
water.
9. Immerse sections in a solution of
yellow ammonium sulfide (1-12 drops to
a Coplin jar) for 1 minute.
10. Wash. Counterstain as desired.
For Alkaline phosphatase:
1. Fix thin slices of tissues in 80% al-
cohol (or absolute acetone). Dehy-
drate in 95% and absolute alcohol (or 2
changes of absolute acetone), embed
through benzene or xylene in paraffin.
Cut sections around 6 micra thick.
2. Run slide through xylene and 2 al-
cohols to distilled water. Incubate for
1 to 2 hr. at 37°C. in the following mix-
ture:
2% sodium glycerophosphate. 25 cc.
2% sodium barbital 25 cc.
Distilled water 50 cc.
2% calcium chloride 5 cc.
2% magnesium sulfate 2 cc.
Chloroform a few drops
This solution will keep in the ice box
for months.
3. Rinse slide thoroughly in repeated
changes of distilled water.
4. Immerse slide for 3 minutes in a
1 to 2% solution of some cobalt salt
(chloride, acetate, sulfate).
5. Wash thoroughly under the tap.
6. Immerse slide for 2 minutes in a
dilute solution of yellow ammonium sul-
fide (1-12 drops to a Coplin jarful of
distilled water). Wash under the tap.
7. Counterstain as desired; dehy-
drate, clear and mount.
Attention is called to the earlier
demonstration of phosphatase in bone
by Robison (R., Biochem. J., 1923, 17,
286-293) and to recent discussion by
Blaschko and Jacobson (Bourne, pp.
217-221). The distribution of phos-
phatase in some normal tissues is indi-
cated in colors by ICabat, E. A. and
Furth, J., Am.J. Path., 1941, 17, 303-318.
For phosphatase in elementary bodies
of vaccinia virus, see Macfarlane,
M. 0., and Salaman, M. H., Brit. J.
Exp. Path., 1938, 19, 184; Hoagland,
C. L. et al., J. Exp. Med., 1942, 76.
163-173. See Kidney.
Gonococcus, methyl green-pyronin stain.
To 10 cc. absolute methyl alcohol add
1 gm. methyl green (dye content_60%)
and 0.2 gm. pyronin (bluish certified).
Add 100 cc. 2% aq. phenol and shake 2
hrs. per day for 2 days in a mechanical
shaker. Filter and add 20 cc. glycerin,
C.P. to filtrate. Fix smears by passing
slides lengthwise through flame 4 or 5
times. Add stain immediately and warm
to slight steaming. Wash off stain 20-50
sec. Dry and examine. Gonococci,
deep red ; other bacteria except these of
Neisseria group pale purplish or barely
noticeable; nuclei of pus cells green in
soft pink or rose cytoplasm (Walton,
S. T., J. Lab. & Clin. Med., 1938-39,
24, 1308-1309).
Goodpasture's Method as modified by Mac-
Callum for bacteria in sections
(McClung, p. 152). Fix in Zenker's
fluid or in formalin Zenker. Stain thin
paraffin sections 10-30 min. in: 30%
ale, 100 cc; basic fuchsin, 0.59 gr.;
anilin oil, 1 cc; phenol crystals, 1 gm.
Wash in water. Differentiate in forma-
lin (37% solution of formaldehyde) few
seconds until bright red color changes
to rose. Wash in water. Counterstain
in sat. aq. picric acid 3-5 min. until
sections become purplish yellow. Wash
again in water. Differentiate in 95%
ale. until red reappears and some of it
as well as of the yellow is washed out.
Wash in water. Stain in Stirling's
gentian violet (gentian violet, 5 gms.;
95% ale, 10 cc; aniline oil, 2 cc; aq.
dest., 88 cc.) 5 min. or more. Wash in
water. Gram's iodine solution (iodine,
1 gm.; potassium iodide, 2 gms.; aq.
dest., 300 cc.) 1 min. Blot dry. Clear
in equal parts aniline oil and xylol until
no color is removed. Clear in 2 changes
xylol and mount in balsam. Gram-
negative bacteria, red; gram-positive
ones, blue; tissue red and blue; fibrin
deep blue. See his Polychrome Methyl-
ene Blue and Carbol-Anilin Fuchsin
Methylene Blue.
Gopal-Ayengar, see Chromosomes, Hyal-
uronic Acid.
Gordiacea, see Parasites.
Gordon's SilverMethod. For blood smears,
also shows parasites, Gordon, H., J.
Lab. & Clin. Med., 1936-37, 22, 294-
298. Dry smears of blood or bone
marrow in air and fix in 10% formalin.
Wash in water. 2.5% aq. iron alum
10 min. or more. 4 changes aq. dest.
Dip in 1% aq. gelatin -f 1 or 2 drops
2% sodium carbonate and drain. Wash
quickly in aq. dest. Impregnate 5-15
min. in silver solution (Add strong
ammonia drop by drop to 5 cc. of 10.2%
GOSSYPIMINE
149
GRAM'S STAINS
aq. silver nitrate until ppt. is dissolved.
Add 5 cc. 3.1% aq. soaium hydroxide
and redissolve ppt. with strong
ammonia. With aq. dest. dilute to 100
cc). Wash in aq. dest. at 60 °C. Re-
duce in: 10% formalin 90 cc. + 2.5%
iron alum 10 cc. Wash in tap water,
dehydrate in alcohol, clear in xylol
and mount in balsam.
Gossypimine, see Safranin O,
Grafts. Intracoelomic of eye primordium,
Joy, E. A., Anat. Rec, 1939, 74, 461-
486. See Transplantation.
Gram, see Weight measurements.
Gram's Iodine Solution. Iodine, 1 gm.;
potassium iodide, 2 gm.; aq. dest.,
300 cc. A stronger solution may be
desirable with only 100 cc. aq. dest.
Gram-Pappenheim stain as modified for
smears and paraffin sections (Scudder,
S. A., Stain Techn., 1944, 19, 39-44).
Gram's Stains for bacteria:
1. In smears. Hucker modification
(McClung, p. 138). Stain 1 min. in
equal parts A and B : A = crystal violet
(85% dye content, 4 gm.; 95% ale, 20
cc.) B = ammonium oxalate, 0.8 gm.;
and aq. dest. 80 cc. After washing in
water immerse in: iodine, 1 gm. potas-
sium iodide, 2 gm., aq. dest., 300 cc.
1 min. Then wash in water and dry
by blotting. Decolorize 30 sec. in 95%
ale. gently moving. Blot and counter-
stain in: 10 cc. sat. safranin in 95%
ale. and aq. dest. 100 cc. Wash and dry.
Kopeloff-Beerman Modification (Mc-
Clung, p. 139). Stain 5 min. or more
in: 1% aq. gentian or crystal violet, 1.5
cc. mixed before use with 0.4 cc. 5%
aq. sodium bicarbonate. Rinse in iodine
solution made by dissolving 2 gm.
iodine in 10 cc. normal sol. sodium
hydroxide and adding 90 cc. aq. dest.
and stand 2 min. or more. Blot dry.
Add 100% acetone drop by drop with
specimen tilted till no more color is
removed, less than 10 sec. Dry in air.
0.1% aq. basic fuchsin, 10-30 sec.
Wash in water and dry. Weiss Modifica-
tion (Weiss, E., J. I^ab. & Clin. Med.,
1940-41, 26, 1518-1519). Make thin,
uniform smears and fix over flame.
Cover slide with 3% gentian violet in
20% alc^ 3-5 min. Wash in warm
water. Cover 3-5 min. with iodine, 20
gm. ; potassium iodide, 40 gm., aq. dest.
300 cc. Wash with warm water. De-
colorize in acetone and wash imme-
diately in water. Counterstain quickly
in 2% basic fuchsin in 95% ale. Wash
in water, drj-^ and examine.
The use of colloidal iodine has been
suggested to improve the reaction be-
tween bacteria and stain (Lyons, D. C,
J. Lab. & Clin. Med., 1936^37, 22,
523-524). Methods for preparing col-
loidal iodine are described by Chandler
and Miller (W. L. and E. J., J. Phys.
Chem., 1927, 31, 1091-1096).
2. In sections. Grarn-Weigert method
(McClung, p. 152). Fix in Zenker's
fluid. Stain paraffin sections lightly in
alum hemato.xylin and wash in running
water. 1% aq. eosin, 1-5 min., followed
by washing in water. Stain ^-1 hr. in
anilin methyl violet made by mixing 1
part of A with 9 of B : A. abs. ale. 33 cc. ;
aniline oil, 9 cc. ; methyl violet in excess.
B. Saturated aq. methyl violet and wash
in water. Lugol's iodine 1-2 min. and
wash in water. Blot; dehydrate and
clear in equal parts aniline oil and
xylol several changes. Wash with xylol
and mount in balsam. Glynn's method.
(Glynn, J. H., Arch. Path., 1935, 20,
896-899). To make stain triturate 1
gm. crystal violet and 1 gm. phenol
crystals in mortar and add 10 cc.
absolute alcohol. Before using dilute
10 times with aq. dest., allow to stand
2 days and filter. Stain deparaffinized
sections of Zenker (less acetic), Bouin,
Helly or 10% formalin fixed material
for 2 min. Drain off but do not wash.
Add Gram's iodine, 1 min. Differentiate
in acetone until no more color is given
off, 10-15 sec. Wash in aq. dest.
Counterstain in 0.05% basic fuchsin
in N/500 hydrochloric acid (see Normal
Solutions). Drain, do not wash, apply
1% aq. trinitrophenol, j-l min. Wash
in aq. dest. Dehydrate and differen-
tiate in acetone 10-15 sec, clear in xylol
and mount in balsam. Gram -f bac-
teria, violet; Gram—, red; nuclei, light
red; cytoplasm, yellow.
3. For organisms in frozen sections
by Krajian, A. A., Arch. Path., 1941,
32, 825-827. Stain 7-10m frozen sec-
tions for 2 min. in Harris' alum hema-
toxylin. Wash in tap water till blue
and destain quickly by dipping 5 to 7
times in acid alcohol. Rinse in tap
water and apply following solution for
3 min. — copper sulfate, 7 gm.; zinc sul-
fate, 4 gm. dissolved in 100 cc. aq. with
aid of heat. Pour off and apply 0.3 gm.
brilliant green in 10 cc. above copper
zinc mixture for 5 min. Rinse in water
and fortify with 5% aq. ammonium ni-
trate for 1 min. Rinse in tap water and
stain with carbol fuchsin (Ziehl-Neel-
sen) for 2 min. Rinse in tap water, blot
and apply dioxane for 2 min. Pour off
and add equal parts creosote and .xylol,
changing tliis mixture and agitating to
promote even differentiation until back-
ground appears clear red. Clear in
pure xylol (2 min.) and mount in damar.
Gram positive organisms bluish green;
gram negative ones red.
The Gram staining technique and
GRAM STAINS MECHANISM
150
GRAM STAINS MECHANISM
the interpretation of the findings has
been concisely presented by Dubos, R.
J., The Bacterial Cell. Harvard Univ.
Press, 1945, 460 pp. The Gram + bac-
teria differ from the Gram — ones in
being more acidic and perhaps in pos-
session of lipids with higher content of
unsaturated acids. Their Gram posi-
tiveness depends on intactness of their
cell walls, for erosions of the walls make
them Gram negative. When the outer
layer of the cell walls is removed by
extraction with bile salts they become
Gram negative. The Gram positive
property can be restored by "replating"
the bacteria with the extract of the
outer layer. The outer layer appar-
ently contains a protein ribonucleate
complex, for Gram positive organisms
can be made Gram negative by action
of the enzyme, ribonuclease. The
quality of the cell membrane conditions
not only the entry and retention of
stains but the whole manner of life of
the cells. See Cell Membrane, Acid
Fast Bacilli, and Dead Cells.
Gram Stains Mechanism — Written by
James W. Bartholomew, Dept. of
Bacteriology, University of Southern
California, Los Angeles 7, Calif. July
9, 1951 — The literature concerning the
mechanism of the Gram stain is
voluminous and makes very interesting
reading although the exact mechanism
is still unknown. The laboratory tech-
nician need not be too concerned with
the mechanism. It is important for
the technician to realize that the tech-
nique involved is differential due to
relative rather than absolute differences
in the organisms studied. Thus, re-
gardless of whether one uses the
Hucker, Kopeloff-Beerman, Weiss, or
other modification of the Gram pro-
cedure, the dependability of the results
obtained are greatly influenced by the
experience and skill of the operator.
One method should be adopted, and
practiced, until proficiency and self
assurance are obtained.
Gram differentiation is mostly due to
one fact. Gram-positive cells resist
decoloration after treatment with dye
and iodine to a much greater extent
then Gram-negative cells. The cause
of this resistance has been attributed to
1) cell membrane permeability char-
acteristics, 2) the presence of certain
unique chemical compounds, 3) a low
isoelectric point of the cell protein, and
4) the presence of a morphological struc-
ture, the Gram-positive cortex. Each
of these theories, by itself, fails to ex-
plain certain experimental data. It is
certain that the mechanism of the Gram
stain is very complex and several of the
above factors probably combine to give
the differentiation effect. Cell mem-
brane permeability is hard to ignore
since it is well known that rupturing
the cell wall immediately results in a
Gram-positive cell staining Gram-nega-
tively. The importance of a chemical
factor has been well established through
the easily demostrable dependence of
the Gram-positive state on the pres-
ence of magnesium ribonucleate in the
cell. The isoelectric point theory ap-
Elies to the general staining phenomena,
ut on close inspection looses its sig-
nificance as a prime factor in the mecha-
nism of the Gram stain. The morpho-
logical concepts must await further
development in our knowledge of bac-
terial cell morphology, and better cell
sectioning methods, before the con-
tribution of morphological factors to
the Gram staining mechanism can be
determined.
Currently, an appealing explanation
based on published literature could be
written as follows. Cell membrane
permeability to iodine in alcoholic solu-
tion is of first importance. Magnesium
ribonucleate and possibly other com-
pounds such as lipoproteins are im-
portant in that they influence the cell
membrane permeability. Gram-posi-
tive cells are less permeable to iodine
in alcoholic solution than are Gram-
negative cells. On performing the
Gram stain a reaction between the dye
and iodine, and also possibly the cell
protein, takes place within the cell.
The alcohol, which is added next, enters
the cells and dissociates the dj'^e-iodine
precipitate, or dye-iodine-cell protein
complex, which has been formed. Since
the alcoholic iodine permeates fastest
through the cell membrane of the Gram-
negative cells the precipitate or complex
are dissociated more rapidly in them
than in the Gram-positive cells.
Hence, the Gram-negative cells are the
first to declorize. The counter stain
also has a certain decolorization action
and it must be employed if a true Gram
stain differentiation is desired.
While this concept of the Gram stain
mechanism has not been proven, it has
the happy quality of combining chemi-
cal concepts with cell membrane perme-
ability and it does not rule out possible
morphological factors. In the case of
the often observed Gram-positive
bodies within the cell, a more strictly
chemical concept would have to be used
to explain them.
As is often the case, the segregation
of cells into two distinct groups, the
Gram-negative and the Gram-positive,
does not coincide with the state actually
GRAM-TWORT STAIN
151
HAIRS
existing in nature. There are many
intermediates between the two, and
this fact should be kept in mind by the
technician. Attempts to create termi-
nology for intermediate groups have
not been well received and the classifi-
cation as it now stands is extremely
useful and comparitively simple. Fur-
ther information is supplied by
Bartholomew, J. W. and Umbreit, W.
W., J. Bact., 1944, 48, 567; Bartholo-
mew, J. W. and Mittwer, T., Stain
Tech., 1949, 25, 103-110; Dubos, R. J.,
The Bacterial Cell. Cambridge: Har-
vard Univ. Press, 1946, pp. 72-85;
Knaysi, G., Elements of Bacterial
Cytology. Ithaca: Comstock Pub. Co.,
1951, pp. 267-278; Mittwer, T., Bar-
tholomew, J. W., and Kallman, B. J.,
Stain Tech., 1950, 25, 169-179.
Gram-Twort Stain. For study of Gram-
positive and Gram-negative bacteria
in sections (Ollett, W. S., J. Path. &
Bact., 1947, 59, 357). Twort originally
used a neutral red-light green mixture.
Ollett, W. S., J. Path. & Bact., 1951,
63, 166 supplies further details. The
stain advised is approximately as fol-
lows depending on dye content of the
samples employed. For stock solution
0.2% ale. neutral red, (CI no. 825 9 ml.
+ 0.2% ale. fast green FCF 10 ml.
For use dilute 1 vol. stock solution with
3 vols. aq. dest. Employ as counter-
stain in Gram's method as described
(Ollett, 1947) and mount sections in
L. P. M. which is Lustron (L 2020),
apparently the same as Distreme 80
crystal clear 100 gm. dissolved in Di-
butyl phthalate 50 ml. + monochlor-
benzene 300 ml.
Gray, R, B, BB, see Nigrosin, water soluble.
Green PL, see Naphthol Green B,
Greene, see Anterior Chamber Transplanta-
tion.
Gregarines. Technique given by McCIung,
Microscopical Technique, 1950 p. 455.
Fix in picric acid mixtures. Stain
smaller ones in Heidenhain's Iron
Hematoxylin and larger ones with
Hemalum. For Golgi bodies see Joyet-
Lavergne, P., C. R. Soc. de Biol., 1926,
94, 830.
Grenacher, see Alum Carmine, Borax
Carmine.
Grieves' method for undecalcified dental
tissues and bone as outlined by Shipley
(McClung, p. 345) is: Fix small pieces
in 10% formalin 24-36 hrs. or any other
desired fixative. Wash in running water
24 hrs. Then pass through 2 changes
of aq. dest. 1 hr. each. Dehydrate
through ascending alcohols beginning
with 50% ale. Equal parts abs. ale.
and chloroform, 2 hrs. Chloroform, 2
hrs. 5% sol. of rosin in chloroform, 2
hra. 10% sol. rosin, 2 hrs. Sat. sol.
rosin until it becomes transparent.
Imbed in melted rosin using one after
another the rosins in 3 small glass dishes
on a heated copper bar, 1 min. each.
The chloroform carried over evaporates.
The rosin containing the tissue is al-
lowed to cool. The block is ground
very thin by hand on a carboriundum
stone and polished on a fine hone all
grinding being done under luke warm
water. The smooth surface is then
mounted on a slide with a little melted
rosin after which the surface is ground
and polished in the same waj' and the
section is ready for mounting or for
staining.
Gross Specimens, see Color Preservation.
Ground Substance (intercellular), see Tis-
sue Fluid.
Growth. Many techniques are now avail-
able for the measurement of growth of
tissues. Increase in number of cells
can be revealed by mitotic counts
(Mitosis). The amount of bone or of
dentine laid down while Alizarin S
or Madder is in the circulation can be
estimated. The amount of radioactive
isotropes accumulated is a third method
(see Radioactive Phosphorus) if the
amount increases per unit of time while
elimination of the nonradioactive ele-
ment in question remains the same.
Valuable histochemical methods are
given by Lowry, O. H. and Hastings,
A. B., in Cowdry's Problems of Ageing,
Baltimore : Williams and Wilkins, 1942,
936 pp.
Gout, see Urates.
Guanin appears as white granules in retinal
tapetum of certain animals including
nocturnal ones. Decreases in amount
in regions containing more fuscin.
For details see Arey, L. B. in Cowdry's
Special Cytology, 1932, 3, 1218.
Guanine, see microxide test under Purines.
Guarnieri Bodies, cytoplasmic inclusions in
smallpox and vaccinia. See Inclusion
Bodies and Cowdry, E. V., J. Exper.
Med., 1922, 36, 667-684 for supravital
staining with brilliant cresyl blue. For
sections Giemsa's stain is excellent.
Gum Damar, see Damar.
Gypsum test, see Calcium 7.
Habermann, see Anethole Clearing Agent.
Hafnium, see Atomic Weights.
Hairs — Written by Mildred Trotter and
Oliver H. Duggins, Dept. of Anatomy,
Washington University, St. Louis, May
8, 1951 — The hair shaft (above the sur-
face of the skin), the hair root (below
it) and the hair follicle (encasing the
root) call for somewhat different
techniques.
The shaft may be examined in a dry
mount after first washing thoroughly
HAIRS
152
HARRIS ALUM HEMATOXYLIN
and repeatedly in ether-alcohol, or the
shaft and root can be cleared and
mounted in balsam for repeated study.
In case it is too highly pigmented to
Eermit a clear view of its structure first
leach with hydrogen peroxide. Indi-
vidual cells of the shaft can be isolated
by maceration in 40% aq. potassium
hydrate.
Scale counts are made readily after
a dry mount has had applied a drop or
two of a glycerine-alcohol mixture at
the ends of the specimen. This mix-
ture progresses along the shaft by
capillary attraction thus bringing into
relief the free borders of the scales
(Trotter, M. and Duggins, O. H., Am.
J. Phys. Anthrop., in press). Deter-
mination of the cuticular scale pattern
may be made after partially embedding
the hair in a glycerine jelly (Eddy, M.
W. and Raring, J. C, Proc. Acad. Sci.,
1941, 15, 164-168). Study of the cortex
(fusi and pigment granules under very
high power) and medulla (when present
with its clumps of pigment) requires
clearing by immersing in some oil the
refractive index of which is approxi-
mately the same as that of the hair
(Hausman, L. A., Sci. Month., 1944,
59, 195-202).
The refractive index of hair may be
determined to the greatest accuracy by
the double-variation method using both
the Becke line and half shadow tech-
niques (Gibb. T. R. P., Jr., Optical
Methods of Chemical Analysis, pp.
249-250, McGraw-Hill, 1942). Cut
hairs into a number of 1 mm. lengths,
agitate for 30 minutes in ether-alcohol
and mount in oil of a similar refractive
index on a temperature cell under a
polarizing microscope. True index is
found only at crossed Nicols. It is
suggested that the index be taken both
perpendicular to the lower Nicol (90°)
and parallel to the lower Nicol (0°)
and that the lower index (90°) be sub-
tracted from the higher index (0°) in
order to determine the birefringence.
The Becke line method may be followed
by the half shadow method for greater
accuracy. The limit of accuracy will
be approximately +3 in the third place.
In addition, it is suggested that the use
of the phase microscope for such deter-
minations may increase the accuracy to
the fourth decimal place.
Cross sections of a large number of
hairs (appro.ximately 150) may be made
at one time with very little preliminary
preparations by using the "Dr. J. I.
Hardy Thin Cross-Section Device"
(Gosnell Mfg. Co., Washington, D. C).
The root and the follicle are to be
seen in most sections of hairy skin and
require no special technique unless one
wishes to study the follicles attached to
whole mounts of epidermis. In order
to study the growth of a given hair or
to determine the cyclic activity of its
follicle it is convenient to place a small
tattoo mark with India ink in the skin
near the mouth of the follicle (Trotter,
M., Am. J. Phys. Anthrop., 1924, 7,
427-437).
Distribution of alkaline phosphatase
in growth of hair follicle (Johnson,
P. L., Butcher, E. O. and Bevelander,
G., Anat. Rec, 1945, 93, 355-361). For
further details see Trotter, M., Chapter
on Hair in Cowdry's Special Cytology,
1932, 1, 40-65. Cleaning and mounting
of individual hairs (Duncan, F. W.,
J. Roy. Micr. Soc, 1943, 63, 85-88.
Microphotography of keratin fibers of
hairs (Stoves, J. L., J. Roy. Micr. Soc,
1943, 63, 89-90). The less pigment in
the hair, the greater the fluorescence, so
that gray hair is clear white. Hair
containing tricophyton or microsporon
fluoresces bright green. See Kinnear,
J., Brit. Med., J., 1931, 1, 791-793 on
diagnosis of ringworm.
Halides, microscopic localization in tissues
by precipitation methods (Gersh, I.
and Stieglitz, E. J., Anat. Rec, 1933,
56, 185).
Hal ©meter, apparatus designed by Eve,
F. C, Lancet, 1928, 1, 1070 to measure
mean diameter of erythrocytes, see
Erythrocytometer.
Halowax, see Paraffin Sections.
Hanging Drop preparations are mostly em-
ployed in the examination of living
bacteria and protozoa. A drop of the
fluid is simply attached to the under
surface of a cover glass which is mounted
over a depression in a slide. Equally
satisfactory results can usually be
obtained by simply mounting under a
cover glass on an ordinary slide unless
the greater depth of the hanging drop is
required. When in Microdissection it
is necessary to get at the cells from the
under surface of the cover glass special
chambers and hanging drops are em-
ployed.
Harderian Glands, fluorescence in mice
(Strong, L. C. and Figge, F. H. J.,
Science, 1941, 93, 331). Technique for
rat is given by Grafflin, A. L., Am. J.
Anat., 1942, 71, 43-64.
Harleco Synthetic Resin is recommended
by McClung, Microscopical Technique,
1950, p. 24 as a mounting medium some-
what similar to Clarite. It can be ob-
tained from Hartman-Liddon Co., 5821
Market Street, Philadelphia 39, Pa.
Harris Alum Hematoxylin. Dissolve 1 gm.
hematoxylin in 10 cc absolute alcohol
and 20 gms. ammonium or jrotassium
HEART
153
HEMATOCRIT
alum in 200 cc. aq. dest. the latter with
the aid of heat. Mix the 2 solutions,
bring quickly to boiling and add 0.5 gm.
mercuric oxide. Solution turns purple.
Cool quickly in cold water bath. Mal-
lory (p. 72) recommends adding 5% of
acetic acid.
Heart, see Coronary Arteries, Myocardium.
Pericardium, Purkinje Cells and
Fibers. Technique and results of
"electron histology" of the heart are
presented by Kisch, B. and Bardet,
J. M., E.xp. Med. & Surg., 1951, 9, 1-47.
Heart Failure Cells— Written by C. C.
Macklin, Dept. of Histological Re-
search, The University of Western
Ontario, Loudon, Canada. November
28, 1951. — This inapt designation, used
by pathologists, applies usually to
modified human pneumonocytes which
have become free in the lung alveoli, or
which are affixed to the moving mucous
sheet of the air tract in transit to the
mouth region, or which have been
hawked up in the sputum. The cells
may thus be examined in fresh mounts
with or without vital or supravital
staining; or in stained dried smears.
They may also be fixed, embedded and
cut into thin sections (Macklin, C. C,
The Lancet, Feb. 24, 1951, 432-435).
See Dust Cells.
Heavy Water is water in which deuterium,
the heavy hydrogen isotope H^, has
taken the place of ordinary hydrogen.
See Deuterium which is used as a tracer
substance.
Heidenhain's Azan Stain (Heidenhain, M.,
Ztschr. f. vyiss. Mikr., 1915, 32, 361-372).
The following details are from Lee (1928,
p. 279) : Color sections 1 hr. at 55°C.
in 2% aq. azocarmine plus 10 drops
glacial acetic acid in small staining jar.
Wash in water. Differentiate in 96%
ale. 100 cc. plus anilin oil 0.1 cc. until
cytoplasm becomes pale pink and nuclei
clear red. To hurry differentiation add
2 drops anilin oil. Rinse in 96% ale.
containing few drops acetic. Put in
5% aq. phosphotungstic acid about 2
hrs. until connective tissue is com-
pletely decolorized. Wash rapidly in
water. Stain ^-3 hrs. in following solu-
tion diluted with equal or double parts
aq. dest.: anilin blue (water sol. Griib-
ler) 0.5 gm.; orange G, 2 gm.; acetic
acid, 8 cc; aq. dest. 100 cc. Examine
staining under microscope. Wash in
water, dehydrate in abs. ale, clear in
xylol and mount in balsam. This is a
very useful stain. See also McGregor,
L., Ajn. J. Path., 1929, 5, 545-557 for use
of this technique particularly as applied
to normal renal glomerules. Under
Islets of Langerhans is given use of a
slightly modified azan method by
Gomori.
Heidenhain's Iron Hematoxylin, see Iron
Hematoxylin.
Heinz Bodies. These spherical bodies are
sometimes seen in erythrocytes espe-
cially when examined in the dark field or
when colored with Azur 1. They have
been referred to as Substantia Meta-
chromatica Granularis and B-substance.
The best way to demonstrate them is
to use the technique of Figge, F. 11. J.,
Anat. Rec, 1946, 94, 17. Give 0.3% aq.
sulfanilamide to mice as drinking water.
Within 4-6 days these bodies will appear
in at least 90% of erythrocytes whence
they are cast out into the plasma.
They are most readily seen in unstained,
unmounted blood smears. They dis-
appear when studied in oil, balsam or
other mounting media. Heinz bodies
are granules of heme-containing pro-
tein denatured by this drug within the
cells. They are not produced by sod-
ium sulfathiazole. The Heinz Body
phenomenon in erythrocytes is dis-
cussed in detail by Webster, S. H.,
Blood, 1949, 4, 479-504.
Helianthin, see Methyl Orange.
Heliozoa, techniques for, see McClung,
Microscopical Technique, 1950, p. 468,
also Rumjantzew, A., and Wermel, E.
Arch. f. Protistenk., 1925, 52, 217.
Heliotrope B, see Amethyst Violet.
Helium, see Atomic Weights.
Kelly's Fluid is Zenker's fluid in which 5%
formalin is substituted for 5% acetic
acid.
Helminthosporia. Stain for nuclei in (Par-
ris. G. K., Phytopathology, 1944, 34,
700).
Helvetia Blue, see Methyl Blue.
Hemalum (Mayer's) Hematin, 1 gra.; 90%
ale, 50 cc. ; aq. dest., 1000 cc. ; ammonia
alum, 50 gms.; thymol, 1 crystal.
Keeps better after adding 20 cc. glacial
acetic acid and making Acid Hemalum.
A good nuclear stain when diluted with
aq. dest. 1:20. The above formula has
been modified by Lillie (R. D., Stain
Techn., 1942, 17, 89-90): hematoxylin,
5 gm.; sodium iodate (NalOs), 1 gm.;
ammonia alum (A1NH4(S04)2 + 12
IIjO), 50gm.;aq. dest., 700 cc, glycerol,
300 cc, glacial acetic acid, 20 cc. No
ripening is necessary. Stain sections
formalin fixed material, 2-5 min. Blue
2-10 min. in tap water. Counterstain
in 0.2% aq. eosin Y. Dehydrate clear
and mount as usual. This method is
quick and gives a sharp stain.
Hematin, identified by luminescence with
Luminol. Do not confuse with hema-
tein, see Hematoxylin.
Hematocrit, a tube used to concentrate red
HEMATOIDIN
154 HEMOCHROMOGEN CRYSTAL TEST
blood cells by centrifugation and to
measure their volume, see Ponder, E.
in Glasser's Medical Physics, 597-600.
Hematoidin (hematin + G. eidos, appear-
ance). An iron free pigment produced
by phagocytic digestion of erythrocytes
or in clots and old hemorrhages, chemi-
cal composition similar or identical with
Bilirubin. Seen as red or orange rhombic
plates or radiating yellow needles,
insoluble in ether, water and soluble only
with difliculty in alcohol, easily soluble
in chloroform. Gives positive Gmelin's
test.
Hematoporphyrin (G. haima, blood -{-
porphyra, purple).— Written by Frank
H. J. Figge, Dept. of Anatomy Univer-
sity of Maryland Medical School,
Baltimore, Md. Contrary to a deeply
rooted misconception, this substance
is not the pigment as it occurs in hemo-
globin, but is artificially produced by
the drastic decomposition of hemo-
globin in concentrated strong acids.
Since it does not occur in nature, such
terms as "hematoporphyrinuria" are
obsolete. In addition, protoporphyrin,
which is the true, unaltered, pigment
found in heme compounds, is not ex-
creted as such by the Iddney. Proto-
porphyrin is heme minus iron and has
two vinyl group side-chains. Hemato-
porphyrin is heme minus iron, plus two
hydrogen and two hydroxy! groups.
Hematoporphyrin is soluble in water,
ether, alcohols, dilute alkalies, and acids.
For references and additional informa-
tion, see PorpJiyrins.
Hematoxylin is the most useful of all dyes
in animal histology and pathology (Gr.
haimatodec, blood like + Xylon, wood).
It is an extract of logwood {Haernatoxy-
lon campechianum) and is marketed in
crystalline form. When the crystals
are first dissolved in water or alcohol it
is not an energetic stain; but requires
to be "ripened" before it can be used to
advantage. Ripening is brought about
by the formation of oxidation products.
Consequently it is recommended that
solutions be exposed to light and ajr.
Hematein (not hematin — a blood pig-
ment) is the oxidation product which
yields a fine deep blue coloration and is
the one most desired. It can be pur-
chased. To make up solutions of
hematein instead of hematoxylin is
logically sound but there is no way to
prevent further ripening (oxidation)
with the development of other browner
unwanted products and precipitation of
dyes. Therefore it is good practice to
begin with hematoxylin, to let it ripen
naturally over a fairly long period of time
or to ripen almost immediately by
adding about 5% hydrogen peroxide, or
5% of 1% aq. potassium permanganate.
10% solution of hematoxylin in
96% or abs. ethyl alcohol should
always be kept on hand. It attains
maximum ripening in about one year,
but must be kept in a stoppered bottle
for otherwise the alcohol will evaporate.
It is diluted to 0.5% of hematoxylin
with aq. dest. for the Iron Hematoxylin
technique. See also Delafield's, Ehr-
lich's, Harris' and Mayer's hema-
toxylin solutions, likewise Azure 11
eosin and Hematoxylin. Addition of
a drop of Tergitol No. 7 to hematoxylin
solution will greatly increase speed of
staining but has no other advantage
(McClung 1950 p. 136).
Hematoxylin and Eosin is rightly the most
used of all staining methods. If the
tissues have been fixed in a fluid con-
taining mercuric chloride such as Zen-
ker's fluid deparaffinize sections and
treat with dilute iodine in 70% alcohol
for 1-2 min. Wash in aq. dest., bleach
in 5-10% aq. sodium hyposulphite to
remove iodine and wash again in aq. dest.
Stain with Harris' Hematoxylin (full
strength) for 12-15 min. Blue in tap
water or in aq. dest. + few drops sat.
aq. lithium carbonate, 5-10 min. Stain
in 0.2% aq. eosin, 1 min. Rinse in aq.
dest. and 95% alcohol. Dehydrate in
absolute alcohol, clear in xylol and
mount in balsam. Nuclei, deep blue;
cytoplasm, pink. In place of Harris'
alum hematoxylin, which we use,
Delafield's Alum Hematoxylin or Ehr-
lich's Acid Hematoxylin may be em-
ployed. The Bensleys (p. 73) dilute
1 part of the last named with 2 parts
cold sat. aq. ammonium alum and 4
parts aq. dest. Nuclei, dark blue;
cytoplasm, collagenic fibers, erythro-
cytes, pink; smooth muscle, lavender.
0.2% aq. erj'throsin can take the place
of the eosin but the advantage is ques-
tionable.
Hemin Crystal Test for blood pigment,
Teichmann (Stitt, p. 698). Dissolve in
100 cc. glacial acetic acid, 0.1 gm. of
KI, of K Br and of K CI. Add few
drops to suspected material on a slide
and cover. Gently warm until bubbles
begin, then slowly cool and examine for
typical dark brown crystals. The test
is not very sensitive but positive result
is conclusive.
Hemochromatosis, clinical test for, see
Iron.
Hemochromogen Crystal Test. Donogdny
(Stitt, p. 698). Mix 1 drop of suspected
fluid, of pyridin and of 20% aq. NAOH
on a slide and allow to dry. Radiating
crystals appearing within several hours
indicate presence of hemochromogen.
HEMOCYTOBLASTS
155
HERMANN'S FLUID
Hemocytoblasts, see Erythrocytes, develop-
mental series.
Hemoflagellates on tissues may be demon-
strated by many methods. (McClung,
Microscopical Technique, 1950, p. 464).
Hemofuscin. Mallory's fuchsin stain. Fix
in Zenker's fluid, alcohol or 10% forma-
lin. Stain nuclei in paraffin or celloidin
sections with Iron Hematoxylin. Wash
thoroughly in water. Stain 5-20 min.
in : basic fuchsin 0.5 gm., 95% ale. 50 cc.
and aq. dest. 50 cc. Wash in water.
Differentiate in 95% alcohol, dehydrate
in abs. ale, clear in xylol and mount in
balsam in the case of paraffin sections.
Celloidin sections are to be cleared in
terpineol or origanum oil after 95% ale.
Nuclei blue, hemofuscin granules bright
red, hemosiderin and melanin unstained
(Mallory, p. 136).
Hemoglobin, histochemical test (Ralph,
P. H., Stain Techn., 1941, 16, 105-106).
Flood dried blood smear with 1%
benzidine in absolute methyl ale, 1
min. Pour off and replace with 25%
superoxol in 70% ethyl ale, 90 sec.
Wash in aq. dest., 15 sec. Dry and
mount in neutral balsam. Hemoglobin
dark brown.
Goulliart, M. C. rend. Soc. Biol.,
1941, 135, 1260-1262 adds to frozen sec-
tion or dried smear a drop from a bottle
containing glacial acetic acid to which
has been added less than a week ago a
few crystals of potassium iodide. After
about 30 min. examination with a
polarizing microscope shows tiny boat
shaped birefringent crystals of proto-
iodoheme which later change into
Teichmann crystals.
Dunn, R. 6., Arch. Path., 1946, 41,
676, 677. Dissolve 1 gm. cyanol (Na-
tional Aniline Division, Allied Chemical
and Dye Corporation, 40 Rector Street,
New York) in 100 cc. aq. dest. Add
2 cc. glacial acetic acid. Boil gently
and blue color will disappear. Keep for
several weeks. Immediately before
using filter 10 cc. and add 2 cc. glacial
acetic acid and 1 cc. commercial 3%
hydrogen peroxide. Treat frozen or
paraffin sections of tissue fixed in 4%
formaldehyde buffered to pH 7.0 after
rinsing in water with this fresh cyanol
mixture, 3-5 min. Rinse in water,
counterstain with 0.1% safranin in 1%
glacial acetic acid. Wash in water,
dehydrate, clear and mount in Clarite.
Hemoglobin, blue; nuclei, red and cyto-
plasm, pink (from Click, p. 63).
Hemoglobin Estimation is done by compar-
ing blood with a colored paper scale or by
a more accurate scale in a hemoglobinom-
eter. The experimental error is at
least 5%. Staining reactions for hemo-
globin within cytoplasm (Kindred, J.
E., Stain Techn., 1935, 10, 7-20).
Hemolysis. Methods for measuring the
velocity of hemolysis depend on the
fact that red blood cell suspensions as
they hemolyse become more and more
translucent. Techniques differ merely
in the ways of measuring the trans-
mitted light. Simple visual photom-
eters and photoelectric ones are de-
scribed by Ponder, E. Glasser's Medical
Physics, 605-612. The same authority
explains the "equilibrium methods" for
measuring the amount of hemolysis
which has taken place if the process has
been arrested. One of these is to count
the cells remaining, another to deter-
mine the amount of hemoglobin set
free, etc.
Hemophilus Pertussis. Staining of cap-
sules in air dried smears with 5% aq.
phosphomolybodic acid. Growth on a
special medium is advised (Lawson, G.
McL., J. Lab. & Clin. Med., 1939-40,
25, 435-43S).
Hemosiderin, soluble in acids and other
reagents used in histological technique.
After formalin fixation the order of
decreasing removal is oxalic, sulphuric,
nitric, formic and hydrochloric. Speeu
of solution is but little influenced by age
of pigment (Lillie, R. D., Am. J. Path.,
1939, 15, 225-239). See Iron, Di-
nitrosoresorcinol method.
To demonstrate hemosiderin micro-
scopically pour on deparaffinized sec-
tions of freshly fixed tissue 1 part of
fresh 2% aq. potassium ferrocyanide
and 3 parts 1% aq. hydrochloric acid
heated to 60°-80°C. Thoroughly wash
in several changes of water. Counter-
stain in 0.1-0.5% basic fuchsin in 50%
alcohol, 5-20 min. Wash in water.
Pass through 95% and abs. alcohol and
xylol and mount in balsam. Nuclei
and hemofuscin, red; hemosiderin, blue
(J. E. Ash in Simmons and Gentzkow,
p. 744). See Iron and Hemofuscin.
Heparin. A method for the histological
demonstration of heparin has been de-
scribed by Jorpes, E., Holmgren, H. and
Wilander, O., Ztsch. f. mikr. anat.
Forsch., 1937, 42, 279-301. It is based
on evidence that Tissue Basophiles
contain this substance. See also Anti-
coagulants.
Heptaldehyde. An agent said by Strong,
L. C, Am. J. Cancer, 1939, 35, 401-407,
to produce liquefaction of spontaneous
mammary tumors of mice. It was not
helpful when injected into rat lepro-
mata (Cowdry, E. V. and Ruangsiri, C,
Arch. Path., 1941, 32, 632-640).
Hermann's Fluid. 2% osmic acid, 4 cc;
1% platinum chloride, 15 cc; glacial
aceticjflkacid. 1 cc. This resembles
HERRING BODIES
156
HOFMANN'S VIOLET
Flemming's fluid and is a good cyto-
logical fixative.
Herring Bodies, see Gushing, H., Proc. Soc.
Exp. Biol. & Med., 1932-33, 30, 1424-
1425.
Hertzberg's Victoria Blue stain for elemen-
tary bodies is described by Seiffert, G.,
Virus Diseases in Man, Animal and
Plant. New York: Philosophical Li-
rary, Inc., 1944, 332 pp. It is rather
like Gutstein's technique (see Ele-
mentary Bodies) except that Hertzberg
does not make up the stain with po-
tassium hydrate and Gutstein does not "
destain in 1% citric acid.
Herxheimer's solution for staining fat :
scarlet red (scharlach R, sudan IV),
1 gm. ; 70% alcohol, 50 cc. ; acetone C.P.,
50 cc. See Sudan IV.
Heterophile, see Staining.
Hexamethyl violet, see Crystal violet.
Hexuronic Acid as antiscorbutic factor
(Harris, L. J., and Ray, S. N., Biochem.
J. 1933, 27, 58-589).
Hickson Purple, a disazo dye, giving in aq.
sol. a purple color to leucocytes and a
red color to erythrocytes introduced by
H. G. Cannan (J. Roy. Micr. Soc, 1941,
61,88-94).
Higgins' Ink. This was apparently first
used as a vital stain by George Wislocki,
see Foot (McClung, p. 114). Dilute
with equal volume sterile aq. dest.
Warm and inject into marginal vein of
rabbit's ear 5 cc. daily for 3-4 days, then
every 3 days as long as desired. Since
the carbon is relatively insoluble it is a
simple matter to fix, imbed, section and
counterstain. Smaller amounts are to
be used for smaller animals, see Vital
Stains.
Hirudinea, see Parasites.
Hischler's Fluid, see Golgi Apparatus.
Hiss's Method for capsule staining, see
Capsule.
Histamine, improved colorimetric method
for estimating (Rosenthal, S. M. and
Tabor, H., J. Pharmacol. & Exp.
Therap., 1948, 92, 425). For use in de-
termination of the histamine content of
experimental tumors, see Rosenthal,
S. M., J. Nat. Cancer Inst., 1949, 10,
89-91.
Histiocyte, a term without value as it
simply indicates a "tissue cell," often
applied to phagocytic cells of connec-
tive tissue.
Histones, see discussion of Saint-Hilaire's
method under Purines.
Histoplasma Capsulatum. The halos about
this organism and Sporotrichum
schencku as seen in H & E stained tissue
sections suggest that they are encapsu-
lated. Technique for search for such
capsules and its failure to reveal them
is described by Kligman, A. M. and
Baldridge, G. D., A. M. A. Arch. Path.,
1951, 51, 567-574. The Hotchkiss-
McManus stain, as employed by Klig-
man, A. M. and Mescon, H., J. Bact.,
1950, 60, 415 is considered by Kligman
and Baldridge to be the best suited one
for the demonstration of capsules.
Historadiography is the x-ray photography
of tissues. By a special technique
Larmaque, P., Bull. d'Hist. Appl.,
1937, 14, 1-16) rays emitted at a tension
of 50-100 KV having a length of 0, 12-0,2
A° are directed upon a section closely
applied to a particularly finely grained
emulsion. The absorption of the rays
by the section depends upon the density
of its parts. Total opacity of the tissue
to the rays is marked on the photo-
graphic negative by white, permeability
by black, and there are usually all grades
between the two. Subsequent magnifi-
cation of about 500 times is possible, but
is not advisable. Sections, not more
than 4 microns thick, of formalin fixed
tissues, are recommended. An illus-
trated description of the appearance of
epidermis, cartilage, artery wall, thjToid
and other tissues is provided by Tur-
chini (J. Bull. d'Hist. Appl., 1937, 14,
17-28). Historadiography may have
many uses in the measurement of
densities in different physiological states
and in study of the distribution of sub-
stances opaque to x-rays experimentally
introduced. In some cases great den-
sity may accompany high Viscosity.
Histospectrography. This is a very valu-
able survey method for minerals in
tissues. See Policard, A., Protoplasma,
1933, 19, 602-629; Scott, G. H. and
Williams, P. S., Anat. Rec, 1935, 64,
107-127; Cowdry, E. V., Heimburger,
L. F., and Williams, P. S., Am. J. Path.,
1936, 12, 13-29. Optic lens and cata-
racts have been analysed particularly
for iron, copper and zinc (Busnel, R. G.,
Pillet, P. and Tillie, H., Bull. d'Hist.
Appl., 1938, 15, 99-109). MacCardle,
R. C., Engman, M. F., Jr. & Sr., Arch.
Dermat. and Syph., 1941, 44, 429-440
have employed histospectrography to
advantage in determination of skin
magnesium. See Absorption Spectra.
Hodgkin's Disease, see Reed-Sternberg
Cells.
Hofmann's Violet (CI, 679)— dahlia, iodine
violet, primula R water soluble, red
violet, violet R, RR or 4RN — Conn
(p. 120) says above names are applied
rather indiscriminately to stains varying
in shade from methyl violet to basic
fuchsin which are mixtures of methyl-
ated and ethylated rosanilins and
pararosanilins having less than 5 methyl
or ethyl groups. He further remarks
that a mixture of basic fuchsin and
HOLLANDE'S FIXATIVE
157
HYALURONIC ACID
methyl violet of the color desired may
perhaps be made by the worker himself
as a substitute for Hofmann's violet
which is in fact the composition of some
samples sold as Dahlia and Hofmann's
violet.
Hollande's Fixative. Picric acid, 4.0 gm.;
copper acetate, 2.5 gm.; formol, 10 cc;
glacial acetic acid, 1.5 cc; aq. dest.
100 cc. Recommended for flagellate
protozoa (McClung, 1950, p. 445).
Holmium, see Atomic Weights.
Holtfreter's Solution, for use in examina-
tion of fresh tissues; NacCl, 0.35 gm.;
KCl, 0.005 gm.; CaClj, 0.01 gm.,
NaHCOa-HsO, 0.02 gm., aq. dest. 100
cc. (Holtfreter, J., Arch. Entio.-Mech.,
1931, 124).
Hookworms. To eliminate opacity in
mounts of, see Tahmisian, T. N., Stain
Techn., 1945, 20, 26.
Hormones. Consult volume entitled New
and Nonofficial Remedies published
each year by the American Medical
Association. See Testosterone, Chro-
maffin Reaction, Vulpian Reaction, Os-
mic Acid.
Hotchkiss'Method, see Polysaccharides.
Howell-Jolly Bodies, see Jolly Bodies.
Huber's Toluidin Blue stain for Nissl bodies
(Addison in McClung, p. 150). This
much used method is suggested for
autopsy material. Fix in 95% alcohol,
100 cc; trichloracetic acid (Mallinck-
rodt), 1.5 gm.; mercuric chloride (Mal-
linckrodt), 3 gm. 2-10 days depending
upon size of piece of tissue. Change
fixative every 2 days for larger speci-
mens. Pour off fluid and store in 95%
alcohol until used. Do not take out
mercury with iodine. Stain paraffin
sections in toluidin blue 15-18 hrs.
(Make up solution by adding 1 gm. to
500 cc. aq. dest. Heat gently and when
it is dissolved add 500 cc. aq. dest.).
Pour off stain. Wash in aq. dest.
Leave 2 hrs. in lithium carbonate.
(Make this by adding 5 gm. to 1000 cc.
aq. dest. Boil several minutes. Cool.
Filter. To 100 cc. filtrate add 900 cc.
aq. dest.) . Differentiate in 70% alcohol
5-30 min. Leave flat in 95% alcohol,
5-15 min. Dehydrate in absolute, clear
in xylol and mount in balsam.
Humus, see soli.
Huntoon's Hormone Medium, see Bacteria,
Media.
Hyalin. This is usually easily recognizable
in sections stained with Hematoxylin
and Eosin or by Phloxin and Methylene
Blue, by its affinity for eosin or phloxin.
Phosphotungstic Acid Hematoxylin
colors it deep blue. A hematoxylin-
phloxin method is also recommended
by Mallory (p. 207). Fix in alcohol or
10% formalin and imbed in paraffin or
celloidin. Stain in alum hematoxylin,
1-5 min. or more. Wash in tap water
and stain with 0.5% phloxin in 20%
alcohol, 10-30 min. or longer. Wash in
tap water and treat for |-1 min. with
0.1% aq. lithium carbonate. Wash in
tap water, dehydrate, clear and mount.
In case of celloidin sections, clear in
terpineol or origanum oil from 95%
ale Nuclei, blue; fresh hyalin, in-
tensely red; older hyalin, pink to
colorless. A simple thionin stain is also
given by Mallory. It is to stain similar
sections for 5-10 min. in 0.5% thionin
in 20% ale Differentiate and dehy-
drate in 80% alcohol. Then 95% alco-
hol, terpineol and terpineol balsam.
Nuclei and old hyalin, blue.
Hyaluronic Acid. — Written by A. R. Gopal-
Ayengar, Barnard Free Skin & Cancer
Hospital, St. Louis. (Now at Tata
Memorial Hospital, Bombay.) This is
a polymer of acetyl glucosamine and
glucuronic acid. It occurs in a poly-
disperse form in a variety of tissues such
as umbilical cord, synovial fluid,
vitreous humor, skin, tumors due to
virus of leucosis and sarcoma of fowls,
and in pleural fluid associated with
human mesothelioma. (For an exten-
sive treatment of the subject of acid
polysaccharides and a comprehensive
bibliography, refer to Karl Meyer's re-
views on, "Mucolytic enzymes" in
Currents in Biochemical Research, In-
terscience Publishers, N. Y., 1946;
"Mucoids and Glycoproteins" in Ad-
vances in Protein Chemistry, Academic
Press, N. Y. 1945; "The Chemistry and
Biology of Mucopolysaccharides and
Glycoproteins" in Cold Spring Harbor
Symposia on Quant. Biol., 6, 1938, 91-
102.) The enzyme, hyaluronidase,
depolymerizes and hydrolyses hyal-
uronic acid. It is a Spreading Factor
and has been ably presented, along with
other spreading factors, by Duran-
Reynals, F., Bact. Rev., 1942, 6, 197-
252; Meyer, K. and Chaffee, E., Proc.
Soc Exp. Biol. & Med., 1940, 43, 487-
489; Meyer, K. et al., Proc Soc Exp.
Biol. & Med., 1940, 44, 294-296, and
others.
A histochemical method for the dem-
onstration of acid polj'saocharides like
hyaluronic acid is described bv Hale,
C. W., Nature, 1946, 157, 802. the use
of metachromatic stains such as tolui-
dine blue while satisfactory for sul-
phated polysaccharides like chondroitin
sulphate is valueless for hyaluronic acid
and for related acid polysaccharides
which do not stain metachromatically.
Fixation of material is an important
factor in the retention of hj'aluronic
acid for subsequent staining. The or-
HYALURONIDASE
158
HYDROGEN ION INDICATORS
dinary aqueous fixatives containing
formalin, while eminently suitable for
fixing protein components, tend to dis-
solve the hyaluronic acid. To preserve
intact hyaluronic acid it is therefore
imperative to employ dehydrating fix-
ing agents like Carnoy. The material
after fixation, dehydration and embed-
ding is sectioned in the usual manner
and treated with an acid solution of
ferric hydroxide. The iron combines
with hyaluronic acid but not with the
neutral polysaccharides or proteins.
The combined iron is then characterized
as Prussian blue by treatment with
hydrochloric acid and potassium ferro-
cyanide. A counter stain like fuchsin
is recommended in order to bring out
sharply the blue stained acid polysac-
charides against a background of red
stained cells.
The detailed outline of the Hale
technique is as follows: Fix small pieces
of tissue in Carnoy (Abs. alcohol, 6 pts.
-H chloroform, 3 pts. + glacial acetic
acid, 1 pt., for j hr. Dehydrate in abs.
alcohol, clear, embed in paraffin and
section in the usual manner. Mount
sections on clean slides without albu-
men. Bring sections rapidly to water
and fiood with a mixture of dialysed
iron, 1 vol. and acetic acid (2M), 1 vol.,
10 min. (Dialyzed iron may be pre-
pared by adding ammonia water to a
concentrated solution of ferric chloride
and dialysing the resulting solution un-
til free or nearly free of ammonium
salts. It is a dark red liquid easily
miscible with water and contains ap-
proximately 3.5 per cent Fe, or 5%
Fe20,. M = Molecular Solution, which
see.) Wash well with aq. dest. Flood
with a solution containing potassium
ferrocyanide (0.02M) and hydrochloric
acid (0.14M)— 10 min. Wash with wa-
ter and counterstain with appropriate
contrasting dye. Dehydrate rapidly,
clear in xylol and mount in Canada
balsam.
In order to distinguish hyaluronic
acid from other blue staining structures
Hale recommends interpolation of
another step during the staining proc-
ess. The procedure suggested involves
use of the specific enzyme-hyaluroni-
dase — soon after fixation. The enzyme
hydrolyses the hyaluronic acid and
prevents the combination of the pol-
ysaccharide with iron. Since hyal-
uronidase is specific, it has no similar
action on other polysaccharides.
Hyaluronidase is the spreading factor which
increases the permeability of connec-
tive tissue by reduction in viscosity and
by hydrolysis of Hyaluronic Acid.
Commercial preparations of hyal-
uronidase from bull testes are available
from the Schering Corp., Bloomfield,
N. J. Enzyme prepared from certain
bacteria apparently have hydrolytic
powers different from those of the
testicular preparations.
Hydrax is a synthetic resin used as a mount-
ing medium (Hanna, D., J. Roy. Micr.
Soc.,1930, 50, 424-426).
Hydrogen Acceptors. These are substances
like p-amidophenol, p-phenylenedia-
mine and resorcin, recommended to
strengthen supravital staining of nerve
fibers with methylene blue, see Auer-
bach's Plexus.
Hydrogen Ion Indicators — Written by L. F.
Wicks, Veterans Administration Hos-
pital, Jefferson Barracks, Missouri.
February 1, 1951. — These are also called
acid-base indicators and pH indicators.
They are dye compounds which are
themselves weak acids or weak bases,
more usually the latter, and have defi-
nite ionization constants. According
to the old theory of Ostwald, the color
of the indicator in solution depends
upon the degree of dissociation and the
relative ratio of dissociated and un-
dissociated forms. This ratio, and the
corresponding shift in color, varies
with the concentration of hydrogen ions
present, the effect being a composite
one. The color change interval will
span a certain range, usually of two pH
units or less, and it does not require a
shift which crosses neutrality. Of the
very many dyes and plant coloring
matters which alter color with pH,
only a few change sufficiently sharply
to be of analytical value.
Acid-base indicators may, of course,
be employed for adjusting the pH of a
solution. If direct addition is not de-
sired, small portions of both liquids may
be transferred to a spot plate, or the
indicator may be applied in the form
of test papers. (Some indicators such
as litmus are now rarely employed
otherwise. This is partly true also for
Congo red and nitrazine.)
Indicators may also be used to esti-
mate the reaction of a solution by the
application of a series with different pH
ranges. Once roughly determined,
there is a procedure ("Gillespie's drop-
ratio method") by which a fairly ac-
curate pH measurement may be easily
made with a single indicator of proper
range.
Perhaps the commonest use for hy-
drogen ion indicators by the analytical
chemist (who usually prefers the glass
electrode for pH measurement and ad-
justment), is as an end point device in
acid-base titrations. When titrating a
weak acid or a weak base, the choice of
HYDROGEN ION INDICATORS
159
HYDROGEN ION INDICATORS
indicator is very important. That
chosen should be one which has its
sharpest color transition near the true
equivalence point. For example, when
titrating the weak base ammonium
hydroxide with hydrochloric acid, the
resulting ammonium chloride is an
acidic salt, and the indicator selected
should be one that shifts below neu-
trality, methyl red for example.
Again, when titrating a weak acid such
as lactic acid with sodium hydroxide,
the salt formed is alkaline, and the
indicator of choice should shift above
neutrality, bromthymol blue, for ex-
ample. In titrating strong acids and
strong bases against each other, the
selection of indicator is not critical, as
here the pH change near the end point
is very great for only a small increment
of the added reagent. One should
never titrate weak acids and weak bases
together, for the results cannot be
accurate.
There are several possible sources of
error in the use of hydrogen ion indi-
cators. Some are present at all times
and others especially so in biological
fluids. An occasional indicator, with
two groups sensitive to acid or alkali,
has two ranges of color transition at
perhaps widely separately pH values.
For example, th3^mol blue shifts from
red to yellow at a low range (1.2-2.8)
and from yellow to blue at a much higher
one (8.0-9.6) . A very few indicators ex-
hibit "dichroism" (or "dichromatism")
in which the color varies with the depth
and concentration of the solution.
Bromcresol purple and bromphenol blue
are examples.
In attempting to determine the pH
of a very dilute solution, a false result
may be obtained by the use of indicators
as they are themselves acids or bases.
(Recall, for example, that water in con-
tact with the carbon dioxide of the
normal atmosphere has a pH of about
5.7.) For such cases, a very small
amount of buffer should be present to
offset this effect.
Indicators are intended for aqueous
sj^stems, and the presence of other
solvents such as alcohol decreases the
dissociation constant. Acidic indi-
cators then become more sensitive to
hydrogen ions, and basic ones less sensi-
tive. A control solution of the same
solvent composition may be used for
comparison, however.
Temperature errors are slight over
the usual ranges.
Indicators may be altered or de-
stroyed by the presence of oxidizing and
reducing agents, and thej^ niay unite
with heavy metal ions. Fortunately,
these are negligible considerations in
biological fluids, but greater potential
errors exist.
Proteins and their hydrolysis prod-
ucts are usually amphoteric and may
combine with the indicator. Congo
red, for example, is almost worthless in
protein solutions.
The presence of much neutral salt
will affect the color of indicator solu-
tions, partly by influencing the light
absorption and partly by shifting the
ratio between dissociated and non-
dissociated forms of the indicator.
The use of mixed indicators deserves
greater attention than it has yet re-
ceived. As employed for titrations,
they are of two general types. One
sort consists of two acid-base indicators
which have color transitions in op-
posite directions, resulting in a very
sharp change at a narrow pH zone.
The other kind utilizes for contrast
color a dye which itself is not influenced
by hydrogen ion concentration. The
composite color change resulting is
usually much sharper than that of the
indicator alone. In recent years, there
have appeared "universal indicators"
consisting of a mixture of half a dozen
compounds with a "spectrum" of colors
which may vary over the entire pH
range. Such indicators are not very
accurate and should be used only as a
first rough test on an unknown solu-
tion. These mixtures are more com-
mon as test papers.
It is not surprising that hj^drogen ion
indicators have been employed as a
sort of vital stain to determine the re-
action of various living components.
In 1893 Ehrlich injected neutral red
in an attempt to determine the reaction
about phagocj'tosed granules. Since
then, other workers have applied other
dyes, striving to estimate the approxi-
mate pH of tissues, of the fluids bathing
them, and even of individual cells.
Alizarin red and litmus have been much
used, the later especially with lower
organisms. Thus, Steiglitz applied all
three dyes mentioned above to estimate
the reaction of living kidney (E. J.,
Arch. Int. Med., 1924, 33, 483-496) and
confi.rmed the contention that alkaline
urine can be formed by an acidic cortex.
Harvey and Benslev (B. C. H. and R.
R., Biol. Bull., 1912, 23, 225-249) used
pH indicators to indicate that gastric
fluid does not arise directly within the
cells of the mucosa. Margaria (R., J.
Physiol., 1934, 82, 496-497) injected
bromcresol purple and bromphenol blue,
and claimed to have measured pH
changes upon stretching a muscle.
Orr (J. W., J. Path. & Bact., 1937, 44,
HYDROGExX ION INDICATORS
160
HYDROGEN ION INDICATORS
19-27) employed phenol red to estimate
alterations in pH in the skin of tarred
mice during carcinogenesis. Chambers
and his colleagues have added pH indi-
cators to tissue cultures (R., Proc. Roy.
Soc, B, 1932, 110, 120-124) and have
injected them directly into individual
living cells (McClung, pp. 62-109).
The most enthusiastic investigator tx)
employ the phthalein and sulphon-
phthalein indicators is Rous (P., Sci-
ence, 1924, 60, 363: J.A.M.A., 1925, 85,
33-35, and many articles in J. Exp.
Med., 1925 to 1927). The literature is
extensive but scattered. There are
brief reviews by Rous (P., J. Exp. Med.,
1925, 41, 379-411) and von Mollendorf
(W., Ergebn. Physiol., 1920, 18, 141-
306). See W. M. Clark in Simmons and
Centzkow 161-171.
It is well to question the dependa-
bility of data upon pH of living material
as apparently indicated by vital staining
methods. Consider the ideal require-
ments for such a vita,l stain. It should
exhibit a sharp and pronounced color
change in the proper pH range. It
should be fairly soluble, readily dif-
f usable, strongly colored, of low toxicity
and stable in the organism (not readily
oxidized or reduced or precipitated by
tissue electrolytes). Of the many indi-
cators employed in analytical chemistry,
only a few meet these requirements.
Certain errors are to be guarded against
in their use. The "salt error" and
"protein error" are unavoidably pres-
ent. In the application of these vital
stains changes may take place that will
themselves cause a pH change. Among
them anesthesia, trauma, loss of carbon
dioxide from exposed tissues, interfer-
ence with blood supply, and postmortem
change deserve special mention. How-
ever crude though the methods may be,
these dye indicators are of value in pre-
liminary experiments or where no better
procedure is applicable.
The indicator dyes of most promise are
certain of the phthalein and sulphon-
phthalein compounds. They are gen-
erally quite soluble, highly diffusable,
show marked color shifts and are fairly
constant in composition. The dye
solutions diffuse quickly when injected,
and quickly appear in the urine and
stools. For these reasons, fairly large
doses given intraperitoneally are more
suitable than subcutaneous injections.
But it is doubtful, according to Cham-
bers (personal communication), whether
the more soluble dyes actually penetrate
the walls of most cells.
The following selection of indicators
is based upon the reports of Rous and
others, and upon experiments with mice
carried out at The Barnard Free Skin
and Cancer Hospital. Their chemical
names can be found in The Merck Index
or in any good textbook of chemistry.
Some are to be used in 1% aq. solutions,
others in sat. solutions in physiological
saline, litmus in either aqueous or agar
solution (Rous, P., J. Exp. Med., 1925,
41, 379), while the remainder, which
are acidic (the sulphonphthaleins and
methyl red), require to be converted to
their corresponding sodium salts be-
cause the latter are more soluble in
water. Consequently the proper equiv-
alent of sodium hydroxide must be
reacted with each compound. Rub up
0.1 gm. of the dry dye in a mortar
(agate, preferably) with the volume of
N/20 sodium hydroxide solution given
in cc. below the dj'^e in the table. Filter,
wash out the mortar with several small
portions of saline (0.9% NaCl) and make
all to a volume of 10 cc. For a mouse,
0.5-2.0 cc. of the dye solution should
be injected intraperitoneally.
It should be emphasized that wher-
ever possible, the glass electrode should
be employed for direct measurement of
pH in biological fluids rather than indi-
cators. Micro electrodes, including
injection types, have been developed.
Indicator
Bromphenol blue*
3.0 N/20 NaOH
Sodium alizarin
sulphonate
(Alizarin red)
1% aq. or sat.
in aaline
Bromcresol green*
2.9 N/20 NaOH
Methyl red*
7.4 N/20 NaOH
HYDROGEN ION INDICATORS
pH Range and Colors Value as Vital Stain
yeUow*— 3.0 — 4.6— » blue Very strong stain, too far on acid side.
yellow «- 3.8 — 5.0 -► pink
yellow <— 4.0 — 5.6 — ► blue
red «- 4.2 — 6.3 -♦ yellow
Very toxic, weak stain.
Strong stain, persistent, well tolerated.
Unstable in organism, weak stain, fixes on
lipoids.
HYDROKOLLAG
161
ICTERUS INDEX
HYDROGEN ION INDICATORS— Conitnued
Indicator
Chlorphenol red*
4.7 N/20 NaOH
Bromcresol purple*
3.7 N/20 NaOH
Bromphenol red
3.9 N/20 NaOH
Methyl violet
1% aq. or sat.
in ealine
Bromthymol blue*
3.2 N/20 NaOH
Phenol red
6.7 N/20 NaOH
Litmus, purified
(Azolitmin)
1% aq. or
in agar sol.
Neutral red
(Toluylene red)
1-2% aq. or sat.
in saline
Cresol red
5.3 N/20 NaOH
Metacresol purple
5.3 N/20 NaOH
Thymol blue*
4.3 N/20 NaOH
pH Range and Colors
yellow ♦- 4.8 — red — 6.8 -» purple
yellow «— 5.4 — 6.6 -♦ purple
yellow <— 6.4 — red — 7.0 — ► purple
blue- violet <- 6.0 — 7.0 -► violet
yellow «- 6.0 — 7.4 -* blue
yellow ♦- 6.6 — 7.8 -» red
(6.8 — 8.4)
(approx.) red ♦- 6.0 — 8.0 -« blue
(approx.) red «— 6.8 — 8.0 — » yellow
yellow *- 7.2 — 8.4 —> purple-red
yellow ♦-7.4 — 9.0 —» purple
yellow ♦- 8.2 — 9.4 -» blue
Value as Vital Stain
Powerful stain, well tolerated.
Strong stain but rapidly excreted, is toxic
and exhibits dichromatism.
Very strong stain, well tolerated.
Weak stain, toxic.
Weak stain, very toxic to mice, but not for
insecte.
Rapid, intense stain, very well tolerated .
Slow stain, diffuses poorly, usually de-
posits in granules.
Very weak stain, precipitates out readily
in vivo, not toxic if pure.
Somewhat toxic, not a strong stain.
Very weak stain, not very soluble.
Toxic, range too alkaline.
The indicators starred are perhaps of
of widest ordinary laboratory use. To
these may also be added cresol purple
(yellow <— 7.4-9.4 — >• purple) and phenol-
phthalein (colorless <— 8.0-9.8 — »• red-
violet). The latter is usually made up
in 70-90% alcohol. It should not be
used to titrate ammonia.
Hydrokollag, a particulate material em-
ployed for injection of Lymphatic Ves-
sels which see.
Hydrotropes, see Sudan Stains.
Hydroxy Tri-Phenyl Methanes. These are
the rosolic acids. Amino groups of tri-
amino tri-phenyl methanes are replaced
by hydroxyls making them aciuic in-
stead of basic. Examples : aurin (or
rosolic acid); red corallin.
Hydroxybenzene Compounds as cytoplasmic
fixatives. Details of use ofpyrogallol
and resorcinol in neutralized formal-
dehyde solutions are given. The sim-
plicity and rapidity of the procedures
and the ease of thereafter cutting sec-
tions 1-2^1 in thickness are cited as the
advantages special attention having
been paid to mitochondria and secretion
granules (Huseby, R. A., Proc. Soc.
Exp. Biol. & Mod., 1946, 61. 122-125).
Hydroxyquinoline test for iron, see Iron.
Hypophysis, see Pituitary.
Hypoxanthine, see Murexide test under
Purines.
Ice-crystal Artefacts in normal and chroma-
tolj'tic anterior horn cells (Gersh, I.,
and Bodian, D., Biological Symposia,
1943, 10, 163-184).
Icterus Index is a simple measure of the
degree of yellow color of blood plasma,
or serum, in comparison with standard
potassium bichromate solutions. Make
up in tubes of same thickness and bore
as hematocrit tubes a series of unit
dilutions of the bichromate solution
Unit 1 = 1 gm. potassium bichromate
in 10,000 cc. aq. dest.. Unit 3 = 3 gm.
in 10,000 cc. Unit 5 = 5 gm. in 10,000
cc. etc. The plasma of centrifuged
blood in hematocrit is compared with
these. If it has a color corresponding
to, say, Unit 5 of the bichromate solu-
tion the icterus index is considered to
be 5. The normal value of the icterus
index is usually given as 4-7 units.
The measure being that of color, and,
since increase in color can bo caused by
substances other than bilirubin, the in-
dex is not a specific measure of bili-
rubinemia. Lipochromes can increase
the index. If the blood is unusually
IDIOCHROMATIN
162
INDIGO
concentrated the index is higher al-
though the total amount of bilirubin in
the circulation may not be elevated.
See much more adequate description
by Wintrobe, M. M., Clinical Hematol-
ogy. Philadelphia: Lea & Febiger,
1942, 703 pp.
Idiochromatin (G. idios, one's own, pe-
culiar). The chromatin concerned par-
ticularly with reproductive functions
such as chromosome formation con-
trasted with nutritive trophochromatin
(G. trophe, food, nourishment). There
is no special technique for it.
Illumination. For microscopic work the
lighting is of great importance. Direct
visible light can best be obtained from
various electric microscopic lamps on the
market. Only when the light is more
intense than that required for routine
purposes can it be properly employed
for dark field examination or for polari-
zation. Therefore an intense source
should be available. The intensity can
be reduced to optimum by using an
iris diaphragm. When it is desired to
deliver light into the body to a position
behind living tissues or organs for
transillumination the Quartz Rod tech-
nique is suggested.
Even to make the light equivalent in
quality to that from the white cloud on
a bright day, that microscopists used to
search for, is quite unnecessary. If the
light is too much screened by "day-
light" or other glass its intensity will
be impaired. Green light was recom-
mended quite enthusiastically about 20
years ago. But it is difficult to secure
green light of the necessary intensity
and it is unpleasant to work with.
Ultraviolet light, which permits higher
resolution and is selectively absorbed
especially by nucleoproteins, is used
occasionally for Ultraviolet Photomicro-
graphy. The objects, however, can of
course not be seen directly so that to
photograph them is a hit and often miss
experience, though it is possible to
focus on a fluorescent screen. The
principal use of ultraviolet light is in
the Fluorescence Microscope by which
the structures giving off fluorescence
can be viewed in a dark background at
high magnification.
Imbedding, see Celloidin, ParafiBn, Glycol-
Stearate, Rubber Paraffin, Ceresin,
Double and Gelatin for imbedding
preparatory to sectioning. The Mount-
ing of sections and whole tissues is a
kind of imbedding.
Immersion Oils. A special grade of cedar
oil is usually emploj'ed for oil immersion
objectives. Mineral oil is also sold for
this purpose. If a refractometer is not
available Lillie (p. 6) recommends ad-
justment of the index of refraction of
the mineral oil by the addition to it of
alphabromonaphthalene gradually to
the point where a white glass slide im-
mersed in the oil can no longer be seen
through the oil. It should be N A 1.515
to 1.520. For darkfield work he uses a
mixture of 4 parts of "heavy" mineral
oil with one part of alphabromonaph-
thalene. Cedar oil as supplied for this
purpose may easily get too thick by
evaporation. It should never be left to
harden on the objective but should
always be brushed oft" with lens paper
immediately after use. If it does
harden on the objective, condenser or
slide wet the lens paper with xylol
which will dissolve the oil when it is
gently applied. See Lens Paper.
Immunization of monocytes against foreign
erythrocytes with phagocytosis of the
latter (Bloom, W., Arch. Path, and Lab.
Med., 1927, 3, 608-628).
Impedence, see Electrical Resistance.
Imperial Red, see Eosin B or bluish.
Imperial Yellow, see Aurantia.
Impression Preparations, see Smears.
Inanition, see Fasting.
Inclusion Bodies are any substances in-
cluded in a cell, tissue or organ. There
is the implication that the substance is
included from without, that is to say,
it is of extraneous origin. But the
designation is so loosely used as to be
almost meaningless. It is applied to
droplets of fat, ingested pigments,
remnants of phagocytosed materials,
bodies developed in cells as a result of
virus action and so forth. The virolo-
gists have taken over the designation
from normal cytology in which it is
used less and less. In certain virus
diseases inclusions form in the nucleus,
in the cytoplasm or in both (Cowdry,
E. V. in Rivers' book on Virus Diseases,
Baltimore, Williams & Wilkins, 1928,
pp. 113-154).
Since the nucleus is shielded from the
environment by the cytoplasm its reac-
tivity is restricted and the materials
available for the formation of nuclear
inclusions are also limited as compared
with those in the cytoplasm. Conse-
quently the composition of nuclear in-
clusions in virus diseases is more uni-
form than that of cytoplasmic inclusions.
See Nuclear and Cytoplasmic Inclusions
Indamin Dyes. Methylated amino deriva-
tives of indamin. Bindschedler's green
and toluylene blue.
India Ink, see Higgins'.
Indian Blue 3 RD, see Naphthol Blue.
Indicators, see Hydrogen Ion and Oxidation
Reduction Potential indicators.
Indigo, a fine blue dye produced from the
leaves of Indigofera tinctoria, employed
INDIGO-CARMINE
163
INSECTS
as a stain and a cosmetic for more than
4000 years, and early adopted officially
for the uniforms of American and
British sailors, its history reads like a
romance. (iSee, Leggett, W. F., An-
cient and Medieval Dyes. Brooklyn:
Chemical Publishing Co., Inc., 1944,
95 pp.)
Indigo (CI. 1177) is now produced
artificially as well as from plants.
Indigo-Carmine (CI, 1180) — indigotine la —
This sodium salt of indigosulfonic acid
is blue with acid characteristics so that
it is a good counterstain for carmine.
It has been employed with fuchsin by
Shumway, W., Stain Techn., 1926, 1,
37-38. See renal excretion of (Kemp-
ton, R. T., Bott, P. A. and Richards,
A. N., Am. J. Anat., 1937, 61, 505-521).
It was used as a vital stain by Heiden-
hain who employed 35-60 cc. of 0.4%
suspension for rabbits and 150-1500 cc.
for dogs (see Foot, McClung, p. 113).
The Bensleys (p. 151) advise intra-
venous injection of 4 cc. sat. filtered
aq. indigo-carmine per kilogram of body
weight. Fix by vascular perfusion with
formalin alcohol (neutral formalin, 10
cc; absolute alcohol, 90 cc.) or by im-
mersion in it. Counterstain frozen sec-
tions with Mayer's Acid Carmine or
with 1% acridine red. Another way is
to imbed (in paraffin), section, clear and
examine with or without this counter-
staining.
Indigotine la, see Indigo-Carmine.
Indin Blue 2rd, see Naphthol Blue R.
Indium, see Atomic Weights.
Indo Reaction for phenols. Formation by
oxidation of an aromatic paradiamine in
presence of tissue phenol of a blue or
green indamine. A difficult reaction
(Lison, p. 142). See Lison's study of
the venom gland of toads (Lison, L.,
C. Rend. Soc. de Biol., 1932, 111,
657-^58).
Indol Compounds, see Nitro Reaction,
Nitrosamino Reaction.
Indophenol Blue (CI, 821). This is formed
by oxidation of a mixture p-amino-
dimethylaniline and a naphthol. Conn
(p. 73) says that this is probably the
dye employed for staining fat byHerx-
heimer, G., Deut. Med. Wochenschr.,
1901,27,607-609.
Indophenol 1. See Oxidation-Reduction.
Indophenol Oxidase, see Nadi Reagent,
Cytochrome, Oxidase.
Indophenols. Dyes closely related to inda-
mines. Example: indophenol blue.
Indulin. 1. Spirit soluble (CI,860)— spirit
indulin and spirit nigrosin R.
2. Water soluble (CI, 861)— fast blue
B, OB, R, etc., soluble indulin 3B —
An infrequently used acid azin dye.
Lynch, J. E., Zeit. f. wis. mikr., 1930,
46, 465-469; Cumley, R. W., Stain
Techn., 1935, 10, 53-56.
Indulin Black, see Nigrosin, water soluble.
Infra Red photography shows split appear-
ance of chromosomes (Ganesan, D., J.
Roy. Micr. Soc, 1939, 59, 75-78) and
gives better definition of epiphyseal
layers of normal and rachitic bone
(Siegel, L., Allen, R. M., McGuire, G.
and Falk, K. G., Am. J. Path., 1939, 15,
273-277). Guardabassi, M., C. rend.
Soc. de Biol., 1935, 118, 559-561 has
used this technique for alcohol fixed
sections of brain of rabid dog sensitized
with rubrocyanine to demonstrate struc-
ture of Negri bodies. Transmission of
infra red light through the skin facili-
tates photography of superficial veins
in the living state. Resolution with this
light of relatively long wave length is
inferior to that with visible light.
Injection, see Microinjection. Perfusion
of blood vessels and Neutral Red
method of staining pancreas by vascular
injection.
Innervation, determination by dissection
(Wharton, L. R., Anat. Rec, 1937, 67,
467-475). Place tissue sheets or thin
organs on writing paper. Allow to
adhere 5-10 min. Place in 1 part gly-
cerol, 1 part glacial acetic acid and 6
parts 1% aq. chloroal hydrate, 18 hrs.
Glycerol, 1 part ; Ehrlich's hematoxylin,
1 part; and 1% aq. chloral hydrate, 6
parts, 24 hrs. or more. If overstained
decolorize in first solution or in 1%
hydrochloric acid in 70% alcohol.
Transfer to glycerol 10 days. Dissect
under binocular microscope in fresh
glycerol. To make permanent prepara-
tions, pass up to 95% alcohol, then
through bergamot oil, 2 parts; cedar
oil, 1 part; and pure carbolic acid liq-
uefied by heat, 1 part, to xylol. Mount
in balsam. See Nerve Endings.
Inoculation is to introduce materials into
the body usually disease producing or
antigenic. They are in reality injected
and we speak of injecting a host of
different substances, see in this connec-
tion Microinjection, Perfusion and
Transplantation.
Insects. For whole mounts of large insects
Stapp, P. and Cumley, R. W., Stain
Techn., 1936, 11, 105-106, specify abs.
ale, 5-15 days; 95, 85, 70, and 50% each
15 min. Ale 35%, 30 min. Equal
parts H2O and H2O2 -f trace NH4OH,
12-24 hrs. Ale. 35, 50, 85, and 95%,
15 min. each. Abs. ale. 2-3 changes,
3 days or more. Toluol, 10-21 days.
Pass from thin to thick dammar and
mount. Perhaps the simplest method
for small insects (fleas, etc.) is simply to
drop them in creosote, U.S. P. and after
24 hrs. to mount them directly in balsam
INTERFERENCE COLORS
164
IODINE NUMBER
(Fox, 1., Science, 1942, 96, 478). Sec-
tioning is facilitated by methods de-
signed to soften Chitin, see also Fleas,
Ticks. Use of fluorescence microscopy
in entomology (Metcalf, R. L. and Pat-
ton, R. L., Stain Techn., 1944, 19, 11-
27). In making preparations of insect
tissues one must of course be on the
lookout for infecting organisms. A
well illustrated volume, giving many
technical details, is that of Paillot, A.
L'Infection Chez Les Insectes. Im-
primerie de Tr^voux, G. Patissier, 1933,
535 pp.
Interference Colors for daylight, Newton's
scale, see McClung's Microscopical
Technique, 1950, p. 633.
Intermitotic Cells, see Cell Classification.
Intestinal Protozoa. 1. Johnson's rapid
iron hematoxylin method (Johnson,
C. M., Am. J. Trop. Med., 1935, 15, 551).
Fix thin smears 10 min. in Schaudinn's
fixative containing 5-10% glacial acetic
acid (37°-45°C). Treat for 5 min. with
iodine in 95% alcohol (port wine color).
After placing in 70% alcohol for 5 min.
rinse in tap water 1-3 min. Mordant
in 4% aq. iron alum (purple crystals)
for 15 min. Rinse in tap water 1-2
min. and stain for 10 min. in 0.5% aq.
hematoxylin (10 cc. 5% hematoxylin in
95% ale. plus 90 cc. aq. dest.). Differ-
entiate in 0.25% aq. iron alum 6-10 min.
for flagellates and 12 min. for amoebae.
After washing in running water for 3-
30 min., dehydrate in ale, clear in xylol
and mount.
2. Long method of Heidenhain (Q.M.
Geiman in Simmons and Gentzkow,
p. 616). Recommended for Balanti-
dium coll and for permanent mounts.
This is practically the same except for
longer mordanting and staining. See
Iron Hematoxylin and Iron Hematoxylin
Single Stain.
Intestine. Difference in appearance of wall
when contracted and normally distended
(Johnson, F. P., Am. J. Anat., 1912-13,
14, 235-250). Alterations in human
mucosa from absorption of fat and from
fasting (Cowdry's Histology, pp. 302-
305). Effect of different dehydration
and clearing agents on intestine (Ralph,
P., Stain Techn., 1938, 13, 9-15). Ros-
enberg, L. E., Stain Techn., 1940, 15,
53-56 has given an interesting account
of postmortem autodigestion. Mingaz-
zini phenomenon (Macklin, C. C. and
M. T.,J. Anat.,1926, 61, 144-150). See
Large and Small Intestines.
Intracellular Phase, see Chloride.
Intranuclear crystals. Hepatic cells of
dogs. Determination of properties
(Weatherford, H. L., and Trimble,
H. C, Anat. Rec, 1940, 77, 487-502).
Intranuclear Inclusions, see Nuclear In-
clusions.
Intravitam Staining, the same as Vital
Staining but different from Supravital
Staining, which is upon or after, the
death of the animal whose tissues are
stained.
lodeosin B, see Erythrosin, bluish.
Iodides. Histochemical localization not
feasible (Gersh, I. and Stielglitz, E. J.,
Anat. Rec, 1933, 56, 185-193). As ex-
plained by Glick, p. 34, a precipitating
agent to fix iodide will also precipitate
protein and thus prevents its own pene-
tration into the tissue.
Iodine, detection of: 1. Ionized iodine in
the form of iodides. Stieglitz (E., J.
Pharm. and Exp. Therap., 1924, 22,
89-98) injects 20 cc. 5% aq. lead nitrate
intravenously into an animal to be killed
and fixes the tissue in formalin. In the
sections, iodine is found in the form of
yellow crystals of lead iodide. Methods
have been reviewed by Gersh and Stie-
glitz (I. and E. J., Anat. Rec, 1933, 56,
185-193).
2. Methods for iodine in organic com-
bination appear to be unsatisfactory.
The whole subject of iodine has been
critically considered by Lison (p. 111-
113). See Gram's and Lugol's solu-
tions.
Iodine, as a stain is one of the stains used
for Glycogen and Starch Grains. It is
also advised in the form of Lugol's solu-
tion to bring out in frozen sections of
nervous tissue certain extremely minute
bodies in the cytoplasm and along the
processes of nerve cells bv Adamstone,
F. B. and Taylor, A.B., Science, 1946,
104, 111. See Gram-Pappenheim stain
and Gram Stain for bacteria.
lodine-Eosin stain of Donaldson, R., Lan-
cet, 1917, 1, 571 is highly recommended
by Craig, p. 45 for intestinal amebae
and flagellates. Saturate one volume of
5% aq. potassium iodide with iodine
crystals and mix with equal volume of
sat. aq. eosin (yellow aqueous eosin).
Mix small drop with a little feces on
slide, cover and examine. Cysts of
amebae and flagellates, yellow to green-
ish yellow in red background; glycogen
bodies within cysts, brown.
Iodine Green (CI, 686), closely related to
methyl green, only used occasionally.
Iodine-Iodide Solution. This term is em-
ployed for almost any solution contain-
ing iodine and iodide as Lugol's and
Grams.
Iodine Number of lipids, see Schmidt-
Nielsen, K., C. rend. trav. lab. Carls-
berg, S^r. Chim., 1944, 22, 87-96 and
Kretchmer, N., Holman, R. T. and
Burr, G. O., Arch. Biochem., 1946, 10,
101-105.
IODINE VIOLET
165
IRON
Iodine Violet, see Hofmann's Violet.
Iris Blue, see Resorcin Blue.
Iris Violet, see Amethyst Violet.
Iron occurs in tissues "masked" in organic
compounds which are not ionisable and
free in inorganic compounds which are
ionisable into ferric and ferrous salts.
1. Macallum's hematoxylin method
depends upon the formation of a blue
black iron hematoxylinate. The tissue
is fixed in 95% alcohol 24-48 hours,
dehydrated, cleared, imbedded in paraf-
fin and the sections are passed down to
distilled water. Contact with iron is
reduced to a minimum. The microtome
knife must be free of rust. Treat sec-
tions with a freshly prepared straw
yellow 0.5% aqueous solution of hema-
toxylin which must be of the highest
purity. Inorganic iron produces the
blue-black compound which is rela-
tively insoluble. Dehydrate, clear and
mount in balsam in the usual way.
The technique for organic iron is
more difficult because it must be un-
masked before it will react in this way.
The best account is Nicholson, F. M.,
J. Comp. Neurol., 1923, 36, 37-87. In
studying the cytoplasmic iron contain-
ing proteins of nerve cells of the medulla
of rats, he fixed in 95% alcohol 48 hours ;
dehydrated in absolute alcohol 2-5
hours; cleared in cedarwood oil until
transparent; imbedded in paraffin (2
changes) and cut sections 7/1. After
being deparaffinized, the sections were
passed through alcohols to 4% pure
sulphuric acid in 95% alcohol held at
60 °C. for 5-60 minutes. This liberated
the iron. The sections were washed in
95% alcohol ; passed down through
graded alcohols to aq. dest., and placed
in freshly prepared 0.5% aqueous
hematoxylin, 1-5 minutes in which the
blue-black hematoxylinate forms . Then
wash in aq. dest. (not tap water).
Counterstain in dilute alcohol erythro-
sin and mount as usual. As a check the
nuclear chromatin of sections not treated
with the acid alcohol should not be
colored black by this hematoxylin
solution . Difficulty may be experienced
because the color of the unmasked iron
is faint. The reaction is a chemical one
of great delicacy and requires practice.
Pancreatic acinous cells also afford
favorable material. Look for cyto-
plasmic iron in the poles distant from
the lumen where thechromidial material,
which resembles the Nissl bodies, is
most concentrated.
2. Prussian blue reaction. Prepare
sections in the same way, deparaffinize
and test as described in Lee (p. 291).
For ferric salts of inorganic iron wash in
aq. dest., 2% aqueous potassium ferro-
cyanide, 3-15 minutes; Prussian blue
is formed, wash, dehydrate, clear and
mount. For ferrous salts substitute
ferricyanide for ferrocyanide in the test.
For both use equal parts of ferrocyanide
and ferricyanide. When the iron is
organic it is unmasked by treating the
sections with 3% pure nitric acid in 95%
alcohol for 24-36 hours at room tem-
perature or at 35 °C. if necessary. Wash
in pure 90% alcohol and in aq. dest.
Place in equal parts freshly made of
1.5% aqueous potassium ferrocyanide
and 0.5% aqueous hydrochloric acid for
not more than 5 minutes. Wash well
in aq. dest., colored with eosin or
safranin, dehydrate, clear and mount.
Hemosiderin gives Prussian blue
reaction for inorganic iron. The iron in
hemoglobin is not unmasked by these
acid alcohols. Brown, W. H., J. Exper.
Med., 1911, 13, 477-485, devised special
methods for its demonstration. Test-
ing for iron in association with calcium
particularly in bone is critically de-
scribed by Cameron, G. R., J. Path,
and Bact., 1930, 33, 929-955. He em-
phasizes the fact that exposure of tissues
and fluids to dust in a city like London
is an important source of error.
3. Microincineration yields a mineral
residue that contains iron originally
both organic and inorganic. Color of
the iron oxides, viewed in the dark field,
varies according to Policard (C. rend.
Acad. d. sc, 1923, 176, 1187) from yellow
to deep red. He suggests that perhaps
the yellow to brown ash is of organic
iron and the red ash is of free iron. See
also Marza, V. D., Marza, E., and
Chiosa, L. Bull, d'hist. Appliq., 1932,
9, 213. Scott (McClung, p. 758) warns
against confusion with carbon.
4. Hydroxyquinoline test (Thomas,
J. A. and Lavollay, J., Bull. d'Hist.
Appl., 1935, 12, 400^402). Fix in alco-
hol, trichloracetic acid or neutral forma-
lin. Avoid formol with alkaline water
and fixatives containing chromium.
Make up reagent by dissolving 2.5 gra.
8-hydroxyquinoline in 4 cc. pure acetic
acid warming gently. Add quickly aq.
dest. to make 100 cc. Filter. Wash
sections (or smears or cultures) well in
neutral aq. dest. Then add few drops
of reagent 5-15 min. Pour off reagent.
Add to preparation 1 drop 25% aq.
ammonia which produces a ppt. Wash
in a stream of neutral aq. dest. If
large crystals remain wash more ener-
getically. Stain nuclei with lithium
carmine. Examine in neutral aq. dest.
or dehydrate in terpinol and mount in
vaseline oil. Iron, green black; nuclei,
red. Recommended for localization of
iron in granules of vitellus, in red blood
IRON HEMATOXYLIN
166
ISAMINE BLUE
cells, and in connection with micro-
incineration. Said to be better than
Prussian Blue reaction for iron.
5. Dinitrosoresorcinol (Humphrey,
H. A., Arch. Path., 1935, 20, 256-258).
Treat paraffin sections of formalin fixed
tissue with 30% aq. ammonium sulphide,
1 min. Rinse in water and immerse in
sat. aq. dinitrosoresorcinol (Eastman)
6-20 hrs. A counterstain can be em-
ployed. Humphrey does not say which.
1% eosin in 50% alcohol should be satis-
factory because the iron containing com-
pounds such as hemosiderin are colored
green. Wash, dehydrate, clear and
mount.
Intravenous injections of colloidal
solutions of iron in rabbits are described
by Duhamel, B. G., C. rend. Soc. de
Biol., 1919, 82, 724-726.
6. A clinical demonstration of iron in
the skin in hemochromatosis involves
intradermal injection of equal parts of
sterile 0 5% aq. potassium ferrocyanide
and 1/100 N hydrochloric acid. This
produces a wheal which turns dark blue
in 5 min. A positive reaction can even
be obtained after death. (Fishback,
H. R., J. Lab. & Clin. Med. 1939-40,
25, 98-99).
In special cases, as in the analysis of
small amounts of epidermis, resort may
be had to a quantitative polarographic
determination of iron, see Carruthers,
C. and SuntzefT, V., J. Nat. Cancer
Inst., 1942,3, 217-220.
Kirk, P. L. and Bentley, J. T.,
Mikrochemie, 1936, 21, 250^259 advo-
cate a titrimetric method for iron. The
difficulty of interference by small
amounts of copper has been overcome
by Ramsav, W. N. M., Biochem. J.,
1944, 38, 467-469. Click (p. 277) is of
the opinion that such methods may be
adapted for use with the quantities of
material employed in histochemical
work.
Iron Hematoxylin of Heidenhain is one of
the standard stains. It will give excel-
lent results after almost any good fixa-
tion. Zenker's fluid and formalin-
Zenker are suggested. Bring paraffin
sections down to aq. dest. Mordant in
5% aq. iron ammonium sulphate (iron
alum, light violet colored crystals, dis-
card the brownish material accompany-
ing them) 12-24 hrs. Rinse quickly in
aq. dest. Transfer to 1% aq. hema-
toxylin (made up by diluting 1 cc. sat.
sol. hematoxylin in abs. ale. with 99 cc.
aq. dest.) for 12-24 hrs. Differentiate
under microscope in 1% aq. iron alum.
Wash thoroughly in tap water. Many
counterstains can then be used such as
1% aq. Bordeaux red, orange G., acid
fuchsin, acridine red, or Mucicarmine.
Dehydrate, clear and mount. Nuclei
dense blue-black in background of color
selected. See Centrosomes, Nuclei,
Regaud's Method for mitochondria.
1. Koneff, A. A., Anat. Rec, 1936,
66, 173-179 advises use with anilin blue.
Mordant sections 5-10 min. in 5%
aq. iron ammonium sulphate. Rinse
quickly in aq. dest., stain 3-15 min. in
Harris' hematoxylin. Rinse again in
aq. dest. and stain in: anilin blue
(Griibler) 0.1 gm. ; oxalic acid, 2 gm. ;
phosphomolybdic acid, 15 gm. and aq.
dest. 300 cc. Wash in aq. dest., differ-
entiate in alcohol, dehydrate (2 changes
of absolute), clear in xylol and mount in
balsam. If euperal is used for mounting
omit the xylol. Nuclei, violet-brown;
cytoplasm, light brown; erythrocytes,
dark violet; myelin and muscle brown;
elastic fibers, reddish brown to red.
2. Lillie, R. D. and Earle, W. R.,
Am. J. Path., 1939, 15, 765-770 recom-
mend employment of a hematoxylin
containing ferric and ferrous iron: (A).
Ferric ammonium sulphate, violet crys-
tals, 15 gm.; ferrous sulphate, 15 gm.;
aq. dest., 100 cc. (B). Hematoxylin,
1 gm.; 95% alcohol, 50 cc, glycerin,
C.P., 50 cc. Mix A and B in equal
quantities before using. For best
general discussion of iron hematoxylin,
see Lillie, p. 58.
Iron Hematoxylin Single Stain — Written by
Morris Goldman, Dept. of Parasitology,
School of Hygiene and Public Health,
Johns Hopkins University, Baltimore.
January 29, 1951 — This stain is useful
for the purpose of diagnosing intestinal
protozoa occurring in fecal smears. It
is not intended to replace the longer and
more precise iron hematoxylin methods.
The stain is prepared from the following
relatively stable solutions: Solution A:
1% hematoxylin in 95% ale. (best pre-
pared from a stock 10% ale. solution of
hematoxylin). Solution B: NH^Fe-
(804)2- I2H2O, 4.0 gms., glacial acetic
acid, 1.0 ml., concentrated H2SO4, 0.12
ml., and aq. dest. to make 100 ml. Mix
equal parts of Solution A and B, filter
after several hours and use. Staining
time varies from 30 sec. when stain is
fresh to 3 min. after 24 hrs. Discard
stain after 3 days. Fecal smears are
fixed in Schaudinn's, passed through
iodine alcohol to 50% alcohol, stained,
washed in running tap water 5 minutes,
dehydrated and mounted. The stock
solutions used in this technique may
also be used in the Heidenhain iron
hematoxylin procedure.
Iron Pigments, see Berlin and Turnbull blue
reactions.
Iron, Radioactive. See Erythrocytes.
Isamine Blue is described by Conn (p. 137)
ISLETS OF LANGERHANS
167
JALOWY
as a sulfonated naphthyl-rosanilin or
naphthyl-pararosanilin. He questions
the synonym (alkali blue XG) given in
the Colour Index. This acid has been
much used as a Vital Stain in European
laboratories. It is not made in the
United States.
Islets of Langerhans of the pancreas . There
are many techniques for the study of
these cellular masses.
1. To study in the living state the
method employed by O'Leary, J. L.,
Anat. Rec, 1930, 45, 27-58 is recom-
mended. It consists essentially of
partly withdrawing the pancreas from
a mouse and of mounting it in such a
way that a thin film of tissue can be
closely examined with circulation still
active. The islet cells can be studied
with oil immersion lenses and the
changes in them on the injection of
insulin noted.
2. To obtain an idea of the distribu-
tion, number and size of the islets
supravital staining with Neutral Red
or Janus Green is indicated, which see.
3. To stain the cell types specifically
Neutral Gentian and other stains
advised by Lane, Bensley and their
followers are available. The Azan Stain
suggested by Bloom, W., Anat. Rec,
1931, 49, 363-371 (see his beautifully
colored plate), has been further investi-
gated by Gomori, G., Anat. Rec, 1939,
74, 439-459 whose technique abbreviated
is as follows : Fix thin slices of pancreas
in Bouin's fluid 8-10 hrs. Wash in aq.
dest. Imbed in paraffin and cut ifi sec-
tions. Stain 45-60 min. at 56°C. in
azocarmine. (To make dissolve 0.1%
azocarmine in aq. dest. Boil about 5
min. Cool and add 1.0 cc glacial acetic
acid to each 50 cc. solution. Before use
filter at 60 °C. Stain will keep for
months.) Rinse quickly inaq. dest. and
blot. Destain in 90% alcohol containing
1% aniline oil until acinous tissue is al-
most wholly decolorized and B cells
show red against pink background of A
cells. Rinse briefly and treat with 5%
aq. iron alum for 5 min. or more. Rinse
again and stain 2-20 min. in the usual
mixture (anilin blue, 0.5 gm.; orange
G, 2.0 gm.; + aq. dest. to make 100 cc.)
diluted with 2-3 times its volume of aq.
dest. until under the microscope colla-
genic tissue becomes deep blue. Rinse
and blot. Differentiate and dehydrate
in absolute alcohol, clear in xylol and
mount in balsam. Cytoplasm of A cells
rich orange yellow, of B cells fiery red
and of D cells sky blue. The author
states that by first staining with Bens-
ley's neutral gentian, decolorizing and
restaining by above Azan method it can
be seen that there is no gradation be-
tween A and B cells.
Isoelectric Points of cellular structures.
Methods for their determination at con-
trolled pll's by intensity of staining
have been critically evaluated by Levine,
N. D., Stain Techn., 1940, 15, 91-112.
His conclusion is that no true isoelectric
points have yet been established for
nucleus, cytoplasm or other tissue ele-
ments by tliese techniques. See re-
ticulo-endothelial cells (Fautrez, J.,
Bull. d'Hist. Appl., 1936, 13, 202-200).
Isohematein, as a biological stain (Cole,
E. C, Stain Techn., 1931, 6, 93-96).
Greater tinctorial power than hematox-
ylin but less selective.
Isomerase with Aldolase are known as
Zymohexase.
Isopentane recommended by Hoerr, N. L.,
Anat. Rec, 1936, 65, 293 for freezing in
the Altmann-Gersh technique.
Isopropanal in combination as a new fixative
for animal tissues which also dehydrates
(Cleverdon, M. A., Science, 1943, 97,
168). Isopropanal, 55 cc; picric acid,
5 gms., acetone, 30 cc; glacial acetic
acid, 55 cc; formalin (40% formalde-
hyde CP), 5 cc Fix 2 hrs.— 4 days de-
pending on size. Store in 70% iso-
propanal or imbed in paraffin after first
washing in 2 changes nearly absolute
isopropanal. Remove picric acid from
mounted sections just before staining
with 1.5% ammonium hydroxide in 95%
alcohol.
Isopropyl Alcohol. Has been recommended
as a substitute for ethyl alcohol since it
mixes with water and xylol. It is said
to be less hardening than ethyl alcohol
(Bradbury, O. C, Science, 1931,74,225)
but it is more expensive. See Herman,
C. M., J. Lab. & Clin. Med., 1941,26,
1788.
Isorubin, see New Fuchsin,
Iso-Safrol is obviously an isomer of safrol
which is given as 3,4-methylene-dioxy-
allylbenzene in the Merck Index. Iso-
saf role is listed among Eastman's organic
chemicals. It is sometimes recom-
mended as a partly dehydrating and
clearing agent (Silver Citrate injection
of blood vessels, etc) but in all likeli-
hood other clearing agents can be used
as substitutes.
Isospora, see Coccidia.
Jacobson's Organ, innervation, Bellairs,
A., J. Anat., 1942, 76, 167-177.
Jalowy modification of Hortega method for
the skin (Jalowy, B., Zeit. f. Zellf. u.
Mikr. Anat., 1937, 27, 667-690). To
make reagent wash ppt., formed by
adding 20 drops 40% aq. NaOH to 20 cc.
10% aq. silver nitrate, 10 times with
aq. dest. Suspend ppt. in 20 cc. aq. dest.
Add ammonia drop by drop till it dis-
JANSSEX'S IRON HEMATOXYLIN
168
JOHNSON'S NEUTRAL RED
solves. Add 100 cc. aq. dest. and store
in dark. Deparaffinize sections of tissue
fixed 1-2 days in neutral formalin.
Treat with above reagent 5-30 miu. at
30°C. Rinse in aq. dest. and in ammonia
water. After treating with 1 part neu-
tral formalin to 4 of aq. dest. wash in
running water, dehydrate, clear and
mount in balsam. Collagen, yellow to
brownish yellow; reticular fibers, black.
Janssen's Iron Hematoxylin recommended
in place of Weigert's acid iron chloride,
hemato.xylin (Lillie, R.D. and Earle
W.R. Stain Technol., 1939, 14, 53-54).
Janus Blue can be used in exactly the same
ways as Janus green and with equal
success.
Janus Dyes. Named after the God, Janus
with two faces since they often exhibit
two colors. Their chemistry and use in
histology is described by Cowdry, E. V.
Contrib. to Embryol., Carnegie Inst.
Washington, 1918, No. 25, pp. 39-148.
Janus green (formerly made by Grub-
ler) is safraninazodimethylanilinchlo-
ride. This is useless for staining
mitochondria.
Janus green C (Hoechst) is dimethyl
safraninazodimethyl anilinchloride. This
likewise is useless for mitochondria.
Janus green B (Hoechst) is diethyl-
safraninazodimethylanilinchloride. This
is the most specific stain for mito-
chondria and is now supplied by many
companies both as Janus Green B and
simply as Janus Green.
Janus blue G and R (Hoechst) is
diethylsafranin-B-naphthol and stains
mitochondria as well as Janus Green B.
The marks G and R indicate differences
in method of manufacture not different
dyes.
Janus black D, I, II and 0 (Hoechst),
of these Janus Black I is a mixture of two
substances Janus green B and a brown
dye. It colors mitochondria by virtue
of the former.
Janus gray B, BB (Hoechst) are also
safranin derivatives but useless for
mitochondria.
Janus yellow G, R, (Hoechst) likewise
safranin derivatives and no good for
mitochondria.
Diethylsafranin is a reduction product
of Janus green B. It is a red dye which
colors mitochondria specifically but not
very strongly.
Janus Green B (Diazingriin) is diethyl
safraninazodimethylanilinchloride. Ja-
nus green now sold without the qualifica-
tion B is usually the same substance
because it has become well known that
the dye required must have the composi-
tion indicated. Owing to its toxicity
Janus green cannot be injected into
living animals like trypan blue and other
"vital" stains. It is employed as a
supravital stain by simply immersing
tissues in it or better by its injection
into the vessels of a freshly killed animal
the individual cells of which remain for
some time alive. Janus green is the
best supravital stain for mitochondria.
Janus green is also very useful for stain-
ing the islets of Langerhans of the
pancreas and the renal glomeruli of the
kidney when injected intravascularly,
see Neutral Red. Both islets and
glomeruli are colored deep bluish green
against a background at first colorless,
or faintly green, and changing to pink
by reduction of the dye to diethyl-
safranin. This permits the counting of
islets and glomeruli in pieces of tissue
mounted in salt solution and observed
at low magnification. When the oxygen
is further consumed by the cells the dye
is reduced to a second colorless leucobase.
It is therefore an oxidation -reduction
indicator as well as a specific stain for
mitochondria. See Neutral Red-Janus
Green stain.
Janus Red B (CI, 266), a basic disazo dye
of light fastness 4. Action on paren-
chyma described (Emig, p. 36).
Jaws, see Teeth and
Jenner-Giemsa method of Pappenheim (see
May-Giemsa).
Jenner's Stain for Leishmania as described
by Craig, p. 146: To make, mix equal
parts 1.2% water soluble eosin (Grub-
ler or NAC) in acid free aq. dest. and
1% aq. medicinal methylene blue in a
flask. Shake thoroughly and let stand
at room temperature 24 hrs. Collect
ppt. on small filter paper and wash with
aq. dest. till filtrate is almost colorless.
Dry ppt. and store in dark at room
temperature. Dissolve 0.5 gm. ppt. in
100 cc. pure methyl alcohol (Merck's
Reagent). Cover smears with this 1-2
min. Then add aq. dest. drop by drop
till metallic sheen forms on surface.
Leave 5-15 min. longer as desired for
intensity. Method said by Craig to be
less reliable than Giemsa, Leishman or
Wright techniques.
Johnson's Neutral Red stain for Nissl
bodies (Addison in McClung, p. 450).
Ripen 1% aq. neutral red 1-4 years.
Dilute to 0.25-0.5% before using. Differ-
entiate and dehydrate in the usual way.
Clear in 1 part xylol + 2-3 parts castor
oil. Gives good results in thick sections
(50m) and can be employed after silver
methods on tissues fixed in alcohol or
formalin.
Kirkman, I. J., Anat. Rec, 1932, 51,
323-326 used the following unripened
stain after Bouin and formalin fixatives :
neutral red (Coleman & Bell), 1 gm. ; aq.
dest., 500 cc, 1% aq. glacial acetic acid,
JOINTS
169
KERATOHYALIN GRANULES
2 cc. 10-20 min. is sufficient for counter-
staining Weigert-Pal preparations.
Then rinse in aq. dest., differentiate in
95% alcohol, dehydrate in absolute, clear
and mount.
Joints. Meniscus (Raszela, F., Bull.
d'Hist. Appl., 1938, 15, 186-210).
Jolly Bodies. These structures are nuclear
remnants in erythrocytes that are
strongly colored by Giemsa's Stain.
Jores' Solution, see under Color Preserva-
tion of gross specimens.
Kabunylin, a dye extracted from beetroot.
Said to be good for use with picrofuchsin
(Fuse and Hino, Arb. Anat. Inst, zu
Sendai, 1937,20, 111-113).
Kaiserling's Solution, see under Color
Preservation of gross specimens.
Kaliichrom, a combination of cresyl violet
and auramin recommended for both
plant and animal tissues (Kisser, J.,
Mikr. f. Naturfreunde, 1931, 9, 95).
Kardos-Pappenheim modification of Giem-
sa's stain (Kardos, E., Folia haematol.,
Archiv., 1911, 12, 39). To make the
methyl green-orange stain mix 2% aq.
orange G. with concentrated aq. methyl
green. Filter, dry the ppt. and dis-
solve in methyl alcohol. Shake well
together 5 drops methyl green-orange, 10
drops of Giemsa's stock solution and 15
cc. aq. dest. The fluid under the foam
is used for staining. First fix and stain
the blood smear with May-Griinwald
mixture 3 minutes ; add equal volume aq.
dest., 1 minute; pour off and add the
methyl green-orange 15 minutes; wash
quickly in water and blot dry.
Karo, white corn syrup (Corn Products Co.)
is a useful medium for mounting whole
insects because they can be transferred
to it directly from water or weak alcohol
and clearing is unnecessary (Patrick,
R., Science, 1936, 33, 85-86).
Karotin, see Carotin.
Karyosome (G. Karyon nut, nucleus +
soma, body). A basic staining or chro-
matin-nucleolus, in contrast to a plasmo-
some, generally more numerous, smaller
and of less regular shape often called a
net-knot.
Kerasin is a Cerebroside.
Keratin, a scleroprotein contained in hair,
nails, horns, epidermis, etc. There are
apparently two sorts. Their chemistry
is discussed by Giroud, A., Bulliard, H.
and Lebond, C. P., Bull. d'Hist. Appl.,
1934, 11, 365-373. See Orange II, Oral
Mucosa.
Keratohyalin Granules, separation and
analysis — Written by Donald L.
Opdyke, Dept. of Anatomy, Washing-
ton University Medical School, St.
Louis, Mo. November 8, 1951 — Highly
refractile cytoplasmic granules of vary-
ing size found in the cells of the stratum
granulosum of stratified squamous
epithelia. They were first described by
Langerhans in 1882 and were called
"keratohyalin" by Waldeyer who as-
cribed to them a constant relation to the
process of cornification.
The tinctorial properties of these
granules may be summarized as follows:
They stain beautifully with picro-
carmine, have an intense affinity for all
of the hematoxylin stains and stain as
well with unoxidized hematoxylin as
with the aged stain. They stain meta-
chromatically with toluidine blue, and
after staining with crystal violet and
iodine they resist destaining by acetone.
They do not stain by the Feulgen pro-
cedure but give beautifully intense
reactions to the Bauer, Iodine, and
Best's Carmine technics for glycogen.
The reactions with the P.A.S. method of
McManus give varying results. The
granules are not tannophil; do not
osmicate or stain with the Sudan dyes.
They are argentophil.
Microincineration studies reveal large
concentrations of mineral in the
granules as demonstrated by quantities
of the white ash typical of calcium
and/or magnesium. These ashed sec-
tions, as well as unashed sections show
intense reactions of the granules to the
gallamine blue staining method of
Stock, A., J. Roy. Micr. Soc, Series
III, 1949, 69, 20-24.
Enzyme studies have resulted in dis-
agreement in the literature with respect
to ribonuclease digestibility, but the
granules are definitely not totally digest-
ible in ribonuclease, hyaluronidase,
crystalline trypsin or salivary enzymes.
They are readily dissolved by elastase.
The most striking features of these
granules, both tinctorially and histo-
chemically, are their similarities to
elastic fibers: These common features
include their tinctorial reactions to
Verhoeff's procedure, congo red, and
orcein; their affinity for mineralization
with calcium salts; their solubility in
the elastolytic enzyme of Bal6 and
Banga (See Elastic Fibers).
References for the above data are:
Lansing, A. I., and Opdvke, D. L.,
Anat. Rec, 1950, 107, 379 398; Smith,
C, and Parkhurst, H. T., Anat. Rec,
1949, 103, 649-674; and unpublished
work of D. L. Opdyke.
The origin of these granules is much
debated. Stam, Von F. C, Acta
Dermato-Venereol., 1951, 31, 407-411
believes them to be extruded nucleoli.
Favre of the Bacteriological Institute of
Lyon is of the opinion that they are
formed by the spiral shaped mito-
chondria of the basal layer of the epi-
KERMES
170
KIDNEY
dermis (Favre, M. Ann. de Dermat. et
Syph., 1950, 10 (3) , 241-262) . The litera-
ture 1886 to date includes reports of the
origin of keratohyalin granules from
nuclear substance, intercellular fibrils,
and cytoplasm.
The particulate nature of the granules
has been demonstrated recently by their
isolation from epidermis (D. L.
Opdyke). Epidermis is separated by
the heat method of Baumberger, J. P.,
Suntzeff, v., and Cowdry, E. V., J.
Nat. Cancer Inst., 1942, 2, 413-423. The
sole of the foot offers an ideal place to
obtain keratohyalin granules.
After separating the epidermis from
the dermal layers, the proximal side of
the epidermal sheet is scraped with a
knife, removing all of the epidermis in
fine shavings down to the highly trans-
parent, thick stratum corneum. The
shavings are then homogenized in a
Waring Blendor until no cells remain
intact. This homogenate is made in a
0.85% NaCl solution of pH 7.3 to which
a crystal of thymol is added to minimize
bacterial contamination. All proce-
dures are carried out in a cold room.
The process of cell fractionation in the
micro cup of the Waring Blendor re-
quires about 45 min. If 2% citric acid
is employed as the medium, this time
may be reduced to 15 min.
The components of the suspension are
then separated by differential centrif-
ugation. Nuclei and whole cells are
found to sediment at 2.5 to 3 Kg/g.
The keratohyalin granules sediment at
25.2 Kg/g. after 12 min. of centrifuga-
tion. These can be resuspended in
fresh saline, washed, and reprecipi-
tated. They can be distinguished from
mitochondria by their tinctorial
properties.
Kermes. This scarlet dye was known in
Egypt and farther East at a very early
date. Kermes is the Armenian term
for a "little worm", variously identi-
fied as Coccus arborum and Coccus ilicis.
Moses referred to it as "Fola" and
"Fola shami". Remember the promise
of Jehovah: "Though your sins be as
scarlet (Fola) they shall be as white as
snow; though they be red as crimson
(Fola shami), they shall be as wool".
So valuable was Kermes that after the
subjugation of Spain by the Romans
the people were made to pay half of the
tribute in Kermes. At about 1640 a
Dutch chemist discovered the similarity
of this dye to cochineal. Its history
affords interesting reading (Leggett,
W. F. Ancient and Medieval Dyes.
Brooklyn: Chemical Publishing Co.
Inc., 1944, 95 pp.).
Kidney — Written by Jean Oliver, Dept. of
Pathology, State University of New
York, Brooklyn 2, N. Y., September 4,
1951 — Techniques for the general
demonstration of the elements of the
renal tissue, epithelial cells, sustaining
tissues, blood vessels and nerves are
essentially the same as those used for
other organs. Masson's Trichrome
stain has the advantage of affording a
particularly colorful differentiation of
the various elements in a single section.
The individual renal organs that make
up the kindey, the nephrons, can be
isolated in their entirety by maceration
and teasing as described by Huber, G.
C, Cowdry's Special Cytology, 1932,2,
935-977. Partly wash out blood by in-
jecting physiological saline into the
renal artery. Then follow with hydro-
chloric acid (cone. HCl, 3 parts and aq.
dest. 1 part) using care to protect the
eyes. Remove and immerse the organ
in the same fluid. After a suitable time,
determined by excising pieces, wash a
block of tissue with aq. dest. and stain
in Hemalum. Wash in very dilute aq.
sodium hydrate. Isolate individual
tubules by teasing with fine needles.
Wash, and mount in glycerin. With
small mammals Ruber's results were
excellent but he was not satisfied with
his human preparations. The method
has however been well adjusted to the
human kidney by Oliver, J., Architec-
ture of the Kidney in Chronic Bright's
Disease, New York: Paul B. Hoeber,
1939, by a simpler procedure and dis-
sected nephrons may be mounted,
stained and photographed. A method
of montage then affords a demonstra-
tion in their natural continuity of the
cellular elements of the nephron at
high magnification (J. Clin. Invest.
1951, in press).
A clear distinction between glomeruli
and the renal tubules is important. It
is a simple matter to color the former
with 1:5000 Janus blue (which is more
satisfactory for this purpose than Janus
green) in 0.85% aq. sodium chloride by
vascular Perfusion and to determine
their number, size and distribution
against a background of unstained or
faintly rose tinged tubules in slices of
fresh kidney (Cowdry, E. V., Contrib.
to Embryo! . Carnegie Inst., Washing-
ton, 1918, 8, 39-160).
Perhaps in no other organ is it pos-
sible to correlate morphological struc-
ture with functional activity so closely
and by so many methods as in the kid-
ney. See Oliver, J., Am. J. Med.,
1950, 9, 88 for a general statement of
the problem with various examples of
such procedures. As an example, the
technique for the microscopic study in
KIDNEY
171
KIDNEY
vivo of the surface of the guinea pig'a
kidney, and for the marking of single
tubules with India ink for their later
isolation by maceration, is given by
Walker, A. M. and Oliver, J., Am. J.
Physiol., 1941, 134, 562-595. The micro
collection of fluid from single tubules
is as the authors state a direct continu-
ation of the researches of A. N.
Richards. See Oliver, J., Harvey Lec-
tures, 1944^5, 40, 102-155.
Vital staining of kidney tubules is a
valuable method for "seeing" func-
tional activity in morphological form.
It is usually carried out by techniques
not requiring special adaptation. See
Vital Staining. The procedure em-
ployed by Oliver, J., Bloom, F. and
MacDowell, M., J. Exp. Med., 1941,
73, 141-160 deserves mention because
it gives a clear demonstration that the
cells of abnormal proximal convoluted
tubules can be marked by their inability
to concentrate trypan blue which con-
sequently stains the tubule wall
diffusely. This is illustrated in colors.
Microscopic observations, having a
close relation to function, are easily
made on the kidneys of lower forms.
See the account of contractility of the
ciliated necks of renal tubules in Nec-
turus by Lucas, A. M. and White, H.
L., Anat. Rec, 1933, 57, 7-11. The
functional handling of fluorescent dj^es
by the amphibian kidney may be ob-
served microscopically in vivo by means
of ultraviolet light (Ellinger, P., Quart.
J. Exp. Physiol., 1940, 30, 255, and
Singer, E., Anat. Rec, 1936, 66, 343).
The amphibian kidney also lends itself
to the application of the "extra-vital"
method where the functional activities
(secretion of dyes) of the isolated per-
fused kidney are correlated with the
structural aspect of the process by
subsequent histological examination
(Oliver, J. and Smith, P., J. Exp. Med.,
1931, 53, 785; Oliver, J. and Lund, E. A.,
Ibid, 1933, 57, 435).
The study of the renal tubules present
in tissue cultures is useful in the study
of function. Thus Chambers, R. and
Cameron, G., Radiology, 1941, 37,
186-193 have found that susceptibility
to x-rays is increased when a secretory
stimulant is added but that in cultures
it is distinctly less than in vivo. See
references accompanying this paper.
A method has been devised by Crab-
tree, C. E., Endocrinology, 1941, 29,
197-203 of measuring by a differential
count the number of Bowman's capsules
made of cuboidal as contrasted with
squamous cells. The count appears to
provide an index of age and sex varia-
tions in normal mice and of the in-
fluence of testosterone propionate on
castrated mice. The glomeruli may
also be counted in aliquot portions of
macerated renal cortex and decreases
in their number correlated with the
abnormal conditions of disease or
senility (Aratabi, M., Am. J. Anat.,
1926, 36, 399).
Methods for estimating the distribu-
tion of enzymes in the tissue components
of the rabbit's kidney are given by
Weil, L., and Jennings, R. K., J. Biol.
Chem., 1941, 139, 421-432. They de-
pend on topographic correlation be-
tween distribution of cell types in
15 ft frozen sections and decomposition
of substrates. The techniques are ca-
pable of demonstrating catheptic, ami-
nopolypeptidase and esterase activities
in all of the epithelial components and
of showing that the cells of the proximal
and distal convoluted tubules are about
twice as active enzymatically as those
of the ascending and descending loops
of Henle and about 4 times as active as
the cells of the collecting tubules.
Amylase and dipeptidase activities can
also be localized and expressed quanti-
tatively in relative terms.
For the application to proximal con-
voluted tubules in phlorizin glycuresis
of the Kabat and Furth procedure for
alkaline phosphatase see Kritzler, R. A.
and Gutman, A. B., Am. J. Physiol.,
1941, 134, 94-101. See Phosphatase.
Lipase may also be shown by the pro-
cedure of Gomori, G., Arch. Path.,
1946, 41, 121.
Techniques capable of revealing very
interesting data on the shape of cells of
the proximal tubule have been devised
and employed by Foote, J. J., and
Grafflin, A. L., Am. J. Anat., 1942, 70,
1-20. They can probably be employed
to advantage in different functional
states and to other than renal cells.
Methods have been elaborated for
measurement of the renal filtration sur-
face and data have been supplied for
the albino rat (Kirkman, H. and
Stowell, R. E., Anat. Rec, 1942, 82,
373-389). The original paper should
be consulted. See also the measure-
ments of glomerular number and size
in various species by Rytand, D., Am. J.
Anat., 1938, 62, 507. A valuable collec-
tion of measurements of renal struc-
tures will be found in v. Mollendorf-
Handbuch d. mikr. Anat., 1930, VII-1,
20-34.
pH determinations can be made as
described by Emmel, V. M., Anat. Rec,
1940, 78, 361-377 by means of a capillary
glass electrode (Voegtlin, C. and
Kahler, H., Science, 1932, 75, 362) and
a vacuum tube potentiometer (Hill,
KING'S CARBOL-THIONIN
172
KURLOFF BODIES
S. E., Science, 1931, 73, 529). It is
significant that increase in activity of
the renal cortex immediately follows
ligation of the renal artery and that the
mitochondria respond by enspherula-
tion and fragmentation within 6 min-
utes. The kidney is an organ in which
mitochondria must be examined with
the utmost promptness. A delay in
fixation of 15 minutes at room tempera-
ture is sufficient to cause disturbances
in the mitochondrial rodlets of the
proximal convolution. Material from
human autopsies is therefore of ques-
tionable value. Fuller, R. H., Arch.
Path., 1941, 32, 556-568 could find no
relation in a rather large number of
cases studied between age, hours post-
mortem and cause of death (except renal
disease) and quantity and distribution
of stainable lipoid.
The interstitial framework of the
kidney in both normal and pathological
conditions is well shown by the silver
methods that impregnate "reticular"
fibers (q.v.). The "polysaccharide"
content of the interstitial tissue may
be examined by the use of periodic acid
(McManus, J. F. A., Amer. J. Path.,
1948, 24, 643. See also, Ritter, H. B.
and Oleson, J. J., Amer. J. Path., 1950,
26, 639.
The blood vessels of kidney may be
injected with Neoprene (q.v.) and also
with radio-opaque suspensions for a
radiographic demonstration of micro-
arteriography (Barclay, A. J., Amer. J.
Roent., 1948, 60, 1). For a demonstra-
tion of the functional status of the
renal circulation, the fluorescent dye
Vasoflavine may be injected into the
living animal and the kidney removed
and viewed with ultraviolet light
(Moses, J. B., Emery, A. J., and
Schlegel, J. V., Proc. Soc. E.xp. Biol,
and Med., 1951, 77, 233).
The cytoplasmic particulates of the
renal epithelium, (mitochondria, micro-
somes and droplets of absorbed protein)
can be isolated in sucrose suspensions
and examined by standard biochemical
procedures. Cf. Oliver, J., J. Mt.
Sinai Hospital, 1948, 15, 175.
King's Carbol-Thionin stain for Nissl bodies
(Addison in McClung, p. 450). Stain
paraffin or celloidin sections, 2-3 min.,
in sat. thionin in 1% aq. carbolic acid.
Then wash quickly in aq. dest., differen-
tiate in 95% alcohol. Pass through
equal parts absolute alcohol and chloro-
form to xylol and mount in balsam.
Kinney's Method for staining reticulum
(Kinney, E. M., Arch. Path., 1928, 5,
283). Fix 18 hrs. in 1 gm. sodium sul-
phantimonate dissolved in 100 cc. 4%
formalin immediately before using.
Imbed in paraffin, but more than 1 or 2
hrs. in xylol or cedar oil will remove the
dark brown stain from the reticulum.
Hematoxylin is contraindicated as coun-
terstain because it obscures the color of
the reticulum. Other ordinary counter-
stains can be used. This method works
well even with autopsy material. It is
recommended particularly for kidney
and pancreas. Results are sometimes
patchy in the spleen.
Kleinenberg's fixative. Saturated picric
acid in 2% aq. sulphuric acid. Embryos
and marine organisms.
Knee-Joint, method for investigation
therein of radioactive gold (Ekholm,
R., Acta Anat., 1951, Suppl. 15, 11,
75 pp.).
Knisely, see Quartz Rod Technique.
Kolatchew Fluid, see Golgi Apparatus.
Korfif's Fibers of dentin, see Teeth, De-
veloping.
Kossa, see his test for Calcium.
Krajian's Congo Stain. Elastic fibers (Kra-
jian, A. A., Arch. Path., 1934, 18, 378-
380). Fix in 10% formalin, 24 hrs. or
more. Cut frozen sections. Wash
them in tap water. Place in 2% aq.
aluminum chloride 5-10 min. Wash and
stain 10 min. in 8 cc. 4% Congo red in
5% aq. sodium citrate -|- 2 cc. glycerin
C.P. After washing in tap water trans-
fer to 1% aq. KI for 10 sec. agitate.
After again washing in tap water, stain
5-10 min. in:anilin blue, 1.5 gm. ; orange
G, 2.5 gm.; resorcinol, 3 gm.; phospho-
molybdic acid, 1 gm.; aq. dest., 100.
Wash carefully in tap water. Blot sec-
tions on slides. Dehydrate in absolute
alcohol 2 min.; clear in origanum oil;
pass through xylol to balsam. Elastic
fibers bright red, fibrin dark blue.
Krause's End-Bulbs. Methylene blue dem-
onstration of in skin of forearm (Wed-
dell, G., J. Anat., 1940-41, 75, 346-367).
See Skin.
Krause's Membrane. Special technique
for, see Dahlgren (McClung, p. 427).
Kronig's Cement is recommended by Bens-
leys (p. 41) for ringing preparations
mounted in glycerin jelly or glycerin :
7-9 parts colophonium (resin) melted
and stirred with 2 parts beeswax.
Kuff, see Nucleic Acid Dye Interactions.
Kurloff Bodies are cytoplasmic inclusions
which frequently occur in the non-gran-
ular leucocytes of guinea pigs. They
show particularly well in smears of the
spleen, may attain a size equal to that
of the nucleus and can be brilliantly
colored supravitally by 1:2000 brilliant
cresyl blue in physiological salt solution
(Cowdry, E. V. chapter in Rivers 'book
on Viruses, Baltimore, Williams & Wil-
kins, 1928, p. 141).
KULTSCHITZKY'S HEMATOXYLIN 173
LEAD
Kultschitzky's Hematoxylin is 1 gm. hema-
toxylin dissolved in a little alcohol made
up to 100 cc. with 2% aq. acetic acid
(Lee, p. 526).
Lac, a crimson dye obtained from resinous
incrustation caused by the insect, Coc-
cus lacca, of Siam, Indo-China and
Southern India. This dye, introduced
into England about 1790 A.D., became
an important article of commerce in
competition with cochineal of Mexican
origin, but before long proved inferior
to cochineal and was no longer im-
ported. The crimson dyes, Kermes,
cochineal and lac have played im-
portant parts in the history of civiliza-
tion (Leggett, W. F., Ancient and
Medieval Dyes. Brooklyn: Chemical
Publishing Co., Inc., 1944, 95 pp.)
Lacmoid, an indicator similar to Resorcin
Blue.
Lacteals, see Lymphatic Vessels.
Lactoflavin, see Vitamin Bj.
Lactophenol, a fixative for Bilharzial Cer-
cariae. See Lactophenol-cotton blue
technique under Fungi.
Laidlaw's Methods. 1. For inclusion bodies
(quoted from Pappenheimer, A. W. and
Hawthorne, J. J., Am. J. Path., 1936,
12, 625-633, see colored figure, who used
it for cytoplasmic inclusions in liver
cells). Fix in sat. aq. corrosive sub-
limate 100 cc. -f 5% glacial acetic acid
or in Zenker's fluid without acetic.
Imbed in paraffin, cut sections 3m. Re-
move paraffin and pass down to water.
Weigert's iron hematoxylin (2%) 5min.
Differentiate in 0.5% acid alcohol.
Rinse in tap water, then aq. dest. 1%
aq. acid fuchsin 5-15 min. Rinse in
aq. dest. Mordant in 1% phospho-
molybdic acid 30 sec. Rinse in aq. dest.
Differentiate in 0.25% orange G in 70%
ale. Dehydrate, clear ana mount in
balsam.
2. For silver staining of skin and tu-
mors (Laidlaw, G. F., Am. J. Path., 1929,
5, 239-247). Fix in Bouin's fluid or in
10% neutral formalin for 3 days. (To
make the Bouin's fluid he uses, add 100
cc. commercial formalin and 20 cc. glacial
acetic acid to 300 cc. tap water and satu-
rate with picric acid). Fix paraffin
sections to slides by Masson's Gelatin
Glue. Wash Bouin sections for 20 min.
in running water, and formalin ones for
5 min. 1% ale. iodine, 3min., rinse in tap
water. 5% aq. hypo (sodium thiosul-
phate), 3 min., rinse in tap water.
^% aq. potassium permanganate 3 min.,
rinse in tap water, 5% oxalic acid, 5 min.
Wash in running water, 10 min. Aq.
dest. 3 clianges in 5-10 min. to clean
before adding silver. Heat stock Lith-
ium Silver solution to 50°C. and stain
in oven for 5 min. Pour aq. dest. over
both sides of slides. Flood sections fre-
quently for 3 min. with 1% formalin in
tap water. Again rinse both sides of
slides with aq. dest. 1:500 yellow gold
chloride in aq. dest. in Coplin jar at
room temperature, 10 min. Rinse both
sides with aq. dest. Pour on 5% oxalic
acid 10 min. Rinse in aq. dest. Pour
on 5% hypo changing as often as it be-
comes turbid, 10 min. Wash in running
water. Counterstain if desired. De-
hydrate, clear and mount in usual way.
Reticulum, black threads; collagen red-
dish purple.
Lake Ponceau, see Ponceau 2R.
Lampblack. A colloidal suspension of lamp-
black is an excellent substance to inject
intravenously to demonstrate phago-
cytosis, especially by monocytes. Mc-
Junkin, F. A., Arch. Int. Med., 1918,
21, 59-64, advised adding 0.4 gm. of
carefully pulverized lampblack to 100 cc.
2% gelatin in aq. dest. Inject intra-
venously with 5-9 cc. 10% aq. sodium
citrate, as in the case of Higgins'Ink.
The method has been slightly modified
by Simpson, M. J., J. Med. Res. ,1922,
43, 77-144; Wislocki, G. B., Am. J.
Anat., 1924,32, 423-445; and Lang, F.J.,
Arch. Path., 1926, 1, 41-63.
Lanacyl Blue BB (CI, 210), an acid monoazo
dye which colors cell walls and paren-
chymatous cells light blue but less well
than other blue acid dyes (Emig, p. 35).
Lanacyl Violet B (CI, 207), an acid monoazo
dye of light fastness 3. Directions for
staining plant tissue and fungous my-
celia (Emig, p. 35).
Langerhans, see Islets of.
Lard, reactions in tissue to fat stains after
various fixations (Black, C. E., J. Lab.
& Clin. Med., 1937-38, 23, 1027-1036).
Large Intestine. The conditions that in-
fluence the appearance of sections are
easier to guard against than in the Small
Intestine because of the absence of villi
and greater uniformity of contents.
The pronounced influence of degree of
distention is described and well illus-
trated by Johnson (F. P., Am. J. Anat.,
1912-13, 14,235-250).
Lansing, see Collagen, Elastin.
Latex-Cast Techniques for study of the
circulation have been applied to the
spleen by Gall, D. and Maegraith,
M. G., Ann. Trop. Med. & Parasit.,
1950, 44, 331-338, who give good illus-
trations of results and references to
previous work.
Lauth's Violet, see Thionin.
Lead, histological demonstration.
1. Mallory and Parker's method (Mal-
lory, F. B. and Parker, F. J., Am. J.
Path., 1939, 15, 517-522) : Fix tissues in
95 or abs. alcohol (not formalin). Stain
celloidin sections at 54°C. in: 5-lOgm.
LEATHER BROWN
174
LEISHMANIA. MEDIA
hematoxylin dissolved in few drops abs.
or 95% alcohol + 10 cc. freshly filtered
2% aq. K2HPO4 for 2-3 hrs. Wash
changing tap water 10-60 min., dehy-
drate in 95% ale, clear in terpineol and
mount in terpineol balsam. Lead light
to grayish blue, nuclei deep blue.
Another method applicable to paraffin
sections of Zenker fixed material is to
stain in 0.1% methylene blue in 20%
ale. 10-20 min. Differentiate 10-20
min. in 95% ale, dehydrate, clear and
mount. Phloxine is recommended as a
contrast stain before the methylene
blue.
2. Chromate method (Frankenberger,
Cretin). By simply fixing in Regaud's
Fluid lead is precipitated as insoluble
yellow lead chromate easily identifiable
microscopically. This method is
strongly advised by Lison (p. 101).
It has been used by True (E., Bull.
d'Hist. Appl., 1929, 6, 393-399). See
Sieber (E., Arch. f. exper. path. u.
pharmak., 1936, 181, 273-280) for demon-
stration of lead in bones.
3. Attempts have been made to
identify lead after microincineration by
exposure to hydrogen sulphide, because
lead sulphide is black, but Gordon H.
Scott emphasizes difficulty in dis-
tinguishing it from other sulphides and
from carbon in imperfectly incinerated
specimens (McClung, p. 660).
4. The method of Sieber, E., Arch. f.
exper. Path. u. Pharmak., 1939, 181,
273 depending on production of acid
resistant brown-black lead sulfide when
tissue is treated with acidulated H2S
solution is said to be satisfactory by
Gomori, G., J. Mt. Sinai Hosp., 1944-
45, 11, 317-326 when presence of other
heavy metals is ruled out.
Methods for chemical determination
of lead in biological materials are
important as checks on above. Consult
Smith, F. L. 2nd., Rathmell, T. K. and
Williams, T. L., Am. J. Clin. Path.,
1941, 11, Suppl. 5, 653-668.
For a convenient method of giving
colloidal lead intravenously to rabbits
see Crawford, B. L., Stewart, H.L.,
Willoughby, C. E. and Smith, F. L.,
Am. J. Cancer, 1938, 33, 401^22. The
authors describe techniques for direct
analysis of lead in the tissues.
Leather Brown, see Bismark Brown Y.
Leather Yellow, see Phosphine.
Leblond, see Radioantographic Technique.
Lebowich's soap-wax technique eliminates
use of alcohol , xylol and overnight drying
of paraffin sections. Takes only 6-8 hrs.
(Moritz, C. E., Stain Techn., 1939, 14,
17-20).
L. E. Cells. The discovery of these cells
in acute disseminated lupus erythe-
matosus by Hargraves, M. M., Rich-
mond, M. and Morton, R., Proc. Staff
Meet., Mayo Clin., 1948, 23, 25-28, was
a definite advance in diagnostic pro-
cedure. The simplest test for L. E.
cells is that of Lee, Stanley L., Am. J.
Clin. Path., 1951, 21, 492-496. With-
draw 1-2 cc. venous blood into a clear
dry test tube. Let clot and remain at
room temperature for 2 hrs.; with
wooden applicator "fish out" the clot.
Lecithin, a compound of phosphoric acid,
glycerol, choline and 2 fatty acid mole-
cules. It is a phosphatide soluble in
alcohol, chloroform, ether and benzene,
see Lipoids.
Lee-Brown. Modification of Mallory's ani-
line blue connective tissue stain (Lee-
Brown, R. K., and Laidley, J. W. S.,
J. Urol., 1929, 21, 259-274). Mallory
(p. 155) states that the following tech-
nique is particularly valuable for the
kidney. Treat paraffin sections of Zen-
ker fixed material with iodine to remove
mercury. Wash. 1% aq. phosphomolyb-
dic acid, 30 sec. Wash in aq. dest. 1-2
min. Stain in: aniline blue, 0.5 gm.;
orange G., 2 gm. ; phosphomolybdic acid,
2 gm.; aq. dest., 100 cc. for 30 min. at
55 °C. Wash in an. dest 2-5 min. 1%
aq. phosphomolybdic acid, 30 sec. 95%
ale . , abs . ale . , xylol , balsam . Glomerular
basement membrane and collagen, deep
blue; nuclei, orange.
Leishmania Donovani, a search for stains
that will color more rapidly than Giemsa
revealed Astra violet F. F. Extra,
Himmelblau, Magenta Lermont and
Navy blue shade, each to be used in
fresh 10% aq. solution (Takasaki, S.,
Lues, Tokyo, 1938, 16, 127).
Leishmania. Media. Direct microscopic
examination of peripheral blood may
be negative while detection in culture
is feasible. Q. M. Geiman (Simmons
and Gentzkow) recommends addition
of 10 cc. blood to sodium citrate in
physiological saline, centrifuge and in-
oculate few drops buffey coat into tubes
of NNN medium, incubate 22-28°C. and
examine microscopically 10-20th day
for motile forms. The following media
are abbreviated from Geiman 's ac-
count.
1. Blood agar or NNN (Novy, Mac-
Neal and Nicolle, 1908). Agar, 14 gm.,
sodium chloride, 6 gm., aq. dest. 1000
cc. Add 5 vol. sterile defibrinated
rabbit's blood cooled to 45°-50°C. Mix,
tube long slant. After agar sets, cap
with sterile rubber stoppers. Prove
sterility by incubation 37°C., 24 hrs.
Inoculate material to be cultivated on
slant and in water of condensation.
Incubate 20°-25°C. Transfer every 20-
30 days to maintain.
LENGTH
175
LEUCOCYTES
2. Leptospira (Noguchi, 1924). 0.9%
aq. sodium chloride, 800 parts; fresh
rabbit serum, 100 parts; 2% nutrient
agar pH 7.2, 100 parts, rabbit hemo-
globin solution 10-20 parts. (To make
this hemo'^^lobin solution take 1 part
defibrinated rab!)it's blood and 3 parts
aq. dest., centrifuge and use clear super-
natant fluid.) Tube, prove sterility by
incubation before using. Subculture
every 30 days. An increase in hemo-
globin solution improves growth of
Leishmania.
3. Adler's modification of above.
Agar, 1 part; Locke's solution contain-
ing 0.2% dextrose, 8 parts; fresh rabbit
serum, 1 part. For species of Leish-
mania and Trypanosoma cruzi.
4. Modified, Salle and Schmidt
(Cleveland and Collier, 1930). Veal
infusion (50 gm. Bacto-veal, Difco -t-
1000 cc. aq. dest.), 250 cc; proteose,
peptone (Difco), 10 gm.; sodium chlo-
ride, 5 gm.; aq. dest., 550 cc. Dissolve
make pH 7.4 and autoclave. Add 20 cc.
50% aq. glucose (sterilized by filtration
or in autoclave 10 lbs., 10 min.) and
60 cc. horse red cells laked with 2 parts
aq. dest. Pour in medium flasks or
tubes. Vigorous long lived cultures.
Length measurements :
Millimeters to inches X 0.0394. Inches
tomm. X25.4. SeeMicron.
Lens Paper, a specially prepared soft paper
indispensible for cleaning immersion
oil from objectives.
Leprosy Bacilli. Stain by carbol-fuchsin in
smears. See Concentration method for
collecting bacilli from lesions. For
study in sections, see Acid Fast Bacilli.
Leptospira Medium, Noguchi's, see Leish-
mania.
Leptospiras, method for isolation from water
(Bauer, J. H., Am. J. Trop. Med., 1927,
7, 177-179. See Spirochetes.
Leuco Basic Fuchsin. To make add to 200
cc. aq. sol. fuchsin, 2 gm. potassium
metabisulphite and 10 cc. N hydro-
chloric acid. After bleaching 24 hrs.
add 0.5 gm. Novit, shake 1 min. and filter
through coarse paper. Resulting clear
solution works nicely in Feulgen tech-
nique (Coleman, L. C, Stain Techn.,
1938,13, 123-124).
Leuco-Dyes as vital stains. Make 001%
aq. solutions of methylene blue,azurA,
thionin toluidine blue and brilliant cresyl
blue. Add to 100 cc. 1-2.5 cc. N/10
NajSaO, and 1-4 cc. N/10 HCl. Mix
and store at room temperature in dark.
To stain, add 1-2 drops of leucobase to
the protozoa, blood cells, etc. in physio-
logical saline. Said to give good contrast
staining of nucleus and cytoplasm and
to be useful in oxidation-reduction
determinations (Roskin, G., Arch. Russ.
Anat. Hist. Embr., 1937, 16,107-109).
Leuco-Patent Blue V, see Lillie, p. 285.
Leucocytes. In the broad sense they in-
clude all white blood cells but the term
is generally restricted to the "granular"
leucocytes as compared with the "non-
granular" ones (Lymphocytes and Mon-
ocytes). In a still narrower sense the
leucocytes include only polymorphonu-
clear neutrophiles, eosinophiles and
basophiles which are easily found in
circulating blood as contrasted with less
differentiated leucocytes called Myelo-
cytes and Myeloblasts generally con-
fined to the bone marrow.
For mitochondria within leucocytes
supravital staining with Janus green is
indicated. In smears Giemsa's stain
has a little advantage over Wright's in
the fact that it better demonstrates any
bacteria that may be present. The
May-Giemsa technique is most used in
Europe. It is, in effect, a double staining
because the air dried smears are first
treated with the May-Grunwald com-
bined fixative and stain and are later
colored by Giemsa's stain. It gives
satisfying deep colors. TheKardos-
Pappenheim modification is suggested
when a particularly intense coloration of
neutrophilic granules is desired. Ehr-
lich's triacid stain may likewise be use-
ful because it is said to stain the neutro-
philic granules leaving the azur granules
untouched.
Leucocytes give strong Peroxidase
and Oxidase reactions, which are, how-
ever, not specific for them. The Golgi
Apparatus (reticular material) can be
demonstrated by long treatment with
osmic acid or by the Cajal uranium ni-
trate and silver method (Cowdry, E. V.,
J. Exper. Med., 1921, 33, 1-11). The
demonstration of degenerative leucocytic
changes associated with ageing is de-
scribed by Lowell (A. L., J. Lab. & Clin.
Med., 1937-38, 23, 791-796), of variability
in relation to alterations in meteorologic
conditions by Berg (M., J. Lab. & Clin.
Med., 1937-38, 23, 797-803) and of lipoid
components by Bacsich (P., J. Anat.,
1935-36, 70, 267-272). Chemotaclic re-
sponse and motility can be measured
both in tissue cultures (Comau, D. R.
Arch. Path., 1940, 30, 896-901) and
directly by observing the behavior of
leucocytes with relation to bacteria and
in temporary mounts (Mallery, O. T.
and McCutcheon, M., Am. J. Med. Sci.,
1940, 200, 394-399 ) . By the latter method
differences in behavior of neutrophiles
from seriously ill and normal persons
have been reported . Motion pictures are
of great assistance in making a thorough
analysis of the movements and behavior
of leucocytes. Some excellent ones,
LEUCOCYTE COUNTS
176
LEUCOCYTES
taken by Dr. W. H. Lewis, are available
for distribution by the Wistar Institute
of Anatomy in Philadelphia. To in-
vestigate their behavior after they have
left the blood vessels and entered the
surrounding tissues is immensely more
difficult. The only method that gives
promise of important results is to employ
for this purpose special chambers in-
serted in the ears of rabbits (Clark, E.R.
and E. L., Am. J. Anat., 1936, 59, 123-
173) . See Neutrophile, Eosinophile and
Basophile Leucocytes.
Leucocyte Counts, 1. Total number white
blood cells per c. mm. Over 12,000 a
leucocytosis, less than 5000, a leucopenia.
Average about 7,500.
2. Differential. Smears colored by
Giemsa's or Wright's stains are more
satisfactory than supravi tally stained
preparations because the latter are more
difficult to handle and the cells are
slowly dying and showing more and more
deviations from normal. Relative num-
ber of different white cells is expressed
in percentages, i.e. neutrophiles 55-75,
eosinophiles, 2-4, basophiles, 0-1, lym-
phocytes 21-31, and monocytes 4-5.
Both total and differential counts should
be correlated to avoid misconceptions.
60% neutrophiles in total count of 8,000
amounts to 4,800 neutrophiles per c. mm.
80% neutrophiles in total count of 4,800
is the same, namely 4,800 neutrophiles
per c. mm. although a relative neutro-
philic leucocytosis exists. 60% neutro-
philes in a total count of 16,000 makes
on the other hand 9,600 neutrophiles
per c. mm. which is an actual neutro-
philic leucocytosis. 20% lymphocytes
of 9,000 is the same number per c. mm.
as 60% of 3,000 ; while 30% of 11,000 is an
actual lymphocytosis.
3. Age. Since young neutrophiles
have fewer nuclear lobes than older ones
counts of the number with from 1-5
lobes were made by Arneth. Today
simpler methods are used.
The Schilling is the usual one. It is
both a total, a differential and an age
count combined. The normal is given
Total
5,000 to 10,000
£
d-l
E
2-4
M
0
J
0-1
Leucocytes
St
3-5
S
51-67
L
21-35
Mon.
4-6
above. B = basophile. E = eosino-
phile. M = myelocyte (Nucleus large,
occupying about half cytoplasmic area.
spherical to oval or kidney-shaped, pale
staining, chromatin reticulated, nu-
cleoli present. Cytoplasm faintly
basophilic with few specific granules
which are small, often difficult to stain
and irregularly distributed). J =
juvenile (A little larger than mature
neutrophiles. Nucleus saucer to bean
shaped. Stains poorly. Circum-
scribed basophilic nucleoli). St =
stab nuclear (Slightly smaller than
juveniles. Nucleus T V or U shaped
but not divided into segments by fila-
ments and without nucleoli). S = seg-
ment nuclear (Fully differentiated neu-
trophiles having 2-5 or more segments
often joined only by filaments. Nuclei
stain intensely.) L = lymphocyte.
Mon = monocyte.
When the numbers of M. J. St. are
increased relative to S., it is called a
"shift to the left", meaning that im-
mature leucocytes are called into the
circulation , which is an unfavorable sign.
When the relative number of S is in-
creased over the others, it is termed a
"shift to the right", meaning that only
mature leucocytes are called out, which
is a favorable sign if it follows a previous
shift to the left. Details are given by
Wintrobe, M. M., Clinical Hematology,
Philadelphia, Lea & Febiger, 1942, 792
pp. For blood containing gum acacia,
see Monke, J. V., J. Lab. & Clin. Med.,
1940-41, 26, 1664-1667 and for inter-
ference by decreased fragility of eryth-
rocytes see Bohrod, M. G., J. Lab. &
Clin. Med., 1940-41, 26, 1953-1955.
A better method, unfortunately not
widely employed, is the filament-non-
filament count. Filaments are neutro-
philes in which the nuclear segments
are connected by delicate strands
apparently made up of nuclear membrane
only and nonfilaments are those in which
the connections are so wide that they
can be resolved into nuclear membrane
plus nuclear contents. In 100 neutro-
philes there are normally 8-16 nonfila-
ment cells. A greater per cent is a shift
to the left. For counts see Krusen,
F. H., Am. J. Med. Sci., 1937, 193. 470-
474.
Leucocytes. Developmental series. The
technique employed apparently makes
a great deal of difference in the conclu-
sions reached. See Cowdry's His-
tology, p. 99.
1. Maximow and Bloom employing
mainly permanent preparations list:
Hemocytoblasts: "... large (up to 15)
ameboid, non-granular basophil cells of
lymphoid nature." Occur extra vascu-
larly.
Promyelocytes: "The oval or kidney-
shaped, clear nucleus contains a loose
LEUCOCYTIC INDEX
177
LIEBERMANN-BURCIIARDT
chromatin network and several nucleoli.
At the indentation of the nucleus there
is a distinct cytocentrum . The ame-
boid protoplasm is slightly basophil,
although it often shows acidophil areas."
Specific granules "are scarce and usual-
ly confined to the periphery of the cyto-
centrum and to the acidophil spots in
the cell body." Azurophil granules are
present but later disappear. They often
show mitosis.
Myelocytes: "The protoplasm becomes
diffusely acidophil while the specific
granules increase in number and fill the
whole cell body, except for the cyto-
centrum. The nucleus keeps its com-
pact form while its previously loose
chromatin network becomes coarser and
stains darker. The nucleoli are indis-
tinct. Mitoses are common."
Metamyelocytes: After an unknown
number of mitoses a generation appears.
The nucleus "as soon as it is recon-
structed after the last mitosis, shows a
beginning polymorphism and has the
shape of a horse-shoe." The mature
leucocyte is formed from these cells by
individual maturation without division.
2. Sabin and associates relying chiefly
on supravital stains list :
Reticular cells: They "are small, their
cytoplasm is faintly basophilic, as seen
in fixed films, and in supravital prepa-
rations they show no differentiation of
specific substances." Reticular cells
"lack the striking rod-shaped mito-
chondria which characterize the lympho-
cytic strain. . . . The nuclei have less
sharp contours and less chromatin than
those of lymphocytes."
Myeloblasts: These differ "through
the elaboration of a marked basophilia
and of great numbers of small mito-
chondria. ... In supravital technique,
the myeloblast has usually no stainable
substance except mitochondria . . ."but
occasionally a few vacuoles reacting to
neutral red are present as well as some
which are not colored by it.
Myelocytes A: The earliest stage with
the specific granules up to 10 "reacts
with a single blue granule in the oxydase
test."
Myelocytes B: "May be conveniently
divided into those with less than half
and those with more than half the full
quota of granules."
Myelocytes C: These cells contain
the full quota. Metamyelocytes: They
"show the earliest signs of the nuclear
changes toward polymorphism and the
first sign of the transformation of the
cytoplasm to a phase sufficiently fluid
to allow the flowing of granules which is
essential for ameboid movement. In
passing through these stages, there is a
gradual decrease of basophilia of the
cytoplasm and in the numbers of mito-
chondria. The basophilia disappears
entirely in the early leucocytes, while
the mitochondria persist in small num-
bers until the stage of senility in the
leucocytes."
Leucocytic Index, ratio of number of pol-
ymorphs to number of lymphocytes,
considered by Turley, L. A. and Mc-
Clellan, J. T., Am. J. Clin. Path., 1943,
7, 87-95 to be valuable indicator of
condition of the patient, a high or rising
index being a bad sign and a low or fall-
ing one, a favorable sign.
Leucocytic Infiltrations. A convenient way
to produce an intense local neutrophilic
infiltration is to inject starch as de-
scribed by Chambers, R. and Grand,
C. G., Am. J. Cancer, 1937, 29, 111-115.
Cowdry, E. V. and Ruangsiri, C, Arch.
Path., 1941, 32, 632-640 made repeated
injections of 1% corn starch suspensions
in physiological saline in amounts of
0.1-0.2 cc. into leprous nodules of rats.
Leucocytozoa, Protozoa, belonging to the
Hepatozoidae, which inhabit the mono-
cytes of dogs, rats, and other animals
particularly in the tropics. See, Wen-
yon, C. M., Protozoology. New York:
William Wood & Co., 1926, 2,1053-1563.
Leucosin, a stored reserve in lower plants
(Taylor in McClung, p. 221).
Levitation Method, see Floatation Method.
Levulose Syrup for fluid mounts. Mallory
(p. 99) specifies 30 gms. levulose dis-
solved in 20 cc. water by warming at 37 °C.
for 24 hrs.
Lewis-Locke solution, see Locke-Lewis.
Leydig Cells are usually known as inter-
stitial cells of the Testis which see.
Liang uses Schiff reagent for nerve endings
(Liang, H. M., Anat. Rec, 1947, 97,
419).
Lieberkiihn's Glands, data on size, surface
area, number of cells etc. in human
large intestine (Policard, A., Bull.
d'Hist. Appl., 1939, 16, 261-262).
Liebermann-Burchardt reaction for choles-
terol and its esters {cholesterides) .
1. Modification of A. Schultz. Ex-
pose frozen sections of formalin fixed
tissue at least 4 days (more in winter)
to strong light, if possible sunlight.
Mount. Dry carefully with blotting
paper. Cover with few drops equal
parts acetic and sulphuric acids. Drain
and examine in the reagent. Cholesterol
and its esters dark blue or red purple
becoming green.
2. Modification of Romieu (M., C.
rend. Acad. d. Sci., 1927, 184, 1206-1208)
Mount frozen sections of formol or Bouin
(less acetic) fixed tissues and dry.
Cover with 1 drop cone, sulphuric acid,
3-15 sec. Stop reaction by adding 2-3
LIGHT BLUE
178
LINDERSTR0M-LANG, ET AL
drops acetic anhydride. Wash with
several drops of same. Cover and
examine immediately. Cholesterol and
its esters violet lilac or red purple, be-
coming green. The above two methods
abbreviated from Lison (p. 210) are in
his excellent judgment specific for
cholesterol and its esters if positive.
A negative reaction does not definitely
prove their absence. See Swyer, G. I.
M., Cancer Research, 1942, 2, 372-375
for quantitative measurement of the
color.
Light Blue, see Spirit Blue.
Light Green, see Methyl Green.
Light Green N, see Malachite Green.
Light Green SF yellowish (CI, 670) S— acid
green, fast acid green N — Commission
Certified. This acid di-amino tri-
phenyl methane dye is a sulfonated
derivative of brilliant green and a
valuable counterstain for safranin. It
is used by Twort, F. W., Brit. J. Exp.
Path., 1924, 5, 350-351 as a double stain
with neutral red for animal parasites
and microorganisms in tissues. Un-
fortunately light green fades quickly.
Conn (p. 110) recommends fast green
FCF as a substitute.
Lighting, see Illumination.
Lignin Pink, a monazo acid dye (British
Drug Houses Ltd.). Advised 0.5% aq.
solution as a chitin stain and a contrast
stain with chlorazol Black E (Cannan,
H. G., J. Roy. Micr. Soc, 1941, 61,
88-94).
Lilienfeld-Monti test for phosphorus is not
a satisfactory microchemical method.
See Bensley's method (R. R., Biol.
Bull., 1906, 10, 49-65) and criticism by
Lison (p. 118).
Lillie, see Azure or Toluidin Blue Eosin.
Lillie's chrom-osmic-acetic fixative. J%
aq. chromic acid, 15 cc; 2% aq. osmic
acid, 3.5 cc. ; glacial acetic acid, 3 drops.
Used by him for echinoderm eggs.
Lime, see Calcium.
Linderstr0m-Lang, Kaj. U., and Holier,
Heinz, Histochetnical Advances —
Written by David Glick, Dept. of
Physiological Chemistry, University of
Minnesota, Minneapolis 14-, Minn. Octo-
ber 17, 1951 — Prof. Linderstr0m-Lang,
since 1938 the head of the Department
of Chemistry of the Carlsberg Labora-
tory, Copenhagen, Denmark, and Dr.
Heinz Holter, his associate and head of
the Cytochemical Department, are
responsible for some of the most sig-
nificant advances in the field of quanti-
tative histochemistry as well as of
protein and proteolytic enzyme chemis-
try. Their histochemical work began
in 1930 when Dr. Holter came to the
Carlsberg Laboratory. Their first ef-
forts were directed to the development
of micro titration techniques that
would enable a thousandfold refinement
of common macro methods of biochemi-
cal analysis without loss of precision.
This degree of refinement constituted a
temporary compromise since it was
their goal to bring reliable quantitative
chemical techniques to bear on the
study of the single cell, and a hundred
thousandfold refinement would be re-
quired to achieve this end in the case
of mammalian cells. However the one
thousandfold refinement did permit
work on single microtome sections,
protozoa, and ova of certain marine
invertebrates.
The first investigation of the series
(Linderstr0m-Lang, K. and Holter, H.,
Compt. rend. trav. lab. Carlsberg, Ser.
Chim., 1931, 19, No. 4) described the
micro titration apparatus that was de-
vised, (the burettes used were graduated
in 0.0002 ml. divisions and readings were
taken to 0.00002 ml.) and subsequently
Linderstr0m-Lang and Holter adapted
the equipment to the measurement of
proteolytic enzyme activity. They em-
ployed this method for a study of the
distribution of peptidase along the roots
and sprouts of barley (Linderstr0m-
Lang, K. and Holter, H., Ibid., 1932,
19, No. 6). When one has developed
a new tool it is natural that he employ
it for diverse purposes to test its range
of usefulness. And accordingly, in the
next application of their technique,
Holter and Linderstr0m-Lang (Zeit. f.
Physiol. Chem., 1932, 219, 223-240) in-
vestigated the proteinases of Drosera
Rotundi folia, an insectivorous plant,
and then Linderstr0m-Lang (Ibid, 1933,
215, 167-178) made a study of the pepti-
dase content of single eggs of two marine
invertebrates, the California sand dollar
and Urechis caupo, before and after fer-
tilization. These eggs have a wet
weight of only about 5 X 10~' g.
Linderstr0m-Lang and Holter next
extended their technique to a method
for the iodometric determination of
reducing sugars with a precision corre-
sponding to 25 X 10~* g. of glucose
(Compt. rend. trav. lab. Carlsberg,
1933, 19, No. 14), and this was followed
by the development of a diffusion
method for ammonia sensitive to 14 X
10~' g. of nitrogen (Compt. rend. trav.
lab. Carlsberg, Ser. Chim., 1933, 19,
No. 20.)
The elegance and general applica-
bility to diverse problems of the tech-
niques and methods being developed
began to attract research workers to
the Carlsberg Laboratory from other
countries, and the series of publications
that had evolved under the heading of
LINDERSTR0M-LANG ET AL
179
LINDERSTR0M-LANG ET AL
Studies in Enzymatic Histochemistry
soon had contributions from T.
Philipson, who investigated the
peptidase activity of single centri-
fugally separated parts of eggs of
Psammechinus miliaris {Ibid, 1934, 20,
No. 4), and D. Glick, who elaborated
an acidimetric method for lipolytic en-
zymes {Ibid, No. 5) and applied it to a
study of the distribution of esterase in
the gastric and duodenal mucosa of the
hog (Glick, D. 76id, No. 11).
The latter was undertaken since Lin-
derstr0m-Lang and Holter had already
underway similar investigations of the
distribution of pepsin {Ibid, 1935, 20,
No. 11), acid {Ibid, 20, No. 11), and
peptidase {Ibid, 20, No. 11). A. S0e-
borg-Ohlsen joined in a collaborative
study of the enzj'me distribution in the
hog stomach as a function of its histo-
logical structure {Ibid, 20, No. 11) and
the enzyme pattern in the mucosa was
revealed to a significant degree.
The need of methods for the chemical
determination of additional cellular
constituents diverted the Carlsberg
Laboratory workers and visiting scien-
tists to the task of elaborating them,
and for the visitors this served the ad-
ditional purpose of providing excellent
first hand training and experience in
the use of the techniques. With
Palmer, A. H. {Ibid, 1935, 21, No. 1),
an electrometric chloride titration was
developed with a precision of about
14 X 10-' g. of chloride; Levy, M. {Ibid,
1936, 21, 101-110) refined the Kjeldahl
nitrogen analysis to 3 X 10""® g. of
nitrogen, Linderstr0m-Lang (Compt.
rend. trav. lab. Carlsberg, Ser. Chim.,
1936, 21, 111-122) worked out an electro-
metric titration method for sodium plus
potassium sensitive to 1 X 10"^ m.
equiv., Norberg, B. {Ibid, 1937, 21,
233-241) evolved a titrimetric estima-
tion of potassium isolated as the
iodoplatinate that was accurate to 1-2
X 10— ' m. equiv., and with Weil, L.
{Ibid, 1935, 21, 7-14) micro methods for
arginase and urease were established.
Linderstr0m-Lang, K. and Engel, C.
{Ibid, 1938, 21, 243-258) employed the
method that had been previously de-
veloped for reducing sugars for the
measurement of amylase activity, the
distribution of which they studied in
barley, and Holter and Doyle, W. L.
{Ibid, 1938, 22, 219-225) subsequently
modified the technique to gain greater
precision. Meanwhile micro methods
for other enzymes were being developed.
Holter and Doyle (J. Cell Compt.
Physiol., 1935, 12, 295-308) adapted the
iodometric method of Stern to the esti-
mation of catalase with a precision
equivalent to the decomposition of 2 X
10"* g. of hydrogen peroxide, and Glick,
D. (Compt. rend. trav. lab. Carlsberg,
Ser. Chim., 1938, 21, 2G3-268) extended
his esterase method to include the meas-
urement of cholinesteraso with a sensi-
tivity equivalent to the hydrolysis of
1 X 10~* mole of ester.
As the new methods were made avail-
able their application to specific prob-
lems followed at once. Thus, Linder-
str0m-Lang, K., and Duspiva, F., (Ibid,
1936, 21, 53-84) studied the digestion of
keratin by larvae of the clothes moth,
and Duspiva followed this work by in-
vestigations of various proteolytic en-
zymes of clothes- and wax-moth larvae
{Ibid, 1936, 21, 177-202), as well as of
pH of the intestinal juice of these organ-
isms for which a micro glass electrode
was used {Ibid, 21, 167-176). Holter (J.
CellComp. Physiol., 1936, 8, 179-200)
studied peptidase localization in marine
ova, with Kopac {Ibid, 1937, 10, 423-
437) the localization of this enzyme
in amoeba, and with Doyle, W. L.
(Compt. rend. trav. lab. Carlsberg, Ser.
Chim., 1938, 22, 219-225) the amylase
localization in amoeba. Doyle {Ibid,
1938, 21, 291-299) also investigated the
catalase and peptidase activity in ma-
rine ova. The activation of leucylpep-
tidase of single Tubifcx eggs by magnes-
ium salts was reported by Holter, H.,
Lehmann-Bern, F. E. and Linderstr0m-
Lang (Compt. rend. trav. lab. Carls-
berg, Ser. Chim., 1938, 21, 259-262).
Other applications in this period in-
clude a study of the distribution of
urease in the dog stomach by Linder-
str0m-Lang and S0eborg-Ohlsen, A.
(Enzymologia, 1936, 1, 92-95), and an
investigation of the cholinesterase dis-
tribution in the hog stomach before and
after administration of drugs that affect
gastric secretion by Glick {Ibid, 1938,
21, 269-281). Using a titrimetric dye
method previously worked out (J. Biol.
Chem., 1935, 109, 433-436) Glick fol-
lowed the changes in ascorbic acid in
different parts of the developing barley
embryo up to the ten-day sprout stage
{Ibid, 1937, 21, 203-209).
Titrimetric procedures alone had
been exploited up to this time. But in
the attempt to extend the applicability
of this approach to quantitative histo-
chemistry, other analytical principles
were tested. Colorimetry, if conducted
on the required micro scale, would ob-
viously open a vast new region for
exploitation, but the limiting factor in
the middle nineteen thirties was the
availability of the necessary equipment.
At that time, the Zeiss Pulfrich step
photometer, that employed cuvettes re-
LINDERSTR0M-LANG ET AL
180
LINDERSTR0M-LANG ET AL
quiring 0.2 ml. of liquid, was used by
Lundsteen, E. and Vermehren, E.
(Ibid, 1936, 21, 147-166) at the Carlsberg
Laboratory for the determination of
phosphorus and phosphatase in 0.05
ml. blood samples. But for many histo-
chemical purposes the liquid volume
needed for the colorimetric measure-
ment was still too great. This problem
was largely solved subsequently as will
be mentioned later.
In 1937 two new analytical techniques
were ingeniously developed by Linder-
str0m-Lang for micro-biochemical re-
search. One of these was based on the
dilatometric principle that in certain
reactions a volume change of the total
solution occurs which results in a
change in specific gravity great enough
for measurement. As applied by Lin-
derstr0m-Lang (Nature, 1937, 139, 713-
714), a density gradient is set up by
half -filling a glass tube with a kerosene-
bromobenzene mixture of appropriate
specific gravity, and then filling the re-
mainder of the tube with a similar mix-
ture having a greater proportion of
kerosene to give a lower specific gravity.
If the liquid in the middle of the tube
is stirred, and the tube mounted in a
thermostat, a stable vertical density
gradient is produced. If into this
gradient an aqueous drop of a reaction
mixture is placed, it will fall until it
reaches the level at which its specific
gravity equals that of the surrounding
medium. As the reaction within the
drop proceeds, the resultant volume
change of the drop will alter its specific
gravity and the drop will then move to
a new level. In some cases the distance
the drop will move has been found to
be directly proportional to the extent
that the chemical reaction has occurred.
By employing a cathetometer the move-
ment of the drop can be followed to 0.01
mm. and finer movements can be ob-
served with an ocular micrometer in the
telescope of the instrument. After cali-
bration of the gradient with drops of
salt solution of known specific gravity,
measurements of the excursion of the
drop can be used to calculate the
amount of reaction products formed in
certain instances.
The dilatometric method was em-
ployed by Linderstr0m-Lang and H.
Lanz, Jr. (Ibid, 1938, 21, 315-338), for
peptidase measurements, and a study
was made by Holter, Lanz, and Linder-
str0m-Lang {Ibid, 1938, 23, 1^9) of this
enzyme during the first cell divisions in
the egg of Psammechinis miliaris.
Linderstr0m-Lang, Jacobsen, O. and
Johansen, G. {Ibid, 17-25) also em-
ployed the density gradient tube for
the measurement of the deuterium con-
tent of heavy water mixtures.
The other new technique that was
evolved at this time was based on the
principle of the Cartesian diver (Lind-
erstr0m-Lang, K. Nature, 1937, 140,
108-108). The diver is a small vessel,
open at one end, that will rise or fall,
while submerged in a salt solution, as a
result of a change in its gas volume.
The volume of the first divers used was
about 0.01 ml., and a reaction mixture
of about 0.001 ml. placed in the bottom
of the diver was employed for gaso-
metric measurements of enzyme activity
or respiration. The measurement was
carried out by applying a known posi-
tive or negative pressure to the air over
the tube containing the submerged
diver to bring it to a marked level in the
tube. At this level the gas volume
in the diver has a fi.xed value, and by
determining the external pressure
necessary to bring the gas volume back
to this value after expansion (in case of
a reaction evolving gas) or contraction
(in case of reaction using up gas), the
actual amount of gas evolved or con-
sumed can be calculated. In other
words the apparatus is a constant
volume, variable pressure, unit similar
in this respect to the ordinary Warburg
apparatus but capable of measuring gas
changes of a magnitude a thousand
times smaller. Further refinements
were developed later and will be
mentioned.
The first applications of the Cartesian
diver method were to the gasometric
measurement of cholinesterase activity
in ganglia, Linderstr0m-Lang and Glick
(Compt. rend. trav. lab. Carlsberg,
1938, 22, 300-306), the determination of
thiamine and cocarboxylase in yeast,
Westenbrink, H. G. l<i.\lbid, 1940, 23,
195-212), and the respiration of sepa-
rated parts of the embryos of Para-
centrotus lividus, Lindahl, P. E. and
Holter {Ibid, 249-256), and of cells
grown in tissue culture, Zamecnik {Ibid,
1941,24,59-67).
The following period in the work of
Linderstr0m-Lang and Holter, although
beclouded by the German occupation of
Denmark and the accompanying diffi-
culties and distractions, was devoted to
the consolidation of the advances
already made by further refinements of
technique and the extension of the
methods to new uses. Meanwhile,
Linderstr0m-Lang and Mogensen, K. R.
{Ibid, 1938, 23, 27-35) had already
described a cryostat for the accurate
sectioning of fresh frozen tissue at a
constant low temperature and the tech-
nique of handling the cut sections to
LINDERSTRPM-LANG ET AL
181
LINDERSTRPIM-LAXG ET AL
prevent their curling etc., and Holter
and Lindahl (Ibid, 1940, 23, 249-256) had
already studied the distribution of pep-
tidase in the Paracentrotus embryo in
continuation of the line of cytochemical
work on marine invertebrates that had
been instituted earlier.
Considering the disruptive influence
of the occupation of Denmark by the
Nazis, it is remarkable that the Carls-
berg Laboratory workers continued to
be productive, but perhaps the very
need to have a refuge from the wild
events outside served to hold them to
their laboratory benches for periods of
sweet reasonableness. The record
shows that during these years the Car-
tesian diver technique was subjected to
intensive theoretical analysis, Linder-
str0m-Lang and Holter {Ibid, 1942, 24,
105-138) and Linderstr0m-Lang {Ibid,
1942, 24, 249-280; Ibid, 1943, 24, 333-
398), and laboratory refinement, Holter
{Ibid, 1943, 24, 399-478). Zeuthen, E.
{Ibid, 479-518) devised a diver with a
gas volume a hundred times smaller
than the first ones used, and this opened
many new possibilities.
Applications of Cartesian diver gas-
ometry at this time included studies on
the respiration of the egg and enibryo
of the ascidian, Ciona intestinalis L.,
Holter and Zeuthen {Ibid, 1944, 25,
33-65), the respiration of syncytia
formed by abnormal development of
Ciona eggs, Andresen, Holter, and
Zeuthen {Ibid, 1944, 25, 67-85), and ox-
ygen uptake during mitosis of frog eggs,
Zeuthen {Ibid, 1946, 25, 191-228).
Holter {Ibid, 1944, 25, 156-167) also de-
veloped a colorimetric method for
measuring the volume of large amoebae.
Parallel with these developments
during the war years were others.
Schmidt-Nielsen {Ibid, 1942, 24, 233-
247) worked out a titrimetric method
for analysis of fat in quantities of 10"*
g. and later he extended this investi-
gation to methods for the determination
of the iodine number in amounts of fat
of this order {Ibid, 1944, 25, 87-96), and
he described the extraction and frac-
tionation of fats in 1 mg. of tissue
{Ibid, 97-105). Previous work on the
stomach was also continued by Rask-
Nielsen {Ibid, 1944, 25, 1-32) who
studied the peptidase content of the
pyloric portion of the hog stomach, and
Bottelier, H. P., Holter, H., and Linder-
str0m-Lang, K. {Ibid, 1943, 24, 289-314)
investigated the peptidase in the roots
of barley.
Further extension to new uses of the
microtechniques that had been de-
veloped marked the post-war years.
Bruel, D., Holter, H., Linder8tr0m-Lang,
K. and Rozits. K. {Ibid, 1946, 25, 289-
324) elaborated a titrimetric method for
the determination of total nitrogen
with an accuracy of 5 X 10~* g. nitrogen,
Levi and Zeuthen {Ibid, 273-288)
adapted the density gradient tube to
micro weighing, and later Zeuthen, E.
{Ibid, 1948, 26, 243-266) constructed a
Cartesian diver balance that gave re-
duced weights to 1 X 10~* g. The re-
duced weight is the weight of an object
minus the weight of an equal volume of
water. This quantity is convenient for
expressing the amount of a small bio-
logical sample since it is a measure of
the quantity of the substance independ-
ent of its water content. Zeuthen
{Ibid, 1948, 26, 267-276) followed the
reduced weight and volume of amoebae
during starvation, and Holter and
Zeuthen {Ibid, 277-296) studied metabo-
lism and reduced weight of amoebae.
A theoretical treatment of the use of the
Cartesian diver for respiration measure-
ments on single cell organisms was
given by Linderstr0m-Lang {Ibid, 1946,
25, 229-272).
The main program of the cytochemi-
cal department in recent years has been
the continuation of Holter's previous
work on the biochemistry of unicellular
organisms and the developing inverte-
brate and amphibian embryo. The
demand for microanalysis of different
constituents during the course of these
studies has led to further expansion of
method development.
Apparatus that will permit colori-
metric analysis of substances at the level
required for work on microtome sec-
tions, single early embryos, or proto-
zoa was developed more recently by
Holter and his coworkers. The vol-
umes of liquid needed for the color-
imetry are of the order of 0.010 ml. The
cuvettes employed to hold these small
volumes are pieces of capillary tubing
having a lumen of about 1 mm. in
diameter and about 10 mm. long. The
cuvette is sealed to a microscopic slide
with stopcock grease, filled with the
colored liquid, and a cover slip is placed
on top. This unit is set on the stage of a
microscope and a fine beam of filtered
light is passed through it. The trans-
mitted light is collected by a low-power
objective and sent on to a photocell
fixed over the ocular. Galvanometer
readings are taken as for any other
photoelectric colorimeter. With this
equipment Holter and L0vtrup {Ibid,
1949, 27, 27) studied the proteolytic
enzymes in amoebae and Krugelis
{Ibid, 1950, 27, 273-290) investigated the
properties and changes of alkaline
LINE TEST
182
LIPASE
phosphatase activity during amphibian
development.
Other recent work that has come from
the Carlsberg Laboratory includes a
micro gasometric method for sulfur
compounds such as cystine, for which it
is accurate to 1 X 10~' g. within 2.5%,
Holter and L0vtrup {Ibid, 1949, 27,
72-78). Further development of the
Cartesian diver technique was effected
by using silicone coated divers,
Schwartz {Ihid, 1949, 27, 79-92), and
L0vtrup {Ibid, 1950, 27, 125-136) modi-
fied the diver balance of Zeuthen. In
the course of the latter study L0vtrup
designed a microbalance with a sensi-
tivity of 1 X 10~* g. To conduct studies
on the density of microorganisms such
as amoebae, a starch density gradient
tube was developed by L0vtrup {Ibid,
1950, 27, 137-144). From a combina-
tion of density and reduced weight
measurements the volume of amoebae
could be determined with an accuracy of
1 X 10-9 ml.
Aside from the classical applications
of the quantitative techniques and
methods that Linderstr0m-Lang and
Holter instituted, their procedures are
being employed ever more extensively
by an increasing number of scientists
in the diverse fields to which quantita-
tive histo- and cytochemistry is of
great importance. In fact, the develop-
ment of the fundamental aspects of all
of the life sciences can be expected to be
significantly enhanced by their con-
tributions.
Line Test for vitamin D. This is the basis
for calculating the U.S. P. unit of vita-
min D potency. The line test was
apparently first introduced by McCol-
lum, E. v., et al., J. Biol. Chem., 1922,
51, 41-49. A critique of the test_ is
given by Bills, C. E., et al., J. Biol.
Chem., 1931, 90, 619-636. See also
Sherman, H. C., The Chemistry of Food
and Nutrition, New York: MacMillan,
1941, 611 pp. A slightly modified tech-
nique is proposed and given in detail
by Martin, G. J., J. Lab. & Clin. Med.,
1940, 26, 714-719. Inject rats intra-
peritoneally with 1 cc. 1% aq. sodium
alizarin sulfonate at pH 8.0 and give
supplements of measured amounts of
vitamin D orally. Animals similarly
stained but not given the vitamin serve
as controls. After test periods of 1 or
2 days, kill the animals, remove radii
and ulnae and examine grossly and mi-
croscopically for alizarin stained^ lines
at epiphysis. See also use of Alizarin
Red S. Both this and the sulfonate are
better than Madder because they pro-
vide quicker and more intense colora-
tion of bony calcium laid down during
the period that they are available in the
circulation as accelerated by vitamin D.
Linguatulidae, see Parasites.
Linin (L. linum, flax). The acidophilic,
thread-like framework of nucleoplasm
seen in sections but not in the living
nucleus.
Lipase. Frozen sections 30ju thick and 4.5
mm. in diameter of beef adrenals are
extracted in 30% glycerol -f equal
volume 1% methyl butyrate in glycine
— NaOH buffer at pH 8.7; digested at
40°C. ; enzyme action arrested by addi-
tion of 2% phenol (10 parts) and 0.04%
brom-thymol blue (1.5 parts) to 3.5
times total volume; and end point ti-
trated at pH 6.5 with 0.05 N HCl.
This point is determined by comparing
color with standard color of brom-thy-
mol blue in phosphate buffer pH 6.5.
Nearby sections, some stained with
hematoxylin and eosin, and others, with
Sudan III, are examined histologically.
The medulla, which exhibits most
lipolytic activity, contains least lipid.
Estimations of esterase are also de-
scribed by Glick and Biskind (D.and
G. R., J. Biol. Chem., 1935, 110, 575-
582). See Barnes, J. M., Brit. J. Exp.
Path., 1940, 21, 264-275 for analysis of
lipase in lymphocytes and polymor-
phonuclear leucocytes and Hoagland,
C. L., et al., J. Exper. Med., 1942, 76,
163-173 for lipase determinations in
elementary bodies of vaccine virus.
An important new technique is de-
scribed and well illustrated by Gomori,
G., Arch. Path., 1946, 41, 121-129:
1. Fix thin slices of fresh tissue in
chilled acetone 12-24 hrs. in ice box.
2. Dehydrate in 2 changes absolute
acetone, 12-24 hrs. each, room tempera-
ture.
3. Impregnate in 5% acetylcellulose
(Eastman's cellulose acetate "high
acetyl, low viscosity, no. 4644") for
24 hrs.
4. Drain off fluid, transfer to 2
changes benzene, 1 hr. each.
5. Embed in paraffin (56-62°C), 2
changes, 1 to \\ hrs. each. Cut 4-8m
sections, float on water (db 35°C) and
mount on slides. Pass down through
xylol and alcohols to aq. dest.
6. Incubate at 37°C 6-12 hrs. in 50 cc.
Solution I + 2 cc. Solution II.
Solution I: Glycerin 150 cc, 10% aq.
calcium chloride, 50 cc; half-molar
maleate buffer pH 7 to 7.4 (maleic acid,
5.8 gm. ; 4% aq. sodium hydroxide 94 cc.
+ aq. dest. 6 cc). If maleate buffer
is omitted mixture should be adjusted
to pH indicated.
Solution II: 5% aq. Tween 40, or
Tween 60 (Atlas Powder Co., Wilming-
ton, Del.) or Product 81 with about
LIPIDS
183
LIPOCHRIN
0.02% merthiolate added. Keep both
stock solutions in ice box.
7. Rinse in aq. dest. and transfer to
1-2% aq. lead nitrate, 10-15 min.
8. Rinse thoroughly in repeated
changes aq. dest. and transfer to dilute
solution of light yellow ammonium sul-
fide (few drops to Coplin jar of aq. dost.)
whereupon sites of lipase activity be-
come dark brown.
9. Wash under tap and counterstain
with hematoxylin and very lightly with
eosin.
10. Dehydrate in alcohols; clear in
gasoline or tetrachloroethylene (per-
chloroethylene) and mount in clarite in
these solvents. Avoid toluol and xylol.
Modifications have been suggested bv
Stowell and Lee (Arch. Path., 1950, 50,
519-537). Consult also the newer tech-
nique of Nachlas and Seligman (Anat.
Rec. 1949, 105, 677-695) See Esterase. _
Lipids. Identification of various kinds in
microscopic preparations is extremely
difficult. As Lison (p. 192) has shown,
reliance cannot be placed in solubility
tests. Some bodies, soluble in alcohol,
ether, chloroform, carbon tetrachloride
and so on, are not fats while some fats
show considerable resistance to such sol-
vents. Formalin fixation itself causes
marked changes in solubility of fatty
bodies (Ivaufmann, C. and Lehmann,
E., Virchow's Archiv. f. Path. Anat.
und Physiol., 1926, 261, 623-648). It is
not unusual to find fats slightly soluble
or insoluble in microscopic preparations
which on chemical extraction are soluble.
Results of examination in polarized light
must, he states, be interpreted with
caution. Glycerides and fatty acids
examined in vivo are never birefringent
in the dissolved condition. After freez-
ing or treatment with formalin they can
become crystalline and birefringent.
Cholesterol, in the form of birefringent,
rhombic plates, is of rare occurrence
in vivo, but easily recognizable. Choles-
terides appear sometimes as droplets
presenting the black cross of polarization
when viewed at low temperature.
When temperature is increased they lose
birefringence and look like droplets of
fat. Birefringence is lost as a result
of osmication. Coloration with sudan
and mounting in syrup of levulos
decreases birefringence. Lison gives
following tabular method of analysis
(abbreviated).
1. In frozen sections, mounted in levulose syrup,
without artificial coloration, generally yellow
orange or brown.
2. Iodine - iodide solution (like Gram's or
Lugol's) gives black -green or brown. Chromic
acid solution decolorizes quickly or slowly—
carotinoids.
2. Above reactions negative. Sulphuric acid
sometimes gives red color — chTomolipoida.
1. In frozen sections show no natural color.
2 Liebermann reaction (Schultze or Romieu
technique) positive: color blue, purple or violet,
becoming green.
3. Digitonine reaction (Brunswick or Leulier-
Noel technique) gives crystals strongly illu-
minated between crossed nicols, unstainable
by histological methods — free cholesterol.
3. Digitonine reaction gives no crystalline
ppt. — cholesteridea .
2. Liebermann reaction negative after repeated
attempts, no coloration or brown or red color.
3. Mounted in levulose syrup, without arti-
ficial coloration, examined with crossed
nicols, brightly illuminated and showing
cross of polarization — Lipines.
3. Mounted in same way, without artificial
coloration, examined with crossed nicols,
not illuminated or illuminated but without
showing cross of polarization.
4. Smith-Dietrich reaction at 50°C. posi-
tive, color black — Lipines.
4. Above reaction negative. Coloration
gray or absent.
6. Lorrain Smith reaction with nile blue
sulphate: rose — non-saturated glyc-
eride.
6. Above reaction absent or blue — Sat-
urated or non-saturated glyceride, or
fatty acid or Lipine.
The much used Osmic Acid and Sudan
staining methods are helpful when
other evidence is available as to
chemical constitution of substances
demonstrated. Fluorochromes are use-
ful for fluorescent visualization of fats
(Metcalf, R. L. and Patton, R. L., Stain
Techn., 1944, 19, 11-27). See Fatty
Acids, Soaps, Neutral Fats (Glycerides),
Lipoids, Cholesterol (free), Cholesterol
Esters, Myeloldin, Myelin, etc.
In following up almost any problem
in biology and medicine one has to re-
sort to chemical methods and seek the
help of chemists. A microtitration
technique for lipid in amounts of ap-
proximately 10 M gm. in say 1 mg. of
tissue has been elaborated by Schmidt-
Nielsen, K. C. rend. trav. lab. Carls-
berg, Ser. Chim., 1942, 24, 233-247. In
compiling a book like this it is interest-
ing to note how many advances have
come from the Carlsberg laboratories.
Lipines, see Lipoids.
Lipiodol, reactions in tissue to fat stains
after various fixations (Black, C. E.,
J. Lab. & Clin. Med., 1937-38, 23,
1027-1036).
Lipochrin is the term applied to certain
usually solitary fatty droplets present
in retinal cells of several vertebrates
LIPOCHROME
184
LOEFFLER'S METHYLENE BLUE
but absent in guinea pigs and man.
For literature see Arey, L. B. in
Cowdry's Special Cytology, 1932, 3,
1219.
Lipochrome. Defined by Lison (p. 244)
as a solution of a carotinoid in a fatty
body, the latter by itself uncolored,
often found in nerve, hepatic, cardiac
muscle cells and elsewhere. See
Carotinoids.
Lipofuscins are fats colored by the carotene
dissolved in them found in nerve, hepa-
tic and cardiac muscle cells (Mallory,
p. 125).
Lipoids (G. lipos, fat + eidos, appearance).
This term is taken to mean almost
anything even remotely looking like
fat. Generally included under it are
lecithin, cephalin, sphingomyelin, kera-
sin, phrenosin, etc. which cannot be
identified microchemically in sections.
They are referred to as Lipines by Lison .
See his tabular analysis under Lipids.
See methods of Ciaccio and Smith-
Dietrich.
Lipolytic Enzymes, see Lipase.
Lipomicrons, small droplets of lipid in
circulating blood. See Chylomicrons.
Lipophanerosis is fatty degeneration, see
Lipids.
Lipoprotein. Method for separation and
isolation from liver cells by differential
centrifugation, see Lazarow, A., Anat.
Rec, 1942, 84, 31-50; Biological Sym-
posia, 1943, 10, 9-26.
Lison's glycogen method (Lison, p. 227).
Fix in dioxan saturated with picric
acid, 8.5 parts; formalin, 1 part; and
acetic acia, 0.5 cc. Pass direct through
dioxan, dioxan-paraffin, paraffin, im-
bed, section and stain in the usual way.
Lithium Carmine 1. To make Orth's
lithium carmine dissolve 2.5-5 gms.
carmine in 100 cc. sat. aq. lithium
carbonate. Boil for 10-15 min. and,
when cool, add a crystal of thymol as
an antiseptic. Stain sections about 3
min. Differentiate in Acid Alcohol.
Wash in water, dehydrate in alcohol,
clear in xylol, or toluol, and mount in
balsam. Gives sharp bright red stain
of nuclei often useful in place of the
blue of hematoxylin, of methylene blue,
etc. It may be used after almost any
good fixative.
2. Lithium carmine has also been
employed in many classical experiments
as a vital stain (Aschoff, L. and Kiyono,
K., Folia Haemat., 1913, 6, 213; Suzuki,
T., Nierensekretion, Jena, 1912 ; Kiyono,
K., Die Vitale Karminspeicherung,
Jena, 1914, etc.). Filter a sterilized
concentrated suspension of carmine
rubrum optimum (5 gm.) in cold sat.
aq. lithium carbonate and slowly in-
ject 5-10 cc. intravenously in rabbits
(Foot, McClung, p. 115) . The Bensleys
(p. 151) give the following directions.
Cook on water bath 100 cc. sat. aq.
lithium carbonate -f- 5 gm. carmine
rubrum (Grubler) for ^1 hr. Filter
hot. Allow to settle and cool. Filter
cold. Sterilize in autoclave and filter
again through sterile filter. Inject
intravenously once or more. Kill the
animal and fix tissues in alcohol, forma-
lin or formalin-Zenker.
Lithium Silver of Hortega as described by
Laidlaw (G. F., Am. J. Path., 1929, 5,
239-247) : In 250 cc. glass stoppered
bottle dissolve 12 gms. silver nitrate,
C.P. in 20 cc. aq. dest. Add 230 cc.
sat. lithium carbonate, C.P. in aq. dest.
Shake well. Let settle to about 70 cc.
ppt. Decant. Washppt. with aq. dest.
3 or 4 times. Decant all except 70 cc.
ppt. Add ammonia water (26-28%)
shaking until fluid is nearly clear. Add
aq. dest. to total vol. of 120 cc. Filter
through Whatman filter paper No. 42
or 44 or Schleicher and Schiill No.
589 into stock bottle. See Laidlaw's
Methods.
Litmus as a vital indicator of acidity and
allcalinity in rats and mice (Rous, P.,
J. Exper. Med. 1925, 41. 379-397). See
Hydrogen Ion Indicators.
Liver. In this very large organ, as in the
lungs, it is necessary to carefully select
the specimens excised for study. It is
bad practice to take only slices vertical
to the surface including the capsule.
The deeper parts should be included.
How the weight and structure of the
human liver varies with phases of as-
similation and secretion as in rabbits
(Forsgren, E., Act. med. Scandin.,
1931, 76, 285^-315) and in rats (Higgins,
G. M., Berkson, J. and Flock, E.,
Am. J. Physiol., 1933, 105, 177-186)
remains to be determined. Effect of
different dehydration and clearing
agents on liver (Ralph, P., Stain Techn.,
1938, 13, 9-15). A well illustrated ac-
count of the influence of fixatives on
liver cells is given by Schiller, W., Zeit.
f. Zellf. u. Mikr. Anat., 1930, 11, 63-178.
Locke Solution. As given by Craig, p. 69
as a component of culture medium for
amebae it is: NaCl, 9.0 gm.; CaCU, 0.2
gm.; KCl, 0.4 gm.; NaHCOs, 0.2 gm.;
glucose, 2.5 gm.; aq. dest. 1000.0 cc.
sterilized in Arnold sterilizer or in auto-
clave.
Locke-Lewis solution. NaCl, 0.85 gm.;
KCl, 0.042 gm.; CaClj, 0.025 gm.;
NaHCOa, 0.02 gm., dextrose, 0.01-0.25
gm. ; aq. dest., 100 cc. Should be freshly
made. Owing to presence of NaHCOa
must not be sterilized by heat.
Loeffler's Alkaline Methylene Blue. As
emended Soc. Am. Bact. A. Methylene
LOGWOOD
185 LUNGS, UNCOLLAPSED, FIXATION
blue (90% dye content) 0.3 gm. + 95%
ethyl alcohol, 30 cc. B. 0.01% aq. KOH
by weight 100 cc. Mix A and B
(McClung, p. 137).
Logwood. This source of hematoxylin, the
most important of the older dyes, was
discovered by the Spaniards at the
Bay of Campeachy in Mexico and was
introduced by them into Europe.
Much used in Spain in the 16th century
logwood was banned in England by Act
of Parliament in 1580 and punishment
provided for its use. A hundred years
later this Act was repealed and since
1715 the tree has been cultivated in
Jamaica (Leggett, W. F., Ancient and
Medieval Dyes. Brooklvn: Chemical
Publishing Co., Inc., 1944, 95 pp.).
Loose Connective Tissue. Subcutaneous
tissue of this sort is often chosen for
investigation. It may be dissected out
and spread on slides. A good way,
demanding practice, is to tease the tis-
sue apart, without the addition of any
saline solution, so that one edge is paral-
lel to the end of the slide and about 4
cm. from it. This edge is allowed to
dry and become affixed to the slide,
while the remainder of the tissue is
kept moist and is stretched with needles
evenly along the length of the slide into
a fairly thin film. This spread is then
examined in the fresh state, with various
solutions added, or it is fixed and stained
like a blood smear. Separation of
components into a sufficiently thin
spread is facilitated by first making a
bulla (L. for bubble) under the epi-
dermis by the local injection of fluid
(salt solution, serum, etc.).
Sylvia H. Bensley (Anat. Rec, 1934
60, 93-109) employed a graphic methoa
for demonstration of ground substance.
She adapted a culture of paramoecia to
0.6-0.8% salt solution, injected sub-
cutaneously into a guinea pig, excised
the bulla and examined it as a whole
mount with cover glass supported at
edges. Actively motile organisms sud-
denly rebounded without coming into
contact with microscopically visible
structure and none escaped into the
surrounding fluid from the bulla. This
is evidence of the existence in loose
connective tissue of an amorphous
ground substance in the physical condi-
tion of a gel. She described, and used
to advantage, methods for determina-
tion of the refractive index, consistency,
digestability and tinctorial properties
of this substance in several parts of the
body.
Methods for the identification of
Collagenic and Elastic Fibers, Fibro-
blasts, Tissue Basophiles and other
constituents are described under the
respective headings. See also Tissue
Fluid.
Lorrain Smith, see Nile Blue Sulphate.
Lubarsch Crystals are tiny formations occa-
sionally seen post-mortem intracellu-
larily in testis and said to be differont
from Charcot's and Spermin Crystals.
Lucas, see Clia, Plastics.
Lucidol, a trade name for benzoyl peroxide.
Lucite, disadvantages of as substitute for
Canada balsam (Richards, O. W. and
Smith, J. A., Science, 1938, 87, 374).
It is used in place of Quartz for transil-
lumination by Williams, R. G., Anat.
Rec, 1941, 79, 263-270, and in making
containers for museum specimens by
Snitman, M. F., Arch. Otolaryng.,
1942, 36, 220-225.
Lugol's Iodine. Potassium iodide, 6 gm.;
iodine, 4 gm.; aq. dest., 100 cc.
Luminescence, Bacterial. Technique for
inhibition and leads to literature (John-
son, F. H., Flagler, E. A., Simpson, R.
and McGreer, K., J. Cells and Comp.
Physiol., 1951, 37, 1-14).
Luminol (3-aminophthalhydrazide) made
by Eastman Kodak Co. has a marked
affinity for hematin yielding brilliant
luminescence in ultraviolet light.
Hematin in a dilution of 1:100,000,000
can be detected thereby. This is_ a
medicological test of great sensitivity
but is not limited to human blood
(Proescher, F. and Moody, A. M., J.
Lab. & Clin. Med., 1938-39, 24, 1183-
1189).
Lungs. To excise properly pieces for fixa-
tion requires great skill especially if
lesions are present. The slices should
be cut with the sweep of a particularly
sharp knife to minimize squeezing and
the resultant distortion and displace-
ment of fluids when these are present.
The contents of small cavities and
bronchi may escape unless care is taken
to retain them by immediate coagula-
tion by fixation. Owing to regional
differences it is important to select
representative areas. To demonstrate
the fibrin often present in lesions,
Weigert's stain is recommended.
Illumination of circulation in lung by
quartz rod (Weaver, J. T. et al. Am. J.
Physiol., 1934, 109, 23(>-256). Observa-
tion of lung through thoracic window
in vivo (Terry, R. J., Science, 1939, 90,
43-44), See Alveolar Epithelium, Alveo-
lar Fluid, Alveolar Foam Cells, Alveolar
Pores, Alveolus, Ammoniacal Silver,
Bronchiolar Epithelium, Carmine Dust-
ing, Celluloid Corrosion, Dust Cells,
Gash Irrigation, Heart Failure Cells,
Pneumonocytes, Silver Lineation, Tis-
sue Phagocytes, Vacuoloids, Wash-out
Recovery Method.
Lungs, Uncollapsed, Fixation — Written by
LUTECIUM
186
LYMPHATIC VESSELS
C. C. Macklin, Dept. of Histological
Research, The University of Western
Ontario, London, Canada. November
28, 1951— This may be done (1) by
prompt immersion of the fresh flayed
intact thorax (IIT) in any good fixative
which is adaptable to small animals,
such as mice; (2) by perfusion of the
blood vessels of the intact thorax of the
recently exsanguinated animal (PIT);
(3) by injection of the fixative into the
trachea with the thorax unopened
(BF). This is known as bronchial
filling. For technique of methods Nos.
1 and 2 see Dust Cells. For method
No. 3 a cannula is tied into the trachea
and fixing fluid injected in amount equal
to one-third to one-half of the volume
of the lung in full expiration. Presence
of air does not prevent spread. Fix-
ation is rapid. After tying the trachea
the preparation is allowed to stand one
to twenty-four hours. This method
may be combined with No. 1. Methods
1 and 3 may be used without previous
exsanguination. In methods 1 and 2
the capillaries of the alveolar walls are
fully opened, but in 3 they are only
partly so. Methods 1 and 2 possess the
advantage of not having loose particles
washed into the lower part of the air
tract. Other advantages are con-
sidered under "Dust Cells". Methods
1 and 2 demonstrate the close and ex-
tensive relation of the capillaries of the
alveolar wall to the pneumonocytes
(Macklin, C. C, Trans. Roy. Soc. of
Can., Sect. V, 1946, 40, 93-111).
Lutecium, see Atomic Weights.
Lutein, see Lillie, p. 129.
Luyet, see Revival after Ultra Rapid Cooling.
Lymphatic Vessels. There are many ways
of demonstrating lymphatic vessels.
The most convenient is to sit in an easy
chair and view the splendid moving
picture prepared by Dr. Richard L.
Webb of the Department of Anatomy of
the University of Illinois College of
Medicine entitled: "Mesenteric lym-
phatics, their conduct and the behavior
of their valves in the living rat".
Another easy method is to watch
absorption of cream in a cat. A fasting
animal is fed | pint of cream and the
abdominal cavity is opened under ether
anesthesia a few minutes later. At first
sight it may be difficult or impossible to
see any lyroplmtics in the mesentery
although a few bean shaped lymph nodes
are visible near its base and can be
easily felt. Keep the abdominal con-
tents moist with saline. Close the
opening. In a little while, when again
examined, the lymphatic vessels will be
clearly marked in white by the milk fat
which has been absorbed by the lacteals
and is being transported in them.
A simple method to visualize the
pathways of lymphatic drainage from
the nasal mucous membrane has been
described by Yoffey, J. M., Lancet,
1941, 1, 529-530. Anesthetize a cat.
Drop into each nostril 1 cc. 5% trypan
blue (T. 1824) in physiological saline
(0.85% aq. NaCl). T. 1824 is specified
because it is a trypan blue isomer which
is deeply colored even in high dilutions
but any good trypan blue will do. Dis-
sect away the side of the neck.
Lymphatic vessels, deeply stained, will
be seen from the nose and pharynx
converging to the deep cervical node
and from the posterior border of this
node a single deep cervical vessel takes
origin and proceeds downward in the
neck. The technique delineates a func-
tioning system of vessels actually at
work.
Lymphatic vessels and capillaries
constitute a drainage system provided
in largest measure beneath the external
surface of the body and the invagina-
tions of this surface into it in the respira-
tory, alimentary and urinogenital
systems. They are absent in the
brain and bone marrow and rare or
absent in skeletal muscle. See detailed
information concerning the organ or
tissue, in which it is desired to demon-
strate them, to be found in Drinker,
C. K. and Yoffey, J. M., Lymphatics,
Lymph and LymphoidTissue. Harvard
Univ. Press, 1941, 406 pp.
Methods for the injection of lympha-
tics involve forcing fluid containing
particulate matter into areas where
there are many lymphatic capillaries.
A technique for the observation in vivo
of the superficial lymphatics of human
eyelids is described by Burch, G. E.,
Anat. Rec, 1939, 73, 443-446. 0.02 cc.
of a dilute solution of patent blue V is
injected intradermally 5-10 mm. beyond
the middle of the lid margin. The
lymphatics are apparent in about 5
min. and may be observed as long as
75 min. Consult earlier experiments
with this dye by McMaster, P. D.,
J. Exp. Med., 1937, 65, 347-372.
A good way is to utilize the trans-
parent ears of white mice to inject the
lymphatics with hydrokollag by means
of a microdissection apparatus (Pul-
linger, B. D. and Florey, W. H., Brit. J.
Exp. Path., 1935, 16, 49-61). But the
best available technique is closely to
examine over long periods of time living
non-injected lymphatics in Sandison
cliambers in the ears of rabbits (Clark,
E. R. and E. L., Am. J. Anat., 1937,
62, 59-92. See India ink method for
LYOGLYCOGEN
187
MACERATION
renal lymphatics (Pierce, C. E. 2nd.,
Anat. Rec, 1944, 90, 315-329).
Lyoglycogen, see Glycogen.
Lyons Blue, see Spirit Blue.
Lymphocytes. There is no specific stain
for lymphocytes, but identification is
usually easy at least for small lympho-
cytes. To observe motility, mount
fresh blood and ring with vaseline to
prevent evaporation. Movements
usually begin after the neutrophiles
have become active. Examination in
the darkfield may be helpful. Mito-
chondria can be demonstrated easier
in lymphocytes by supravital staining
with Janus Green than in polymorpho-
nuclear leucocytes because they are not
obscured by the specific granulations.
In the study of smears the characteristic
cytoplasmic basophilia of lymphocytes
can be brought out by most of the usual
stains (Giemsa's, Wright's). The
Peroxidase Reaction of Ijonphocytes is
negative, or very strictly limited.
Methods demonstrating Cathepsin, Nu-
clease, Amylase, Lipase, Lysozyme and
Adenosinase in lymphocytes are de-
scribed by Barnes, J. M., Brit. J. Exp.
Path., 1940, 21, 264-275. To determine
the age of lymphocytes is extraordinarily
difficult. Perhaps the nearest approach
to this goal is the work of Wiseman,
B. K., J. Exper. Med., 1931, 54, 270-294.
Lysis. In histology this term means the
solution of a cell resulting from injury
to the cell membrane. A choice may
be made of several agents productive
of this change. As classified by Danielli
(Bourne, pp. 74-75) antibodies and
px)lyhydroxylic phenols probably act
almost wholly on the protein component
of the membrane; lipoid solvents,
lecithinase, digitonin, sodium or potas-
sium salts of fatty acids and paraffin
sulphonates mainly on the lipoid part ;
and the heavy metals probably on both.
He suggests the probable modes of
action. It is therefore possible that
these lytic agents may in their action
provide clues as to the nature of the
plasma membrane. See Cell Mem-
branes.
Lysozyme a heat and acid resistant enzyme
produced from egg white and isolated
as a basic protein of small molecular
weight by Abraham, E. P., Biochem.
J., 1939, 33, 622-630. It is present in
many animal and plant tissues. A
method for its determination in lympho-
cytes and polymorphonuclear leuco-
cytes (neutrophiles) is given by Barnes,
J. M., Brit. J. Exp. Path., 1940, 21, 264-
275). The use of lysozyme as a cy to-
logical agent in bacteriology is de-
scribed by Dubos, R. J., The Bacterial
Cell. Harvard Univ. Press, 1945, 460 pp.
Observation that a bacterium is sus-
ceptible to lysozyme is an indication
that it contains as an essential part of
its structure a substrate for this en-
zyme, probably an acetyl amino pol-
j'saccharide.
Lyssa Bodies are small Negri bodies which
look optically hyaline, sec Negri Bodies.
Maceration (L. macerare, to soak) is a very
important technique by which tissues
are soaked for considerable periods of
time in various fluids which loosen the
connections between the cells and allow
them to be easily separated for micro-
scopic study. This is a method em-
ployed by the great masters in histology
which is unfortunately not sufficiently
used now-a-days.
For nervous tissue Addison (McClung,
p. 439) recommends Gage's dissociator
which is 2 cc. formalin in 1000 cc.
physiological salt solution for 2 or 3
days. After this treatment large ven-
tral horn nerve cells can easily be dis-
sected out with the aid of a binocular
microscope, stained with carmine, picro-
carmine or a dilute anilin dye and
viewed as units with parts of their
processes attached.
Smooth muscle of the bladder is well
dissociated bv 10-20% nitric acid
(Dahlgren, in McClung, p. 423). The
resulting fibers are suitable for class use.
Thyroid follicles are freed from the
surrounding tissue and can be examined
individually after maceration in cone,
hydrochloric acid 3 parts and aq. dest.
1 part for about 24 hrs. and thorough
washing in at least 10 changes of tap
water (Jackson, J. L., Anat. Rec, 1931,
48, 219-239).
Epidermis can be separated from
dermis by maceration in 1% acetic acid,
see epidermis.
Kidney tubules. Pieces of kidney
fixed in 10% formalin or in Kaiserling's
solution are placed in cone, hydrochloric
acid at room temperature until they
become sufficiently softened after 2-7
days. The time depends upon size of
piece, degree of fibrosis and other factors.
There is no advantage in using fresh
tissue. When adequately macerated
the almost diffluent tissue is washed in
repeated changes of aq. dest. in which
it may be kept for several days. Dis-
sect out individual tubules with the
aid of a binocular microscope (Oliver,
J. and Luey, A. S., Arch. Path., 1934,
18, 777-816).
Seminiferous tubules. Whole human
testicles are fixed in formalin. They
are then cut into segments 1 cm. thick
parallel to direction of the lobules. The
tunica vaginalis is not removed but is
slit through in one or two places with a
MACNEAL'S TETRACHROME
188
MAGDALA RED
razor. Each segment is placed in cone,
hydrochloric acid, 75 cc, aq. dest. 25 cc.
1-7 days. Heat just below boiling
20-30 min. Tissue shrinks, turns dark
brown and softens. A sediment collects
in the dish. Part of acid is drawn off
with a pipette, boiled water is added
and the process is repeated until practi-
cally all of the acid is removed. The
water is boiled to prevent formation of
air bubbles along the tubules. It turns
the tubules a yellowish white color in
which condition they should be isolated
by careful teasing. When the tubules
cannot be easily lifted away from one
another, the maceration is insufficient.
When, on the other hand, they break
it is a sign of over maceration (Johnson,
F. P., Anat. Rec, 1934, 59, 187-199).
A similar method was used by Johnson
in 1916 to separate the lobules of the
pig's liver.
Bone cells and lamellae. Treat a
thin bone section with cone, nitric
acid as long as 24 hrs. Mount on a
slide and squeeze out bone cells by pres-
sure on cover glass. The lamellae can
be pealed off easily from a piece of
decalcified bone which has been gently
boiled in water (Shipley, in McClung,
p. 348).
Enamel rods. A piece of dental ena-
mel is dissociated with 5-10% hydro-
chloric acid for 24 hrs. When it has
become soft, remove a little with a
needle to a slide and tease out. Mount
in physiological salt solution under a
cover glass. Draw through a little
carmine stain with a blotter and wash
it out with 10% acetic acid. The
specimen can be ringed with paraffin
(Churchill, and Appleton, in McClung,
p. 372).
Nerve cells. Pieces of gray matter
of ventral horn are soaked for 2 or 3
days in 0.02 formalin. The tissue
softens, the cells are dissected out and
stained with carmine or picro-carmine
(Addison, in McClung, p. 439).
MacNeal's Tetrachrome is a blood stain
containing eosin, methylene azure A,
methylene blue and methylene violet.
It is employed like Wright's stain.
For details see MacNeal, W. J., J. A.
M. A., 1922, 78, 1122, and Conn, H. J.,
Stain Technology, 1927, 2, 31.
Macrophages. These are the free cells of
the reticulo-endothelial system. Al-
most any method of exposure to rela-
tively non-toxic, finely particulate
matter is sufficient to bring them out.
The simplest way is to inject mice with
trypan blue as described under Vital
Staining and to look for the macro-
phages in spreads of Loose Connective
Tissue. Another method, used by
Maximow, is to give rabbits intra-
venous injections of saccharated iron
oxide or India ink and to examine blood
from right ventricle in smears (see
Cowdry's Histology, p. 69). Lines of
division between macrophages and
monocytes, if they exist, are difficult
to establish. Supravital staining with
Neutral Red and Janus Green is useful
to demonstrate neutral red granules
and mitochondria respectively.
Madder Staining of bone. Madder is a red
dye, prepared from the plant Rubia
Tinctorum which has been used for
thousands of years. It is perhaps the
first dye to be used in camouflage in war.
With its help Alexander defeated the
Persians by staining the clothing of his
Greek soldiers red, each garment in a
different part so that the Persian leaders
at once concluded that all they had to
cope with was an already well damaged
army. (Leggett, W. F., Ancient and
Medieval Dyes. Brooklyn: Chemical
Publishing Co., Inc. 944, 95 pp.)
Alizarin and purpurin, formed from
madder, are now made syntheticall3\
Madder should be employed for the
vital staining of growing bone as de-
scribed by Macklin (C. C, Anat. Rec,
1917, 12, 403-405; J. Med. Res., 1917,
36, 493-507). Young rats are suggested
as material. Each should eat 1-5 gms.
of madder, thoroughly mixed with its
food, daily. The calcium deposited in
the growing bone while madder is thus
made available in the circulation is
colored red. Staining is noticeable
after 1 day but the feeding should be
continued for a week or more.
The ventral ends of the ribs and the
epiphyseal lines of long bones are most
intensely colored. The bones selected
are fixed in 10% neutral formalin,
washed and cleaned in water, dehy-
drated thoroughly in alcohol, placed in
benzene for 24 hrs., cleared in oil of
wintergreen by the method of Spalteholz
and examined with binocular microscope
as whole objects.
Chemistry of madder staining is dis-
cussed by Dr. Richter (Biochem. J.,
1937, 31, 591-595). The substance giv-
ing the intense carmine red color is
apparently purpurin carboxylic acid.
Madder is one of the most classical of
stains. Its history extends back through
the centuries and has been well reviewed
by F. T. Lewis (Anat. Rec, 1942,
83, 229-253). See Line Test.
Magdala Red (CI, 857) — naphthalene pink,
naphthalene red, naphthylamine pink,
Sudan red — According to Conn (p. 102)
this basic naphtho-safranin differs from
commercial magdala red which is an
acid dye belonging to an entirely dif-
MAGENTA
189
MALARIAL PIGMENT
ferent group. He calls attention to its
use by Kultschitzky, N., Arch. f.
Mikr. Anat., 1895, 46, 673-695) in stain-
ing elastic tissue of tlie spleen. Used
as a fluorochrome for Lipids.
Magenta, see Basic Fuchsin.
Magenta II is triamino ditolyl-phenyl-
methane chloride probably present in
most samples of Basic Fuchsin. See
Pararosanilin (Magenta O), Rosanilin
(Magenta I) and New Fuchsin (Magenta
III).
Magnafiux is a useful instrument employed
in the FBI Laboratory to detect the
occurrence of small cracks and defects
in the surface of metallic objects.
When, for example, a magnetizable
object is placed in a magnetic field,
created by the magnafiux, the field is
distributed throughout the metal if it
is sound. Otherwise, magnetizable pig-
ments become oriented around the
breaks in the surface indicating their
location (Hoover, J. E., Scientific
Monthly, 1945, 60, 18-24). Obviously
metallic laboratory equipment can be
tested in this way.
Magnesium, Titan yellow method for de-
termination of small amounts in body
fluids (Haury, V. G., J. Lab. & Clin.
Med., 1938, 23, 1079-1084).
Methods for detection in plant cells
(Broda, B., Mikrokosmos, 1939, 32,
184). (1) Triturate 1 part quinalizarin
with 5 parts sodium acetate crystals.
Make to fresh 0.5% solution in 5% aq.
NaOH. Addition of 1-2 drops to paraf-
fin section, then 1-2 drops 10% NaOH
results after some hours in blue stain.
(2) Add to paraffin section 1-2 drops
0.2% aq. Titan yellow, then 1-2 drops
10% NaOH gives rise to brick red stain
of magnesium. (3) Add to paraffin sec-
tion 0.1% aq. azo blue. Gives, without
the NaOH, a violet stain of magnesium.
An attempt should be made to adjust
these techniques to human tissues in
which a magnesium salt has been
injected.
By means of a specially constructed
electron microscope Scott and Packer
(G. H. and D. M., Anat. Rec, 1939
74, 17-45) have accurately localizea
magnesium and/or calcium in muscle.
The method can be extended to other
tissues and perhaps to other minerals.
Histospectrography gives data on the
amount of magnesium relative to the
other minerals in the skin of normal and
neurodermatitis patients. In the latter
there is a magnesium deficiency (Mac-
Cardle, R. C., Engman, M. F., Jr. and
Sr., Arch. Dermat. and Syph., 1941,
44, 429^40).
If it is desired to supplement micro-
scopic and spectrographic detection of
magnesium by quantitative analysis of
very small amounts of tissue a tech-
nique of microdermination with the
polarograph devised by Carruthers, C.,
Indust. and Engin. Chem., 1943, 15,
412-414 will be useful. It has been
employed for analysis of pure epidermis
by Carruthers, C, and Suntzeff, V.,
Cancer Research, 1943, 3, 744-748. See
Calcium 5.
The Spectrophotometric determina-
tion of magnesium in human serum has
been advanced by Craig, P., Zak, B.,
Iseri, L. T., Boyle, A. J. and Myers, G.
B. (Am. J. Clin. Path., 1951, 21, 394-398)
through the making of several innova-
tions: (1) destruction of protein by
nitric acid digestion, (2) use for stabi-
lizer of a sodium lauryl sulfate-poly-
vinyl alcohol reagent, (3) choice of a 550
m/x wave length for quantitation and
(4) the preparation of calibration curves
from standards containing urea and
electrolytes normally occurring in
plasma. It would seem feasible by
different calibration and other adjust-
ments to utilize this technique for the
estimation of magnesium in fluids other
than serum and perhaps in tissue
homogenates.
Magnetic Particle Technique to investigate
the phj'sical properties of the cytoplasm
of living cells as determined by move-
ments of phagocytized particles of
various sorts in a magnetic field (Crick,
F. H. C. and Hughes, A. F. W., Exp.
Cell Res., 1950, 1, 37-80). This appears
to be a very promising method.
Malachite, a mineral mined by the Egyp-
tians, and applied as a powder gave a
green pigmentation about the eyes.
It is said to be the oldest coloring mat-
ter known to them (Leggett, W. F.,
Ancient and Medieval Dyes. Brook-
lyn: Chemical Publishing Co. Inc.,
1944, 99 pp.).
Malachite Green (CI, 657) — diamond green
B, BX or P extra, light green N, new
Victoria green extra, O, I or II, solid
green O, Victoria green B or WB —
Commission Certified. A feebly basic
di-amino tri-phenyl methane dye quite
extensively employed as a counterstain
for safranin or carmine.
Malachite Green G, see Brilliant Green.
Malarial Pigment. Produced in erythro-
cytes by action of the parasites, black
and distinguishable from carbon by its
solubility in concentrated sulphuric
acid. Among distinguishing character-
istics given by Lison (p. 254) are
solubility in dilute alkalis, argentaffine
reaction negative, specific stains for
lipids negative, likewise reactions for
iron. But Morrison and Anderson (D.
B. and W. A. D., Public Health Rep.,
MALARIA PLASMODIA
190
MALLORY-HEIDENHAIN STAIN
1942, 57, 90-94) find that when the
pigment within the parasites (Plas-
modium Knowlesi) is extracted in
such a way as not to influence the
spectra of hemoglobin it can be identified
spectrophotometrically as ferrihemic
acid, or hematin, which does contain
iron.
Malaria Plasmodia. Technique of examina-
tion of process of "exflagellation"
(Anderson, Ch. W. and Cowdry, E. V.,
Arch, de I'lnst. Pasteur de Tunis, 1928,
17, 46-72), of quantitative determina-
tions of gametocytes (Cowdry, E. V.
and Covell, W. P., Ibid., 147-456) and
of demonstrating neutral red granules
and Golgi apparatus (Cowdry, E. V.
and Scott, G. H., Ibid., 233-252).
For staining the plasmodia in smears,
see Giemsa, Jenner, Marino, Nocht,
Plehn, Wilson and Wright's stains. A
simple method for staining plasmodia
in paraffin sections is described with
numerous illustrations by Tomlinson,
W. J. and Grocott, R. G., Am. J. Clin.
Path., 1944, 14, 316-326. The Barber
Eomp thick film method is strongly
recommended for surveys.
Serlin, N. J. and Lissa, J. R., Am. J.
Clin. Path., 1942, 6, 8 advise the follow-
ing method when diagnosis depends on
finding gametocytes, or malarial pig-
ment, in peripheral blood. Completely
evaporate 1 cc. 1% aq. potassium oxa-
late in a 15 cc. centrifuge tube. Add 10
cc. venipuncture blood. Mix carefully
and centrifuge 30 min. at 2,500 R.P.M.
Pipette oil all but about J in. of super-
natant plasma. Smear on 2 slides by
wiping buffer layer with stick applicator
having non-absorbent cotton tip.
Stain by Wright's method. Study of
Giemsa stained smears by dark field is
suggested (Goosmann, C., J. Lab. &
Clin. Med., 1935-36, 21, 421-424). See
Protozoa.
Taylor, D. J., Greenberg, J. and
Josephson, E. S. (J. Lab. Dis., 1951, 88,
158-162) describe a useful method for
the maintenance of intraerythrocytic
forms of Plasmodium gallinaceum in a
whole medium on vitro.
Mallory's Connective Tissue Stain. This
is name usually given to his anilin
blue-acid fuchsin-orange G stain. See
also his Phosphomolybdic and Phospho-
tungstic Acid Hematoxylin Stains.
(Mallory, p. 155). Fix in Zenker's
fluid. Imbed in paraffin or celloidin.
Remove mercury from sections with
iodine or 0.5% sodium hyposulphite.
Stain in 0.5% aq. acid fuchsin, 1-5 min.
Drain off stain and put in : anilin blue,
water soluble, 0.5 gm. ; orange G, 2 gm. ;
1% aq. phosphotungstic acid, 100 cc,
20 min. or longer. Rinse in 95% ale.
2 or 3 changes until no more stain is
removed. Dehydrate in abs. ale, clear
in xylol, mount in neutral balsam. For
celloidin sections, reduce staining time
and pass from 95% ale. to terpineol and
mount in balsam. This is one of the
most beautiful of all stains and is very
widely used. Collagenic fibrils blue,
fibroglia, neuroglia and myoglia fibrils
red, elastic fibrils pink or yellow. In
McClung, p. 405, Mallory and Parker
advise 0.25% aq. acid fuchsin and
staining in the anilin blue mixture for
1-24 hrs. or for 1 hr. in paraffin oven at
60 °C. The modifications of this stain
are almost endless.
Adaptation to formalin fixed material
is often desirable. Kernohan (J. W.,
J. Tech. Meth., 1934, 13, 82-84) has
outlined the following method of doing
this by mordanting. Wash formalin
fixed tissue in running water or in
ammonia water for short time. Place
in Weigert's primary mordant — potas-
sium bichromate, 5 gm.; chromium
fluoride, 2 gm. and aq. dest. 100 cc. —
for 4 days and in his secondary mordant
— copper acetate, 5 gm.; chromium
fluoride, 2.5 gm.; acetic acid (36%),
5 cc; aq. dest., 100 cc. and formol,
10 cc. — for 2 days. Imbed in paraflin
in the usual way.
Rexed, B., and Wohlfart, G., Zeit.
wiss. Mikr., 1939, 56, 212-215 suggest
control of pH of the acid fuchsin. It is
stated that fresh 0.1% acid fuchsin has
pH 4.49 and that increase in alkalinity
makes it defective. To prepare one at
pH 3.29 ± 0.01, which is recommended,
take acid fuchsin 1 gm.; N/10 HCl, 60
cc. ; aq. dest. 900 cc. ; Storensen's citrate
(citric acid crystals, 21 gm.; N/1
NaOH, 200 cc; + aq. dest. to make
1000 cc), 40 cc. Most tissues stain in
range pH 3-4, red blood cells alone at
pH5-7.
In 1936, Mallory considered (Stain
Tech., 11, 101-102) the most important
modifications of his stain to be Heiden-
hain's Azocarmine (Azan), the Lee-
Brown and Masson Trichrome methods.
See Grossman's modification and Pitui-
tary for special adaptations.
Mallory-Heidenhain Rapid One-Step Stain
for Connective Tissue — Written by
Jane E. Cason, Dept. of Pathology,
Medical College of Alabama, Birming-
ham, Ala. January 27, 1951— Although
innumerable modifications of Mallory's
aniline blue collagen stain for tissue
sections prevail, this procedure appears
to be an improvement over the original
and subsequent modifications.
The necessity for adjusting the in-
tensity of the aniline blue and the acid
fuchsin in routine staining suggested
MAMMARY GLANDS
191
MANGANESE DIOXIDE
the possibility of combining the two
original solutions at a modified ratio.
The results proved quite successful, and
three definite advantages of this pro-
cedure were apparent: 1) Only one step
is involved. 2) sufficient and desirable
coloration is accomplished in five min.
3) The intensity of the color is con-
sistent.
The coloration appears the same as
that listed by Mallory: Collagenous
fibrils stain intense blue; ground sub-
stances of cartilage and bone, mucus,
amyloid and certain other hyaline sub-
stances stain varying shades of blue;
nuclei, fibroglia, myoglia and neuroglia
fibrils, axis cylinders and fibrin stain
red; nucleoli, red blood corpuscles and
myelin stain yellow; elastic fibrils stain
pale pink or yellow. This technique is
suggested for routine pathologic stain-
ing because it is simple to follow, rapid
and consistent.
To make stain add to 200 cc. aq. dest.
Phosphotungstic acid crystals (Merck). . . 1 gm.
Orange G (C. I. No. 27) 2 gm.
Aniline blue, W. S. (C. I. No. 707) 1 gm.
Acid fuchsin (C. I. No. 692 3 gm.
Formalin-Zenker is the preferred fixa-
tive, but Bouin's, formalin, and alcohol
have been used with success. Embed
tissue in paraffin, and cut sections at 6^.
1. Deparaffinize in xylene, pass
through graded alcohols to tap water.
(If formalin-Zenker is the fixative, treat
with iodine and sodium thiosulfate.)
2. Stain sections 5 min. in staining
solution.
3. Wash in running tap water 3 to
5 sec.
4. Dehydrate rapidly through 95%
and 100% ale, clear in xylene, and
mount in balsam.
Mammary Glands. These can be studied
in sections by methods intended to
reveal the particular data sought. For
general purposes Hematoxylin and
Eosin, Mallory's Connective Tissue
Stain, or Phloxine-Methylene Blue is
recommended after Zenker fixation.
For fat use Sudan Black and Oil Red O
on frozen sections after fixation in 10%
formalin or examine in paraffin sections
after fixation in Flemming's fluid or
some other osmic acid containing mix-
ture.
In the case of the small glands of mice,
rats, rabbits and other mammals the
method of making whole mounts is
invaluable in investigations of the
responses of mammary glands to endo-
crine stimulation. The following is
essentially the same technique as that
originally described by Turner, C. W.
ana Gardner, W. U., Agri. Exp. Res.
Stat. Bull., Univ. of Mo., 1931, 158,
1-57 : Remove skin and mammary gland.
Stretch out and fasten on a cork block
with the external surface of the skin
down. Fix in Bouin's fluid 24 hrs.
Wash in tap water. Dissect away all
tissue over the gland which has been
tinged light yellow by the picric acid
in the fixative. Remove the gland from
the skin. Stain in Mayer's Hemalum.
Wash in l%aq. potassium alum and then
in water. Differentiate in 70% ale. +
2% of hydrochloric acid until the color
has been removed from the connective
tissue and the acini and ducts of the
glands show up in sharp contrast in a
light background. Wash in tap water.
Dehydrate in alcohol, clear in xylol,
mount in balsam between glass plates
and close the edges with sealing wax.
Much can be made out when magnified
only 2-5 times. Small pieces can be
mounted on slides, with edges of cover
glasses supported as may be necessary,
for examination at higher magnifications.
There are many excellent pictures in
the paper cited.
For examination of fetal mice, see
Turner, C. W. and Gomez, E. T., ibid,
1933, 182, 1-43. Valuable data are
given in Turner's chapter on mammary
glands in Allen's Sex and Internal
Secretions, Baltimore: Williams &Wil-
kins, 1939, 1346 pp. For techniques to
reveal secretory phenomena in mam-
mary glands, see Weatherford, H. L.,
Am. J. Anat., 1929, 44, 199-281 ; Jeffers,
K. R., Am. J. Anat., 1935, 56, 257-277,
279-303. Technique for localizing site
of fat formation in mammary glands is
given by Kelly and Petersen, J. Dairy
Sci., 1939, 22, 7. The differential stain-
ing of sections of unpreserved bovine
udder tissue is to be found in U. S.
Dept. of Agri. Circular No. 514, under
authorship of W. T. Miller and H. W.
Johnson. A method for obtaining
serial slices of whole human breasts is
described by Ingleby, H. and Holly, C,
J. Tech. Meth., 1939, 19, 93-96.
Manchester Blue (British Drug Houses
Ltd), a dis-azo dye of the benzidine
series. In either alcoholic or aqueous
solution it gives a sharp deep blue
effect (H. G. Cannan, J. Roy. Micr.
Soc, 1941,61,88-94).
Manchester Brown, see Bismark Brown Y.
Manchester Yellow, see Martins Yellow.
Mandarin G, see Orange II.
Manganese. Histochemical detection un-
certain (Lison, p. 98).
Manganese Dioxide. Drinker, C. K. and
Shaw, L. H., J. Exper. Med., 1921,
33, 77-98 employed a suspension of fine
particles in acacia water to investigate
phagocytic power of endothelium be-
MANN'S FIXATIVE
192
MASSON'S TRICHROME STAIN
cause the particles can be seen within
the cells and the amounts of manganese
in the tissues can be determined by
chemical analysis.
Mann's Fixative is equal parts 1% aq. osmic
acid and sat. corrosive sublimate in phys-
iological salt solution (0.85% NaCl).
It is a good way to apply osmic acid for
the blackening of fat.
Mann's Methyl Blue-Eosin Stain. This
is used for protozoa and for inclusions
caused by viruses. Sections are de-
parafhnized, stained 12 hrs. in 1% aq.
methyl blue 35 cc, 1% aq. eosin 45 cc.
and aq. dest. 100 cc. They are then
rinsed in 95% ale, dehydrated cleared
and mounted. See Alzheimer's Modi-
fication of Mann's method.
Manometer for capillary blood pressure,
see Landis, E. M., Am. J. Physiol.,
1926, 75, 548.
Marchi Method. For degenerating nerve
fibers. Modification by Swank, R. L.
and Davenport, H. A., Stain Techn.,
1935, 10, 87-90. Details provided by
Dr. J. L. O'Leary. Degeneration time
of approximately 14 to 20 days. Kill
animal by overdose of nembutal or some
other barbiturate given intraperi-
toneally. Open left ventricle, insert
cannula into aorta and perfuse with
2.5-5% anhydrous (10% crystalline)
magnesium sulfate solution containing
2-3% potassium bichromate. Imme-
diately afterwards remove the brain
and spinal cord and put into 10%
formalin for 48 hrs. Place slices 3 mm.
thick directly, without washing, in :
1% aq. potassium chlorate, 60 cc. ;
1% aq. osmic acid, 20 cc. ; glacial acetic
acid, 1 cc. ; 37% formaldehyde (Merck's
reagent), 12 cc. Use about 15 volumes
of this fluid to 1 of tissue. Agitate and
turn over daily. After staining for 7-10
days, wash in running water, 12-24 hrs.,
dehydrate in 70% and 95% and absolute
alcohol and imbed in low viscosity nitro-
cellulose as described by Davenport,
H. A. and Swank, R. L., Stain Tech.,
1934, 9, 134-139. See Celloidin Im-
bedding. Cut 40m sections serially,
mount on slides, dehydrate to toluol,
placing chloroform in absolute alcohol
since low viscosity nitrocellulose is
soluble in absolute alcohol. Clear in
toluol. Mount in clarite X dissolved
in toluol. See these authors (Stain
Techn., 1935, 10, 45-52) for artifacts
and effects of perfusion in Marchi
technique. Rasmussen, G. L., Anat.
Rec, 1944, 89, 331-338 has elaborated a
very useful cellophane strip method for
preparation and study of Marchi serial
sections.
Marchi's Fluid. Miiller's Fluid, 2 parts;
1% osmic acid, 1 part. Fix 5-8 days;
wash in running water. Employed to
blacken degenerated nerve fibers. See
Nerve Fibers.
Method, underlying mechanisms in-
volved (Swank, R. L. and Davenport,
H. A, Stain Techn., 1934, 9, 11-19;
1935, 12, 45-52).
Marine Blue V, see Anilin Blue.
Marino's Stain for malaria plasmodia is de-
scribed in detail by Craig, p. 286 who
states that it gives excellent results;
but, owing to its complexity, is little
used for routine blood examinations.
Marrow, see Bone Marrow.
Marshall Red (British Drug Houses Ltd),
a disazo dye. Stain sections in sat.
aq. solution 20 min. Rinse in aq.
dest. Stain in sat. Victoria Green G
in 70% alcohol 30 min. Rinse in 95%
alcohol, dehydrate, clear and mount
in usual way. Myofibrils sage green,
nuclei crimson. Advised also for retina
(H. G. Cannan, J. Roy. Micr. Soc,
1941, 61,88-94).
Martius Yellow (CI, 9) — Manchester yellow,
naphthol yellow — An acid nitro dye
employed by Pianese (G., Beitr. z.
Path. Anat. u. AUg. Path., 1896, Suppl.
I, 193 pp.) for investigating cancer
tissue in association with acid fuchsin.
Conn (p. 44) reports good results in
staining of plant tissue with CC product.
Masson's Gelatin Glue. Method for mak-
ing sections stick to slides (Masson,
P., Am. J. Path., 1928, 4, 181-212).
Dissolve 0.05 gm. sheet gelatin in 20
cc. aq. dest., warming gentlj'. Filter a
large drop on each slide on warm plate.
Float paraffin sections on drops. When
drops spread place slides upright to
drain but do not permit drying. Blot
and transfer to dish containing formalin
(so arranged that vapor only will act
on slides) in oven 45-50 °C. For sub-
sequent staining 20 minutes in hot vapor
is enough. For silver treatment over-
night is suggested.
Masson's Trichrome Stain — Written by
Pierre Masson, Dept. of Pathology,
University of Montreal, Montreal,
Canada. October 24, 1951— The prin-
ciple established by F. B. Mallory in his
famous method of employing acid
fuchsin, phosphomolybdic acid, anilin
blue, orange G. can be advantageously
applied to other acid dyes yielding a
more specific staining of the chromatin.
It then gives a very instructive com-
bination of tints.
Due to the intensity of the staining,
the sections must be thin; 5^ is opti-
mum. In order to prevent swelling of
the collagen and its deformation during
the desiccation, the sections must not
be left too long (20-30 sec.) on the
warmed water, or gelatin, especially
MASSON'S TRICHROME STAIN
193
MASSON'S TRICHROME STAIN
after fixation by picro-formol (Bouin)
or formalin. So altered, the collagen
does not properly absorb the dyes and
differentiates badly. Trichrome stains
with iron haematoxylin. All trichromic
methods are based upon a common first
step: the staining of nuclei by iron alum
haematoxylin, followed by differen-
tiation with picric alcohol.
Three solutions are required: A. Iron
alum, violet crystals, 5 gm., aq. dest.
100 cc. B. Regaud's hematoxylin solu-
tiin made up by dissolving 1 gm. hema-
toxylin in 60 cc. hot aq. dest. Cool and
add 10 cc. glycerin and 10 cc. of 95%
alcohol. This stain is ready for use at
once. C. Differentiating mixture con-
sisting of 2 parts sat. picric acid in 95%
alcohol and 1 part of 95% alcohol.
Step 1. Place iron alum solution and
the hematoxylin solution in staining
jars in a water bath heated to 40-45°C.
Mordant deparaflined sections in heated
iron alum, 15 min. Rinse with aq.
dest. Stain in heated hematoxylin, 15
min. or more. Rinse the uniformly
black sections with 95% alcohol and
immerse in picric alcohol. Control the
progress of differentiation under the
microscope. As soon as the nuclei alone
remain colored, wash with running
water for 15 min.
If after washing, the background of
the preparation, particularly the col-
lagen remains gray, rinse with alcohol
and complete picric differentiation.
The chromatin is electively black and
opaque.
Various authors have proposed to
"simplify" this method by staining the
nuclei with Weigert's iron perchloride
hematoxylin or with alum hematoxylin.
I must say that I have long ago tried
such modifications before adopting the
above method and that I have aban-
doned them entirely. The red of the
ponceau-fuchsin solution superposes
itself on the gray or blue color imparted
by hematoxylin so that chromatin takes
a dull color lacking in specificity.
Rather than to use such modifications
it would be better to omit all nuclear
staining and start with the next step
(ponceau-fuchsin and so forth) : the
results are thus comparable to those ob-
tained by Mallory's original method.
Step 2. Stain in a mixture of acid
fuchsin and Ponceau ofxylidin BS (J. R.
Geigy, S. A. Basel). No other Ponceaux
I have used, French, German or Amer-
ican give results comparable to that of
Geigy's.
Three solutions are required: A.
Ponceau, BS (Geigy), 1 gm., aq. dest.
100 cc, glacial acetic acid 1 cc. B. Acid
fuchsin (National Anilin Co., New
York), 1 gm., aq. dest. 100 cc, glacial
acetic acid 1 cc. 1 part of A with 2
parts of B. C. Aq. dest. 100 cc, glacial
acetic acid 1 cc. D. Aq. dest. 100 cc,
phosphomolybdic acid 1 gm.
Place sections stained with the iron
hematoxylin in the A B mixture, 5 min.
Rinse them with C. Transfer them to
Z> in a Copeland or Borrel jar at 40°C.
5 min. or more. The collagen should
remain perfectly colorless.
Step 3. Stain the collagen with
anilin blue or Fast green. To make the
former dissolve 2 gms. anilin blue (Na-
tional Anilin Co., New York) in 100 cc.
warmed aq. dest. Cool and add 1 cc.
glacial acetic acid. To make the latter
dissolve 1 gm. fast green (National
Anilin Co., New York) in 100 cc. aq.
dest. and add 1 cc. glacial acetic acid.
After the phosphomolybdic differenti-
ation (Step 2 jD) rinse the sections in
acetic water C Pour on them 8 to 10
drops of the anilin blue or fast green
solutions 2 to 3 min. Wash in acetic
water C 2 to 3 min. Dehydrate with
absolute alcohol, clear in toluol or xylol,
mount in balsam or permount. Total
length of this technique is approxi-
mately 60 minutes. Chromatin is
black, cytoplasms stain in various
shades of red, granulations of eosino-
philes and mast cells stain ruby red,
erythrocytes are black, elastic fibers
stain red, collagenic fibers and mucus
stain dark blue (with anilin blue) or
green (if Fast green is used).
To this relatively fast technique, I
prefer a slow one, based on the use of
diluted solutions of Ponceau-fuchsin,
anilin blue or fast green.
After nuclear staining with iron alum
hematoxylin (Step 1) wash and immerse
the slides in 1 part A B mixture and 9
parts 1% acetic acid, 30 min. Rinse in
acetic water C, 1 min. Transfer the
sections into D at 40°C. 5 min. or more.
Rinse in acetic water C. Stain Anilin
blue solution 1 part {or Fast green solu-
tion 1 part) with acetic water C 9 parts,
15 to 30 minutes. Rinse in acetic water.
Dehydrate with absolute alcohol, clear
in toluol or xylol, mount in balsam or
permount.
The results are grossly the same as
after the rapid method, but more deli-
cate and precise. Moreover, the stain-
ing of the collagen is slow and progres-
sive and can be stopped at the most
favorable step; in many circumstances
an excessive staining of collagen masks
some fine details, for example the fine
prolongations of the connective tissue
cells.
N.B. After staining of collagen with
Fast green, it is preferable to mount in
MAST CELLS
194
MCILVAINE BUFFERS
salicylic balsam or salicylic permount.
Spread a drop of saturated solution of
salicylic acid in toluol upon a cover
slip. Dry. The glass is then covered
with a thin crystalline layer of salicylic
acid. Put on it a drop of balsam or
permount and cover the section taken
out of the toluol (or xylol). Salicylic
acid instantaneously redissolves in the
mounting medium. This addition of
salicylic acid is not advantageous after
staining with anilin blue.
Mast Cells, see Basophile Leucocytes and
Tissue Basophiles.
Mastigophora, Techniques for given by Mc-
Clung, Microscopical Technique, 1950,
p. 469.
Mastoid Process. Use methods for Bone.
Technique for measurements of size of
air cell system is given by Diamant, M.,
Acta Radiol., 1940, 31, 543-548.
Mauveine ((T, 846), a basic dj^e of light fast-
ness 3, the first dye made from aniline
in 1856. Gives stain of plant tissues
like Methyl violet (Emi_g, p. 57).
Maximow (see Azure II Eosin Hematoxylin
method). He has advised as a fixative
90 cc. Zenker's fluid less acetic acid +
10 cc. formalin. This is essentially
Formalin Zenker. See Buzaglo's con-
nective tissue stain.
May-Giemsa stain of Pappenheim (Folia
Haematol., Arch., 1917, 22, 15). This
is the same as Jenner-Giemsa. Fix
and stain air dried blood smears about
3 min. in May-Griinwald mixture (sat.
sol. methylene blue eosinate in methyl
alcohol). Add same amount aq. dest.
and leave 1 min. Pour off (but do not
wash) and add diluted Giemsa's solu-
tion. Stain in this 15-30 min. Rinse
aq. dest. 1 min. or until desired color
is reached. Blot dry. This is a good
modification of the ordinary Giemsa's
stain because it gives slightly more
intense colors.
May-Griinwald combined fixative and stain
is a sat. sol. of methylene blue eosinate
in methyl alcohol (Grtibler or Holl-
born). If methylene blue eosinate is
not available make it as originally de-
scribed by Jenner (Lancet, 1899, No. 6,
370). Mix equal parts 1.25% water sol.
eosin and 1% methylene blue; after 24
hrs. filter; wash ppt. on filter_ with
water; dry and dissolve powder in 200
cc. pure methyl alcohol. It is employed
in the May-Giemsa and Kardos-Pap-
penheim methods for staining blood
smears.
May-Griinwald-Giemsa stain in one solu-
tion. Strumia (M. M., J. Lab. & Clin.
Med., 1935-36, 21, 930-934) gives di-
rections for combining the stains and
for use and notes that a standardized
product is prepared by Coleman and
Bell Co. Intensity of coloration is
enhanced by the combination.
Mayer's Acid Alum Hematoxylin. The
following formula is given by Mallory
(p. 73). Dissolve 1 gm. hematoxylin
in 1000 cc. aq. dest. with a little heat if
required. Add 0.2 gm. sodium iodate
and 50 gm. ammonium or potassium
alum. When latter is dissolved add 1
gm. citric acid and 50 gm. chloral hy-
drate. Color turns reddish violet.
Does not easily over-ripen.
Mayer's Acid Carmine. The Bensleys
(p. 131) advise its preparation as
follows. Add 4 gm. carmine to 15 cc.
aq. dest. + 30 drops hydrochloric acid.
Boil until it is dissolved. Add 95 cc.
85% ethyl alcohol. Neutralize with
ammonia until the carmine begins to
precipitate as seen in a graduate against
white paper background. Add 4 more
drops ammonia after first precipitation.
If this acid carmine stains too quicklj^
slow it down by dilution with 80-90%
alcohol. This gives a fine red nuclear
counterstain for tissues vitally stained
with Indigo-Carmine, Trypan Blue
and similar dyes.
Mayer's Albumen, see Albumen Glycerin.
Mcllvaine Buffers after Stitt from Lillie,
R. D., Stain Techn., 1941, 16, 1-6 who
employed them to improve Romanowsky
staining after various fixatives. See
Toluidine Blue Phloxinate Method,
(see Molecular Solution) To make
M/15 citric acid required dissolve 14.01
gm. mono-hydrateu crystalline citric
acid in 500 cc. aq. dest. and add enough
neutral methyl alcohol C.P. to make
total volume 1,000 cc. after careful
mixing. To make M/15 Na2HP04 dis-
solve 9.47 gm. anhydrous Na2HP04
in 500 cc. aq. dest. and make up to
1,000 cc. with methyl alcohol. These,
in following proportions listed in cc,
give pH values indicated.
cc. Citric Acid
cc. NajHPOi
pH
1.3
0.7
3.9
(3.873)
1.25
0.75
4.0
(4.034)
1.2
0.8
4.2
(4.205)
1.15
0.85
4.4
(4.44)
1.1
0.9
4.6
(4.653)
1.05
0.95
4.8
(4.80)
1.0
1.0
5.0
(5.042)
0.95
1.05
5.2
(5.201)
0.9
1.1
5.4
(5.428)
0.85
1.15
5.7
(5.696)
0.8
1.2
5.85 (5.838)
0.75
1.25
6.05 (6.036)
0.7
1.3
6.3
(6.29)
0.65
1.35
6.5
(6.444)
0.6
1.4
6.5
(6.522)
0.55
1.45
6.6
(6.60)
Since it is difficult to measure out these
MCJUNKIN-HADEN BUFFER
195
MELANINS
small volumes accurately at least ten
times the volume in each case should be
taken and the amount not required
simply be discarded. For ordinary
purposes employ aq. dest. in place of
methyl alcohol.
McJunkin-Haden Buffer has pH 6.4 and is
useful in place of aq. dest. for diluting
Giemsa, Wright and other blood stains.
Monobasic potassium-phosphate, 6.63
gm.; anhydrous dibasic sodium phos-
phate, 2.56 gm.; aq. dest^ 1000 cc.
(Haden, R. L., J. Lab. & Clin. Med.,
1923, 9, 64-65).
Meat Extract Broth and other media con-
taining meat, see Bacteria Media.
Mechanical Stages, see Lillie p. 287.
Meckel's Diverticulum. Literature on
(Curd, H. H., Arch. Surg., 1936, 32,
506-523).
Media, see Bacteria, Leishmania, Protozoa,
Trypanosomes.
Megakaryocytes. These can, like blood
cells, be examined in fresh and stained
smears of bone marrow. For a deter-
mination of their role in platelet forma-
tion it is essential to clearly show the
granules typical of both. This can
best be done in sections of bone marrow
prepared by :
1. Wright's method (Wright, J. H.,
J. Morph., 1910, 21, 263-277). After
fixation in sat. mercuric chloride in
0.9% aq. NaCl, dehydrate in alcohol,
follow with acetone, clear first in thick
cedar oil and then in xylol, embed in
paraffin. Sections deparaffinized are
covered with equal parts stain (poly-
chrome methylene blue solution 3 parts
and 0.2% eosin yellowish in methyl
alcohol 10 parts) 10 min. A metallic
looking scum forms but the stain should
not be allowed to precipitate. Stop
staining when cytoplasm looks bright
red and reticular fibers light red. Wash
in water, dehydrate in acetone, clear
in turpentine and mount in thick
colophonium in pure turpentine oil.
See Wright's colored plates. In place
of the fixative suggested, Downey (Folia
haematol., Archiv, 1913, 15, 25) uses
commercial formalin 10 cc. and sat.
mercuric chloride in 0.9% aq. NaCI
90 cc.
2. Kingsley's method (Kingsley, D.
M., Folia Haemat., 1937, 57, 87-98).
Fix in Downey's fluid (given above)
4 parts, saturated picric acid 1 part,
24 hrs. Wash in running water, 18-24
hrs. Dehydrate through alcohols up
to70%,i-lhr.each. 80% ale. + iodine,
overnight. 95% ale, 45 min. Repeat
with fresh ale. A^ butyl alcohol (techni-
cal), 1 hr. Repeat with fresh. Paraf-
fin (58°C.), ^ hr., then 3 more changes,
each 5 hr. Imbed. Prepare stock
solutions A : methylene blue (U.S. P.
med. 88%), 0.065 gm.; methylene azure
A (80%), 0.01 gm.; glycerin, C.P.,
5 cc; CH3OH (C.P.), 5 cc; aq. dest.,
25 cc; buffer (pH, 6.9), 15 cc B:
methylene violet (Beruthsen 85%),
0.013 gm.; eosin, yel. (92%), 0.45 gm.;
glycerine, 5 cc; CH3OH, 10 cc ; acetone,
C.P., 35 cc. The buffer is 40 cc. of A
= 9.078 gm. KHjPOi per liter + 60 cc.
of B = 11.876 gm. Na2HPO«-2H20 per
liter of aq. dest. Immediately before
use mix equal parts of stock stains A
and B. After washing deparaffinized
sections in aq. dest. stain 8-10 min.
Wash off in current of aq. dest. Wash
in aq. dest. 100 cc. + 1% acetic acid,
0.8 cc. Wash again in aq. dest. to re-
move acid. Blot. Rinse in acetone,
100 cc + 0.001 gm. eosin -f 4 cc. 1%
acetic acid. Rinse in n butyl ale -\- a
little eosin. Neutral xylol several
changes. Mount in neutral xylol dam-
mar. See Kingsley's plate for colors.
Granules dark red. It is important to
fix the bone marrow promptly after
death or to obtain it by biopsy.
Megaloblasts, see Erythrocytes, develop-
mental series.
Meibomian Glands. Whole mounts of the
glands stained with Sudan IV in a trans-
parent background by a method de-
scribed for Sebaceous Glands.
Meissner's Corpuscles. To investigate by
supravital staining with methylene
blue in skin of amputated fingers, see
Weddell, G., J. Anat., 1940-41, 75,
441-446. Skin from general body sur-
face will not do because of rarety of
the corpuscles.
Meissner's Plexus, see Auerbach's.
Melanins. Lison (p. 248) gives many dif-
ferential microchemical properties from
which the following are selected. Ex-
treme resistance to most chemicals, not
modified by concentrated acids but
soluble in concentrated alkalis. They
are depigmented by oxydants. Thus,
Schultze treats them with diaphanol
(chlordioxyacetic acid) for 24 hrs. in
hermetically sealed container in dark-
ness ; and Alfiere treats sections with
0.1% potassium permanganate 2-24
hrs. ; washes with much water, treats
with 0.3% oxalic acid and again washes.
Their power of reducing ammoniacal
silver nitrate, Lison regards as very
characteristic. Melanins occur nor-
mally' in epidermis, hair, choroid of eyes.
Greatly increased in Addison's disease.
Contain no iron or fat. Difficulties in
histological identification (Jacobsen,
V. C. and Klinck, G. H., Arch. Path.,
1943, 17, 141-151). Use of Bodian
method (Dublin, W. B., Am. J. Clin.
Path., Techn. Suppl., 1943, 7, 127-128).
MELANOBLASTS
196
MESONEPHRIC TUBULES
A method for the collection of melanin
for analysis by differential Centrifuga-
tion is described by Claude, A., Trans.
New York Acad. Sci., 1942, II, 4, 79-83.
A very complete account of the
melanins has been presented by Gordon,
H. (Organizing Chairman) : The Bi-
ology of Melanomas — Special Publica-
tions, New York Acad. Sci., 1948,
466 pp.
Lillie (p. 131) cites Alfieri from
Romeis as advising for the bleaching of
melanin in sections treatment with
0.05% aq. potassium permanganate
until thoroughly brown followed by de-
colorization in 0.33 aq. oxalic acid and
repeating the process if necessary.
Obviously stronger solutions could be
employed. This removal of melanin
might be advantageous in some cases to
reveal more sharply other properties of
the cells like mitochondrial content.
Treatment with 10% hydrogen peroxide,
as suggested by Lillie, is perhaps a
better method.
See Dopa Reaction for melanogen in
melanoblasts.
Melanoblasts, see Dopa Reaction.
Meldola's Blue, see Naphthol Blue R.
Mercuric Chloride (corrosive sublimate)
in various combinations is an excellent
fixative. It can be used in saturated
aq. sol. plus 5% acetic acid or in satu-
rated ale. sol. with the same amount of
acetic acid. See (1) with formalin,
glacial acetic and physiological saline
for Centrosomes, (2) sat. in 0.9% aq.
sodium chloride for Megakaryocytes,
(3) sat. in 70% alcohol + 5% acetic
for Mitosis, (4) sat. aq. + equal parts
2.5% aq. potassium bichromate for
Neutral Gentian, (5) sat. aq. with equal
parts abs. alcohol for Thymonucleic
Acid, and (6) with nitric acid for Urea.
The mercuric chloride is removed from
the sections by Lugol's iodine solution.
See also fixatives of Zenker, Gilson,
Rabl and Petrunkewitsch. Zinc chlo-
ride is suggested as substitute for
mercuric chloride in Zenker's fluid
(Russell, W. O., J. Techn. Methods &
Bull. Int. Asso. Med. Museums, 1941,
21,47).
Mercurochrome 220. Trade name for di-
brora-oxy-mercuri-fluorescein. Can be
used as substitute for eosin (Baldwin,
W. M., Anat. Rec, 1928, 39, 229) but
it has little to commend it.
Mercury, microchemical tests for.
1. Method of Almkvist-Christeller.
Fix tissues 2 days in sat. aq. picric acid,
100 cc. ; 25% nitric acid 1 cc, saturated
with HjS gas, filtered after 1 day. After
fixation wash in running water for 24
hrs. Imbed in paraffin. Mercury ap-
pears as black ppt. of sulphide. Lison
(p. 102) explains that it is necessary to
make parallel tests for iron because this
method changes iron into the black sul-
phide which could be mistaken for the
sulphide of mercury. Simonet (M.,
Arch. d'Anat. Micr., 1929, 25, 372-381)
uses instead fixation for 10 hrs. in equal
parts alcohol and chloroform, 100 cc,
+ nitric acid, 2 cc. the mixture satu-
rated with HjS by bubbling.
2. Method of Brandino (G., Studi
Sassari, 1927, 5, 85). Fix in formalin
or in alcohol. Treatment of sections
with 1% sol. of diphenylcarbazide which
forms with mercury a violet ppt. Gives
results with organs of persons killed by
mercury poisoning kept in formalin
17 years (Lison, p. 102).
3. Method of Hand et al., J. Lab. &
clin. Med., 1943, 28, 1835-1841. Re-
agents: (A) Mercurous. 1 cc. thioglycol-
lic acid +9 cc. glycerol. (B) Mercuric.
Heat until clear 100 cc. glycerol., +5
gm. tartaric acid, +5 gm. stannous
chloride. Add few gms. metallic tin
and store in glass stoppered bottle.
(C) Iodine. Dissolve 50 gm. potassium
iodide in 50 cc. aq. dest., add 70 gm.
iodine and 95% ale. to make 1,000 cc.
(D) Chloroauric acid 1% aq. (E) Con-
trol. Let 5 gm. tartaric acid stand over
night in 100 cc. glycerol. Cut 15 m
frozen sections of tissue. Place on
slides and dry. To section on each of 4
slides add 1 drop of one reagent. Add
cover glasses. Remove with filter
paper excess of reagents. Seal edges of
cover glass with commercial gold size,
an adhesion intended to hold gold foil
on glass. Melted paraffin is less satis-
factory but will serve for a short time.
After 10 min. examine slides. Metallic
mercury visible as small black spherules.
These are soluble in C and form gold
amalgam losing glossy surface when
treated with D. Reagent A gives typi-
cal yellow crystals with mercurous
mercury in addition to globules of
mercury when mercuric mercury also is
present. Sections treated with B and E
are unchanged (adapted from Click
p. 25).
Intravenous injections of colloidal
solutions of mercury in rabbits are
described by Duhamel, B. G., C. rend.
Soc. de Biol.. 1919, 82, 724-726.
Mesentery spreads, sections and cultures.
Maximow, A., Arch. f. exper. Zellf.,
1927, 4, 1-42 (nice colored plates). For
microinjection of small vessels of the
mesentery see Florey, H., Proc. Roy.
Soc. B, 1926 100, 269.
Mesonephric Tubules, cultivation in vitro
and method for collection of fluid there-
from (Keosian, J., J. Cell & Comp.
Physiol., 1938, 12, 23).
METACHROMASIA
197
METHYL VIOLET
Metachromasia, see Metachromatism.
Metachromatism (metachromasia) is the
property of certain dyes to stain (G.,
meta, beyond) the usual color (G.
chroma). The action of some impure
methylene blues is sometimes cited as
an example. Thus polychrome (many
colored) methylene blue stains some
objects blue and certain granules red-
dish. This methylene blue is however
a mixture of methylene blue and methyl-
ene red. The latter dye accounts for
the staining beyond. Orcein colors
nuclei blue and cytoplasm pink. Safra-
nin stains nuclei in its ordinary solution
color (red) and the ground substance of
cartilage that of its free color base
(orange). Michaelis (Lee, p. 136)
thinks that the appearance of the color
base is not occasioned by the alkalinity
of the objects stained. The red stain
of mucin by thionin can be altered to
blue by alcohol and be shifted back to
red by water. For colored plates show-
ing metachromatic staining of mast
cells, see Maximow, A., Arch. f. mikr.
Anat., 1913, 83 (1), 247-289. Meta-
chromasia of acid dyes is increased by
adding strychnine, quinine or clupein
and of basic dyes by gum arable or other
negatively charged colloid (Bank, O.
and Hungenberg de Jona, H. G., Proto-
plasma, 1939, 32, 489-516). The dis-
tinction between "true" and "false"
metachromatic staining with toluidine
blue is fully described by Sylvan, B.,
Acta Radiol., 1945, Suppl. 59, 100 pp.
Metacresol Purple. See Hydrogen Ion In-
dicators.
Metallurgic Microscope. Since the mate-
rials routinely studied are opaque the
light is reflected vertically down upon
them through the objective. This in-
strument is of little use in biology and
medicine.
Metamyelocytes, see Leucocytes, develop-
mental series.
Metanil Yellow (CI, 138)— acid yellow R,
orange MNO or MN, soluble yellow OL,
tropaeolin G, yellow M — An acid mono-
azo dye employed in the Masson tech-
nique, see Foot, N. C., Stain Techn.,
1933, 8, 101-110.
Methacrylate. Plastic for mounting ali-
zarin-red-S preparations. (Holcomb,
R. C. and Apterman, P. M., J. Tech.
Methods, 1944, 24, 21-24).
Methyl Alcohol, see Elementary Bodies.
It is much used in many techniques.
Methyl Benzoate. Refractive index close
to that of cedar wood oil. It can be
used in place of immersion oil. In
addition it is a substitute for absolute
alcohol and an excellent clearing agent
but it is expensive. See Ceresin
imbedding.
Methyl Blue (CI, 706)— cotton blue, Hel-
vetia blue — Widely used. Recom-
mended for connective tissue by Lillie,
R. D., J. Tech. Methods, 1945, No. 25,
47 pp. See Mann's Methyl-Blue Eosin
and staining of Elementary Bodies.
Methyl Blue-Eosin, see Mann's.
Methyl Eosin (CI, 769). The methyl ester
of eosin Y, see Eosins, choice of.
Methyl Green (CI, 684) — double green,
light green — This basic triphenyl meth-
ane dye is crystal violet (he.xa-methyl
pararosanilin) into which a seventh
methyl group has been incorporated.
Conn (p. 130) points out that this is
loosely bound so that some methyl or
crystal violet is always present with the
methyl green to which circumstance the
metachromatic properties of the dye are
partly due. Methyl green is not as
stable as most dyes and cannot therefore
be kept too long in the powdered state.
It is very similar to Ethyl Green.
Methyl Green-Pyronin (Pappenheim). Sec-
tions of formalin-Zenker fixed tissues
are stained about 6 min. in : methyl
green 0.5 gm.; pyronin Y, 0.5 gm.; ale.
2.5 cc; glycerin 20 cc; aq. dest. 0.5%
carbolized 100 cc. Rinse in aq. dest.;
dehydrate in acetone; clear in cedar
oil followed by xylol and mount. Opti-
mum time of staining must be deter-
mined experimentally. A brilliant
stain particularly for lymphocytes and
plasma cells. Very useful for spleen
and lymph nodes. (Slider and Downey
in McClung's Microscopical Technique,
p. 342).
Modification of Scudder (Stain
Techn., 1944, 19, 39-44) gives good
results on tissue sections and bacteria
and has been used for identification of
2 types of nucleic acids (Taft, E. G.,
Exper. Cell Research, 1951, in press).
Dehydration of stained material with
tertiary hiilyl alcohol gives better results
than with ethyl alcohol.
Methyl Orange (CI, 142)— gold orange MP,
helianthin, orange III, tropaeolin D —
A slightly acid mono-azo dye widely
employed as an Indicator.
Methyl Red (CI, 211). A slightly acid
mono-azo dye widely used as an Indica-
tor. See also Carter, J. S., J. Exp.
Zool., 1933, 65, 159-179 for vital staining
of rabdites of Stenostomum with
methyl red.
Methyl Salicylate (oil of Wintergreen) is
employed in Spalteholz Method of
clearing.
Methyl Violet (CI, 680)— dahlia B, gentian
violet, Paris violet, pyoktaninum coeru-
leum — Exists in various shades 2R, R,
B, 2B, 3B, etc., depending upon propor-
tions of the mixture of tetra-, penta-
and he.xa-methyl rosanilins. R indi-
METHYLENE AZURE
198
MICRODISSECTION
cates reddish and B bluish. 2B is the
one which Conn (p. 123) regards as most
satisfactory whenever methyl violet,
or one of the redder types of gentian
violet, is requested. (It is Commission
Certified.) The pure hexamethyl com-
pound is called crystal violet — a dye
much in demand. See Hydrogen Ion
Indicators.
Methylene Azure (CI, 923) . A basic thiazin
dye long recognized as a component of
Polychrome Methylene Blue. Conn
(p. 76) says that the term, methylene
azure, should be discarded because it
is composed of three components Azure
A, B, and C which see.
Methylene Blue (CI, 922)— Swiss blue-
Conn (p. 80) says that this basic thiazin
dye is theoretically tetra-methyl thio-
nin but the homologues of lower
methylation are practically always
present ; he lists the following grades :
methylene blue BX, B, BG, BB, and
methylene blue chloride. The last
named is Commission Certified and least
toxic. Methylene blue Med. U.S.P.
is required to be zinc free and is also
satisfactory. New methylene blue N
(methylene blue NN) is a basic dye of
the same type but of a slightly greener
shade. Conn (McClung, p. 595) states
that it was apparently in certain lots
of prewar methylene blue. Methylene
blue O is the same as toluidin blue O
which resembles azure A, a component
of methylene azure produced by poly-
chromizing methylene blue. Another
of the series is methylene blue GG but
it has no particular advantage. Prob-
ably no dye, other than hematoxylin and
eosin, is more widely used. The oxida-
tion products of methylene blue are
described by Holmes, W. C, Stain
Techn., 1926, 1, 17-26 and the influence
of pH on staining of plasma cells and
lymphocytes by Kindred, J. E., Stain
Techn., 1935, 10, 7-20. Its cytological
action has been fully studied by Lud-
ford, R. J., Arch. f". exp. Zellf., 1935,
17, 339-359. It is an excellent counter-
stain for Acid Fast Bacilli. See Poly-
chrome Methylene Blue, Loeffler's
Alkaline Methylene Blue, Nerve End-
ings, Phloxine Methylene Blue, Mac-
Neal's Tetrachrome, Pancreas, Pro-
tozoa, etc. For use of methylene blue
as a supravital stain fixed with ammo-
nium molybdate, see Lillie, p. 245.
Methylene Blue NN, see New Methylene
Blue N.
Methylene Blue T 50 or T Extra, see Toluidin
Blue O.
Methylene Blue Eosinate, see May-Griin-
wald fixative and stain.
Methylene Green (CI, 924). This basic
thiazin dye is mono-nitro methylene
blue. Conn (p. 86) says that it is oc-
casionally employed as a substitute for
methyl green and gives good results as
counters tain for eosin.
Methylene Violet. Commission Certified.
This feebly basic thiazin dye is, as
Conn (p. 86) explains, formed whenever
methylene blue is heated with a fixed
alkali or alkali carbonate. It may be
purified by recrystallization but little
is to be gained. The dye is not much
used.
Metrial Gland. This is a transitory struc-
ture of unknown function in the mouse
appearing at approximately the 8th d.n}'
of pregnancy. Failure of its cells to
take up trypan blue seems to eliminate
the hypothesis that it is active in phago-
cvtosis (Lobo, B. A., and Atkinson,
W. B., Anat. Rec, 1946, 94, 77).
Micelle (dim. of L. Mica a crumb, micella,
micellae). Term introduced by Nageli
in 1884 for then hypothetical structural
units of the cell.
Michiavello Stain. See Rickettsia.
Microchemical Reactions. For the
microscopic identification of particular
elements or substances some micro-
chemical reactions are available but it
is difficult to sharply distinguish them
from other techniques not usually styled
microchemical. An attempt is made to
list them under the objects demon-
strated : Lead, Iron, Vitamin C, Peroxi-
dase, etc. Many are generally known
under personal names. See for exam-
ple: Axenfeld (proteins), Burchardt
(gold) , Carr-Price (vitamin A) , Feulgen
(thymonucleic acid), Gmelin (bile pig-
ments), Lilienfeld-Monti (phosphorus),
Millon (tyrosin), Romieu (proteins),
Schiff (aldehydes), Vulpian (epineph-
rine), etc.
Microdissection. In the selection of this
method for use in any particular problem
it is well to bear in mind several con-
siderations. It is of particular value
in the direct examination of large cells
easily isolated, like sea urchin eggs,
and of tissues that exist in thin sheets,
like highly vascularized membranes
which can be easily approached in the
living state without serious injury.
The data to be secured relate chiefly
to the responses of the cells to the
mechanical stimulus of the microneedle,
to the character of the connections be-
tween fibers, cells and parts of cells as
determined by their resistance to at-
tempts to separate them and to the
physical consistency of cellular and
nuclear membranes and of cytoplasm
and nucleoplasm. Moreover individual
cells can be isolated by microdissection
just as Barber was able to isolate single
bacteria by the pipette which he intro-
MICROELECTRODES
199
MICROINCINERATION
duced and which was in fact the inspira-
tion of G. L. Kite's first microdissection
apparatus. Today this has been very
greatly improved chiefly by Chambers
and Peterfi. See detailed account by
Chambers under Micromanipulation.
Microelectrodes, see full discussion, Mc-
Clung, Microscopical Technique, 1950,
p. 532.
Microglia. Method for impregnating with
silver in pyroxylin (celloidin) sections
(Weil, H. and Davenport, 11. A., Trans.
Chicago Path. Soc, 1933, 14, 95-96).
Wash 15yu sections in aq. dest. Treat
for 15-20 sec. with silver solution (made
by adding 10% aq. silver nitrate drop by
drop from a burette to 2 cc. cone, am-
monia (28%) shaking to prevent ppt.
formation until about 18 cc. have been
added and the solution has become
slightlj' opalescent). Transfer to 15%
formalin, moving section rapidly until
coffee-brown in color. Pass through
3 changes aq. dest. Dehydrate in
alcohol, clear in xylol and mount in
balsam.
Microglia and Oligodendroglia. In frozen
sections 20-40m of formalin fixed mate-
rial. Immediately place them in aq.
dest. + 20 drops ammonia per lOO cc.
Thence pass directly to 5% aq. am-
monium bromide 4O^50°C. 10-15 min.
Equal parts ammonia, pyridine and aq.
dest. 2 min. Then 3-5% aq. sodium
sulfite, 2-3 min. Pass through and
shake in 3 changes 1 min. each of follow-
ing: 8 parts 5% aq. sodium carbonate,
2 parts, 10% aq. silver nitrate + am-
monia till ppt. Reduce in 1% formalin
less than 1 min. Wash, dehydrate clear
and mount (King, L. S., Arch. Neurol,
and Psychiat., 1937, 38, 362-364).
Microincineration — Written by Gordon H.
Scott, July 26, 1946 and revised by him
January 16, 1951 — This method is one
which has been used by plant and ani-
mal histologists intermittently for over
a hundred years. In concept it is
simple in that it consists primarily of
ashing tissue sections carefully so as
to retain the minerals in their position
in the fixed tissue. The ashing can be
done on glass or quartz slides by a vari-
ety of heating processes. Most tissues
in the body can be treated by the ash-
ing process with some success. Those
which contain large quantities of phos-
pholipids ordinarily do not give as good
results as tissues lacking them.
The method is one which requires
some care and the observance of cer-
tain very definite precautions if good
results are to be had.
Fixation: There are two methods of
fixation which can be used. These are
the chemical and the frozen-dehydra-
tion. If the cryostat or other suitable
devices for frozen-dehydration are not
available, fixation by absolute alcohol
plus 10 per cent formalin yields reason-
ably good pictures. This particular
fixative is one of the few chemical mix-
tures which dissolves the minimum of
mineral from fresh tissue and adds none
to it. Tissues are passed through re-
peated changes of absolute alcohol to
dry them and are then infiltrated wdth
paraffin in the usual manner.
The alternative method, that of
frozen-dehydration, is the most suitable
for preparation of tissues for micro-
incineration. (See Altmann-Gersh and
Cryostat.) This technique yields tissues
which, except for the ice crystal forma-
tion, have not been altered, to any
perceptible degree, either ph3^sically or
chemicallJ^ Dehydration at suffi-
ciently low temperatures maintains an
ice-salt equilibrium and no shifting of
minerals in the cell results. If the
paraffin infiltration is done with care,
shrinkage and consequent cellular dis-
tortion is avoided.
Methods of examination of the in-
cinerated preparations are several.
One of the simplest and best for study
and for photograph}' is the dark-field.
Of the several types of dark-field, the
cardioid condenser probably gives the
most uniform results. Illumination
from above with the incident light fall-
ing on the slide at an angle of 30° is
advised by Policard. This has some
advantages over the dark-field but
makes the use of higher magnifications
difficult if not actually impossible. Cel-
lular details are, therefore, to be ob-
served best by using the cardioid dark-
field.
Identification of minerals. Some
good results can be achieved by the use
of ultraviolet light and with the sub-
sequent fluorescence of minerals. Stu-
dents should consult reference and text-
books on mineralogy for details of
identification.
Calcium and magnesium are charac-
terized in the dark-field by their dense
white ash residues. Iron is oxidized
during the incineration process and
appears as varying tints of red. The
amount of this element present can be
MICROINJECTION
200
MICROMANIPULATION
correlated with the color intensity.
Silicon is definitely crystalline in char-
acter and is recognizable by its property
of double refraction in polarized light.
This may at times be confusing since
all minerals blend to some extent with
the glass. Lead and other elements
which yield black sulfides can be de-
tected by treating the section with
gaseous hydrogen sulfide. Uranium
in pathological tissues fluoresces with a
unique color under ultraviolet radia-
tion.
Attempts have been made to quanti-
tate the ash residue by photographic
means and by the use of a photoelectric
cell whose output current is properly
amplified. Both methods leave much
to be desired both in accuracy and
because of the utter relativity of the
results obtained. The most useful
finding obtained from microincinera-
tion, therefore, is the appreciation of the
distribution of the total minerals in
the cell. Experimental alterations in
them can be detected by the technique.
See account by Scott in McClung's
book and Electron Microscope, Histo-
spectrography and Ultraviolet Photo-
micrography.
Microinjection. This is an important exten-
sion of microdissection whereby various
fluids are injected directly into the
cytoplasm or nuclei of living cells. It
is capable of yielding information on
Permeability, Hydrogen Ion Concen-
tration, Oxidation-Reduction Poten-
tial which cannot be secured in any
other way, but in reaching conclusions
due allowance must be made for the fact
that cells thus treated are of necessity
severely injured. Microinjection with
glass pipettes but without an expensive
micromanipulator can yield worthwhile
results as described by Knower (Mc-
Clung, pp. 51-61) but for direct work on
cells the micromanipulator is essential.
Microliter Burettes are essential in some
histochemical techniques. They are of
two sorts. In the first a capillary glass
tube is calibrated so that volume is
indicated by the level of the meniscus.
In the second the tube is not calibrated
but instead a screw determining the
level is provided as a micrometer. The
best micrometer burette was designed
by Scholander and has been improved
by Scholander, P. F., Edwards, G. A.
and Irving, L., J. Biol. Chem., 1943,
148, 495-500. In selecting a microliter
burette consult Click, pp. 255-264.
Micromanipulation — Revised by Robert
Chambers, Dept. of Biology, Washing-
ton Square College of New York
University, New York. May, 1950 —
Broadly speaking, this term covers two
types of operations: delicate free-hand
operations in which the only accessory
may be a dissecting microscope, and,
second, operations conducted by means
of micrurgical instruments under high
magnifications.
For freehand operations considerable
training is required in using a com-
pound microscope because of the in-
version of the image. This, however,
can be corrected by using the so-called
erecting ocular. A decided help to
relieve fatigue from too long holding
of, a dissecting needle, for instance,
is to have the shaft of the needle held
in the apex of a pyramid of plastic
clay, the base of which has been pressed
down on the stage to one side of the
microscope. The operator's hand en-
circles the mound of clay which bends
as his fingers guide the needle. The
tiring fingers can be released at any
time while the needle tip remains
in position. Descriptions of excellent
methods for injecting minute vessels,
such as the marginal vein of chick
embryos or lymphatic vessels of frog
tadpoles, are as follows: H. McE.
Knower, Chapter in McClung's Hand-
book Microscopical Technique, 3rd ed.,
New York: Hoeber, 1950; A. L. Brown,
Anat. Rec, 1922, 24, 295.
Micromanipulation in its more re-
stricted sense applies to the use of
mechanical devices for controlling the
movements of the tips of microneedles
and micropipettes in the field of high
powers of the compound microscope.
A full account is given in McClung's
Handbook.
Several instruments are now being
built. The ones in most general use in
this country are those of Chambers,
P6terfi and Emerson. The micro-
needles or pipettes extend into a moist
chamber on the stage of the microscope
so that their tips can be inserted into
hanging drops of fluid suspended from
the undersurface of a coverslip which
roofs the chamber. The essential con-
dition of an instrument is that the
movements be sufficiently smooth and
controllable under the highest magni-
fications of the compound microscope.
P^terfi's instrument was manufac-
tured by Carl Zeiss Co. and is now
difficult to procure. Chambers' was
manufactured by E. Leitz and has
MICROMAN IPULATION
201
MICROMANIPULATION
undergone many modifications as to
its accessory parts. It is now being
manufactured by the Gamma Instru-
ment Company, Great Neck, New York.
Both instruments are supplied with
two main holders each independent
of the other for carrying a microneedle
or a micropipette. The advantage of
Chambers' is that the two holders are
so adjusted as to permit the needles
and pipettes to extend parallel to one
another on the microscope stage. This
permits the insertion of the needles into
the moist chamber through one opening,
thus increasing the chances of main-
taining moisture conditions in the
chamber.
More recently an instrument devised
by de Fonbrune of Paris is being manu-
factured by A. S. Aloe Co., St. Louis,
Mo. An early form of it is described
in L'lllustration, February 15 and 22,
1941. It depends for its fine move-
ments on hydraulic pressure conveyed
through flexible tubing from a hand
operated lever. Circus movements in
the horizontal plane are performed by
rotating the lever, the vertical move-
ment being accomplished by a thrusting
action of a plunger in the shaft of the
lever. Two such instruments mounted
on opposite sides of the microscope per-
mit the use of two microneedles. The
instrument has great possibilities but
its specific usefulness for the perform-
ance of circus movements is fully
covered by the Emerson instrument
which, incidentally, is sturdily con-
structed.
The Emerson is a first class machine
with a mechanically controlled lever
using circus movements in a horizontal
plane, also a separate fine adjustment
device for the vertical ones. Emerson
has two models, the lower priced one
having a lever control for both hori-
zontal and vertical fine adjustments.
These are being supplied by the J. H.
Emerson Company, Cambridge, Massa-
chusetts.
The Chambers instrument is the only
one supplied with a microinjection ap-
paratus a description of which is given
in the latter part of this article.
Micrurgical instruments lend them-
selves to several tj^pes of operations :
(1) Microdissection and injection of
animal or plant cells and tis.sues for
studies in cell anatomy and physiology,
also cj'to-chemistry in which chemical
reactions can be obtained by applying
chemical agents not only to individual
cells but to localized regions within a
given cell. (2) Chemical reactions in
micro-drops. A very useful method is
to deposit the droplets with a micro-
pipette in a hanging drop of an inert
oil. This prevents evaporation and
the sphericity of the droplets in the
oil permits quantitative determina-
tions. Application of the technique to
certain phases of microchemistry are
given by Benedetti-Pichler in his book
Introduction to the Microtechnique of
Inorganic Analysis, New York: Wiley,
1942. (3) Isolation studies for obtain-
ing pure line cultures (of bacteria, pro-
tozoa, etc., breaking of asci and isola-
tion of the liberated spores, etc.).
A good isolation technique is given by
Reyniers, J. A., J. Bact., 1933, 26, 251.
The movements of the instruments
can be controlled in any of three dimen-
sions; the horizontal permits circus
movements in one plane. Circus move-
ments in the horizontal plane are best
managed with the de Fonbrune and
Emerson instruments. The vertical
movement is operated by a separate
controlling screw. Micro operations
also can be performed under relatively
low powers of the microscope. How-
ever, the operator should realize that
the compound microscope, even though
it be binocular, is monobjective. This
means that the position of an object
in the vertical plane can be deduced
only by observing whether the object
is in or out of focus. The lower the
magnifying power of the objective the
greater is the depth of its focus.
Hence, there may be occasions when
the tip of the microneedle and the ob-
ject to be operated upon are at different
levels although both are in focus to the
eye.
The mechanical stage of the micro-
scope is a useful adjunct for micrurgy.
Particularly for injections, the most
satisfactory way is to keep the tip of
the micropipette in the center of the
field and to perform the operation by
raising the tip into the object to be
injected after having brought the ob-
ject into position by means of the
mechanical stage.
The manufactured instruments are
supplied with instructions as to their
use. Emerson supplies two types, one
for coarser movements although it is
possible to use this model for remark-
ably fine operations. The only way to
select an instrument is to know what is
wanted and then to decide after having
the instrument demonstrated to him.
All require the use of a good mechanical
stage to move the moist chamber which
carries the drops containing the tissue
to be operated on. All in all, micro-
manipulation requires not only ability
but mechanical aptitude on the part of
the would-be operator. It is one thing
MICROMANIPULATION
202
MICROMANIPULATION
to have an instrument and a good micro-
scope. It is another matter to build
the many accessories, with cement, out
of wood, glass or plastic, which the
operator may need for his special pur-
poses. Any gadget built may well
mean a new discovery.
Tissues and cells to be operated on
often require special means for holding
them in place. Actively moving pro-
tozoa can be kept quiet by immersing
them in egg albumen or a solution of
hemi-cellulose. Strips of the epidermis
of onion or tulip bulbs, immersed in
varying concentrations of cane sugar,
offer good objects for operation on pro-
toplasts under different degrees of
plasmolysis, likewise stamen hairs of
Tradescantia which show mitotic
figures. Similar studies may also be
made on the epidermis of the tails of
tadpoles. For these, the operator
should use frogs' Ringer solution to
maintain the proper balance of elec-
trolytes in the medium. Muscle fibers
stripped from the semitendinosus of the
frog are good material. Urodeles fur-
nish excellent material. An effective
means of obtaining red cells undergoing
mitosis is to bleed a Necturus or other
member of the same order and take a
sample of blood after a week or so.
The microneedles and micropipettes
are usually made from glass capillary
rods or tubes. Serviceable sizes with
an outside diameter of 1-2 mm. can be
drawn out in a bunsen flame. The
needle tips are made over a microfiame
by heating and pulling the shaft of a
capillary held at both ends with the
two hands. A serviceable gas micro-
burner for this purpose is a hypodermic
needle. When successful, the drawn-
out tips taper to a point rapidly enough
so that the invisibly, fine tip is sup-
ported on a relatively rigid shaft. The
shaft about 2 mm. from the tip, is bent
in the microfiame to about a right angle.
The other end of the capillary is then
inserted into a specially constructed
needle-holder and mounted in a micro-
manipulator so that the tip extends
over the microscope stage into a moist
chamber. The bent-up tip is adjusted
with the screws of the instrument until
the tip lies in a hanging drop of fluid
suspended from a glass cover-slip serv-
ing as the roof of the moist chamber
and in the field of the microscope.
Mechanical contrivances for drawing
out the end of a glass capillary into a
tapering tip are available. The most
elaborate one is that of de Fonbrune,
the microforge. This is a highly am-
plified mechanism with a built in micro-
scope and coarse adjustment parts for
holding, one, a glass capillary and the
other a platinum loop. The microscope
is adjusted to view the loop of an elec-
trically incandescing fine platinum wire
to which one end of the glass capillary
is approached and then withdrawn as
the glass begins to melt. Then prop-
erly done the tip of the capillary is
drawn out to a tapering tip.
The principle of the microforge is
based on a much simpler device long
ago devised by S. L. Schouten and de-
scribed by him in 1934. This can be
readily built in any laboratory equipped
with an ordinary microscope and micro-
manipulator.
A fairly good mechanical device for
drawing microtips is being supplied by
the Gamma Instrument Company. It
depends upon springs to which the two
ends of a glass capillary (1-2 mm. diam.)
are fastened while the middle of the
capillary passes through several coils
of a fine platinum or nichrome wire.
When the wire is caused to incandesce
electrically the glass softens and the
taut springs pull the capillary in two,
each part with a tapering tip. A more
precise needle puller based on the same
principle is the Livingston Micro Pi-
pette Puller made by Otto K. Hebel,
Swarthmore College, Pennsylvania.
There are several possible ways by
means of which a person with some
ingenuity should be able to devise from
the usual laboratory equipment a simple
mechanical device for drawing needle
tips. If the glass capillary is of tubing
the microtips can be used for micro-
capillaries.
Injections are performed bj^ breaking
the tip of a micropipette against the
undersurface of the coverslip while the
tip is in view under the microscope.
Capillarity draws fluid into the shaft
of the pipette when the open tip is in-
serted into a hanging drop of fluid, be
it oil or any given solution. For micro-
injection, the pipette holder, mounted
on the instrument, is attached to a
looped, capillary brass tube of which
the other end is attached to the nozzle
of a syringe. Before mounting the
micropipette, the syringe is filled with
water previously boiled to be air-free
and, by means of the plunger, the water
is driven into the brass tubing and the
pipette holder after which the micro-
pipette is inserted. Thus, we have a
water-filled system extending from the
syringe to the base of the micropipette
the shaft of which may contain air.
Micro-amounts of any given solution
are then drawn into or ejected from the
tip of the micropipette by a delicate
handling of the plunger of the syringe.
MICROMETRY
203
MICROSCOPES
Considerable deviations are possible
in the matter of the microinjection
technique. For example, if it is deemed
desirable to have no air in the system,
the shafts of the capillary tubing, on
which the microtips are drawn, may
previously be filled with either oil or
water. By using some ingenuity the
entire microinjection apparatus can be
built in the laboratory, the parts re-
quired being a Luer syringe, hypodermic
needles the shafts of which can be cut
off, a strip of flexible brass or copper
tubing, glass tubing and of course the
operator's constant companion: a stick
of deKhotinsky cement or an analo-
gous superior sealing wax.
The instruments are generally supplied
in pairs, one part carrying a micro-
needle for holding the tissue to be
injected, the other carrying the micro-
pipette. For microdissection, the in-
strument carries two needles, each of
which can be operated independently.
Wilhelm Pfeffer, to whom we owe the
term "plasma membrane" for the limit-
ing boundary of protoplasm, stated, in
one of his papers in 1887, that an instru-
ment with which one could operate
delicate needles and pipettes in the
field of a compound microscope would
go far toward the elucidation of the
nature of living cells. Pfeffer's dream
has been realized in the development of
the special field of science called today
Micromanipulation or Micrurgy.
Of general interest, and also for many
details not described elsewhere, are the
following: Barber, M. A., Philippine J.
Science, B, 1914, 9, 307; Chambers, R.,
Anat. Rec, 1922, 24, 1; P^terfi, T., in
methodik der wissensch. Biologic, 1928,
1 (4), 5; and Schouten, S. L., Zeit. f.
wiss. Mikr., 1934, 51, 421. An excellent
book which covers a broad range of the
field of Micrurgy is that edited by
J. A. Reyniers on Micrurgical and
Germ-Free Techniques, C. C. Thomas,
1943, an article on micromanipulation
by Chambers, R. and C. G. Grand,
Encyclopaedia Britannica, 1948.
Micrometry is the measurement of an object
observed microscopically. This can be
done either by using an ocular microm-
eter in which there are lines which can
be accurately moved the length of the
structure to be measured or by inserting
a ruled disc in an ordinary ocular with
which it can be compared. Both must
be standardized in relation to a microm-
eter slide generally ruled with lines 10m
apart. See Cell Measurements.
Micromicron (nn) = 1/1 ,000,000th part of a
micron = 1/1, 000 ,000 ,000th part of a
mm. = 10- » mm. = 0.000,001 micron =
10~^A. Unfortunately often used syn-
onymously with o millimicron (m/i) =
0.001 micron = lOA.
Micron (Gr. Mikros, small) expressed by
Gr. letter n = approximately 1/25,000
inch = 1/1000 part of a mm. = 0.001
mm. = 10-3 mm. = 10,000 A (see
Millimicron and Micromicron).
Microphotometer, see Photoelectric.
Microradiographic examination. This con-
sists of magnification of a Roentgen ray
image after it has been registered pho-
tographically. The essential point is
to use film of very fine grain emulsions.
Thus the Gevaert Lipmann emulsion
permits enlargement 300 times without
much loss of detail. In some cases it
is helpful before microradiographic
examination to increase the absorption
of Roentgen rays by "absorption stain-
ing" through adding radio-opaque mate-
rials such as barium sulp'aate and thoro-
trast. The application of this technique
in the study of biologic materials
is described and illustrated by Clark,
G. L. and Bick, E. J., in Glasser's Medi-
cal Physics, 730-733.
The importance of extremely soft
Roentgen rays and the properties of
fine-grained emulsions are described
by Engstrom, A. and Lindstrom, B.,
Acta Radiol., 1951, 35, 33-44. See also
their illustrations of striated muscle
fibers and of bone by microradiography.
Microrespirometer to indicate production of
carbon dioxide by bacteriophages,
viruses and bacteria (Bronfenbrenner,
J., Proc. Soc. Exp. Biol. & Med., 1924,
22, 81-82. See Capillary Respirometry.
Microscopes (From Cowdry's Histology,
1950). While excellence in histological
technique is important, knowledge of
microscopes and of how to get the best
service out of them is also important.
There are several kinds from which a
choice must be made of the one capable
of yielding the information required.
The following account of what these
instruments are, what their particular
use is, what their limitations are, sup-
plemented by leading references to
literature on the subject is offered for
guidance. It was written for Cowdry's
Histology by Dr. T. B. Rosenthal.
The ordinary compound microscope is
a precision optical instrument designed
to give magnified images of 50 to 1200X.
Daylight, or strong artificial light, is
used to illuminate by transmission a
more or less thin, flat, transparent
object. The image appears in its nat-
ural form and color, but inverted and
reversed in position, at a distance of
about 10 inches from the eye. Height
and depth are not reversed, however,
so it is possible to judge or measure
MICROSCOPES
204
MICROSCOPES
the elevations on an object by differen-
tial focussing.
Three lens systems, condenser, ob-
jective, and ocular cooperate to form
the final image. The purpose of the
condenser is two-fold: to gather light
for illumination, and to focus this light
on the object in a cone of the proper
dimensions so that the full resolving
power of the objective lens can be
gained. By means of the objective
lens a real, magnified, inverted, re-
versed image of the object is formed at
the upper end of the tube. The ocular
further magnifies this primary image to
yield a virtual, inverted, reversed sec-
ondary image. Total magnification is
calculated by multiplying the magnify-
ing powers of the objective and the
ocular.
Inspection of the markings on a set
of objectives will show their magnifying
powers and another optical property
called the numerical aperture (N. A.).
Usually the 10 X (also called 16 mm)
objective is marked with the number
"0.25;" the 44X (4 mm, "high dry"),
"0.66;" and the oil immersion, 95X
(1.8 or 2.0 mm), "1.25." Numerical
aperture, calculated from a geometrical
property of the front lens element, is
proportional to the theoretical resolving
power of the objective and is related
to the maximum power of the ocular
that can be profitably used with that
objective. In order to understand
this relation between magnification,
resolution, and N. A. it is necessary to
consider certain fundamentals.
As successively higher powers of mag-
nification are brought to bear on a tis-
sue section more and more fine detail
becomes visible, which is, after all, the
only purpose of microscopy. But to
fineness of detail a limit is set, not by
magnification, but by the nature of
light and by the optical properties of
lenses. As long as the object to be
seen is large compared to the wave
length of the light which illuminates it
the microscopic image will be sharp.
If structural details are so small that
their size nearly approaches the wave
length of light, the image becomes
fuzzy. Although magnification may
be secondarily raised by employing
stronger eyepieces no further resolu-
tion of detail takes place; the image
remains fuzzy, and we have what is
called "empty magnification."
The formula R = X/2 N. A. gives a
general relationship, where X = wave
length of light used, N. A. is a given
constant of the objective lens, and R is
the size of minimum resolvable detail
(given in /i if X is given in fx). Taking
an average value for X in white light to
be 0.5 fi and substituting the N. A.
values mentioned above, we have for
the lOX objective, R = 1.0 m; for the
44X, R = 0.4 m; and for oil immersion,
R = 0.2 /x. Thus, with the best lenses,
details lying less than 0.2 m apart are
not discerned.
Another general rule in microscopy
states that the maximum total magnifi-
cation should not be pushed higher than
about one thousand times the N. A.;
otherwise empty magnification results.
With the lOX objective, 1000 X 0.25 =
250. Therefore a 25X ocular is the
maximum. For the oil immersion, a
13X ocular gives the limiting useful
magnification.
It is thus evident that the objective
lens is the heart of the microscope.
The ocular brings out only the details
which already have been resolved by
the objective.
The role of the condenser may be
reviewed in the light of these interpre-
tations. Historically the condenser
received its name from its original pur-
pose: it was simply a lens used to con-
centrate light on the subject. E.
Abbe (1840-1905), who contributed a
great deal to theoretical and practical
microscopy, including the concept of
numerical aperture, came to the con-
clusion that an objective lens could not
work at its maximum N. A. unless it
were matched with a condenser lens
system of equal N. A. Hence the
modern condenser is also rated in terms
of N. A. and is provided with a variable
iris diaphragm to alter its N. A. in order
to match with that of the objective.
Since the standard microscope pro-
vides all the convenient magnifications
and even more resolution than is usually
required in routine histology, it is not
necessary to take extraordinary pains
to coUimate (parallel) the microscope
with the light source or to worry over
the fine points of diaphragm control.
However, good photomicrography de-
mands such attention to details, be-
cause the plate is much more sensitive
to inequalities of lighting than the ob-
server's eye. On the other hand the
eye is subject to fatigue unless the
proper illumination is employed. In
student classes one commonly finds that
the lighting with monocular micro-
scopes is too bright and with binoculars
too dim. To minimize visual fatigue
the brightness of the microscopic field
of view should about equal the bright-
ness of the table-top and be in keeping
with the general level of illumination
in the room.
The following suggestions for setting
MICROSOMES
205
MICROSOMES
up the microscope apply to the oil
immersion lens. When dry lenses are
to be used omit step 2.
1. Clean the slide with alcohol.
Put a drop of xj-lol on the oil immersion
lens and polish it with lens paper.
Do the same for the eye piece.
2. Raise the condenser so that its
upper surface is on a level with the
stage, or slightly below it. Put a drop
of immersion oil on the condenser and
lay the slide down. Put a drop of oil
on the slide, lower the lens, and focus
as usual.
3. Open the diaphragm wide, and
removing the eye piece, look down the
tube. Adjust the position of the light
source and mirror so that the aperture
appears sj^mmetrically illuminated.
4. At this point the aperture should
look like a bright disk surrounded by a
rim of dim illumination. Now, close
down the diaphragm until about nine-
tenths of the area of bright central
field remains visible. Replace the
eye piece. The N. A. of condenser
and objective are now approximately
equal.
5. Modify the brightness of the image
for visual comfort by altering the in-
tensity of illumination; not by altering
the diaphragm. If the image is too
bright put tissue paper over the lamp
or pull the lamp away and readjust by
repetition of Steps 3 and 4. If the
image is not bright enough move the
lamp in, and if necessary dispense with
the substage mirror. As the final step,
try a slight change in the position of
the condenser, but avoid breaking the
oil pool between the condenser and the
slide.
Resolving power may be improved
somewhat for striated, or periodic,
structures by using oblique illumina-
tion. Light is sent diagonally from
below so that only part of it enters
the objective, with the striations (as in
muscle) lying across the direction of
the light. If the condenser is not
laterally movable it should be masked
below so that light enters only from one
side. By trial and error a favorable
orientation of condenser, slide and
mask can be found.
The limitations imposed on the re-
solving power of the conventional
microscope cause no inconviences in
general histology. It is with the finer
details of cytology that need is felt
for greater resolution. As is obvious
from the formula R = X/2 N. A., either
an increase of N. A. or a decrease of X
will reduce the value of R. The best
available oil immersion objectives and
condensers are rated at 1.40 N. A.
A special lens working at 1.60 has been
designed, but the improvement in re-
solving power over one at 1.40 is not
important. Fortunately we can ob-
tain the shorter values of X by em-
ploying ultra-violet light and photog-
raphy (see ultraviolet-microscope).
A word should be said in favor of
water-immersion objectives, items for-
merly found in every laboratory of
microscopy but now no longer listed in
the catalogues of American manufac-
turers. These are made in a series of
magnifications, and in resolving power
are intermediate between air and oil-
immersion objectives. For study of
living aquatic organisms and tissue cul-
tures the lOX and 44X objectives are
very useful since they are made to be
lowered directly into the medium.
For histological slide material the high-
power water-immersion objective is
probably not inferior to the oil-immer-
sion, besides being more convenient
to use.
It is commonly believed that a bin-
ocular, i. e., two eyepiece, microscope
is superior to the monocular because it
affords stereoscopic vision. Actually,
it cannot be so since a single objective
forms only one primary image regard-
less of whether it be viewed by one or
two eyes. Nevertheless our habit of
seeing with two eyes probably creates
an illusion of stereoscopic vision with
the binocular microscope. On the
other hand a binocular microscope em-
ploying two objectives on a pair of
converging tubes does provide stereo-
scopic views. The dissecting micro-
scope is built on this pattern, having
in addition a set of reversing and erect-
ing prisms so that the final image is
normally orientated. Magnifications
above 30X become rather useless for
dissection purposes because the depth
of focus is greatly reduced. Manipula-
tion is usually by hand.
See Centrifuge, Color Translation,
Darkfield, Electron, Phase Contrast,
Metallurgical, Polarizing, Reflecting
and Ultraviolet Microscopes. Many
excellent books on microscopes and
photomicrography are available. The
following are suggested: Gage, S. H.,
The Microscope. Ithaca: Cornstock,
1941, 616 pp. Shillaber, C. P., Pho-
tomicrography in Theory and Prac-
tice. New York: John Wiley and Sons,
1944, 773 pp. Wredden, J. H., The
Microscope, Its Theory and Applica-
tion. New York: Grune and Stratton,
1948, 296 pp.
Microsomes (G. mikros, small, soma, body).
Term introduced by Hanstein in 1880
originally to indicate tiny granules — as
MICROSPECTROPHOTOMETRY
206
MICROSPECTROPHOTOMETRY
compared with ground substance.
Claude, A. Biological Symposia, 1943,
10, 111-129 estimates their size to be
50-300 ran and therefore beyond limits
of ordinary microscopic visibility.
These microsomes of Claude are ob-
viously not the ones which Hanstein
had in mind. According to Claude
they are essentially ribose nucleopro-
teins and phospholipins in definite
proportions.
Microspectrophotometry — Barry Commo-
ner, The Henry Shaw School of Botany,
Washington University, St. Louis 5.
November 28, 1951 — Microspectropho-
tometry is a technique for examination
of cells and cell structures designed to
yield data on the chemical composition
of these objects. The method is
based on the fact that given molecular
configurations absorb specific wave-
lengths of ultraviolet, visible or infra-
red radiation. Under ideal conditions,
as in dilute solutions, the molecular
group and therefore the substance in
which it occurs may be identified from
the shape of the absorption spectrum,
and its concentration in the sample
determined from the amount of absorp-
tion at a characteristic wavelength.
Unfortunately, cytological objects
never offer such simple, readily analyz-
able situations. Consequently, special
steps must be taken to evaluate the
absorption spectra of cytological
objects, and in most instances, data com-
parable with those obtained from solu-
tions are not yet attainable. Never-
theless, the technique has thus far
proved to be a valuable source of in-
formation on cell composition, and if
used with care can be advantageously
applied to a number of biological prob-
lems.
The essential measurement in micro-
spectrophotometry is determination
of the reduction in intensity of a light
beam after passing through a cytologi-
cal object. This measurement, made
at a series of specific wavelengths, gives
the absorption spectrum of the object.
The measurements may be made by
passing a monochromatic beam through
the object; or by passing a heterogene-
ous beam through the object and then
dispersing it into a spectrum. Equip-
ment employing the second of these
methods has been described by (Mellors,
R. C, Science, 1951, 112, 381-389).
Since most microspectrophotometry
has employed the first principle of
operation, details for this type of ap-
paratus are given below.
1. General. The fundamental parts
of a microspectrophotometer consist
of a suitable light source, a monochrom-
ator, microscope optics, a photoelec-
tric tube which receives the projected
image of the object, and appropriate
means of measuring the phototube
response.
2. Light sources. Ordinary automo-
bile headlight tungsten lamps operated
on a storage battery are suitable for
work in the visible spectrum. For work
in the ultraviolet ranges mercury dis-
charge tubes provide adequate light
intensity. High pressure mercury
lamps (such as General Electric AH6)
emit a continuous spectrum in the vis-
ible and ultraviolet superimposed on a
number of bright and dark lines. In
the infra-red ranges Nernst glowers are
suitable.
3. The monochromator. The light
beam from source is directed into the
entrance slit of a monochromator,
thus giving an emergent beam of a
determined mean wavelength. The
monochromator should supply the con-
denser of the microscope with a beam
sufficient to fill the aperture of the
latter.
4. The microscope. The optical ar-
rangement of the microscope must be
such as to give a true light image of the
object at the plane of the photocell.
The requirements for this condition
have been presented by Caspersson,
T. (Cell growth and cell function, New
York: Norton, 1949). For visible work
any good apochromatic system of suffi-
cient numerical aperture is adequate.
In the ultraviolet range quartz lenses
or reflecting objectives must be used.
The latter have the advantage of being
achromatic in the ultraviolet spectrum.
5. The light detector. The most
suitable detector for this type of work
is the photomultiplier tube. The tube
is supplied with a suitable power source
and its output amplified and read off
a microammeter. Less conveniently
the direct output may be detected with
a galvanometer.
The construction of microspectro-
photometric equipment has been de-
scribed in the following papers: Norris,
K.P. and Wilkins,M.H.F., Discussions
of the Faraday Society, 1950, No. 9,
360-363, Barer, R., Discussions of the
Faraday Society, 1950, No. 9, 369-
378, Mellors, R. C., Discussions of the
Faraday Society, 1950, No. 9, 398-406,
Thorell, B., Discussions of the Faraday
Society, 1950, No. 9, 432-436, Walker,
P. M. B. and Davies, H. G., Discus-
sions of the Faraday Society, 1950,
No. 9, 461-470, Commoner, B., Ann.
Mo. Bot. Card., 1948, 35, 239-254,
Burch, C. R., Proc. Physic. Soc, 1947,
59, 41-46, Grey, D. S., J. Opt. Soc.
MICROSPECTROPHOTOMETRY
207
MICROSPECTROPHOTOMETRY
Amer., 1950, 40, 283-290, Mellors, R. C,
Science, 1951, 112, 381-389. The prob-
lem of instrumental accuracy is dis-
cussed by Click, D., Engstrom, A. and
Malmstrom, B. G. (Science, 1951, 114,
253-258) and Caspersson, T. (Cell
growth and cell function, New York:
Norton, 1949).
The light absorption due to the ob-
ject may be determined in the following
ways.
1. Direct method. The microscope
is focused on an area of the object
slide adjacent to the object itself.
The light impinging on the photo-cell
is then adjusted to give a fixed response
in the detector circuit. Without alter-
ing the optical conditions the slide is
then moved so that the object is now
centered in the field and a reading of
the detector response is taken. This
measurement compared with the first
one yields the per cent of the incident
light which is transmitted by the ob-
ject.
2. Split-beam method. In this
method the light beam is split before
entering the microscope and a small
fraction directed toward an accessory
phototube and detector circuit. It is
then possible to evaluate the intensity
of the light reaching the main photo-
tube in terms of the intensity of the
beam directed toward the seconday
phototube. This method has the ad-
vantage of being independent of random
fluctuations in the intensity of the light
source. As in the direct method the
absorption of the object is determined
by comparison with a blank area in the
slide.
Interpretation of data: The derivation
of valid conclusions from intracellular
absorption data is a considerably more
difficult task than the experimental
work itself; in fact, it is frequently the
case that data are obtained for which
there are as yet no valid interpretations.
The difficulties in interpretation arise
from the fact that little is known con-
cerning the physical state of intracel-
lular objects and its effect on their
optical properties. Since the rules for
analysis of absorption data are based
exclusively on the optical properties of
homogeneous systems such as gases and
dilute solutions, entirely new methods
need to be developed for the hetero-
geneous structures of the cell.
For homogeneous solutions of ab-
sorbing materials, the following rela-
tions (the Beer-Lambert Laws) are
found, within limits, to hold:
D = kcd
where c is the concentration of absorb-
ing material, d is the length of the opti-
cal path through the absorbing layer,
and k is the extinction coefficient of the
substance in question. D, the optical
density, is defined by the expression
D = logio y, where lo is the intensity
of the incident beam and I the intensity
of the transmitted beam. The Beer-
Lambert relationship holds only where
all light absorption is due to the trap-
ping of photons by the substance in
question, and where each molecule in
the light path contributes equally to
the absorption.
In microspectrophotometric work,
the value of D for a given optical sec-
tion through the object is determined
experimentally at various wavelengths.
This gives the absorption spectrum of
the entire object. Since the aim of the
measurement is usually the identifica-
tion and estimation of a specific sub-
stance present in the object, the initial
spectrum needs to be evaluated in the
light of the above relationships.
In order to identify a specific sub-
stance from the absorption spectrum
of an object believed to contain this
substance, the following conditions
must be met. 1) It must be known
that the object contains no absorbing
material other than the substance in
question; or the relative contents and
absorption spectra of extraneous sub-
stances must be determined. Without
this information one cannot conclude
that a given absorption maximum in the
spectrum of the object is due to a spe-
cific substance ; such a maximum may re-
sult from the superposition of the
spectra of two or more different sub-
stances. 2) It must be known that the
absorption of light at any given wave-
length is due only to the trapping of
photons by the substance in question
and is not a consequence of scattering
and similar non-specific processes. In
general, light scattering rises with in-
crease in frequency but since sharp
changes in refractive index occur near
the absorption maximum of a sub-
stance, scattering effects may some-
times pass through a maximum with
variation in wavelength.
If in addition to identification an
estimation of the relative arnount of
the substance present in the intracel-
lular object is to be made, the follow-
ing further conditions must be fulfilled.
3) The length of the optical path
through the object must be known.
This is not necessarily identical with
the thickness of the object for in hetero-
geneous systems internal reflections
may cause a significant fraction of the
entering beam to be reflected through
MICROSPECTROPHOTOMETRY
208
MICROSPECTROPHOTOMETRY
a total path length considerably longer
than the dimensions of the object.
This effect will enhance the absorption
of the object and may be variable with
wavelength. 4) The relationship be-
tween the optical density of an object
and the concentration of the specific
substance must be demonstrated since
it cannot be assumed that the linearity
predicted by Beer's Law will hold.
5) The effect of inhomogeneous distri-
bution of the absorbing material in the
planes perpendicular to the optical
axis must be estimated since relatively
small departures from homogeneity
will lead to significant alterations in the
absorption due to a given amount of
material.
If the absolute quantity of a given
substance in an intracellular object is
to be determined, two further condi-
tions must be met. 6) The specific
extinction of the substance in question,
that is, the absorption per mole per
liter must be known. 7) The influences
of the conditions noted above on the
extinction must be determined quan-
titatively. If accepted analytical prac-
tices are to be followed, this would mean
that the absorption due to a known
amount of the specific substance when
added to the intracellular object be
determined or that the amount of the
substance found in the object by inde-
pendent analytical means be correlated
with its absorption characteristics.
Unfortunately, presently available
techniques can meet the above condi-
tions only in part. The procedures
thus far worked out or suggested are
noted below.
/ . The problem of complex composition
of the object. If it can be shown that
the composition of the object is uniform
throughout its optical depth, then the
relative contribution of individual sub-
stances to the overall absorption spec-
trum may be worked out by comparison
of the latter with individually deter-
mined spectra of the separate compo-
nents. However, large differences in the
height of the maxima frequently make
this procedure a difficult one. To
demonstrate that this optical uni-
formity exists, it must be shown that
the absorption spectrum of the object
is constant for all thickness (obtained,
for example, by sectioning). Where
this is not possible as in the case of
structures enclosed within intact liv-
ing cells an optical method may be used
(Commoner, B., Discussions of the
Faraday Society, 1950, No. 9, 449-460).
This procedure may be applied to ob-
jects in which one component is dis-
tributed in an invariant layer in a cell
which varies considerably in thickness.
In this case it is possible to determine
the absorption due to the separate com-
ponents in situ by measuring the ab-
sorption spectra of two regions in the
cell which differ in thickness by a known
amount. In favorable instances this
method may be used to determine the
absorption spectrum of the nucleus con-
tained within a living cell. Thus far
the procedure has been applied only to
certain types of plant cells. Failure
to conform with this condition casts
doubt on the meaning ascribed to the
absorption spectra of structures such
as the nucleolus which have been ob-
tained without detailed analysis of the
contribution made by over-lying and
under-lying material.
2. Non-specific light losses. It has
been frequently assumed (Caspersson,
T., Cell growth and cell function. New
York: Norton, 1949) that light lost
due to scattering is related to wave-
length according to the Rayleigh equa-
tion. Using this assumption and the
further assumption that at some spe-
cific wavelength range such as 300-350
mM no specific absorption occurs, the
scattering losses are calculated by ex-
trapolation from the readings obtained
in this limited range. The usefulness
of this method is considerably weakened
by the fact that the first assumption
has never been demonstrated to be true
for intracellular objects and that the
second assumption can be true only very
rarely. An experimental determina-
tion of losses due to scattering may be
made by an apparatus described by
Caspersson, T. (Cell growth and cell
function, New York: Norton, 1949)
which measures the light emerging
from the object at various angles from
the optical axis. Scattering losses
may vary considerably with the physi-
cal state of the object and are, there-
fore, very sensitive to fixation proce-
dure, etc.
3. The length of the optical path.
Thus far no method for determining this
value has been proposed and in prac-
tice the only approach to the value of
this dimension is the observed thickness
of the object. Thus in making this
assumption, calculations are exposed to
an error of unknown magnitude.
4- The validity of Beer's law. This
essential determination has thus far
been carried out in only one instance
(Commoner, B., Discussions of the
Faraday Society, 1950, No. 9, 449-460)
in which the cellular material occurred
in solution in the vacuole of a mature
plant cell. In this case it was possible
to alter the concentration of the dis-
MICROTOME
209
MILK
solved material by plasmolysing the
cell to various degrees and thereby al-
tering the water content of the solution.
This method permits comparison of the
optical density of the vacuole at various
volumes and provides a direct test of
Beer's law. In the case of solid struc-
tures such as the nucleus the osmotic
method is probably invalidated by the
fact that the absorbing material is not
freely dissolved throughout the struc-
ture.
When the cytological object contains
oriented absorbing material in signifi-
cant amounts, considerable departure
from the Beer-Lambert relationship is
to be expected (Commoner, B., Science,
1949, 110, 31-40). It may be possible
to avoid this difficulty by the use of a
polarized incident light beam.
6. The effect of lateral inhomogeneity.
This problem has been discussed from
a theoretical point of view (Glick, D.,
Engstrom, A. and Malmstrom, B. G.,
Science, 1951, 114, 253-258; Danielli,
J. F., Cold Spring Harbor Symp., 1949,
14, 32-39). It is apparent from these
discussions that large errors may arise
from this effect but at present there is
no experimental way of determining
their magnitude. In general it would
seem essential that objects studied be
homogeneous at least with respect to
their microscopic appearance.
6. The determination of absolute quan-
tities. In some instances (Caspersson,
T. and Schultz, J., Proc. Nat. Acad.
Sci., 1940, 26, 507-515) investigators
have calculated the absolute content of,
say, nucleic acid in a nucleus from meas-
urements of the optical density of the
nucleus and the specific extinction of
nucleic acid solutions. Such a proce-
dure has never been validated by the
customary tests of the analyst.
7. The effect of ultraviolet light on the
optical properties of the cell. One of the
most serious difficulties encountered in
the microspectrophotometric work is
the fact that exposure to ultraviolet
light is damaging and frequently lethal
to the object. At the same time irra-
diation seriously alters the absorption
properties of the cell. It was first
shown by Brumberg, E. M. and
Larionov, L. P. (Nature, 1946, 158,
663-664) that in living cells undamaged
by ultraviolet the optical density of the
nucleus does not exceed that of the
cytoplasm. When the cell has been
killed by ultraviolet radiation the opti-
cal density of the nucleus rises sharply
whereas the absorption of the cytoplasm
drops. Similar changes have now been
observed by a number of other workers
(Bradfield, J. R. G., Discussions of the
Faraday Society, 1950, No. 9, 481-490;
Walker, P. M. B. and Davies, H. G.,
Discussions of the Faraday Society,
1950, No. 9, 461-470). These observa-
tions show that 1) absorption measure-
ments of living cells must be made on
cells which actually survive the ex-
perimental procedure, 2) fixation pro-
cedures may seriously alter the apparent
distribution of ultraviolet absorbing
material and 3) the structural ar-
rangement peculiar to the living nu-
cleus probably has a significant effect
on its absorption properties.
Microtome. The freezing, rotatory and
sliding microtomes are well known and
advertised. The high speed micro-
tome required for cutting especially
thin sections for Electron Microscopy
is essential for research. See account
by G. H. Scott in McClung's Micro-
scopical Technique, 1950, p. 720; also
FuUam, E. F. and Gessler, A. E., Rev.
Sci. Inst., 1946, 17, 23 and Gessler, A. E.
and Fullam, E. F., Am. J. Anat., 1946,
78, 245. Geren, B. B. and McCuUoch,
D. (Exp. Cell Research, 1951, 2, 97-102)
have made adjustments in the Minot
rotary microtome by which sections of
tissues, prepared by the methacrylate
embedding technique of Newman, S.
B., Borysko, E. and Swerdlow, M.
(Science, 1949, 110, 66) can be cut 1/20
n in thickness. The edges of some sec-
tions are much thinner. Glass knives
with water trough (Latta, H. and Hart-
mann, J. F., Proc. Soc, Exp. Biol, and
Med., 1950, 74, 436) are a great improve-
ment over steel ones.
Microtome Knife, sharpening. There is no
easy method. Care and long practice
are essential. (See Bensleys, p. 57.)
For the usual oil and water stones a
ground glass is now sometimes substi-
tuted (Uber, F. M., Stain Techn., 1936,
11,93-98).
Micrurgical Technique (Gr. micros, small
+ ergon, work) is referred to under the
heading of microdissection.
Mikado Yellow G (CI, 622)— Stilbene Yel-
low— a direct dye of light fastness 3.
Similar to Sun Yellow but lighter in
color (Emig, p. 46).
Milk, bacteria in, a modification of Newman
technic (Broadhurst, J. and Paley, C,
J. Am. Vet. Med. Assoc, 1939, 94,
525-526). To prepare stain add 0.4 cc.
cone. H2SO4 to 54 cc. 95% alcohol.
Mix with 40 cc. technical tetrachlor-
ethane in flask and heat to 55 °C. but no
higher. Add about 1.0-1.2 gm. methy-
lene blue while mixture is still hot.
Shake until dye goes into solution.
Then add 8.0 cc. 1% basic fuchsin in
95% alcohol. Mix, cool, filter and put
up in glass stoppered bottle. Spread
MILLIMICRON
210
MITOCHONDRIA
0.01 cc. milk over area of 1-2 sq. cm. on
slide. Dry on flat warm surface 5 min.
Flood with stain 15 sec. Drain off ex-
cess and dry while flat with gentle heat.
Wash in cold water till all blue is re-
moved and a faint pink color appears.
Dry and examine.
Technique for the rapid detection of
Mycobacterium tuberculosis in cows,
milk is described by Maitland, M. L. C,
J. Hyg., 1950, 48, 397-401.
Millimicron (m^) = 1/lOOOth part of a
micron = 1/1, 000,000th part of a mm. =
10~' mm. = 0.001 micron = 10 A (see
Micromicron).
Millon's Reaction. For microchemical pur-
poses it is necessary, as Bensley and
Gersh (R. R., and I., Anat. Rec,
1933, 57, 217-233) point out, for the
reagent to act without the aid of heat,
to give almost immediately with tyrosin
in vitro an intense red color yielding red
ppt. not changing to yellow within 24
hrs. They give the following directions.
Add 600 cc. aq. dest. to 400 cc. cone,
nitric acid (sp. gr. 1.42) making 40% by
volume. After 48 hrs. add 1 part to 9
parts aq. dest. Saturate with mercuric
nitrate crystals frequently shaking sev-
eral days. To make the reagent take
400 cc. filtrate, add 3 cc. original 40%
solution plus 1.4 gm. sodium nitrite.
Mount sections (preferably after freez-
ing and drying technique) to slides
without using water. Immerse in rea-
gent in cold. Maximum reaction should
be within 3 hrs. when sections show
noticeable rose color. However use
several slides, remove them from reagent
in a Coplin jar at intervals, dip imme-
diately in 1% aq. nitric acid, dehydrate
quickly in absolute alcohol, clear in
xylol and mount in balsam. Bensley
and Gersh found that mitochondria are
positive to Million's reagent.
Mineral Oil, reactions in tissue to fat stains
after various fixations (Black, C. E.,
J. Lab. & Clin. Med., 1937-38, 23,
1027-1036). See Immersion Oils.
Mingazzini Phenomenon in intestinal villi
interpreted as an agonal or early post-
mortem change (by Macklin, C. C. and
M. T., J. Anat., 1926, 61, 144-150).
Mites. The techniques given for Ticks and
Insects are applicable for making whole
mounts. The simple creosote method
(see Insects) is recommended.
Mitochondria — Written by Geoffrey Bourne,
London Hospital Medical College, Lon-
don, England. November 5, 1951 —
Granules, rods and filaments existing
in the cj'toplasm of practically all liv-
ing cells of plants and animals. They
can be studied in living cells unstained
and after supravital staining, and in
fixed tissues.
They can be seen in living cells even
with direct illumination if it is critical.
In mammals they probably are best
seen unstained in very small pieces of
pancreas mounted in normal saline and
flattened out by the pressure of the
cover glass. The distal poles of the
acinous cells, facing the glandular
lumen may be identified by densely
packed, highly refractile zymogen gran-
ules. The proximal poles are nearer
the surrounding blood vessels and com-
paratively free from zymogen granules.
With direct illumination a careful
search with an oil immersion objective
will distinguish the mitochondria as
delicate, slightly refractile filaments
oriented in general with their long axes
parallel with the length of the cell.
Wernicke illumination (phase contrast)
will permit immediate recognition of
these bodies which are shown up clearly
by this method. Phase contrast en-
ables mitochondria to be studied with
ease in a variety of living unstained
cells (H. U. Zollinger, Rev. d'Hematol.,
1950,5,696).
The clarity with which mitochondria
may be observed with phase contrast
in living unstained cells has rendered
their supravital staining less necessary.
However, on occasions, this may be
desirable. When very dilute methylene
blue is added to tissue culture cells the
mitochondria become stained a bril-
liant blue (Ludford, R. J., Arch. f. Exp.
Zellf., 1935, 17, 339-359). Other vital
dyes are diethylsafranin, Janus blue,
Janus black 1, Pinacyanol, Rhodamin
B. and Janus green B. (diethylsafra-
ninazo-dimethyl-analin chloride) .
The latter is used, as an example, as
follows:
Place a small drop of 1:10,000 Janus
Green B in 0.85% aq. sodium chloride,
dj^e should be added from a 1% stock
The solution in aq. dest. because the
power does not dissolve easily in salt so-
lution. In this drop a variety of small
pieces of tissue, may be teased, and then
covered with a cover glass, and mito-
chondria may be demonstrated very
beautifully in blood leucocytes by add-
ing a drop of freshly drawn blood to a
drop of 1 in 10,000 solution of Janus
Green B and examining after adding a
coverslip. Mitochondria become col-
ored a dark bluish-green after 5-10 min.
They first appear in the lymphocytes
and then between the granules of the
granular cells. R. R. Bensley (Am. J.
Anat., 1911, 12, 297-388) has described
a method of intravascular staining of
mitochondria using Janus Green B.
Janus Green preparations of mito-
chondria are not permanent — they
MITOCHONDRIA
211
MITOCHONDRIA
bleach in from 30-60 min. to a colorless
leucobase. Mitochondria show up bril-
liantly in living, particularly tissue
culture, cells using dark-ground il-
lumination (see Strangeways, T. S. P.
and Canti, R. G., Quart. J. Micr. Sci.,
1927, 71, 1-14). They may be also
photographed at high magnification
with the electron microscope (R.
Claude and E. F. Fullam, J. Exp. Med.,
1945, 81, 51-62; H. U. Zollinger, E.x-
perientia, 1950, 6, 16-17).
Mitochondria can be isolated from
tissues by the process of differential
centrifugation (R. R. Bensley and N.
Hoerr, Anat. Rec, 1934, 50, 251, 499).
This technique has been developed by
Porter, K. and his colleagues (J. Exp.
Med., 1945, 81, 233-246); Claude, A,
(Science, 1943, 97, 451-456; J. Exp.
Med., 1944, 80, 19); Hogeboom, G. H.
and his colleagues (J. Biol. Chem.,
1946, 165, 615-630). These authors not
only developed the technique of isola-
tion of mitochondria by differential
centrifugation and were able to obtain
mitochondria which were morphologi-
cally identical with those in the living
cell, but by a series of chemical studies
were able to show that such isolated
mitochondria contain the greater part
of the respiratory enzymes of the cell,
a fact which suggests, not only that the
mitochondria may be the main respira-
tory centers of the cell but that they
can function as synthetic centers as
well. The conception of the respira-
tor}^ function of mitochondria was sug-
gested as long ago as 1912 by Kingsbury
A. (Anat. Rec, 1912, 6, 39).
Isolation of Mitochondria. Hoge-
boom, G. H., Schneider, W. C. and
Pallade, G. E. (Proc. Soc. Exp. Biol.
Med., 1947, 65, 320-321) have described
a method of obtaining morphologically
intact mitochondria from rat liver.
Rat liver is homogenized by the method
of Potter, V. R. and Elvehjem, C. A.
(J. Biol. Chem., 1936, 114, 495-504) in
0.88 M. sucrose. The homogenate is
centrifuged 3 times at 600 g. for 10 min.
This removes nuclei and intact cells.
The supernatant is then centrifuged at
24,000 g. for 20 min. This brings down
the mitochondria together with a few
microsomes. Mitochondria obtained in
this way remain stable in form for
several days at 4°C. There are a
variety of methods for making perma-
nent preparations of mitochondria in
tissue sections.
1. Altmann's method. See Carleton,
H. M. and Leach, E. H., Histological
Technique, Oxford, 1949. Fix in
Champy's fluid or in Flemming without
acetic. Postchrome for 3 days (trans-
fer tissue direct to 2§-3% aq. potassium
dichromate). Wash 12-24 hrs. in run-
ning water, dehydrate, embed and sec-
tion. Bring sections to water, then:
(1) flood slide with aniline fuchsin
(aniline water, made by adding 10
cc. of aniline to one half or one litre
of hot aq. dest. in a flask and ashing,
cooling and filtering, 100 cc, acid
fuchsin 12 gm.). Warm slide with
bunsen flame till the stain steams (but
does not boil). Leave for 5 min. (2)
rinse rapidly in aq. dest. (3) differen-
tiate in slide jar of picric acid, sat. sol.
in ab. ale. 20 cc, 30% ale 80 cc. Dif-
ferentiation should be stopped when
the red dye has diffused out of the nuclei
and cytoplasm and the mitochondria
are bright red. (4) rinse in aq. dest.
(5) dehydrate rapidly, mount in bal-
sam.
2. Heidenhain's iron hematoxylin
method. Tissues may be fixed in
formaldehyde, Helly's fluid, Zenker for-
maldehyde or Flemming-without-ace-
tic, for 24 hrs. Sections are mor-
danted in a 5% aq. iron alum for 5 to
24 hrs. according to the nature of the
tissue. Rinse in water. Stain in 0.5%
aq. hematoxylin for a period of time
equal to that of the iron alum treat-
ment. Rinse in water, differentiate
in iron alum solution and control dif-
ferentiation with microscope until only
nuclei and mitochondria are black.
Counterstain if necessary, dehydrate,
mount in balsam.
3. Cain's method (Quart. J. Micr. Sci.,
1948, 89, 229-231). Fix in Helly's fluid,
6 hrs. postchrome 48 hrs. at 37°C. in
sat. aq. potassium dichromate, wash
overnight in running water, embed in
parafRn wax and cut sections about
3 n. Bring sections to water treating
with iodine (i in 70% ale) and then
5% aq. sodium thiosulphate on the way.
Dry slide, except sections, flood with
aniline fuchsin, (see Altmann's method)
and heat until steaming as for Alt-
mann's technique. Wash off acid fuch-
sin with aq. dest. Irrigate with alka-
line solution (one drop of aq. sodium
carbonate in 10° cc. of aq. dest.). Dif-
ferentiate 30 sec. to I5 min. To stop
differentiation dip slide into 1% HCl.
Wash in aq. dest., counterstain 1% aq.
water-soluble methjd blue. Wash aq.
dest., dip into 1% acid 3 sec. only.
Wash aq. dest., dehydrate and mount
in balsam.
The Bensley-Cowdry acid fuchsin and
methyl green method (Cowdry, E. V.,
Contrib. Carnegie Inst., Wash., VIII,
1918) gives beautiful results. In it the
methyl green is used both as differen-
tiator and counterstain.
MITOCHONDRIA AND BACTERIA 212
MITOSIS
Schridde's method (Ergn. Anat. u.
Entw., Bonnet, XX, 1911) can also be
recommended as giving beautiful prep-
arations of mitochondria.
4. Pritchard's silver method (J. Anat.,
1951 , 85, in press) . This method, which
is dependent upon reduction of silver
on the slide, gives very beautiful and
precise preparations of mitochondria
which show up black. Small pieces of
tissue should be fixed in Regaud's or
Helly's fluid for 3 da3's and post-
chromed for 4 days in 3% aq. potassium
bichromate. Prepare paraffin sections
in the usual way, avoiding excessive
heat in flattening and drying. Remove
paraffin and proceed to aq. dest. Slides
placed for 20 sec. with agitation into a
dilute solution of silver diamino hy-
droxide (Wilder's Solution diluted with
an equal volume of aq. dest. to which
is added 2 drops of 8% NH4OH per 50
cc). Drain quickly and without rins-
ing immerse in a large volume (e.g. 200
cc.) of very dilute formalin (1/1000
commercial formalin in aq. dest.) agi-
tating for 10-20 sec, not more. Fresh
formalin solution for each section is
preferable. Wash in aq. dest. Dif-
ferentiate carefully under the micro-
scope with 1-2% aq. potassium ferri-
cyanide until mitochondria show up
black against a clear background.
Wash in aq. dest., counterstain with 1%
Safranin or Ponceau fuchsin. Regaud's
fixative gives the best results but after
Helly's fluid the Golgi element is often
sharply impregnated as well as the mito-
chondria.
Mitochondria and Bacteria. Demonstration
in the same cells. See Cowdry, E. V.
and Olitsky, P. K., J. Exper. Med.,
1922, 36, 521-533, Cowdry, E. V., Am. J.
Anat., 1923, 31, 339-343. Stain as for
mitochondria with Anilin Fuchsin and
Methyl Green. Mitochondria are col-
ored crimson. When the bacilli are acid
fast as in leprosy they are colored a dark
reddish purple; but when they are not
acid resistant they are stained bluish
green.
Mitogenic Radiations. It is questionable
whether these rays, said to generate
mitosis, really exist. A critical and
well balanced statement is afforded by
Glasser, O., in Glasser's Medical Phy-
sics, 760-763.
Mitosis (G. Mitos, thread). Indirect nu-
clear division in which the chromatin
forms a thread which breaks up into
chromosomes.
Material should be freshly fixed, less
than half hour after removal. But mito-
sis can be seen in some tissues 24 hrs. or
longer after death, especially if the body
is kept at a low temperature but the
number is less and the details not so
clear as after quick fixation (Mallory,
p. 108). Sat. mercuric chloride in 70%
ale. plus 5% acetic acid, Zenker's fluid,
formalin-Zenker , Bouin's fluid and Flem-
ming's strong fluid are satisfactory
fixatives but the last named penetrates
very badly.
The most beautiful stain for mitotic
figures is safranin light green but the
mitoses can be more clearly distin-
guished without the green counterstain.
Simply deparaffinise and stain sections
in anilin-safranin (Babes), wash quickly
in tap water, differentiate in acid alcohol
until the resting nuclei are less intensely
colored than the dividing ones, wash in
95%, dehydrate in abs. clear in xylol
and mount in balsam.
Another excellent method is to apply
the Feulgen reaction for Thymonucleic
Acid to sections of tissues preferably
fixed in Carnoy's fluid or acetic subli-
mate. This demonstrates thymonucleic
acid in the chromatin, and the dividing
nuclei, as with safranin, are more deeply
stained than the others. This method
is displacing the older safranin tech-
nique.
To demonstrate mitosis in whole
mounts of epidermis place freshly ex-
cised skin (circumcision specimen pre-
ferred) in 0.1% aq. acetic acid in the
icebox over night. Wash quickly in
aq. dest. Strip off the epidermis with
needles, stain it like a section with
anilin-safranin or with Harris' hema-
toxylin and mount with the outer sur-
face uppermost. This technique could
probably be adapted to relatively flat
epithelia of the respiratory digestive,
urinary and genital systems.
In order to reveal the maximum num-
ber of mitotic figures it is important to
study the mitotic rhythm of the par-
ticular tissue or organ and take tissues
at the peak which in the case of the
human foreskin is probably between
9 p.m. and midnight (Cooper, Z. K. and
Schiff, A., Proc. Soc. Exp. Biol. & Med.,
1938, 39, 323-324). The relation of
alimentation and nutrition to cyclic
variations in mitotic activity is pre-
sented by Blumenthal, H. T., Growth,
1950, 14, 231-250.
To experimentally increase the num-
ber of mitosis use colchicine which ar-
rests the process chiefly in the meta-
phase by causing failure of the mitotic
spindle to form and function (Ludford,
R. J., Arch. f. exper. Zellf., 1936, 18,
411-441). Consequently as long as the
cells are under the influence of colchi-
cine— a matter of a few hours only —
mitosis begins as usual; but, since it is
not completed, the proportion of mitotic
iMOIST CHAMBERS
213
MOROSOW'S METHOD
figures to resting nuclei is temporarily
greatly increased. Sodium cacodylate,
auramine and other substances listed by
Ludford likewise influence mitosis.
For checks on the method of estimating
growth by counting arrested mitoses,
see Paletta and Cowdry (F. X. and
E. v., Am. J. Path., 1942, 18, 291-311).
Aisenberg (E. J., Bull. d'Hist. Appl.,
1935, 12, 100-122) has found that mitosis
of epidermal cells is arrested in the
metaphase simply by passing a ligature
around a frog's leg and keeping the foot
in distilled water. The mitoses ac-
cumulate in large numbers but continue
when released from the hypotonic
environment. Aisenberg {ibid. 1936,
13, 265-286) also discovered low concen-
tration of ethyl alcohol to stimulate
mitosis, 0.4-0.8 M to arrest in meta-
phase, 1.2-1.5 M. to cause gelatinization
of mitosis and higher concentrations to
kill the cells. Comprehensive data on
the influence of Colchicine are supplied
by Levine, M., Ann. N. Y. Acad. Sci.,
1951, 51, 1365-1408.
Moist Chambers, Small for stage of micro-
scope (Chambers, R. and Kopac, M. J.
in McClung's Microscopic Technique,
1950). Large in which hands can be
used (Holter, H., C. rend. trav. lab.
Carlsberg, S6r. Chim., 1945, 25, 15fr-
167). See diagrams for air-condition-
ing (Click, p. 182).
Molecular Film Technique, see Taylor, H.
S., Lawrence, E. O., and Langmuir, I.,
Molecular Films, the Cyclotron and the
New Biology, Rutger's University Press,
1942, 95 pp.
Molecular Solution is the molecular weight
of the substance in grams made up to 1
liter with aq. dest. Thus M oxalic acid
(COOH)2-2H20 is 126 gms. with aq.
dest. added to 1 liter; but A-^ oxalic acid
is half of this concentration. See
Normal Solutions.
The molecular weight expressed in
grams is called the gram-molecular
weight or mole.
Millimole is 1/1000 of a mole.
Milligram equivalent (milliequiva-
lent). The equivalent weight, the
gram-equivalent, or the equivalent of a
substance is the weight in grams which
in its reaction corresponds to a gram
atom of hydrogen, or of hydroxyl, or half
a gram atom of oxygen, or gram
atom of a univalent ion. Milliequiva-
lent is 1/1000 of the equivalent weight,
i.e., the equivalent weight of sodium
carbonate is j the molecular weight, or
53.0. Therefore, the milliequivalent
(m.e.) or the weight in 1 ml. of normal
solution is 0.0530 gm.
Molybdenum, see Atomic Weights.
Mono-Azo Dyes. Amarnth, azo fuchsin,
benzene-azo-a-naphthylamine, bordeaux
red, brilliant yellow S, chromotrope 2R,
chrysoidin Y, fast yellow, janus green
B, metanil yellow, methyl orange,
methyl red, narcein, nitrazine, oil red
O, orange G, orange I, orange II, orange
IV, ponceau 2R, sudan R, thiazine
red R.
Monocytes. When "typical" these are
easily recognized in stained blood smears
and in supravital preparations but there
is no technique by which they may
always be distinguished from all Lym-
phocytes and Macrophages. That is,
they possess no single feature, like the
eosinophile granules of eosinophile leuco-
cytes, for their certain identification
(see Cowdry, p. 66-71). They ingest
particulate matter including Trypan
Blue and similar vital stains and are
therefore to be considered as com-
ponents of the Reticulo-Endothelial
System. Many of their properties can
to great advantage be investigated in
Tissue Cultures. The best way to
demonstrate the remarkably close rela-
tion that paay exist between monocytes
and contained bacilli is to stain leprous
tissue_ for acid fast bacilli (see Leprosy
Bacilli). See Bacterium Monocyto-
genes.
Monolayer technique is a physico-chemical
line of investigation that gives valuable
data on the structure of protein and
lipoprotein films and consequently on
the plasma membrane of cells. See
Schulmann (Bourne, pp. 51-67).
Moore, see Fungi.
Mordant (L. mordere, to bite), a substance,
like alum, employed to make a dye bite
into the tissue and hold on. The dye
combines with the mordant which is
itself in high concentration in the
structures to be stained. In the Iron
Hematoxylin technique the sections
are mordanted with iron alum. They
are briefly washed in aa. dest. to remove
some of the excess mordant. Then they
are stained with a dilute aqueous solu-
tion of hematoxylin and differentiated
in the mordant which draws out most of
the hematoxylin until it remains only
in the structures which took up the
mordant most energetically in the first
place and which therefore alone remain
colored. Copper salts are also good
mordants. See Weigert's mordants.
Morosow's Method for elementary bodies as
modified by Fonta and Triboudeau and
given by Seiffert, G., Virus Diseases of
Man, Animal and Plant. New York:
Philosophical Library, Inc., 1944, 332
pp. Dry thin smear in air. Place
vertically in aq. dest,, 10-15 min. and
MOSKOWITZ
214
MOUNTING MEDIA
dry again. Cover with mixture of
acetic acid, 1 cc; 40% formalin (com-
mercial formaldehyde), 2 cc; aq. dest.,
100 cc. Rinse well in aq. dest. and heat
till steam rises in mixture of carbolic
acid, 1 cc; tannin, 50 gm.; aq. dest.,
100 cc Rinse in aq. dest. j min. and
heat slightly 1-2 min. till smear becomes
brown or slightly black in silver solu-
tion made up as follows: To 20 cc. aq.
dest. add "platinum loop" of 25% am-
monia and then drop by drop from
pipette of 10% aq. silver nitrate until
an opalescent ppt. appears. About
0.5 cc. of silver solution will be needed.
After silvering smear rinse well in aq.
dest., mount and seal edges with
paraffin.
Moskowitz, see Protein Silver for Staining
Protozoa.
Mosquito larvae, technique of raising anoph-
eline (Bates, M., Am. J. Trop. Med.,
1941, 21, 103-122). Bodian technique
for mosquito nervous system (Rogoff,
W. M., Stain Techn., 1946, 21, 59-61).
Motion Pictures. The technique of making
motion pictures of living cells and or-
gans has proved its worth. The movies
can be projected again and again and
the sequence of events made very clear.
It is important to remember that mo-
tile cells do not run around at the speed
indicated, because the actual distance
travelled is far less than on the screen
and the time much greater. The Wis-
tar Institute of Anatomy in Philadel-
phia is distributor of a comprehensive
series of motion picture films on either
a purchase or rental basis.
Motor End Plates. The particular morpho-
logical type of nerve ending in muscle
does not concern us here ; but reference
can be made if desired to the classifica-
tion by Hines, M., Am. J. Anat., 1931,
47, 1-55. The methods advocated for
histological demonstration are legion.
Reference is made to 2 gold techniques
(Craven's and Carey's) and to 1 silver
method (Chor's). The former can be
ultimately traced back to Ranvier and
the latter to Cajal. See also techniques
described under Nerve Endings.
Mounting Media. The refractive index of
the medium is important and a table
giving the indices for many substances
used is supplied by Lee (p. 218). As
pointed out, the greatest transparency is
secured when the refractive indices of
media and tissues are equal and media of
lower index than the tissues give some-
what greater visibility of tissue com-
ponents, while those of higher index
provide less visibility. There are nmny
media to choose from, the refractive
indices of which are more or less satis-
factory. The selection will depend
more upon whether the medium can be
employed for the particular tissue and
its relative permanence.
For frozen sections and tissues to be
mounted from water and aqueous solu-
tions various glycerin mixtures are
popular : Lactophenol, Glychrogel,
Brandt's and Kaiser's glycerin jellies.
Having taken the easiest one to prepare,
for their merits are about equal, the
tissue is mounted and covered and it is
necessary to seal the edges. In the case
of temporary mounts a little paraffin
applied with a heated scalpel, or wire,
will suffice. Lee (p. 230) advocates
Peter Gray's sealing medium made up
by melting together 4 parts anhydrous
lanolin, 1 part Canada balsam (dry) and
8 parts resin which becomes solid on
cooling. Apply to edges in the same
manner as the paraffin. Eronig's ce-
ment is employed in Bensley's labora-
tory. Duco cement is very worthwhile
because it is insoluble in xylol, alcohol
and other chemicals used to clean micro-
scopic preparations. Mallory (p. 99)
dilutes it with an equal volume of ace-
tone. See Karo.
For sections and tissues which are first
dehydrated and cleared the investiga-
tor must choose the mounting medium
best adapted to his purpose from a con-
siderable number proposed of which the
following are given elsewhere in this
book : Balsam, Cedar Oil, Clarite,
Colophonium, Damar, Diaphane, Eupe-
ral, Nevillite, Sandarac, Terpineol
Balsam.
The chief desiderata are a medium
which will harden fairly quickly, which
will not become acid and bring about the
fading of anilin dyes and which will not
crack or develop granules. Clarite is
competing for first place with balsam*
because, to make the balsam neutral ana
keep it so, is a troublesome job. Direc-
tions for its preparation are given by the
Bensleys (p. 39). But the balsam ordi-
narily purchased is satisfactory for
hematoxylin and eosin and iron hema-
toxylin preparations except when the
latter are counterstained with an anilin
dye. The writer used to employ cedar
oil (for immersion objectives), in mount-
ing sections stained by Giemsa's
method, which is superior to balsam,
but it drys slowly and is not better than
clarite. Damar has been recommended
for stains likely to fade and colophonium
for thick sections of the nervous system
for which covers are not used; both
however appear to be less valuable than
clarite.
Museum specimens require an aque-
ous mounting medium which preserves
MUCICARMINE
215
MUCUS
colors. See Color Preservation. See
Plastics for museum work.
Mucicarmine for mucus, Mayer's (Mallory
and Parker in McClung, p. 417). To
make up stain, mix carmine, 1 gm.;
aluminum chloride, 0.5 gm. ; and aq.
dest., 2 cc. Heat over flame for 2 min.
Color of solution darkens. Add grad-
ually 100 cc. 50% ale. stirring constantly
until dissolved. After 24 hrs. filter.
Filtrate keeps well. Stain parafTin sec-
tions of absolute alcohol fixed tissue in
carmine sol. 5-10 min. Wash in water,
dehydrate, clear and mount. Mucus
is red. When nuclei also are colored red,
add few drops 1% aq. sodium bicarbon-
ate to the stain. It is customary to
stain cells and nuclei before hand with
alum hematoxylin. Bensley (Cowdry's
Special Cytology, 1932, p. 203) uses
alcoholic chrome sublimate (sat. mer-
curic chloride and potassium bichromate
in 95% ale.) and increases the content of
carmine 5 times.
Mucigen, intracellular antecedent of Mucin.
Mucihematein for mucus, Mayer's, Mal-
lory and Parker in McClung, p. 416).
Alake up : (A) hematein, 0.2 gm. ; alumi-
num chloride, 0.1 gm.; glycerin, 40 cc;
aq. dest., 60 cc. and (B) hematein, 0.2
gm.; aluminum chloride, 0.1 gm.; 70%
alcohol, 70 cc; nitric acid, 1-2 drops.
A is advised except when the mucus
swells much in which case use B.
Stain paraffin sections of absolute alco-
hol fixed tissue 5-10 min. Wash in
water. Dehydrate in 95% ale. and in
abs. Clear in xylol and mount in bal-
sam. Mucus stains blue. The other
materials are colorless. _ Preliminary
coloration with carmine is suggested.
Bensley (Cowdry's Special Cytology,
1932, p. 203) used alcoholic chrome sub-
limate fixation (sat. mercuric chloride
and potassium bichromate in 95% ale.)
and increased the content of hematein
five times.
Mucin, one of several glycoproteins found in
mucus. See Mucus and Mucicarmine,
Mucihematein and Mucisudan stains,
also Polysaccharides.
Mucinase. Enzyme (s) which hydrolyze
mucus or mucoproteins. They are not
very well understood, and specific
preparations are not yet available.
Purified enzymes, capable of differenti-
ating the various mucopolysaccharides
one from another would be very valu-
able.
Mucisudan is a dye of undetermined compo-
sition made by hydrolysis of sudan
black B with acetic acid and recom-
mended as a new stain for mucin (Leach,
E. H., J. Path, and Bact., 1938, 47,
637-639).
Mucoproteins. A method for histological
distinction between the chondroitin
sulphuric acid protein of connective
tissue mucus and the mucotin sulphuric
acid protein of epithelial ti-ssues has been
worked out by L. H. Hempelmaiin, Jr.,
Anat. Rec, 1940, 78, 197-206. Briefly
stated toluidin blue in 1:280,000 will
stain the former vividly and the latter
not at all. Click, p. 46, notes that con-
firmation of Hempelmann's work is still
lacking.
Metachromatic staining with toluid
in blue is specific for mucoid compounds
containing polysaccharide esters of
sulfuric acid provided that Lison's tech-
nique is followed closely in the opin-
ion of Sylvan, B., Acta Radiol., 1945,
suppl. 59, 100 pp. Fix tissue (12-24
hrs.) in equal parts 8% aq. basic lead
acetate and 14-16% formalin. Stain
some paraffin sections (30 min.) in 0.1%
toluidin blue in 1% ale. and others in
0.1% toluidin blue in 30% ale (first
allowing these stains to age for several
days). Wash in ale briefly, mount in
natural cedar oil. See Michaelis, L.
and Granick, S., J. Am. Chem. Soc,
1945, 67, 1212-1219 and Hess, M. and
Hollander, F., J. Lab. & Clin. Med.,
1947, 32, 905-909 for data about meta-
chromasia. Leach, E. H., Stain
Techn., 1947, 22, 73-76 has advocated
Bismark brown as a stain for muco-
proteins.
Mucus means slime. It is a viscid, stringy
material which ordinarily stains with
basic dyes and is found in many parts of
the body. The chemical composition
of mucus is not uniform. It may consist
of one of several glycoproteins, called
mucins, which are by contrast definite
chemical substances. The term mu-
cous is an adjective describing a cell or
tissue which produces or contains
mucus. Mucigen is the intracellular
antecedent of a mucin. Since there are
several mucins there are several corre-
sponding mucigens.
Pathologists sometimes divide mucins
into two categories, epithelial and con-
nective. The connective tissue type is
found in the ground substance of bone,
synovial fluid and in other locations.
It increases in amount in the myxedema
(G. myxa, mucus -|- oidema, swelling)
of certain thyroid deficiencies as well
as in arteriosclerosis and various tumors.
The ubiquitous fibroblast is said to be a
great former of mucins. Epithelial
mucins are produced by epithelial
secretory cells. The goblet cells are
easily recognized by the fact that the
material to be discharged is held in a
goblet like expansion of the cell. Other
mucous cells can be distinguished from
MUELENGRATH TEST
216
MYELOBLASTS
serous or zymogenic cella by several
criteria :
1 . The nuclei instead of being roughly
spherical are often, but not always,
pressed against the cell membrane re-
mote from the lumen.
2. The mitochondria are usually of
smaller diameter and shorter than in
zymogenic cells.
3. The secretion antecedents (Muci-
gens) of mucous cells are more difficult
to see in the fresh state, more labile,
and in fixed tissues are metachromatic
and can be stained almost specifically
with mucicarmine and mucihematein.
See Mucicarmine and Mucihematein
of Mayer.
A simple method for mucus has been
described by Lillie (R. D., J. Tech.
Methods, 1929, 12, 120-121). Sections
of tissue fixed in formalin or in Zenker-
formol (Helly) are passed to water. In
the case of the latter remove mercury
with iodine and sodium thiosulphate as
usual. Stain 1 min. in 0.2% aq. toluidin
blue. Wash in water. Dehydrate in
pure acetone, clear in xylol and mount in
balsam. Mucus, reddish violet; nuclei,
blue ; red cells, yellow or greenish yellow.
In the case of old formalin material
rinse in 95% alcohol before the acetone.
McManus, J. F. A., Nature, 1946, 158,
202, recommends the use of Schiff's
Reagent followed by periodic acid.
Material fixed in Zenker-formal is de-
hydrated and embedded in the usual
manner and the sections transferred to
water after treatment with iodine and
hypo and placed in a 0.5% aq. periodic
acid 2 min. The slides are washed in
tap water and aq. dest. and kept in
Schiff's reagent for 15 minutes; rinsed
in Sulphurous Acid, dehydrated and
cleared in the alcohol and xylol series
respectively and mounted in balsam.
According to McManus, the mucus of
the goblet cells of the human intestine
and bronchus, mucus salivary glands,
certain pituitary cells, the colloid of the
pituitary stalk and thyroid, granules
in some nerve cells in the medulla of the
rat and in the human intestine, the
basement membranes of the tubular
epithelium and of the glomerulus in the
kidney were tested by this method and
an intense coloration detected in all
instances.
Hotchkiss, R. D. deserves credit for
reporting in a personal communication
to Glick (p. 43) in 1946 the independent
discovery of a similar technique to that
of McManus employing periodic acid.
This is given in detail by Glick.
Muelengrath Test, see Icterus Index.
Miiller's Fluid. Potassium bichromate, 2-
2.5 gm.; sodium sulphate, 1 gm.; aq.
dest., 1 gm. This was formerly much
used for long fixation and mordanting of
nervous tissue. See Chromaffin Reac-
tion, Decalcification, O'Leary's Bra-
zilian Method, Weigert Method. It is
now largely replaced by Orth's Fluid
which is really formalin -Miiller.
Mumps. Refractile, eosinophilic bodies in
red blood cells are very small first 5-6
days. Increase in size and elongate
7-14 days. (Parsons, H. H., Military
Surgeon, 1938, 83, 541-543).
Murexide Test, see Purines.
Muscle, to distinguish in sections from con-
nective tissue, Dahlgren (McClung, p.
306) suggests Retterer's and Van
Gieson's stains, picronigrosine and
Unna's orcein to which may be added
Mallory's stain. Demonstration of
chloride in muscle fibers (Heilbrunn,
L. V. and Hamilton, P. G., Physiol.
Zool., 1942, 15, 363-374). For contrac-
tion bands and wave mechanics, see
Carey, E. J., Arch. Path., 1940, 30,
881-892, 1041-1072. A technique for
separating nuclei from cytoplasm for
analysis is given under Nuclei. If
microdissection is contemplated the
pioneer paper by Kite, G. L., Am. J.
Physiol., 1913, 32, 146-164 should be
consulted. The experimental produc-
tion of myocardial segmentation is
described by Saphir, O. and Karsner,
H. T., J. Med. Res., 1923-24, 44, 539-
556. Methods of Maceration are often
useful in the isolation of single fibers.
Mitoses can only be induced in excep-
tional cases (Allen, E., Smith, G. M.
and Gardner, W. U., Am. J. Anat.,
1937, 61, 321). An electron microscopic
technique for localization of magnesium
and calcium is described by Scott, G.
H. and Packer, D. M., Anat. Rec,
1939, 74, 31-45. Muscle gives beautiful
fluorescent colors in ultraviolet light
with many fluorochromes (Metcalf,
R. L. and Patton, R. L., Stain Techn.,
1944, 19, 11-27). See Myosin and Fur-
kinje cells and fibers.
Museum Specimens, see Color Preservation.
Mycelia, see Lillie, p. 289.
Mycobacteria, see Acid Fast Bacteria.
Mycological Techniques, see Fungi.
Myelin, see various methods for demonstra-
tion of Nerve Fibers.
Myeloblasts. The recognition of these cells
is a fine art ; because, by definition, they
are so little dififerentiated that the
granules characteristic of the 3 types of
leucocytes are absent. For contrasting
views, dependent largely on whether
supravital staining or fixed and stained
preparations are used, see Cowdry's
Histology, p. 100, also Leucocytes, de-
velopmental series.
MYELOCYTES
217
NAPHTHOL GREEN B
Myelocytes, see Leucocytes, developmental
series.
Myeloidin is the term applied to the mate-
rial of certain spheroidal or cuboidal
bodies of wax-like luster present in the
bases of retinal pigment cells of monkeys
and some other animals but reported as
absent in man and said to resemble
myelin. For literature see Arey, L. B.
in Cowdry's Special Cytology, 1932,
3, 1218.
Myocardium. Method for separation of
fiber bundles (Mall, F. P., Am. J. Anat.
11,211-266).
Myofibrils. The best method is to fix in
Zenker's fluid or strong Flemming's
mixture and to stain with iron hema-
toxylin (see Dahlgren in McClung
p. 425). Microincineration is useful
for the demonstration of minerals.
Myoglia is a fine network of fibers associated
wuth muscle cells well demonstrated by
Mallory's Connective Tissue Stain.
Myonemes of trypanosomes, gold chloride
method for (Ogawa, M., Arch. f.
Protistenk., 1913, 29, 248). See Wen-
rich, D. H. and Diller, W. F. in Mc-
Clung's Microscopical Technique, 1950,
p. 464.
Myosin is a protein, present in muscle, the
molecules of which are needle-shaped.
Cross striations of muscle are thought
to depend on their arrangement. In
the isotropic (non-birefringent) bands
the myosin molecules are believed to be
disposed at random and in the aniso-
tropic (birefringent) bands parallel to
the length of the fiber (see Bourne, p. 30).
Myriapoda, see Parasites.
Nadi Reagent is dimethyl-paraphenylene-
diamin -|- a naphthol. Indophenol
oxidase catalyses oxidation of nadi to
indophenol blue and that of parapheny-
lene diamin to diamin.
Nails. These very interesting structures
are seldom examined microscopically
despite the fact that changes in them
may provide significant clues to the con-
dition of other tissues. They are chiefly
made up of stratum lucidum thickened
by much eleidin. It is a simple matter
to macerate cut finger or toe nails in
40% aq. potassium hydroxide or in con-
centrated sulphuric acid for a few days
and then to isolate the individual cells
some of which are nucleated. Mac-
Leod, J. M. H., Practical Handbook of
the Pathology of the Skin. London:
H. K. Lewis, 1903, 408 pp. gives Heller's
method which involves fi.xation of un-
gual phalanx for a few days in Muller's
fluid, prolonged washing^ decalcification
for 4-6 days in 1 part nitric acid and 3
parts of water followed by thorough
imbedding in celloidin. The sections
can then be stained with hematoxylin.
gentian violet, safranin or any other of
a number of dyes.
Naphthalene Pink, see Magdala Red.
Naphthalene Red, see Magdala Red.
Naphthamine Blue 3BX, see Trypan Blue.
Naphthamine Brilliant Blue 2R, see Dianil
Blue 2r.
Naphthol Blue Black (CI, 246). Lillie,
R. D., J. Tech. Methods, 1945, No. 25,
47 pp. has reported that this dye (NAC-
7080 and DuFont L 6401) gives excellent
staining in combination: Stain with
Weigert's iron hematoxylin, 6 min.
Wash in water and counterstain 5 niin.
in 3 parts 1% brilliant purpurin R (CI,
454) in 1% aq. acetic acid and 2 parts
1% azofuchsin (CI, 153) likewise in 1%
aq. acetic acid. Rinse in 1% aq. acetic
acid and stain 5 min. in 1% naphthol
blue black (CI, 246) in sat. aq. picric
acid. Rinse in 1% aq. acetic acid,
2 min. Dehydrate and clear in alcohol,
alcohol and xylol, xylol and mount in
clarite. Collagen, reticulum and base-
ment membranes, dark green; smooth
muscle, brown; nuclei brownish-black.
Naphthol Blue R (CI, 909)— fast blue 3R,
Indian blue 2RD, Meldola's blue, new
blue R, phenylene blue — An oxazin dye
used by Harvey, B. C. H., and Bensley,
R. R., Biol. Bull., 1912, 23, 225-249 as a
supravital stain for gastric mucosa.
The Bensleys' report that this dye has
proved useful in the localization of un-
suspected parathyroid and thyroid tis-
sue in experimental animals. After
vascular perfusion in a concentration of
1 : 40 ,000 of 0 .85% aq . sodi um chloride the
thyroid, parathyroid and lymph nodes
become colored intensely blue ; whereas
other tissues, muscles, salivary glands
etc., are colored pale greenish blue.
Naphthol Green, see Naphthol Green B.
Naphthol Green B (CI, 5) — acid green O,
green PL, naphthol green — An acid
nitroso dyefor whicha probable formula
is given by Conn (p. 42) and which he
thinks was the naphthol green used by v.
Volkmann, R. and Strauss, F., Zeit. f.
Wis. Mikr., 1934, 51, 244-249, and by
MoUier, G., Zeit. f. Wis. Mikr., 1938, 55,
472-473.
Lillie, R. D., J. Techn. Methods, 1945,
No. 25, 47 pp. recommends naphthol
green B for connective tissue. Stain
sections 6 min. in Weigert's or other
iron hematoxylin. Wash thoroughly
in water and stain 3 min. in 1% aq.
eosin Y (CI, 768 . Rinse in water and
mordant 4 min. in 10% dilution of
U.S. P. ferric chloride solution. Rinse
in water and stain 5 min. in 1% naph-
thol green B. Differentiate 2 min. in
1% aq. acetic acid. Dehydrate in
aceton, clear in acetone-xylene and in
.xylene and mount in clarite xylene or
NAPIITHOL ORANGE
218
NASAL CELL SMEARS
in salicylic acid balsam. Connective
tissue, green; muscle and cytoplasm,
pink.
Y (CI, 2) — fast printing green, Gam-
bine — An acid nitroso dye apparently
not used in histology.
Naphthol Orange, see Orange L
Naphthol Red S, C or O, see Amaranth.
Naphthol Yellow, see Martins Yellow.
Naphthyl Red (CI, 856), a basic dye of light
fastness 5. Only nuclei of mature plant
cells colored fugitive red (Emig, p. 57).
Naphthylamine Brown (CI, 170), an acid
monoazo dye which stains plant tissues
darker in presence of potassium bi-
chromate (Emig, p. 34).
Naphthylamine Pink, see Magdala Red.
Naples Yellow, an exogenous pigment —
Pb3(Sb04)-.— Lillie, p. 134.
Narcein (CI, 152). An acid mono-azo dye.
Was used by Ehrlich in combination
with pyronin and methylene blue or
methyl green to produce a neutral dye
(Conn, p. 54). No longer available.
Nasal Cell Smears — Written by Marian
Pfingsten Bryan, Dept. of Otolaryngol-
ogy, Washington University, St. Louis
10, Mo.— September 14, 1951— Since
1927 the study of the cytology of nasal
secretions has been recognized as an
important aid in the clinical diagnosis
and differentiation of certain nasal and
sinus conditions. Eyerman, C. H.,
one of the early investigators (Ann.
Otol., Rhinol. and Laryngol., 1927, 36,
808-815), identified the main tj^pes of
cells found in nasal secretion. Tillot-
son, R. S. (Arch. Otolaryng., 1929, 10,
262-265) reported on the value of cyto-
logic studies in the diagnosis of sphen-
oiditis. Sewall, E. C. and Hunnicut,
L. (Arch. Otolaryng., 1929, 10, 1-15) dis-
cussed cytologic examination of the
antrum. Dean, L. W. (J. A. M. A.,
1932, 99, 543-546) emphasized the sig-
nificance of the nasal smear in helping
to diagnose allergy of the nose and si-
nuses. Hansel, F. K. (J. Allergy, 1934,
5, 357) contributed many observations
on the cytology of these secretions, es-
pecially in regard to allergy of the nose
and paranasal sinuses. There is a good
review of the numerous articles in the
literature dealing with nasal cytology
by Hansel, F. K., Allergy of the Nose
and Paranasal Sinuses, St. Louis: C. V.
Mosby Co., 1936, p. 383.
The particular emphasis has been on
the number of eosinophilic cells in rela-
tion to neutrophiles; but, as knowledge
has progressed in nasal cytology, the
value of the study of smears has been
extended. The objectives of nasal and
sinus cytology include the following:
First, the demonstration of eosinophiles
in the secretions in relation to neutro-
philes may be helpful in distinguishing
allergic conditions from infections, or
in establishing the coexistence of both.
In the second place the method makes
possible detailed observations of the
ciliated columnar epithelial cells, ex-
foliated in the early stages of acute
upper respiratory infections. These
studies may aid further in differentiat-
ing the common cold from allergic
rhinitis. Thirdly the smear technique
proves to be a reliable help, along with
biopsy, in the diagnosis of carcinoma,
other tumors and lesions of the upper
respiratory tract. Fourth, for the
microscopic study of radiation changes
produced in cells after treatment with
x-ray and radiation, it is invaluable.
Fifth, it is a useful tool for working out
unknown cellular patterns which may
support clinical diagnoses of other
nasal and sinus conditions.
For cytological studies, nasal secre-
tion is collected, after blowing the nose,
on wax paper or on a cellophane hand-
kerchief. Specimens are preferably
taken separately from each side of the
nose. The material may also be blown
directly on to a clean glass slide, then
gently smeared with a probe (not a dry
cotton applicator). Thin smears are
more suitable for microscopic study
than thick ones. In order to obtain a
sampling from a normal nose, the naso-
pharynx is wiped with a small cotton
applicator, slightly moistened with
saline. For abnormal dry noses, the
raping technique may also be used be-
fore application of any drugs. A saline
tampon, inserted into the nostril, may
stimulate the flow of secretion in order
to obtain a specimen. Secretions from
the sinuses may be collected by aspira-
tion of the nose, displacement or irri-
gation of sinuses, or be taken directly
from the area during an operation.
These secretions, direct from the re-
spective paranasal sinuses, are often of
value in locating the source of the in-
fection and in determining the type
of cellular response. They thus help
to complete the diagnosis. The cyto-
logical picture presented in the nose
may be somewhat different from the
cellular pattern observed when the ma-
terial is obtained directly from a par-
ticular sinus. Both should be studied
and correlated whenever possible.
In the differential diagnosis of acute
and chronic infections from allergic
ones, or in demonstrating the joint ex-
istence of both, the numerical propor-
tions of eosinophilic to neutrophilic
cells in the nasal smear should be eval-
uated. The ratio is usually an expres-
sion of the nature and stage of the nasal
NASAL CELL SMEARS
219
NASAL CELL SMEARS
condition. Hansel, F. K., St. Louis:
C. V. Mosby Co., 1936, gives a useful
scheme on page 380 for recording the
cytology of nasal secretions similar to
that used in the recording of skin tests.
In view of the irregularitj- of distribu-
tion of the cells and the amount and
type of secretions, it is difficult to de-
termine the cells in percentages. Long
personal experience in the observation
of smears and in the correlation of them
with clinical symptoms is of the utmost
value. The smears should be repeated
in the same patient in order to obtain
a complete picture of the sequence of
events. In estimating the numbers of
neutrophiles in the secretion, it must be
realized that when acute or chronic in-
fections complicate allergic responses,
the neutrophiles outnumber the eosino-
philes in the secretion about 10 to 1.
In seasonal hay fever, however, un-
complicated by infection, there may be
a few neutrophiles along with squamous
epithelial cells, but the major cellular
response will be eosinophilic. Some
cases of hay fever show a response of
mononuclears with coarse blue granules
filling the cell and nearly obscuring the
nucleus. Their actual significance is
still unknown. A criticism of Hansel's
scheme is that it does not take into con-
sideration the other cellular elements
besides eosinophiles and neutrophiles.
The type, color, quantity and consist-
ency of the secretion should be included
and correlated with clinical symptoms,
but the macroscopic appearance cannot
be relied upon as an indication of the
microscopic cellular contents of the se-
cretion. The smears must also be ex-
amined for the presence of microorgan-
isms and the tj'pes of epithelial cells
should be carefully studied.
Smears from normal noses may or
may not show a few scattered neutro-
philes. A small amount of thin mucus
is usualljr present with some squamous
epithelial cells. Ciliated cells are seen
if they have been wiped from the nose
with the applicator. In the normal
nose they are rarely exfoliated.
In cases of nasal polyps, eosinophiles
usually are predominant; but repeated
studies of the secretions are necessary
to determine whether or not complicat-
ing acute or chronic infection is present.
If a marked predominance of neutro-
philes persists, a chronic infection is
present. The cytology of nasal polypi
is fully discussed by Walsh, T. E., and
Lindsay, J. R. (Arch. Otolaryng., 1934,
20, 649). Stagnation and secondary
infection are frequently present inthese
cases, since polypi cause obstruction in
the nose and a resultant neutrophilic
response. A single failure to find eosin-
ophiles in a smear does not rule out the
existence of an allergic condition, but
repeated failures to demonstrate eosin-
ophiles usually means that an active
nasal allergy is not present.
The differentiation of an allergic
rhinitis from a common cold may at
times be difficult clinicall3^ In these
cases microscopic examination of the
secretions is helpful; but nevertheless,
even with cases of acute upper respira-
tory infections in non-allergic patients,
the eosinophilic response is so marked
that it may closely approach the num-
ber found in allergic individuals during
an infection. In the non-allergic per-
sons the eosinophiles may disappear
before the neutrophiles but not in many
of them. In allergic persons, the eosin-
ophiles often increase as the neutro-
philes disappear, but these differences
are uncertain. Acute allergic exacer-
bations may so closely resemble com-
mon colds that in numerous intances,
even microscopically, it is difficult to
distinguish between them unless re-
peated consecutive smears are examined
throughout the course of the condition.
Hilding, A. C. (Tran. Amer. Laryngol.
Assoc, 1934, 253-271) carefully studied
fresh unstained nasal secretions from
common colds in adults and noted that
ciliated columnar cells were shed in the
exudates during the first few days of the
infection. More recently Bryan, W.
T. K. and Brvan, M. P. (The Larvngo-
scope, 1950, 60, 523-531) applied the
staining technique of Papanicolaou to
nasal secretions. In a series of upper
respiratory infections, in which the
secretions were examined at timed
intervals during the course of the in-
fection, it was possible to chart a de-
generative pattern of change exhibited
by the ciliated columnar epithelial cells.
These changes suggest virus etiology.
In seasonal allergic hay fever the ex-
foliation of the ciliated columnar cells
and their degenerative patterns of
change have thus far not been observed.
Smears from these cases reveal that
large numbers of clumped or grouped
eosinophiles are significant when they
are not complicated bj^ infection.
Ciliated epithelial cells are of rare
occurrence, but some basal and squa-
mous epithelial cells are frequently
encountered. Consequently exfoliation
of the ciliated columnar epithelial cells
in acute upper respiratory infections
may have diagnostic value.
Within the last few years cytological
studies of nasal diseases have been ex-
tended by use of the smear technique to
include diagnostic information in regard
NASAL CELL SMEARS
220
NASAL CELL SMEARS
to malignancies, other tumors and le-
sions occurring in this area. Morrison,
L. F., Hopp, E. S. and Wu, R. (Ann.
Otol., Rhinol. and Laryngol., 1949, 58,
18-31) have employed the smear tech-
nique as an adjunct in the diagnosis of
exfoliating neoplasms of the naso-
pharynx. This proved so reliable that
a positive smear demanded discovery
of the source of the malignant cells.
Sooy, F. A. (The Laryngoscope, 1950,
60, 964-992) in a study of primary tu-
mors of the nasal septum, has also used
the smear technique to advantage.
Early diagnosis of carcinoma of the
maxillary sinus in a series of cases re-
ported by Fitz-Hugh, G. S., Moon, C.
N. Jr. and Luptom, C. H. Jr. (The
Laryngoscope, 1950, 60, 376-387) was
thus facilitated.
This cell smear method is not only an
aid in diagnosis, but also is a convenient
means for studying the microscopic
course of a lesion during and after treat-
ment. Biopsies are not always possi-
ble, but smears are easily obtained with-
out discomfort to the patients. The
effects on the cells of x-ray or radium
therapy comprise a whole new field
of cytological research. New knowl-
edge thus gained is of great importance
when closely correlated with clinical
symptoms.
Satisfactory techniques for staining
nasal secretions include the following:
1. Wright's Stain. Slides are dried
in air (avoid flaming). Many direc-
tions advise staining as a blood film;
but two points will improve this tech-
nique for nasal work, namely the use
of a buffer solution for the diluent and
the shortening of the time recommended
for blood smears to only 15 or 20 sec.
of staining. After marking off the
ends of the slides with a wax pencil,
they are flooded with the dye for 15
sec. The buffer diluent is added to the
stain and allowed to mix well for 15
sec. more. The slides are then washed
in buffer solution and placed on end
on a blotter to drain and thus to dry
more rapidly. This light rapid stain-
ing shows cellular detail better in the
nasal smear than the usual technique.
The slides can be kept and stored for
many years without coverslips and
thereafter show no signs of deteriora-
tion. The cellular details are even
better if the slides are stained within
30 min. after being made and dried.
The stain is especially good for eosino-
philes, neutrophiles and mononuclears.
It is not very suitable for differentiating
epithelial cells.
2. HanseVs Stain. Color slide 30
sec. with his dye which is an eosin-
methylene blue combination and can
be obtained directly from him (Dr F
K. Hansel, 634 N. Grand Blvd., St.
Louis 3, Mo.). Then add alkaline
water which is made by adding one
drop of 1% potassium carbonate to 60
cc. aq. dest., for 30 sec. Wash in alkaline
water followed by washing in acid water
which is made by adding one drop of
1% hydrochloric acid in 60 cc. aq. dest.
Wash again in alkaline water and finally
rinse in 95% ethyl alcohol. This stain
is especially good for eosinophiles.
The granules are very brilliant and re-
fractile. Other cellular detail may be
somewhat dark and indefinite.
5. Gtemsa Stain. The preparation
from Gradwohl is very satisfactory.
The dilution is one drop of stain to 1 cc.
ac[. dest. The slide is flooded with
diluted stain for one minute then
washed with aq. dest. If overstaining
occurs, this may be decolorized with
ethyl alcohol. The restulting colora-
tion is excellent for eosinophiles but is
not especially recommended for the
other cells.
4. Supra-Vital Staining. This tech-
nique is particularly useful for study-
ing secretions in the fresh condition
when one wishes to observe motility
of eosinophiles and neutrophiles, the
phagocytic activity of neutrophiles and
of mononuclears, as well as the ciliary
activity of the exfoliated columnar
epithelial cells. One drop of exudate
may be mi.xed with a drop of 1:15,000
aqueous Neutral Red or Janus Green,
or of both in combination. The tech-
nique is fully described by Sabin, F.
R. (Bull. Johns Hopkins Hosp., 1923,
34, 277-288) who used it to study living
human blood cells. The stock solution
of Neutral Red contains 100 mg. of
dye to 10 cc. of absolute alcohol. The
dilute solution contains 0.4 cc. of stock
Neutral Red in 10 cc. of absolute al-
cohol. An even dye film is obtained
by flaming the slide, then flooding it
with the dilute Neutral Red solution or
with a mixture of Neutral Red and
Janus Green, which is 2 cc. of dilute
Neutral Red to 3 drops of saturated
solution of Janus Green in absolute al-
cohol. The slide is quickly drained and
placed upright to dry. Fresh exudate
IS mounted on the slide with coverslip
and ringed wth vaseline. The cells
may last for 2 to 3 hrs. if examined un-
der a warm stage. The mitochondria
of the cells may be studied when Janus
Green is used. This dye is more toxic
to the cells than Neutral Red. The
ciliated epithelial cells are of particular
interest and the motility of the cilia is
not impaired. Nuclear staining of the
NASAL PASSAGES
221
NECROBIOSIS
cells with either of the dyea is indica-
tive of cell death. The supra-vital
staining technique was applied to the
study of nasal secretion by Pfiugsten,
M. G., in 1933 and reported to the
E. N. T. clinical conference, Barnes
Hospital (unpublished). It is possible
to distinguish cells which are stimu-
lated to activity from degenerating
cells with this technique. A good azure
stain may be obtained by using 10-12
drops of Wright's stain in absolute al-
cohol, but this is more toxic than Neu-
tral Red.
5. Papanicolaou Stain. This stain,
as developed by Papanicolaou, G. N.
(Science, 1942, 95, 438-439) is the first
satisfactory stain and fixation found
which permits accurate identification
of the different types of epithelial cells
found in nasal exudates. Ciliated
columnar cells are well preserved and
can be readily identified from the
squamous and basal types. The nu-
clear detail of all cells in this stain is
very sharp and clear. The eosinophilic
granules, however, are not as distinct
as in the other stains. Slight modifica-
tions can be made to bring out certain
details in nasal smears. The chromatin
masses may be more distinct when the
time in hematoxylin is shortened to
2 to 3 min. The granules of the eosin-
ophilic cells and other acidophilic bod-
ies are brighter red if the time in eosin
is increased to 3 min., or, if a trace of
phlo.xine is added (0.5% solution in 95%
alcohol). All cellular details disclosed
by the Papanicolaou stain are revealed
by Wright's stain, even the patterns of
epithelial degeneration, but they are
noted with greater difficulty.
It follows that one stain is not suffi-
cient to see all cellular details to the
best advantage. It seems important
to use several staining methods on the
same material to obtain more complete
knowledge of cellular responses. The
smears, with their cellular patterns,
may be considered to be an approximate
index of the pathological processes oc-
curring in the tissues.
Nasal Passages. The fluid, when present
in unusual amounts can obviously be
studied in Smears. Nasal clearance
depends upon the movement by the
cilia toward the pharynx of a mucous
sheet (to which foreign materials be-
come attached) over a layer of fluid in
which the cilia act as can be demon-
strated by the techniques of Lucas,
A. M. and Douglas, L. C, Arch. Oto-
laryng.. 1934, 20, 518-641 and others.
Methods for Mucus and Cilia are given
under their respective headings. The
wall of the nasal passages exhibits
marked regional diversity (Hilding, A.,
Arch. Otolaryng., 1932, 16, 9-18). The
nasal mucous membrane covering the
septum can be removed in toto by the
dilute acetic acid method (see Epider-
mis) and examined as a whole mount
which gives valuable data impossible to
secure from the study of sections.
Those interested in wound healing would
do well to consult a paper by Boling,
L. R., Arch. Otolaryng., 1935, 22, 689-
724. An easy and graphic method for
visualization of lymphatic drainage is
described under Lymphatic Vessels.
For numerous suggestions as to tech-
nique see Proetz, A. Applied Physi-
ology of the Nose. St. Louis: Annals
Publishing Co., 1941, 395 pp.
Nasal Sinuses. The mechanism of clear-
ance is similar. To make sections of
the nasal sinuses, especially the smaller
ones, fixation in Formalin Zenker is
suggested followed by Decalcification
and Celloidin Imbedding. The sec-
tions can be stained by the method best
adapted to the purpose in mind.
Nasmyth's Membrane, see Enamel cuticle.
n-Butyl Alcohol (prophylcarbinol). Rec-
ommended by Stiles (K. A., Stain
Techn., 1934, 9, 97-100) to replace
higher concentrations of alcohol in histo-
logical technique especially for lightly
chitinized insects but also as a routine
for vertebrates. After fixation in Gil-
son's Fluid pass the tissues through
35% (ethyl) alcohol ^1 hr.; 90 cc. 45%
ale. + 10 cc. butyl, 2 hrs.; 80 cc. 62%
ale. -f 20 cc. butyl, 2 hrs.; 65 cc. 77%
ale. + 35 cc. butyl, 4 hrs.; 45 cc. 90%
ale. + 55 cc. butyl, 6 hrs. to days; 25
cc. abs. ale. + 75 cc. butyl, 6 hrs. to
over night; butyl 2 changes several
hrs. (or store in butyl if desired). To
imbed transfer to mixture of butyl and
paraffin and to paraffin, n Butyl alcohol
is helpful in making permanent prepara-
tions of tissues freshly stained with
Methylene Blue, which see. It should
not be confused with Tertiary Butyl
Alcohol.
Necrobiosis was for Minot (C. S., The
Problem of Age, Growth and Death.
New York, G. P. Putnam's Sons, 1908,
280 pp.) a condition in which the cells
continue to live but change their chemi-
cal organization so that their substance
passes from a living to a dead state.
"Here (he says) life and death play
together and go hand in hand." The
term is current but is of little use be-
cause it has no advantage over the word
Necrosis for the disorganization of
death seldom if ever takes place simul-
taneously throughout the substance of
any living thing. See Dead Cells.
NECROSIS
222
NEODYMIUM
Necrosis (G. ne/crosis, a killing). The term
is usually appliea to indicate the local
death of a cell or of group of cells, not
that of the body as a whole. Death is
defined by Webster and others as the
"cessation of life" which merely poses
the question of what life is. Perhaps
the most fundamental vital phenomenon
is the oxygen consumption involved in
respiration. This may persist in eryth-
rocytes even after the loss of their
nuclei (Harrop, G. A., Arch. Int. Med.,
1919, 23, 745-752). But cells frozen
by special techniques do not respire
while frozen. They endure in a state
of suspended animation (called vitrifica-
tion) indefinitely. They are not dead
since they retain the structural organi-
zation, which, when unlocked by in-
crease in temperature, confers renewed
vitality (see Luyet, B., C. rend. Soc.
de biol., 1938, 127, 788-789 and many
others). Death can therefore be better
defined as the disorganization of living
matter which makes permanently im-
possible all vital phenomena. Since
the organization of different sorts of
living cells is fundamentally different
the loss of organization in them is likely
also to be different. See various forms
of Degeneration. In general necrosis
of tissue is often evidenced by a break-
ing up of the nucleus known as caryor-
rhexis (G. Karyon, nucleus, -f- rhcxis,
rupture) or by its solution, caryolysis
(G. lysis, solution). Consequently any
good nuclear strain such as hematoxylin
or methylene blue is satisfactory. See
techniques for Dead Cells, Necrobiosis.
Neelsen, see Carbol-Fuchsin.
Negative Stains are used to show the back-
ground in which bacteria and other
organisms are present in smears and by
contrast thus to reveal them unstained,
that is in a negative way. The tech-
nique is very simple. Simply mix the
fluid containing the organisms with the
"stain", smear on a slide, dry and
examine. Higgins' India Ink is usually
employed; but congo red (Cumley,
R. W., Stain Techn., 1935, 10, 53-56)
and azo blue (Butt, E. M., Boynge,
C. W. and Joyce, R. L., J. Inf. Dis.,
1936, 58, 5-9) are among many other
materials used. See Azo Blue.
Negri Bodies. 1. Rapid section method
(Schleif stein, J., Am. J. Pub. Health,
1937, 27, 1283-1285). Fix in Zenker's
fluid, wash, dehydrate in dioxan, embed
in paraffin, cut at 4 microns, mount,
deparaffinize. Flood slides with 1 drop
1:40,000 aq. KOH in 2 cc. stock solution
of stain (Rosanilin of Grubler 1.8 gm.,
methylene blue, Nat. Col., 1 gm., gly-
cerol 100 cc. and methyl alcohol 100 cc).
Steamgentlv5min. Rinse in tap water.
Decolorize by gently moving in 90%
ethyl alcohol until color is faintly violet.
Pass quickly through 95% alcohol,
absolute, xylol and mount in balsam.
Negri bodies deep magenta with dark
blue inclusions.
2. Rapid smear method (Dawson,
J. R., J. Lab. & Clin. Med., 1934-35,
20, 659-663). Remove brain to be
examined as quickly as possible. Cut
several small segments (3-4 mm. thick)
from Ammon's horn perpendicular to
its long axis and place in Petri dish.
Cut away adjacent tissue leaving only
the horn. Place a segment, cut surface
down, on small end of a new 1 in. cork.
With wooden applicator, or match,
gently wipe peripheral tissue outward
and downward. The segment is thus
more firmly attached to the cork and
the gray matter containing the pyra-
midal cells bulges upward. Press this
gently against a slide (clean and entirely
free from grease) held at one end be-
tween thumb and forefinger. Repeat
3 or 4 times, starting at end away from
fingers, quickly so tissue does not dry.
Immediately immerse in abs. methyl
alcohol 5 min. or more. Rinse in run-
ning water and stain in 2% aq. phloxine
2-5 min. Wash off excess stain in run-
ning water and color in Loeffler's alka-
line methylene blue, 10-20 sec. De-
colorize in 80% ethyl ale, dehydrate in
95% and 2 changes of absolute, clear in
xylol and mount in balsam. Handle
slides with forceps and avoid danger
from contact with tissue throughout
process. Pyramidal cells blue, Negri
bodies bright red to reddish brown.
Time including examination 25 min.
Stovall, W. D. and Black, C. E.,
Am. J. Clin. Path., Tech. Suppl., 1940,
4, 8 recommend control of pH in staining
with eosin methylene blue (see Buffers) .
Stain with 1% eosin in 95% alcohol at
pH 6.0 or more alkaline. ISIegri bodies
pale red. The red is much more intense
if the pH is 3.0. Loeffler's methylene
blue is best as counterstain at pH 5.3.
At pH 6.0 it removes eosin.
Azur B is advised for staining of Negri
bodies by Jordan, J. H., and Heather,
H. H., Stain Techn., 1929, 4, 121-126;
see also Carbol-Anilin Fuchsin methyl-
ene blue.
Neisserian Infection. A differential stain
favorable for diagnosis (Scudder, S. A.,
StainTechn., 1931, 6, 99-105).
Neisser's Stain for Diphtheria Bacilli,
which see.
Nemathelminthes is the phylum of round
worms. See Parasites.
Nematodes. See Glychrogel for mounting.
See Parasites.
Neodymium, see Atomic Weights.
NEON
223
NERVE FIBER DEGENERATION
Neon, see Atomic Weights.
Neoprene, injection of blood vessels (Lieb,
E., J. Tech. Methods, 1940, 20, 50-51).
Neoprene is a colloidal, finely divided
suspension of synthetic chloroprene in
an alkaline aqueous medium. Instruc-
tions for the human kidney. Cannulate
renal artery and wash with tap water
at slow but constant rate. Ligate grossly
leaking vessels. Continue 8-18 hrs.
until organ is pale gray. Cover and
keep in ice box 6-7 hrs. or until the
next day. Keep specimen at room
temperature about one hour before in-
jection. If it feels cold warrn it with
tap water. Connect cannula with bottle
containing neoprene. A special appara-
tus for maintenance of 150^160 mm. Hg.
is advised by Lieb but it is probably
sufficient to provide gravity pressure
by raising the bottle 5 ft. or more.
Close vessels ejecting the neoprene
with hemostats and tie them when ves-
sels are completely filled. Rinse in
warm water. If a corrosion specimen
is wanted leave kidney in cone, com-
mercial HCl in tightly covered vessel
at 56 °C. over night. Next morning
pour off acid and allow stream of water
to flow over the cast itself in the bottom
of the container. When all debris is
removed examine under water with
dissecting microscope. Store in 0.3%
Dowicide sol. (American Anode Inc.,
60 Cherry St., Akron) to avoid mold.
Lieb gives more details and describes
combined corrosion, histological and
roentgenological methods. Technique
should be adapted to other organs.
(Revised by Ethel Lieb, May 16, 1946).
Lieb's method has been modified in
several respects by Duff, G. L. and
More, R. H., J. Tech. Methods, 1944,
24, 1-11. The technique for mounting
separately for detailed microscopic
examination small sprigs of the renal
cortical arteries greatly increases its
usefulness.
Neoprene Latex. Emplo3^ed for injection of
coronary arterial sj'stem, well illus-
trated and with a list of earlier papers
(Smith, J. R. and Henry, M. J., J. Lab.
& Clin. Med., 1945, 30, 462-466).
Nerve Endings. These may be demon-
strated in many ways. Nothing will
adequately take the place of their study
in vivo (Speidel, C. C., J. Comp. Neur.,
1942, 76, 57-73) ; but no method should
be used with expectation of satisfactory
results the first time. Experimentation
is required. Most of the silver methods
for neurofibrils show nerve endings.
The writer has obtained good results
by Bodian's Method applied to paraffin
sections of experimental tumors. Cra-
ven's Gold Chloride method may be
tried. For silver impregnation of intra-
cellular nerve endings in pars inter-
media of pituitary, see Tello, F., Trab.
d. Lab. Rech. Biol. Univ. Madrid, 1912,
10, 145-183. Methylene blue is, since
the time of Ehrlich, a very popular stain
for nerve endings. Addison (McClung,
pp. 477-480) has given a full account of
the technique. Commission Certified
zinc-free methylene blue is suggested.
Dye can be applied locally or by vascular
perfusion.
1. Local application. Place tissue in
shallow dish on thin layer of glass-wool
moistened with 0.1-0.05% methylene
blue in physiological salt solution. Add
enough stain every few minutes to keep
tissue moist and covered by film of
stain. Beginning after 15 min. examine
frequently at low magnification until
nerves are colored blue. Fix stain by
immersion in cold 8% ammonium molyb-
date in physiological salt solution or
Ringer's (^ hr.). Wash in cold water.
Dehydrate in alcohols in refrigerator
a little above 32 °C. Either clear in
xylol and mount in balsam or imbed in
paraffin and section. Cole (E. C, J.
Comp. Neurol., 1925, 38, 375-387)
proceeded much in this way. He
immersed whole alimentary tract of
frog in 1:10,000 methylene blue solution
for 1 hr. and cut it in pieces.
2. Vascular perfusion. Insert can-
nula in main artery leading to the tissue.
Inject 1:10,000 methylene blue in
physiological saline until tissue becomes
light blue. Leave 15 min. Remove
thin pieces or slices. Place in dish
and moisten with methylene blue solu-
tion. Examine uncovered at low magni-
fication at intervals until nerve fibers
and endings are stained. It is essential
as in local application not to exclude air
from tissue by covering with too much
fluid. Fix in ammonium molybdate and
continue as described above. For large
fetuses use Langworthy's method (O.
R., J. Comp. Neurol., 1924, 36, 273-297),
for the lungs of rabbits that of Larsell
(O., J. Comp. Neurol., 1921, 33,
105-131), for arteriovenous anasto-
moses Brown's (M. E., Anat. Rec,
1937, 69, 287-295), and for skin Weddell's
(G., J. Anat., 1940-41, 75, 441-416).
Staining may perhaps be accentuated
by hydrogen acceptors, see Auerbach's
Plexus. See Pacinian Corpuscles,
Meissner's Corpuscles, Krause's End
Bulbs, Motor End Plates, Boutons
Terminaux and Synapses.
Nerve Fiber Degeneration. The standard
techniques are the Marchi Method by
which the lipids produced by degenera-
tion are blackened with osmic acid and
the staining of lipoids by Sudan III.
NERVE FIBERS
224
NERVOUS SYSTEM
In addition 3 other much quicker
methods are recommended:
1. To stain vitally with neutral red
(Covell, W. P. and O'Leary, J. L.,
J. Tech. Meth., 1934, 13, 92-93). In-
tensity of staining of degenerating
myelin depends upon amount and con-
centration of the dye. It can be applied
in 3 ways: (1) Inject 4 cc. 4% neutral
red in physiological salt solution into
marginal ear vein of a rabbit over
period of 1 hr.; (2) Perfuse through
aorta with large volume of 1:1,000
solution; (3) Immerse finely teased
piece of degenerated nerve in 1:10,000
solution for about 12 min. Vital stain-
ing permits immediate determination
of extent and degree of degeneration.
See the author's excellent colored
figures.
2. To examine by polarized light
(Weaver, H. M., J. Lab. & Clin. Med.,
1940-41, 26, 1295-1304). Lay excised
nerves without stretching on piece of
wooden tongue depressor and fix 24
hrs. or more in 10% neutral formalin.
Cut longitudinal frozen sections 10
microns thick. Float them onto slides
from water, mount in neutral glycerin
and examine. Weaver gives diagrams
to aid in interpretation of findings. See
also Pritchett, C. O. and Stevens, C,
Am. J. Path., 1939, 15, 241-250; Rad-
hakrishana, BLao, M. V., Ind. J. Med.
Res., 1938, 26, 103-106.
3. To demonstrate early changes in
the axis cylinders (cores of the fibers)
Alzheimer's modification of IVIann's
eosin-methyl blue method is strongly
recommended by Mallory as showing
normal axis cylinders deep blue and
degenerated ones, red.
Nerve Fibers. Many excellent methods
present themselves : the continuous
direct observation of the growth of
individual fibers in living tissues of
lower animals (Speidel, C. S., Biol.
Bull., 1935, 68, 140-161); the micro-
dissection of living fibers (De Renyi,
G. S., Cowdry's Special Cytology, 1932,
3, 1370-1402); x-ray diffraction studies
of the sheaths (Schmitt, F. O., Bear,
R. S. and Palmer, K. J., J. Cell, ana
Comp. Physiol., 1941, 18, 31-42) and
microincineration (Scott, G. H., Proc.
Soc. Exp. Biol. & Med., 1940, 44, 397-
398). For their demonstration in fixed
tissues consult methods of Bodian,
Davenport, Golgi, O'Leary, Osmic
Acid, Weigert and WeiL The methylene
blue technique of staining nerve fibers
is given under Auerbach's Plexus.
See Nerve Endings, Motor End Plates,
Bouton Terminaux. Use of quartz io<l
illuminator in study of living nerve
fibers is described by Speidel, C. C,
J. Comp. Neurol., 1935, 61, 1-80 and by
Bensley, S. H., Anat. Rec, 1944, 90,
1-11.
Nerve Grafts, methods, histological and
otherwise (Sanders, F. K., and Young,
J. Z., J. Anat., 1942, 76, 143-166).
Nerve Plexuses, see Auerbach's.
Nerves. A red lead and carpenter's glue
method for injection and visualization
of blood vessels of nerves (Epstein, J.,
Anat. Rec., 1944, 89, 65-69). See Pia
Mater perivascular nerves.
Nervous System. This, the most compli-
cated of bodily parts, can be investi-
gated microscopically in a great many
different ways. It is however shielded
from the environment so that there are
great obstacles in the way of direct
observation in vivo. In mammals the
best that can be done is to insert win-
dows in the wall of the skull. A
technique for this purpose, designed by
Forbes (H. S., Arch. Neurol, and
Psychiat., 1928, 19, 75), permits direct
study at low magnification of blood
vessels with so little injury that their
behavior in various experimental condi-
tions can be investigated. It is likely
that by the Sandison Technique very
significant observations can be made
on living, growing nerve fibers of the
rabbit. In amphibia Speidel (C. S.,
Biol. Bull., 1935, 68, 140-161) has been
particularly successful in devising
methods for study of nerve fibers
in vivo.
Another group of techniques is avail-
able for marking in vivo and examination
of the tissues after removal. Vital
Staining has been much used. Some
factors that condition the coloration of
nerve cells with trypan blue have been
described by King, L. S., J. Anat.,
1934-35, 69, 177-180. The pathways
of drainage of cerebrospinal fluid can
be marked with Prussian Blue (Weed,
L. H., J. Med. Res., 1914, 26, 21-117).
Nerve fibers and cells can of course be
marked by the in vivo creation of in-
juries and subsequently examined. To
determine the distribution of Radio-
phosphorus may prove helpful.
For the examination of excised tissues
a host of methods present themselves.
Consider first the classical techniques
from which several others spring.
1. The original Nissl method for
internal structure of the nerve cell
consisted of fixing in alcohol and of
staining sections with methylene blue.
It revealed a basophilic material called
Nissl Substance. The unfortunate ten-
dency now-a-days is to loosely designate
all methods intended to demonstrate
NEUFELD'S QUELLING REACTION 225
NEUROFIBRILS
this substance as Nissl techniques even
though resemblance to the original
method is lacking.
2. The original Golgi method for the
external form of nerve cells depends
upon preliminary mordanting of tissue
in potassium bichromate solutions, fol-
lowed by immersion in weak aqueous
silver nitrate, and the cutting of thick
sections in which occasional nerve cells
and processes are outlined with startling
clarity by the black deposit of silver
chromate. Cajal modified and speeded
up the technique by addition of osmic
acid to the bichromate solution (see
Golgi Method, quick). But the most
used modification is the Golgi Cox
technique.
3. The original Weigert method for
myelin sheaths of nerve fibers depended
likewise upon preliminary mordanting
in bichromate and the formation of
hematoxylin "lakes" when the sections
were later stained with hematoxylin.
Its most important modification is
known as Weigert-Pal. The Marchi
method, as modified by Swank and
Davenport is based on similar mordant-
ing with bichromate after which they
are treated with osmic acid and was
designed to reveal degenerated myelin
sheaths the lipids of which are unaf-
fected by the mordanting and are
blackened while those of the normal
sheaths are not.
4. Cajal and Bielchowsky introduced
valuable methods for axones, neuro-
fibrils, and nerve endings including
synapses. Both techniques as applied
to blocks of tissue depend on preliminary
"silvering" with weak silver nitrate
solution but in those of the former the
silver is reduced by a photographic
developer generally hydroquinone or
pyrogallic acid; while in those of the
latter the tissues are first brought into
an ammoniacal silver solution and then
reduced in formalin. The most useful
modification is the Bodian Method
of activated protargol. See its evolu-
tion under Silver Methods which are
of assistance in the study of many
other tissues of the body as well as the
nervous system.
5. Weigert 's neuroglia stain was also
a classic, likewise Cajal's gold chloride
and sublimate method (1913) which
was soon followed by Hortega's car-
bonate silver method (1917). See recent
techniques under Neuroglia.
There are still other techniques to
choose from which are not so directly
developments of the neurological
classics. Nerve cells are closely mixed
with fibers . To isolate them sufficiently
for direct study at high magnification
in approximately isotonic media in-
volves considerable injury and they
cannot be held under observation for
long periods because their death ensues
fairly quickly. Spinal ganglion cells
are the easiest studied. The Macera-
tion technique is not much used for the
nervous system but Addison (McClung,
p. 439) states that, if pieces of the
anterior horn of the spinal cord are
treated with Gage's dissociator (0.2%
formalin in physiological saline) for
2-3 days, the nerve cells can easily be
dissected out under a binocular micro-
scope, stained and examined more or
less as units. Tissue Culture of nerve
cells of the adult is not feasible because
they are fixed postmitotics (having
permanently lost the power of multi-
plication) ; but culture of young tissues
provides interesting results (Levi, G.,
Arch, de Biol., 1941, 52, 1-278, profusely
illustrated). Nerve Fibers are more
easily isolated and their investigation
in the fresh state is very profitable.
The histological localization of Cho-
linesterase is now feasible. The meas-
urement of oxidative metabolism in dif-
ferent parts of the nerve cell by
reduction of ferric chloride (Gerard,
R. W., Assoc, for Res. in Nerv. & Ment.
Dis., Baltimore, Williams & Wilkins,
1938, 18, 316-345) can probably be tied
up with localization of Oxidases and
Peroxidases. Marinesco (G., Arch.
Suisse de Neurol, et de Psych., 1924,
15, 1-24) has published repeatedly on
these enzymes in nerve cells. Methods
for Pigments and Lipids can easily be
applied to the nervous system. For
microincineration of nerve cells and
fibers see Scott, G. H., Proc. Soc. Exp.
Biol. & Med., 1940, 44, 397-398. If it is
desired to demonstrate mitochondria
the Anilin-Fuchsin Methyl Green
method is suggested after fixation by
vascular perfusion plus immersion. See
in addition to above headings : Auer-
bach's Plexus, Axis Cylinders, Boutons
Terminaux, Centrosomes, Cresyl Violet,
Golgi Apparatus, Microglia, Motor
End Plates, Nerve Endings, Neuro-
fibrils, Neurosecretory Cells, Oligo-
dendroglia.
Neufeld's Quelling Reaction. This is a
microscopically demonstrable swelling
of the capsules of pneumococei which is
of distinct value in typing (L. W. Parr,
in Simmons and Gentzkow, p. 42fi).
Neumann's Crystals, see Charcot-Leyden.
Neurites, see Nerve Fibers.
Neurofibrils. These delicate fibrils and
networks can be demonstrated with
difficulty mainly by methods of silver
NEUROGLIA
226
NEUTRAL GENTIAN
impregnation in the cytoplasm of nerve
cells. In the living nerve cells of
selected invertebrates they can also be
seen but opinion is divided as to whether
they can be detected in the living nerve
cells of vertebrates (Cowdry, p. 393).
None of the techniques for neuro-
fibrils are really satisfactory, but, with
patience, fairly good results can be
secured of adult nerve cells by the
following modification (Cowdry, E. V.
Internat. Monatssch. f. Anat. u Phy-
siol., 1912, 29, 1-32) of Cajal's technique.
Fix pieces not more than 2 mm. thick
in Carnoy's 6:3:1 fluid 2-6 hrs. Wash
in aq. dest. 24 hrs. 1.5% aq. silver
nitrate at 39 °C. for 3 days with one
change. Rinse in aq. dest. and reduce
in pyrogallic acid 1 gm.; aq. dest., 100
cc; formalin 5 cc. in the dark, 24 hrs.
Wash in aq. dest. 1 hr. Dehydrate 1
hr. in 95%; 2-4 hrs. in abs. changed
twice; clear in cedar oil, 2 hrs.; imbed
in paraffin 2 hrs. Rinse deparaffinised
sections in aq. dest. 0.1% aq. gold
chloride neutralized with lithium car-
bonate 2 hrs. The sections take a dark
purple black color. 5% aq. sodium
hyposulphite 5 min. to bleach out
excess of silver. Rinse in aq. dest.
dehydrate, clear in toluol and mount in
balsam.
The neurofibrils are exaggerated op-
tically by their sharp blue black stain
in a colorless background. Moreover
they form centers for the deposit of
silver which probably increases their
bulk. The Nissl bodies can be brought
out by staining in the usual way with
toluidin blue after washing in aq. dest.
following treatment of the sections with
sodium hyposulphite. The essential
step in this technique is the impregna-
tion with silver. Consequently the
time in the silver solution should be
varied and perhaps its concentration
likewise. To obtain a good preparation
without many trials is not to be ex-
pected.
Silver techniques for neurofibrils are
legion. A book has been written on
the subject (Cajal, S. R. and deCastro,
F., Elementos de Tecnica micrografica
del sistema nerviosa. Madrid, 1933).
Special methods are advised for different
parts of the nervous system and for
animals of different sorts and ages. A
very useful synopsis is given by Addi-
son (McClung, 1950, p. 364). See also
Seki, M., Ztschr. f. Zellf. u. Mikr.
Anat., 1939-40, 30, 548-566.
Neuroglia. This is the connective tissue
of the nervous system. Like that of the
rest of the body it consists of cells, fibers
(or fibrils as they are called) and inter-
cellular substance. The last named is
inconspicuous and little known. The
Neuroglia Fibrils are considered sepa-
rately. The cells are of three principal
sorts: (1) microgliocytes of mesenchy-
raatous origin. These may be resting
and extend long, delicate processes or
they may be ameboid in which case
they look something like lymphocytes
being usually identifiable by intensely
staining nuclei. (2) astrocytes (star
cells) and (3) oligodendrocytes (little
tree cells) both of ectodermal origin.
A tabular comparison of the three is
given in Cowdry's Histology, p. 406.
No neuroglial cells possess Nissl bodies.
See Cajal's Brom-Formol-Silver
Method, the Phosphotungstic Acid
Hematoxylin method of Mallory, Weil
and Davenport's silver methods given
under Microglia and Oligodendroglia
and Alzheimer's Modification of Mann's
eosin-methyl blue method. See, also
Silver Diaminohydroxide after sensitiz-
ing with sodium sulfite.
Neurones, see Nerve Cells.
Neurosecretory Cells. A good deal has been
written on the subject. The most
recent data on location in nervous
system and methods are provided by
Scharrer, E., J. Comp. Neurol., 1941,
74, 87-92; Scharrer, B., ibid, 93-130.
Neutral Fats. These are glycerides of
fatty acids. See Lipids, examination
of with polarized light. Colored rose
red by Nile Blue Sulphate. See Sudan
Stains, Osmic Acid and Oil Red O.
Neutral Gentian (Bensley, R. R. Am. J.
Anat., 1911, 12, 297-388). This gives a
very fine deep violet coloration of secre-
tion antecedents of serous (or zymo-
genic) cells. It has been used particu-
larly for the pancreas and the stomach.
Neutral gentian is the neutral dye
obtained when aq. gentian violet
(crystal violet) is precipitated by its
equivalent of aq. orange G which is
added slowly and the mixture agitated.
Use solutions almost but not quite satu-
rated. If the right amount of orange G
solution is added almost complete
precipitation is obtained. If too much
is added the precipitate is dissolved in
which case add more gentian violet.
Excess of orange G can be detected by
the production of a yellow ring of stain
about a violet center when a drop of the
solution with the precipitate is touched
to a piece of filter paper. When satisfied
that ppt. is maximal, filter; and dissolve
dried ppt. in 20% ale. until "color of a
good haemalum solution is obtained".
Allow the solution to stand 24 hrs.
before use.
Fixatives: Several are advised. (1)
Equal parts sat. ale. mercuric chloride
and 2.5% aq. potassium bichromate.
NEUTRAL RED
227 NEUTRAL RED AND JANUS GREEN
(2) Potassium bichromate 2.5 ems.;
mercuric chloride, 5 gms.; aq. dest.,
100 cc. (3) Zenker's fluid less acetic
90 cc, neutral formalin 10 cc. or (4)
2% osmic acid 2 cc; 2.5% potassium
bichromate 8 cc. ; glacial acetic acid 1
drop. In the case of the last the paraf-
fin sections are treated with 1% aq.
potassium permanganate 1 min.; 5%
aq. oxalic acid 1 min. and are washed
thoroughly in water before staining.
Stain 4/i sections 24 hrs. Blot with
several layers filter paper. Dehydrate
in acetone. Place in toluol. Dif-
ferentiate in 1 part abs. ale. and 3 parts
oil of cloves. Wash in toluol and mount
in balsam. Zymogen granules, purple;
cytoplasm and nucleus, yellow; chromo-
phile material, lavender.
Neutral Red (CI, 825)— toluylene red— This
weakly basic amino-azin dye is used for
many purposes . It is a chloride. Some
advocate the iodide as more easily
purified but neutral red sold by any
reliable manufacturer is satisfactory.
Vital neutral red is recommended by
Conn. The principal uses of neutral
red are to stain:
1. Islets of Langerhans of the pancreas
(Bensley, R. R., Am. J. Anat., 1911,
12, 297-388). Ad.d 2 cc. of a previously
prepared 1% aq. neutral red to 300 cc.
physiological salt solution (0.85% NaCl)
thus making a concentration of neutral
red of 1:15,000. Place this, and as
much more as may be required in a
bottle from the bottom of which a glass
tube leads off, or in an ordinary bottle
with a bent glass tube to serve as a
siphon. The tube is connected with a
glass cannula by about 5 feet of rubber
tubing. A freshly killed guinea pig is
bled from the throat. Insert the can-
nula in the thoracic aorta and inject
the solution by raising the bottle to
a height of 4 or 5 feet. Expose the
pancreas. Cut the inferior vena cava
near the heart so that the blood, followed
by the solution, can easily escape. The
pancreas will take on a deep rose red
color. Remove pieces, mount in phys-
iological salt solution under cover glasses
and examine at low magnification. The
optimum depth of staining must be
determined experimentally. The islets
of Langerhans appear as deep yellow
red irregular masses of difi'erent sizes
in a pale red background. After a time
the aye is bleached from the background
and the islets become more sharply
stained.
A wonderfully fine color contrast can
be secured when methylene blue is
added to the neutral red solution in a
concentration of 1:10,000 and both are
injected in the same way. The islets
are stained yellow red and the ducts
blue. But it is desirable first to obtain
satisfactory results with the methylene
blue alone.
2. Parietal cells in the stomach,
(Harvey, B. C. H. and Bensley, R. R.,
Biol. Bull., 1912, 23, 225-249). These
are beautifully stained by injection
with neutral red as described above.
3. Granules in blood cells. Touch a
drop of fresh blood to a little 1:15,000
neutral red on a slide and cover imme-
diately without attempting to mix.
When the size of the drop of blood and
the amount of stain are properly
estimated the cover glass will press out
the fluid into a thin film suitable for
examination. The specific granules of
leucocytes are stained red. In the
monocytes red stained granules appear
and sometimes increase in size. When
the staining is fairly intense, or after
a sufficient interval the nuclei of the
leucocytes become colored and also a
basophilic material in young reticulated
red blood cells. Simultaneous colora-
tion with Neutral Red and Janus Green
is frequently carried out by hema-
tologists.
Fluorescent X is a special type of
reduced neutral red (Lewis, M. R.,
1935, 17, 96-105). See Nerve Fiber
Degeneration and Nissl Bodies.
Neutral Red and Janus Green. These are
often employed together as a supravital
stain for blood cells. A recent com-
prehensive statement of the technique
is given by Cunningham and Tompkins
(Downey, pp. 555-579). They add 3
drops cone janus green in absolute
alcohol to 1 cc dilute neutral red, which,
latter, is 20-30 drops cone neutral red
in absolute alcohol. This mixture is
spread evenly on slides and evaporated.
They caution that for exudates, tissue
scrapings, leucemic blood, bone marrow
and lymph nodes it is necessary to use
stronger solutions. Neutral red CC.
(Commission Certified) is satisfactory
in place of the neutral red-iodide advised
by Sabin. Fresh blood is mounted on
the dye deposit, and is ringed with
vaseline to prevent evaporation. This
technique has had a profound influence
on cytology. Obviously it must be
cautiously used and observations dis-
continued as soon as evidences are seen
of experimental modifications in the
cells. It affords valuable information
on the mitochondria and neutral red
granules not stainable together by other
methods, but it will not supplant the
staining of blood smears by the methods
of Gierasa, Wright and others. See
critical evaluation by Hall (Downey,
pp. 643-698). See application in studiy
NEUTRAL RED IODIDE
228
NEW METHYLENE BLUE
of lymphosarcoma ta (Hu, C. H. and
Pai, H. C, Arch. Path., 1942, 34, 106-
116).
Neutral Red Iodide. This is a special form
of neutral red prepared by Phillips,
M. and Cohen, B., Stain Techn., 1927,
2, 17-18 and recommended by Sabin
for the Neutral Red Janus Green
method.
Neutral Safranin, or Safranin-acid violet
(Bensley, R. R., Am. J. Anat., 1911,
12, 297-388). Make the neutral dye
by precipitating sat. aq. safranin O
with sat. aq. acid violet. The latter is
added slowly and the mixture is agitated
gently. The precipitation should be
complete so that when it settles the
supernatant fluid is of a faintly violet
color. Filter and dissolve dried ppt.
in abs. ale. Dilute this stock solution
with equal vol. aq. dest. allow to stain
30 min. before use. Stain sections,
fixed as described under Neutral Gen-
tian, in the same way as with neutral
gentian. Nuclei are colored with safra-
nin and secretion antecedents with the
acid violet. The method has been used
chiefly for the pancreas but it gives fine
coloration of nerve as well as gland cells.
Unfortunately the colors are not very
permanent.
Neutral Stains. As explained by the
Bensleys (p. 65) acid and basic dyes
are mutually antagonistic. One will
extract the other from a section. This
can be overcome by having them react
on each other to form a molecularly
balanced neutral compound insoluble
in pure water and which must therefore
be employed in alcoholic solution.
Because the staining depends upon the
hydrolytic splitting of the compound
they must be applied at maximum con-
centration of water consistent with
retaining the dye in solution. It is on
account of the necessity for dilution
with water to promote dissociation that
water is added to Wright's blood stain
on the slide. These neutral dyes are
of particular value in the staining of
secretion antecedents by R. R. Bensley
and his followers, see Neutral Gentian
(gentian violet-orange G), Neutral
Safranin (safranin-acid violet). Crystal
Violet-Acid Fuchsin and Bowie's Stain.
Neutrophile Leucocyte (finely granular
leucocyte, polymorphonuclear leuco-
cyte). Most numerous granular leuco-
cyte, percentage 55-75; slightly smaller
(9-12m) than eosinophile; nucleus lo-
bated, usually also filamented, stains
deeply; specific granules, refractile,
neutrophilic, small, uniform and
numerous; highly motile and phago-
cytic. Special methods for their study
are far too numerous even to list.
The so-called toxic neutrophiles in
certain pathological states differ from
normal ones in the staining of nuclei
and specific granules (Mommsen, H.,
Ztschr. exper. Med., 1929, 65, 299).
A comprehensive account of neutro-
philes is provided by Bunting, C. H.
m Downey's Hematology, 1938, 1,
160-177. Because these cells normally
constitute by far the majority of leuco-
cytes in the circulating blood, chemical
analyses of total leucocytes separated
from the erythrocytes relate chiefly to
them. The most convenient way is to
mix fresh blood with Anticoagulant,
centrifuge and take the so-called buffy
layer. For lipid analysis of such
material, see Boyd, E. M., Arch. Path.,
1936, 21, 739-748. Another useful
method, described by Haan and em-
ployed by Barnes, J. M., Brit. J. Exp.
Path., 1940, 21, 264-275, which works
nicely with the rabbit but poorly with
the cat, is to inject intraperitoneally
200-300 cc. warm sterile saline solution
and 4 hrs. later to withdraw fluid with a
cannula into 5 cc. 4% sodium citrate.
This fluid contains 95-98% neutrophiles.
Barnes has outlined methods for de-
termination of Cathepsin, Nuclease,
Amylase, Lipase, Lysozyme and Adeno-
inase. Since it is possible now to break
up cells and to collect by centrifugation
masses of Mitochondria and Nuclei,
it should be feasible to collect and
similarly to analyse the neutrophilic
granulations. For technique of meas-
uring motility, chemotaxis and other
properties, see Leucocytes.
Neutrophilic, see Staining.
Nevillite V and No. 1 have been compared
with gum damar and Canada balsam as
mounting media by Groat (R. H.,
Anat. Rec, 1939, 74, 1-6). Both are
clean, colorless, inert and neutral.
He recommends a 60% solution of
either V or No. 1 in toluol.
New Blue R, see Naphthol Blue R.
New Fuchsin (Magenta III) (CI, 678)—
fuchsin NB, isorubin — It is triamino-
tritolyl-methane chloride. This new
fuchsin is sometimes specified for
staining of acid fast bacilli.
New Methylene Blue. The Colour Index
lists several dyes by this name of which
2 deserve mention: (1) GG (CI, 911)
is recommended by the Bensleys (p.
16) as a supravital stain for mast cells
and for the thyroid because of its meta-
chromatic capacity. (2) N (CI, 927)—
methylene blue NN— Conn (p. 88)
says that it may be of some value though
it is practically never used in micro-
scopical work. Cowdry tried it and
found that it had no particular ad-
vantages.
NEW PINK
229
NINHYDRIN REACTION
New Pink, see Phloxine.
New Ponceau 4R, see Ponceau 2R.
New Victoria Blue B or R, see Victoria
Blue R.
New Victoria Green Extra O, I or II, see
Malachite Green.
Niagara Blue 3B, see Trypan Blue.
Niagara Blue 4B (CI, 520) — benzo sky blue,
direct sky blue, pontamine sky blue
5BX — A disazo dye, see Varrelman,
F. A., Stain Techn., 1938, 13, 115-119.
Niagara blue 2B (N.A.C.) is the Ameri-
can prototype of trypan blue for which
it can be substituted (Foot, McClung,
p. 115).
Niagara Sky Blue 6 B (CI, 518), a direct di-
sazo dye of light fastness 3. Instruc-
tions for employing this useful stain in
the examination of plant and animal
tissues are given (Emig, p. 41).
Nickel. The microchemical technique of
Cretin and Pouyanne (A., and L.,
Bordeaux chirurgical, 1933, 4, 321-364)
employed in a study of the influence of
metals on bone deposition, as given by
Lison (p. 102), is: Fix in formol, 30 cc,
"s6rum physiologique", 100 cc, ana
ammonium hydrosulphate 5 drops. Im-
merse in a solution of ammonium
phosphate in order to produce the
insoluble double salt: NHiNiPO^ +
6H2O. Decalcify. In the sections stain
the nickel by an alcoholic solution of
pure hematoxylin which forms a lilac
colored nickel lake appearing blue when
very thick (Lison, p. 102).
Nicotinic Acid. Preliminary detection of it
or its amide by fluoresence microscopy
(Hirt, A. and Wimmer, K., Klin. Woch-
nesdir., 1939, 18, 765-767). Lasting
yellow fluorescence. See Vitamin B
complex.
Night Blue (CI, 731), a basic dye of light
fastness 4 gives beautiful blue-violet
coloration of plant tissues but fades
(Emig, p. 52).
Nigrosin, water soluble (CI, 865) — gray
R, B, BB, indulin black, silver gray,
steel gray — Commission Certified. This
is a mixture. It has been used as a
counterstain for neutral red in colora-
tion of Nissl bodies by Bean, R. J.,
Stain Techn., 1927, 2, 56-59, as a nega-
tive stain for bacteria, Treponema, etc.
See Picro-Nigrosin.
Nile Blue A, see Nile Blue Sulphate.
Nile Blue Sulphate (C 1. 913)— Nile Blue A
— This is an important oxazin dye for
which purity tests have been estab-
lished (Conn, p. 270). It was intro-
duced by Lorrain Smith as a fat stain.
Briefly the method is to stain fresh
tissues, or frozen sections of formalin
fixed tissues, for 10-20 min. in a cone,
aq. solution of Nile blue sulphate, to
differentiate in 1% aq. acetic acid,
wash in water and mount in glycerin.
He thought that the neutral fais {glycer-
ides) were thereby colored red and the
fatty acids blue, but Kaufmann and
Lehmann (C. and E., Virchow's Arch,
f. Path. Anat. und Physiol., 1926, 261,
623-648) came to the conclusion that the
method was valueless. However Lisson
(p. 202) was unimpressed by their
evidence. In his opinion the rose (or
red) color does signify the presence of
a nonsaturated glyceride whereas the
blue color is of no significance because of
its lack of specificity. He reported
that some mixtures of free fatty acids
remain uncolored; for those containing
saturated fatty acids non -coloration is
the rule; while some others, not con-
taining fatty acids, are colored. See
Lipids, tabular analysis.
Stone, L. S., Anat. Rec, 1931, 51,
267-273 has advanced a technique for
the preservation of supravital staining
with Nile blue sulphate the essential
feature of which is repeated treatment
with phosphomolybdic acid. Zenker's
fluid with acetic, 2 hrs. Running tap
water, 1 hr. 1% aq. phosphomolybdic
acid, 2 hrs. Dehydrate in 50, 70, 80, 95
and abs. ale. each containing 0.1%
phosphomolybdic acid, 30 min. each.
Clear in equal parts 0.1% phospho-
molybdic acid in abs. ale. and cedar
wood oil, 30 min. Then pure cedar wood
oil over night. Embed in paraffin 3
changes 15-20 min. each. Counterstain
sections in stain desired applied in abs.
ale. containing 0.1% phosphomolybdic
acid. Mount in damar. Balsam will do.
Nile Pink, fat stain prepared from nile
blue sulphate by boiling with dilute
sulphuric acid (Rettie, T., J. Path. &
Bact., 1931, 34, 595-596).
Ninhydrin Reaction. Berg's (W., Pfluger's
Arch., 1926, 214, 243-249) directions:
Fix tissues in 10% formalin, wash in
water. Boil section for 1 min. in 2 cc.
0.2% ninhydrin. Wash, mount in glyc-
erin or glycerin jelly. Amino acids,
polypeptides and proteins blue or violet.
Romieu (M., Bull. d'Hist. AppL, 1925,
2, 185-191) employs a strong solution
heated less. See Giroud (A., Proto-
plasma, 1929, 7, 72-98).
Details are given by Serra, J. A.,
Stain Techn., 1946, 21. 5-18. He ad-
vises that the tissue first be hardened
by fixation for an unspecified time in 2
parts 96% alcohol and 1 part commercial
formalin (40% formaldehyde) plus
"some drops" of glacial acetic acid in
10 cc. of the mixture. After this it is
well washed in running water and in aq.
dest. before the frozen sections are
made. He also gives a method for
paraffin sections.
NIPPLE SECRETION SMEARS
230
NISSL BODIES
The reaction consists of immersing
the sections or fresh materials in equal
volumes of 0.4% aq. triketo-hydrinden-
hydrate (ninhydrin) and phosphate
buffer pH 6.98. The ninhydrin solution
must be freshly prepared and the phos-
phate buffer not too concentrated. For
the latter he suggests 6 cc. M/15 solu-
tion secondary sodium phosphate
(11.1876 gm. Na2HP04-2H20 per liter)
and 4 cc. M/15 primary potassium phos-
phate (9.078 gm. KH2PO4 per liter).
The reaction is carried outin a covered
glass container placed on a boiling
water bath. This is allowed to stand
1-2 min. in the vapor after it has
reached the boiling point. A blue, or
violet, color developing while hot or
after cooling indicates the presence of
amino acids, fre, or bound in peptides,
or proteins.
For microscopic examination mount
in pure glycerin squeezing if necessary.
The edges can be cemented by using a
mixture of 80 gm. collophonium and
20 gms. heated lanolin as recommended
by Romeis but they must be studied the
same day for the color fades quickly.
Serra carefully states that the reac-
tion is given, not only by all amino
acids except proline and hydroxypro-
line, by peptides and proteins but also
by other compounds such as amines,
aldehydes, sugars with free aldehyde or
keto groups and by ammonia and am-
monium salts. "However, with com-
pounds other than amino acids and
proteides, the reaction is much less
sensitive and sometimes it gives a more
reddish color. In general it is easy to
exclude the possibility of these com-
pounds being present, by their solubil-
ity and localization. It must also be
remembered that the intensity of the
ninhydrin reaction varies according to
the nature of the amino acid and the
binding of this in the peptides.
"The coloring formed during the
reaction can diffuse and be absorbed
by several cell structures. This com-
monly happens when the heating is
exaggerated and when compounds easily
soluble are present, for instance after a
weak fixation. It is, therefore, recom-
mended to employ fixatives which
harden the tissues, as we have said
above. To be sure that a secondary im-
pregnation or adsorption of the coloring
has not taken place, the following test
may be executed : A small weight (some
milligrams) of a pure amino acid, such
as glycine, is dissolved in distilled
water; an equal volume of phosphate
buffer of pH 6.98 and a few drops of 0.4%
ninhydrin solution are added; it is
boiled slowly and cooled for 20-30
minutes. The ninhydrin employed
must be completely consumed — by addi-
tion of more amino acid solution. The
colored liquid of this reaction is now
used to immerse the pieces, with boiling,
etc., as for a ninhydrin reaction. If
then a certain structure shows a colora-
tion, this means that an absorption or
adsorption has taken place and a posi-
tive ninhydrin reaction in the same
structure does not necessarily demon-
strate a proteic or amino acid nature."
Nipple Secretion Smears, see Papanicolaou
Techniques.
Nissl Bodies (Tigroid bodies, chromophile
granules, chromidia, etc.) are masses
of basophilic material easily demon-
strable in the cytoplasm of most nerve
cells after a wide variety of fixations.
Certain types of nerve cells are char-
acterized by the shape, number, size
and distribution of their Nissl bodies.
Since, moreover, the Nissl bodies ap-
pear at a definite stage in the develop-
ment of the cells and undergo distinctive
modifications in physiological and path-
ological conditions there can be no
question that they represent material
present in vivo although they cannot
be distinguished as such in living nerve
cells. Bensley, R. R. and Gersh, I.,
Anat. Rec, 1933, 47, 217-237 claim that
their discovery of well-formed Nissl
bodies, stainable with toluidin blue, in
sections of tissues frozen in liquid air
and dehydrated in vacuo while still
frozen is proof of the presence of Nissl
bodies in the living state. Wiemann,
W., Zeit. f. d. ges. Neurol, u. Psychiat.,
1925, 98, 347-404 appears to have made
ultraviolet photomicrographs of Nissl
bodies, and a dense ash, revealed by
microincineration (Scott, G. H., Proc.
Soc. Exp. Biol. & Med., 1940, 44, 397-
398), corresponds with them topo-
graphically.
The influence of fixation on the shape
(and perhaps to a slight degree on the
distribution) of Nissl bodies in nerve
cells has never been clearly defined.
It is known that the Nissl bodies are
much more pronounced after fixation in
95% alcohol, Zenker's fluid and Car-
ney's fluid than they are after fixation
in osmic acid, Altmann's fluid and
Regaud's fluid. Fixatives of the first
group also result in more stainable
particles in the nucleoplasm than those
of the second. For other details see
Hopkins, A. E., Anat. Rec, 1924, 28,
157-163. Influence of staining is also
a factor to be reckoned with because
of the striking difference in appearance
of Nissl bodies when intensely and
lightly colored. There are many
methods from which to make a choice.
NITRATES
231
NITROPRUSSIDE REACTION
Some of these are given under Gallo-
cyanin, Gallamin Blue and Carbol-
Fuchsin. See also the methods of
Huber, Johnson and King and buffered
thionin (Windle, W. V., Rhines, R. and
Rankin, J., Stain Techn., 19-13, 18, 77-
86). An apparatus has been devised
apparently suitable for obtaining the
Absorption Spectra of Nissl bodies.
Nitrates. Atake frozen sections of fresh
tissues. Cover section on a slide with
1-2 drops hot 10% "Nitron" in 5% aq.
acetic acid. Place in refrigerator 30
min. to permit nitrates to crystallize
and e.xamine in polarized light. Nitron
is 1 , 4-Diphenyl-3 , 5-endanilo-dihydro-
triazol. It precipitates nitrates as in-
soluble salts (Cramer, G., Zbl. allg.
Path., 1940, 74, 241-244).
Nitrazine — nitrazine yellow, delta dye in-
dicator— An acid mono-azo dye sug-
gested as substitute for ponceau de
xylidine in Masson's Trichrome Stain.
Nitrazine Yellow, see Nitrazine.
Nitrocellulose for imbedding. Low
viscosity nitrocellulose ("Hercules Pow-
der Co.'s R.S. 0.5 second nitro-
cellulose") does not require to be washed
as in the case of celloidin. First add
absolute alcohol, break up lumps and
add ether. Use 100 gms. nitrocellulose,
100 cc. absolute alcohol and 140 cc.
anhydrous ether. For evaporation a
large surface is required in proportion
to depth. A precision microtome is
needed for sectioning blocks after first
hardening in 70-80% alcohol. Blocks
are cut both dry and wet. Serial
sections 4 microns thick are obtainable
whereas in celloidin the minimum is
about 12 microns. Since low viscosity
nitrocellulose (L.V.N.) is more readily
dissolved than celloidin by absolute
alcohol the use of butyl alcohol between
95% alcohol and xylol is suggested
(Davenport, H. H. and Swank, R. L.,
Stain Techn., 1934, 9, 137-140).
Nitro Dyes. Chromophore-N02. All
strongly acid. Aurantia, martius yel-
low, picric acid.
Nitro Reaction to distinguish between pyr-
rols and indols. Treat preparation with
a mixture of sulphuric and nitric acids
(equal parts). Substances containing
the benzene ring (and among them
indol compounds) are nitrified and
recognizable by their canary yellow
color whereas the pyrrols are not
nitrified (Lison, p. 162). See Lison,
L., J. Physiol, et Path. G6n., 1933, 31,
82-99).
Nitrogen. The titrimetric method of
Bruel, D., Holter, H., Linderstr0m-
Lang, K. and Rozlts, K., C. rend. trav.
lab. Carlsberg, S^r. chim., 1946, 25,
289-324 is recommended.
Nltroprusside Reaction for Glutathione.
1. IVIattei and Dulzetto (Atti. e. rend,
della Accad. dei Lincei, 1928, 8, 317).
Fix in 20% trichloracetic acid. Treat
frozen sections 3-4 min. with a fresh
solution of sodium nitroprussiate. After
quickly drying expose to NII3 vapor.
Freeze solidly with ice or solid CO2.
Examine frozen on slide at 5°C. The
violet color of sulphydryl rapidly disap-
pears.
2. Joyet-Lavergne (Ph., Bull. d'Hist.,
1928, 5, 331-349) Method 1 : apply to
tissue 1 drop 5% aq. sodium nitroprus-
siate, then 1 drop ammonia and examine
immediately. Method 2: before apply-
ing reagent as above he uses a stimulant
10% aq. potassium cyanide, 5 min.; or
2% aq. sodium sulphite, 10 min., or sat.
ammonium sulphate, 15 min., or tri-
chloracetic acid, 2-5 min. Method 3 for
fixed tissues: fix several hours in abs.
ale. or in formol 15 cc. + physiological
saline sol. 75 cc. Tease tissue or make
frozen sections. Stimulate with potas-
sium cyanide or ammonium sulphate.
Then apply reagent.
3. Giroud and Bulliard (A. and H.,
Protoplasma, 1933, 19, 381-384). Apply
to fresh teased tissues or frozen sections
10% aq. sodium nitroprussiate alka-
linized by about 2% ammonia. Fix the
color by treatment for several seconds
with 5% aq. zinc acetate. Dehydrate,
clear and mount in balsam in the usual
way. The violet color becomes red but
lasts some time especially if kept in ice
box. The same technique is possible
after alcohol fixation.
Lison (p. 135) has considered the spec-
ificity of these reactions and recom-
mends analysis given in an article by
Rapkine contained in the last edition
of Langeron's Precis de Microscopie.
For fresh tissues (pieces, smears, frozen
sections) (a) Glutathione reduced. Add
to tissue on slide 1 drop 5% sodium
nltroprusside for plants, 2% for animals.
Add_ a reinforcer such as sat. aq. am-
monium sulphate or crystals, then drop
of ammonia. Red or violet color, (b)
Glutathione total. Treat tissue with 10%
cyanide of potassium, 5-10 min. Then
(a), (c) SH radicals fixed to proteins.
10% trichloracetic acid 15 min. Wash
in much water. Repeat several times.
For fixed tissues avoid employing
absolute alcohol or trichloracetic acid.
Use instead formol-saline (above).
Then follow as for fresh tissues. Fix
colors with zinc acetate as described.
Bourne (G., Austral. J. Exp. Biol. &
Med. Sci., 1935, 13, 238-249) puts frozen
sections into hot 5% aq. acetic acid
30-90 sec. ; drains off the acid ; adds 5%
sodium nltroprusside (saturated with
NITROSAMINO REACTION
232
NORMALITY, MICROSCOPIC
ammonium sulphate) 2 min., then few-
drops cone, ammonium hydroxide which
turns them purplish blue. For quanti-
tative unreliability of the test for -SH
and -S.S- see Hammett and Chapman,
(F. S. and S. S., J. Lab. & Clin. Med.
1938-39, 24, 293-298). See Sulfhydryl
Groups.
Nitrosamino Reaction of Lison (p. 161)
consists in transforming the amino group
present in pyrrol and indol into nitrosa-
mine by action of nitric acid; then by
demonstrating the nitrosamine by the
reaction of Liebermann.
Nitroso Dyes (quinone oximes). Produced
by nitrous acid acting on phenolic com-
pounds. Naphthol green B and Y.
NNN Medium, see Leishmania,
Nocht's Stain for malaria plasmodia is de-
scribed by Craig, p. 287 as less satis-
factory and more time consuming than
Wright's.
Nonfilament-Filament Ratio. This is de-
rived from the Filament-Nonfilament
Count, the number of nonfilamented
neutrophiles being multiplied by 100
and divided by the number of filamented
ones. See Stiles, M. H., J. Lab. &
Clin. Med., 1940-41, 26, 1453-1460.
Nopalin G, see Eosin B or bluish.
Normal Solutions. The equivalent of a
substance (equivalent weight, the gram
equivalent) is the weight in grams which
in its reaction corresponds to : a gram
atom of hydrogen, or of hydroxyl, or a
univalent ion, or to half a gram atom of
oxygen. A normal solution contains
one equivalent per liter, a 0.05 normal
contains 0.05 equivalent.
Hydrochloric acid (HCl), the molecu-
lar weight is H = 1.008 -|- CI = 35.457
(see Atomic Weights) = 36.465. Con-
sequently make up 36.465 gms. of HCl
to 1 liter with aq. dest. But it can not
be weighed out in this way. Since
cone, hydrochloric acid (sp. gr. 1.19)
is approximately 12 N, to make a normal
solution (approximate) dilute 83.3 cc.
to 1 liter with aq. dest. The normality
can be accurately determined by stand-
ardizing with sodium carbonate, or by
titration with a solution of sodium
hydroxide of known normality.
Sulphuric acid is H2SO4. Molecular
weight calculated in the same way is
98.08. But there are 2 replaceable
hydrogen atoms so that in making a nor-
mal solution the molecular weight is
divided by 2 which means that 65.068
gms. of H2SO4 is to be made up to 1 liter
with aq. dest. A cone. sol. (sp. gr.
1.84) is approximately 36 N. To make
approximately 1 N dilute 27.8 cc. to
1 liter.
Oxalic acid has the formula (C00H)2-
2H2O with molecular weight of 126.
Owing to presence of 2 hydroxyl groups
it has 2 hydrogen equivalents and it is
necessary to divide the molecular weight
by 2 so that 63 gms. is made up to 1 liter
with aq. dest.
The alkali sodium hydroxide (NaOH)
has 1 hydroxyl group, so that the molecu-
lar weight is taken without division.
But with disodium phosphate, the
formula of which is Na2HP04, the
hydrogen equivalent is ^ NajHPOi, so
that the molecular weight is divided by
2. Similarly with the salt Na2S04 the
molecular weight is halved . For sodium
triphosphate, Na3P04, the hydrogen
equivalent is 3 NajPO*, or the molecular
weight is divided by 3.
Normality, Microscopic (From Cowdry's
Histology, 1950). Knowledge of the
microscopic structure of normal tissues
is prerequisite to an understanding of
their microscopic structure in abnormal
conditions. These latter conditions in-
deed are defined in terms of the former
by merely adding a prefix "differing
from," the Latin ab. Yet it is extra-
ordinarily difficult to reach agreement
on what constitutes justification for the
use of the adjective "normal." Dis-
cussion tends to drag out almost end-
lessly.
Definition: We choose here to advo-
cate the statistical definition of normal-
ity. According to this : a normal condi-
tion is the usual one in members of a
homogenous group . By usual is intended
in the majority, that is in any number
over 50 per cent. By homogeneous is
meant in individuals who are alike at
least insofar that they are of the same
race, sex and age.
Exam-pies: The existence of races,
characterized by structural differences,
is a fact to be reckoned with. What is
normal, or usual, in one may or may not
be normal or usual in another. Physi-
cal anthropologists deal with such
matters but histologists are also in-
volved because it is desirable to explore
microscopically differences that are de-
tectable by naked-eye inspection.
These racial differences are grafted on
a basic and fundamental similarity,
for all races of mankind belong to one
and the same species. Conspicuous
among them are certain features of
hair, skin and body build, which are
normal for one race, but are not normal
for others. The list on careful study,
may prove to be a long one.
Between the two sexes there is like-
wise a fundamental similarity. Many
tissues of males and females are indis-
tinguishable. Some others show quan-
titative differences. The normal num-
ber of erythrocytes per cubic millimeter
NORMALITY, MICROSCOPIC
233
NORMALITY, MICROSCOPIC
of blood in males differs from that in
females. And there are qualitative
differences in the primary and second-
ary sex organs. Consequently, as be-
tween races, so also as between the
sexes what is normal for one is not
necessarily normal for the other. One
must alwaj's bear in mind many known
differences and the likelihood of almost
innumerable others.
Though a basic similarity exists in
the structure and function of the body
at all ages in the life of a given indi-
vidual, some very profound differences
clearly obtain, as between different
ages. What is normal for individuals
of the same race and sex, at, say, age
10 is clearly not normal at age twentj',
or at age fifty. It has been said that
the boy is not a little man and the
senile is not an old boy; he is a different
individual but he is constructed in the
same general pattern.
No assessment of normality is there-
fore of any value unless the group is
homogeneous in race, sex and age.
Even this qualification is only sufficient
for a few properties relating to the body
as a whole such as weight, height, basal
metabolism, urinary excretion and so
on.
The body is made up of so many parts
that it is frequently essential to con-
sider the normality of each separately
maintaining this homogeneity in race,
sex and age of the persons having the
parts compared. In the vascular sys-
tem the coronary artery ages much more
rapidly than the radial artery. Struc-
ture normal, or usual, for the coronary
artery at thirty is normal for the radial
at about sixty. The skin of the face
and hands ages more rapidly than that
in less exposed situations as for example
the back. What is normal for one at
age sixty is definitely not normal for
the other.
To be on the safe side still other pre-
cautions are indicated. The method
employed to determine the normality
of the particular property in question
should be given, because some other
technique might yield higher or lower
values. One must also be on the look-
out for modifjnng conditions which
should be identified and specified.
Thus the normal secretory activity of
the sweat glands is modified consider-
ably by changes in the weather. When
temperature and humidity are high
during the summer, the level of normal
activity is different from that in the
winter. What is normal at high alti-
tudes is frequently not normal for parts,
or functional mechanisms, of indi-
viduals of the same race, sex and age
measured by the same methods at sea
level. To further multiply examples
would be wearisome.
Errors in Estimation: Histologists,
who would provide a sound basis for
work in pathology, should bear in mind
the considerations already mentioned
and others incident on the very in-
adequate techniques they employ.
Before attempting to catalogue them,
however, it should be freely admitted
that, even in the best textbooks, there
is a deplorable looseness in descriptions
intended to convey information on the
normal microscopic structure of the
human body. Illustrations of human
tissues are often presented without
any qualifying data concerning them
and others of the tissues of a wide range
of lower animals are supplied, likewise
without qualifying data, the assump-
tion being made, all too frequently,
that they are truly representative of
normal human tissues. In many cases
they are representative and serve the
purpose. And it hardly needs to be
said, that for accurate and controlled
experiments animal tissues are essen-
tial. But it is not difficult to cite cases
in which examination of normal animal
tissues could convey a misleading idea
of normal human tissues of the same
kind. Kurloff bodies are a normal
component of the spleens of guinea
pigs, but not of human beings. The
demarkation of hepatic lobules by con-
nective tissue is notably characteristic
of certain species. What is normal in
this respect for the domestic pig is not
normal for man.
Appearance in microscopic prepara-
tions of any kind may be technical
artifacts and may not indicate any de-
viation from normal in the tissue or
organ from which the preparation has
been made. The term artifact is de-
rived from L. ars, art and/aciw.'?, made.
It is something made artificially.
Webster defines an artifact as being
"in histology, a structure or appearance
in a tissue or cell due to death or to
the use of reagents and not present
during life." The degree of artifact
is proportional to the difference be-
tween the structure existing normally
in the living body and the structure ob-
served in the preparation. Details
are given in Laboratory Technique.
In the case of living tissues, observed
with blood and nerve supply intact,
there is a possibility of artifact. It is
at a minimum in the rabbit ear cham-
bers, in which the ingrowing tissue is
very thin and can be studied with high
magnifications, and rather more to be
reckoned with when tissues must be
NORMALITY, MICROSCOPIC
234
NORMALITY, MICROSCOPIC
displaced in order to supply the neces-
sary illumination. But it is small with
relatively thick organs like the spleen
and liver transilluminated by Knisely's
quartz rod technique and examined
at lower magnification. With increase
in time modifications due to changes in
light, temperature, hydrogen ion con-
centration, etc. are likely also to in-
crease.
In living cells removed from the body
and examined in Tissue Cultures the
possibility of artifact is again at a
minimum; but, though the cells in suc-
cessive generations in suitable media go
on living indefinitely, their environ-
ments are different from those existing
within the body. When after vital
staining, or supravital staining, still
living cells are examined in approx-
imately isotonic media, there is a grave
danger of artifact if the study is pro-
longed because the cells are slowly
dying.
In fixed tissiies the degree of diver-
gence from the living condition is ob-
viously much greater than in the case
of still living ones. However death
has been sudden so that artifacts due
to gradual death are eliminated. If
the technique has been carefully
standardized the same fixative applied
to the same type of cell in the same
physiological state is likely to yield
similar results.
1. The folds seen in stained sections
of skin are often at least partly due to
shrinkage of the collagenic and elastic
tissue of the dermis after excision and
before fixation. The fixative serves
further to exaggerate them (Evans et
al., 1943). Some ballooning of the epi-
thelial caps of intestinal villi occurs
in vivo. This phenomenon is likewise
exaggerated by ligating the arteries of
supply in the living animal and by em-
ploying fixatives which induce forcible
contraction of smooth muscle (Mack-
lins, 1932).
2. Alterations occurring postmortem
in tissues before fixation can be con-
fusing. The most frequent one is a
breaking up of the tips of intestinal
villi, sometimes also caused by mechan-
ical injury during excision or washing
out the contents of the gut. In all
tissues autolytic and osmotic changes
occur after death which profoundly
alter their structure after fixation.
The rate of autolysis is very rapid in
organs like the pancreas rich in enzymes
let loose when the action of said en-
zymes ceases with death to be properly
regulated. The rate is slower in the
nervous system and especially in the
walls of elastic arteries in which the
proportion of inanimate components
(elastic and collagenic fibers) is high
and that of living cells is low.
3. Shrinkage, and increased affinity
of surface cells for stains, occasioned by
letting the surface dry before fixation
should be recognized as such.
4. Differences in the appearance of
the peripheral and central parts of
tissues, owing to the unequal penetra-
tion of the fixative as a whole, or of its
components, are sometimes encount-
ered.
5. The displacement of glycogen in
the direction of entrance and passage
of the fixative, so well illustrated in
a book by de Robertis and his associates
(1948), suggests the likelihood of similar
artifacts in the cytoplasmic localization
of other substances.
6. The glassy appearance of nuclei
and cytoplasm, sometimes occasioned
by overheating in paraffin imbedding,
or in spreading out sections, is easily
detected.
7. The presence of formed material
within blood vessels, faintly resembling
organisms, caused by the coagulation
of blood proteins, has led some people
astray.
8. The introduction of extraneous
substances present either in the al-
bumin fixative used to mount the sec-
tions or deposited as dust from the air
(bacteria, spores, mineral matter, etc.)
is a possibility to be borne in mind.
Careful focussing is required to deter-
mine whether particulate matter is
located below, within or upon the sec-
tion. In stained smears of blood and
other cells precautions against ex-
traneous substances are also indicated.
Interpretation: One has to be almost
constantly on guard because the fore-
going list of artifacts is by no means
complete. It is simply illustrative of
some of the conditions that may be met
with and must be excluded. Even when
appearances, that do not seem to be
artifacts, are observed it is not safe to
conclude in an unqualified fashion that
the tissue, or organ, from which the
preparations have been made was in
fact normal. On the contrary several
conditions require fulfillment before
an opinion should be offered.
1. The appearance noted must be
present in more than 50 per cent of in-
dividual tissues comprising a homo-
geneous series in the sense already ex-
plained. The advice of a colleague
versed in statistics is desirable as to
the number required in the said series.
2. In the event that the appearance
in question is observed in but small
pieces excised from large organs or
NORMALITY, MICROSCOPIC
235
NORiMA] JTY, MICROSCOPIC
tissues care is indicated that the
samples are truly representative of the
whole. Examination of samples all
from the tail of the pancreas well might
fail to reveal conditions prevalent else-
where in the pancreas and convey a false
idea of the normality of the whole.
Inadequate preliminary gross examina-
tion might lead to the overlooking of
small localized modifications, as in
beginning cancers, and might result
in a verdict of normality based on ap-
pearances in poorly selected samples.
3. If the samples have been taken
from organs or tissues which are larger
(hypertrophied) or smaller (atrophied)
than normal then their examination
may likewise result in a misconception
of normality. The alterations in
volume, which have to be taken into
consideration, may be abnormal, or
within the range of normal volumetric
changes in physiological activity.
Among the latter are alterations in
the volume of the liver consequent upon
the different phases in intestinal ab-
sorption. We must face not only
changes in volume but also changes
in microscopic appearance. The nor-
mality of microscopic structure there-
fore must be specified in relation to
physiologic state. What is normal for
one stage in the menstrual cycle is not
normal for another.What is normal for
the gastric mucous membrane during
active digestion is not normal while
fasting.
4. Since the appearance depends upon
the technique employed the qualifica-
tion is essential that it is normal for,
say, intracellular lipids demonstrable
by Sudan III, or for whatever is in
question. Not all lipids are detectable
by this method. It is quite possible
that the lipid contents not so revealed
are in abnormal quantities.
5. In returning a verdict that tissues
examined microscopically are normal,
histologists should still further qualify
their conclusions. It is the part of
wisdom for them to remember, es-
pecially when employing microchemical
reactions, that most of them are ig-
noramuses as to chemistry. A smatter-
ing of chemistry is insufficient. It is
a kind of wine that goes to the head
releasing inhibitions. Not to obtain
expert advice from real chemists is
foolish.
Consider only the sections of tissues
fixed in formalin, or in Zenker's fluid,
and stained with hematoxylin and eosin
which are examined routinely in so
many laboratories. Reflect upon the
functional attributes of these tissues
while they were alive and to changes
to which these specimens give no clues
whatsoever. Among these are respon-
siveness to stimuli, permeability, the
entry and outgo of water and of in-
numerable substances, the integration
of thousands of enzymatic activities,
the basic submicroscopic structural ar-
chitecture that makes this possible,
and so on almost ad infinitum. It is
no wonder that tissues examined by
such a crude technique, as well as by
other more delicate ones, may look
normal, since so much is overlooked,
while in fact they are far from normal.
Neuroanatomists are among the first
to recognize the inadequency of micro-
scopic examinations. They designate
abnormalities without structural traces,
"functional." Parts of the brain that
look normal actually may be far from
normal. This qualification probably
holds for all parts of the body.
Standards for the comparison are
few and disappointing. Some gross
weights and measurements are given
in Laboratory Technique but these are
only for adults and corrections for race
are not supplied. For a summary of
measurements for children see R. E.
Scammon's account in Abt's Pediatrics,
Philadelphia: Saunders, 1923, 1, 257-
444. Anatomische, Physiologische und
Physikalische Daten by H. Vierordt,
Jena: Fischer, 1906, 616 pp. is still use-
ful. R. Pearl and his associates have
published quantitative data on the
endocrines in Human Biology, 1935, 7,
350-391; 555-607. 1936, 8, 92-125.
1937, 9, 245-250. For a spleen and
thymus see E. B. Krumbhaar in
Cowdry's Problems of Ageing, 1942.
The Tabulae Biologicae (Amsterdam:
Vitgevery, Dr. W. Jurik) is often use-
ful. The last part on the eye (oculus)
constitutes vol. 22 of 408 pp. and was
published in 1947. The most recent
publication on normal values in clinical
medicine is that of Sunderman and
Boerner (1949). A "Handbook of Bi-
ological Data" is in course of organiza-
tion by the American Institute of Bi-
ological Sciences under the direction
of E. C. Albritton at the National Re-
search Council, Washington, D. C.
Summary: Histologists must be alert
for artifacts, for otherwise there is a
danger of describing appearances not
present in vivo, or exaggerated or min-
imized by the procedure employed.
They must be good physiologists always
mindful of the fact that only a minority
of functional states are reflected by
microscopic structure. They must re-
member that their techniques just skim
the surface. As experimentalists it is
essential for them to gain a knowledge
NORMALS, GROSS SIZES
236
NORMALS, GROSS SIZES
of the normal structure of the cells,
tissues and organs of the body for other-
wise their conclusions based on well
controlled experiments on animals and
the microscopic observation of parts
of the human body in health and disease
will be in jeopardy. And they must
have a good idea where in the literature
they can quickly find helpful accounts
of what little has been determined ac-
curately of gross and microscopic
normality. It is safe to say that no
human bodj' is at any time normal, or
usual, throughout its extent, because
is is a far too complex organization of
multifunctional interlocking mecha-
nisms for uniformity in this respect.
Health is not synonymous with an all
pervading normality. It is merely a
state in which no particular normality
is lost to a conspicuously detrimental
degree.
Normals, Gross Sizes. What these are is
only known in a very hazy way. Yet
if the size of an organ is distinctly ab-
normal this fact must clearly be taken
into consideration in evaluating the
results of its microscopic study. The
best way is to search for papers dealing
with the organ in which one is interested
in the Quart. Cum. Index Med. The
older data are summarized by Vierordt,
H., Anatomische Physiologische una
Physikalische Daten und Tabellen.
Jena: Fischer, 1906, 616 pp. A sum-
mary of measurements on infants and
children is provided by R. E. Scammon
in Abt's Pediatrics, Philadelphia:
Saunders, 1923, 1, 257-444. See also
Coppoletta, J. M. and Wolbach, S. B.,
Am. J. Path., 1933, 9, 55-70. Useful
quantitative data on the endocrines are
supplied by R. Pearl and his associates
in Human Biology, 1935, 7, 350-391, 555-
607; 1936, 8, 92-125; 1937, 9, 245-250.
For spleen and thymus see Krumbhaar,
E. B., Cowdry's Problems of Ageing.
Baltimore: Williams & Wilkins, 1942,
139-184. There is a wide range in indi-
vidual variation. Size may be greater
or smaller than the normal or usual
without being indicative of disease.
Stitt, E. R., Clough, P. W. and M. C.,
Practical Bacteriology, Haematology
and Animal Parasitology. Phila-
delphia: Blakiston, 1938, 961 pp. give
these approximate measurements (ab-
breviated) :
Adrenals— Length, 6-7 cm.; breadth,
3-3.5 cm. ; weight, 5-6 gms. each.
Aorta — Length, 42.5-50 cm.: thick-
ness of wall, 1.5-2 mm.; diameter,
1.7-3 cm. ; weight, 35-45 gms.
Appendix— Length, 9-10 cm.; diameter,
6 mm.; weight, 7-14 gm., quite
variable.
Bladder — Capacity, 500 cc. when nor-
mally distended; thickness of wall,
2.5 mm. ; weight, 30-60 grams.
Brain— Weight, female, 1250-1275 gms.;
male, 1365-1450 gms.; length, 16.5
cm.; transverse diameter, 14 cm.;
vertical diameter, 12.7 cm.; dimen-
sions in female being 1 cm. less.
Fallopian tubes — Length, 7.6-12.6 cm.,
the right usually the longer ; diameter
of lumen averages 2.5 mm.
Gall bladder — Length, 7.5-10 cm. ; diam-
eter, 2.5-3 cm.; thickness of wall,
1-2 mm. ; capacitv, 30-45 cc.
Heart— Weight, feLoale, 250-280 gms.,
male, 270-360 gms.; length, 11.5-14
cm.; breadth, 7.5-10 cm.; thickness,
5-8 cm. ; thickness, wall left ventricle,
9-12 mm., right ventricle, 2.5-3 mm. ;
circumference, mitral orifice, 10.4-
10.9 cm. ; circumference, tricuspid
orifice, 12-12.7 cm. ; circumference,
aortic orifice, 7.7-8 cm. ; circumference,
pulmonary orifice, 8.5-9 cm.
Intestines — Small intestine, length,
6.75 meters, 2/5 jejunum and 3/5
ileum; diameter from 47 mm. in
duodenum to 27 mm. at the end of
ileum. Large intestine, length, 180-
195 cm.; duodenum, length, 26-28.5
cm.
Kidneys — Weight, left, 150 gms., right,
140 gms.; thickness of cortex, 1 cm.;
length, 11.5 cm.; breadth, 6.2 cm.;
thickness, 3.2 cm. ; the left longer and
the right thicker.
Liver — Weight, 1440-1680 gms. ; greatest
transverse diameter, 20-24 cm., great-
est antero-posterior diameter, 10-15
cm., vertical diameter, 12.7-15 cm.
Lungs— Weight, combined, 1020-1290
gms.; weight, male, right lung, 680
gms., left lung, 600 gms.; weight,
female, right lung, 480 gms., left lung,
420 gms.; length, 26-30 cm.; antero-
posterior diameter at base, 17.5-20
cm.; transverse diameter at base,
10-12.7 cm.; right lung is shorter,
broader and thicker than the left;
dimensions in female average 2.5 cm.
less.
Mammary gland — Weight in adult, 150-
200 gms.; weight during lactation,
400-900 gms.
Oesophagus — Length, 25-30 cm.; diam-
eter of lumen, 3 cm.; thickness of
wall, 8 mm. ; weight, 40 gms.
Ovaries — Weight (each). 4-8 gms.,
length, 3.8 cm.; breadth, 1.9 cm.;
thickness, 1.2 cm.
Pancreas — Weight, quite variable, 60-
135 gms. ; length varies, average 15-
20 cm.
Parathyroids — Length, 6-7 mm.;
breadth, 3-4 mm.; thickness, 1.5-2
mm.
NORMOBLASTS
237
NUCLEAR INCLUSIONS
Pineal gland — Length, 1 cm.; breadth,
5 mm.; thickness, 5 mm.; weight,
0.2 gm.
Pituitary body — Length, 8 mm.;
breadth, 1.2 cm.; weight, 0.3-0.6 gm.
Prostate — Weight, 22 gms.; length 3.1-
3.8 cm.; breadth, 3.8—4.5 cm.; thick-
ness, 2.5 cm.
Salivary glands — Parotid, weight, 25-
30 gms.; sublingual, weight, 2-3 gm.;
submaxillary, weight, 8-9 gms.
Seminal vesicles — Length, 5 cm.
Spinal cord — Length, 45 cm.; weight,
27-30 gms. ; transverse diameter aver-
ages 1.2 cm.; antero-posterior diam-
eter averages 9 mm.
Spleen — Weight, 155-195 gms.; length,
10-12.5 cm.; breadth, 7.7 cm.; thick-
ness, 2.5-3.7 cm.
Stomach — Capacity, 1-2 liters.; thick-
ness of wall, 6 mm.; weight, 125-175
gms.
Testes — Weight, 20-25 gms. each;
length, 3.8 cm.; breadth, 2.5 cm.;
thickness, 2 cm.
Thoracic duct — Length, 37-5-45 cm.
Thymus gland— Weight at birth, 13.7
gms. and increases to 26.2 gms. at end
of second year when it gradually de-
creases until gland disappears ; dimen-
sions at birth, length, 6 cm. ; breadth,
3.7 cm. ; thickness, 6 mm.
Thyroid — Transverse diameter, 6-7 cm. ;
height, 3 cm.; weight, 30-40 gm.
Ureters — Length, 28-30 cm., slightly
longer on left side and longer in male,
diameter of lumen varies, averages
2.5 mm.
Urethra— IVIale, length, 16-20.6 cm.;
prostatic, 2.5-3.1 cm., membranous,
1.5-2.5 cm., and the anterior, 12-15
cm. ; female, length, 3.8 cm. ; diameter
of lumen averages 7-10 mm.
Uterus — (Virginal) length, 7 cm.;
breadth, 4 cm. ; thickness, 2.5 cm. ;
weight, 40-50 gm. ; the dimensions of
a multiparous uterus are each in-
creased 1 cm. or more and the weight
is increased 20 gms. ; length of cavity
in virgin, 5 cm., in multiparae, 5.7 cm.
Vagina — Length, 7.6-8.9 cm.; posterior
wall is slightly longer than the
anterior.
Normoblasts (orthochromatic erythro-
blasts). Stage in formation of erythro-
cyte between erythroblast and reticulo-
cyte ; nucleus spherical or oval, picnotic,
often excentrically placed. Cytoplasm
contains much hemoglobin, not nor-
mally present in circulation. See
Erythrocytes, Developmental series.
Nucleal Reaction is a microchemical test
for Thymonucleic Acid which see, also
Feulgen Reaction.
Nuclear Inclusions are characteristic of
some virus diseases but in many such
diseases they are not found. Only
when they are present in large numbers
as in yellow fever is it feasible to in-
vestigate them in fresh tissues. Stain-
ing reactions, solubility tests and other
properties of fresh inclusions are de-
scribed by Cowdry, E. V. and Kitchen,
S. F., Am. J. Hygiene, 1930, 11, 227-299.
Methods for their identification in fixed
tissues are summarized by Cowdry,
E. v.. Am. J. Clin. Path.. 1940, 10, 133-
148. For general purposes fixation in
Zenker's fluid, parafhn imbedding and
coloration with Hematoxylin and Eosin
is the most satisfactory. Coloration
with Phloxine or Eosin Methylene blue
gives more brilliant colors but they fade
more rapidly. The nuclear inclusions
are typically acidophilic and therefore
take eosin and phloxine energetically.
When it is desired to reverse the colors
use Safranin-Light Green which gives
green inclusions and red chromatin.
For microchemical methods see Cowdry,
E. v.. Science, 1928, 68, 40-41, see also
Specific Gravity determinations. Paper
by Lucas, A. M., Am. J. Path., 1940,
16, 739-760.
When the following features are noted
in a section it is likely that a virus has
been at work :
1. A considerable number of inclu-
sion-laden nuclei which can be arranged
in series representing stages in develop-
ment. This indicates an active process
in which the nuclei exhibiting the most
advanced alterations were affected first
and the others in succession.
2. A change in which the accumula-
tion of aciaophilic material, forming
the inclusion, is accompanied by mar-
gination of basophilic chromatin on the
nuclear membrane, a disappearance of
nucleoli and ultimate death and disin-
tegration of the cells. This suggests
that the inclusion formation is not
merely an intranuclear heaping up of
material effected without injury.
3. A cellular reaction characterized
by hyperplasia, hypertrophy or necrosis.
Nuclear inclusions are of two general
sorts — A and B (Cowdry, E. V.,Arch.
Path., 1934, 18, 527-542). Type A are
the most definite and exhibit the proper-
ties noted above under 2. When the
basophilic chromatin does not marginate
on the nuclear membrane and the
nuclear structure does not disintegrate
— we have to proceed warily. Such
inclusions (type B) are droplet-like
masses of acidophilic material sur-
rounded by clear halos. They have
been reported in Borna disease, in polio-
myelitis and in several other conditions.
When observed in routine preparations
they are seldom conspicuous structures.
NUCLEASES
238
NUCLEI
It is only when strongly stained with
fuchsin, for instance, that they catch
the eye. Perhaps careful search of
tissues not subjected to virus action
might reveal similar bodies. Therefore
in the case of type B inclusions, insist-
ence on criteria 1 and 3 is desirable.
The nuclear inclusions in the liver
following severe burns look very much
like those caused by viruses (Belt, T.
H., J. Path, and Bact., 1939, 48, 493-
498).
In plants, as in animals, some nuclear
inclusions are indicative of the action
of certain viruses, see excellent sum-
marizing account by Bawden, F. C,
Plant Viruses and Virus Diseases.
Waltham: Chronica Botanica Co., 1943,
294 pp. Since the inclusions usually
occur in the form of "thin flat crystal-
line plates" they should be examined in
living cells in the dark field and in
polarized light because details of crys-
talline structure are not so well shown
in fixed and stained preparations. The
inclusions give the usual protein reac-
tions but are Feulgen negative. They
apparentl}' contain virus.
An interesting and well illustrated
account of intranuclear parasites is pro-
vided by H. Kirby, Jr. in Calkins, G. N.
and Summers, F. M., Protozoa in Bio-
logical Research. New York: Colum-
bia University Press, 1941, 1148 pp.
Nucleases — Written by E. W. Dempsey,
Dept. of Anatomy, Washington Uni-
versity, St. Louis. February 26, 1951 —
For many j-ears, cytologists have at-
tempted to apply enzjane preparations
which chemically degrade or destroy
nucleic acids. Van Herwerden, A.,
Anat. Anz., 1914, 47, 312-325, and Lison
(p. 175) describe the older experiments.
Until recently, however, the enzyme
preparations were contaminated with
trypsin and other proteolytic enzj'mes,
so that the results after digestion of
sections with nucleases were difficult to
interpret. Kunitz, M., J. Gen. Phys-
iol., 1940, 24, 15-32 described the prepa-
ration of crystalline ribonuclease, an
enzyme which depolymerizes and there-
fore solubilizes pentose-nucleic acid.
McDonald, M. R., J. Gen. Physiol.,
1948, 32, 39-42, reported that the last
traces of proteolytic activity in this
preparation could be removed by heat
treatment. Ribonuclease has been
widely used to identify many basophilic
cytoplasmic components (Nissl sub-
stance, ergastoplasm of pancreatic cells,
basophilic inclusions in placenta, cyto-
plasmic basophilia in general), and
nucleoli in some but not all cells fail to
stain after digestion in the enzyme.
Desoxyribonuclease, an enzyme which
depolymerizes desoxypentosenucleic
acids, has also been crystallized by
Kunitz, M., J. Gen. Physiol., 1950,
33, 349-362. This preparation de-
stroys the stainability of chromatin,
but has not yet had as wide an applica-
tion to cytology as had had ribo-
nuclease. These preparations are
available through the Worthington
Biochemical Laboratories, Freehold,
N.J.
Nuclei. To look into the body and study
the nuclei of living cells is feasible
only up to a certain point. The ob-
servation of the Clarks' (E. R. and E.
L., Am. J. Anat., 1936, 59, 123-173)
that in transparent chambers inserted
into the ears of rabbits (Sandison's
Technique) the finely granular leuco-
cytes may be followed about and seen
to lose their nuclear poljonorphism is
significant of what can be done. In
Tissue Cultures the cells are living
under less natural conditions but they
grow in thin films and can therefore be
observed at high magnification. Care-
ful analysis of moving pictures, show-
ing nuclear form and structure, like
those of Dr. W. H. Lewis distributed
by the Wistar Institute, can prove very
fruitful. By ultracentrifugation data
can be obtained bearing on intranuclear
Viscosity and the relative Specific
Gravity of nuclear components. The
techniques of Microdissection and
microinjection also offer opportunities
for advance. The Vital Staining of
nuclei without killing the cells is diffi-
cult and not particularly helpful (Acri-
fiavine); but it appears to be feasible
in a variety of vertebrate cells with
dilute solutions of methylene blue
(Russel, D. G., J. Exp. Med., 1914, 20,
545-553), in amebae by microinjection
(Monne, L., Proc. Soc. Exp. Biol. R.
Med., 1934-35, 32, 1197-1199), and in
the fibroblasts of tissue cultures with
crystal violet (Bank, O. and Kleinzeller,
H., Arch. f. exp. Zellf., 1938, 21, 394-
399). The same can be said for Ultra-
violet Photomicrography.
The choice of fixative is important.
It is difficult to secure after formalin
fixation a brilliant color contrast of
basophilic and acidophilic nuclear mate-
rials by staining with Giemsa, Eosin-
Methylene Blue and other mixtures of
"basic" and "acid" dyes, because the
former take very intensely and the
latter, lightly. But following Zenker's
fluid and other mixtures containing
potassium bichromate, which acts as a
sort of mordant, these stains color the
acidophilic as well as the basophilic
components. It is for this reason, and
because nuclear inclusions caused by
NUCLEI
239 NUCLEIC ACID-DYE INTRACTIONS
virus action are usually acidophilic,
that formalin used alone is contraindi-
cated as a fixative.
On the morphological side it is known
that nuclei stained in sections after
fixation in the usual ways show a di-
versity, or heterogenic! ty, of internal
structure which cannot be observed by
the most careful examination of the
nuclei of living cells. In thelatteronly
the nucleolus can generally be distin-
guished. The so-called linin network,
and small irregular particles staining
with acid and basic dyes, are not ob-
served. These probably result from the
coagulating action of the fixative upon
materials present in solution or fairly
uniformly distributed in the nucleo-
plasm. Stained sections of tissues fixed
in fluids containing fair amounts of
osmic acid (Altmann's Mixture and
Bensley's Acetic-Osmic-Bichromate)
exhibit, on the contrary, nuclei with
quite homogeneous looking nucleoplasm,
containing nucleoli, which portray the
condition in vivo more accurately.
Colored illustrations of the nuclei of
liver cells containing inclusions after
osmic and non-osraic fixation (Figs. 47
and 20) are provided by Cowdry, E. V.
and Kitchen, S. F., Am. J. Hyg., 1930,
11, 227-299. This does not mean,
however, that the ground substance is
always optically homogeneous in vivo.
The shrinkage of nuclei when exam-
ined in stained sections is generally
more than 10% of their size in vivo.
In post-mortem autolysis, particularly
of the kidney, one of the first nu-
clear modifications is shrinkage. The
shrunken nuclei may stain intensely
with both basic and acid dyes. The
acidophilic material in them may even
appear to be increased; for it is more
concentrated, owing to decrease in
volume (oxychromatic degeneration).
They are also more spherical and less
oval in shape. In early stages this
modification can easily be identified
by its occurrence in some tubules and
not in others. A comparable hyper-
chromatism of nuclei at the edge of a
section accompanied by a flattening of
them may indicate that a surface film
of tissue was permitted to dry before
fixation.
Among the stains Iron Hematoxylin
is a favourite because of its sharpness
and permanence. Phloxin-Methylene
Blue is also recommended. If one de-
sires to reverse the colors and get red
nuclei and green cytoplasm Safranin
Light Green is suggested. The
Safranin-Gentian Violet-Orange G
technique gives several beautiful color
tones. Recently the Feulgen reaction
by which Thymonucleic Acid can be
demonstrated has become very popular
as the most sharply discriminating
nuclear stain. Microchemical studies
are now possible which a few years ago
were undreamed of. The method of
Microincineration reveals some of the
mineral constituents (Scott, G. H.,
Proc. Soc. Exp. Biol. & Med., 1935,
32, 1428-1429).
The collection of nuclei in bulk for
chemical analysis is now feasible (see
Centrifugation). Thus nuclei of liver
cells can be separated from cytoplasms
by centrifugation after treatment with
dilute citric acid. Normal liver nuclei
do not accumulate P32 while tumor
nuclei and regenerating nuclei do
(Marshak, A., Federation Proceedings,
Baltimore, 1942, 1, (2) 57). A method
for separating nuclei from rest of thy-
mus is described by Williamson, M.B
and Gulick, A., J. Cell. & Comp. Phys-
iol., 1942, 20, 116-118. The authors
analysed the mass of nuclei for calcium,
magnesium and phosphorus. Another
method for separating from cytoplasm
(Crossmon, G., Science, 1937, 85, 250)
is to place drop 5% aq. citric acid in
center of a slide smeared with Mayer's
Albumin Glycerin. Add piece fresh
muscle. This slowly becomes trans-
parent and infiltrated. The cloudiness
of the citric acid is caused by released
nuclei. Remove muscle and allow fluid
containing nuclei to dry completely.
Hold nuclei in place by treating with
95% ethyl alcohol. Wash in tap water,
then in aq. dest., stain with A-Iayer's
Hemalum, blue in tap water, counter-
stain in eosin, dehydrate, clear and
mount.
For a technique to demonstrate sex
differences in neuroglial and nerve
cell nuclei consult Barr, M. L. (Exp.
Cell Res., 1951, 2, 288-290). See Argin-
ase and Diaminoacridines for visual-
ization of nuclei in vivo by their fluores-
cence.
Nucleic Acids, see Ribonucleic, Thymo-
nucleic and Desoxyribonucleic. Micro-
spectrophotometry.
Nucleic Acid-Dye Interactions — Written by
Edward L. Kuff, Dept. of Anatomj'^,
Washington University, St. Louis 10,
Missouri. October 18, 1951— Pure
nucleic acids are not known to react
with acid dyes. The staining of nuclei
with acid dyes which can be made to
occur in tissue sections is due pre-
sumably to interaction of the dye with
protein constituents of the nuclei,
although this phenomenon has not been
adequately studied.
Nucleic acids of both cytoplasmic and
nuclear origin react strongly with a
NUCLEOCYTOPLASMIC RATIO
240
NUCLEOCYTOPLASMIC RATIO
wide variety of basic dyes, both in the
test tube and in tissue sections. In
a rougli way, it can be stated that the
amount of a basic dye taken up by a
given nucleic acid-containing structure
in the cell is proportional to the amount
of nucleic acid present. Attempts at
a precise quantitative estimation of
nucleic acid content by means of basic
dye uptake are in the early stages of
development.
The physico-chemical nature of the
interaction, in buffered aqueous solu-
tion, of rosaniline with yeast and
pancreatic pentose nucleic acids (PNA)
and with thymus desoxypentose nucleic
acid (DNA) has recently been studied
(Cavalieri, L. F., Kerr, S. E., and
Angelos, A. J. Am. Chem. Soc. 1951,
73, 2567-2578; Cavalieri, L. F. and
Angelos, A., ibid., 1951,72, 4686-4693).
The reaction was found to be reversible
and stoichiometric . The curves relating
amount of dye taken up by the nucleic
acid to the concentration of free dye
were different for each type of nucleic
acid. However, in all cases the data
could be explained satisfactorily on the
basis of a salt-like linkage between the
dj^e cation and the negatively charged
phosphoric acid groups of the nucleic
acid, without the assumption of more
complicated adsorptive forces. Speci-
fic dissociation constants for the dye-
nucleic acid complexes could thus be
calculated. Similar studies using other
common histologic dyes are needed
before the staining of nucleic acids in
tissue sections can be quantitatively
evaluated. It should be noted that
the dye concentrations used in the
above experiments were far below those
ordinarily employed in staining. There
is some evidence, however, that the dye-
nucleic acid interaction is stoichio-
metric at high dye concentrations also.
Mixtures of methyl green and pyronin
stain nuclei green and cytoplasmic
nucleoproteins red (see Methyl Green-
Pyronin). This differential staining of
the two types of nucleic acid by two
different basic dyes has been investi-
gated by N. B. Kurnick (J. Gen. Phys-
iol., 1950, 33, 243-264), who concluded
the DNA of the nucleus owed its specific
staining by methyl green to its high
degree of polymerization. DNA which
had been depolymerized by treatment
with heat or acid failed to stain well
with methyl green but did stain strongly
with pyronin or other basic dyes. DNA
combined with histone stained less
strongly with methyl green than did the
free DNA. Under conditions of high
dye concentrations, the reaction be-
tween DNA and methyl green was said
to be stoichiometric (Kurnick, N. B.
and Mirsky, A. E., J. Gen. Physiol.,
1950, 33, 265-274), and has been made
the basis of a quantitative histochem-
ical test for DNA (Leuchtenberger, C,
Vendreley, R., and Vendreley, C, Proc.
Nat'l. Acad. Sci. 1951, 37, 33-38).
The interaction of nucleic acids with
basic dyes, while apparently primarily
of an ionic character, can be modified
by many factors. Among these are:
1) availability of the phosphate groups
of the nucleic acid and their spatial
arrangements (polymerization) ; 2) com-
petition for available phosphate groups
by substances other than dye, such as
the histones of the nucleus, heavy metal
cations of the fixing fluids, or impurities
in the dye solution; 3) ionic strength,
pH, and temperature of the staining
bath; and 4) the dye concentration used
for staining. To approach any degree
of stoichiometry in dye-nucleic acid
interactions, all of these factors must
be controlled as rigidly as possible.
The absorption spectra of all basic
dyes which have been investigated show
changes when the dyes are bound to
nucleic acids. This fact is of im-
portance if the measured absorption at
some particular wave length is to be
used to measure the amount of dye pres-
ent in a cellular structure. It may
also provide information as to the
structure of the nucleic acids them-
selves. Such spectral shifts have been
studied by Michaelis and Granick
(Michaelis, L., J. Phys. and Colloid
Chem. 1950, 54, 1-17), who found that
basic dyes bound to nucleic acids almost
invariably show a shift in their absorp-
tion maxima towards the longer wave
lengths. Binding to nucleic acid was
also found to inhibit the development
of metachromasia shown by such dyes
as thionin and toluidin blue either in
concentrated solutions or when bound
to other strongly acid substrates such
as the acid mucopolysaccharides.
Under conditions of excess nucleic acid
with regard to the dye, the bound dye
was shown to follow the Beer-Lambert
Law. Under conditions of high dye
concentration with regard to nucleic
acid, such as obtain in the usual stain-
ing reactions, it has not been shown
that the bound dye follows Beer's law.
Nucleocytoplasmic Ratio. A histological
method for computing this ratio is fully
described by Cowdry, E. V.and Paletta,
F. X., J. Nat. Cancer Inst., 1941, 1,
745-759 ; but there are many such tech-
niques. A chemical method has been
used to advantage by Dawbarn, M. C,
Australian J. Exp. Biol. & Med. Sci.,
1932, 9, 213-226. Her ratio is obtained
NUCLEOLINUS
241
NUCLEONUCLEOLAR RATIO
by dividing the nucleic acid nitrogen
by the total coagulable nitrogen less
nucleic acid nitrogen.
Nucleolinus is a term introduced by Haeckel
to indicate a deeply staining granule
within a nucleolus. For details see
Champy, C.and Carleton, H.M., Quart.
J. Micr. Sci., 1921, 65, 589-610.
Nucleolus (L. dim. of nucleus) is a body
within a nucleus. There are at least
three sorts.
1. Plasmosomes. These can be de-
fined as roughly spherical bodies, which
can easily be seen in the nuclei of some
living cells without the aid of any stains,
which stain after appropriate fixation,
namely, with plasma or "acid" stains
like eosin, (hence the name) and which
do not directly contribute material
to the formation of chromosomes.
Plasmosomes are not to be confused
with cytoplasmic granules called plas-
mosomes by Arnold many years ago or
with plastosomes, a term given by
Meves to mitochondria and now fortu-
nately being discarded. They can be
referred to as acidophilic or oxyphilic
nucleoli, but sometimes they are tinged
quite strongly with basic dyes. They
are of dense consistency, easily^ shifted
by centrifugal action and are in some
cases more resistant to the digestive
action of pepsin and hydrochloric acid
than karyosomes.
2. Karyosomes, are by contrast in-
tensely basophilic and do contribute
material to the making of chromosomes
during mitosis. But they are resistant
to peptic hydrochloric acid digestion.
Wilson (E. B., Heredity, New York:
Macmillan 1925, p. 93) recognizes 3
types, net-knots, chromosome-nucleoli
andkaryospheres. There is doubt about
the existence in vivo of the net-knots in
the same shape, size and position as
observed in stained sections.
3. Amphinucleoli (G. amphi on both
sides) are nucleoli consisting of both
plasmosome and karyosome material.
Often the acidophilic substance acts as
a kind of core and the basophilic sub-
stance is close to it or appears to be
plastered on its surface. The latter may
not occur in the same form in the living
nucleus.
The fixation which shows, when the
sections are stained, the highest degree
of nucleolar detail is not necessarily
the best (see remarks about Nuclei,).
The Linin network, net-knots and
basophilic material marginated on plas-
mosomes may result in part from the
coagulating action of the fixative on
material originally distributed diffusely
in the nucleoplasm. Nucleoli which
look bubbly, or are surrounded by halos,
are to be regarded with suspicion.
Fixation in Acetic-Gsmic-Bichromate
and in other fluids containing osmic
acid is indicated but they penetrate
poorly. Staining by almost any tech-
nique which gives a good color contrast
between acidophilic and basophilic
materials is satisfactory. The classical
stain is with safranin and light green.
Eosin and methylene blue, hematoxylin
and eosin are recommended, likewise all
methods advised for Nuclear Inclusions
caused by viruses.
Usually no difficulty is experienced
in the identification of nucleoli. How-
ever with the plasmosomes there may
be some question. In the first place
nuclear inclusions type B (Cowdry
E. v.. Arch. Path., 1934, 18, 527-542)
look something like plasmosomes. For
example, the nuclear inclusions in Borna
disease are acidophilic and may be of
the same size as plasmosomes ; but, they
like others of type B are strongly
acidophilic, are seldom tinged with
basic stains and are generally surrounded
by halos of unstained nucleoplasm.
Moreover they are not present in normal
animals.
Secondly cells are sometimes encoun-
tered in which there is an increase in
acidophilic nuclear material often ac-
companied by nuclear hypertrophy.
The material may occur in the form
of dense spherules or of masses which
are bluntly angular and without halos.
Colored illustrations of liver cell nuclei
are given by Cowdry, E. V. and Kitchen,
S. F., Am. J. Hyg., 1930, 11, 227-299,
figs. 43 and 44. These bodies may be
true nucleoli which have undergone
hypertrophy or they may be simply
accumulations in the nuclei of aci-
dophilic material. The only sure way
to tell would be to ascertain whether
they comport themselves like true
plasmosomes during mitosis but the
cells involved have not been seen in
division. In other conditions (^lioma-
tous tumors, etc.) cells are found whose
nuclei are enlarged and possess roughly
spherical, vacuole-like masses of granu-
lar acidophilic material. The granules
have the appearance of coagula produced
by the fixative in a rather thin fluid
medium. There is no halo. Such
bodies are probably not altered plas-
mosomes. Their density is much less.
Differential staining. Nucleoli are
colored brown after fixation in equal
parts of 1% aq. chromic acid and 10%
formalin and staining of chromosomes
by Feulgen Reaction (Bhaduri, P. N.,
J. Roy. Micr. Sci., 1938, 58, 120-124).
Nucleonucleolar Ratio recommended as an
aid in the grading of malignancy with
NUCLEOTIDES
242
ONCOCYTES
review of the literature (Mendes Fer-
reira, H. E., J. Lab. & Clin. Med., 1940-
41, 26, 1612-1628).
Nucleotides, see Diphosphopyridine Nucleo-
tide and Pentose Nucleotides.
Nutriles, growth promoting (Williams, R.
J., Biol. Rev., 1941, 16, 49-80).
Oil Blue NA (Calco) a stain which colors
rubber bright blue in various plant
species (Whittenberger, R. T., Stain
Techn., 1944, 19, 93-102). This dye is
also a good stain for fat in animal cells
(Lillie, R. D., Stain Techn., 1945, 20,
7-9).
Oil Immersion, see Immersion Oils.
Oil Red IV, see Sudan IV.
Oil Red AS, O, B or 3B, see Sudan III.
Oil Red O (CI, 73).— fast oil orange II, fat
ponceau, oil scarlet, orange RR, red B,
Sudan II — an acid mono-azo dye sug-
gested as fat stain by French, R. W.,
Stain Techn., 1926, 1, 79. Proescher's
(F., Stain Techn., 1927, 2, 60-61) oil red
pyridine stain for fat is to immerse
frozen sections of formalin, Muller-
formalin (see Muller's fluid) and 5 cc.
10% formalin in 100 cc. sat. aq. picric
acid fixed tissues in 50% aq. pyridine,
3-5 min. Stain 3-5 min in 3-5 gms. oil
red O dissolved in 100 cc. 70% aq.
pyridine C.P. Differentiate in 50%
pyridine several minutes and counter-
stain for 2-3 min. in Delafield's Hema-
toxylin. Mount in levulose syrup. For
central nervous system differentiate
30 min. in pyridine and use 16 cc. Dela-
field's + 2 cc. glacial acetic acid. Ac-
cording to Proescher, oil red O stains
fats and lipids more intensely and
quickly than Sudan III or IV.
Oil Scarlet, see Oil Red O.
Oil Soluble Dyes. List with physical prop-
erties of each and use as fat stains.
Very comprehensive (Lillie, R. D., J.
Tech. Methods, 1944, 24, 37-45).
Oil Vermillion, see Sudan R.
Okajima's "omnichrom" stain (Ito, T.,
Folia Anat. Jap., 1937, 15, 357-359).
O'Leary's Brazilin Method — Revised by
James L. O'Leary, Dept. of Neuro-
psychiatry, Washington University, St.
Louis, May 8, 1950 — For myelin sheaths.
Run paraffin, or celloidin sections of
properly fixed and mordanted (Muller's
Fluid) tissue to water. After rinsing
transfer to 3% aq. potassium bichro-
mate or in Muller's fluid, 12-24 hrs.
Stain in: 10% Grubler's Brazilin in
abs. ale. (1-6 months old), 10 cc; aq.
dest., 100 cc; acetic acid, glacial, 5
drops. Wash in aq. dest. Differ-
entiate in 0.25% aq. potassium per-
manganate 1-5 min. Remove potassium
permanganate with Weil's solution
(oxalic acid, 2.5 gm.; sodium bisulphite,
2.5 gm.; aq. dest. 1,000 cc.) Sections
should show gray matter light pink,
white matter brilliant red. Cell bodies
stain in addition to mj^elinated fibers.
If differentiation not complete after
first immersion in potassium perman-
ganate followed by oxalic acid-bisul-
phite mixture, repeat the procedure.
Wash, dehydrate and mount. See
Golgi-Cox Method and Golgi Method,
Quick.
Oligodendroglia. Method for impregna-
tion with silver in pyroxylin (celloidin)
sections (Weil, H. and Davenport, H.
A., Trans. Chicago Path. Soc, 1933, 14,
95-96). This resembles their Microglia
method. Wash sections in aq. dest.
and transfer to aq. dest. containing 1
drop cone, ammonia per 10 cc. Treat
for 15-20 sec. with silver solution made
up as for microglia except that 15%
aq. silver nitrate is used and the end
point of the titration is reached when
about 12 cc. of it have been added to the
2 cc. cone, ammonia. Transfer to 10%
formalin and allow section to drop to
bottom without moving dish. After
the pyroxylin has become deeply stained
and the tissue begins to take a brown
color, move it with glass rods until it is
stained coffee-brown. Use fresh forma-
lin for each section. Pass section
through 3 changes aq. dest. Dehydrate
in alcohol, clear in xylol and mount in
balsam.
Olive Oil, reactions in tissue to fat stains
after various fixations (Black, C. E.,
J. Lab. & Clin. Med., 1937-38, 23,
1027-1036).
Oliver, see Kidney.
Omentum, spreads of (McCIung, p. 336).
Transplants of spleen into (Holyoke,E.
H., Am. J. Anat., 1940, 66, 87-132.
Oncocytes (G. onkos, tumor, swelling -f-
kytos, cell). These cells are recogniz-
able in ordinary hematoxylin and eosin
preparations by their (1) large size, (2)
usually single centrally placed picnotic
nuclei and (3) the large volume of finely
granular eosin staining cytoplasm in
proportion to nuclear volume. They
are most frequently encountered in the
parotid and submaxillary glands but
they have been reported in many other
epithelia including those of the thyroid,
parathyroid, pituitary, pancreas, liver,
stomach, Fallopian tube, uvula, nose,
pharynx, trachea and esophagus.
Nohteri, H. (Acta Path, et Micr. Scand.,
1946, 23, 473-483) found them only in
individuals over 52 years of age. Ham-
perl, H. (Virchow's Arch., 1937, 298,
327-375) reported that they are very
rarely seen under 50. An excellent
cytological account of oncocytes in the
salivary glands of a large series of
animals of known age is provided by
OPDYKE
243
ORGAN CULTURE IN VITRO
Andrew, W. (J. Gerontol., 1949, 4, 95-
103).
Opdyke, see Keratohyalin Granules, Sepa-
ration and Analysis.
Opsonocytophagic Index, method for rapid
staining of blood smears in (Bondi, A.
Jr., J. Lab. & Clin. Med., 1941, 26, 1811).
Derivation of index number in (Foshay,
L., LeBlanc, T. J., J. Lab. & Clin. Med.,
1936-37, 22, 1297-1300).
Opal Blue (CI, 689)— Aniline Blue, alcohol
soluble, Bleu Lumiere, Gentiana Blue
6B, Spirit Blue— a basic dye of light
fastness 3, to be employed in contrast
staining with Biebrich Scarlet, Crocein
Scarlet and other dyes (Emig, p. 50)_.
Optic Lens, methods of microincineration
and histospectrography as applied to
cataracts of various sorts and normal
lenses with special attention to copper,
zinc and iron (Busnel, R. G., Pillet, P.
and Tille, H., Bull. d'Hist. AppL, 1938,
15, 99-109).
Oral Mucosa. Smear method for study of
keratinization (Weinmann, J., J. Dent.
Res., 1940, 19, 57-71). With end of
agate spatula gently scrape area about
1.5 sq. cm. Smear on slide, dry in air
and stain for 30 sec. in : sat. ale. gentian
violet (or better crystal violet) 10 cc. +
5% aq. phenol, 90 cc. Lugol's Iodine,
30 sec. Wash in water until no more
color is extracted. Counterstain for
2 min. in sat. safranin O in 95% alcohol,
10 cc. + aq. dest., 100 cc. Wash in
water 2-3 sec, dry and mount in balsam.
Orange I (CI, 150). Synonyms: naphthol
orange, tropaeolin G or 000 No. 1. An
acid mono-azo dye used as an Indicator.
Orange II (CI, 151). Synonyms: acid
orange II, Y or A, gold orange, mandarin
G, orange A, P, or R, orange extra,
tropaeolin 000 No. 2. An acid mono-
azo dye. Ebbinghaus, H., Centralbl.
f. allg. Path. u. Path. Anat., 1902, 13,
422-425 employed gold orange with
hematoxylin as a special stain for keratin.
Orange III, see Methyl Orange.
Orange A, P, or R, see Orange II.
Orange Extra, see Orange II.
Orange G (CI, 27). Synonym; wool orange
2G. Of slightly different grade ac-
cording to Conn (p. 47) are orange GG
and GMP. An acid mono-azo dj'e
widely used.
Orange MNO or MN, see Metanil Yellow.
Orange R (CI, 161), an acid monoazo dye of
light fastness 3-4 action of which on
plant and animal tissue is described
(Emig, p. 33).
Orange RR, see Oil Red O.
Orcein (CI, 1242) is a natural dye produced
from lecanora parella (a lichen) and
should not be confused with orcin pro-
duced from the same plant. It is now
prepared synthetically. Its precise for-
mula remains to be determined but it
is a most valuable stain for Elastic
Fibers. Mollier, G., Zeit. f. wis. mikr.,
1938, 55, 472-473 employed it with iron
hematoxylin, naphthol green B and
azocarmine G. Acetic-orcein is advo-
cated as a new stain-fixative for chromo-
somes (LaCour, L., Stain Techn., 1941
16, 169-174). An acid orcein Giemsa
is described for use in dermatology by
Pinkus, H., Arch. Dermat. and Syph.,
1944, 49, 35.5-356.
Orceille, a purple dye, derived from Lichens
growing on the rocks of the Near East
and Mediterranean areas, achieved
great favor among the ancients being
said by Theophrastus and Dioscorides
to even excel Tyrian Purple. A Floren-
tine dye trader, P^ederigo, promoted
this dye, built up a thriving business and
calling himself Orcelli, founded a large,
distinguished and prolific family (Leg-
gett, W. F., Ancient and Medieval
I)3^es. Brooklyn: Chemical Publishing
Co., Inc., 1944, 95 pp.).
Organ Culture in Vitro — Written by Honor
B. Fell, Strangeways Research Labora-
tory, Cambridge, England. June 8,
1951 — In most forms of tissue culture,
the investigator is not concerned with
the original tissue fragment but with
the cells which migrate from it and
multiply in the medium to form a zone
of new growth. The object of "organ
culture" is to grow tissue in a differen-
tiated state as an independent organ-
ism.
There are several variations of the
method, but in general the e.\plants
are grown on the surface of a fairly
large volume of culture medium with
an abundant air supply. Tissue ex-
tracts used in the preparation of the
medium are never made from young
embryos, as such extracts have been
shown to inhibit differentiation
(Gaillard, P. J., Hormones regulating
growth and differentiation in embryonic
explants. Act. Sci. et Industr., Paris:
Hermann et Cie, 1942). The tissue
fragments are transplanted at frequent
intervals, partly to restrict outgrowth
which disintegrates the histological
structure of the explants, and partly
because the compact mass of tissue soon
exhausts the food material in its im-
mediate neighborhood.
Although as j^et the method is prac-
ticed in a few laboratories only, many
different types of differentiated tissues
have successfully been grown (Fell,
H. B., J. Roy. Micr. Soc, 1940, 60, 95-
112; Chapter on "Histogenesis in Tissue
Culture" in Bourne, G. H., Cytology
and Cell Physiology, Oxford: Clarendon
Press, 1951). Brachet, A. (C. R. Acad.
ORGAN CULTURE IN VITRO
244
ORGAN CULTURE IN VITRO
Sci., 1912, 155, 1191), Thomson, G. D.
(Proc. Roy. Soc. Med., 1914, 7 and
Marcus Beck Lab. Reports, 21) , Chlopin,
N. (Arch. f. Mikr. Anat., 1922, 96,
435-493) and Maximow, A. (Contrib.
Embry. Carnegie Inst., 1925, 16, 49-
115), showed that small fragments of
chicken and mammalian embryos would
continue to develop when cultivated
in vitro. It has since been found that
isolated organ rudiments have a sur-
prising capacity for growth and differ-
entiation in culture. Thus the eye
rudiment of a 3-day check embryo forms
a retina of almost adult type during
cultivation (Strangeways, T. S. P., and
Fell, H. B., Proc. Roy. Soc, B, 1926,
100, 273-283); the rudiments of the
long-bones may increase to four times
their original length in 11 days, ossify
and even undergo considerable anatom-
ical development (Fell, H. B., and Robi-
son, R., Biochem. J., 1929, 23, 767-784,
and Fell, unpublished results) ; the early
stages of joint-formation take place
in vitro (Fell, H. B. and Canti, R.,
Proc. Roy. Soc, B, 1934, 116, 316-351);
the thyroid rudiment forms vesicles
and secretion (Carpenter, E., J. Exper.
Zool., 1942, 89, 407-431); embryonic
ovaries produce sex cords and ova
(Martinovitch, P. N., Proc. Roy. Soc,
B, 1938, 125, 232-249, Ibid, 1939, 128,
138-143; Gaillard, P. J., Proc. Roy.
Neth. Acad, of Sci., 1950, 53). Some
organs which are already largely or
completely differentiated when ex-
planted, can be maintained in a healthy
state for various periods in vitro, e.g.
the prostate gland of infant rats (Price,
D., Ann. Rep. Strangeways Res. Lab.,
1949, 13) and mice (Lasnitzki, Z., Brit.
J. Cancer, in press), late foetal mouse
bones (Fell, H. B. and Mellanby, E.,
Brit. Med. J., 1950, 2, 535-539), rabbit
lymph glands (Trowell, A. O., Exp.
Cell Research, in press), parathyroid
(Kooreman, P. J., and Gaillard, P. J.,
Arch. Chir. Nederl., 1950, 2, 326),
pituitary (Martinovitch, P. N., Nature,
1950, 165, 33-34).
It is possible to practice organ culture
under very simple conditions. The
writer works on an open bench in a
small, clean culture room with a sealed
window and no outside ventilation;
the door of the culture room which
opens into a larger laboratory, is left
open. A separate culture room, though
an advantage, is not necessary, how-
ever. No mask or cap is worn. The
culture bench is covered with a large
sheet of plate glass; a beaker of distilled
water is kept boiling on a tripod beside
the operator and instruments, pipettes,
etc. are frequently rinsed in it. Direct
sunlight is excluded by a green, trans-
lucent plastic curtain which makes a
very pleasant diffused light. Under
these conditions the writer often works
for weeks without losing a single ex-
plant from contamination. If occa-
sional colonies should appear, the
culture room is thoroughly steamed by
boiling a bucket of water over a gas
ring for some hours and the walls,
ceiling, floor and benches are then
wiped with a cloth impregnated with
lysol. This procedure usually abolishes
any airborne infection.
It may well be that in a city, or in
a hot dusty atmosphere, much more
stringent precautions may be necessary
than these simple arrangements, but
it is advisable to try the simple organ-
isation first and only elaborate when
strictly necessary.
1. Preparation of tissue. In experi-
ments with early organ rudiments, the
most difficult and also the most im-
portant part of the technique is to
dissect and handle the delicate tissues
without damaging the cells. For this
it is essential to prepare adequately
fine instruments. The writer uses a
narrow Graefe's cataract knife and an
ordinary sewing needle broken in half
and mounted in a thin glass rod.
A No. 1 knife is best but it is much
too thick and coarse as it comes from
the makers, and for the dissection of
early embryos it must be ground to a
suitable shape by the worker himself.
It is first rubbed on a fairly coarse car-
borundum stone to render the distal
third of the blade as thin and flexible
as possible, and is then smoothed and
shaped on an Arkansas stone. Through-
out the sharpening process the knife is
repeatedly examined under a dissect-
ing binocular microscope and when
finished, the end third of the blade
should be narrow, very flexible and have
a perfect point; the flexibility should
be carefully graded or the end will snap.
In the writer's experience beginners
have great difficulty in learning to pre-
pare knives properly.
The needle is mounted by melting
the tip of a glass rod and pushing the
broken end of the needle into it. The
needle should not be stuck too far into
the rod or the glass may crack during
sterilisation. To sharpen the point,
the needle is rotated with the finger and
thumb and, at the same time it is rubbed
on the end of an Arkansas stone. It
should be remembered that where
needles are sharpened the stone is
spoilt for knives.
When the knives and needles are
ready, they are carefully wiped with
ORGAN CULTURE IN VITRO
245
ORGAN CULTURE IN VITRO
a clean duster, then rinsed in two
changes of fresh absolute alcohol and
thoroughly dried on a glass cloth. It
is convenient to sterilize a knife and
a needle together in a single tube. A
very firm, deep wad of cotton wool is
ranimed into the bottom of a test tube,
the instruments are slid gently into the
tube which is corked with a cotton wool
bung and sterilized by dry heat. It
is advisable to sterilize the knives and
needles point downwards, otherwise
moisture may condense on the steel
and corrode it.
After use, the instruments should be
very carefully wiped to avoid rusting
and re-sharpened before being sterilized
again. When once the knives have
been properly ground, it takes only a
few minutes to clean and sharpen them
on the Arkansas stone.
The explants are prepared under a
dissecting binocular, the stage of which
is fitted with a small glass shade to pre-
vent airborne contamination during
the manipulation. It is important to
select the right magnification and it is
often convenient to make the gross dis-
section (e.g. the removal of a limb or
eye from the body) under a low power
which provides ample depth of focus,
and to complete the process under a
higher magnification. The writer uses
transillumination for the dissection
which is done in a large hollow ground
slide containing Tyrode; the tissue
should not be left in Tyrode for longer
than is absolutely necessary.
It is important to remove from the
rudiments as much of the epidermis
as possible, otherwise the epithelium
envelopes the explant, keratinizes and
the imprisoned cells degenerate. To
detach the epidermis the very thin,
sharp knife blade is slid beneath it and
the tissue is then cut by gently stroking
the edge of the knife with the point of
the needle. It is essential to reduce
trauma to a minimum, or the explants
will not prosper during subsequent
cultivation.
There is an optimum size of explant.
If it is very minute it may not thrive
in vitro, though sometimes this difficulty
may be overcome by placing it in con-
tact with some other tissue (Borghese,
E., J. Anat., 1950, 84, 303). If the
explant is too large the interior be-
comes necrotic. There may also be
an optimum stage of development at
which a given tissue should be ex-
planted. If taken too early it may not
differentiate in complete isolation,
while if removed from the embryo a
few hours later it may attain an almost
adult structure. On the other hand,
if explanted when differentiation is
already well advanced, the tissue may
be unable to adapt itself to life in vitro
and either degenerate or lose its charac-
teristic structure.
2. Watch-glass method. In the
Strangeways Research Laboratory a
simple form of moist chamber is em-
ployed for organ culture (Fell, H. B.
and Robison, R., Biochem. J., 1929,
23, 767-784). It consists of a Petri
dish 80 mm. in diameter and 10 mm.
deep, carpeted with a thin layer of ab-
sorbent cotton wool in the center of
which a round hole is cut. A watch-
glass 40 mm. in diameter is laid over the
hole and the dish is sterilized by dry
heat. Ten cubic centimeters of sterile
aq. dest. is pipetted into the Petri
dish. It is not essential to use exactly
the size of watch-glass and Petri dish
mentioned; but it is important that the
diameter of the Petri dish should be
fairly large relative to that of the watch-
glass for otherwise the culture medium
will tend to dry.
The culture medium is dropped into
the watch-glass with a pipette; the
first drop is always deposited on the
cotton wool as this is found to reduce
the risk of infection. The type of
medium depends on the tissue to be
cultivated. Many avian and mam-
malian rudiments grow well in a mixture
of fowl plasma and the extract of an old
(12-14 day) chick embryo. Bone rudi-
ments grow very well in a mixture of
3 pts. of plasma: 1 pt. of concentrated
extract of a 14-day chick embryo made
with Tyrode containing 1% glucose,
so that the final medium contains 0.25%
glucose. It is important to see that
the tissue has a suitable depth of me-
dium beneath it, as large explants soon
exhaust and partly liquefy the clot in
their neighborhood. For chick bone
rudiments of about 1.25 mm. in length
the writer uses 12 drops of medium,
but by the time they have attained a
length of about 5 mm. she adds 20 drops
to each watch-glass. Organ cultures
are often more fastidious about their
culture medium than unorganised tis-
sues. It is therefore advisable to use
freshly made embrj-o extract and
plasma which are not more than a week
old. Antibiotics are unnecessary.
For many mammalian tissues an ad-
mixture of homologous plasma is desir-
able. Martinovitch, P. N. (Nature, 1950,
165, 33-34) grows the anterior pituitary
of young rats in a mixture of 6 drops of
heparinized rat plasma, 3 drops of
chicken plasma and 3 drops of concen-
trated chick embryo extract.
When the organ rudiments are ready
ORGAN CULTURE IN VITRO
246
ORGAN CULTURE IN VITRO
for explantation, the writer washes
them in fresh Tyrode which is then
removed and replaced by embryo ex-
tract of about half the concentration
of that used for the culture medium
and lacking the extra glucose. They
are sucked into a pipette and deposited
on the surface of the clot in the watch-
glass. The Petri dish is then placed
under the shade on the dissecting
binocular microscope, the lid removed
and the surplus extract carefully sucked
off with an extremely fine pipette, care
being taken not to damage the clot.
Organ cultures do not grow well under
a fluid phase, but they quickly become
surrounded by a shallow pool of fluid
exuded from the clot.
The Petri dishes are not sealed, but
under the conditions described, the
medium does not dry. If the dishes
are laid directly on the incubator shelf,
drops of moisture form on the inner
surface of the lid, but this can easily
be prevented by placing the vessels on
planks of wood which are left perma-
nently in the incubator. Should drops
form in spite of this precaution, it is
probable that the temperature of the
incubator is fluctuating unduly.
Many tissues grow and develop well
at normal body temperature, but others
do better if the temperature is lowered
to 34°C. Martinovitch has kept rat
and mouse ovarian explants and rat
pituitaries in a healthy differentiated
state for several weeks at 34°C.
The writer transfers explants to fresh
medium three, or in the case of large,
rapidly growing avian rudiments, four
times a week. To make the fourth
transplantation, she prepares a double
set of watch-glasses on the Friday of
each week; one set is employed the same
day and the other placed in the refriger-
ator for use on the Saturday when
the explants are again subcultivated.
They are then left undisturbed until
the Monday. This routine gives excel-
lent results for cultures of avian long
bone rudiments.
During incubation, some types of
explant become firmly anchored to the
clot by migrating cells. To detach the
tissue without damage, the clot is
pulled away on one side so as to rupture
the zone of outgrowth; the explant is
then loosened from the underlying
clot with the knife and needle, after
which the zone of growth on the other
side is ruptured, so that the explant
now lies freely in the pool of exuded
fluid. It is advisable not to rupture
both sides of the zone of growth before
detaching the explant from the clot;
none of the old clot should be left at-
tached to the tissue. The explant is
sucked into a pipette containing a little
Tyrode and deposited in a hollow-
ground slide in a Petri dish. The
Tyrode is replaced by the more dilute
extract mentioned above and the tissue
is placed on a fresh clot in the manner
already described.
3. Gaillard's method. Professor P. J.
Gaillard (personal communication) uses
a rather different technique which has
given excellent results in the cultiva-
tion of the parathyroid from human
infants and of the human fetal ovary.
The explants are cultivated in em-
bryological watch glasses sealed with
a small glass plate. They are grown
on a very soft clot composed of a mix-
ture of (a) 5-15% adult human blood
plasma containing 0.5 cc. of a 0.1%
solution of heparin for 10 cc. of blood,
(b) 10% placental vein serum, (c)
65-75% of Gey's balanced saline solu-
tion, (d) human fetal brain press juice.
To make the brain press juice, frag-
ments of fetal brain are placed in a
Petri dish at 4°C. for 24 hrs. which
facilitates the separation of the tissue
fluid; the tissue is then minced with a
tissue press, an equal quantity of Gey's
saline solution is added and the mix-
ture is centrifuged for 15 min. at 6,000-
8,000 r.p.m. The supernatant fluid is
decanted into Pyrex glass tubes and
stored at — 20°C. The explants are
transferred to fresh medium twice a
week.
Parathyroid explants completely
liquefy the clot in 3 days. During the
first few days in vitro the peripheral
zone degenerates and is washed away
during transplantation, leaving a
healthy ball of tissue which enlarges
during subsequent cultivation and may
survive for as long as 60 days. The
central part of the ovarian cultures
degenerates, but the necrotic matter
is later resorbed and replaced by
healthy tissue growing in from the
periphery.
4. Other methods. Recently Trowell
has devised a modification of the watch-
glass method which can be used for
metabolic studies and which enables
organized tissue to be grown in a fluid
medium in any type of gaseous at-
mosphere required. He has success-
fully grown rabbit lymph glands by
this technique which should be ap-
plicable to many physiological prob-
lems.
Some rudiments develop well in
tubes (Strangeways, T. S. P. and Fell,
H. B., Proc. Roy. Soc, B, 1926, 100,
273-283). The medium is placed in a
small test tube (2" x ^") and allowed to
ORGANOIDS
247
OSMIC ACID
clot. The explant is deposited on the
surface of the clot and the tube is
corked and incubated in a vertical
position. At 2-3 day intervals the
explant is removed from the clot with
a pipette, washed and re-planted in a
fresh tube.
Although large explants thrive best
in some form of watch-glass culture,
ver}' small rudiments may do better
in large hanging drop preparations
(li inch square coverslips on 3 x I5
inch hollow ground slides) (Jacobson
W. and Fell, H. B., Quart. J. Micr.
Sci., 1941, 82, 563-586; Borghese, E.,
J. Anat., 1950, 84, 287-302). When the
tissue is transplanted most of the zone
of outgrowth is cut away and the ex-
plant is preserved intact.
Application of Organ Culture: The
cultivation of organized tissue has an
almost unlimited number of possible
applications. So far it has been used
mainly by embryologists for investiga-
tions in developmental mechanics,
because explants of embryonic tissue
are so readily accessible to manipula-
tion and observation. An important
and almost unexploited field, however,
is the study of tissue metabolism by
this method. Much work has been
done on the growth requirements and
ph3^siology of unorganised tissue cul-
tures, but very little on the metabolism
of the many types of differentiated
tissue which can be grown in vitro and
which might provide information which
would be impossible to obtain from the
intact animal or from short-lived tissue
slices.
It will be seen from the foregoing
description of technique that the neces-
sary procedure and equipment for this
kind of tissue culture are not elaborate.
All that is needed for success is skill
in fine dissection and a sound knowledge
of histology and embryology.
Organoids (G. organon, organ -+- cidos,
appearance). The term organoid is
not a happy one. It is used to denote
the organ-like appearance of some
structure that the user fails accurately
to describe as in the case of some
tumors. Also, certain bodies, such as
the mitochondria, are occasionally
listed as organoids, or organelles, con-
veying an unwarranted impression of
similarity to the complex organs of
the body.
Origanum Oil. With it tissues can be
cleared from 95% alcohol, but care must
be taken to obtain a pure product.
The kind required consists of carvacrol
and cymene terpenes. Ordinary
origanum oil is oil of thyme.
Orseillin BB (CI, 284). A little used acid
dis-azo dye. See Cohen, I., and Doak,
K. D., Stain Techn., 1935, 10, 25-32.
For staining fungi (Alcorn, G. D. and
Yeager, C. C, Stain Techn., 1937, 12,
157-158).
Orthochromatic Erythroblasts, see Ery-
throcytes, developmental series.
Orth's Fluid. Potassium bichromate, 2.5
gm.; aq. dest., 100 cc, formalin, 10 cc.
The 1 gm. sodium sulphate originally
advised by Orth i.s omitted as useless.
Since the fluid does not keep it should
be made up immediately before use.
Regaud's fluid, the best fixative for
mitochondria, is the same except that
the amount of formalin is increased
See Lithium Carmine (Orth).
Osage Orange Pigments as brilliant mordant
dyes for wool and silk. Wolfsom,
M. L., Harris, W. D., Johnson, G. F.,
Mahan, J. E., Moffett, S. M. and Wild!,
B., J. Am. Chem. Soc, 1940, 68, 406-
418. Should be tried on animal tissues.
Osmic Acid. This is the tetroxide of
osmium and has no acid properties.
It comes in sealed glass tubes usually
each containing 1 gm. To make the 2%
aq. sol.of osmic acid generally employed,
wash the label off the tube with soap
and water. After washing repeatedly
in aq. dest. rinse in absolute alcohol and
dry. Carefully clean the inside of a
glass stoppered bottle and of a graduate
in the same way. With clean forceps put
the tube in the bottle. If it is not easily
broken by vigorous shaking it will be
necessary to take it out, file one side,
break and return to the bottle. Finally
add 50 cc. of aq. dest, measured in the
graduate. The osmic acid slowly dis-
solves forming a clear light yellow solu-
tion. Do not hasten solution by heat.
Keep in dark or subdued light. To use
a bottle made of colored glass or the out-
side of which has been blackened is a
bad practice because it hides the con-
dition of the solution from the person
using it. If there is a blackening of the
solution its potency is probably reduced.
An indicator of concentration, dis-
covered by Tschngaeff, lias been im-
proved by Palmer (R., J. Roy. Micr.
Soc, 1930,50, 221-226).
The fumes of osmic acid are very in-
jurious to the eyes. They are a good fixa-
tive for well separated cells as in smears.
They blacken the chromaffin cells of the
adrenal charged with epinephrine or its
precursor (Cramer, W., Fever, Heat
Regulation, Climate and Thyroid-
Adrenal Apparatus. London: Long-
mans, Green & Co., 1928, 153 pp.)
Alone, a solution of osmic acid is a fair
fixative for mitochondria and by pro-
longed action may reveal the Golgi
apparatus. See critique by Owens and
OSMIC ACID METHOD
248
OVARY
Bensley (H. S. and R. R., Am. J. Anat..
1929, 44, 79-109). But osmic acid
penetrates very badly indeed and is best
employed in mixtures with other chem-
icals as in the fixatives of Altmann,
Mann, Bensley, Flemming and others.
Its chief value is that it blackens many
but not all fatty droplets. However it
also blackens some materials which are
not fatty. Osmic acid plays an impor-
tant part in the Marchi method for
nerve fiber degeneration.
Osmic Acid Method for fat. When reduced
to osmium dioxide in the presence of
some fats it blackens them as may be
seen by the examination of tissues fixed
in fluids containing osmic acid (Alt-
mann's, Flemming's etc.) but unless
rigidly controlled other substances may
be blackened as well or not all of the fats
may be shown. See remarks by Owens,
H. B. and Bensley, R. R., Anat. Rec,
1929, 44, 79-109. It is best to proceed
as advised by Mallory (p. 119). Place
frozen sections of tissue fixed in 10%
formalin for 24 hrs. in aq. dest. 1% osmic
acid 24 hrs. (or Flemming's or Marchi 's
solution). Wash thoroughly in running
water 6-12 hrs. Abs. ale. for several
hours in order to get secondary stain-
ing of palmitic and stearic compounds as
well as of oleic. Wash in water and
mount in glycerin jelly (glycerin alone
will do). Fat is black against a yellow-
ish brown background. Non-fatty sub-
stances like tannic acid and eleidin of
epidermis are also blackened.
For nerve fibers (Dr. J. L. O'Leary,
personal communication). Use fresh or
10% formalin fixed material. Tie a
stretch of freshly isolated nerve to short
length of glass rod and immerse in 2%
aq. osmic acid. Leave for 24 hrs. Wash
4-6 hrs. in running water. Dehydrate
in ascending alcohols and doubly imbed
by the Peterfi method as follows : Pour
1% celloidin in methyl benzoate (which
takes about 1 month to dissolve) into a
dish. Add absolute alcohol and the tis-
sue. The latter gradually sinks into the
celloidin. Transfer to 2-3% celloidin
in methyl benzoate. Leave 2-4 days.
Drop tissue directly into benzol. After
a few hours in benzol begin infiltration
in paraffin at 40°C. This takes 12-24
hrs. Change paraffin several times and
imbed.
Ossicles, see Ear.
Ossification. Demonstration of in embryos
and fetuses up to 18 weeks by staining
with alizarin red S (Richmond, G. W.
and Bennett, L., Stain Techn., 1938,
13, 77-79). Eviscerate. Fix in 95%
alcohol 2 weeks or more. Rinse in tap
water and put in 1% aq. KjCOj for
month or longer. Clear soft parts and
make bones clearly visible by placing in
1% aq. KOH for 10 days or more. (Spec-
imens fixed in formalin instead of alco-
hol require about 1 month in 10% KOH)
If tissues become too soft harden in
equal parts glycerin, 95% alcohol and
water 12-24 hrs. and continue KOH if
necessary. In last few days reduce
KOH to 0.5%. Wash in running tap
water 12 hrs. Immerse in 0.1% aq.
alizarin red S to which few drops 1%
aq. KOH has been added for 30-60 min.
Wash for 30 min. in running tap water.
Remove deep purple color from soft
parts by immersing in 20% aq. glycerin
containing 1% KOH. For small speci-
mens reduce KOH to 0.5%. This de-
colorization may require 1-2 weeks be-
fore ossified skeleton remains deep red
in transparent background. Dehydrate
by passing slowly through 95% ale,
glycerin and aq. dest. in following pro-
portions 10 : 20 : 70—20 : 20 : 60—30 : 30 : 40—
40:40:20—50:50:0. Seal in specimen
jar in the final mixture of alcohol and
glycerin.
A rather similar technique leading up
to dehydration in absolute alcohol,
clearing in toluol and final storage in
anise oil saturated with naphthalene is
presented by Cumley, R. W., Crow, J.
F. and Griffen, A. B., Stain Techn.,
14, 7-11. This staining of ossification
centers with alizarin red can be com-
bined with the coloration of the carti-
laginous skeleton with toluidin blue to
make quite brilliant specimens (Wil-
liams, T. W., Stain Techn., 1941, 16, 23-
25).
Ossification, intense glycogenesis during
(Gendre, H., Bull. d'Hist. AppL, 193S,
15, 165-178).
Otoliths, technique for (Johnston, M., J.
Roy. Micr. Soc, 1938, 58, 112-119).
Ova, concentration of parasitic ova in Feces.
Ovalocytosis, see Pencil Red Cells.
Ovary. For routine purposes fixation in
Zenker's Fluid and coloration by Mal-
lory's Connective Tissue stain or by
Masson's Trichrome technique is in-
dicated. Follicular atresia can be beau-
tifully demonstrated by Vital Staining
with trypan blue or by other similar
dyes, see Evans, H. M. and Swezy, D.
R., Memoirs Univ. California, 1931,
9, 119-224. For_ the utilization of
Microdissection in determination of
the physical properties of the follicular
wall see Thanhoffer, L., Zeit. f. Anat.
u. Entw., 1933, 100, 559-562. The in-
teresting fluorescence studies on the
ovary by Policard, A., C. rend. Acad,
d. Sci., 1924, 179, 1287 are likely to be
extended now that the possibilities of
Fluorescence Microscopy are better
appreciated. Ragins, A. R. and Pop-
OWEN'S BLUE
249
OX ID ATION -REDUCTION
POTENTIAL
per, H., Arch. Path., 1942, 36, 647-662
nave indeed investigated variations in
ovarian fluorescence during cj^clical
changes.
Owen's Blue (British Drug Houses Ltd.), a
dis-azo dye similar in composition to
Manchester blue. Used best in alco-
holic solution (H. G. Cannan, J. Roy.
Micr.Soc, 1941,61,88-94).
Oxalate Solutions, see Anticoagulant Solu-
tions.
Oxazins. Dyes resembling the thiazins but
in which sulphur atom is replaced by
oxygen. Examples: brilliant cresyl
blue, celestin blue B, cresyl violet, gal-
lamin blue, gallocyanin, Nile blue sul-
phate, resorcin blue.
Oxidase. Unfortunately, as Lison (p. 263)
points out, histologists and biochemists
are not always agreed as to terms. The
latter include under the designation
"o.xidases" all enzymes capable of cata-
lysing a reaction of oxidation, for in-
stance the phenolases, purinoxidases,
succinoxidase, tyrosinase, etc.; whereas
what the former describe as "oxidases"
are in reality phenolases and thus only a
part of the whole group of oxidases.
The action of oxidase (or phenolase) in
the presence of Oj is the same as a per-
o.xidase in the presence of H2O2. But
the particular oxidases are more delicate
and easily modified in their action by
variations in temperature, pH and other
factors. The following methods are
from Lison, much abbreviated.
1. M. nadi oxidase reaction (Gratf)
= oxidase reaction, modification A (W.
H. Schultze) and stabile oxidase reac-
tion (V. Gierke). Make 2 solutions : A.
Boil 1 gm. anaphthol in 100 cc. aq. dest.
Add drop by drop 25% aq. potassium
hydroxide until melted a naphthol is
dissolved. Cool. Can be kept in dark
at least 1 month. B. Obtain good
sample dimethyl - p - phenylenediamine
furnished in sealed tubes. It blackens
quickly when secured in bulk. Graff
advised, as more stable, dimethyl-p-
phenylenediamine hydrochloride. Make
1% solution of either in aq. dest. Boil
and cool. Keeps 2-3 weeks in dark.
Immediately before using take equal
parts A and B, filter and employ filtrate.
Place frozen sections of formalin fixed
tissues or smears (after fixing for 2 hrs.
in formalin vapor or in formol, 10 cc.
+ 96% alcohol, 40 cc.) in above mixture
of A and B in a thin layer at the bottom
of a Petri dish. .\gitJite a little to per-
mit oxygenation of the fluid. Blue
granules quickly appear (1-5 min.).
Rinse in water and examine. To make
more permanent treat with Lugol's
iodine diluted one third, 2-3 min.,
which makes the blue granules brown.
Restore blue by washing in aq. dest.
-f few drops sat. aq. lithium carbonate.
Counterstain with hemalum or .safranin.
mount in glycerin. Schmorl advised
instead of Lugol's a cone. aq. sol. am-
monium molybdate.
2. G. nadi oxidase reaction (Graff)
= labile oxidase reaction (V. Gierke).
This more difficult method is for fresh
tissues. The nadi reagent is prepared
without addition of alkali. The re-
quired pH depends on the cells investi-
gated. For animal tissues Lison recom-
mends about 8.2, 8.1 and 7.8 and for
plants 3.4-5.9. Directions are given
by Grjiff (S., Die Mikromorphologischen
Methoden der Fermentforschung, Ab-
derhalden's Handb., 1936, 4 (1), 93-142).
3. Naphthol reaction of Loele. This
is not, in the opinion of Lison, strictly
speaking a microchemical reaction, but
it is as simple. Place small amount
a naphthol in a test tube. Add drop by
drop 10% aq. potassium hydroxide until
naphthol is completely dissolved. Add
200 cc. aq. dest. Solution may be used
after 24 hrs. It will last about 3 weeks.
Frozen sections of formalin fixed tissues
treated with this reagent show violet or
black granules, which quickly disappear.
Oxidation-Reduction Potential. Written
by Christopher Carruthers, Division
of Cancer Research, Washington Uni-
versity, St. Louis 10. May 12, 1950.
This very important measurement is
particularly well explained by Seifriz,
W., Protoplasm, New York: McGraw-
Hill Book Co., 1936, 584 pp. For a
comprehensive developmental treat-
ment of the subject see Clark, W. M.
and coworkers, Hygienic Laboratory
Bull., 1928, 151, 1-352.
Oxidation is the process in which a
substance loses electrons, and reduction
is the process in which a substance takes
on electrons. For example when ferric
chloride FeCU gains an electron it is
reduced to FeCU, or
Fe"''"'^ + electron — ► Fe'^
Because the ion, Fe"*^, can lose an elec-
tron it is a reducing agent or reductant,
and since Fe"'"++ can gain an electron it
is an oxidizing agent or oxidant. The
change is reversible
Fe-'-^ -t- electron :^ Fe++.
When an acid mixture of ferrous and
ferric chloride is placed in an electrode
vessel it will yield a potential— the oxi-
dation potential. This potential can
be measured by placing a noble metal,
such as a bright platinum wire in the
solution, and measuring the potential
against the normal calomel electrode
with a potentiometer. The intensity
of the oxidizing or reducing action of a
OXIDATION-REDUCTION
POTENTIAL
250
system is determined by its oxidation
potential. The potential produced is
determined by the ratio of ferrous to
ferric ions, and is given by the relation :
RT (Fe^) .
£a - E. - — In ^-p^^j .
Fe-^^ ^ (Reductant)
Fe*++ (Oxidant)
Eh is the observed difference in electro-
motive force between the electrode and
the normal hydrogen electrode; Eo is a
constant characteristic for the ferrous-
ferric system (the so-called normal po-
tential); R, T, and F have their cus-
tomary significances. The parentheses
represent concentrations of the two com-
ponents.
Certain groups of organic dyes are
likewise able to induce upon electrodes
reversible potentials. These organic
dyes can be used as indicators of oxida-
tion-reduction, and the following rela-
tion holds :
RT (Red)
^^ - ^o - -^ '° loir
If the reductant is identified as an ion,
or the oxidant as a cation, for two simple
cases there would be
Ox + electron ^::± Red" (1)
Ox+ + electron ;=± Red (2)
For equation (1), the relation would be
The active reductant of equation (1)
is the anion of an acid, and its concen-
tration depends not only upon the
amount of reductant, but also upon the
hydrogen ion concentration. The rela-
tion then becomes
at any constant pH (For development
see Cohen, B., Symposia Quant. Biol.,
1933, 1, 195-204).
The use and interpretation of indica-
tor dyes in biological systems is given
by Cohen, B., ibid, 214-223, and Cham-
bers, R., ibid, 205-213. Sources of error
are also indicated by Cohen, B., Cham-
bers, R. and Reznikoff, P., J. Gen.
Physiol., 1928, 11, 585-612. Most of the
following material is taken from the
above papers.
On a microscopic basis, the measure-
ments, like those of pH,are madejwith
indicators in which the cells are bathed
or which are injected with them. They
are applied in sequence and their reac-
tions observed. Methylene blue, for
instance, will be oxidized (retain color)
or be reduced (lose color) depending
OXIDATION-REDUCTION
POTENTIAL
upon the relative activity of the proces-
ses of oxidation and reduction.
Although it is difficult to accurately
measure the amount of indicator in-
jected into cells, it is imperative that
the quantity be small. Otherwise too
much indicator may be more than the
cell can reduce, or be greater than the
reducing intensity which the cell can
generate. The following indicators from
Cohen provide a useful range in potential
values :
Name of Oxidant E at pH 7.0
Phenol m-sulfonate indo-2,6 dibromo-
phenol 0.273
m-Bromophenol indophenol 0.248
o-Chlorophenol indophenol 0.233
Phenol blue chloride 0.227
Phenol indo-2, 6 dichlorophenol 0.217
o Cresol indophenol 0. 195
o Cresol indo-2, 6 dichlorophenol 0. 181
l-Naphthol-2-sulfonate indophenol o-sul-
fonate 0.135
l-Naphthol-2-8ulfonate indophenol 0.123
Toluylene blue chloride 0.115
Brilliant creayl blue chloride 0.047
Methylene blue chloride H-0.011
Ki indigo tetrasulfonate —0.046
Ethyl capri blue nitrate —0.072
Ki indigo trisulphonate —0.081
Ki indigo disulphonate ...—0.125
Cresyl violet —0.167
E'o represents the potential at any given
pH of a system in which the ratio of oxi-
dant to reductant is unity.
In order to get the indicator dyes into
single cells the microinjection technique
of Chambers is used. Chambers recom-
mends dilute aqueous solutions of the
basic dyes, i.e., 0.05% to 0.1%, and in-
jects successive small doses. Needhara,
J. and D. M., Proc. Roy. Soc. B, 1926,
99, 173-199; 383-397 used 1% solution
since weaker solutions of particular
dyes could not be seen under the micro-
scope when injected into cells.
The determinations are carried out
aerobically (cells maintained in a micro
drop in water-saturated air at atmos-
pheric pressure) andanaerobically (cells
held in an atmosphere of purified process
nitrogen saturated with water).
For example, under aerobiosis, if all
the indicators down to and including
methylene blue are reduced at pH 7.0
by cells of a particular type; and if
ethyl capri blue is only partially re-
duced (and the rest of the indicators not
reduced), the reducing intensity of the
aerobic cell is approximately —0.072
volts at pH 7.0. The same procedure is
followed for cells anaerobically.
To detect the presence of the indicator
after decolorization by the cell proto-
OXIDATION-REDUCTION
POTENTIAL
251
OXIDATION-REDUCTION
POTENTIAL
plasm, reoxidation of the reductent can
be accomplished by injecting dilute po-
tassium ferricyanide or of potassium
dichromate in the anaerobic state, or by
exposure to air in the anaerobic state.
The recovery of color on oxidation is a
necessary control demonstrating that
the indicator has been reversibly re-
duced and not reversibly destroyed.
It is also essential to bring the cell
interior into contact both with oxidant
and reductant of the indicator. This
is necessary to determine whether the
indicator, which would shift to the
potential of the electromotive system
present, is behaving in a truly rever-
sible manner.
The aqueous solutions of the acid
dyes, e.g. the various indophenols give
the most clear cut results. Upon in-
jection they rapidly diffuse throughout
the cell before being reduced. The
experimental evidence indicates that
the speed of reduction of the indicator
dyes decreases as the potential of the in-
dicator approaches that of the cell.
In the immersion method slices of
tissue are bathed in solutions of the in-
dicator dyes. Here it is not only neces-
sary to distinguish between penetrating
and nonpenetrating indicators but also
to watch for differences in the rapidity
with which cells and certain cell inclu-
sions are stained by the various in-
dicators. For example, indicators con-
taining the sulfonated radicals do not
readily penetrate cells, while the non-
sulfonated more or less rapidly pene-
Fildes, P., Brit. J. Exp. Path. 1929,
10, 151-175 measured the oxidation-
reduction potential of the subcutaneous
tissue fluid of the guinea pig, and also
its effect on infection. Guinea pigs
were inoculated with indicator dyes
(0.01%) in both the reduced and oxi-
dized states and he observed whether
change had occurred. The injections
were made superficially so that the im-
mediate effect could be seen through the
shaved skin. The oxidized form of
methylene blue remained a strong blue,
and the reduced d\'e assumed a distinct
blue color. This indicated that the sub-
cutaneous tissue mainta-ined an oxida-
tion-reduction potential on the positive
side of reduced methylene blue.
Then "indophenol 1" (naphthol-2 so-
dium sulphonate indo 2, 6 dibromo-
phenol) in both states was injected and
the animals examined. After 40 min-
utes the oxidized and reduced forms of
the dye were at about the same intensity
of blue. Therefore it was concluded
that the Eh*' of the subcutaneous tissue
was positive to that of reduced indo-
phenol 1. The rate of oxidation was
slower here than in the case of methy-
lene blue, because the difference in Eh
of the tissues and the reduction point
of the dye was less.
Ek'= Ei — 0.062 log
100 -o
(at 37 °C.)
where Eo' is a constant characteristic
of the particular system and a = %
reduction.
Finally the dye indicator, "indophe-
nol 2" (phenolindophenol 2, 6 dibromo-
phenol) was injected. The reduced
form of the dye remained colorless while
the oxidized form faded from 20 to 80
minutes. Addition of ferricyanide
failed to restore all the reduced dye, so
the results were complicated by decom-
position of the dye in the tissues. It
was concluded that the Eh of the tissue
fluids is positive to the zone of complete
reduction of indophenol 1.
The oxidation-reduction potential of
the ciliary body was determined (Frie-
denwald, J. S. and Stieher, R. D., Arch.
Ophth., 1938, 20, 761-786) by introduc-
ing indicator dyes into the stroma or
epithelium of ciliary body under aerobic
and anaerobic conditions. After equi-
librium had been reached, the degree
of bleaching was observed microscopi-
cally. Then an oxidizing agent was
added, such as ferricyanide, and re-
covery of the color was noted. The
ratio of intensity of color before and
after oxidation with ferricyanide gave
the potential in the system since it
afforded a measure of the ratio of oxi-
dant to reductant of the indicator in
equilibrium in the tissue. Aerobically
the epithelium had an estimated poten-
tial of -fO.lOO volts, and the stroma
—0.130 volts. Anaerobically both had
estimated potentials of —0.290 volts.
Lewis, M. R., Barron, E. S. 0. and
Gardner, R. E., Proc. Soc. Exp. Biol. &
Med., 1930-31, 28, 684-685 compared the
power of cancer tumors, tumors pro-
duced by viruses and normal tissue to
reduce methylene blue. The tissues
were cut in a manner similar for tissue
respiration, and the pieces were placed
in M/15 Sorensen's phosphate buffers
at pH 7.38. Anaerobiosis was main-
tained by a stream of nitrogen. The
time of reduction of the dye by tumors
was the same as that of normal tissues.
Voegtlin, C, Johnson, J. M. and Dyer,
H. A., J. Pharm. & Exp. Therap., 1925,
24, 305-337 have quantitatively esti-
mated the reducing power of normal and
cancerous tissue. For the anaerobic
experiments tissues were sliced about 2
mm. thick and weighed about 0.5 gm.
Samples of tissue were placed in sterile
OXYME
252
PALITZSCH'S BUFFERS
vacuum tubes, and 5 cc. of a sterile solu-
tion of the indicator in a phosphate buf-
fer solution (M/15 Na2HP04, KH2PO4
Sorensen) of pH 7.6 were added to each
tube by means of a sterile pipette.
After evacuation of the tubes by a
vacuum pump, they were rapidly fixed
in a constant temperature bath at 38 °C.
on a revolving rack.
The indicator .solutions were prepared
by adding phosphate buffer to an ac-
curately weighed amount of the dye in
a mortar and grinding. The solutions
were made up to volume and boiled to
sterilize.
The reducing power of tissues was
based upon the time needed to reduce
anaerobically equimolar amounts of the
indicators used (the dye content of each
indicator was determined on a moisture
free basis). For the indicators used it
was found that the optimum concentra-
tion for comparative purposes was ap-
proximately M/42,533. A more useful
concentration of M/40,000 was suggested
for future work.
All the tissues (brain, carcinoma —
peripheral portion, heart muscle, spleen,
kidney, liver, lung, skeletal muscle ana
testis) had a reducing power which
varied according to the type of tissue
having the highest reducing power (with
the exception of the necrotic portion of
carcinoma). The latter was devoid of
reducing power while the viable portion
reduced the indicators as rapidly as
did some of the normal tissues.
See Recording Autotitrator as de-
scribed bj^ Jacobsen, C. F. and L^onis,
J. C, C. rend. trav. Lab., Carlsberg,
Ser. China., 1951, 27, 333-339.
Oxyme. Estimation in plant and animal
tissues (Yamafuji, K., Kondo, H. and
Omura, H., Enzymologia, 1950, 14,
153-156.
Oxychromatic Degeneration. A kind of
degeneration in which oxychromatic
(acidophilic) material appears in the
nuclei. See Luger, A. and Lauda, E.,
Med. Klin., Berlin, 1926, 22, 415, 456,
493.
Oxydase, see Oxidase.
Oxygen Consumption. A method is de-
scribed for epidermis separated from
dermis by heat (Baumberger, J. P.,
Suntzeff, V. and Cowdry, E. V., J. Nat.
Cancer Inst., 1942, 2, 413-423.
Oxyntic Cells (G. Oxyntos, making acid),
an unsatisfactory term for the parietal
cells of the stomach because it implies
actual manufacture of acid.
Oxyphil (G. oxys., acid -1- philos, fond) same
as acidophilic. The term is commonly
applied to the colloid cells of the para-
thyroid and thyroid which are colored
with "acid" dyes such as eosin.
Ozokerite, see Ceresin Imbedding.
Pacinian Corpuscles can best be located by
naked eye inspection of the abdominal
viscera of a freshly killed cat as small
elongated, cigar shaped bodies situated
just within the tunica serosa which
appear china white because they have a
very poor blood supply. Fix in Zen-
ker's Fluid and color with Mallory's
Connective Tissue stain for general
purposes or employ Bodian's method for
nerve fibers.
Pal-Weigert Stain for myelin sheaths as
modified by Erhart, E. A., Zeit. f. wis.
Mikr., 1951, 60, 155-156 recommended
as fast, simple and giving a blue black
stain of myelin sheaths in an almost
uncolored background. For paraffin,
celloidin or frozen sections of material
fixed in formalin. Wash sections in
water in 4% aq. iron alum, 2-3 min.
Rinse rapidly in water. Stain in aq.
dest 80 cc, lithium carbonate 1 gm.,
10% ale. hematoxylin for 5-20 min. at
room temperature. Wash in water,
counterstain if desired in 1% aq. neu-
tral red, carmin or cresyl violet. De-
hydrate, clear and mount in balsam.
See Weigert-Pal.
Palitzsch's Borax-Boric Acid Buflfers
(Clark, W. M. The Determination of
Hydrogen Ions. Baltimore: Williams
and Wilkins, 1928, 717 pp.) Prepare:
(1) M/20 borax solution by dissolving
19.0715 gms. NasBiOv 10 HjO in 1 liter
aq. dest. (2) A solution containing
M/5 boric acid and M/20 NaCl by dis-
solving 12.368 gms. H3BO3 and 2.925
gms. NaCl in 1 liter aq. dest. To make
buffer of the desired pH mix 1 and 2 in
the proportions indicated.
(2) M/5 Boric
(1) M/20
Acid. M/20
pH
Borax
NaCl
9.24
10.0
0.0
9.11
9.0
1.0
8.98
8.0
2.0
8.84
7.0
3.0
8.69
6.0
4.0
8.60
5.5
4.5
8.51
6.0
5.0
8.41
4.5
5.5
8.31
4.0
6.0
8.20
3.5
6.5
8.08
3.0
7.0
7.94
2.5
7.5
7.88
2.3
7.7
7.78
2.0
8.0
7.60
1.5
8.5
7.36
1.0
9.0
7.09
0.6
9.4
6.77
0.3
9.7
French, R. W. Stain Techn., 1930, 5
87-90; 1932, 7, 107-108 recommended
the use of these buffers for the range pH
PALLADIUM
253
PAPANICOLAOU TECHNIQUES
9.2-8.2 but he made them up in a dif-
ferent way.
Palladium. Histochemical detection based
on reaction between palladium and p-
Dimethylaminobenzyl-idenrhodanin in
neutral formalin or alcohol fixed tissues
(Okamoto, K., Mikami, G. and Nishida,
M., Acta Scholae Med. Univ. Imp. in
Kioto, 1939, 22, 382-387).
Panchrome is a modification by Pappenheim
(Folia haematol., Arch., 1911, 11, 194)
of the Giemsa stain. Add 0.75 gm. of
the panchrome powder (Griibler) to 75
cc. pure methyl alcohol and 25 cc. acid
free glycerin at 60°C. After filtering
keep in glass stoppered bottle. Use
after May-Griinwald fixation as de-
scribed for Giemsa after methyl alcohol
fixation. According to Slider and
Downey (McClung's Microscopical
Technique, p. 329) it gives better
coloration of neutrophilic granules and
metachromasia of mast granules than
the plain Giemsa's stain but "some
delicacy is lost, and the cells are more
likely to be muddy."
Pancreas. This organ lends itself very well
to microscopic examination in the fresh
state. The classic which everyone seek-
ing technical details should consult is
Bensley, R. R., Am. J. Anat., 1911, 12,
297-388. The techniques for Blood
Vessels and Nerve Endings are those
employed generally and are described
under these headings. No particular
difficulties will be encountered in their
adaptation to the pancreas. It may be
helpful however to consult Beck, J. S.
P. and Berg, B. N., Am. J. Path., 1931,
7, 31-35 on the blood vessels. The
same holds for the Connective Tissue
components. Epithelial parts of the
pancreas can routinely be examined in a
preliminary way with the other parts in
tissues fixed in Formalin-Zenker and
stained with Hematoxylin and Eosin.
For details see Zymogen, Ducts and
Islets of Langerhans.
Pancreatin digestion method for spleen
(Kyes, P., Am. J. Anat., 1901, 1, 37-
43).
Paneth Cells. Influence of fasting on
(Klein, S., Am. J. Anat., 1905-1906, 5,
315-330). To observe storage and dis-
charge phases examine in guinea pigs 24
and 6 hrs. after feeding (Klein, S., Am.
J. Anat., 1905-06, 5, 315-330) . By com-
bining DeGalantha's amyloid stain with
mucicarmine, Paneth granules are col-
ored green and mucous granules red
(Hertzog, A. J., Am. J. Path., 1937,
13, 351-360).
Pantothenic Acid. Detection by fluores-
cence microscopy in tomato plants
(Bonner, J. and Dorland, R., Am. J.
Bot., 1943, 30, 414-418).
Papanicolaou Techniques in Exfoliative
Cytology— written by Charlotte M.
Street, Department of Anatomy, Cor-
nell University Medical College, New
York. May 21, 1951— Exfoliative cy-
tology, i.e. the study of cells which
have been exfoliated from the epithelial
lining of an organ or cavity of the body,
is gradually becoming an independent
branch of the morphological sciences.
Its usefulness in hormonal studies and
in cancer diagnosis has been largely
responsible for its great expansion in
the last two decades. The progress
achieved in this field has been primarily
due to the introduction of more ade-
quate technical methods for the preser-
vation and staining of cells in smears
prepared from various physiological
secretions. The techniques described
herein will be limited chiefly to those
which have been developed by Dr.
George N. Papanicolaou in the course
of his cytologic studies, and which are
now in use in his laboratory in the De-
partment of Anatomy of Cornell Uni-
versity Medical College.
These technical procedures are based
on the use of smears which are fixed
without drying, in a solution of equal
parts of 95'% ethyl alcohol and ether,
by which good preservation of e.xfoli-
ated cells is attained. In such fixed
smears the cells are well preserved and
when stained, their cytoplasmic and
nuclear details are clearly defined. On
the contrary, in dried, unfixed smears
many of the structural details are lost,
there is an apparent increase in the
size of the cells and their nuclei, and
their affinity for stains is much im-
paired. Since cells subjected to drying
prior to fixation show a preference for
acidophilic stains, it is impossible in
dried smears to make the proper evalua-
tion of basophilic and acidophilic cells
which is so necessary in endocrine
studies. Furthermore, in the examina-
tion of smears for malignant cells,
good nuclear preservation and staining
are of utmost importance. For this
reason thorough fixation of wet smears
is essential. The relative size of cells
and the nuclear-cytoplasmic ratio also
play an important role in the diagnosis
of malignancy. Therefore, drj^ing of
smears which results in apparent en-
largement of cells and nuclei may give
a false impression of malignancy.
The development of Papanicolaou's
staining procedures may be divided into
two periods. The first includes his
animal experimentation and his early
work in the human, during which vagi-
nal smears were used as an index for
evaluating cytologic changes occurring
PAPANICOLAOU TECHNIQUES
254
PAPANICOLAOU TECHNIQUES
during the normal estrous or menstrual
cycle, as well as changes due to various
hormonal factors. For his studies in
both guinea pigs and the human, he
used alcohol-ether fixed smears which
were stained first with hematoxylin
and then counterstained with aqueous
solutions of eosin and water blue (see
staining technique I). This method
was a simple one technically and re-
sulted in good differentiation between
basophilia and acidophilia. It is still
considered useful in hormonal studies.
During the second period, modifica-
tions in technique were investigated
which would be better adapted to the
diagnosis of malignant neoplasms. In
thick smears where cells are found in
compact clusters, overljang one an-
other, or mixed with blood or mucus,
a light, transparent, cytoplasmic stain
is necessary to give a clearer view of
individual cells and their nuclei.
Papanicolaou found that this could be
achieved by using 95% alcohol as the
solvent for the counterstains. Stains
006 and EA36 (formulae 2 & 3 follow-
ing the staining procedures) were intro-
duced in 1942; EA 65 (formula 4) is a
later modification of EA36. When
used in combination with a good nuclear
stain, these counterstains are particu-
larly well adapted to cancer diagnosis
but are also excellent for endocrine
studies because of their delicate differ-
ential staining qualities. They can
also be used in staining tissue which
is advantageous in the correlation of
smears and sections. (For use of alco-
holic counterstains, see staining tech-
niques II, III, IV, V.)
Female Genital Tract. Vaginal, endo-
cervical and endometrial aspiration
smears; cervical swab and spatula
smears.
Equipment: For vaginal smears: a
glass pipette, five inches in length and
one quarter inch in diameter, slightly
curved about two inches from its blunt
tip, and equipped with a tightly fitting
strong rubber bulb. The pipette should
be made of hard pyrex glass to with-
stand sterilization. For endocervical
and endometrial aspiration smears: a
Becton-Dickenson laryngeal cannula
equipped with a strong rubber bulb.
For cervical smears: a non-absorbent
cotton swab or the wooden spatula
designed by Ayre (Avre, J. E., Am. J.
Obst. & Gynec, 1947, 53, 609). For
all types of smears: a jar of fixing solu-
tion, i.e. equal parts of 95% ethyl alco-
hol and ether, and clean slides. When
more than one slide is placed in a bottle
of fixative, a paper clip is attached to
one end of each slide in order to prevent
contact between the smeared surfaces.
The slides are marked in advanced
with the patient's name or case num-
ber, type of smear and date. This can
be done either with a diamond pencil,
or by clipping a small piece of paper or
card to the slide. In the latter case,
the label should be written with lead
pencil, not ink.
Preparation of smears: Smears should
not be prepared after a douche, bath,
or use of a lubricant. They should be
prepared prior to the pelvic examina-
tion, if possible.
Vaginal smears: The dry pipette,
with bulb compressed, is introduced
into the posterior fornix of the vagina
and the bulb released. The pipette is
rotated carefully during aspiration to
obtain samples from different parts of
the vagina. The fluid thus obtained
in the pipette is expelled on to a slide,
and spread in a uniform smear with
the side of the pipette. The slide is
immersed immediately, before the
smear dries, in the alcohol-ether fixative
and allowed to remain for at least 15
minutes for thorough fixation of cells
before staining. Smears may be left
in alcohol-ether for a week or even
longer without harmful effect.
Endocervical or endometrial smears:
After a speculum is in place, endocervi-
cal or endometrial secretion is aspirated
by means of the laryngeal cannula,
expelled on to a slide, spread uniformly
with the cannula, and the slide im-
mersed immediately in alcohol-ether.
Cervical swab smears: Secretion ob-
tained by means of a swab or spatula
from the external os, or from any suspi-
cious appearing lesion of the cervix,
is quickly spread on a slide and fixed
in alcohol-ether.
The vaginal smear, because it is
composed chiefly of squamous cells
which reflect hormonal activity is the
best type for hormonal evaluation, and
for a study of the menstrual cycle.
For the latter, smears may be prepared
daily throughout the complete cycle
by the patient. Slides, either dated
or numbered serially in advance, with
clips attached, a pipette and jar of
fixative are given to the patient and
she is instructed how to prepare them.
For diagnosis of malignancy, a vagi-
nal smear gives a more complete overall
picture of the cytology of the genital
tract since cells from all parts accumu-
late in the vaginal pool. Endocervical
smears reveal the presence of a cervical
carcinoma, endometrial smears are
better for diagnosis of fundal, and occa-
sionally, tubal carcinomas. Cervical
swab or spatula smears give informa-
PAPANICOLAOU TECHNIQUES
255
PAPANICOLAOU TECHNIQUES
tion of more specific nature but, unless
prepared and fixed very quickly, swab
smears are apt to be drier than aspira-
tion smears and therefore diSicult to
interpret.
Smears of the female genital tract
are stained by either method I or II.
Urinary Tract.
Collection of specimens: Urine from
females must be catheterized to avoid
contamination from vaginal secretion.
Ureteral specimens are advisable if
carcinoma of the kidney pelvis is sus-
pected. In cases of suspected carci-
noma of the prostate, separate voided
urine specimens are obtained before
and after massage. In such cases,
prostatic smears can also be prepared
by spreading prostatic secretion di-
rectly on slides and fixing them in alco-
hol-ether.
Preparation of smears: Upon collec-
tion, the urine specimen (approximately
50 cc. of a bladder specimen; as much
of a ureteral specimen as can be ob-
tained) must be mixed immediately
with an equal volume of 95% alcohol
for fixation and preservation of the
cells. The mixture of urine and alcohol
is centrifuged in 50 cc. conical tubes at
medium speed for 15-30 minutes (until
sediment is well packed), after which
the supernatant liquid is decanted.
Clean slides, marked in advance with
a diamond pencil or water-proof lab-
oratory ink, are coated with a thin film
of Mayer's albumin fixative in order to
make the cells adhere to the slide.
Sediment can be removed from the
tube by means of a small spoon-shaped
instrument such as a nasal or small
bone curette or, if very scanty, by
pipetting. It is spread on the slide,
using a second clean slide to distribute
it in a uniform smear. When the smear
starts to dry at its periphery, it is im-
mersed in 95% alcohol and ether,
equal parts. Care must be taken,
however, not to allow the smear to
become too dry before fixation for the
reasons discussed previously. The
smears should be left in the alcohol-
ether fixative for at least one hour
before staining or they tend to wash
off during the staining process. All
instruments used in transferring sedi-
ment from tube to slide must be care-
fully cleaned to avoid contamination
of the next specimen. If there is suffi-
cient sediment, three or four smears
are prepared from each specimen. If
there is an abundance of sediment, it
should be stirred up in the tube in
order to insure representative sampling.
If smears cannot be prepared imme-
diately after centrifugation, the super-
natant liquid is decanted, the sediment
covered with a few cubic centimeters
of absolute alcohol and placed in the
refrigerator.
Graham et al. (Vincent Memorial
Hospital, The Cytologic Diagnosis of
Cancer. W. B. Saunders Co., 1950)
suggest mixing two or three drops of
albumin fixative with the sediment in
the centrifuge tube before making
smears so that the cells will stick better
to the slides. This has been found to
be very helpful in urine as well as
other sediments.
Urine smears are stained by method
IV.
Respiratory Tract.
Sputum: This must be a deep cough
specimen as a salivary specimen is
obviously of no value in the diag-
nosis of carcinoma of the lung. It
is ordinarily collected directly in 70%
alcohol to retard the growth of bacteria
and fungi as well as to prevent cellular
degeneration. However, if smears can
be made within four hours after the
specimen is obtained, it need not be
fixed in alcohol. Since alcohol hardens
sputum, smears are more easily pre-
pared from a fresh, unfixed specimen.
When alcohol is used for fixation, 70%
is preferable to 95% because it causes
less hardening of the sputum. Before
preparing the smears, the specimen is
examined for blood-tinged portions.
If any are present, they are transferred
to slides which have been marked pre-
viously and coated with a thin film of
Mayer's albumin. If no blood tinged
particles are found, samples from differ-
ent parts of the specimen are to be
transferred to the slides. A fairly
thin uniform smear is prepared by
spreading the material with another
clean slide, gently rubbing it between
the two slides in order to crush any
hard rubbery masses and distribute
them evenly. The smear is fi.xed, with-
out drying, in alcohol-ether fixative for
a minimum of one hour. Three or
four smears should be prepared. They
are stained by method III.
Bronchial aspirates or saline washings
of the bronchus are mi.xed immediately
with an equal volume of 95% alcohol.
Because of the scantiness of material
obtained by bronchial aspiration, the
collection tube should always be rin.sed
well with alcohol and the rinse solution
added to the specimen. Specimens are
centrifuged and smears prepared from
the sediment by the method given for
smears of urine sediment. They are
stained by method III.
PAPANICOLAOU TECHNIQUES
256
PAPANICOLAOU TECHNIQUES
Gastro- Intestinal Tract.
Esophageal aspirates are obtained by
means of a rubber suction tube passed
through the esophagoscope. Due to
the scantiness of material usually ob-
tained, the tube should be rinsed with
saline and this rinse added to the as-
pirate. The entire specimen is then
mixed immediately with 95% alcohol.
Gastric specimens should be obtained
after at least eight hours of fasting.
Because of the action of free acid and
digestive juices in the stomach, best
results are obtained if the residual
gastric contents are first aspirated and
discarded. Freshly exfoliated material
can then be obtained by either of the
following methods. (1) Using a Reh-
fuss tube with a bucket tip, the stomach
is washed repeatedly with Ringer's
solution by aspirating and re-injecting
the same solution. (2) A gastric bal-
loon can be used which has been spe-
cially designed to cause gentle friction
of the gastric mucosa, thereby increas-
ing exfoliation. The balloon and the
technique for its use in obtaining gas-
tric specimens have been described by
Panico, Papanicolaou and Cooper
(Abrasive balloon for exfoliation of
gastric cancer cells, J. A. M. A., 1950,
143, 1308-11). Gastric specimens must
be fixed immediately in an equal volume
of 95% alcohol to prevent further de-
generation and digestion of cells.
Duodenal drainage specimens are ob-
tained through a Rehfuss tube, allow-
ing the tip of it to pass from three to
six inches beyond the pjdorus. The
specimen is immediately mixed with
an equal volume of 95% alcohol.
Rectal or colonic washings: In order
to obtain specimens which are as free
as possible of fecal material, the patient
is given a laxative at night, and a hot
soapsuds enema the next morning.
Saline washings of the rectum or colon
are collected two to five hours later and
mixed immediately with 95% alcohol.
A special suction apparatus for rectal
washings is described by Loeb and
Scapier (Rectal washings, technic for
cytologic study of rectosigmoid. Am.
J. Surg., 1951, 81, 298-302). Colonic
washings can be obrained by high
colonic irrigation, using normal saline.
Preparation of smears: All specimens
from the gastro-intestinal tract must
be processed with the least possible
delay because of deterioration of the
cells. This is particularly important
in gastric and duodenal specimens
due to the action of the digestive juices.
The specimens are centrifuged as soon
as received and the supernatant fluid
promptly decanted. The addition of
ten drops of Mayer's albumin per 50
cc. of specimen before centrifugation
will facilitate sedimentation. If smears
cannot be prepared immediately, the
sediment can be covered with absolute
alcohol and kept temporarily in the
refrigerator. Smears are prepared in
the same manner as urine smears but
stained by method III.
Other Sources.
Exudates, pleural, peritoneal, and
pericardial. Fifty cc. of 50% alcohol
is added immediately to 50 cc. of the
exudate and smears prepared from the
sediment in the same way as urine sedi-
ment smears, but stained by method
III. Fifty percent alcohol is used
rather than 95% so that there will be
less precipitation of protein material.
Cystic and other fluids or washings.
An equal volume of 95% alcohol is
added immediately to the specimen and
smears prepared from sediment and
stained by method III.
Nipple secretion smears. If secre-
tion can be obtained easily from the
nipple by very gentle pressure, a clean
slide is brought in contact with the
secretion expressed. Care should be
taken not to bring the slide in contact
with the nipple itself in order to prevent
the collection of an excess of epidermal
cells. The material is spread uniformly
with another slide, the smear is fixed
in alcohol-ether and stained by method
III.
Method I. (Papanicolaou, G. N.,
Am. J. Anat., 1933, 52: No. 13, supple-
ment). This is the original Papan-
icolaou technique for staining vaginal
smears in rodents and the human; it
can be used to advantage in endocrine
work and in cytologic studies of lower
mammals.
1. Transfer slides from alcohol -ether
directly to 80% alcohol and run down
through 70% and 50% alcohols to
aq. dest.
2. Stain in Ehrlich's hematoxylin 5 min.
3. Rinse in aq. dest. and place in run-
ning tap water 15 min.
4. Stain in 0.5% aq. eosin 3-4 min.
5. Rinse well in tap water.
6. Stain in 0.5% aq. waterblue 1 min.
7. Rinse in tap water and run up
through 50%, 70%, 80%, 95% and
absolute alcohols, absolute alcohol
and xylol (equal parts), to xylol,
leaving in each solution long enough
to clear.
8. Mount, without drying, with a cover
slip.
Nuclei — dark purple; cytoplasm of
non-cornified cells — pale blue; cyto-
plasm of cornified cells — pink.
PAPANICOLAOU TECHNIQUES
257
PAPANICOLAOU TECHNIQUES
Method II. This is the technique
described by Papanicolaou in Science,
1942, 95, 438-9, with a few minor modifi-
cations. It is recommended for stain-
ing smears of the female genital tract
which are to be used for either cancer
diagnosis or endocrine studies.
L Transfer slides, without drying,
from alcohol-ether fixative to 80%
alcohol and run down through 70%
and 50% alcohols to aq. dest., leaving
in each solution long enough to
clear.
2. Stain in Harris Hematoxylin (1)
6 min.
3. Rinse in aq. dest.
4. Dip in 0.25% aq. hydrochloric acid
6 times.
5. Place in running tap water 6 min.
6. Rinse in aq. dest. and run up
through 50%, 70%, 80%, and 95%
alcohols, leaving in each long
enough to clear.
7. Stain in 0G6 (2) for U minutes.
8. Rinse in 95% ale, two changes.
9. Stain in EA36 (3) for H min.
10. Rinse in 95% alcohol, 3 changes.
11. Dehydrate and clear by running
through absolute ale, absolute
alcohol and xylol (equal parts) to
xylol, leaving in each solution long
enough for the smears to be thor-
oughly penetrated and dehydrated.
12. Mount, without drying, with a
coverslip, using permount, gum
damar, Canada balsam or another
neutral mounting medium.
Nuclei — dark purple; non-cornified
cells — pale greenish-blue; cornified cells
— variations from pink to orange, de-
pending on the degree of cornification;
keratinized cells — intense orange.
Method III. A modification of
method II. Recommended for smears
of sputum, prostatic secretion and all
sediments except urine.
1-8. Same as steps 1-8 or method II.
9. Stain in EA65 (4) 1| min.
10-12. Same as steps 10-12 of method II.
Note: Rectal and colonic washings
are washed in running tap water (step
5) 15 min. instead of 6 min.
Method IV. A modification of
method III. In this procedure blueing
of the nuclei is accomplished by the
use of ammonium hydroxide rather
than running tap water, as the latter
tends to loosen cells from the slide.
It is therefore recommended for smears
of urine sediment which is the least
adhesive of the sediments. It is also
shorter than method II and may be
used for other types of smears for that
reason. However, in thick smears, it
has a disadvantage in that the cyto-
plasm retains some hematoxylin and
therefore does not take a clear cyto-
plasmic stain.
1. Transfer slides from alcohol-ether
to 80% alcohol and run down through
70% and 50% alcohols to aq. dest.
2. Stain in Harris hematoxylin (1) 2
min.
3. Rinse in distilled water, then 50%
ale.
4. Place in a solution of 1.5% ammo-
nium hydroxide made up in 70%
alcohol for 1 min.
5. Rinse in 70% alcohol, 2 changes.
6. Run up through 80% and 95% ale.
7. Stain in 0G6 (2) for U min.
8. Rinse in 95% alcohol, 2 changes.
9. Stain in EA65 (4) for U min.
10-12. Same as steps 10 to 12 in method
II.
Method V. For sections.
1. Remove paraffin in xylol and run
down through descending alcohols
to aq. dest. in the usual way.
2. Stain in Harris hemato.xylin (1) 2^
min.
3. Rinse in aq. dest. (2 changes), and
50% and 70% alcohols.
4. Place in 3% ammonium hydroxide
made up in 70% ale. for 1 min. (or
until sections turn blue).
5. Rinse in 70% alcohol (2 changes),
80% and 95% ale.
6. Stain in 0G6 (2) for If min.
7. Rinse in 95% alcohol (2 changes).
8. Stain in EA65 (4) or EA36 (3) for
1^ min.
9. Rinse in 95% alcohol (3 changes),
dehydrate, clear and mount in the
usual way.
Formulae for Stains.
(1) Harris hematoxylin is prepared from the
standard formula, using ammonium alum-
inum sulphate, but omitting the glacial ace-
tic acid. It is diluted with an equal volume
of distilled water before using, and filtered
into a dark bottle for storage when not in use.
It should be reinforced by the addition of a
small amount of fresh undiluted stock solu-
tion fairly often in order to maintain uniform
staining results.
(2) 0G6:
Orange G— 0. 5% in 95% alcohol . 100 cc.
Acid phosphotungstic 0.015 gm.
(3) EA36:
Light Green SF (yellowish) —
0. 1% in 95% alcohol* 45 cc.
Bismarck Brown Y— 0.5% in
alcohol 10 cc.
Eosin yellowish— 0.5% in 95%
alcohol 45 cc.
•Original formula for EA36 calls
for 0.5% light green solution
but 0. 1% is now used
PAPANICOLAOU TECHNIQUES
258
PAPANICOLAOU TECHNIQUES
Acid phosphotungstic 0.200 gm.
Lithium carbonate, saturated
aqueous solution 1 drop
(4) EA6S:
Light Green SF (yellowish) —
0.05% in 95% alcohol 45 cc.
Bismarck Brown Y — 0.5% in
95% alcohol 10 cc.
Eosin yellomsh (water and alco-
hol soluble)— 0.5% in 95% al-
cohol 45 cc.
Acid phosphotungstic, C.P 0.2 gm.
Lithium carbonate, saturated
solution 1 drop
National Aniline and Chemical Com-
pany certified stains are used for pre-
paring the above stains. If other dyes
are used, the amounts may have to be
adjusted.
For the preparation of stains 0G6,
EA36 and EA65, it is advisable, because
of the low solubility in alcohol of orange
G, Bismarck brown and light green, to
make the individual alcoholic stock
solutions from aqueous solutions as
follows:
Orange G, 0.5% in 95% alcohol— to 95
cc. 95% alcohol, add 5 cc. of 10%
aqueous solution of orange G.
Bismarck Brown, 0.5% in 95% alcohol—
to 95 cc. alcohol, add 5 cc. of 10%
aqueous solution of Bismarck Brown.
Light Green, 0.1% in 95% alcohol— to
95 cc. 95% alcohol, add 5 cc. of 2%
aqueous solution of light green.
Light Green, 0.05% in 95% alcohol— to
95 cc. 95% alcohol, add 5 cc. of 1%
aqueous solution of light green or
dilute the 0.1% alcohol solution with
an equal volume of 95% alcohol.
By this method, the alcoholic content
of the stock stains is less than 95%
but it makes no appreciable differ-
ence in the staining results. Some
of the stain may precipitate when
added to the alcohol, but the solubil-
ity may be increased by heating
slightly (not over an open flame).
The strength of the light green solu-
tion is less in the EA65 than in EA36
because smears of sputum, gastric
aspirates, exudates, etc. are apt to be
thicker than those of the female genital
tract and therefore require a paler
basophilic stain. In smears stained
with either EA36 or EA65, as soon as
the green begins to predominate at
the expense of the acidophilic stains,
the counterstain should be discarded.
All stains should be stored in dark
bottles when not in use. If used con-
stantly, they should be filtered daily
and frequently reinforced by the addi-
tion of fresh stain. Because of oxida-
tion, hematoxylin should always be
filtered daily regardless of the volume
of staining.
Vaginal, cervical and endometrial
smears may be stained after fixation
of only 15 minutes, but other smears
will adhere better if left in alcohol-
ether for an hour or more. In the
staining process, when slides are trans-
ferred from one solution to another,
they should be drained as much as
possible, particularly during alcohol
rinses following the counterstains, and
during dehydration. It is also im-
portant that slides be passed through
solutions slowly and carefully, with
minimal agitation of the solutions, so
that cells will not be washed from the
slides. Besides the loss of cells, there
is also the danger of contamination of
other smears with "floaters" (cells or
clumps of cells which have fallen into
one of the solutions). However, these
floaters can usually be recognized
microscopically since they are on a
higher focusing level than the fixed
smear. There is also danger of con-
tamination while mounting the smears
if the glass rod used for applying the
mounting medium touches the smear
and picks up loose cells.
Smears which have been fixed but
not stained may be mailed to a labora-
tory for staining by the method sug-
gested by Ayre and Dakin. (Ayre, J.
E. and Dakin, E., Canad. M. A. J.,
1946, 54, 489-91.) After the smear has
been fixed in alcohol -ether for one hour,
it is removed from the fixative and,
without drying it, two or three drops of
glycerine are placed on it. A clean
coverslip or slide is placed on top of
the smear thereby sealing it from the
air. When the slides are received in
the laboratory, thej' are placed in a
jar of alcohol -ether until the covering
slide or coverslip becomes loose and
slips off without disturbing the smear.
It should be stressed that the Papa-
nicolaou smear technique as applied to
cancer diagnosis is not a substitute for
biopsy or other established methods of
diagnosis and that positive smears
should be corroborated whenever pos-
sible by biopsy or x-raj^ before an}''
major surgery is performed. How-
ever, it can be extremely useful in the
discovery of earlj^ or hidden lesions.
This is particularly true in cervical
and bronchogenic carcinomas, where
the degree of accuracy of the test is
high. It has an additional advantage
in that it is a short and relatively simple
laboratory procedure and, in most
instances, the specimens can be ob-
tained with little discomfort to the
patient.
PAPER CHROMATOGRAPHY
259
PARAFFIN IMBEDDING
Too much emphasis cannot be placed
on the importance of good technique
in the preparation and staining of
smears which is absolutely essential
for their correct evaluation. Regard-
less of the amount of training and ex-
perience one has had in cytology, it is
most difficult and often impossible to
interpret cells which have been poorly
preserved or improperly stained.
Paper Chromatography — Written by Eugene
Roberts, Division of Cancer Research,
Washington University, St. Louis 10.
July 15, 1951 — This technique makes
possible the identification and, in some
cases, the quantitative determination
of minute amounts of numerous sub-
stances of biological interest. Impetus
was given to the development of these
methods by their classical application
to the separation of amino acids (Cons-
den, R., Gordon, A. H. and Martin,
A. J. P., Biochem. J., 1944, 38, 224-
232). Subsequent studies using paper
chromatographic procedures have been
made of the chemistry and metabolism
of such diverse materials as inorganic
ions, amino acids, proteins and en-
zymes, carbohydrates, fats, vitamins,
purines and pyrimidines, pigments,
growth factors, and antibiotics. The
extensive literature dealing with the
theoretical and practical aspects of
this rapidly expanding subject has been
summarized in recent reviews (Clegg,
D. L., Analytical Chemistry, 1950,
22, 48-59; Strain, H. H., Analytical
Chemistry, 1951, 23, 2^38) and in an
excellent symposium (Biochemical So-
ciety Symposia No. 3, Partition Chro-
matography, Cambridge University
Press).
Basically, the technique consists of
applying a small amount of solution
containing the sample near the edge of
a strip or square of filter paper and al-
lowing a suitable solvent to flow along
the paper past the sample either by
downward or upward migration. The
paper is removed and dried. When
conditions are properly chosen, the
components of the mixture are sepa-
rated in such a manner that each one
occupies a discrete spot on the paper.
When the substances of interest are
colorless, numerous optical and chemi-
cal methods may be applied in localizing
them. Radioautography has proven
to be an extremely useful adjunct in
work with isotopically labeled com-
pounds. The separation of components
in mixtures containing substances of
similar chemical properties is often
facilitated by the use of two solvents
(two dimensional chromatography).
The sample is placed 6 cm. from one
corner of a large sheet of filter paper
(i.e., 18 X 22"). It is developed with
one solvent, taken out, and dried. The
sheet is then rotated 90° and placed
into a solvent of different properties.
After drying, the spots are visualized
by an appropriate method. For any
given pair of solvent systems the sub-
stances will occujJy characteristic posi-
tions on the chromatograms. The
preparation of reference chromatograms
with known compounds of a high degree
of purity is made under the same condi-
tions. The spots on the unknown can
then be identified by comparison with
the reference "map". Paper chro-
matography can be performed success-
fully in equipment usually found in
biological laboratories (test tubes, bell
jars, crocks, petri dishes) and does not
require training in complicated chemi-
cal methodology.
Results of interest to the cytologist
have been obtained in the examination
of the free (or loosely bound) amino
acids in normal rat tissues (Awapara,
J., J. Biol. Chem., 1949, 178, 113-116),
in normal and neoplastic mouse tissues
(Roberts, E. and Frankel, S., Cancer
Res., 1949, 9, 645-648), and in isolated
hepatic cell nuclei of the rat (Dounce,
A. L., Tishkoff, G. H., Barnett, S. R.
and Freer, R. M., J. Gen. Physiol.,
1950, 33, 629-642). Amino acids in
acid hydrolysates of mitochondria iso-
lated from various tissues have also
been studied by this method (Li, C.
and Roberts, E., Science, 1949, 110,
559-560).
Pappenheim, see Panchrome, Kardos-Pap-
penheim, Methyl Green-Pyronin and
May-Giemsa Stains.
Para Red (CI, 44) is useless as a stain (Emig,
P-30). , . , .
Parabenzoquinone, as a fixative for mito-
chondria (Baker, J. R., Nature, 1932,
130, 134; Sircar, S. M., J. Roy. Micr.
Soc, 1935,55, 238-244).
Paracarmine (Mayer). Dissolve 1 gm. car-
minic acid, 0.5 gm. aluminium chloride
and 4 gms. calcium chloride in 100 cc.
70% alcohol. Warm slightly, if required.
Allow to settle and filter. Tissues to be
stained should not be alkaline or con-
tain much lime (Lee, p. 147).
Paraffin Imbedding. For routine it is more
convenient than celloidin imbedding.
Thinner sections can be cut and it is
easier to make them in series. Paraffin
imbedding is quicker and the blocks
being dry are easily stored in a smaller
space.
After the specimen has been cleared
(see Clearing) it is placed in paraffin
held at a temperature just sufficiently
high to keep it melted. For ordinary
PARAFFIN SECTIONS
260
PARAFFIN SECTIONS
purposes a paraffin with melting point
of 56-58°C. is employed; but 6(>-62°C.
is sometimes selected for very thin sec-
tions and 52-54''C. for thick ones.
Paraffins of low melting points are de-
scribed by Waterman, H. C, Stain
Techn., 1939, 14, 55-62. When it is
desired to give the imbedding medium
more firmness than 60-62 °C. paraffin,
use is occasionally made of Rubber
Paraffins or Ceresin. Under Clarite
is described a mixture of paraffin and
clarite for use in hot weather when thin
sections are demanded. Routine paraf-
fin infiltration is best done in wide
mouthed glass bottles or jars in an in-
cubator held at the proper temperature.
Excessive temperatures harden and
shrink the tissues. The paraffin over
each specimen should be changed at
least once to insure removal of the xylol
or other clearing agent. If this removal
is incomplete difficulties will be later
encountered in crystallization of the
paraffin block and in sectioning. The
time necessary for infiltration will de-
pend on the size of the tissue and its
penetrability. Five to 6 hours is about
the average with limits of 2 to 24 hours
in special cases. See special treatment
for Teeth and Bone.
For actual imbedding, folded paper
containers have now been rather gen-
erally replaced by glass dishes. Watch
glasses (Syracuse preferred) are satis-
factory ; but Petri dishes, the inner sides
of which are not quite vertical but slope
outward slightly from the base, are bet-
ter. First smear a little glycerin evenly
over the bottom and sides of the dish.
Then pour in a little paraffin, a thin
layer of which will harden so that when
the tissue is placed in the dish, it will
not come in contact with the bottom.
It is customary to orient the tissue so
that the surface to be cut first is next
to the bottom of the dish. Quickly
pour in more paraffin until the tissue is
covered to a depth of say 6 mm. Hold
the dish in ice water until the surface
of the paraffin has hardened just to the
point when on immersion in the iced
water the surface will hold its shape and
not run. However too rapid cooling
of paraffins of high melting point may
cause cracks in the surface and even in
the depth of the blocks. After a few
minutes the paraffin block slips out
easily because the glycerin prevented it
from sticking. When several different
specimens are imbedded in the same
dish identify each by partly imbedding
near it a small strip of paper bearing its
number. Finally some of the paraffin
is cut away from each tissue so that it
can be conveniently filed away but it is
important not to remove too much
paraffin .
Paraffin Sections. 1. Blocking. If the
specimen is a slice of tissue it was
trimmed at the time of fixation into a
quadrangular form with each edge and
surface parallel to the opposite one. If
the specimen is a cross section of a
tubular structure the cutting will be
more difficult. Heat the metal holder
of the microtome, gently press the sur-
face of the paraffin block against it and
harden in iced water. The surface of
tissue, protected by the most paraffin
(which is the upper surface, remote
from bottom of the dish, as it was im-
bedded), should be next to the holder
and as far as possible evenly equidistant
from the surface of the holder. Unless
there is plenty of paraffin between the
tissue and the holder, difficulties will
be encountered if it becomes necessary
to remount the block on subsequent oc-
casions to cut more sections. Since the
slice of tissue is of even thickness its
outer surface will be evenly parallel
to the sweep of the knife so that the
tissue included in a given section will
be approximately the same distance
from the surface of the block and equally
subjected to fixation and subsequent
technique.
2. Cutting. The knife should cut
from long side to opposite long side.
Trim the edges of the paraffin block so
that it will have to pass through an even
layer of paraffin at least 5 mm. wide both
before and after it enters and leaves the
tissue. When more paraffin is cut away
it may be later needed if more trimming
is required to make the sections into
straight ribbons. The sides of the
tissue should also be protected by layers
of paraffin which are parallel and of even
thickness. The object of all this is for
the knife to cut through the paraffin and
tissue squarely and for it to encounter
as nearly as possible equal resistance.
The resistance of the paraffin at the sides
will, however, always be less than that
of the paraffin plus the tissue at the cen-
ter. For this reason it may be necessary
to cut away most of the paraffin from the
sides.
But all specimens are not rectangular
slices of tissue of uniform thickness.
Spherical bodies are easy to cut but the
sections obtained are very difficult to
flatten. Specimens containing large
cavities are troublesome because the
paraffin in the cavities offers so little
resistance. In such cases celloidin im-
bedding is advised. When a part of the
tissue is brittle and the rest soft it is
best to orient the tissue so that the knife
passes through the soft part first. In
PARAFUCHSIN
261
PARASITES
orientation of fairly large objects a
beam of light passed through the paraffin
block from an arc lamp or other powerful
source is of great assistance. For very-
minute objects a method described by
Fry (H. J., Anat. Rec, 1927, 34, 245-
252) is suggested. For refractory tis-
sues, like yolk laden eggs, McClung (p.
40) suggests hydration. The block is
trimmed until the imbedded tissue is
exposed when it is soaked in water for
several hours. This reduces friability
and brittleness and good sections may
often be obtained.
Temperature and humidity are factors
in securing a good ribbon by making one
section stick evenly to the next in series.
Sometimes a little boiling water near at
hand will help but it should not be
necessary if the tissue has been properly
infiltrated with paraffin of the right
melting point which set firmly when
cooled. Static electricity, causing the
ribbon to adhere in a troublesome way
to surfaces, is partly dependent upon
difference in density of tissue and paraf-
fin. But the most important factor in
obtaining excellent sections is have the
microtome in good working order and
the knife sharp (see Sharpening).
Lillie (p. 44) says that ribboning con-
sistency of paraffin is sometimes im-
proved by adding to the paraffin before
infiltration 10-20% of beeswax or 3-5%
of halowax. For ordinary purposes
sections should be cut 6 microns thick.
To mount them on slides first smear
carefully cleaned slides (see Slides) with
Albumen-Glycerin, cover with aq. dest.
and gently heat over an alcohol lamp
if a slide warmer is not available. Then
mark the slides with a diamond point
pencil and leave for about 6 hrs. in a
drying oven at 40-45°C.
Parafuchsin, see Pararosanilin (Magenta O).
Paraganglion, see Aortic.
Paraldehyde is paracetaldehyde, a polymer
of acetaldehyde employed in Dioxan
fixative and in other ways.
Paraloidin, see Celloidin.
Paramagenta, see Pararosanilin (Magenta
O).
Paramylum, a form of carbohydrate store in
lower plants (Taylor in McClung, p.
221).
Paramoecia. Directions for using dyes for
intravitam staining of food vacuoles,
contractile vacuoles and various other
structures, as well as minimum concen-
tration for effective staining and toxic-
ity, are supplied by McClung, 1950,
pp. 437-439.
Paraplasm is a term supposed to include non-
living cellular components such as gly-
cogen and lipid granules. It is mis-
leading because all cellular components
contribute in one way or another to
vital phenomena. Deutoplasm is syn-
onymous.
Pararosanilin (Magenta O) (CI, 676) — basic
rubin, parafuchsin and paramagenta —
This is triamino - triphenyl - methane
chloride, the chief component of most
Basic Fuchsins.
Parasites. These range all the way from
ultramicroscopic viruses to organisms a
yard or more long. Microscopic tech-
niques for viruses are given under Cyto-
plasmic Inclusions, Elementary Bodies,
and Nuclear Inclusions. Certain Gram
negative intracellular insect or arachnid
transmitted bacteria - like microor-
ganisms are called Rickettsia and re-
quire special methods for their demon-
stration. See also Bacteria and Spiro-
chaetales, Fungi, Piroplasma and Pro-
tozoa. A search for such small para-
sites involves not only an examination
of tissues but also of body fluids includ-
ing Blood, Feces, Gastric Contents,
Urinary Sediment, etc. When the para-
sites are scarce resort is made to methods
of Concentration. Elementary orienta-
tion in respect to the larger animal para-
sites (metazoa) is provided by the fol-
lowing classification (according to
Stiles) from Stitt (p. 387) which has
been slightly modified.
1 . Body more or less dorsiventrally flattened 3
Body in cross section ordinarily round 2
2. Body never annulated, without legs or jawB.. . . 4
Body annulated (at least possesses mouth parts),
breathes usually through tracheal system,
adults with jointed legs or other appendages.. 6
3. Intestine present without anus, 1 or 2 suckers,
body not segmented. (In liver, lungs, blood,
intestine rarely elsewhere — flukes) Trematoda
Intestine absent, 2 or 4 suckers on head, body
of adults segmented, tissue usually contains
calcareous bodies, adults (tapeworms) in in-
testine, larvae (bladder worms) elsewhere
Cestoda
Intestine and anus present, sucker on posterior
end, body annulated like earthworm, in upper
air passagei or externally (leeches, blood
suckers) Hirudinea
4. Intestine absent, armed rostellum present, very
rare in human intestine, thorn headed worm*
Acanthocephala
Intestine present, but no armed rostellum
Nematoda 5
5. Intestine rudimentary in adults, no lateral
chords, rare in human intestine (hair snakes or
horse hair worms) Gordiacea
Intestine present with lateral chords, common
in intestine, muscles, lymphatics, etc. (round
worms) Eunematoda
6. Six legs in adult, wings in most species, larvae
annulated, breathe by trachea, adults ecto-
parasites, occasionally under skin, in wounds,
intestine or bladder (insects) Insecta
PARENCHYMATOUS
DEGENERATION
262
PEPTIDASE
Eight legs in adult, 6 in larva, head and ab-
domen coalesced, ectoparasites, may burrow
under skin or live in hair follicles (ticks, mites,
etc.) Acarina
Four claws about mouth, larvae encysted in various
tissues, adulta occasionally in nasal passages
(tongue worms) Linguatulidae
Numeroiis legs, occasionally in nasal passages and
intestine (thousand leggera) Myriapoda
See Tapeworm Progloltids, Trema-
todes, Taenia, Ticks, Insects, Enda-
moeba, Trichinella, Glychrogel.
Parenchymatous Degeneration, see Cloudy
Swelling.
Parhemoglobin, a kind of hemoglobin which
crystallizes in same fashion but is in-
soluble in alcohol (Mallory, p. 135).
Paris Blue, see Spirit Blue.
Paris Violet, see Methyl Violet.
Parlodion, a derivative of pyroxylin (see
Celloidin).
Paschen's Method for elementary bodies as
given by Seiffert, G., Virus Diseases in
Man, Animal and Plant. New York:
Philosophical Library, Inc., 1944, 332
pp. Dry very thin smears in air.
Place slides perpendicular in aq. dest.
Ringer or physiological saline, 3-10
min., longer for older specimens. Then
dry and place in abs. ale. 1-24 hours, or
in methyl alcohol, 10 min. Dry, cover
with filtered Loeffler caustic (HoUborn)
and heat. Rinse in aq. dest. and color
with well filtered Carbol Fuchsin.
Rinse in aq. dest. (To destain if neces-
sary dip in abs. ale, then rinse in aq.
dest.), blot dry.
Pasteurella, capsules of. A modification of
Hiss's method advocated by Jasmin,
A. M., J. Bact., 1945, 50, 361-363.
Transfer amount of surface culture ad-
hering to a fine, straight platinum wire
to loopful physiological saline 4-0.5-1%
phenol and 10% blood serum. Spread
thin film on clean polished slide; fix
dried film by quickly dipping in methyl
alcohol. Drain and flame to remove
excess alcohol. Finally color i to 1 min.
in any regular bacterial stain, wash in
water and dry. Capsules appear as
clear areas about strongly stained bac-
teria in lightly colored background.
Patent Blue A (CI, 714)— Brilliant Acid
Blue A — an acid dye of light fastness 4,
stains parenchyma blue green with poor
definition (Emig, p. 52).
Pectinols are enzyme preparations of 4
grades supplied by Rohm and Haas Co.
of Philadelphia. Their primary action
is on pectins. McKay, H. H. and
Clarke, A. E., Stain Techn., 1946, 21,
111-114 recommend their use to demon-
strate chromosomes of root tip smears
after colchicine and before staining
with carmine.
Pectins, macromolecular properties, test for
(Hueper, W. C, Arch. Path., 1942, 33.
267-290). See Ruthenium Red.
Pencil Red Cells are oval or elongated
erythrocytes in the condition of ovalo-
cytosis 4 or 5 times as long as they are
broad.
Pentose Nucleic Acid is present in cyto-
plasm, nucleoli and possibl}^ in the
chromatin of cells. With proper con-
trols the substance may be identified
in cells by use of ultraviolet micro-
spectrophotometry or by Pyronin-
methyl Green and ribonuclease. It is
found in high concentration in cell,
actively producing protein (Stowells
R. E., Cancer, 1948, 2, 121-131) and is
generally associated with basophilia
(Caspersson, T. and Schultz, J., Nature,
1939,143,602-603).
Pepsin, microchemical determination :
1. Freeze gastric mucous membrane
of freshly killed pig. Keep at — 10°C.
Cut cylinders of tissue (2.5 mm. in diam-
eter) with sharp cylindrical borer ver-
tical to surface. Mount cylinders with
muscle down on a piece of cardiac mu-
cosa or on stiffened gelatin. Freeze
with COj. Cut sections at 25 microns.
Make enzyme determinations on section
and correlate with structure in adjacent
sections and with known distribution of
cell types at different distances from
lumen. This shows that chief cells are
the source of the pepsin (Holter, H. and
Linderstr0m-Lang, K., C. rend. Trav.
Lab. Carlsberg, 1935, 20 (11) 1-32).
2. Make extract of tissue, mix with
buffers at suitable pH, apply to gelatin
surface of Eastman lantern slide plate,
incubate, wash gelatin surface, fix in
20% formalin, stain with acid fuchsin
or Delafield's hematoxylin and observe
sites of proteolytic activity evidenced
by clear spots. Test is positive for 0.0001
-0.0002 gm. stomach of young ambly-
stoma weighed wet. Details of this in-
genious technique, also applicable with
slight modification for trypsin, are given
by Dorris (F., J. Exp. Zool., 1935,
70, 491-527). See also Peptidase, Pep-
sin and Dipeptidase.
Pepsinogen, antecedent of pepsin in body
chief cells of stomach. For staining
reaction and discharge by vagal stimu-
lation, see Bowie, D. J. and Vineberg,
A. M., Quart. J. Exper. Physiol., 1935,
25, 247-257.
Peptidase can be localized in centrifuged
marine eggs by direct enzymatic analysis
of fragments containing different cyto-
plasmic components using a procedure
essentially the same as that advocated
by Linderstr0m-Lang and his associates.
It occurs in the hyaline ground sub-
stance and is not bound to the granular
PERDRAU'S MODIFICATION
263
PERICARDIUM
material (Holter, H., J. Cell, and Comp.
Physiol., 1936, 8, ITQ^IOQ). Simittr
studies with amebae indicate, likewise,
association with cytoplasmic matrix
(Holter, H. and Kopac, M. J., J. Cell,
and Comp. Physiol., 1937, 10, 423-427).
These techniques are likely to be of wide
usefulness. Peptidase has been loca-
lized in gastric and duodenal mucosa of
the pig by Linderstr0m-Lang and Hol-
ter (K. and H., C. rend Trav. I^b.
Carlsberg, 1935, 20 (11), 42-56). See
also Mauer et al. (J. Nat. Cancer Inst.,
1941, 2, 278). An excellent critical
discussion of the histological distribu-
tion of peptidase is provided by
Blaschko and Jacobson (Bourne, pp.
207-216).
Anfinsen, C. B., Lowry, O. H. and
Hastings, A. B., J. Cell, and Comp.
Physiol., 1942, 20, 231-237 have de-
veloped a method whereby the same
section can be stained for microscopic
examination and thereafter used for
enzyme analysis. It works also for di-
phosphopyridine nucleotide and choli-
nesterase. See Protease.
Perdrau's Modification. Bielschowsky's
silver method for reticulum as detailed
by Bailey, P. and Hiller, 0., J. Nerv.
& Ment. bis., 1924, 59, 337-361. Fix
in 10% formalin. Wash in running tap
water 12-24 hrs., then in several changes
aq. dest., 24 hrs. more. Cut frozen
sections, 15-25 m, and leave in aq. dest.
24 hrs. 0.25% aq. potassium perman-
ganate, 10 min. Wash in aq. dest.
Decolorize in equal parts 1% oxalic acid
and 1% acid potassium sulphite. Wash
in several changes aq. dest. over night.
Treat with following solution 40-60
min. : Add 2 drops 40% sodium hydrox-
ide to 5 cc. 20% silver nitrate. Just
dissolve ppt. with ammonia. Dilute to
50 cc. with aq. dest. and filter. Wash
sections rapidly with aq. dest. Reduce
in 20% formalin in tap water, 30 min.
Wash in aq. dest. Tone with gold
chloride and continue as in Laidlaw's
Method. Reticulum, black; collagen
reddish. This is intended primarily
for nervous system, see Bailey and Hil-
ler's, Fig. 3.
Perenyi's Fluid. 3 parts 95% alcohol, 4
parts 10% aq. nitric acid, 3 parts 0.5%
chromic acid is according to Lee (p. 32)
an important fixative for embryos, seg-
menting eggs, etc.
Perfusion. The technique of washing
through the blood vessels with a fluid is
one of wide usefulness. It is in general
the same but varies somewhat depend-
ing upon what is to be perfused. The
apparatus consists of a bottle capable
of holding at least 1000 cc. equipped with
an outlet near the bottom or a bent glass
tube siphon connected by a rubber tube
about 6 feet long with a glass Cannula.
An artery clamp placed about 1 foot from
the cannula will serve as a shut off.
If one wishes to perfuse a mouse the
best way is to tie a small cannula into
the ventricle, if it is the abdominal
organs of a guinea pig the following pro-
cedure is advised: Kill the animal with
chloroform if this anesthetic will not
interfere with the results as is seldom
the case. Cut carotids and jugular
veins to partly exsanguinate the animal.
Clip away sternum and most of the ribs.
Displace left lung, expose thoracic aorta
and free a portion of it from surrounding
tissue. Pass moistened ligature thread
behind aorta. Make with scissors a
small slit in wall of aorta not at right
angles to it but directed into it and
downward (toward tail) being careful
not to cut more than 3 through it. In-
sert wet cannula into the slit with slight
rotatory motion until the constriction
in the cannula is about 1 cm. within the
aorta. Then bring the two ends of the
thread together and tie the cannula in
place. Remove clamp from rubber tube
and allow fluid to flow in from bottle
suspended about 4 feet above cannula,
open right auricle to permit free exit of
fluid. It may be necessary to clamp in-
ferior vena cava just above diaphragm
and increase pressure somewhat. Some-
times it is helpful to vary pressure by
opening and closing clamp. After 4 or
5 minutes open abdomen and examine
organ which it is desired to perfuse.
The absence of blood color in it and the
color of the perfusate (if colored) are
indicators of completeness of the oper-
ation. The pancreas and the liver will
swell considerably but this may not be a
disadvantage.
Pericapillary Cells, or pericytes, are closely
applied to, or wrapped about, the endo-
thelium of blood capillaries. The desig-
nation relates to position only and it
includes cells of several sorts from
much branched Rouget cells to simple
fusiform muscle cells and connective
tissue cells. Methods of silver im-
pregnation and beautiful illustrations
are provided by Zimmermann, K. W.,
Zeit. f. Anat., 1923, 68, 29-109. The
myofibrils in contractile pericapillary
cells can be stained supravitally with
jauus green, (Bensley, R. R. and Vim-
trup, R., Anat. Rec, 1928, 39, 37-55).
Valuable data can be obtained by micro-
dissection of the living tissues (Zwei-
fach, B. W., Am. J. Anat., 1937, 60,
473-657).
Pericardium. Special dissections of bands
of fibers in periciirdium (Popa, J. T.
and Lucinescu, E., J. Anat., 67, 78-107).
PERITONEAL FLUID
264
PEROXIDASE
Methods for study of absorption of sub-
stances placed in pericardial sac (Drin-
ker, C. K. and Field, M. E., J. Exper,
Med., 1931, 53, 143-150).
Peritoneal Fluid. Cells present (Webb,
R. L., Am. J. Anat., 1931-32, 49, 283-
334; Folia Haemat., 1933, 51, 445-451).
Periodontium, see method for Teeth and
Jaws.
Peritoneum. Outlines of mesothelial cells
blackened with silver nitrate (Pumala,
R. H., Anat. Rec, 1937, 68, 327-338,
good illustrations). Exudate cells
stained vitally with lithium carmine
(Maximow, A. A., Cowdry's Special
Cytology).
Perivascular Spaces of the brain. The Weed
McKibben method (Weed, L. H., Am.
J. Anat., 1923, 31. 191-221), based on
dehydrating the brain by increasing
osmotic pressure of the blood and draw-
ing into these perivascular spaces solu-
tions of pota.ssium ferrocyanide and
iron ammonium citrate, after injection
into the subarachnoid space, and their
later precipitation as Prussian blue by
fixing tissue in acid formalin, has been
modified by Patek, P. E., Anat. Rec,
1944, 88, 1-24. In rabbits and cats he
injects intravenously 6-8 cc. 30% aq.
sodium chloride during 10 min. and
3-4 cc. particulate suspension of india
ink or mercur}'^ sulfide in the cisterna
magna under atmospheric pressure dur-
ing 15-20 min. The animal is then
killed by bleeding and perfused via
the aorta with 10% formalin. After
further fixation of brain by immersion
1 mm. slices are cut and mounted un-
stained or the tissue maybe imbedded
in paraffin in celloidin and 10-50 /x sec-
tions colored with gallocyanin or some
other appropriate stain. Dogs can also
be used as he directs.
Permeability. This is a fundamental prop-
erty for the study of which there are
many microscopic techniques. The
idea that what goes in and what comes
out through the plasma membrane (see
Cell Membranes) always depends upon
the character of the particular substance
and of the membrane is fallacious. By
his method of observing in vivo the ruffle
Pseudopodia of macrophages and can-
cer cells W. H. Lewis (Am. J. Cancer,
1937, 29, 666-679) has enabled us to see
that materials can be drawn into the cy-
toplasm in invaginations of the plasma
membrane which lose connection with
the outside so that when the isolated
membranous investments disintegrate
the materials are liberated in the cyto-
plasm without ever traversing the intact
surface plasma membrane. This is the
converse of observations made possible
by the direct examination of secreting
acinous cells of the pancreas by W. P.
Coyell (Anat. Rec, 1928, 40, 213-223)
which show secretory products leaving
the cell in protrusions of the plasma
membrane. These later become
pinched off, the membranes disintegrate
and the product is set free in the lumen.
See literature review (Blinks, L. R.,
Ann. Rev. Physiol., 1942, 4, 1-24). See
Spreading Factors.
Peroxidase. This enzyme catalyses oxida-
tion of several oxidizable substrates in
presence of peroxide. It is most abun-
dant in plants being usually prepared
from horse-radish. In mammals it
occurs in mammary glands and in milk.
In the peroxidase reaction, so commonly
employed in the study of leucocytes, a
colored product is formed in the pres-
ence of peroxide from a suitable sub-
strate, benzidine or alpha naphthol.
Blaschko and Jacobson (Bourne, p. 197)
remind us that it is still uncertain that
this reaction in leucocytes demonstrates
a true peroxidase because it is relatively
stable to heat.
1. Alpha naphthol -pyronin (Gra-
ham, G. S., J. Med. Res., 1916, 30, 231-
242). Fix blood smears in 9 parts 95%
alcohol and 1 part formalin freshly pre-
pared, 1-2 min. Wash in water and
flood with : alpha naphthol (Merck's
"recrystallized" or "Reagent"), 1 gm.;
40% alcohol, 100 cc. ; hydrogen peroxide,
0.2 cc for 4-5 min. Wash in dish of
running water, 15 min. Stain in:
pyronin 0.1 gm.; anilin oil, 4 cc; 40%
alcohol 96 cc, 2 min. Wash in water.
Stain in 0.5% aq. methylene blue
(Griibler's BX), ^-;1 min. Wash in
water, blot, mount in neutral balsam.
Fresh smears should be used. When
used by a class of students tie droppers
to bottles to avoid spoiling solutions by
mixing them.
2. Benzidine-methylene blue (Gra-
ham. G. S., J. Med. Res., 1918, 39, 15-
24). Fix as above. Wash in water.
Treat 5-10 min. in 0.2% hydrogen
peroxide in 40% alcohol saturated before
using with benzidine, 5-10 min. Wash
and stain with methylene blue.
3. Benzidine-safranin (Sato, A. and
Shoji, K., J. Lab. and Clin. Med., 1927-
28, 13, 1058-1060). Dry blood smear
in air. Flood the slides with solution
A (0.5% copper sulphate). After 1
minute pour off solution but do not
wash or dry slides. Apply solution B
(rub up in a mortar 0.2 gms. benzidine
with a few drops distilled water. Then
add 200 cc. aq. dest. and filter. To
filtrate add 4 drops 3% hydrogen
peroxide) for 2 min. Then wash in tap
water. Stain with solution C (1%
safranin in aq. dest), 1 min. Wash in
PEROXYDASE
265
PHAGOCYTOSIS
tap water and dry. Peroxidase granules
are colored blue in granular leucocytes
and the nuclei orange red.
4. Nitroprusside-benzidine (Goodpas-
ture, E. W., J. Lab. & Clin. Med.,
1919, 4, 442-444). To make the stain
dissolve 0.05 gm. sodium nitroprusside
in 2 cc. aq. dest. ; add 100 cc. 95% alco-
hol; 0.05 cc. benzidine C.P.; 0.05 gm.
basic fuchsin and 0.5 cc. hydrogen
peroxide. Cover well dried blood smear
with known amount of stain, 1 min.;add
equal volume aq. dest. plus hydrogen
peroxide, 3-4 min. ; rinse thoroughly in
water and blot dry. Shows many blue
granules in granular leucocytes and few
in monocytes. Nuclei are colored red.
To increase intensity of stain dilute
with a little less aq. dest. and stain
longer. Method can be used for frozen
sections of material fixed in formalin
and preserved in 80% ale. A modifica-
tion of this stain has been proposed by
Beacom (J. Lab. & Clin. Med., 1925-26,
11, 1092-1093) with hydrogen peroxide
omitted and basic fuchsin doubled.
5. Benzidine-Giemsa (Armitage, F.
L., J. Path., 1939, 49, 579-580). Fix
smears in 96% alcohol containing 10%
formol freshly made up. Flood with
benzidine mixture (0.75 gm. benzidine
in 500 cc. 40% ethyl alcohol. Filter.
Add 7 cc. 3% HjOi, mix by shaking im-
mediately before using) 2 min. for fresh
films, longer for older ones. Wash in
40% alcohol until definite yellow gran-
ules are seen in granular leucocytes.
Absolute alcohol and dry in incubator.
Counterstain with dilute Giemsa, wash
in water, blot and dry.
6. Benzidine for paraffin sections
(McJunkin, F. A., Anat. Rec, 1922-23,
24, 67-76). After fixation of small
pieces in 10% formalin imbed quickly
in paraffin; 70% alcohol, 1 hr. ; acetone,
30 min.; benzol, 20 min.; paraffin, 20
min. Mount thin sections in usual
fashion. Deparaffinize in benzol 20
sec, acetone, 10 sec. Water, few sec-
onds. Drain off water, apply mixture
(80% alcohol, 25 cc. ; benzidine, 0.1 gm. ;
hydrogen peroxide, 2 drops) diluted with
1 or 2 parts aq. dest., 5 min. Water, 5
min.; hematoxylin, 2 min.; water, 1
min., 0.1% aq. eosin, 20 sec; 95%
alcohol, 30 sec. ; abs. alcohol, 5 sec. Clear
in xylol and mount in balsam.
Note : In above methods a blue
counterstain tends to obscure the blue
peroxidase reaction.
7. DCPIP-2, 6-(iichlor-phenol-indo-
phenol (Jacoby, F., J. Physiol., 1944,
103, Proc. Physiol. Soc. July 29). Fix
air dried blood smear in 9 parts abs. ale.
and 1 part formol for 2-3 min. Wash in
water. Treat smear for 3-5 min. with
0.5% aq. 2.6-dichlor-phenol-indophenol
to every 5 cc. of which 4 drops IIjOi
is added prior to use. Wash in water,
blot dry and examine. "Peroxidase-
positive" granules, deep purple-violet.
No precipitation of crystals and gran-
ules on smear. Author suggests 0.5%
aq. neutral red as a counterstain to be
applied after treatment with DCPIP.
If smear is to be mounted use neutral
balsam. Solution of DCPIP can be
stored in ice box for few months.
Peroxydase, see Peroxidase.
P6t6rfi, see Double Imbedding, and Osmic
Acid Method for nerve fibers.
Petrunkevitch's Fixatives: Cupric-phenol.
Stock solution A = aq. dest., 100 cc;
nitric acid (cp. sp. gr. 1.41-1.42), 12
cc; Cu(N03)2-3 H^O, 8 gm. Stock
solution B = 80% alcohol, 100 cc;
phenol crystals, cp. 4 gm.; ether 6 cc.
iSmploy 1 part A with 3 parts B. Fix
12-24 hrs. Wash in 70% alcohol.
Cupric-paranitrophenol. 60% alcohol,
100 cc; nitric acid (same), 3 cc; ether
5 cc. ; cupric nitrate (same), 2 gm.;
paranitrophenol, cp. crystals, 5 gm.
Time unspecified. Wash in 70% alco-
hol. Said not to harden tissues like
ordinary fixatives. May be followed
by all common stains. (Petrunkevitch,
A., Science, 1933, 77, 117-118).
Petrunkevitch's Fluid is sat. mercuric
chloride in aq. dest., 300 cc, abs. ale,
200 cc; acetic acid, 90 cc; and nitric
acid, 10 cc.
pH, see Hydrogen Ion Indicators.
Phagocytosis. There are numerous methods
for the demonstration of this phenome-
non from which to choose.
1. In Vaginal Smears (which see),
made after intercourse, neutrophilic
leucocytes can be observed in the act of
engulfing individual spermatozoa. C.
R. Stockard, in Cowdry's Special Cy-
tology, 1932, 3, 1611-1629, has described
this remarkable process as seen in the
living state. "A leucocyte comes in
contact with a spermatozoon which with
its tail is longer than the leucocyte.
The leucocyte by stretching and con-
tracting finally takes into itself the
entire spermatozoon, the tail being
wound in a circular fashion within the
cell body."
2. In temporary mounts of bacteria
and Leucocytes (which see) pliagocyto-
sis can be followed in detail. Differ-
ences in the behavior of neutrophiles
from seriously ill and normal persons
have been described.
3. Under Vital Staining will be found
many techniques which permit the
observation of the phagocytosis of
inanimate particulate materials by
macrophages. A graphic demonstration
PHASE CONTRAST MICROSCOPE
266
PHLOXINE-METHYLENE BLUE
of the immunologic control of phagocy-
tosis of erythrocytes by these cells can
be provided by using a method de-
scribed by Bloom, W., Arch. Path. &
Lab. Med., 1927, 3, 608-628.
Phase Contrast Microscope. By phase
contrast one generally means a system
of illumination and phase retardation
by means of which phase differences
of light waves are converted into ampli-
tude differences. Its purpose is to
create contrast, thus rendering objects
visible which would otherwise be im-
possible to see in a bright-field because
of e.xcessive transparency.
The equipment consists of an annular
diaphragm in the front focal plane of
the condenser and a diffraction plate
of special design placed between the
components of the objective lens.
Phase contrast microscopes, developed
in Europe just before the war, have
been commercially available in the
United States only recently but already
an impressive amount of investigation
has been reported on biological material
(Bennett, A. H., Sci. Monthly, 1946, 43,
191-193; Richards, O. W., Cold Spring
Harbor Svmposium Quant. Biol., 1947,
11, 208-214). Their great usefulness
lies in the fact that with their help one
can see more clearly than by other
means at high magnification and resolu-
tion such external and internal cellular
structures as surfaces (Ralph, P. H.,
Anat. Rec, 1947, 98, 219-223, 489-507);
vaginal smears (Culiver, A., and Gluck-
man, J., J. Obst. and Gynaec, Brit.
Empire, 1948, 55, 261-267); centrioles
(Buchsbaum, R., Anat. Rec, 1948, 102,
19-27) ; mitochondria (Ludford et al.,
J. Roy. Micr. Soc, 1948, 68, 1-9; Zollin-
ger, H. v., Am. J. Path., 1948, 24, 569-
589); viral inclusion bodies (Angulo,
J. J. et al, J. Bact., 1949, 57, 297-303)
etc. in the living stage, or in fixed and
unstained material.
Lack of contrast has always been a
problem peculiar to histology and
cytology because the refractive indices
of cytoplasm and its inclusions are so
nearly the same. The classical method
of creating color contrast by selective
or differential staining is subject to
well-known limitations. Phase micros-
copy now provides for the first time
an effective, reliable method of creating
contrast by purely optical means.
The chief deterrent to its universal
adoption for research is its present
high cost, ranging from $500 to $1,000
for a microscope and accessories.
Moreover special adjustments have to
be made for the particular tissue to be
examined. You cannot simply take
the microscope out of the cupboard
and get busy in the examination of
any old tissue as is customary with
the standard bright light microscope.
The phase contrast microscope is not of
any particular assistance in the study
of fixed and stained preparations in
which differential tissue transparency
is not a factor of primary importance.
Phenol Compounds, see Azo Reaction, Indo
Reaction.
Phenolase, see Oxidase.
Phenoloxida ^, see criticism of Dopa Oxi-
dase reaction.
Phenolphthalein. This compound of
phthalic acid with phenol and sulfuric
acid is an important indicator. Closely
related to it is cresolphthalein.
Phenosafranin (CI, 840) — safranin B extra —
This is the simplest of the safranins.
It has been used by Moore, E. J.,
Science, 1933, 77, 23-24_ for staining
fungi on culture media or in host tissue.
Phenosulfonphthalein, use in renal function
tests (Shaw, E. C, in Glasser's Medical
Physics, 1628-1630).
Phenyl Methane Dyes. The hydrogen
atoms of methane can be replaced by
phenyl groups and it is possible to add
amino groups to the benzene rings.
See di-phenyl methanes, di-amino tri-
phenyl methanes, tri -amino tri -phenyl
metlmnes, and hydroxy tri -phenyl
methanes.
Phenylene Blue, see Naphthol Blue R.
Phenylene Brown, see Bismark Brown Y.
Phloroglucin is 1,3,5-trihj'^droxybenzene.
It is obtained in the form of a yellowish
white crystalline powder. It protects
the organic components of tissues so
that acids can be used in higher con-
centrations for decalcification. Make
sat. aq. sol. phloroglucin and add
5-25% of the acid.
Phloxine (CI, 774)— erythrosin BB or B
extra, new pink.
Phloxine B (CI, 778) — cyanosine, eosin
lOB, phloxine TA, N or BB— Conn
(p. 154) explains that this differs from
phloxine in possessing 4 in place of 2
chlorine atoms in phthalic acid residue
of molecule. This phloxine B is the
one ordinarily used. See Eosins.
Phloxine Ta, N or BB, see Phloxine B.
Phloxine-Azure. This resembles Mallory's
phloxine-methylene blue. Stain sec-
tions after Bouin or Zenker fixation
in 2.5% aq. phloxine, 15 min.; wash in
water and stain in 0.1% aq. azure A,
30 min.; wash in water, differentiate in
95% ale. plus few drops xylene colo-
phonium; dehydrate in abs., clear in
xylol and mount. Particularly good
for bone marrow. (Haynes, R., Stain
Technology, 1926, 1, 68).
Phloxine-Methylene Blue. Mallory (p. 86)
recommends that phloxine be employed
PHOSPHAMIDASE
207
PHOSPHATE ION
in place of eosin in the following method
because it gives (as Conn suggested) a
more brilliant color. Deparaffinize sec-
tions of Zenker fixed material in usual
way. Remove mercury with 0.5%
iodine in 95% alcohol 5-10 min. and the
iodine with 0.5% aq. sodium thiosulfate
(hypo) 5 min. Wash thoroughly in
water. 2.5% aq. phloxine in paraffin
over 1 hr. or more. Cool stain, drain
and rinse in water. Take 5 cc. 1% methy-
lene blue on 1% borax, 5 cc. 1% aq.
azure II, add 90 cc. aq. dest., filter onto
the sections. Pour on and off several
times. After required time differentiate
in 100 cc. 95% alcohol plus 2-5 cc. 10%
colophony (rosin) in absolute alcohol.
Control differentiation under micro-
scope. Dehydrate in several changes
abs. ale. Clear in xylol and mount in
balsam. Nuclei and bacteria, blue:
collagen, etc. bright rose. The method
yields beautiful preparations of intra-
nuclear inclusions in yellow fever and
is extensively used for many purposes.
Phosphamidase an enzyme capable of
hydrolyzing para-chloranilido phos-
phonic acid, at acid pH (5.6). Gomori,
G., Proc. Soc. Exp. Biol, and Med.,
1948, 69, 407-409, describes the method.
Phosphamidase is reported to be espe-
cially intense in the grey matter of the
central nervous system and in malig-
nant tumors.
Phosphatases — Written by E. W. Dempsey,
Dept. of Anatomy, Washington Uni-
versity, St. Louis. February 26, 1951 —
Since the original papers of Gomori, G.
(Proc. Soc. Exp. Biol, and Med., 1939,
42, 23-26), and Takamatsu, H. (Trans.
Jap. Path. Soc, 1939, 29, 492-498), a
host of papers on the localization of
these enzymes has appeared. The
Gomori and Takamatsu methods in-
volve incubating sections in a solution
of organic phosphate, during which
free phosphate radicals are liberated.
These are instantly precipitated as the
calcium or the lead salt, for the alkaline
and acid phosphatase reactions, respec-
tively. The insoluble metal phosphate
is then visualized by staining with
alizarin or silver solutions (Kabat,
E. A. and J. Furth, Am. J. Path., 1941,
17, 303-318) or by transformation to
black cobaltous sulfide. For technical
procedures, see Gomori's Method.
The question whether alkaline phos-
phatase is a single enzyme, or whether
several, substrate-specific enzymes ex-
ist, is an actively debated topic.
Dempsey, E. W. and H. W. Deane (J.
Cell, and Comp. Physiol., 1946, 27,
159-179) suggested that there are several
different alkaline phosphatases, and
Emmel, V. E. (Anat. Rec, 1946, 96,
423-438) has demonstrated that the
enzyme of the intestine is easily poi-
soned by KCN whereas that of the kid-
ney is not. Contrariwise, Gomori, G.
(Proc. Soc. Exp. Biol, and Med., 1949,
70, 7-11) reports no difference in locali-
zation of phosphatase when 19 different
substrates were employed, although a
phosphonate substrate gave different
results in the acid range. Later,
Gomori, G. (Proc. Soc. Exp. Biol, and
Med., 1949, 72, 449-150) found that
5-nucleotidase was localized differently
than is glycerophosphatase. The pos-
sible multiplicity of the alkaline phos-
phatases is therefore unsettled, but the
weight of evidence suggests there is
more than one enzyme for dephospho-
rylating mechanisms.
A new chemical approach to the
phosphatases appeared when Menten,
M. L., J. Junge and M. H. Green (J.
Biol. Chem., 1944, 153, 471-477) em-
ployed beta naphthyl phosphate as a
substrate. After enzymatic hydrolysis,
beta naphthol was visualized by cou-
pling with a diazonium salt. This pro-
cedure has been greatly improved by
Mannheimer, L. H. and A. M. Selig-
man, J. (Nat. Cancer Inst., 1948, 9,
181-200) and by Seligman and Mann-
heimer {ibid., 1949, 9, 427-434) for
alkaline and acid phosphatase respec-
tively. The present methods give
results fully comparable in precision
with the Gomori procedures.
The possible occurrence of artifacts
of various sorts in the phosphatase
methods has been actively debated.
Most observers agree that histochemi-
cal preparations are of considerable
value, but many warn of the possible
migration of enzyme or of its products
during the technical procedures. The
problem therefore becomes one of re-
solving power — -What are the spatial
limits of dependability of the phos-
phatase procedures? Two references
on this debated topic are: Martin, B.
F. and Jacoby, F., J. Anat., 1949, 83,
351-363, and Leduc, E. H. and Demp-
sey, E. W., J. Anat., 1951, in press.
Finally attention should be called to
the excellent review on phosphatases
by Lison, L., Bull. d'HistoL, 1949, 25,
23-41.
Phosphate Ion. A capillary colorimetric
technique has been described by
Walker, A. M., J. Biol. Chem., 1933,
101, 239-254. He employed it for
glomerular urine. See discussion by
Sumner, J. B., Science, 100, 413-414.
The technique is suitable for even
0.08 jttl containing less than 1 nm gm.
phosphate phosphorus with a mean
error approximately 0.1% (Glick, p.
PHOSPHATE SOLUTIONS
268
PHOSPHOTUNGSTIC ACID
HEMATOXYLIN
208). See method of Lowry, O. H. and
Lopez, J. Biol. Chem., 1946, 162, 421-
428 for determination of inorganic
phosphate in presence of labile phos-
phate esters. See Phosphorus.
Phosphate Solutions. A method for the
direct observation of the effect of
buffered phosphate solutions on a thin
layer of living, vascular tissue in moat
chambers introduced into the rabbit's
ear is described by Abell, R. G., Anat.
Rec, 1935-36, 64, 51-73.
Phosphine (CI, 793)— leather yellow, xan-
thin — a basic xanthene dye used as a
microchemical test for nucleoproteins
by Schumacher, J., Zentralbl. Bakt.,
Abt. I. Orig., 1922, 88, 362-366. Phos-
phine 3 R is fluorchrome for lipids.
Phospholipid Content of white blood cells
(Boyd, E. M., J. Lab. & Clin. Med.,
1935-36, 21, 957-962).
Phosphomolybdic Acid Hematoxylin (Mal-
lory's, see McClung, p. 406). Fix in
Zenker's fluid, imbed in parafhn and
remove mercury with iodine. Rinse in
water. Phosphomolybdic acid hema-
toxylin at room temperature 12-24 hrs.
or at about 54°C. 2-3 hrs. (That is
hematoxylin 1 gm., phosphomolybdic
acid crystals 2 gm., aq. dest. 100 cc.
Requires several weeks to ripen or ripen-
ing may be immediate after addition of
5 cc. 1% aq. potassium permanganate.)
Wash in water. Decolorize in 95% ale. ;
dehydrate in abs. Clear in xylol and
mount in balsam. Collagenic fibers
deep blue. To counterstain first color
5-10 min. in 0.5% aq. acid fuchsin, drain
and stain directly in the hematoxylin.
Phosphorescence Microscope, Science
(News), 1943, 98, 8 (No. 2547).
Phosphorus. The histochemical detection
of phosphorus is a matter of great im-
portance but the techniques are open to
much criticism. Lison (pp. 113-120)
has reviewed the whole question and
advises two techniques as vigorously
specific for phosphorus in the ionic
form:
1. Angeli, A., (Riv. di Biol., 1933, 10,
702) using plant material treats sections
for 20 min. with: ammonium molyb-
date, 3 gm.; aq. dest., 20 cc; 30% aq.
hydrochloric acid, 20 cc; reduces in
N/50 stannous chloride, rinses quickly
in aq. dest., washes longer in 2.5% aq.
ammonia which results in elements con-
taining phosphorus being colored blue
green.
2. Serra, J. A. and Queiros Lopes, A.,
Portugaliae Acta Biol., 1945, 1, 111-
122. Reagents: (A) Fixative. Add few
drops glacial acetic acid to mixture 2
parts 96% ale and 1 part formalin.
(B) Molybdate. 0.5 gra. ammonium
molybdate dissolved in 20 cc. aq.
dest. -f 10 cc. cone. (30%) hydrochloric
acid diluted to 50 cc. with aq. dest.
(C) Benzidine. 25 mg. dissolved in 5
cc. glacial acetic acid diluted to 50 cc.
with aq. dest. Fix tissue in "A" and
wash well in water. Treat frozen sec-
tions, or small pieces, with "B" at
10-12° for 2-3 weeks and then at 20-25°
for 2-3 days. Cover with drop of "C"
for 3 min. Add 2 drops sat. aq. sodium
acetate. Mount in glycerol from a
supply containing crystals of sodium
acetate. Phosphate is revealed by
intense blue color. When these authors
digest tissue with nuclease to liberate
phosphate from nucleic acid this visual-
ization of phosphate indicates localiza-
tion of the nucleic acid (partially quoted
from Glick, p. 35).
By the titrimetric method of Lind-
ner, R. and Kirk, P. L., Microchemie,
1937, 22, 300-305 phosphorus can be
detected quantitatively in the range
0.5-10.0 fjL gm. The whole subject has
been reviewed by Glick, D., J. Chem.
Education, 1935, 12, 253-259.
Phosphotungstic Acid Hematoxylin. (Mal-
lory's, see McClung, p. 403) Fix in
Zenker's fluid and remove mercury from
sections with iodine or 0.5% sodium
hyposulphite. Rinse in water. 0.25%
aq. potassium permanganate, 5-10 min.
Wash in water. 5% aq. oxalic acid,
10-20 min. Wash carefully in several
changes of water. Phosphotungstic acid
hematoxylin, 12-24 hrs. (To make this
dissolve 0.1 gm. hematoxylin by heat in
50 cc. aq. dest., when cool add 2.0 gm.
phosphotungstic acid dissolved in 50 cc.
aq. dest. Requires a few weeks to
ripen. Ripening can be done at once by
addition of 10 cc. 0.25% aq. potassium
permanganate). 95% ale, 30 sec;
dehydrate quickly in abs. Clear in
xylol and mount in balsam. Fibroglia,
myoglia, neuroglia and fibrin, deep
blue; ground substance, cartilage and
bone, yellowish to brownish red;
coarse elastic fibers, purple.
Mullen, J. P. and McCarker, J. C,
Am. J. Path., 1941, 17, 289-291 suggest
the following procedure for nervous tis-
sues fixed in formalin. Tissues stored
in 4% aq. formalin for several years give
good results. After fixation in 4%, cut
blocks 5 mm. or less in thickness. Wash
for 6-12 hrs. in running water. Dehy-
drate to include 95% alcohol as usual.
Complete dehydration in 2 changes n
butyl alcohol, 4 hrs. each (but absolute
alcohol xylol is satisfactory). Imbed in
paraffin directly from n Butyl Alcohol
(which see).
Treat sections for 2 hrs. or longer in
following mordant: Dissolve 5 gms.
chromium chloride (green crystals ob-
PHOTODYNAMIC ACTION
269
PICCOLYTE RESINS
tainable from General Chemical Co.,
New York) in 100 cc. aq. dest. and add 5
cc. glacial acetic acid. This dark green
solution soon becomes purple black but
is usable after many weeks. Rinse in
aq. dest. Stain, as above, with phos-
photungsticacid hematoxylin.
Photodynamic Action of thiazine dyes on
vaccine virus may be due to red or infra
red rays (Hirano, N. and Sayama, K.,
Arch. exp. Med., 1936, 13, 324-332).
Photoelectric Colorimeter, construction and
use (Hanselman, R. C, Am. J. Clin.
Path., 1943, 13, 108-116).
Photoelectric Microphotometer — Written
by R. E. Stowell, Dept. of Oncology,
University of Kansas Medical Center,
Kansas City 2, Kan. January 19,
1951 — The original type of apparatus
developed by Stowell, R. E. (J. Nat.
Cancer Inst., 1942,3, 111-121) was used
to measure the light absorbed as a
result of the specific coloration of tissue
components. Such equipment consists
of a light source, microscope, and photo-
electric equipment with amplification
and recording of light absorption.
Modified equipment is discussed by
Pollister, A. W. and Moses, M. J. (J.
Gen. Physiol., 1949, 32, 567-577).
Among substances measured by these
techniques are Feulgen reaction for
desoxypentose nucleic acid, pyronin
methyl-green stain for nucleic acids
and Millon's reaction for tyrosine. For
other possible uses of this type of equip-
ment see Stowell, R. E. (J. Invest.
Derm., 1945, 6, 183-189).
Photoxylin, see Celloidin.
Phrenosin is a Cerebroside.
Phthalein Indicators. Table giving rela-
tive reactions of the several organs and
tissues after vital staining (Rous, P.,
J. Exper. Med., 1925, 41, 739-759).
See Indicators of pH.
Physiological solutions. These are in-
tended for the examination of living
cells with a minimum of change. Blood
serum, or plasma, is an unnatural me-
dium for any living cells except those
naturally intravascular as shown by the
fact that alone and undiluted it is a poor
medium for tissue culture. Physio-
logical saline is for mammals 0.85-0.9%
aqueous NaCl and for amphibians about
0.65% aqueous NaCl. For others see
Ringer, Ringer - Locke, Locke - Lewis
and Tyrode. Normal solutions (which
see) are different.
Pia Mater. Perivascular nerves. Washout
blood by vascular perfusion with saline
solution or by rinsing nonperfused tis-
sue with saline. Fix with 10.5% citric
acid in 20% formalin preferably by in-
jection. Dissect out blood vessels of
pia under binocular microscope. Wash
in aq. dest. twice and place in 20% aq.
silver nitrate 2 hrs. Pass through 4
changes 20% formalin in Petri dishes
each containing al)out 100 cc. Transfer
directly to ammoiiiated silver nitrate
made by adding cone, ammonia (28%)
drop by drop to 20% aq. silver nitrate
using 3 drops more than amount re-
quired to dissolve ppt. Observed under
the microscope the nerves "come up"
slowly and when they are dark enough
transfer to 20% ammonia water for 1-2
min. Wash in aq. dest. plus few drops
glacial acetic acid. Tone in 0.2% aq.
yellow gold chloride 30-60 min. Wash
in water, dehydrate in 3 changes 95%
alcohol, clear in carbol-creosote-xylol
mixture and mount in balsam (Penfield,
W., Am. J. Path., 1935, 11, 1007-1010);
revised by W. Penfield, Montreal Neu-
rological Institute, Montreal, Canada,
May 1, 1946.
Pianese Method. Much used a generation
ago for study of cancerous tissue.
Pianese, G., Beitr. z. Path. Anat., u.
Allg. Path., 1896, Suppl. I, 193 pp.
Piccolyte Resins — Written by L. F. Wicks,
Veterans Administration Hospital, Jef-
ferson Barracks, Mo. February 1,
1951 — These synthetic terpene resins
(/3 pinene polymers) have been recom-
mended for permanent mounting media
(Wicks, L. F., Carruthers, C. and
Ritchey, M. G., Stain Techn., 1946,
21, 121-126). Natural resins are quite
variable in quality, and with age the
poorer samples may turn yellow, crack
or develop acidity which fades basic
stains. Synthetic resins, being of con-
trolled manufacture, are much more
uniform in composition and predicta-
ble in behavior. An examination of
many such resins was stimulated by
the war-time scarcity of Canada bal-
sam.
The requirements for a good mount-
ing medium are abbreviated from the
original article. It should possess:
1. Correct refractive index, 2. Freedom
from acidity, 3. Clarity, present and
future, 4. Solubility in the proper or-
ganic solvents, 5. Good adhesion for
glass, 6. Reasonable hardening time
(and not craze or granulate later), 7.
An approximately right softening tem-
perature, 8. Constant composition,
stability, inertness, availability and
moderate price.
The Piccolytes meet all the above
stipulations, being of correct refractive
indices, very low acid numbers, pale,
non-yellowing, adherent to glass, and
soluble in .xylol and toluol. They are
also available in a variety of softening
points. Unfortunately, despite con-
siderable interest shown in the descrip-
PICRIC ACID
270
PINEAL
^'^ tion of these resins, the manufacturer
•-, fe. (Pennsylvania Industrial Chemical
;^'j: Corp., Clairton, Penn.) is not interested
,, ^in packaging for such small specialty
,^. sale. However, one of the Piccolytes
("S-115") is on the market under the
name of "Harleco Mountant" (Hart-
man-Leddon Co., Philadelphia). Pos-
sibly, one of lower softening point than
S-115 would have been a better choice
for general use.
Picric Acid is a very important ingredient of
several fixatives. It penetrates rapidly
and serves to some extent as a mordant
like potassium bichromate. See Bouin's
fluid. Picric acid staining of chromo-
phobe bodies of Lipschutz (Schiller,
Virchow's Arch., 1930, 278, 663-689).
Picro-Carmine (Ranvier) . There are many
sorts most of them based on Ranvier 's
original formula: Add carmine (dis-
solved in ammonia) to sat. aq. picric
acid to saturation. Evaporate to ^
original volume, cool, filter out ppt. and
evaporate filtrate to dryness. The
resultant red crystalline powder is
picro-carmine. Make a 1% aq. sol. for
staining. If overstained decolorize with
0.2% hydrochloric acid. This is an
excellent and very popular stain. It
colors keratohyalin very brightly (Lee,
p. 146).
Picroformaldehyde Formic Acid for fixation
(Lillie, R. D., J. Tech. Methods, 1944,
24, 35-36). Formaldehyde (37% solu-
tion), 10 cc, formic acid, 5 cc. and sat.
aq. picric acid, 85 cc. is recommended
as a substitute for Bouin's Fluid. It
decalcifies femurs of mice well in 48
hrs., provides sections adapted to
Romanovsky staining, and in general
acts like Bouin's fluid.
Picro-Formol, see Bouin's Fluid.
Picro-Indigo-Carmine is a much used stain.
Lee (p. 433) advises 3 parts sat. indigo-
carmine in 70% ale. and 1 part sat. picric
acid also in 70% ale.
Picro-Mallory. Several fine modifications
of Mallory's connective tissue stain
using picric acid (McFarlane, D., Stain
Techn., 1944, 19, 29-37).
Picro-Nigrosine for muscle. After alcohol
or Bouin fixation, stain sections in sat.
nigrosine in sat. aq. picric acid. Muscle
yellow, connective tissue black.
Picro-Sulphuric fixative, see Kleinenberg's.
Pigments, general reviews: Bergmann, E.
Ergeb. d. Physiol., 1933, 35, 158-300;
Lederer, E., Biol. Rev., 1940, 15, 273-
306 (invertebrates). See Aposiderin,
Bacterial, Bile Pigment, Bilirubin,
Biliverdin, Carotin, Carotinalbumins,
Carotinoids, Ceroid, Chromolipoids,
Cytochrome, Cytolipochrome, Cytosid-
erin, Exogenous, Hematin, Hematoi-
din, Hematoporphyrin, Hemofuscin,
Hemoglobin, Hemosiderin, Trichosid-
erin, Iron Pigments, Lipochrome, Lipo-
fuscin (wear and tear pigment),
Malarial Melanins, Parhemoglobin,
Porphyrins, Rhodopsin, Scheele's
Green, Sulfmethemoglobin, Schwein-
furt Green, Ultramarine Green and
Verdigris.
Pinacyanol (CI, 808) — sensitol red — A basic
xanthene dye of the cyanine group.
Proescher, F., Proc. Soc. Exp. Biol. &
Med., employed the Eastman Kodak Co.
product of which a 0.1-0.5% solution in
absolute ethyl or methyl alcohol for 5-
10 sec. stains frozen sections brightly.
Wash in water, mount in glycerine.
Chromatin, blue violet; protoplasm,
purple; connective tissue, red; elastic
tissue, black violet; muscle, bluish
violet to purple; amyloid, red; etc.
Hetherington, D. C, Stain Techn.,
1936, 11,, 153-154, used pinacyanol as a
supravital stain for mitochondria in
blood cells.
Pineal. Staining pineal parenchyma by a
modified Hortega method after paraffin
embedding — Written by W. M. Shank-
lin, American University of Beirut,
Beirut. March 30, 1951— Fix the gland
as soon as it is removed in 10% formalin
(Merck blue label 40%) 3 days at room
temperature of about 24°C. Wash for
2 hrs. in aq. dest. to which 6 drops of
ammonium hydroxide are added for
each 100 ml. Wash again in aq. dest.
for a few minutes and dehydrate the
gland in 70%, 80%, 95% and absolute
alcohol, leaving 3 hrs. in each. Clear
in cedar oil over night, followed by
pure xylene for half an hr. Infiltrate
with paraffin (melting point 48°C.) for
3 hrs. Embed in pure paraffin. Cut
sections 7-10 m, fix to slides by the
albumen-water method and dry thor-
oughly. Heat the slide gently to soften
the paraffin and pass through 2 changes
of xylene. Pass slides through abso-
lute alcohol, 95% and 80% alcohol 1-2
min. in each. Wash in 3 changes aq.
dest. for 3 min. each. Place slides in
10% aq. silver nitrate to which 3 drops
of pyridine for each 10 ml. are added
and keep in the dark at room tempera-
ture 24°C. for 24 hrs. Wash in aq.
dest. and sensitize by placing in 5%
sodium sulfite 1 hr. This step may be
omitted, but sometimes this is neces-
sary as it acts as a rejuvenator. Wash
in aq. dest. to which 2 drops of pyridine
for each 10 ml. are added for 1 to 2
min. followed by 2 changes aq. dest.
Impregnate in strong silver carbonate
at room temperature for 2 to 5 min.
Formula: 10% aq. Silver nitrate (pure
crystals) 100 ml., 5% aq. Sodium car-
bonate (pure) 300 ml., Ammonium
PINOCYTOSIS
271
PLACENTA
hydroxide, just sufficient to dissolve
the precipitate, Distilled water 100
ml. Dip in aq. dest. for a few seconds,
without agitating. Reduce in 10%
formalin (Merck blue label), to which
4 drops of pyridine are added for each
10 ml., 1 miu. agitating gently. Wash
in aq. dest. Tone in yellow gold chlo-
ride (1 g. to 500 ml. aq. dest.) for a
few seconds to 1 min. Time should be
checked carefully. Fi.x in 5% hypo for
1 to 2 min. Wash and counterstain
lightlv with 1% erythrosin or safranin.
Dehydrate in 80%, 95% and absolute
alcohol. Clear in two changes of
xylene, mount in neutral Canada bal-
sam and cover with cover slips (see
Nassar, T. and Shanklin, W. M., Stain
Techn., 1950, 25, 35-38).
Pinocytosis, a term introduced by Lewis
(W.H., Bull. Johns Hopkins Hosp., 1931,
49, 17-26) to indicate drinking by cells
as opposed to phagocytosis, or eating by
cells. It means (Lewis, W. H., Am. J.
Cancer, 1937, 29, 666-679) microscopi-
cally visible drinking, not submicro-
scopic "sipping" which Meltzer termed
"Potocytosis". By this process in tis-
sue cultures proteins and other sub-
stances that do not diffuse into the cells
are engulfed by wavy rufBe pseudo-
podia. The cell membrane, which first
invests the globulus of fluid taken into
the cytoplasm, later disappears and the
fluid becomes part of the cytoplasm.
Can be best seen in cultures of cancer
cells of which an excellent moving pic-
ture is available for distribution by the
Wistar Institute of Anatomy at Phila-
delphia.
Piroplasma (L. pirum, pea -f G. plasma, a
formed thing). Piroplasmas are pear
shaped parasites of red blood cells caus-
ing diseases of great importance in
domestic and other animals but not as
yet found in man. They can be colored
by any good blood stain. Giemsa and
May-Giemsa are recommended.
Pituitary. The microscopic techniques for
this conductor of the endocrine sym-
phony are obviously too numerous to
mention. Consult each issue of the
Quart. Cum. Index Med.
To differentiate 2 classes of acido-
philes in the cat a modification of
Heidenhain's "azan" modification of
Mallory's connective tissue stain is
proposedby Dawson, A. B. and Friedgood,
H. B., Stain Tech., 1938, 13, 17-21. T.
Maxwell, Jr. (ibid, 93-96) proposes a
modification especially designed for the
basophiles and Koneff, H. H. {ibid, 49-
52) one for the rat. In addition all
within the space of a few months, Lewis,
M. R., and Miller, C. II., Stain Techn.,
1938, 13, 111-114 give following direc-
tions to demonstrate 2 types of granular
cells in the pars nervosa. Vix in 3%
aq. potassium bichromate 2 parts and
half sat. corrosive sublimate in 95%
ale. 1 part, 12-24 hrs. with 1 change.
Dehydrate to 70% alcohol to which add
few drops iodine. Change each day
until solution retains color. Dioxan,
8-24 hrs., 3 changes. Dioxan -|- little
paraffin. Paraffin 4 changes. Cut sec-
tions 4 microns and deparaffinize. Stain
0.25% aq. acid fuchsin 30 min. Then
1-24 hrs. in Mallory's stain (aq. dest.,
100 cc; anilin blue, 0.5 ^m.; orange G,
2 gm. and phosphotungstic acid, 1 gm.).
Differentiate in 95% alcohol until no
more color comes out. Abs. ale, xylol,
balsam. To identify microglia in neuro-
hypophysis see Vazquez -Lopez, E., J.
Anat., 1942, 76, 178-186. Differential
stain for mouse pituitary (Dickie, M.
M., Science, 1944, 100, 297-298). Pitui-
cytes by Hortega silver carbonate tech-
nique (Shanklin, W. M., Stain Techn.,
1943, 18,87-89).
Placenta — Written by Dr. George B.
Wislocki, Dept. of Anatomy, Harvard
Medical School, Boston 15. March 8,
1951 — Of all the organs of the body the
placenta has been the least investigated
by histological, cytological and cyto-
chemical methods. Compared to most
other tissues, its study is greatly com-
plicated by the marked and perplexing
differences in its structure in various
mammals, as well as by the fact that
from the moment of implantation up to
the time of parturition, it goes through
a complex succession of structural
changes. The latter are doubtlessly
related to differing physiological and
nutritional needs, first of the implant-
ing egg, then of the differentiating em-
bryo before the heart has begun to
beat, and finally of the growing and
maturing fetus. Besides subserving
the immediate needs of fetal nutrition
and of excretion of fetal waste products,
the placenta is also an endocrine organ
which produces both steroid hormones
and chorionic gonadotropin. Rela-
tively little is known concerning the
functions of these hormones, but the
placental steroids apparently play an
important part in the growth, regula-
tion and maintenance of the pregnant
uterus by exerting their influence prin-
cipally upon the uterine musculature
and blood vessels and thereby influenc-
ing also the length of gestation and the
onset of labor. The role of chorionic
gonadotropin is more obscure, but it
seems to interplay with the pituitary,
as well as with the steroid-producing
glands including the placenta itself.
PLACENTA
272
PLACENTA
in maintaining gestation and regulating
maternal metabolism.
In view of the manifold functions of
the placenta, which surpass in number
those of any other organ, it is not
surprising to find that it gives a great
many cytological and histochemical
reactions. Despite the variety of these,
none of them is specific for the placenta
alone. The placenta in this respect
differs, for example, from brain where
for various neuronal and glial elements
a variety of special cytological tech-
niques has been developed.
For a general understanding of the
comparative anatomy and phylogeny
of the placenta, consult Grosser O.
(Frlihentwicklung Eihautbildung und
Placentation des Menschen und der
Saugetiere, 1927) Bergmann, Munich,
and Mossman, H. W. (Carnegie Contrib.
to Embryol., 1937, 26, 129-246). See
also the chapter by E. C. Amoroso on
Placentation in the forthcoming 3rd
edition of Marshall's Physiologj^ of
Reproduction. For the placentation
of the Primates consult Hill, J. P.
(Phil. Trans. Roy. Soc. Lond. Ser. B.,
1932, 221, 45-78), Wislocki, G. B., and
Streeter, G. L. (Carnegie Contrib. to
Embryol., 1938, 27, 1-66) and Stieve,
H. (Ztschr. f. mikro-anat. Forsch., 1944,
54, 480-543). Various aspects of the
topography, growth and vasculariza-
tion of the human placenta are de-
scribed by Spanner, R. (Morph. Jahrb.,
1935, 75, 374-392) and Ztschr. f. Anat.
u. Entwicklungsgesch., 1936, 105, 163-
242) and Stieve, H. (Ztschr. f. mikro-
anat. Forsch., 1940, 48, 287-449).
Interest in placental cytology and
histochemistry was initiated by Hof-
bauer (Biologie d. menschlichen Pla-
zenta, 1905, Braumiiller, Vienna and
Leipzig) who investigated the placental
assimilation of iron, protein and fats
in man, and by Edwin Goldmann
(Beitrage z. klin. Chir., 1912, 78, 1-108)
who studied extensively the distribu-
tion and significance of glycogen, fat,
iron and hemoglobin in the placentas
and fetuses of mice and rats.
In the past two decades with the de-
velopment of many new cytological
and histochemical methods, interest
in the placenta has been rekindled.
The human placenta has been investi-
gated by a variety of histochemical
techniques for the demonstration of
various proteins, carbohydrates, lipids,
enzymes and inorganic compounds.
Wislocki, G. B. and Bennett, H. S.
(Am. J. Anat., 1943, 73, 335-449) have
described the presence in the tropho-
blastic syncytium of birefringent, su-
danophilic droplets which react with
phenylhydrazine and which are soluble
in acetone, and they concluded that
these reactions indicate the site of
formation of placental steroid hor-
mones. The Liebermann-Burchardt re-
action, the Schiff reaction and the
property of autofluorescence have been
introduced as further means of charac-
terizing placental steroid hormones in
histological sections (Dempsey, E. W.
and Wislocki, G. B., Endocrin., 1944,
35, 409-428). These investigators also
describe glycogen, revealed by Best's
carmine and Bauer's method, and iron,
demonstrated by both the Turnbull
blue reaction and microincineration.
The distribution of acid and alkaline
phosphatases has been explored (Demp-
sey, E. W. and Wislocki, G. B., Am. J.
Anat., 1947, 80, 1-33) by using Gomori's
methods with a variety of substrates
(glycerophosphate, fructose diphos-
phate, nucleic acid, adenylic acid and
lecithin) . Mucopolysaccharides as well
as glycogen have been investigated by
McManus' periodic acid-Schiff reaction,
metachromatic substances by their
responses to toluidin blue after basic
lead acetate fixation and lipids with
sudan black B (Wislocki, G. B. and
Dempsey, E. W., Am. J. Anat., 1948,
83, 1-30). The affinity of syncytium,
fibrin and fibrinoid of the human
placenta for acid and basic dyes has
been studied (Singer, M. and Wislocki,
G. B., Anat. Rec, 1948, 102, 175-193).
A basophilic substance abundantly
present in syncytium and cytotropho-
blast and digested by crystalline ribo-
nuclease has been identified as ribo-
nucleoprotein (Dempsey, E. W. and
Wislocki, G. B., Am. J. Anat., 1945,
76, 277-301). Some of the functional
activities of the placental trophoblast,
as revealed by histochemical studies,
have been summarized (Wislocki, G.
B., Dempsey, E. W. and Fawcett, D.
W., Obstet. and G}^. Survev, 1948, 3,
604-614).
Our knowledge of the trophoblastic
cell columns and shell and of the basal
plate, as well as of the relationships of
of these structures to the underlying
basal decidua in the human placenta
has been materially advanced by the
use of cytological and histochemical
methods (Wislocki, G. B. and Bennett,
H. S., 1943, I.e.; Wislocki, G. B. and
Dempsey, E. W., 1948, I.e.). By these
means two types of cytotrophoblast
can be distinguished from the elements
of the maternal decidua (Wislocki,
G. B., Proc. Am. Assn. Anat., 1951).
Tissue cultures of young human
placentas containing actively growing
cytotrophoblast produce gonadotropic
PLANT CELL WALLS
273
PLASMA MEMBRANE
hormone, even after repeated trans-
plantation (Jones, G. E. S., Gey, G. O.
and Gey, M. K., 1943, Bull. J. H. Hosp.,
72, 26-38).
The placentas of various mammals
other than man have been investigated
by multiple cytological and histochemi-
cal methods, for example, pig's placenta
(Wislocki, G. B. and Dempsev, E. W.,
Am. J. Anat., 1946, 78, 181-225), cat's
placenta (Wislocki, G. B. and Dempsey,
E. W., Am. J. Anat., 1946, 78, 1-45),
rodent's placenta (VVislocki, G. B.,
Dempsey, E. W. and Deane, H. W.,
Am. J. Anat., 1946, 78, 281-345), shrew's
placenta (Blarina brevicauda and Sore.x
fumeus) (Wislocki, G. B. and Wirasatt,
W. A., Am. J. Anat., 1947, 81, 269-307),
and bat's placenta (Myotis lucifugus
lucifugus) (Wimsatt, W. A., Am. J.
Anat., 1949, 84, 63-141). The distribu-
tion of acid and alkaline phosphatases
in the placentas of pig, cat, rodents and
man has been the subject of a separate
report (Dempsey, E. W. and Wislocki,
G. B., Am. J. Anat., 1947, 80, 1-33).
By his method for lipase, Gomori (Men-
struation and its Disorders, edited by
E. T. Engle, 1950, C. C. Thomas)
depicts lipase activity in the allantoic
and vitelline placentas of mouse and
rat. The distribution of saliva-insolu-
ble glycoproteins, stained y)y the peri-
odic acid-Schiff procedure, is briefly
described in the placentas of pig, cat,
mouse, rat and man (Wislocki, G. B.,
J. Natl. Cancer Inst., 1950, 10, 1341).
Goldmann (Beitrage z. klin. Chir.,
1909, 64, 192-265), in his classic account
of vital staining, described the intra-
vitam deposition of pyrrhol blue in
the placenta of the mouse. Wislocki
(Carnegie Contrib. to Embryol., 1920,
11, 45-60 and 1921, 13, 89-lOi), by em-
ploying the technique of vital staining,
demonstrated the storage of trypan
blue in the trophoblast of the placentas
of cats, rabbits and guinea pigs, while
Gerard (Arch. d. biol., 1925, 35, 269-
293) and Everett (J. Exp. Zool., 1933,
70, 243-284) carried out further similar
experiments in mice and rats.
By using solutions of iron ammonium
citrate and sodium ferrocyanide which
could be traced in the placenta by
converting them into the Prussian
blue reaction, Cunningham (Am. J.
Physiol., 1920, 53, 439-456 and 1922,
60, 448-460; Proc. Soc. Exper. Biol, and
Med., 1923, 20, 343-345) investigated
the relative permeabilities of the
placentas of cats and rabbits to these
two substances.
Everett (J. Exp. Zool., 1935, 70, 243-
280) has made a series of important
observations concerning the activities
of the yolk-sac epithelium in the rat
by devising a technique for perfusing
the uterine circulation with thionin,
toluidin blue, methylene blue, brilliant
blue, Nile blue sulfate, Janus green,
neutral red and trypan blue. This
important study included direct micro-
scopic observation of the vitelline
epithelium in hanging drops in a con-
stant temperature chamber.
An ingenious technique of tying off
the vitelline blood vessels in living
rabbit fetuses in utero, for the purpose
of ascertaining the route followed by
antibodies in their passage across the
placental barrier, has been devised
bv Brambell, Hemmings and Rowlands
(Proc. Roy. Soc, London, B, 1949, 136,
131-144).
Transplantation of living fertilized
eggs and pieces of placenta, for purposes
of observing their growth, has also been
successfully carried out. Fertilized
mouse eggs, introduced into the ante-
rior chamber of the ej'e, into the ova-
rian bursa, or under the capsule of the
kidney, undergo development, produc-
ing large amounts of seemingly normal
placental trophoblast (Runner, M. N.,
Anat. Rec, 1947, 98, 1-18; Fawcett,
D. W., Wislocki, G. B. and Waldo, C.
M., 1947, Am. J. Anat., 81, 413-444;
Fawcett, Anat. Rec, 1950, 108, 71-91).
Implants of trophoblast from 9-11
days of development also establish
themselves in the eye, although their
capacity for growth declines in relation-
ship to their age at the time of implanta-
tion (Grobstein, C, J. Exp. Zool.,
1950, 114, 359-373).
Plant Cell Walls, see Polysaccharides.
Plants. Except for pathogenic Bacteria
and Fungi, technique for plants does not
come within the scope of this book.
However much is to be learned, es-
pecially in microchemistry, from many
methods employed by botanists and the
reader is advised to consult Johansen,
D. A. Plant Microtechnique. New
York: McGraw-Hill, 1940, 523 pp., also
McClung, 1950.
Plasma Cells. Since plasma cells (of the
Marschalko type) are mainly identified
by recognition of a small area near the
nucleus which does not stain as intensely
as the rest of the cytoplasm with basic
dyes, it is imjx)rtant to use a technique
which reveals basophilia. In practice
Giemsa's stain, or a good coloration with
hematoxylin and eosin, is generally
sufficient. Unna used the term "plasma
cell" for almost any kind of cell with
much plasma incluaing macrophages so
that the designation Unna's plasma cell
is almost meaningless.
Plasma Membrane, see Cell Membranes.
PLASMA STAINS
274
PLASTICS
Plasma Stains are too numerous to cata-
logue here. Lillie (p. 66-68) states
that they functionally are divisible
into two groups: plasma stains proper
and those selective for extracellular
materials such as collagenic and elastic
fibers, bone and cartilage matrix and
so on.
Plasma Reaction, see Aldehydes and SchifT
Reaction.
Plasmalogen. A component of the cyto-
plasm which gives a positive Feulgen
test (Bourne, p. 22). See Aldehydes.
Plasmodesmata, dehydrogenase activity
in, see Triphenyltetrazolium Chloride.
Plasmosin, the gel and fiber forming con-
stituent of the hepatic cell. Method of
isolation and properties (Bensley, R. R.,
Anat. Rec, 1938, 72, 351-369).
Plasmosome. The true nucleolus staining
with "plasma" or "acid" dyes, that is
to say, red with eosin in the hematoxylin
and eosin combination. The plasmo-
some apparently does not make any
direct contribution to chromosome for-
mation. Acidophilic nucleoli are quite
different from certain cytoplasmic gran-
ules which Arnold called "plasmo-
somes" and mitochondria termed "plas-
tosomes" by Meves.
Plastics — Written by M. S. Lucas, Dept.
Biological Science, Michigan State
College, East Lansing. August 10,
1951 — Acrylic plastics have been de-
scribed very early for use as embedding
media in biological fields whereas poly-
ester resin plastics, the so-called "cold-
setting" plastics, have more recently
come into use. Acrylics require very
careful handling and the fumes are more
toxic than those of the polyester resins.
These features have somewhat deterred
the general use of acrylics. Finished
blocks of both types of plastic are clear
and resistant to damage; acrylics are
a little clearer but the difference is so
slight that it is not noticeable except
when a block of acrylic plastic is com-
pared directly with a block of polyester
resin. The plastics can be tinted or
even rendered opaque on the back by
addition of dyes and chemicals. The
specimens to be embedded can be
opaque or cleared.
Techniques involved in successful
embedding of biological and medical
specimens are not difficult. However,
use of plastics is not as simple as some
pamphlets indicate. It is as precise a
technique as any used in histology and
for this reason many people have
mediocre success. Most successful
users of plastics feel that the possible
uses for them have only begun to be
described. It is a good idea for those
interested, to secure current pamphlets
concerning new methods and also about
the development of new and simpler-
to-use plastics from the several firms
listed below as well as others not listed
here.
Acrylics
1. The Polychemicals Dept., E. I. du
Pont de Nemours and Co., Wilming-
ton, Del. "Du Pont Plastics in
Medicine and Surgery", Mimeo.
Pp. 9, references.
2. The Plastics Dept., Rohm and Haas
Co., Washington Sq., Phila. 5, Pa.
"Embedding Biological Specimens
in Acrylic Plastic", Mimeo. Pp. 6,
references.
3. Description of and Methods for
Acrylics in general: "Preservation
of Agricultural Specimens in Plas-
tics". Miscell. Pub. No. 679
U.S.D.A., G. R. Fessenden, 1949.
Pp. 78, 111., Lit. Cited, bibliography.
Polyester Resin Plastics.
Selectron No. 5026, manufactured by
the Pittsburgh Plate Glass Co. The
following are some trade names under
which it is retailed.
1. "Bio-plastic" — Wards Natural Sci-
ence Establishment, Inc., 3000 Ridge
Rd., E., Rochester 9, N. Y. "How
to Embed in Bio-plastic", 1950,
Pp. 20, 25^, references, 111. "Nat-
ural Science Bulletin" Published
monthly.
2. "Castolite"— The Castolite Co.,
Woodstock, 111. "Preserving Speci-
mens in Castolite", 1950, Mimeo.
Pp. 23, references. Instruction Man-
ual.
3. "Turtox Embedding Plastic"— The
General Biological Supply House,
761 E. 69th PL, Chicago, ill. "Em-
bedding Specimens in Transparent
Plastic", Turtox Service Leaflet No.
33, 1951.
4. "Carolina Embedding Plastic" —
Carolina Biological Co., Elon Col-
lege, N. Carolina. Instruction Book-
let 50?f.
The pamphlets listed above contain
detailed procedures. They also give
the history and specifications of the
plastic and indicate biological materials
that are suitable for embedding. Most
of them contain large bibliographies.
In addition to the references listed in
these pamphlets, certain additional
work, can be mentioned.
Albert Jehle (University Museum,
Univ. of Pennsylvania, Phila., Pa.) is
using dental acrylics as reconstruction
material in restoration of skeletons
(report in preparation). In some in-
stances he has replaced an entire bone
by preparing a plastic cast.
A new technique for light and electron
PLASTICS
275
PLASTIDS
microscop3'^ (Newman, S. B., Borysko,
E. B., and Swerdlow, M., U. S. National
Bur. Standards, J. of Res., 1949, 43,
183-199) uses n -butyl methacrylate for
mounting specimens which can be
sectioned for studj' under a microscope.
Plastics in the form of sheets find
interesting uses. Microscopy with
plastic substitutes for cover glasses is
discussed by Richards, O. W., Small,
J. H. and Collyer, P. W., Stain Tech.,
1944, 19, 59-62. Natural color plant
specimens have been mounted between
plastic plates by Fessenden (G. R.,
loc. cit. under Acrylics 3). Preserved
flowers can be placed in transparent
plastic containers with a desiccant and
kept for long periods of time (Specht,
R. C, Engineering Progress, Univ.
Florida, 1950 IV No. 12, Gainesville).
Polyester resins: Gross anatomical
and embryological specimens have
been mounted and are described in the
following articles:
1. "Embedding Gross Sections in
Ward's Bio-plastic", T. H. Ro-
maniak. Ward's Nat. Sci. Bull.,
1948, 22, 34.
2. "The Mounting of Human Sections
in Bio-plastic," Ward's Nat. Sci.
Bull., 1950, 24, 27.
3. "On the Mounting of Anatomical
Museum Specimens in Transparent
Plastic", Kampmeier, O. T. and
Haviland, R. N., Anat. Record, 1948,
100, 201-231 (Used Castolite on 100
specimens) .
4. "The Relationships of Herniated
Intervertebral Discs to the Spinal
Cord and Spinal Nerves", (Used
Castolite). A. F. Reed and H. D
Kirgis, Abstract D2, Anat. Rec,
1951, 109, 146.
5. "The Blood Vessels of the Jejunum
and Ileum in Man and Certain Lab-
oratory Animals", (Used Polysty-
rene). Abstract D 16, Anat. Rec,
1951, 109, 144.
6. Charles H. Glines (with Alexander
Barry and Bradley M. Patten at the
Anatomy Dept., School of Medicine,
University of Michigan, Ann Arbor)
has prepared both cleared and
opaque embryos following techniques
set out in Ward's, "How to Embed
in Bio-Plastic". Glines and his
co-workers have devised some modi-
fications over methods described by
Kampmeier. These data are avail-
able in mimeograph form, and were
also presented at the 1951 meeting
of the Am. Assoc, of Anatomists
(Barry, A., Patten, B. M. and Glines,
C. H., Abstract D 31, Anat. Rec, 1951,
109,133).
Demonstration sets composed of
animal types have been prepared in
plastic for class use (Lucas, M. S.
report in preparation) in connection
with a study of "unknown" specimens
(Study 1, 1951, Guide for Laboratory
Studies Biological Science, Mich. State
College Press, E. Lansing). Each
animal is prepared individually in a
block and later is set with others into
an illuminated box or into a large block
of plastic. This provides an attrac-
tive variety of unknown animal types
to supplement conventional identifica-
tion studies. Plastic-corrosion speci-
mens prepared by injecting blood ves-
sels of animals with Vinyl Acetate
(Vinylite) can be embedded in blocks
of polyester resins (Service Bulletin
No. 5, 1950, and Natural Science Bul-
letin 1950, 24, 3, Ward's Natural Science
Est.). Vinylite of the type carried by
this firm contains a pigment which will
not bleed out of the preparation into
the plastic block, whereas, latex-in-
jected vessels will permit dye diffusion.
The use of plastic in reconstructions
from serial sections is advocated by
Boyer, C. C, Anat. Rec, 1948, 100,
191-197.
In soils studies, vinvlite resin (The
Bakelite Corp., 230 N. Mich. Ave.,
Chicago 1, 111.) and cellulose acetate
(Hercules Powder Co., Cellulose Prod-
ucts Dept., Parlin, N. Y.) are used to
make soil profiles (Berger, K. C. and
R. J. Muckenhirn, Soil Sci. Soc of
Amer. Proc, 1945, 10, 368-370; Smith,
H. W. and C. D. Moodie, Soil Science,
1947, 64, 61-69). Permanent plastic
color standards for rapid soil and plant
tissue testing are emploved bj^ Lynd,
J. Q., and L. M. Turk, J. Soc. Agron-
omy, 1948, 40, 940-941. Plant ma-
terials showing deficiency symptoms
can be prepared in plastics as described
by Lynd, J. Q., Quart. Bull. Mich. State
Coll. Agric. Exper. Station, In press.
Art. No. 1238.
A process for embedding flowers in
plastic so as to preserve their natural
shape and color has been described by
Specht, R. C, Engineering Progress
at the U. of Fla., 1950, IV No. 12,
Gainesville, $1.
Plastids are by definition simply formed
bodies. The term is usually ap])lied to
certain cytoplasmic bodies in plants.
They may be colorless leucoi)l.astids,
chloroplastids containing chlorophyll
or chrornoplastids containing other pig-
ments. Chlorophyll thus segregated
in these bodies acted on by light plays
its part in starch production, as hemo-
globin (erythroplastids) acts in trans-
port of oxygen. The chloroplastids are
easily visible microscopically. Special
PLATELET COUNTS
276
PNEUMONOCYTES
techniques are only required to reveal
the organization of the ground sub-
stance, holding the chlorophyll, and
their r61es in photosynthesis. A full
account is provided by Guilliermond,
A., The Cytoplasm of the Plant Cell.
Waltham: Chronica Botanica Co., 1941,
247 pp. (translated from the French by
L. R. Atkinson).
Platelet Counts, see Blood Platelets.
Plastosomes, see Mitochondria.
Platino-Acetic-Osmic mixture, see Her-
mann's Fluid.
Platinum. Intravenous injections of col-
loidal solutions of platinum in rabbits
are described by Duhamel, B. G., C.
rend. Soc. de Biol., 1919, 82, 724-726.
For microchemical detection of plat-
inum reference is made to the method
of Okamoto and Associates as described
by Click (p. 26).
Platinum Chloride is the name usually given
to hydro-chloroplatinic acid. It is used
occasionally as an ingredient of fixa-
tives.
Platyhelminthes is the phylum of flatworms.
The two classes of important parasites
are the Cestodes and Trematodes.
See Parasites.
Pleuropneumonia. Staining of organisms.
Stain paraffin sections 4 microns thick
of tissue fixed in Zenker, Bouin, abso-
lute alcohol or Carnoy's fluid brought
down to water directly in Mallory's
phosphotungstic acid hematoxylin (18-
24 hrs.) without preliminary treatment
with permanganate and oxalic acid.
Do not wash but blot nearly dry and
dehydrate rapidly in absolute alcohol,
clear in xylol and mount in balsam.
Organisms in lungs appear as deep blue
masses of mycelial threads (Turner, H.
W., Austral. J. Exp. Biol. & Med. Sci.,
1935,13,149-155).
Plehn's Stain for malaria plasmodia is de-
scribed by Craig, p. 289 as uncertain in
its action and is not recommended if
other modifications of Romanowsky
stain are available.
Plimmer's Bodies, see Bird's Eye Inclu-
sions.
Plutonium. Use of micrurgy in study of
chemical properties of first micro-
quantities of plutonium, Seaborg, G. T.,
Science, 1946, 104, 379 also Chambers,
R. W. and Kopac, M. J. in McClung's
Microscopical Technique, 1950, p. 543.
Pneumonocytes — Written by C. C. Macklin,
Dept. of Histological Research, The
University of Western Ontario, London,
Canada. November 28, 1951— These
elements are also known as pulmonary
cells (la cellule pulmonaire), epicytes,
septal cells, niche cells, alveolar epi-
cytes, alveolar cells, alveolar wall cells,
alveolar granular cells, alveolar epi-
thelial cells, residual epithelial cells on
the pulmonary alveolar walls, little
granular cells, etc., and are demon-
strable in mammalian lungs by the
usual methods of fixation and staining.
Their most prominent feature is an
array of Vacuoloids (which see) in the
cytoplasm (Macklin, C. C, Anat. Rec.
1947, 97, 397). This gives to them in
ordinary sections a frothy appearance.
Many contain phagocytized particles.
The latter are the mural phagocytes or
dust cells (which see). They are found
inserted into canals in partitional al-
veolar walls, which, when vacated, are
natural pores. In the marginal alveolar
walls they are inserted into sockets.
Most are lodged in crotches of adjoin-
ing alveolar walls. Normally they are
5m to 15/x in maximum diameter, but
when stimulated exceed this size.
The form is altered by the fixation
technique employed to demonstrate
them. After perfusion of the pul-
monary blood vessels of the unopened
thorax with physiological saline solu-
tion followed by a fixative such as
Bouin's fluid, the pneumonocytes of
partitional alveolar walls often in pro-
file have the shape of a carafe with
larger head and attenuated foot, and
a connecting stalk which is indented
by the environing capillary. In ma-
terial fixed by immersion of a block of
lung tissue the cell often appears
rounded with little or no indication
that it extends from one alveolus to
another. When fixation was by filling
of the air spaces with preservative the
cell is often extended laterally, that
is flattened, and appears wider and
shorter than normal. Probably the
best preservation of normal form is
attained in the mouse by immersion
of the unopened thorax, cleared of skin
and muscle, in fixing fluid. In such
preparations the cell, when situated in
an alveolar "corner" may show as
many as four separate air faces, and a
cytosome often forked in longitudinal
section (Macklin, C. C, Trans. Roy.
Soc. of Canada, Sect. V, 1946, 40, 93-
1 1 1 — bibliography) .
H. von Hayek, Anat. Anz., 1942, 93,
149-155, estimated their combined
volume in both human lungs to be 150
cubic centimeters; and they would thus,
in his view, compose a diffuse intra-
pulmonic alveolar epithelial organ as
large as the spleen of man. Sjostrand
and Sjostrand (Zeitsch. f. mik.-anat.
Forsch., 1938, 44, 370-411) give their
combined volume as 10% of the lung
tissue.
From them tumors may originate in
man and the lower mammals. Mostofi
POLARIZATION OPTICAL METHOD 277 POLARIZATION OPTICAL METHOD
and Larsen (J. Nat. Cancer Inst., 1951,
11, 1187-1222) have shown that in Strain
A mice, adenomata may arise from them
during continuous administration of
urethane, 0.1% in the drinking water.
Macklin (J. Thor. Surg., 1938, 7, 536-
551; Trans. Roy. Soc. of Can., 1946,
Sect. V, 40, 93-111; and BioL BulL,
1949, 96, 173-178) has admitted a high
degree of mitotic potency in the pneu-
monocyte (epicyte) and has accepted
it as a primary center for lung cancer.
Pneumonocytes may become phago-
c>i;ic and appear with more or less
foreign material within the cytoplasm.
When such cells become free they take
a rounded or oval form and are known
as epithelial phagocytes, alveolar
phagocytes or Dust Cells (which see),
and are quite different from the histo-
cytes of the pulmonary connective
tissues. Free pneumonocytes without
particulate matter within them are
known as Foam Cells (which see). In
silver-wash preparations (see Silver
Lineation) these alveolar mural cells
are encircled each by a heavy golden-
brown line, and the air-faces are sprin-
kled with particles of the same hue.
Large rounded granules of different
sizes are seen in them in frozen sections
from Regaud-fixed lungs which have
been well mordanted with potassium
bichromate and strongly stained with
Heidenhain's iron hematoxylin (Mack-
lin, C. C, Can. J. Res., D, 1950, 28, 5-15).
Similar granules, but gray or black, may
be seen in Aquax (which see) sections
from lungs that have been filled while
fresh with fixative containing from jg
to 1% of osmium tetroxide. Similar
granules, but of dark brown color, have
been described in them by Sjostrand and
Sjostrand (Zeitsch. f. mik.-anat. Forsch.,
1938, 44, 370-411) where the living cells
have come into contact with blood and
an aldehyde, as pure formalin. They
find that this colored substance has
properties of hemin.
Polarization Optical Method. — Written by
Francis O. Schmitt, Dept. of Biology,
Massachusetts Institute of Technology,
Cambridge, Mass., May 19, 1950.—
The examination of tissues and cells
with the polarizing microscope gives
information about the presence of
preferentially oriented constituents,
the direction of their orientation, their
shape, regularity of internal construc-
tion, partial volume and refractive in-
dex. Details of the theory and methods
by which such information may be ob-
tained are contained in the books and
papers of Schmidt, Frey-Wyssling and
Schmitt listed at the end of this sec-
tion.
The polarizing microscope is equipped
with a polarizer (nicol prism or polaroid
disc) below the condenser and an ana-
lyzer in the draw tube above the objec-
tive. Between the analyzer and objec-
tive is a slot into which may be inserted
a compensator or gypsum plate. When
the planes of polarization of polarizer
and analyzer are perpendicular no light
passes through the ocular. If a speci-
men is now placed on the stage, oriented
constituents may become visible on a
dark field. The intensity will be maxi-
mum when the distinguishing direction
of the object, such as a fiber, is oriented
at 45° to the planes of polarization of
polarizer and analyzer. Objects hav-
ing internal regularity of structure may
have two descriptive refractive indices,
hence show double refraction or bire-
fringence. It is the object of polarized
light microscopy to detect, measure and
interpret this birefringence.
Birefringence is numerically equal
to the difference between the two de-
scriptive refractive indices, iV, and No-
It is usually determined by the use of
a compensator which measures the
phase difference expressed as fractional
wavelength, 0, or retardation, r, ex-
pressed in ra/i. Thickness of the speci-
men, d, is also expressed in m/x. Then
birefringence = N, — No = -y = -3.
Commonly used are the Berek, quar-
ter-wave (S^narmont) and Kohler ro-
tating mica-plate compensators, in or-
der of increasing sensitivity.
Besides the magnitude of birefring-
ence its sign is of importance in diag-
nosing the ultrastructure of biological
constituents. If the refractive index
for vibrations paralleling the distinc-
tive direction, e.g. the long axis of a
fiber, is greater than that for vibrations
perpendicular to this direction, the
birefringence is positive with respect to
this direction. If the refractive index
relations are reversed the birefringence
is negative. Most protein and carbo-
hydrate fibers show positive birefring-
ence while nucleic acid and nucleo-
proteins usually show negative
birefringence. While the sign of bire-
fringence may be determined with
compensators, the gypsum Red I plate
may be very useful. When this plate
is inserted into the compensator slot,
the field appears red if the nicols are
crossed. Birefringent objects show
addition or subtraction colors, such as
blue or yellow, respectively, depending
on the orientation of the object with
respect to the planes of polarizer and
analyzer and on the sign of birefring-
ence. Thus a fiber of connective tissue
POLARIZED LIGHT
278
POLAROGRAPHIC TECHNIQUE
or muscle will appear blue in one diag-
onal position and yellow in the diagonal
perpendicular thereto; this is because
these j&bers manifest birefringence
which is positive with respect to the
fiber axis. A nerve fiber shows the
same colors in its myelin sheath except
that the diagonal positions in which it
shows these colors are reversed from
those of the above case; this is because
the myelin sheath manifests birefrin-
gence which is negative with respect to
the fiber axis.
The birefringence of most biological
objects is due to regularity of structure
of components considerably smaller
than the wavelength of light. To get
at the nature of these components, one
studies the relation of the birefringence
to the refractive index of the medium
in which the object is immersed, using
consecutively a number of media (us-
ually organic solvents) of varying re-
fractive index. Application of Wie-
ner's theory then makes it possible to
deduce the orientation of the submicro-
scopic particles as well as their internal
regularity of structure, refractive in-
dices and approximate partial volumes.
Electron microscope observations
have confirmed many of the deductions
based on the polarization optical anal-
ysis of tissue ultrastructure. This
method will continue to be of impor-
tance biologically despite the great
possibilities of the electron microscopy,
for the polarized light method is appli-
cable to tissues in the fresh state. See
Schmidt,W.J.,DieDoppelbrechungvon
Karyoplasma, Zytoplasma und Meta-
plasma, Berlin Geb. Borntrager, 1937.
Frey-Wyssling, A., Submicroscopic
morphology of protoplasm and its
derivatives, Elsevier Publishing Co.,
Inc., 1948. Schmitt, F. O., The ultra-
structure of protoplasmic constituents.
Physiol. Rev., 1939, 19, 270. Schmitt,
F. O., Tissue structure: polarization
optical analysis. In Glasser's Medical
Physics, Vol. II, 1950, p. 1128.
Bennett, H. S., The microscopical in-
vestigation of biological materials with
polarized light. In McClung's Micro-
scopical Technique, in press.
Polarized Light is said to be better than
Marchi and Sudan III methods for
study of myelin degeneration of periph-
eral nerves (Prickett, C. O. and Stevens,
C, Am. J. Path., 1939, 15, 241-250).
Used in study of mitochondria and
Golgi apparatus (Monn6, L., Pro to -
plasma, 1939, 32, 184-192).
Polarizing Microscope. The polarizing mi-
croscope in its simplest form is a con-
ventional microscope used with plane-
polarized light for illumination and with
a polarizing ocular (called the analyzer)
to detect the presence of birefringence.
Or it may be thought of as a polariscope
equipped with magnifying lenses. This
instrument has been borrowed from
the minerologists, who employ it in
the study of crystalline materials. Its
purpose in histology is to seek sub-
stances characterized by their ability
to rotate the plane of polarized light
(Schmitt, 1939).
A Nicol prism, or a disk of Polaroid,
is placed below the condenser. Ordi-
nary light is thereby polarized, but goes
on to form an image, exactly as in the
bright-field microscope. With an ana-
lyzer in the ocular, oriented so that its
polarizing direction is parallel to that
of the polarizer below, one sees the
regular image. With a 90° rotation of
the analyzer, however, the field be-
comes completely dark, except in those
places on the slide where birefringent
crystals or crystalloidal materials are
found. Since this image in general will
not be very bright it is best to observe
with the dark-adapted eye and to have
a very strong source of light for so much
light is lost. Starch grains, cholesterol
droplets, certain salt crystals, any or-
ganic structures with preferentially
oriented molecular aggregates, such as
nerve fibers (Prickett, C. O. and
Stevens, C, Am. J. Path., 1939, 15,
241-250), striated muscle, bone (Klee-
men 1945) plant cell walls, etc. stand out
well (Johnson, B. K., Endeavour, 1948,
7, 57-65). With a more elaborate
polarizing microscope one may make
quantitative measurements leading to
the identification of these materials
and to certain conclusions regarding
the fine structure of organic forms.
See Polarization Optical Methods.
Polarographic Technique — Written by
Christopher Carruthers, Division of
Cancer Research, Washington Uni-
versity, St. Louis, 10, Mo. October 5,
1951 — The polarographic method of
analysis is ideally suited for the quanti-
tative and qualitative measurement of
minute amounts of reducible sub-
stances. It is especially suitable for
concentrations of 10"'^ to 10"^ molar,
and since the analysis can be performed
with a very small volume of solution,
as little as a drop to a few tenths of a
cc, traces of reducible substances can
be detected. This method was dis-
covered by Professor J. Heyrovsky of
Charles University, Prague (Rev. trav.
chim., 1925, 44, 488-498). It is based
upon the reducibility, or oxidizability,
of a substance. For example, when
electrons are removed from the ferrous
ion, Fe*"*^, it is oxidized to the ferric
POLAROGRAPHIC TECHNIQUE
279
POLAROGRAPHIC TECHNIQUE
ion Fe"*'++, or Fe"*"*" z^ Fe"^'" + e (elec-
tron). Conversely, when an electron
is added to the ferric ion, the latter
is reduced to the ferrous state. In the
polarographic method the electrolysis
is carried out with a small easily polariz-
able electrode, the dropping mercury
electrode, and one large non-polarizable
electrode.
In the reduction of cadmium ion to
metallic cadmium, for e.xample, the
applied potential is gradually changed
from 0.0 volts and the current flowing
through the solution is measured by
means of a galvanometer. From 0.0
volt to about —0.5 volt very little
current flows through the solution be-
cause the potential at which the cad-
mium ion is reduced has not been
reached. At about —0.53 volt the
current begins to increase as the voltage
is decreased (negative) and at —0.7
volt the current becomes steady again.
Between —0.52 volt and —0.7 volt an
S shaped curve is produced, and a
measurement of the mid-point of this
curve gives the half -wave potential,
a characteristic constant of any sub-
stance under controlled conditions while
the current obtained gives the amount
of cadmium in solution.
In other words, the half-wave poten-
tial indicates the nature of the reducible
substance while the current observed
is a function of its concentration.
When the current in microamperes is
plotted against the applied voltage,
the resulting figure is called a polaro-
gram. The small current flowing
through the cell prior to reduction is
called the residual current. This is
due either to the reduction of traces of
oxjrgen, impurities or to the solution
of minute amounts of mercurj^ from the
dropping mercury electrode. The cur-
rent, which is obtained at about —0.7
volt for the reduction of cadmium ions,
is termed the diffusion current and it
is a function of the concentration. The
diffusion current is so named since the
ions in solution are reduced as fast as
they reach the dropping mercury elec-
trode— that is, the reduction is diffusion
controlled. Now if the concentration
of the cadmium ions is increased, the
diffusion rate will increase in propor-
tion to the concentration and this will
be reflected bj^ an increase in the diffu-
sion current. A plot of the diffusion
current minus the residual current
against the concentration can be used
for analytical purposes.
The half-wave potential can be em-
ploj'ed to determine the nature of un-
known substances. For example, when
the electrolysis of a mixture of Fe^
Pb++, Zn+*- and Co++ is carried out in
a solution of 0.1 N KCl, the supporting
electrolyte, the half-wave potentials
in volts v.s. the saturated calomel
electrode of these ions are respectively
-0.396, -0.995, -1.20 and -1.3. The
half-wave potentials are separated
sufTiciently to permit the determination
of each one in a mixture of the four
ions, and they enable one to determine
any of these ions in an unknown solu-
tion.
The principal objectives, therefore,
of the polarographic method are two.
In the first place the determination of
the nature of a substance from the half-
wave potential. This aspect of the
procedure is very important since it
enables one to get at structural altera-
tions in reducible compounds from a
single measurement. An application
of this aspect of the method in biology
(carcinogenesis) is given by (Car-
ruthers, C, and Suntzeff, V. Science
1950, 114, 103-107). Secondly, minute
amounts of several reducible substances
can be quantitatively determined in
a mixture without previous separation
by the classical chemical methods.
The equation for polarographic analy-
sis was developed by Ilkovik (Collec-
tion Czechoslov Chem. Commun, 1934,
6, 498-513). This equation is 'd = 605
nD'/^Cm^'H"* in which 'd is the mean
diffusion current (in microamperes), n
is the number of electrons involved in
the reduction of one molecule of re-
ducible substance, F is the Faraday
(96,000 coulombs), D is the diffusion
coefficient (in cm" 8ec~i), C is its con-
centration (millimoles per liter), m is
the weight of mercury flowing from the
capillary per second in (mg.) and t (in
sec.) is the time necessary for the forma-
tion of one drop of mercury. This
equation can be reduced to 'd = KC
when all the other factors are constant.
Hence the concentration of a reducible
substance is given by the equation
C = 'd/K. Since K can be determined
experimentally from the electrolysis of
a reducible substance at known con-
centrations, the amount in an unknown
can be measured from the diffusion
current.
For a general and detailed description
of the polarographic method of analysis,
the following books are recommended:
Kolthoff, I. M., and Lingane, J. J.
Polarography, New York: Interscience
Publishers, Inc. 1941, 215-254; Muller,
O. H., The Polarographic Method of
Analysis, Easton, Pa., Chemical Educa-
tion Publishing Co., 1951, 32-80, 141-
193; ilohn, H., Chemische Analysen
POLORAGRAPHIC TECHNIQUE
280
POLAROGRAPHIC TECHNIQUE
mit dem Polarographen, Berlin: Verlag
von Julius Springer, 1937, 34-47.
There are several American made
polarographs which automatically re-
cord current-voltage curves (polaro-
grams). These instruments have stim-
ulated research in the field and have
simplified the measurements consider-
ably. The following companies make
self-recording polarographs: E. H.
Sargent and Co., 155-165 East Superior
Street, Chicago 11, 111.; Leeds and
Northup, 4912 Stenton Avenue, Phila-
delphia, Pa.; Rutherford Instrument
Co., 8616 Georgia Avenue, Silver
Springs, Md. Manual recording
polarographs are also made by Fischer
Scientific Co., 2850 S. Jefferson Ave.,
St. Louis, Mo. and E. H. Sargent and
Co., 155-165 East Superior St., Chicago,
11, 111.
Training in the polargraphic method
of analysis is best achieved by working
with the instrument under supervision
of an expert, or by taking a course in
analytical chemistry in which the bases
of the method are taught. The latter
training can be obtained at the Chem-
istry Department of the University of
Minnesota, Minneapolis, Minn., or at
Harvard University, Cambridge, Mass.
Polarographic analysis has been found
useful in many fields of endeavor:
Vitamin B (Thiamin). Lingane, J.
J. and Davis, O. L., J. Biol. Chem.,
1941, 137, 567-574 found that this vita-
min gave a well defined wave at —0.25
volt (v.s. the saturated calomel elec-
trode in 0.1 N KCl). The method has
not been applied to natural products.
Vitamin B2 (Riboflavin) has been found
to be reducible by the same investiga-
tors (Lingane and Davis, Ibid).
Nicotinic Acid and Nicotinamid.
Nicotinic acid is reducible in 0.1 N
NaHCOs, Shitkata, M. and Tachi, I.,
Bull. Agr. Chem. Soc. (Japan) 1927,
3, 95-96. A detailed investigation of
the polarographic behavior of nicotinic
acid and related compounds has been
published by Tompkins, B. C. and
Schmidt, C. L. A. (Univ. Calif. Pub.
Physiol. 1943, 8. 229-247).
Pantothenic acid is also reducible
(Lingane, J. J. and Davis, O. L., Ibid.).
Vitamin C has been determined in
fruits and vegetables polarographically
by Gillam, W. S. (Indus, and Eng.
Chem. Anal. Ed., 1945, 17; 217-220).
Vitamin E and related compounds
have been extensively investigated by
Kolthoff and coworkers, see Smith,
L. I., Kolthoff, I. M., Wawzonek, S.
and Ruoff, P. M., J. Am. Chem. Soc,
1942, 64, 447-451; 644-648. This class
of compounds was oxidized having half-
wave potentials of approximately 0.1
to 0.2 volt.
Vitamin K-Vitamin Kb is also re-
ducible at the dropping mercury elec-
trode, see Knoblock, E., Collection
Czechoslov Chem. Commun., 1949, 14,
508-531.
Folic acid can be determined polaro-
graphically in small amounts in tablets,
see Mader, W. J. and Frediani, H.,
Amal. Chem., 1948, 20, 1199-1201.
Steroids and Related Compounds.
Steroids such as testosterone, pro-
gesterone, pregnenol-17-one-3, desoxy-
corticosterone, etc. which have a car-
boxyl group conjugated with a double
bond are reducible (Eisenbrand, J.
and Picher, H., Zeit. Physiol. Chem.,
1939, 260, 83-99). The reaction prod-
ucts of 17-ketosteroids with Girard's
Reagent T (trimethyl acethydrazide
ammonium chloride) make the method
more general in scope (Wolfe, J. K.,
Hershberg, E. C. and Fieser, L. F.,
J. Biol. Chem., 1940, 136, 653-687).
Minerals. The polarograph is ideally
suited for the determination of minute
amounts of most of the metals with the
exception of the alkali and alkali-earth
metals (Kolthoff, I. M., and Lingane,
J. J., Ibid.).
Proteins. Very few pure proteins
have been studied polarographically.
Proteins containing sulphydryl groups
or — S — S — groups can be determined
and their purification followed by the
shape of the catalytic reduction waves
(Carruthers, C, H. Biol. Chem., 1947,
171, 641-651). Proteins and polypep-
tides containing cystine or cysteine,
when dissolved in suitably buffered
cobalt solutions, produce a catalytic
reaction during electrolysis at the
dropping mercury electrode (Brdicka,
R. Collection Czechoslov. Chem.
Commun., 1936, 8, 366-376). This ob-
servation was used by some investiga-
tors as a test for cancer since the blood
sera of normal individuals and of
persons suffering from cancer revealed
significant differences in the height of
the catalytic waves (Brdicka, R.,
Nature, 1937, 139, 330; 1020-1021).
However, this test proved to be non-
specific (Rusch, H. P., Klatt, T.,
Meloche, V. W., and Dirksen, A. J.,
Proc. Soc. Exptl. Biol. Med., 1940, 44,
362-365).
Amino acids. Amino acids, with the
exception of cysteine and cystine which
give catalytic waves in buffered cobalt
solutions, are not reducible.
Many other types of organic com-
pounds are also reducible. For ex-
ample, carcinogenic hydrocarbons such
as 3-methylcholanthrene, 3-4,benzypy-
POLAROID
281
POLYSACCHARIDES
rene and 9, 10-dimethyl-l ,2-benzanthra-
cene can be determined polarograph-
ically (Wawzouek, S., and Laitinen,
H. A., J. Am. Chem. Soc, 1942, &4,
2365-2368).
Many other types of organic com-
pounds (aldehydes, ketones, acids,
nitro nitroso and azo compounds, per-
oxides, sugars (ketases) and heterocylic
compounds), which can be qualitatively
and quantativel}^ determined polaro-
graphically are given in a review by
Wawzonek (Anal. Chem., 1949, 21, 61-
66), and in the books listed above.
Polaroid. This is a polarizing material
made up of extremely minute crystals
of quinine sulpliate periodide. A nitro-
cellulose film containing the crystals
all oriented in the same direction can
be mounted between sheets of glass
with a total thickness fo about 3 mm.
See Bourne, p. 26.
Pollens. The microscopic identification of
the different sorts of pollen, especially
the allergens, does not involve any
complicated technique. From a good
textbook, Feinberg, S. M., Allergy in
Practice. Chicago, The Year Book
Publishing Co., 1944, 798 pp., one is first
guided by data on pollens likely to be
in the atmosphere at the particular
season and in the special locality. The
next step is to spread on microscopic
slides very thin films of white petrola-
tum. Then expose, for measured time,
these in a horizontal position coated
side up protected by a suitable covering
from rain but not so as to interfere with
access of air. Examine directly bj'
direct illumination or in dark field. If
staining is necessary apply Calberla's
solution as described by Gay, L. N.,
Curtis, H. and Norris, T., Bull. Johns
Hopkins Hosp., 1941,68, 179-189 (glyc-
erin 5 cc; 95% ale, 10 cc; aq. dest.,
15 cc; sat. aq. basic fuchsin, 2 drops).
Most important is detailed microscopic
comparison of the grains observed with
the illustrations in the following mono-
graph: Wodehouse, R. P., Pollen
Grains. New York : McGraw-Hill Book
Co., 1935.
Poly-Azo Dyes. Chlorazol black E, sudan
black B.
Polychromatic Erythroblasts, see Erythro-
cytes, developmental series.
^ Polychrome Methylene Blue. Literally
many colored, but actuallj'^ in this case
two colored. It is a methylene blue
which contains, in addition to the blue
itself, large amounts of azures especially
A and B . These are redder than methy-
lene blue and are partly responsible for
the metachromatic staining (G. meta,
beyond + chroma, color) given by
polychrome methylene blue. The color
is beyond and different from the simple
blue by reason of its marked reddish
tint. It is usually better to purchase
the fKjlychrome methylene blue rather
than to make it. If it has to be made
dissolve 1 gm. methylene blue in 100
cc. 0.5% aq. NaHCOj; place in steam
sterilizer 1^ hrs.; cool and filter (Mc-
Clung, p. 334). It should be a good
methylene blue. Goodpasture's (E.
W., J.A.M.A., 1917, 69, 998) recipe for
polychrome methylene blue is : Boil 400
cc. aq. dest. + 1 gm. methylene blue and
1 gm. potassium carbonate for 30 min.
Cool and add 3 cc. acetic acid and shake
dissolving ppt. Boil gently down to
200 cc. volume (5 min.). Cool. Eosi-
nates spectra and staining potency
(Lillie, R. D. and Roe, M. A., Stain
Techn., 1942, 17, 57-63). See also
Lillie, R. D., Stain Techn., 1942, 17,
97-110 for acid oxidation methods of
polychroming.
Polyethylene glycols are also known as
Carbowaxes. See Carbo Wax embed-
ding. Rinehart, J. F. and Suleiman
Abul-Haj, A. M. A. Archiv. Path.,
1951, 51, 666-669 advise the dehydration
and embedding of formation fixed
tissues and the staining therein of
lipids by Sudan and other dyes. This
is a great improvement over the frozen
section technique.
Polysaccharides — Written by R. D. Hotch-
kiss. The Rockefeller Institute for
Medical Research, New York 21, N. Y.
November 14, 1951 — Polysaccharides
are oxidized by periodic acid with pro-
duction of polyaldehydes which are
stained with Schiff's fuchsin-sulfite
reagent. Only substances with 1,2-
glycol groupings (almost exclusively
carbohydrates, which in fixed tissue
preparations are chiefly present as
polysaccharides, mucins or mucopro-
teins) are supposed to react in this way.
In the Schiff-aldehyde reactions, it is
important to note that the fuchsin
combines chemically with the alde-
hydic substances (Wieland and Scheu-
ing, Ber., 1921, 54, 2527-2555); the dye
is presumably therefore fixed at the
site of the original polysaccharide.
J. F. A. McManus (Nature 1946, 158,
202), R. D. Lillie (Bull. Internat.
Assoc, Med. Museums, 1947, 27, 23-61),
and R. D. Hotchkiss (Arch. Biochem.
1948, 16, 131-141) independently dis-
covered and described (he periodic acid-
Schiff method; the description below
is that of Hotchkiss' procedure.
Solutions: Alcoholic periodic acid:
0.4 gm. periodic acid, dissolved in 15
cc. aq. dest., add 0.14 gm. cryst. Na
acetate, then add 35 cc. alcohol 95%.
Reducing rinse: Dissolve 1 gm. KI,
POLYSACCHARIDES
282
POLYSACCHARIDES
1 gm. Na thiosulfate hydrate in 20 cc.
aq. dest. Add, with stirring, 30 cc. 95%
alcohol, and then 0.5 cc. 2 N hydro-
chloric acid. Precipitated sulfur is
allowed to settle out, but the mixture
can also be used immediately. Schiff's
reagent: fuchsin-sulfite as used in the
reaction for Thymonucleic Acid, or the
Bauer-Feulgen reaction for Glycogen;
maximum sensitivity and stability are
obtained by adjusting the acidity to
the minimum amount which allows the
reagent to dry in a thin film on a glass
slide without becoming spontaneously
colored. Preserved in the cold. Sul-
fite wash: Aqueous bisulfite, e.g. 0.2
gm. K metabisulfite and 0.5 cc. cone,
hydrochloric acid to 50 cc. water.
Procedure: Fix in usual fixatives;
alcoholic or picric acid fixatives are
suitable if water soluble polysaccharides
such as glycogen are to be demon-
strated. Bring to 70% alcohol. Leave
5 min. in periodic acid, rinse with 70%
alcohol, leave in reducing rinse 5 min.,
rinse with 70% alcohol, leave in Schiff's
reagent 15 to 45 min., wash 2 to 3 times
in sulfite water. Examine or dehydrate
and mount as desired. Counterstain-
ing with a basic dye such as malachite
green (2 mg. per 100 cc. aq. dest.) is
satisfactory. Control sections treated
same except not exposed to periodic
acid.
Modifications: Aqueous, instead of
alcoholic, periodic acid and reducing
rinse may be used, with increased likeli-
hood of removing soluble polysaccha-
ride such as glycogen or dextrins from
the section. McManus uses 0.5%
aqueous periodic acid without acetate
buffering (Stain Technology, 1948, 23,
99-108) ; Lillie uses aqueous sodium
periodate containing nitric acid (ibid.,
1951, 26, 123-136). Periodate or iodate
entrapped, or bound to such com-
ponents as calcium in the sections, will
color the Schiff reagent; the reducing
rinse is intended to destroy these
iodates chemically. Ordinary washing
is used in the McManus and Lillie pro-
cedures, and is adequate whenever
iodate retention does not prove to be
a difficulty in the particular tissue under
investigation. The periodate-Schiff re-
action may be used subsequent to treat-
ment with enzymes such as diastase
(Lillie) or hyaluronidase to further
identify the material being stained.
Isolated substances can be tested for
stainability by "spot tests" with the
same reagents to help predict their be-
havior in tissue sections (see Hotchkiss,
loc. cit.).
Mechanism of reaction and specificity:
Aldehyde groups newly formed by
periodic acid and reacting with Schiff's
reagent are almost certainly produced
by the breakage of 1,2-glycols or equiv-
alent 1,2-amino alcohols or 1,2-dia-
mines. Biologically occurring sub-
stances containing such groups are the
simple sugars, polj'saccharides, cere-
brosides, inositol compounds, certain
hydroxy-amino acids, adrenaline. The
specificity of the stain further depends
in part upon the removal of low mole-
cular compounds in fixation and wash-
ing, leaving the polysaccharides (and
mucins, glycoproteins) as probably the
only known naturally occurring sub-
stances which remain to be stained.
The sugar residues contained in nucleic
acids and the hydroxyamino acids of the
proteins (except perhaps terminal resi-
dues or hydroxj'lysine) are chemically
so substituted that they do not react
with the periodic acid. A number of
other substances which reduce the oxi-
dant (such as tryptophan) do not yield
aldehyde groups.
Not all sugars or polysaccharides
give equallj' intense coloration (Hotch-
kiss, loc. cit.: Jeanloz, R., Science
1950, 111, 289) and the presence or
amount of color cannot in every single
case be predicted from the known struc-
ture. A further difficulty is that in
some cases the structure of a complex
biological material (e.g. hyaluronic
acid) is inferred from the chemical
study of a highly purified component
isolated from only one or two special
sources. In such cases the spot tests
mentioned maj- be used to investigate
empirically the behavior of crude, or
purified, fractions from the tissue under
consideration.
A method of acetjdating tissue sec-
tions has been described (McManus,
J. F. A. and Cason, J. E., J. Exp. Med.,
1950, 91, 651-654) by which the 1,2-
glycol structures are blocked with
acetyl groups and no longer are able
to be oxidized by periodic acid. De-
acetylation with cold alkali introduces
an element of greater specificity, since
glycol substances such as polj'saccha-
rides can now again be stained, but the
amino derivatives of glycols are prob-
ably not released.
The mechanism of the Bauer-Feulgen
and Casella reactions, in which chromic
acid and permanganate are the oxidants
is probably similar, but these oxidants
tend to destro}'- the aldehyde groups
which they first produce. Lillie (loc.
cit. 1951) has made a critical study of
the various Schiff reactions for carbo-
hydrates and should be consulted for
a review of this subject (see also review
by McManus, loc. cit. 1948). C. P.
POLYVINYL ALCOHOL
283
PORPHYRINS
Leblond (Amer. J. Anat. 1950, 86, 1-50)
has surveyed the staining of rat tissues
rather thoroughly. A discussion of the
chemical mechanism and tests of many
isolated substances were provided by
Hotchkiss (loc. cit.).
Uses and appUcations: The following
substances have been stained with the
periodic-acid-Schiff methods: glycogen,
starch, mucins, hyaluronic acid, cell-
ulose, chitin, agar, amyloid, reticulin,
kerasin, colloid of the thj'roid and hypo-
physis, collagen. Structures or regions
revealed have included basement mem-
branes, cartilage matrix, ground sub-
stance of connective tissue, hyaline
casts, hyaline of arteriosclerosis, ovar-
ian cj'st and follicle fluid, lens capsule,
Descemet's membrane, collagenous re-
ticulum, chromaffin, brush border of
the renal tubules, elements in the mi-
totic figures of tumor tissue, zymogen
granules, mold mycelium, flagella in
certain algae, plant cell walls, sperm
acrosomes. The stain is particularly
convenient for demonstrating vividly
the pathogenic fungi infecting the less
intensely staining animal tissues (Klig-
man, A. M. and Mescon, H., J. Bact.,
1950, 60, 415-421). In a few cases, ma-
terial stained in tissues has been corre-
lated, with a view to tentative identifi-
cation, with such specific glycoproteins
as gonadotrophic hormone in the pitui-
tary (Catchpole, H. R., Fed. Proc.
1947, 6, 88), renin in the kidney
(Marshall, J. and Wakerlin, G. E.,
Fed. Proc. 1949, 8, 106-7), accessory
reproductive gland secretion in beetles
(Anderson, J. M., Biol. Bull., 1950,
99, 49-64), and hyaluronidase in the
sperm acrosome (Leutchtenberger, C.
and Schrader, F., Proc. Natl. Acad.
Sci., 1950, 36, 677-683).
Polyvinyl Alcohol, macromolecular proper-
ties (Heuper, W. C, Arch. Path.,
1942, 33, 271). Use in preparing tissues
for staining with Sudan III (Lubkin,
V. and Carsten, M., Science, 1942, 95,
634).
Ponceau B, see Biebrich Scarlet, water
soluble.
Ponceau R, RG, G, 4R, 2RE, NR, J, FR,
GR, see Ponceau 2R.
Ponceau 2R (CI, 79).— Brilliant ponceau G,
lake ponceau, new ponceau 4R, ponceau
R, RG, G, 4R, 2RE, NR, J, FR, GR,
scarlet R, xylidine ponceau 3RS. —
An acid mono-azo dye which may be the
ponceau de xylidine called for in
Masson's Trichrome Stain.
Ponceau S (CI, 282) of National Aniline
Division of Allied Chemical and Dye
Corporation is u.sed by Leach, E. II.,
Stain Techn., 1946, 21. 107-110 in Cur-
tis' Substitute for Van Gieson Stain.
Ponceau de Xylidine. The difficulty is
that the Fench "ponceau de xylidine"
cannot be secured. It appears to be
similar to ponceau 2R (C.I. 79) but the
latter does not give regularly good re-
sults. Lillie (R. D., Stain Tech., 1940,
15, 17-22) suggests the following sub-
stitutes for ponceau de xylidine: azo-
fuchsin 3B (C.I., 54), nitrazine yellow
and biebrich scarlet (C.I., 280)". See
the Biebrich Scarlet and Picro-Anilin
Blue method of Lillie. Sec Masson's
Trichrome.
Ponder's Stain for Diphtheria Bacilli,
which see.
Ponsol Red 5 GK (CI, 1131) and Ponsol Red
AFF, both of DuPont are referred to by
Emig, p. 64.
Pontachrome Brown MW (CI, 101) of Du-
Pont, a monoazo mordant dye, light
fastness 4, action of which on blue green
algae is described (Emig, p. 31).
Pontachrome Orange R (CI, 415) of DuPont,
a direct disazo dye of color fastness 5.
Gives fugitive colors only (Emig, p. 40).
Pontacyl Carmine 6B (CI, 57), DuPont, is an
acid, monoazo dye which colors sections
bluish fuchsia darkened by mordanting
with potassium bichromate. Not im-
portant in microtechnique (Emig,
p. 30).
Pontacyl Carmine 2 G (CI, 31)— Made by
DuPont. Light fastness 3. More in-
tense color than azofuchsin. Action on
fungous myoelia (Emig, p. 29).
Pontamine Fast Pink BL (CI, 353), a disazo
direct dye of light fastness 3 to 4. Use
in acid and alkaline solutions as stain
for plant tissues and algae are described
(Emig, p. 39).
Pontamine Sky Blue 5BX, see Niagara Blue
4B. Use in measurement of lymph flow
(McMaster, P. D., J. Exper. Med., 1937,
65, 373-392) .
Poppy Seed Oil, reactions in tissue to fat
stains after various fixations (Black,
C. E., J. Lab. & Clin. Med., 1937-38,
23, 1027-1036).
Porphyrins. — Written by Frank H. J. Figge,
Dept. of Anatomy, Universitj' of Marj'-
land Medical School, Baltimore, Md.
October 10, 1951 — There is no specific
histo-chemical reaction for porphyrins,
but Watson, C. J. and Clark, W. O.,
Proc. Soc. Exp. Biol. & Med., 1937,
36, 65-70 believe that it is the proto-
porphyrin in reticulocytes that stains
with brilliant cresyl blue. See Reticu-
locytes.
Watson and his workers and other in-
vestigators have more recently modified
their views regarding this point (Wat-
son, C. J., Blood, 1946, 1, 99-120)
Keller and Seggel had demonstrated
that the porphyrin containing cells
were not identical with reticulocytes
PORPHYRINS
284
PORPHYRINS
but could be recognized by their fluores-
cence. These fluorescytes normally
constitute only 0.1% of the red cells
(Keller, Ch. J. and K. A. Seggel, Folia
Haematol, 52, 241, 1934). No paral-
lellism was found to exist between the
reticulocytosis in cases of remission of
pernicious anemia and the concentra-
tion of porphyrin in the erythrocytes,
which reaches a ma.ximum after the
reticulocyte peak. Watson, Grinstein,
and Hawkinson have confirmed this
latter observation (J. Clin. Invest.,
1944, 23, 69-80). A very comprehen-
sive review describing the distribution
of porphyrins in the human body ap-
peared in a book by Lemberg and
Legge, "Hematin Compounds and Bile
Pigments" (Interscience Publishers,
1949).
Minute quantities of porphyrins may
be detected in tissues or solutions by
virtue of the red fluorescence of these
substances when they are examined in
near ultraviolet light (Wood's light).
Konigsdorfer, Borst, and Fischer em-
ployed a spectral analysis microscope
to detect and identify porphyrins in
histological material (See Fischer and
Orth's Die Chemie des Pyrrols, 1937,
press of Paul Dunhaupt, Kothen. It is
also available in Lithoprint form: Ed-
wards Bros., Ann Arbor, Mich.). At-
tempts have been made, Kliiver, H.,
Science, 1944, 99, 482-484, to identify
the type of porphyrin present in tissues
and in nervous tissue by means of
fluorescence spectra determination.
The precise identification and deter-
mination of porphyrins involves deter-
mination of relative solubility in ether
and in acid solutions of various concen-
trations, absorption spectra, and melt-
ing points of the methylesters.
The detection of porphj^rins in tissues
by means of the visually observed red
fluorescence is beset with several pit-
falls. Red fluorescence is not a specific
test, because occasionally other nat-
urally occurring red fluorescent sub-
stances are encountered. The red
fluorescence of porphyrins may also be
masked in at least two ways:
1. The presence of certain substances
which quench the fluorescence of the
porphyrin, i.e., protoporphyrin and
coproporphyrin are abundant in bone
marrow, but the fluoresence is not ap-
parent because of the high concentra-
tion of heme compounds and other
forms of iron.
2. The presence of a substance or sub-
stances with a blue-green or in other
words, a complimentary fluorescence
spectrum. As one would expect, por-
phyrin in such a combination gives rise
to a white fluorescence, i.e., urine us-
ually contains substances which flu-
oresce blue-green. The addition of
porphyrin changes this to white fluores-
cent urine. Urine fluoresces red only
when the concentration of porphyrin is
very high.
For an excellent account of the chem-
istry and distribution of porphyrins in
tissues and organs, the reader is referred
to the review of Dobriner, K., and
Rhoads, C. P., Physiol. Rev., 1940, 20,
416-468. Everett's Medical Biochem-
istry (1942, Paul B. Hoeber, New York)
also contains a good summary of this
field. In the following discussion, some
of the original references to statements
regarding porphyrins have been
omitted. These may be found in one
of the above reviews or in Fischer and
Orth. Most of the porphyrins en-
countered in nature may be classified
as type III or type I of the four series
of isomers. This is because proto-
porphyrin, which belongs to the type
III series, is involved in the formation
of such important substances as chloro-
phyl, hemoglobin, myoglobin, cyto-
chromes, catalase, peroxidase, and
cytochrome oxidase. Protoporphyrin
(and a small amount of coproporphyrin)
are usually formed during the synthesis,
but as a general rule, porphyrin is not
formed during the breakdown of these
compounds in the liver.
Intestinal bacteria convert many of
these heme compounds to protopor-
phyrin. Deuteroporphyrin, copropor-
Ehyrin III, and mesoporphyrin may all
e derived from this. These same por-
phyrins may also result from the sterile
autolysis of hemoglobin or myoglobin
(Hoagland, R., J. Agr. Res., 1916, 7,
41-45). It is, therefore, probable that
these pigments would be present in
thrombotic areas, severely damaged
tissues, and necrotic tissues in general.
Hematoporphyrin is an artificial por-
phyrin resulting from the treatment of
reduced hemoglobin with strong acids.
Since it does not occur in nature, the
name is unfortunate and has given rise
to much confusion (see "Hematopor-
phyrin").
Normally 20-100 micrograms of co-
proporphyrin I are excreted daily in the
urine. Coproporphj'rin, as its name
implies, is present in large amounts in
the feces, but is also found in the am-
niotic fluid, meconium, and in the
sebaceous glands in certain areas of the
skin of the human subject (Fischer-
Orth; Figge, Symposium on Cancer,
A. A. A. S., 1945, 117-128). In certain
pathological states, large amounts of
the ether insoluble uroporphyrins are
POSTMITOTIC CELLS
285
POTASSIUM
excreted in the urine. Protoporphyrin,
which is now known to be the same as
ooporphyrin, is excreted in relatively
large amounts by female birds. A
porphyrin-secreting gland deposits this
on the egg shell as it passes through the
oviduct. The purpose of this is not
known. Protoporphyrin and copropor-
phyrin develop in abundance in eggs as
they are incubated and embryonic tis-
sues and fluids in general have a rela-
tively high porphyrin content. Graf-
lin, A. L., Am. J. Anat., 1942, 71, 43-64
gives the technic for histochemical
studies of the protoporphyrin in rat
harderian glands. This includes sev-
eral good illustrations. These glands
excrete porphyrins which pass via the
naso -lachrymal duct and larynx to the
gastro-intestinal tract (Figge and Salo-
mon, J. Lab. & Clin. Med., 1942, 27,
1495-1501). Most of the porphyrin in
the feces of rats is derived from the
harderian gland excretions. In addi-
tion to rats, mice also excrete relatively
large amounts of protoporphyrin via
the harderian glands. The variability
with respect to the red fluorescence of
the harderian glands of mice of strains
with different susceptibility to spon-
taneous mammary carcinoma gave rise
to the hypothesis that porphyrins were
involved in the regulation of suscepti-
bility to mammary carcinoma (Figge,
Strong, Strong, Jr., and Shanbrom,
Cancer Res. 1942, 2, 335-342). Ham-
sters, which are very susceptible to
chemically-induced tumors, were also
found to have brilliant red fluorescent
harderian glands. The occurrence of
porphyrins in certain organs and tissues
of the human subject which exhibit a
high cancer incidence (cervix of uterus,
skin, etc.) led to the concept that these
substances may act as co-carcinogens in
a more general manner than postulated
at first (Figge, A. A. A. S., 1945, 117-
128). Jones, E. G., Shaw, H. N., and
Figge, F. H. J., Am. J. Obs. & Gyn.,
1946, 51, 467-479 give technics for
demonstrating porphyrin on the cervix
of the uterus in the human subject.
See Hematoporphyrin.
Postmitotic Cells, see Cell Classification.
Postmortem Change. These are alterations
in structure due to autolytic and os-
motic changes. The rate of autolysis
is very rapid in some organs such as the
pancreas which are enzyme producers.
It is relatively slow in the walls of elas-
tic arteries in which the proportion of
inanimate components (elastic and col-
lagenic fibers) is high. In the case of
tissues which cannot be immediately
fixed certain precautions should be
taken to minimize postmortem change.
See Agonal Changes, Artifacts, Fixa-
tion, and Small Intestine, Necrosis,
Necrobiosis.
Potocytosis, a term introduced by Meltzer
to designate submicroscopic "sipping"
of fluid by cells. See Pinocytosis.
Pottenger's Dilution Flotation method, see
Concentration of bacteria.
Potassium, Histochemical methods.
1. Policard, A. and Fillet, D., BuU-
d'Hist. Appl., 1926, 3, 230-235 have sug-
gested that potassium and sodium prob-
ably occur as chlorides and that their
conversion to sulphates by treating the
sections with sulphuric anhydride fumes
makes them more stable and better able
to withstand the high temperature of
Microincineration which see.
2. Marza, V. D., Bull. d'Hist. Appl.,
1935, 13, 62-71 has modified Macallum's
well known technique. Fix small pieces
of tissue in 96% pure ale. in the ice box.
Make paraffin sections. To eliminate
the possibility of the presence of iron
leave {control sections 5 min.in freshly
prepared sol . yellow ammonium sulphate .
Wash in aq. dest., dehydrate, clear and
mount in neutral balsam. There should
be no ppt. Make up following solu-
tions: A. Cobalt nitrate, 5 gm.; aq.
dest., 10 cc; glacial acetic acid, 2.5 cc.
B. Sodium nitrite, 25 gm.; aq. dest., 36
gm. To A add 41 cc. of B and use
immediately. If delay is necessary
keep in ice box and filter before using.
Cover test sections with this for 2
hrs. in a closed Petri dish to avoid
evaporation. Wash slowly in 50% ale.
to remove every trace of reagent.
Plunge in ammonium sulphate solution
3 min. Wash in aq. dest. to remove
ammonium sulphate. Dehydrate, clear
and mount. Examine illustrated paper
by Marza and Chiosa (V. D. and L. T.,
Bull. d'Hist. Appl., 1935, 13, 153-177)
on application of this method to the
problem of ovogenesis.
3. Gersh, I., Anat. Rec, 1938, 70,
311-329 has also modified Macallum's
method. It involves the making of
similar paraffin sections as for Chloride,
which see. Transfer these to a fairly
large cool room (—1° to -f 1°C.) and re-
move paraffin and petroleum ether as
for chloride. Cover with 12% sodium
cobalti-nitrite solution of Biilman
(Treadwell, F. P., Analytical Chemis-
try, vol. 1, 4th English Ed. translated
by W. T. Hall, New York, John Wiley
& Sons, Inc., 1916, p. 81). Decant
fluid, mount in glycerin in same way and
examine. Crystals of sodium potassium
cobalti-nitrite are just visible with oil
immersion lens. They are short yellow
rods with rounded ends in a diffuse pale
PRATT
286
PROSTATE
yellow background soluble at room tem-
perature.
4. Carer-Comes, O., Zeit. f. wis.
Mikr., 1938, 55, 1-6 has advised histo-
chemical demonstration of potassium
by Siena orange (K. Hollborn), which is
sodium paradipicrylamine. Deparaf-
finize sections of neutral formalin fixed
tissue. Place in Siena orange solution,
as received ready for use from Kollborn,
2 min. Then 10% HCl 3 min. Wash
twice in aq. dest. 10 min. Blot with
filter paper and dry at ST^C. Mount in
thickened cedar oil. Tissues contain-
ing potassium, orange; others, pale yel-
low or unstained.
5. Radioactive potassium can be
easily measured in tissues and cells.
There is 40% penetration of red blood
cells in vivo (Mullins, L. J., Noonan,
W. O. and T. R. and Halge, L., Am. J.
Physiol., (1941, 135, 93-101). See
Radiopotassium.
Titrimetric methods for potassium.
The one of Norberg, B. (C. rend. trav.
lab. Carlsberg, S6r. Chim., 1937, 2],
233-241) is given by Click, p. 268. Ap-
parently the presence of sodium in
amounts 150 times that of the potassium
did not interfere. The one of Cunning-
ham, B., Kirk, P. L. and Brooks, S. C.
(J. Biol. Chem., 1941, 139, 21-28) is
effective when amount of sodium is not
more than 20 times that of potassium
and the quantity of potassium is 2 /x
gm. +.
Pratt, see Triphenyltetrazolium Chloride.
Preputial Gland of rats. Useful histochemi-
cal methods of investigation and
changes following thyroidectomy (Mon-
tagna, W., Anat. Rec, 1946, 94, 38).
Pressure. Increase in pressure beyond a
certain limit, somewhat characteristic
for particular cells (300-1000 atmos-
pheres), brings about a liquefaction of
the plasmagel which can be directly
observed microscopically or determined
by certain measurements like action
potential for nerve fibers. Danielli
(Bourne, p. 38) has expressed the
opinion that the factor causing in-
hibition of movement may, in all cases,
be increased hydration of protein
molecules and that the method of in-
creased pressure may be of great value
to large scale and micro-biologists.
New technique for differential pres-
sure measurements employing con-
denser manometers as given by Hansen,
A. T. and Warburg, E., Acta Physiol.
Scand., 22, 211-215.
Price-Carr Reaction, see Carr-Price Reac-
tion.
Primula R Water Soluble, see Hofmann's
Violet.
Primulin (CI, 812) — primuline yellow — An
acid thiazole dye used in fluorescence
microscopy (Pick, J., Zeit. Wis. Mikr.,
1935, 51, 338-351).
Praseodymium, see Atomic Weights.
Primuline Yellow, see Primulin.
Proflavine, a dye similar to Acrlflavine.
Prolactan. Methods for assay (Bates, R.
W., Cold Spring Harbor Symposium on
Quantitative Biol., 1937, 5, 191-197).
Promyelocytes, see Leucocytes, develop-
mental series.
Prontosil as a vital dye (Carter, W., Science,
1939, 90, 394). It is fluorescent.
Propylcarbinol, see n-Butyl Alcohol.
Prostate. This organ cannot be examined
microscopically in vivo and supravital
staining has not proved very fruitful.
The cutting and staining of sections is
the conventional method. It is impor-
tant that the blocks of tissue fixed be
oriented with great care, and that
microscopic and gross observations be
correlated. For normal size and weight
see Moore, R. A., Am. J. Path., 1936,
12, 599-624 and for age changes a chap-
ter by the same author in Cowdry's
Problems of Ageing, Baltimore : Wil-
liams & Wilkins, 1942, 936 pp. Since
the structure of the prostate exhibits
so many local differences there is a
danger of erroneous conclusions from
incomplete examination. In their clas-
sic paper on the rat-prostate cytology
as testis hormone indicator Moore, C.
R., Price, D. and Gallagher, T. F., Am.
J. Anat., 1930, 45, 71-107 secured best
results after fixation in Bouin's Fluid
and staining with Harris' Hematoxylin
and Eosin.
Swyer, G. I. M., Cancer Research,
1942, 2, 372-375 has checked with satis-
factory results the Schultz test for cho-
lesterol by chemical analyses. He has
also outlined a method for measuring
the color in the Liebermann-Burchardt
reaction. For singly refractile fat in
the epithelial cells see Gylling, P.,
Acta Path, et Microb. Scan., 1941, 18,
247-258.
To demonstrate the ducts (Le Due,
I. E., J. Urol., 1939, 42, 1217-1241) in
autopsy material lay open prostate by
incising length of anterior commissure
and express secretion from ducts by
gentle massage and careful sponging.
Locate orifices of ducts with aid of a
dissecting microscope. Inject celloidin
solution into them through No. 26 or 27
gauge hypodermic needle fitted with
tapering solder tip. Then macerate
with hydrochloric acid and remove all
except casts of the ducts. See his
illustrations.
A method for demonstrating arterial
supply is described and illustrated in
some detail by Flocks, R. H., J. Urol.,
PROTACTINIUM
287
PROTOSIDERIN
37, 524-548. Inject internal iliac ar-
teries of a fresh cadaver with equal
parts barium sulphate and water at 200-
250 mm. mercury pressure. But be-
forehand cut small branch of superior
vesical artery to relieve pressure in
prostatic vessels. Remove prostate
with sufficient surrounding tissue. Cut
gland into 5-6 sections each about 1 cm.
thick. Dehydrate in ascending alco-
hols and clear in oil of wintergreen
(methyl salicylate).
Examination of corpora amylacea by
various methods is described by Moore,
R. A., Arch. Path., 1936, 22, 24-40.
Protactinium, see Atomic Weights.
Protamines, see Saint Hilaires Method
discussed under Purines.
Protargol. This is a light brown protein
silver compound containing approxi-
mately 8% silver. To demonstrate
phagocytosis by the reticulo-endothelial
system fine suspensions may be injected
intravenously (Askanazy, M., Aschoff
Path. Anat., Jena, 1923, 1, 183) but the
method is not recommended by Foot
(McClung, p. 115). Protargol is also
used for staining of paraffin sections
(Bank, E. W. and Davenport, H. A.,
Stain Techn., 1940, 15, 9-14). See
Silver Methods, Bodian Method, Pro-
tein Silver.
Protease. An enzyme located in leucocytes
which can be demonstrated in small
quantities of blood has been described
(Cooke, J. v.. Arch. Int. Med., 1932,
49, 836-845). Pickford, G. E. and F.
Dorris (Science, 1934, 80, 317-319) have
reported a micromethod for protease.
DeRobertis, E. (Ann. N. Y. Acad. Sci.,
1949, 50, 317-335) devised micro methods
for the analysis of proteolytic activity
in thyroid colloid. Sections were in-
cubated on plates covered with gelatin,
which was subsequently stained. Pro-
teolytic activity digested the gelatin,
(pausing the film to stain less intensely
than neighboring undigested areas.
Similar experiments for localizing pro-
tease have been carried out using fibrin
film as a substrate.
Protein, see following reactions: Alloxan,
Axenfeld, Azo, Indo, Ninhydrin, Nitro,
Nitroprusside, Nitrosamino, Romieu,
Xanthroproteic.
Proteolytic enzymes. These include pro-
tease and many others. See Click,
pp. 302-306.
Protein Silver for Staining Protozoa —
Written by Norman Moskowitz, Dept.
of Zoology, University of Pennsylvania,
Philadelphia. January 24, 1951 — When
commercially prepared silver products
suitable for staining Protozoa by the
Bodian silver technic apparently be-
came unavailable, a substitute for
Protargol was prepared as follows: 0.9
g. of granular gelatin is dissolved by
heat in 100 ml. aq. dcst.; to this 0.1 g.
of silver nitrate is added at 60° C. ; this
solution is poured into Columbia stain-
ing dishes (10 ml.) in which one or two
drops of M/10 sodium hydroxide have
been added. Copper is not used in the
impregnating bath. Smears fixed in
Hollande's or Schaudinn's fixatives are
bleached and impregnated for 36 hours
or more at 35°C. Impregnated smears
are reduced with a mixture of hydro-
quinone and sodium sulfite, and toned
with gold chloride.
1. Fix smears in the recommended
fixative.
2. Wash in 50% ale. to remove fixative.
3. Harden the smears in 70% ale. in
which they may be stored for not
more than a few days.
4. Hydrate smears.
5. Bleach: Treat preparations in 0.5%
potassium permanganate 2 min.
Wash in at least two changes of aq.
dest., 1 min. each. Treat with 5%
oxalic acid 2 min. Wash in three
changes aq. dest.
6. Impregnate smears in protein silver
solution for 36 hours at approx-
imately 35°C. Results in staining
can be varied by omitting the M/10
sodium hydroxide or by adding one
or two drops of M/10 nitric acid
instead of the recommended alkali.
7. Reduction of silver. Rinse im-
pregnated smears in aq. dest. water
and treat for 5 minutes in a reducing
bath prepared by dissolving 1 g.
of hydroquinone and 5 g. of sodium
sulfite in 100 ml. aq. dest.
8. Wash in aq. dest. 1 min.
9. Toning. Immerse preparations for
4 min. in 0.2% (1% may be used)
aq. yellow gold chloride. Staining
is affected by the duration of the
gold toning.
10. Rinse in aq. dest.
11. Treat with 2% oxalic acid for 3
min. Variation of time in oxalic
acid produces staining differences.
12. Wash 1 min. each in of 3 changes
aq. dest.
13. Treat with 5% sodium thiosulfate
for 7-8 min.
14. Wash in running tap water for ^ hr.
or more.
15. Dehydrate and mount. The im-
pregnating medium should not be
exposed to intense daylight at any
time.
Proteinase, determinations (Maver, M. E.,
Mider, G. B., Johnson, J. M. ana
Thomp.son, J. W., J. Nat. Cancer Inst.,
1941, 2, 278).
Protoslderin, see Lillie, p. 127.
PROTHROMBIN
288
PROTOZOA. MEDIA
Prothrombin, rapid micro test (Abramson,
D. J. and Weinstein, J. J., AJn. J. Clin.
Path. Technical Suppl., 1942, 6, 1-7) :
1. Make M/40 calcium chloride by
dissolving 1.11 gms. anhydrous calcium
chloride C.P. in 400 cc. aq. dest.
2. Make thromboplastin suspension
from brain freshly killed rabbit as de-
scribed by Quick, A. J. Am. J. Clin.
Path., 1940, 10, 222. Dehydrate macer-
ated brain in acetone, dry completely,
mix with normal saline (0.3 gm. to 5
cc.) and incubate at 50°C. 15 min. The
supernatant turbid fluid is thromboplas-
tin. It must be kept in ice box when
not in use.
3. Measure separately in micro-
hemopipettes 10 cc. of calcium chloride
sol., of thromboplastin and of blood.
4. After adding blood, mix thor-
oughly with fine glass rod, tilt gently
from side to side until gelation begins,
then time end point by passing rod
through mass.
Prothrombin time (Sherber, D. A.,
J. Lab. & Clin. Med., 1940, 26, 1058-
1061; and Isenberg, H. D., J. Lab. &
Clin. Med., 1951, 37, 807-809).
Protoporphyrin in Harderian glands, see
Porphyrins.
Protozoa, staining in bulk. (Stone, W. S.,
J. Lab. & Clin. Med., 1935-36, 21, 839-
842) : Suggested for mucous surface
protozoa of man and used at Army
Medical School. Thoroughly emulsify
20 cc. feces in 200 cc. 37°C. physiological
saline solution. Allow to stand for 5
min. and pour supernatant fluid into
two 50 cc. centrifuge tubes. Centri-
fuge at 1,850 r.p.m. 5 min. Decant
supernatant fluids. Examine residue
from one, fresh, and to other add 25 cc.
Schaudinn's Fixative. Mix and leave
24 hrs. Protozoa in cultures and other
fluids are to be concentrated by centri-
fugation and fixed in the same way.
Between each of following steps centri-
fuge organisms and discard supernatant
fluid before adding the next. Wash
twice in aq. dest. Wash with 70% al-
cohol plus sufficient Gram's iodine to
make it light brown color, 10 min.
Wash 70% alcohol 10 min. Stain
Harris' Hematoxylin 1-24 hrs. Wash
tap water. Destain by adding 20 cc.
acid alcohol (1% HCl in 70%) controlled
by microscope. When desired defini-
tion is reached add sufficient ammonia
water (6 drops NH4OH to 60 cc. aq.
dest.) to neutralize acid and give
bright blue solution. Wash in tap
water. Dehydrate 10 mins. in each of
5 alcohols: 70, 95, 95, abs., and abs.
Clear in xylol. Mount in balsam. See
author's figures.
Perhaps the best method for concen-
trating and sectioning protozoa is that
of Lucas, M. S., Science, 1929, 70, 482-
483. Use a round bottom vial. Let
protozoa settle to bottom, pipette off
fluid to within 4 mm. of level of top of
protozoan mass, then add dilute alco-
hol. Next change, pipette off, and add
stronger alcohol. Alcohol, xylol, pure
xylol, melted paraffin (the vial being
held under an electric bulb, etc.) sev-
eral changes of each. Finally lower
protozoa with as little paraffin as
possible into a specially prepared paper
tray and harden.
Levine W. D., Stain Techn., 1939,
14, 29-30 suggests following method to
make Methylene Blue stains perma-
nent : Wash methylene blue stained
smears of protozoa repeatedly in aq.
dest. 15 min. to 1 hr. Place in tertiary
butyl alcohol 1-2 min. then in 3 or more
changes 15 min. each. Pass through
xylol to balsam or mount directly in
balsam. Other dyes like toluidin blue
0, nile blue sulfate, eosin Y, ponceau 2R
can likewise be retained.
The protargol method of Bodian has
been adjusted to protozoa by Cole, R. M.
and Day, M. F., J. Parasitology, 1940,
26 Suppl. 29. See also Parasites,
Endamoeba Leishmania, Leucocyto-
zoa, Malaria, Intestinal Protozoa. Wen-
yon, C. M., Protozoology. New York:
William Wood, 1926, 1563 pp. is a con-
venient book of reference. It gives a
fine list of blood protozoa. No investi-
gator can afford to ignore the discussion
by Wenrich, D. H., J. Parasitol., 1941,
27, 1-28 of alterations in the form of
protozoa resulting from variations in
microtechnique.
Protozoa can be beautifully demon-
strated by fluorochromes showing in
ultraviolet light various fluorescent
colors (Metcalf, R. L. and Patton, R.
L., Stain Techn., 1944, 19, 11-27).
Obviously the investigation of proto-
zoa extends far beyond their identifica-
tion in preparations made by various
methods. Those dealing with patho-
genic protozoa will greatly extend their
horizon by consideration of the form
and function of these organisms and the
ingenious techniques of investigation
ably presented in a volume entitled
Protozoa in Biological Research edited
by Calkins, G. N. and Summers, F. M.,
New York: Columbia University Press,
1941, 1148 pp. See Intestinal Protozoa,
Protein Silver.
Protozoa. Media. The following are rec-
ommended for intestinal protozoa b}' Q.
M. Geiman (Simmons and Gentzkow,
617-619):
1. Modification of Cleveland's and
Sanders' (for E. histolytica). (1) Dis-
PRUSSIAN BLUE
289
PURINES
solve 33 gm. Bacto-Entamoeba medium
(Difco) in 1000 cc. aq. dest. Pour in
test tubes in amounts sufficient to make
medium length slants with no butts.
Autoclave, slant, harden at room tem-
perature several days. (2) Place few
gm. Bacto-Rice-Starch powder (Difco)
in IS X 150 mm. culture tube and steril-
ize with tube horizontal in hot air oven
160-180°C. 1 hr. Repeat twice at daily
intervals being careful to avoid chemi-
cal changes in the starch occasioned
by higher temperatures. (3) Dissolve
11.23 gm. NasHPO* I2H2O + 0.269 gm.
KH2PO4 + 8.0 gm. NaCl in aq. dest.
to make 1000 cc, autoclave 15 lbs. 20
min. and cool. Add 10 parts above
solution to 1 part sterile horse serum.
Cover f of each slant with this mixture,
add 2-3 loopfuls of the sterile starch,
incubate 37°C. 24 hrs. to prove sterility.
Final pH should be 7-7.2. Store in
refrigerator till used.
2. Boeck and Drbohlav's. Wash 6
eggs in 70% alcohol and emulsify con-
tents in 75 cc. sterile Locke or Ringer.
Distribute in 4 cc. lots in 15 X 150 mm.
culture tubes, slant in inspissator and
heat 70°C. till mixture solidifies, then
autoclave 15 lbs., 20 min. Slant tubes
in autoclave, close doors and ports, turn
in steam increasing quickly to 15 lbs.,
for 10 min. Through lower port run in
live steam in place of steam-air mixture
maintaining constant 15 lbs. pressure.
After replacement by steam close lower
port and hold 15 lbs. another 15 min.
Cut off steam and let cool slowly.
Cover each slant with 4 cc. 10: 1 Ringer-
horse serum mixture + 2 or 3 loopful
sterile rice starch. Incubate 37°C.,
24 hrs. to prove sterility.
3. Nutrient agar serum-saline.
Cover long slants of nutrient agar
(Difco. 1.5%) in standard test tubes
^ to ^ with 20:1 sterile Ringer-horse
serum mixture. Smaller quantity for
intestinal flagellates, larger quantity for
Trichomonas vaginalis.
4. Trussell and Plass (for Tricho-
monas vaginalis). Overlay slants of
liver infusion agar (Difco) with a se-
lected mixture as for nutrient agar
medium. Adjustment of agar and solu-
tion by 1 A'^ HCl and 0.25% aq. sodium
phosphate is suggested, likewise addi-
tion of 0.2% aq. dextrose. Incubate
37°C., 24 hrs. to prove sterility; store in
refrigerator.
The technique of obtaining cultures
of protozoa free from bacteria has been
described in a comprehensive fashion
by G. W. Kidder in Calkins, G. N. and
Summers, F. M., Protozoa in Biological
Research. New York: Columbia Uni-
versity Press, 1941, 1148 pp. He was
concerned mainly with protozoa from
natural waters, soil and so forth, closely
associated with bacteria throughout
their existence. The techniques advo-
cated are of 3 types: (1) to get rid of the
bacteria by simply washing the pro-
tozoa in sterile fluid; (2) to scrape off
the adhering bacteria by causing the
protozoa to migrate through semi-solid
media and (3) to kill off the bacteria by
agents non-toxic for the protozoa. The
establishment of sterilized protozoa in
culture is an essential prerequisite to
investigation of their behavior in re-
sponse to accessory food factors and
nutritional supplements.
Prussian Blue (CI, 1288) is ferric ferrocy-
anide, a colored salt. It is also known
in commerce as Berlin blue, Chinese
blue, Paris blue, Milori blue and Steel
blue. An aqueous solution of Prussian
blue is a good medium for the injection
of blood vessels. It contrasts nicely
with carmine. The particles of both are
sufficiently large to be held within the
endothelium. Deposition of Prussian
blue is useful in the localization of drain-
age of Cerebrospinal Fluid (Weed, L.
H., J. Med. Res., 1914, 26, 21-117) and
in the microchemical demonstration of
Iron (Gomori, G., Am. J. Path., 1936,
12,655-663). See Berlin Blue.
Pulp of Teeth. This can be studied in situ
in undecalcified teeth or in paraffin or
celloidin sections of decalcified ones.
See Teeth. If it is to be examined by
itself after removal from the teeth and
fixation, attempt to preserve its natural
elongated shape. Almost all methods
available for other soft tissues are ap-
plicable. Wellings, A. W., Practical
Microscopy of Teeth and Associated
Parts. London: John Bale, Sons &
Curnow, Ltd. 1938, 281 pp. gives many
of them. See Teeth, Innervation.
Purines. See critical evaluation of micro-
chemical techniques for purines by
Click, p. 72-73. The difficulty is that
the tests are positive for all the purines
and specificity is lacking. Saint-
Hilaire's method of precipitating them
as insoluble copper salts and the forma-
tion therefrom of red ferrocyanide
gives positive reactions for protamines,
histones and other protein products.
Detection by reduction of silver salts
is worthless.
The murex test is positive with xan-
thine, guanine and uric acid but nega-
tive with adenine and hypoxanthine
(Lison, 1936, p. 186). However, it in-
volves the use of strong acid and alkalis
and is thus very drastic. It is included
by Click since it may be useful in some
cases though it is no different from the
Xanthroproteic Reaction. To a section
PSITTACOSIS
290
PYROSIN B
prepared by standard methods add 1
drop cone, nitric acid and warm gently
for 30 sec. Drain off acid with blotting
paper. Add drop of aq. dest. and re-
move in same fashion. Expose section
to ammonia vapor. Uric acid, guanine,
xanthine and its methyl derivatives,
purple violet; protein material often
yellow orange.
Psittacosis, method for staining elementary
bodies (Hornus, G. J. P., Ann. Inst.
Pasteur, 1940, 64, 97-116). See other
kinds of Elementary Bodies.
Purkinje Cells of heart. Distend entire
heart by injecting fixative through 4
cannulae, in aorta, in pulmonary artery,
in superior vena cava, in one pulmonary
vein and ligating other vessels. Fix
in Zenker's or Bouin's fluid. Sino-
auricular node is at junction of superior
vena cava and right auricle. Cut blocks
perpendicular to the node. Color paraf-
fin sections with Masson's trichrome
stain or with hematoxylin and eosin for
transitions between Purkinje and car-
diac muscle cells. The sharpest differ-
ential stain for the former is Best's
carmine stain for glycogen (Taussig,
H. B., J. Tech. Methods, 1934, 13, 85-
87).
Purkinje Fibers. In excising the specimen
the presence of Purkinje fibers is lo-
calized by the dimpling in a cross section
because in the fresh state the Purkinje
fibers contract more than the cardiac
fibers (Todd, T. W. in Cowdry's Special
Cytology, 1932, 2, 1179). Todd recom-
mends for general purposes Bouin's
fixative and Mallory's stain. Safranin
light green is good for the intercalated
discs (Jordan, H. E., and Banks, J. B.,
Am. J. Anat., 1917, 22, 285-338). Tech-
niques for bringing out the Purkinje
system particularly of mammalian ven-
tricles are described by Abramson,
D. I. and Margolin, S., J. Anat., 1935-
36, 70, 250-259.
Purpurin (CI, 1037) — alizarin No. 6, alizarin
purpurin — An acid anthraquinon dye.
The bright red color of mauder-stained
bones is due to purpurin carbo.xylic acid
(Richter, D., Biochem. J., 1937, 31,
591-595).
Pycnosis (G. pyknos, dense) When the sub-
stance of a cell, as seen in stained sec-
tions is unusually dense it is sometimes
said to be pycnotic. The increase in
density is usually accompanied by a
decrease in size of cytoplasm and/or
nucleus and the nucleus may be hyper-
chromatic, that is have an increased
affinity for stains like hematoxylin and
methylene blue. Sometimes pycnotic
cells occur singly surrounded by others
not in the same condition but they may
be present in group. Those in the cen-
tral nervous system have been called
chromophile cells (Cowdry, E. V.,
Contrib. to Embry., Carnegie Inst.,
1917, 11, 29-41). Information is needed
on the cause or causes of pycnosis and
on the fate of cells in this condition.
Technique for the microspectrophoto-
metric study of pyknosis) of red blood
cell nuclei is given by Korson, R., J.
Exp. Med., 1951, 93, 121-128.
Pyoktanin Yellow, see Auramin.
Pyoktaninum Aureum, see Auramin.
Pyoktaninum Coeruleum, see Methyl Vio-
let.
Pyridoxine, see Vitamin Bj.
Pyronin. There are 2 pyronins : B (CI,
741) and Y (CI, 739) also known as G.
Conn (p. 140) describes them as
closely related to diphenyl methanes
since they have one carbon atom at-
tached to 2 benzene rings and exhibit
similar tendency to quinone structure.
Their formula also resembles that of
oxazins except that nitrogen of central
ring is replaced by CH radical. Pyro-
nin B is tetra-ethyl diamine xanthene
and Y is the tetra-methyl compound.
Conn (McClung p. 599) advises Y with
methyl green in Pappenheim's stain,
for the granules of mast cells and the
gonococcus in smears of pus. B is satis-
factory for most purposes. Only re-
cently has the distinction been made
so that most formulae call simply for
pyronin. American pyronins are now
more concentrated than those imported
before 1914. Conn says that allowance
should be made for this difference in the
proportions of pyronin and methyl
green.
Pyronin G is the best supravital stain
for the duct system of the pancreas
(Bensley, R. R., 1911, 12, 297-388).
It is applied by Perfusion a solution of
1:1000 in 0.85% aq. NaCl being used
until the pancreas takes a light rose
color. Small pieces are then mounted
in salt solution and examined. The
ducts from the main ones to the centro-
acinous cells are sharply stained in red
against an almost colorless background.
The ducts may be similarly stained by
methylene blue in a concentration of
1:10,000. To obtain a beautiful contrast
coloration Bensley injects with a salt
solution containing 1 : 100 pyronin and
1:15,000 janus green. This stains the
ducts rea and the islets bluish green.
The combination of 1:1000 pyronin and
1:15,000 neutral red also demonstrates
ducts and islets but without an equally
distinct color contrast. The pyronin
method for ducts is one of the most use-
ful techniques both for investigation and
for class room demonstration.
Pyrosin B, see Erythrosin, bluish.
PYROXYLIN
291
QUARTZ ROD TECHNIQUE
Pyroxylin (collodion cotton. coUoxylin,
soluble gun cotton, xyloidin, cellodion
wood). It is chiefly cellulose tetra-
nitrite. Mainly used in manufacture of
Collodions, Celloidin, Paraloidin, Pho-
toxylin, etc.
Pyrrol Compounds, see Nitro Reaction,
Nitrosamino Reaction.
"Quad" Stain. A recent modification of
this excellent orcein-alizarine-Orange
G phosphotungstic and phosphormolyb-
dic acid technique is given in detail
by Kornhauser, S. I., Stain Techn.,
1945, 20, 33-35.
Quartz Fiber Balance and quartz torsion
balances, see Balances.
Quartz Rod Technique for Illuminating Liv-
ing Organs. — Written by Dr. M. H.
Knisely, Department of Anatomy, Uni-
versity of South Carolina, Charleston,
S. C. June 27, 1950— The general
purpose of this technique is to perrnit
direct microscopic study of living in-
ternal organ in situ while maintaining
experimental conditions which disturb
the structures and processes to be ob-
served as little as possible. Like all
techniques it has advantages and limita-
tions; there are specific purposes for
which it works well, and purposes for
which it has not yet worked at all. The
method makes it possible to study at 32
to about 600 diameters magnification
those living structures whose colors
and/or indices or refraction differ from
those of adjacent structures. With
quartz rods we can illuminate for ex-
amination under nearly normal condi-
tions many living tissues and organs
which heretofore have been inacces-
sible. The method depends upon two
physical principles:
1. Conducting light from a suitably
intense source directly to the structures
to be studied by way of a fused quartz
rod. Clean, smooth transparent rods
conduct light around bends and turns
by internal reflection almost like a hose
conducts water. With suitably shaped
rods brilliant illumination of relatively
inaccessible structures is relatively
easy. As evidence of intensity, with a
750 watt T-12 tungsten filament bulb
and a two foot length of 7 millimeter
rod, so much light can be sent into a
microscope objective that one can
scarcely look into the ocular. Lesser
degrees of intensity are of course easily
obtainable. Substitutes for quartz
rods have been suggested and occasion-
ally used. (Cole, E. C, Science, 1938,
87, 396-398. Williams, R. G., Anat.
Rec, 1941, 79, 263-270). We have
tested several. No substitute has yet
proven as effective for illuminating
living tissues as fused quartz itself.
2. Maintaining the normal tempera-
tures of intensely illuminated living
structures with a slowly flowing isotonic
isothermal wash solution. It is im-
possible to illuminate a non-transparent
structure without heating it at the same
time. The color of an object, even a
translucent object, as seen by either
transmitted or reflected light is due to
the patterns of the wave lengths which
reach the eye after parts of the incident
light are "absorbed", and the word ab-
sorbed here means transformed into
heat by and within the substance of the
object seen. Light filters as commonly
used between light source and illumi-
nated object can shelter a specimen
from the wave lengths which the filters
absorb, but they do not alter the fact
that a part of the light energy which
passes the filters and falls on the speci-
men is always transformed into heat
within the specimen by the materials of
the specimen itself. Hence, in con-
tinuously illuminating a living object
heat is simultaneously developed in it
at a constant rate. If the specimen is
small, thin, and very nearly transparent
and if its illumination is dim, the small
amount of continuously produced heat
may be transferred to adjacent objects
so rapidly that the temperature of the
specimen never rises enough to interfere
with its normal functioning. However,
in illuminating relatively thick trans-
lucent structures such as frog kidney or
liver, or mammalian spleens, brightly
enough for microscopic study, heat is
developed in the illuminated structures
faster than it can be removed without
assistance. To remove this heat a, flow-
ing solution at constant temperature is
applied to the illuminated tissue, either
through sets of glass tubes, or more
recently through hollow tipped quartz
rods which deliver both light and flow-
ing solution precisely to the selected
portions of the specimen. The fluid
delivered to the tissue must of course
be isothermal and isotonic with the
fluid which normally bathes it, i.e. plain
water at room temperature is used to
carry heat from frog skin or tongue,
amphibian Ringer's solution at room
temperature to carry heat from frog
kidney, and mammalian Ringer's at
mammalian body temperature to carry
heat from monkey omentum. On ac-
count of the high specific heat of water
the flowing solution can take up the
heat as fast as it is produced with but
little change in its own temperature;
each small portion of flowing solution
is warmed but little as it passes through,
then leaves the illuminated field. By
these physical mechanisms the heat in-
QUARTS ROD TECHNIQUE
292
QUARTZ ROD TECHNIQUE
escapably developed by transformation
of light energy is removed as fast as it
is produced and in consequence the
temperature of the illuminated tissue
does not rise.
Thus far in a series of careful tests we
have found no visible change in any
structure and/or process within any
living tissue or organ in response either
to a sudden change from dim to intense
illumination or to hours of continuous
intense illumination, provided the tem-
perature of the illuminated specimen
was maintained normal by a continu-
ously flowing solution. In the best
e.xperiments the tissue being studied
floats on a thin film of slowly moving
fluid but does not itself touch the rod
which conducts light to it.
For more detailed descriptions of the
method see Knisely, M. H., Anat. Rec,
1936, 64, 499-524; McClung, C. E.,
Handbook of Microscopical Techniques
for Workers in Animal and Plant Tis-
sues, New York: Paul B. Hoeber, Inc.,
1937, p. 632-642; Knisely, M. H., Anat.
Rec, 1938, 71, 503-508; Hoerr, N. L.,
1944, see, Glasser, O., Medical Physics,
Chicago: Year Book Publishers, Inc.,
1944, 625-626.
The limitations and range of applica-
bility and usefulness of this technique
may be roughly indicated by a few notes
describing some of its current and pro-
jected uses. As the method depends
upon seeing, its usefulness is continu-
ously limited by the mechanisms where-
by we see. As a brief rough statement
we "see" by recognizing patterns of
color and/or intensity of the light
"rays" coming to the retina. The vas-
cular system with its refractile (brightly
transparent) vessel walls, plasma and
white cells, and its brightly colored
erythrocytes is one of the most con-
spicuous features of living tissues and
has thus far in our laboratory received
more attention than other living struc-
tures. Further, the vascular system is
worth intensive study, because from
moment to moment continuously under
all conditions of health and disease it
sets the maximum rates at which oxy-
gen, glucose and other anabolites are
carried to and metabolites are removed
from, almost every cell, tissue, and
organ of the body. For an elaboration
of this theme see: Knisely, M. H.,
Stratman-Thomas, W. K., Eliot, T. S.
and Bloch, E. H., J. Nat. Malaria Soc,
1945, 4, 285-300.
For microscopic study of the periph-
eral vascular beds of internal organs,
the method is limited by the necessity
of an anesthetic, an operation, and the
exposure of the surfaces of internal
organs to the outer air, an unusual
gaseous environment.
The method is most successful when
employed to examine structures just
below normal anatomical surfaces,
rather than just under cut surfaces of
tissues. Thus studies have been carried
out in frog skin, brain, peripheral nerves,
smooth muscles of the gastrointestinal
tract, stomach mucosa, mesentery,
striated muscles, lung, suprarenal,
kidney, and liver, and in mam-
malian spleen, stomach and intestinal
wall, intestinal villi, omentum, mesen-
teries, liver, and brain surfaces. All
these have natural anatomical surfaces
which can be exposed without damaging
the underlying microscopic structures.
In contrast, much as we would like to
study mammalian bone marrow, we
have not yet found a way to expose a
portion of it while preserving its struc-
tures and their functioning well enough
so that the specimen was worth any
serious attention.
The conditions of an experiment limit
the phenomena which occur during that
experiment. An anesthetized animal
obviously does not run or swim about;
it cannot perform many obvious well-
known functions of normal unanes-
thetized animals. By extension, there
is no reason to assume that a particular
set of experimental conditions do not
inhibit, retard, alter, or prevent func-
tions as yet unknown, or one or more
phases of the particular functions one
is trying to study. When one selects
an anesthetic, gives an animal a specific
quantity of it, ties the animal down,
and operates upon it, he thereby puts
that animal's circulatory system into
one of its reaction states, and all tests
made on the animal from that time on
can show only various factors of that
reaction state or those deviations from
it which are possible under those par-
ticular experimental conditions. For
example, the circulatory responses to
exercise are not occurring in an anes-
thetized animal whose muscles have
been and are in a prolonged state of rest.
It cannot be too strongly emphasized
that within our experience each experi-
ment, or class of experiments, always
acts toward minimizing or preventing
known and probably unknown func-
tions. Each time that a new type of
experiment has been devised, new kinds
or degrees of responses of peripheral
vascular beds have been encountered.
Each time we have learned how to main-
tain lesser degrees of anesthesia and/or
to do less damaging operations the pe-
ripheral vascular beds have exhibited
increasingly complex integrated reac-
QUARTZ ROD TECHNIQUE
293
QUARTZ ROD TECHNIQUE
tions. For some detailed descriptions
of complex integrated vascular
reactions see Knisely, M. H., Bloch,
E. H., and Warner L., K. Danske-viden-
skabernes selskab. Biologiske skrifter.
1947, h- (No. 7).
By careful operative techniques some
of the common deleterious effects of
operations can be prevented. Blood-
less sludgeless operations can be per-
formed on animals from those as small
as frogs and mice up to those at least
as large as rhesus monkeys. Sufficient
care can be taken so that almost no
blood is lost; simultaneously care can
be taken to traumatize but very little
tissue, thus minimizing the amounts of
precipitated-agglutinated blood pour-
ing from traumatized tissues into the
general circulation (Knisely, M. H.,
Eliot, T. S., and Bloch, E. H., "Sludged
Blood in Traumatic Shock", Archives
of Surgery, 1945, 51, 220-236). As (a)
hemorrhage and (b) precipitation-
agglutination of the circulating blood
are two separate factors which can act
alone or in combination in initiating
some of the pathologic processes which
are commonly included under the term
"shock", it cannot be too strongly em-
phasized that bloodless sludgeless oper-
ations must be performed if one wishes to
study the circulatory system when its
parts are not participating in shock
reactions.
Living tissues move, and the move-
ments tend to limit the microscopic
study of living structures. When an
object moves under a microscope, each
point of its microscopic image moves as
many times as far as the object moves
as the magnifying power of the lenses
employed. Thus, at 100 diameters
magnification each point of an image
moves 100 times as far as the correspond-
ing part of the object. Further, the
image moves during the same time in-
terval that the object moves, so in each
small interval of time the image goes
100 times as far as the object : thus at all
times during the movement the image
is going 100 times as fast as the object.
From this example it is obvious that when
an object moves under a microscope each
point of the image moves as many times
as far and as many times as fast as the
object moves, as the magnifying power
of the lens system employed. These
factors rapidly increase the difficulty of
observing moving structures as higher
magnifications are used. However, the
movements of most tissues do not pre-
sent as formidable an obstacle as the
bare statement of the problem might
imply. For as one gains experience in
working with living tissues, many small
methods are developed for holding tis-
sues still, and for observing between
movements, and one learns to swing his
eyes with the image and observe many
details sharply even while the tissues
are in moderately rapid motion.
The depth in the transilluminated
tissue to which one can observe is
limited by a number of factors. Most
important is the focal length of the
lenses employed, the higher the mag-
nifications used the more closely are
observations restricted toward surface
structures. The natural transparency
or translucency of the tissues also limits
the depth of observations. Some curi-
ous effects result from this, for instance :
when smooth muscle is relaxed it is on
the transparent side of translucent, but
when it contracts it becomes quite
opaque, hence, in this tissue, the maxi-
mum possible depths of observations
are a function of the physiological state
of the tissue. For similar and other
reasons, such as the amount of blood
present at any moment in very vascular
tissues, the depth to which one can see
in many tissues is partly dependent on
the particular set of physiologic proc-
esses going on at the time the tissue is
studied.
The maximum duration of the obser-
vations made in any one animal depends
upon the species, the care in maintain-
ing light anesthesia, the care exercised
in the initial operation, and the purpose
of the study itself. Individual frog
kidney glomeruli have often been kept
under continuous observation at mag-
nifications up to 400 (sometimes 600),
up to as long as 12 hrs., without injuring
the tissues enough so that the blood
began to agglutinate or so that passing
white cells ever began to stick to the
inner surfaces of the brilliantly illumi-
nated glomerular endothelium. (Clark,
E. R. and E. L., Am. J. Anat., 1935, 57,
385-438). For a record of prolonged
observations see Knisely, M. H., Strat-
man-Thomas, W. K., Eliot, T. S. and
Bloch, E. H., J. Nat. Malaria Soc,
1945, 4, 285-300.
Thus far the limitations of the method
have been more considered than the
range of its usefulness. The limitations
are important and must be clearly
recognized and understood by all who
plan either to use it or to evaluate re-
ports of work done by means of it.
However, as one purpose of this book
is to help experimenters select methods
which may be useful to them, the range
of usefulness of the method will now
be roughly outlined.
The fused quartz method, like all
others does not have uses which are in-
QUARTZ ROD TECHNIQUE
294
QUARTZ ROD TECHNIQUE
dependent of the purposes of those who
use it. Methods are always dependent
upon purposes. Analytical mecha-
nistic biologists are working on the solu-
tions of many problems including: How
are the bodies of the adults of each
species constructed? How does each
body develop? How does it change
with time? How is it constructed while
it is alive? How is it constructed so
that it can function? What physical
and chemical functions does each small
part have? During each phase of
physiology how does each small part
behave? How do the coordinated func-
tions of the small parts summate? How
does the function or functions of each
small part contribute at each moment
to the integrated symphony of the
functioning of the whole? Further,
what can go wrong with each part?
And in addition the clinical sciences
continually ask, "What can we do to
prevent or help repair whatever can go
wrong with each part, with each group
of parts, with the integrated function-
ing of the body as a whole?"
Histological studies are made for a
definite purpose, to help collect evi-
dences from which to develop accurate
concepts of the structure, functioning
and responses of the small parts of liv-
ing bodies. When we have accurate
concepts of the structure and behavior
of small parts then we can deal induc-
tively with this information and so
build up concepts of the functioning of
whole organs. Our current more trust-
worthy concepts of the structure and
function of the kidney were built up by
this inductive approach (Vimtrup, Bj.,
Am. J. Anat., 1928, 41, 123-151; Rich-
ards, A. N., Proc. Royal Soc. London
B. 1938, 126, 398-432), which is exactly
opposite from trying to deduce the
function of microscopic parts from the
results of gross experiments performed
on whole organs or systems.
Each living animal lives in four di-
mensions, three of space and one of
time. At any moment each feature of
an animal's structure exists in the three
space dimensions. But many features
of the spacial architecture undergo
rapid or slow cyclical, intermittent, or
progressive changes with time. The
chemical and physical characteristics,
the shapes, the magnitudes and the
positions of structures change as parts
of development, of physiology and of
pathology. New structures appear and
old ones disappear. These are changes
along the time dimension. The rates
at which changes occur are most impor-
tant parts of our concepts of the struc-
ture and functioning of the small parts
of living bodies.
The usefulness of microscopic studies
of living organized tissues (as opposed
to tissue cultures) becomes most appar-
ent when one recognizes the limitations
of histological sections. A histological
section is not the original living mate-
rial. It is only a two dimensisnal slice
out of a four dimensional system, minus
what had been lost and plus what has
been added in its preservation-prepa-
ration. No one can possibly begin to
appreciate "what has been lost" in the
preparation of histological sections un-
less and until he studies tissues by
methods which do not involve any of the
steps commonly used in preparing
sections.
The spacial dimensions of living
tissues are invariably altered in the
preparation of histological sections.
The alterations in dimensions fre-
quently or usually are as great or
greater than the changes in dimension
which microscopic structures undergo
as parts of their own physiologic proc-
esses. Hollow structures, for example,
liver sinusoids, collapse during death
and fixation, their fixed tissue dimen-
sions becoming less than meaningless.
Knowledge of the exact dimensions of
structures, the surface areas of vascular
networks, the surface areas of glands
etc., are urgently needed as a basis for
quantitative physiological work.
(Krogh, A., Anatomy and Physiology
of Capillaries, New Haven: Yale Uni-
versity Press, 1929, p. 46.) It cannot
be too strongly emphasized that for
strict, mathematical treatment of phys-
iological problems (Bloch, I., Bull.
Math. Biophysics, 1941, 3, 121-126,
ibid., 1943, 5, 1-14) measurements of the
dimensions of microscopic structures
taken from fixed tissues, untempered
by knowledge obtained from the living,
cannot be used. For after the abuse
which the tissues undergo in death and
fixation, shrinking and swelling in vari-
ous reagents, and the mechanical dis-
tortions caused by the cutting processes
(Dempster, W. T., Anat. Rec, 1942, 84,
241-267, ibid, 269-274, Stain Technol.
1943, 18, 13-24), the dimensions of the
microscopic parts of a section bear no
known or at present knowable relation-
ship to any of the size or sizes which
these parts had in life.
In the light of the above paragraphs
it becomes apparent that microscopic
observations of living organized tissues,
illuminated by quartz rods or other
techniques, makes available certain
classes of information not obtainable
QUARTZ ROD TECHNIQUE
295
QUARTZ ROD TECHNIQUE
by other histological techniques. This
method permits study of the following:
1. The true dimensions of visible
microscopic structures. Further, it
permits direct study of changes of di-
mensions of structures during physio-
logic and/or pathologic processes. The
dimensions of visible structures can be
measured by ocular micrometers, or by
taking motion pictures of the structures
and making "cine tracings" of their
projected images (Knisely, M. H., Eliot,
T. S., and Bloch, E. H., 1945; Knisely,
M. H., Bloch, E. H., and Warner, L.,
cited above) . When a set of physiologic
processes have been studied throughout
their course, the method then permits
study of the dimensions of living micro-
scopic structures during defined phases
of physiologic processes, or during de-
fined physiologic states. (The same
can be said of pathologic processes.)
The results of this kind of study are
quite different from summations of the
records of dimensions of tissues taken
at unknown phases of physiologic proc-
esses and studied and measured after
unknown amounts of distortion. For
an example which demonstrates this see
Knisely, M. H., Bloch, E. H., and
Warner, L., cited above.
2. The rates and changes in rate of
visible processes, most of which are
quite unknown today. Histological
sections reveal steps in processes which
have long cycles, such as the endome-
trial changes during the menstrual
cycle. They frequently fail to record
as sequences changes which are parts of
short cycles, the reasons being (a) that
the stages of short-cycle phenomena
appear in a collection of sections simply
as a frequency distribution of the states
of the observed structures and (b) that
the dimensions are so altered during
death, fixation and sectioning that
functional differences are quite obliter-
ated, jumbled, and obscured. Further,
all too frequently the series of sections
present no real indicator valid for de-
termining the sequence of the steps in
short-cycle phenomena. When motion
pictures are taken through the micro-
scope the method permits accurate
recording and measuring of the rates
of very rapid processes. For example,
Knisely, M. H., Eliot, T. S., and Bloch,
E. H., 1945, cited above, measured the
rate of formation of precipitates in
blood flowing through crushed tissues,
finding that the precipitates formed in
from l/8th to l/4th of a second while
the blood flowed from lUO to 150 micra.
In the future this method should make
it possible to measure, in organized
tissues, the rates of many visible phys-
iologic, pathologic, pharmacologic and/
or therapeutic processes or responses.
It should make it possible to measure
the rate of formation of any visible end
product of in vivo chemical reactions.
Further, and most important, the
study of processes as they occur fre-
quently makes it possil)le to determine
steps in chains of causation. If one
assumes that an effect cannot precede
its cause in time, then it is possible to be
certain that some phenomena do not
cause, but rather may be caused by,
others.
3. The method should make it pos-
sible to obtain small samples of tissues
and/or fluids from defined micro-
anatomical regions, during defined
phases of physiologic and/or pathologic
processes. Wearn, J. T. and Richards,
A. N., Am. J. Physiol., 1924, 71, 209-
227, used micro-pipettes to remove
glomerular filtrate from the Bowman
spaces of frog Malphigian corpuscles.
This was a triumph of imagination, in-
sight, and technique. It initiated and
provided a firm foundation for the whole
modern series of studies of kidney func-
tion. The example set by Richards
and Wearn should not be lost or ignored.
Similar studies of samples from defined
micro-anatomical structures, taken dur-
ing defined phases of physiologic and
pathologic processes will undoubtedly
go a long way toward unravelling many
current and future problems. This
must be kept in mind as increasingly
sensitive and accurate methods are de-
vised for measuring the concentrations
of substances in very small samples of
rather dilute solutions. The use of
special isotopes (initiated by Hevesy)
is greatly increasing the abilities of
analysts to detect and measure sub-
stances in extremely small biological
samples. One next necessary step in
this growing branch of knowledge must
consist in defining and knowing the
micro-anatomical regions from which
each sample comes and the physiologic
or pathologic states under which each,
sample is collected, as accurately as the
composition of the sample can now be
determined. This seems obvious; ob-
vious also is the fact that in many
quarters it seems not j^et to be appre-
ciated.
4. The method plus suitable and ade-
quate micro-dissection and micro-in-
jection techniques (Chambers, R. and
Kopac, M. J., in McClung, 2nd ed., pp.
62-109; Buchtal, F., Ztsclir. f. Wis-
sensch. Mikr., 1942, 58, 126-133) should
make it possible to place samples of
various substances in defined micro-
anatomical areas, during defined phases
QUARTZ ROD TECHNIQUE
296
RADIOACTIVE ISOTOPES
of physiologic or pathologic processes
and watch or otherwise determine the
responses of parts of living systems to
the newly arrived material. For an
extensive example of one such set of
studies, see Knisely, M. H., Bloch,
E. H., and Warner, L., cited above.
5. The method permits the study of
some kinds of pathologic processes while
they are still in reversible stages, that
is, in controllable stages. Autopsies
and autopsy sections show the final
cumulative results of all of the simul-
taneous and consecutive pathologic and
reparative processes which had been
going on. That is, they show the pre-
servable, visible part of the accumu-
lated results after some one or more sets
of pathologic processes have become ir-
reversible. The microscopic studies of
living tissues allow examination of some
pathologic processes (a) as they de-
velop, (b) as they proceed at sublethal
degrees of intensity, and (c) as they
accumulate toward lethal combinations
of factors, but are still reversible, that
is while the animal's life can still be
saved, and (d) as they accumulate into
non-reversible stages. Further, the
method permits study of the results of
experimental therapeutics on visible
pathologic processes. For demonstra-
tions and elaboration of this theme see
Knisely, M. H., Stratman -Thomas,
W. K., Eliot, T. S., and Bloch, E. H.,
1945, cited above.
It may seem to some that the above
discussion is too critical or unjustly
critical of the histological sectioning
techniques, or that the author is trying
to laelittle their use. This I do not be-
lieve to be so. The best histologists
have always studied sections not for the
structure of the dead sections them-
selves, but rather to determine as closely
as possible the structure and functions
the tissues had had when last alive. Pre-
cision and accurac}'^ in developing con-
cepts from the evidences gathered by a
technique can never be greater than the
user's understanding of the inherent
limitations of that technique. The ac-
curacy of a technique cannot be deter-
mined simply by repeating its steps an
infinite number of times; its limitations
and degrees of accuracy must also be
cross-checked by other and, if possible,
quite different techniques. Each useful
technique delineates one or more aspects
of the original tissue more accurately
than do other techniques. Obviously
the most accurate and comprehensive
concepts of micro-anatomy, microscopic
physiology and microscopic pathologic
physiology can be developed only by
synthesis; by putting together in the
mind of the student the most accurate
of the available individual aspects. For
this purpose each technique has special
values of its own; for this purpose not
enough different techniques are yet
available.
Quinoline Dyes. Only pinacyanol is of ap-
parent value to histologists.
Quinone-Imine Dyes. Possess 2 chromo-
phores : indamin-N= and quinoid ben-
zene ring. They are divisible into
Azins, Indamins, Indophenols, Ox-
azins, Thiazins.
Quinone Oximes, see Nitroso Dyes.
Rabbit Ears, see Sandison's Technique for
inserting transparent chambers in.
Rabies, see Negri Bodies.
Rabl's Fluid is sat. aq. mercuric chloride,
1 part; sat. aq. picric acid, 1 part; aq.
dest., 2 parts.
Radiation. Methods and results of radia-
tion of normal tissues reviewed (Warren,
S. and Dunlap, C. E., Arch. Path.,
1942, 34, 562-608 and earlier papers).
Radioactive Isotopes— Written by T. B.
Rosenthal, Dept. of Anatomy, Washing-
ton Universit}-, St. Louis. June 6,
1951. — The release of radioactive iso-
topes in large quantities for civilian
use (1946) has resulted in a voluminous
literature concerned with fundamental
concepts of metabolism and with the
diagnosis and treatment of malignant
disease. Although only a few notable
discoveries may be directly attributed
to the use of these isotopes (since the
basic ideas were derived from earlier
work with stable isotopes and conven-
tional biochemical methods), it must
be admitted that the relative ease and
speed of operations with radioactive
isotopes have thrown open a hitherto
difficult field. By these means the
validity of many old concepts has been
confirmed, while others have been
conclusively demonstrated to be false.
It must be emphasized however that
research with isotopes has not dis-
placed the traditional methods in biol-
ogy and chemistry. Reliable tech-
niques are still requisite, and there is
more need for good analytical chemistry
than ever before. The radioactive iso-
tope now takes its proper place among
the resources of the laboratory as a tool
indispensable for certain problems, use-
ful for others, and merely optional for
still others.
Mass production of reliable instru-
ments for measurement of radio-activ-
ity has extended the use of isotopes to
those laboratories previously deterred
by expense or lack of specially trained
personnel. The choice of equipment,
i.e., Geiger-MuUer counters, propor-
tional counters, scintillation counters,
RAD 10 AUTOGRAPHY
297
RADIOAUTOGRAPHY
ionization chambers, electroscopes, etc.
will depend on the nature of the prob-
lem and the degree of versatility de-
sired. For complete details see the
monographs listed below and the latest
manufacturers' catalogs.
Renewed interest in the pioneering
technique of the autoradiograph has
resulted from the development of new
procedures and specially' prepared emul-
sions. Under favorable circumstances
it is now possible to achieve intra-
cellular localization of tracer elements.
See Gross, Bogoroch, Nadler, and
Leblond, Am. J. Roentgenol. Rad.
Therap., 1951, 65, 420-458 for a review
of the potentialities and limitations.
The first step in a biological investiga-
tion would naturally be to decide
whether the use of isotopes is war-
ranted, on the basis of results expected
in relation to the economic investment.
The next step is a survey of the liter-
ature to ascertain whether isotopes
suitable for the purpose are available
and what measure of success could be
expected on the basis of similar experi-
ments. From these considerations a
choice of instruments and procedures
would be made. On the other hand,
a certain project may be warranted
and feasible, but rendered impracticable
by technical complications of various
kinds.
For a source of materials one would
first consult the catalog issued by the
Oak Ridge Laboratory of the Atomic
Energy Commission. Herein are listed
the available stable and radioactive
isotopes together with prices, shipping
information, and official regulations on
clinical applications, health protection,
etc. Of the 96 elements, only He, Li,
B, Ne, N, O, Mg, Al, F, Si, and Fa lack
radioactive isotopes of suitable half-
life, leaving 85 elements whose employ-
ment is limited only by the ingenuity
and resources of the investigator. In
many cases the form of the material
may be specified: pure metal, inorganic
compound, labelled organic compound,
colloid, solution, etc.
In addition a number of commercial
firms are engaged in supplying on order
and from stock an ever-increasing vari-
ety of organic intermediates and com-
pounds of metabolic importance syn-
thesized with tagged atoms in various
positions. If only small quantities are
needed, the investigator may conduct
a biological synthesis from plant or
animal sources in his own laboratory.
Although the nuclear reaction pile
now supplies the great bulk of radio-
isotopes, those who have access to
cvclotrons or similar machines should
inquire about the possibility of getting
small amounts of the shorter-lived
isotopes.
Studies involving radiation by alpha-
particles require the naturally-occur-
ring radioactive elements. The meta-
bolism of Pb, for example, may be
traced by means of those elements iso-
topic with Pb.
Radioactive Tracers in Biology. 2nd
Ed. M. D. Kamen, Academic
Press, New York, 1951, 429 pp.
Radioactive Indicators. G. Hevesy,
Interscience Publishers, Inc., New
York, 1948, 556 pp.
Isotopic Tracers and Nuclear Radi-
ations. W. E. Siri, Ed., McGraw-
Hill, New York, 1949, 653 pp.
The latter features a selected bibliog-
raphy to 1947 of papers on biological
and medical applications arranged by
elements, together with extensive tables
which aid in reviewing previous find-
ings and suggesting new possibilities.
The current literature is recorded in
the abstract journals and in Nuclear
Science Abstracts, published twice
monthly by the A. E.G. The "Annual
Reviews of Biochemistry" should be
consulted for comprehensive reviews
of special topics.
Radioautography — Written by C. P.
Leblond and R. Bogoroch, Department
of Anatomy, McGill University, Mon-
treal. September 12, 1951 — Radioautog-
raphy is a technique devised to define
the localization of radioactive sub-
stances within biological specimens.
The usual practice is to place a histo-
logical section as closelj^ as possible to
a phtographic emulsion, expose for a
suitable time interval and subsequently
develop as in ordinary photograph}'.
In place of light, the rays emitted by
the radio-isotope furnish the energy
necessary to transform the silver bro-
mide of the emulsion into photolj'tic
silver, which may then be developed
by photographic reagents into visible
black silver grains. Such grains overlie
the sites of deposition of the radio-
active substance in the histological
sections, thus giving a permanent,
visible record of the localization of this
substance.
The use of the silver bromide grain
as a detector of radioactivity has four
advantages over other techniques: 1)
the effect of the radiation is cumulative,
and, therefore, minute quantities of
radioactivity may be detected if ex-
posure is sufficiently prolonged; 2) the
radioautographic image is a permanent
record; 3) the record is two-dimensional
and may be three-dimensional in case
of tracks; and 4) the smallness of the
RADIOAUTOGRAPHY
298
RADIOAUTOGRAPHY
silver bromide granules makes it pos-
sible to localize the radioactivity to
a comparablj'^ small area in the tissue.
It IS, therefore, possible by this
method to virtually "see" a "labeled"
element in an animal tissue. Further-
more, the fate of that element in the
animal body may be detected by follow-
ing the element through from structure
to structure. The metabolism of any
labeled physiological or pharmacologi-
cal compound can thus theoretically be
traced throughout the animal body
using the radioautographic method,
providing the labeled material, be it
a product of synthesis or degradation,
is retained in its original site in a tissue
during processing for radioautography.
The advantage of this method for the
progress of histology is apparent, since
the significance of known structures will
often be revealed by the substance
which they incorporate. From the
medical point of view the sites of ac-
cumulation of the isotopes as well as
their length of stay in the body provide
useful information as to the radio-
toxicity of known amounts of these iso-
topes. The applications of radioautog-
raphy to biology and medicine have
been fully reviewed most recently bji-
Gross, J., Bogoroch, R., Nadler, N. J.,
and Leblond, C. P., Am. J. Roentg.
and Radium Ther., 1951, 65, 420-458.
The use of a-ray-producing isotopes was
examined by Yagoda, H., Radioactive
Measurements with Nuclear Emulsions.
New York: John Wiley and Sons, Inc.,
1949.
As with other methods involving the
use of radioisotopes, it is assumed that
the chemical behavior of a labeled sub-
stance is identical with that of its stable
counterpart. This will also be true of
its biological behavior providing that
1) the amount of radioactivity admin-
istered be small enough not to have a
significant radio-chemical effect, and
2) the amount or weight of material in-
jected be sufficiently small not to pro-
duce a significant increase in the amovmt
of this substance present in the circula-
tion. The labeled substance will then
truly act as a "tracer" of the normal
metabolism.
The success of radioautography de-
pends on 1) the geometrical relationship
between specimen and emulsion, the
best conditions being a minimal dis-
tance between source and emulsion, a
thin section (5ai or less), and a thin
emulsion coating (10;u or less) ; 2) the
features of the emulsion — the silver
bromide grains should be uniform (for
contrast), of a small size, and in high
concentration; and 3) the characteristics
of radiations (i.e., energy and intensity)
— particles of low energy such as soft
/3-rays give a better resolution. For
a more detailed discussion of each of
these factors see Nadler, N. J., Cana-
dian J. Med. Sci., 1951, 29, 182-194; Gross
et al., referred to above; Doniach,
I. and Pelc, S. R., Brit. J. Radiol.,
1950, 23, 184-192.
Exposure time for a radioautograph
is influenced by these three groups of
factors: 1) Geometrical relations. Thus,
minimizing the distance between emul-
sion and specimen will tend to reduce
exposure time, while decreasing the
thickness of section and emulsion will
tend to prolong it. 2) Properties of
photographic emulsions. Emulsions vary
in sensitivity to /3-rays. Also, the more
contrasty the emulsion is, the narrower
is the range of satisfactory exposure
time. 3) Character of the radiation.
The radiation influences the exposure
time not only by its concentration per
unit area, but also according to the
half life and energy of the isotopes used.
With soft radiation, the absorption in
the tissue will also increase the exposure
time.
It is important to keep the exposure
to a minimum, as overexposure results
in a more diffuse image with correspond-
ing loss in resolution. Unstained
"test" slides developed periodically
will indicate the optimum exposure
time.
Preparation of Tissues.
In the case of soft tissues, paraffin
or celloidin sections are prepared in
the routine histological manner and de-
hydrated with or without staining.
For practical purposes, 5^t paraffin sec-
tions and 10/i celloidin sections seem
to be most convenient. Carbowax
(Blank, H., McCarthy, P. L., and De-
Lamater, E. D., Stain Techn., 1951,
26, 193-197) and frozen dried (Holt,
M. W., Cowing, R. F., and Warren, S.,
Science, 1949, 110, 328-330) sections
have also been used.
Bones and teeth may be embedded
and cut according to Bloom's method
(see Leblond, C. P., Wilkinson, G. W.,
B(51anger, L. F., and Robichon, J., Am.
J. Anat., 1950, 86, 289-341) for bones of
young animals or according to Arnold,
J. (Science, 1951, 114, 178-180) for hard
bones of older animals. Methods em-
ploying grinding machines have to be
used for teeth as described by Hoecker,
F. E. and Roofe, P. G. (Radiology,
1949, 52, 856-865), Laude, P. P., Janes,
R. G. and Boyd, J. D. (Anat. Rec,
1949, 104, 11-15), Sognnaes, R. F., Shaw,
J. H., Solomon, A. K. and Harvold, E.
(Anat. Rec, 1949, 104, 319-330).
RADIOAUTOGRAPHY
299
RADIOAUTOGRAPHY
Large specimens of soft tissues may
be frozen, ground in the same way as
above, or sectioned with a chilled blade
or fine electric saw while being kept
in the frozen state, and thus applied
to the photographic emulsion.
1. Contact method: This technique,
the oldest and crudest method, has been
used extensively especially in the in-
vestigations of the sites of localization
of isotopes in hard tissues such as bones
and teeth, and in frozen sections of soft
tissues. (See reviews: Gross, J. and
Leblond, C. P., Canadian Med. Assoc.
J., 1947, 57, 102; Gross, J., Bogoroch, R.,
Nadler, N. J. and Leblond, C. P., Am.
J. Roentg. and Radium Therap., 1951,
65, 420-458.) The method consists es-
sentially of placing a microscopic slide
bearing a radioactive tissue in close con-
tact with a photographic plate; and
of keeping these in close contact by
pressure.
1. A slide containing the histological
section is dipped twice into an ether-
alcohol solution of 1% celloidin fol-
lowing staining and passage through
95% and absolute alcohol. The sec-
tion is then dried overnight to in-
sure hardening of the celloidin.
2. In the darkroom, the histological
slide, which should be free from dust
particles or granules which may
make for uneven contact, is placed
gently against a photographic plate
or film (x-ray, Eastman Kodak
Medium Lantern Slide plate, etc.).
Various methods may be used to
insure an intimate uniform contact
between slide and plate or film.
They may be held in a roentgen-ray
type pressure cassette or in a print-
ing frame. Naturally, these holders
should be light-tight.
3. After exposure, the photographic
plate or film is processed according to
the routine photographic procedures,
i.e., developed in D-72 for 2 min.,
rinsed in water, fixed in acid fixer
for 10 min., washed for 30 min. and
dried. To protect the radioauto-
graphic image in the emulsion from
scratches or abrasions, it is useful
to cover the image with a drop of
Canada balsam and a histological
coverslip. The histological section
and the radioautographic image may
then be simultaneously examined
under a dissection or ordinary micro-
scope.
This method has the advantage of
simplicity but the localization at best
is rather crude due to low resolution.
2. Mounting method: The one most
usually followed is that of floating sec-
tions onto a photographic emulsion.
Recent attempts at doing this under
dry conditions will be mentioned later.
In the Wet Mounting method (Evans,
T. C, Proc. Soc. Exp. Biol, and Med.,
1947, 64, 313-315; Endicott, K. M., and
Yagoda, H., Thid.j p. 170-172; Boyd,
G. A., and Williams, A. I., Ibid.,
1948, 69, 225-232) the tissue section is
floated directly onto a photographic
film or plate. This insures a more
intimate contact between tissue and
emulsion and results in a better resolu-
tion, i.e., permits a finer localization.
This method, however, cannot be used
if the radioactive substance in the
tissue is water soluble.
1. Unstained strips of paraffin sections
of radioactive tissues are floated in
a 40°C. water bath to remove any
wrinkles from the tissue. The water
is cooled to 18°C. by the addition of
ice cubes at 18°C. and all subsequent
steps are carried out in the darkroom
using a Wratten No. 1 safelight.
2. A photographic plate or film (East-
man Kodak Medium Lantern Slide
Plate, NTA, NTB 1, 2, or 3 plates,
etc.) is slipped under the tissue sec-
tion, the corner of the tissue being
held against the photographic plate
with a needle, and the plate with ad-
herent tissue is lifted out of the
water. After the excess water has
drained off the plate and the emul-
sion has dried completely, the tissue
adheres intimately and permanently
to the photographic emulsion.
3. After proper exposure at refrigerated
temperatures (4°C. or lower), the
section is deparaffinated in two
changes of xylol and hydrated
through graded alcohols.
4. The preparations may be developed
in D-72 developer for 2 minutes or in
D-19 for 10 minutes, rinsed in water,
fixed in acid fixer F5 or in 30% thio-
sulphate, and washed in running
water for 30 minutes.
5. Unstained sections may be dehy-
drated, cleared and mounted im-
mediately or they may be stained
with either dilute hematoxylin over-
night, or metanil yellow (Gross, J.
and Leblond, C. P., Canadian Med.
Assoc. J., 1947, 57, 102-122; Simmel,
E. B., Fitzgerald, P. J. and Godwin,
J. T., Stain Techn., 1951, 26, 25-28).
For staining prior to development,
Doniach and Pelc have used hot
carbol fuchsin-neutral red which re-
sists the destaining action of the
developing reagents.
Because the mounting method allows
for a very intimate contact between
tissue section and emulsion, a very
very fine localization is possible.
RADIOAUTOGRAPHY
300
RADIOAUTOGRAPHY
This method has been used extensively
especially in hospitals where a minimum
of equipment was desirable. The
method, however, does not always give
reproducible results because of 1) un-
even penetration of developer through
the tissue leaving some areas with latent
images in the emulsion beneath un-
developed, 2) staining of the emulsion
gelatin which obscures histological and
radioautographic detail to some extent,
and 3) chemical action of the tissue
on the emulsion causing in some cases
blackening of the emulsion or in other
cases insensitization of the emulsion.
These possibilities are eliminated in
the "coating" methods. It must be
emphasized, however, that the prepara-
tions obtained by the mounting tech-
nique are often more satisfactory under
high than under low magnification.
Several "Dry" Mounting methods
have been described (Hoecker, F. E.
and Roofe, P. G., Radiology, 1949, 52,
856-865; Williams, A. I., Oak Ridge,
Tenn., Los Alamos Scientific Labora-
tory, AECU, 1950, 930; Gallimore, J.,
Oak Ridge, Tenn., 1951). These elim-
inate the use of large quantities of
water on the tissue prior to exposure,
thus preventing loss or displacement of
water soluble material. The published
results indicate that the method is still
in the experimental stage.
3. Coating method: A slide bearing a
histological tissue section is covered
with either a fluid emulsion or a strip-
ping emulsion removed from its backing.
The method as used with fluid emulsion
is very satisfactory for research pur-
poses, because of the possibility of con-
trolling the thickness of the emulsion.
In "fluid coating":
1. The sections, stained or unstained,
are coated with celloidin as in the
contact method. The area on the
slide to be coated is outlined with a
diamond pencil.
2. Using a Wratten No. 1 safelight at
a distance of three feet, photographic
emulsion is prepared for coating,
a) The most convenient emulsions
with which to work are the bulk
emulsions, several of which have
been kindly given the authors by
Ansco Corporation and British
Kodak Limited. These emul-
sions are scooped directly into
a 50 cc. beaker which is placed in
a 37°C. water bath. Ansco
Radioautographic Emulsion A
has a large grain size and a very
high sensitivity but gives a poor
resolution, while British Kodak
NT4 bulk emulsion has a small
grain size and medium to high
sensitivity but gives a good
resolution. Unfortunately, none
of the bulk emulsions is available
on a commercial bais.
b) The next best possibility is to
remove emulsion from photo-
graphic plates or films such as
Eastman Kodak NH Special
Spectroscopic plates or Eastman
Kodak "Special" Medium Lan-
tern Slide films. Both these
emulsions have a medium grain
size and sensitivity. The emul-
sion is hydrated in distilled water
(18-20°C.) for 10 minutes and
scraped with a clean edged object
(such as a glass slide) into the
50 cc. beaker.
c) "Stripping" emulsions, such as
Ilford Special Half Tone Strip-
ping Plate, that can be stripped
away from a glass or film support
have also been used successfully.
These may be stripped, hydrated,
and melted, or may be treated as
above.
d) Another form in which emulsion
is available is the "pellicle" which
consists of a fairly thick (250/x)
layer of concentrated silver bro-
mide grains in a matrix of low
gelatin content. Although these
pellicles have no support, they
must be presoaked in distilled
water and dupanol C solution
(10 cc of water and 10 cc of 1%
dupanol per 1" x 3" pellicle) for
24 hours at 18°C. The beaker
containing the solution and the
hydrated pellicle is then trans-
ferred to a 37°C. water bath.
Eastman Kodak NTB2 and NTBj
pellicles have a small grain size
and high sensitivity to /3 radia-
tions, NTBs being the more
sensitive of the two.
All these emulsions are ready to be
applied after 15 minutes in the water
bath.
To further improve resolution, these
emulsions may be diluted with distilled
water and dupanol (Gross et al., re-
ferred to above).
3. Using a medicine dropper, two drops
of melted emulsion are applied per
square inch of slide to be coated.
These are spread quickly and evenly
with a camel's hair brush (kept at
37°C.) over the outlined area and
the emulsion is allowed to gel and
dry completely on a leveling table
at room temperature.
4. The dry preparations are stored
horizontally in light-tight slide boxes
(plastic are recommended) which
are kept at refrigerated temperatures
RADIOAUTOGRAPHY
301
RADIOAUTOGRAPHY
for the duration of exposure. A
drying agent (Drierite or CaClj) in
the slide box prevents the hydration
of the emulsion during exposure,
thus reducing the possibility of
fogging due to the solution of gases
in the emulsion and also causes a
sharper image to be produced.
5. After a suitable exposure, the prepa-
rations are developed in D-72 de-
veloper for one and a half minutes,
rinsed, fixed in acid fi.xer, washed in
running water (18°C.) for 15 min-
utes, dehydrated for 2 minutes in
each of the following solutions:
95% alcohol, absolute alcohol, alco-
hol-xylol, and cleared in three
changes of xylol. To prevent arte-
facts, the preparations are immersed
in a 1% solution of balsam or a 50%
solution of permount for at least
one hour. Longer periods of time
are recommended for hard tissues.
Slides should at all times be kept
horizontal.
6. The sections are mounted in balsam
or permount under a coverslip and
the preparations allowed to dry at
room temperature.
For a more detailed description of this
method see Gross et al., referred to
above.
In "Strip Coating": Instead of using
fluid emulsion, the sections may be
coated with a Stripping emulsion, such
as Ilford Special half tone stripping
plate or British Kodak stripping plates
for autoradiograph}'. Eastman Kodak
NTB stripping films have also been
used.
1. The emulsion strip is removed from
its glass support by cutting the emul-
sion along the three edges of the
glass plate.
2. The emulsion is then slowly peeled
off to about 1 inch from the edge
and, with the side that formerly
adhered to the glass facing upwards,
kept for 5 minutes in a shallow dish
containing a 1% solution of dupanol
C at 18-20°C.
3. The microscope slide bearing the
section is slipped underneath the
emulsion and lifted together with
the emulsion out of the water.
4. Three edges of the emulsion are
folded underneath the slide to insure
adherence. (Pelc dips the glass
slides in gelatin prior to mounting
the section on them. This also
insures adherence.)
5. The slides are then stored dry at
1-2°C. as above.
For more detailed report see Berriman,
R. W., Hertz, R. H., and Stevens, G.
W. W., Brit. J. Radiol., 1950, 23, 472-
477; Bogoroch, R., Stain Techn., 1951,
26, 43-50.
The difficult}^ with the coating meth-
ods as described is that the prepara-
tions must be stained before they are
coated. This procedure in some cases
such as P" in bone removes radio-
active material, thus making staining
of sections before radioautography in-
advisable. The removal of P'^ is negli-
gible, however, when prestaining is
done with safranin or acid fuchsin.
By using both stained and unstained
preparations at the same time, it is
possible to make sure of the extent
of the loss. It is also possible to
completely prevent loss by using
the original coating method first de-
scribed by Belanger, L. F., and Leblond,
C. P., Endocrinology, 1946, 39, 8-13,
in which the sections were stained
through the developed and fi.xed emul-
sion. This method has recently been
successfully used by Arnold, 1951, in
the study of calcium^ in bone. In
this case, however, success may be ob-
tained only if very thin emulsion coats
are used and celloidin is not deposited
on the sections prior to emulsion coat-
ing. The danger of artefacts produc-
tion must be kept in mind.
3. Inverting Method: In this the sec-
tions are coated with liquid emulsions
without prestaining of the sections
(Belanger, L. F., Anat. Rec, 1950,
107, 149. Kodak matrix emulsion is
used for best results) or with a strip
emulsion (MacDonald, A. M., Cobb, J.,
and Solomon, A. K., Science, 1948, 107,
550-552). After e.xposure and develop-
ment the preparation is placed under
water and the emulsion, with the sec-
tion adhering to its undersurface, is
lifted from the slide using a razor blade.
The complex is then inverted and
fixed on a clean slide, section side up.
The free edges are sealed with 1%
celloidin, which is allowed to dry com-
pletely. The section may now be
stained with ease since the celloidin
protects the emulsion from the action
of the dyes.
The preparation is mounted under a
coverslip using Canada balsam.
4. Wet collodion method: The Wet
Collodion method (Gomberg, H. J.,
Nucleonics (in press)) — an adaptation
of the old wet collodion process of
photography — involves the deposition
of a very thin and dense layer of sensi-
tized silver bromide in a collodion
matrix formed by chemical reaction
directly on the surface to be studied.
After a suitable exposure time in a
silver nitrate bath, the affected silver
grains are physically developed using
RADIOAUTOGRAPHY
302
RADIOAUTOGRAPHY
a ferrous sulfate solution. By using
a physical rather than a chemical de-
velopment, it is theoretically possible
to obtain developed grains ranging
from 10~V to 1m in diameter. This
method, however, is still in the experi-
mental stage and there are several
serious technical difficulties that must
be overcome before the method can be
used in biological research, e.g., expo-
sures for more than two days have not
been successful due to the great accumu-
lation of background fog.
Quantitative Determinations.
Quantitative results have been ob-
tained using 1) densitometric measure-
ments, 2) grain counts, and 3) track
counts.
The measurement of photographic
densities using a photometer is satis-
factory for work at low magnifications.
The magnified radioautographic image
is projected onto a frosted glass, and
estimated as "densities" (which are
measured as the log of the intensity of
incident over transmitted light). This
method has been used by Dobyns,
B. M., Skanse, B., and Maloof, F.
(J. Clin. Endocrinol., 1949, 9, 1171-
1184) and by Axelrod, D. J. and Hamil-
ton, J. G. (Am. J. Path., 1947, 23, 389-
412). Much work remains to be done
before densities may be translated in-
to concentrations of radio-elements.
The counting of photographic grains
in an area outlined by a micrometer
placed in the ocular is the most satis-
factory method to estimate densities.
It may be used with small or large speci-
mens. All the grains in the area of the
emulsion overlying a reactive zone may
be counted (Pelc) or only the grains at
definite levels are recorded. Results
have been obtained with the latter
method in this Department in collabo-
ration with N. Nadler and a good agree-
ment with theoretical calculations was
found.
The results may be expressed in
several ways. The density or grain
counts in one structure may be com-
pared with that of another structure in
the same tissue or animal or they may
be expressed in more absolute terms by
comparison with densities or grain
counts of standards radioautographed
at the same time as the test material
and containing known amounts of
radioactivity and geometry (Dudley,
R. A., and Dobyns, B. M., Science,
1949, 109, 327-328; Nadler, N. J. and
Bogoroch, R., Anat. Rec, Supplement,
1951, 109, 69).
When attempting quantitative com-
parisons, the geometry of the source,
the distance between source and emul-
sion, i.e., interspace, the emulsion and
section thickness must all be taken into
consideration. It must also be re-
membered that the density remains
proportional to the intensity of the
source, and thus to the concentration
of the isotope, only when the exposure
is kept to a minimum. Otherwise the
relationship between density and con-
centration is more complex.
It is necessary to have uniform emul-
sions of absolute thicknesses (such as
stripping films) for densitometric meas-
urements since all the grains in every
level of the emulsion are measured.
On the other hand, when only definite
levels in the emulsion are examined
for grain counts, small variations in
emulsion thickness are unimportant.
The liquid coating method has made
it possible to obtain reproducible
quantitative results under these condi-
tions.
The counting of tracks per unit area
using nuclear emulsions for o and 0 rays
may also be used as a quantitative
method (Boyd, G. A. and Levi, H.,
Science, 1950, 111, 58-59).
Qualitative Results.
Space does not permit a review of
the interpretation of the many results
that have been obtained using the vari-
ous techniques described above. Such
a review with bibliography as previ-
ously mentioned has been given by
Gross et al. Only a few examples of
the more extensive work with this
technique will therefore be cited.
Foreign substances such as heavy
metals or fission products have been
investigated radioautographically es-
pecially by the Berkeley group under
J. G. Hamilton. The actinide and
lanthanide groups of elements, adminis-
tered as their ions, are found to be
localized primarily in bone where they
remain for considerable periods of
time. The elements related to calcium
localize mostly in the growing ends of
bone.
The dynamics of phosphate deposi-
tion were used to study the growth of
bone by Leblond, C. P., Wilkinson,
G. W., B^langer, L. F., and Robichon,
J., (Am. J. Anat., 1950, 86, 289-341).
By studying coated and inverted
radioautographs of serial sections of
bones obtained from young rats sacri-
ficed at various time intervals after in-
jection of P^'^, these authors found that
two types of reactions occurred soon
after injection, diffuse and localized.
The diffuse reaction, extending through-
out the bone, was due to exchange
between labeled circulating phosphates
and the surface phosphates of crystals
R ANSON PYRIDINE
303
REED-STERNBERG CELLS
of bone salts. These reactions dimin-
ished rapidly in intensity within a short
interval of time (one day). The local-
ized reactions, on the other hand, did
not decrease significantly with time
and were due to a deposition of labeled
phosphate salts in the formation of
new bone. The displacement of the
new bone with time revealed the mecha-
nism of bone formation.
Similarly, using I"', Leblond, C. P.
and Gross, J. (Endocrinol., 1948, 43,
306-320) followed the synthesis and
degradation of the protein, thyroglobu-
lin, in the thyroid gland of the rat.
They found that labeled iodide verj'
shortly after injection into normal ani-
mals was incorporated into thyroglobu-
lin at the apical portion of the thyroid
follicle cells. Later, the labeled thyro-
globulin was deposited into the colloid
where it was eventually broken down
into amino acids, one of which was the
hormone, thyroxine (which then diffuses
out of the follicle). This study re-
vealed that regardless of the physio-
logical state of the animals, all the cells
of the thyroid gland are always func-
tioning in one direction. The rate at
which the cells of any one follicle is
functioning, however, changes with
the physiological state of the animal.
The pathological physiology of the
thyroid gland, especially in reference
to the detection of thyroglobulin in
neoplasms, has also been studied radio-
autographically by Marinelli, L. D.,
Foote, F. W., Hill, R. F. and Hocker,
A. F., (Am. J. Roentgen, and Radium
Therap., 1947, 58, 17-32), Franz, V. K.,
Quimby, E. H. and Evans, T. C. (Radi-
ology, 1948, 51, 532-552), Dobyns, B.
M. and Lennon, B., (J. Clin. Endo-
crinol., 1948, 8, 732-748), and more e.x-
tensively by Fitzgerald, P. J. and Foote,
F. W., (J. Clin. Endocrinol., 1949, 9,
1153-1170).
Still another application of the tech-
nique was used by Leblond, C. P.,
Stevens, C. E. and Bogoroch, R. (Sci-
ence, 1948, 108, 531) in which they fol-
lowed the turnover of desoxyribonucleic
acid labeled with P^'' in newly formed
cells. This method not only gives an
indication of the rate of formation of
cells in different tissues in the rat body
but also is a means to demonstrate the
displacement and fate of these newly
formed cells.
The examples cited are but a few of
the important contributions to biology
and medicine that have been made
possible through the use of the radio-
autographic techniques as they exist
todaJ^ Many more contributions can
and most likely will be made with these
techniques — at present the only means
available to obtain minute localiza-
tion of radioactive substances.
Ranson Pyridine method for unmyelinated
nerve fibers (Ranson, S. W., Rev.
Neurol. & Psychiat., 1914, 12, 467-474).
Fix in absolute alcohol -f 1% ammonia,
48 hrs. Rinse in aq. dest. and treat
with pyridine, 24 hrs. Wash repeatedly
in aq. dest., 24 hrs. 2% aq. silver nitrate
at 35°C. in dark, 3 days. Rinse in aq.
dest. Reduce in: pyrogallol, 4 gm.;
5% formalin in aq. dest., 100 cc. Wash
and imbed in paraffin. This much used
technique gives a fine blackening of
unmyelinated fibers. See also Ranson,
S. W. and Billingsley, P. R., J. Comp.
Neurol., 1918, 29, 313-358; Johnson, S.
E ibid, 1928, 38, 299-314). The latter
believes the essential features of the
technique to be vascular perfusion with
physiological saline solution followed
by 1% ammonia in absolute alcohol.
Ranvier's Gold Chloride method for nerve
endings in muscle, see Craven's and
Carey's methods. See also Ammonia
Carmine and Picrocarmine of Ranvier.
Reconstruction. Stereoscopic x-ray method
(Morton, W. R. M., J. Anat., 1940-41,
75, 265-266); wax plate method as ap-
plied to the stapes (Anson, B. J., Kara-
bin, J. E. and Martin, J., Arch. Oto-
laryng., 1939, 29, 939-973).
Rectal Washings, see Papanicolaou Tech-
nique.
Red B, see Oil Red O.
Red Blood Cell, see Erythrocyte.
Red Corallin, (CI, 726). Look up in Colour
Index.
Red Violet, see Hofmann's Violet.
Redox dyes are those emploj'^ed in reduc-
tion-oxidation potential determina-
tions, see Oxidation-Reduction Po-
tential.
Reducing Sugars, Titrimetric methods for:
Linderstr0m-Lang, K. and Holter, H.,
C. rend. trav. lab. Carlsberg, S6r.
Chim., 1933, 19, 1-12; and Heck, K.,
Brown, W. H. and Kirk, P. L., Mikro-
chemie, 1937, 22, 306-314.
Reed-Sternberg Cells. Recognition of
these cells is helpful in reaching a diag-
nosis of Hodgkin's disease. Special
technique other than Hematoxylin and
Eosin is ordinarily not necessary.
Comparison by Jackson, H., Jr. and
Parker, F., Jr., New England J. Med.,
1944, 231, 35-44 of Reed-Sternberg Cells
with certain other multinucleated cells
will be helpful. The use of tissue cul-
ture technique in their investigation
opens many promising leads (Grand,
C. G., Proc. Soc. Exp. Biol. & Med.,
1944, 56. 229-230). Thus, it should be
possible to determine their life history
and check on the suggestion that the
REFLECTING MICROSCOPE
304
REISSNER'S FIBER
hyperchromatic Sternberg Cells are a
later development of Reed cells (Ber-
sack, S. R., Am. J. Clin. Path., 1943,
13, 253-259). The cytoplasmic inclu-
sions, reported by Grand, are sugges-
tive of virus action. The claim of Sym-
mers, D., J. A. M. A., 1945, 128, 1248-
1249, that these cells should be called
Greenfield Cells in honor of Greenfield's
first de.scription in 1878 will probably
not be followed. The Phase Micro-
scope can be helpful in the study of
Reed-Sternberg cells (Hoffmann, J. T.
and Rottino, A., Blood, 1950, 5, 74-78).
Reflecting Microscope. As is well known,
magnified images can be produced by
mirrors as well as by lenses. Proposals
have been made many times to take
advantage of the special properties of
mirror systems to create a microscope
of a pattern analogous to the reflecting
telescope. Such an instrument would
be completely achromatic, and thus
superior to the best refracting micro-
scope objective, the apochromatic,
which is corrected for only three colors
of chromatic aberration and two colors
of spherical aberration. There would
be no great loss of light by reflection
compared to the considerable loss en-
countered in lenses by absorption.
Furthermore, a reflecting microscope
focused by visible light would also be
in focus for ultraviolet and infra-red
light, thus simplifying the process of
photography. The construction of sev-
eral such microscopes has been de-
scribed in the literature, but serious
consideration was not given to them
because their numerical apertures
were low and they had but little to
offer over the lens type of microscope.
The rising tide of interest in ultra-
violet microscopy has stimulated recent
developments in this field. Burch in
England (Burch, C. R., Proc. Phys.
Soc, London, 1947, 59, 41-49) has de-
signed a long focus, reflecting objective
with magnification and resolving power
equivalent to that of the average
"high-dry" lens. This permits one to
employ a micro-manipulator and to
observe objects behind thick glass
walls, such as tissue cultures.
Another design, originating in Hol-
land (Bouwers, A., Achievements in
Optics, New York: Elsevier, 1946, 135
pp.) has been put into commercial
production recently by Van Leer of
Pittsfield, Mass. It can be mass pro-
duced because, unlike Burch's model,
it uses only spherical reflecting sur-
faces.
Bausch and Lomb have also brought
out a special reflecting objective (Grey,
D. S. and Lee, P. H., J. Opt. Soc. Am.,
1949, 39, 719-728). This instrument
combines both lenses and mirrors in
order to gain even higher magnification
and resolving power. It is apochro-
matic from 220 to 800 m/i, and has a
working distance of about 1 mm. A
reflecting condenser has been designed
to match this objective. The whole
outfit costs about $1,000. Use of a
reflecting microscope for the study of
cells is described by Mellors, R. C,
J. Nat. Cancer Inst., 1950, 10, 1358-1361.
Refractive Index. Microscopical deter-
mination bystandard liquids. See paper
by Kunz, A. H. and Spulnik,J., Re-
viewed in J. Roy. Micr. Soc, 1937,57,
55.
Regaud's Fluid. 3% aq. potassium bi-
chromate, 20 cc. ; formalin, 5 cc. When
this is used for mitochondria fix tissue
for 4 days changing every day and then
mordant in 3% aq. potassium bichro-
mate for 7 days changing every second
day. It is a fluid that can be profitably
employed for many other purposes.
Of these see Giemsa's Stain, Lead,
Masson's Trichrome, Romieu Reac-
tion and Starch Grains.
Regaud's Method of iron hematoxylin for
mitochondria. Fix tissues in Regaud's
fluid, mordant, imbed and section as
described under Anilin Fuchsin Methyl
Green Method. Run mounted sec-
tions down to water and mordant for
24 hrs. in 5% aq. iron alum. Rinse
quickly in aq. dest. (not tap water)
and transfer to hematoxylin (made by
dissolving 1 gm. hematoxylin crystals
in 10 cc. abs. ale. adding 10 cc. glycerin,
80 cc. aq. dest. and allowing to ripen
3 weeks). If traces of iron alum are
carried to the stain they will do no harm,
but if too much enters the hematoxylin
a dense black precipitate will form and
ruin the hematoxylin. On the other
hand, if the sections are washed ex-
cessively in aq. dest. too much of the
alum will be removed and the hema-
toxylin will not stain as intensely as it
should. The happy mean must be de-
termined. The hematoxylin should be
used over again about 10 times. Differ-
entiate in 5% aq. iron alum under low
magnification. Wash in running tap
water (not aq. dest.) 1 hr. This should
bring out the blue-black color of the
hematoxylin stain. Dehydrate, clear and
mount. Various counterstains can be
used if desired. Consult Meves' beauti-
ful figures of collagenic fibers stained
with fuchsin (Meves, F., Arch. f. Mikr.
Anat., 1910, 75, 149^208). This is the
most permanent stain for mitochondria
but lacks the color contrast afforded by
anilin fuchsin methyl green.
Reissner's Fiber, staining reactions of
RELIEF METHODS
305
RETICULAR FIBERS
(Jordan, H., Am. J. Anat., 1925, 34,
427-443).
Relief Methods, see Negative Stains.
Replacement of Tissue to take the place of
that worn out or lost can now be
measured more accurately. Though
some signs of youth and age of cells
can be detected (Chapter 24 in Cowdry,
E. v., Problems of Ageing. Baltimore:
Williams & Wilkins, 1942, 936 pp.),
it is not so easy to determine the per-
centage actually dying as the per-
centage of new cells produced to replace
them by counting mitoses. Using whole
mounts of separated human Epidermis
from foreskins removed by circumcision
Cooper, Z. K., and Schiff, A., Proc.
Soc. E.xp. Biol. & Med., 1938, 39, 323-
324 have discovered that the produc-
tion of new cells is rhythmic being
greatest at night and least by day. To
obtain material, as they did every hour
of the day and night, of other human
tissues seems impossible. If one wishes
to investigate rate of cellular replace-
ment in internal less accessible tissues
that are replaceable, take advantage of
the fact that the drug, colchicine, per-
mits cells to enter mitosis but arrests
the process usually in themetaphase.
In consequence of this experimental
summation many more mitoses can be
counted in a given specimen than would
be found if cell division had been
completed as usual (See Mitosis for
the necessary controls). There are no
special means for the study of replace-
ment of Fibers but careful use of avail-
able techniques will probably yield
data as to whether the fibers are newly
formed or old and practically useless.
Phj'sico-chemical methods are how-
ever promising when backed by histo-
logical researches. Thus the new bone
formed, during the time that Madder,
or better Alizarin Red S, is made avail-
able in the circulation can be measured.
In adult animals, assuming that the
amount of bone remains approximately
constant, it can be concluded that the
breakdown is at the same rate and in
this round about way arrive at a figure
for replacement.
Some fats can be conveniently colored
with fat soluble dyes which they retain
on ingestion and after incorporation in
the fatty depots of the body. It should,
therefore, be possible to keep animals at
a fairly constant weight on a diet con-
taining a certain amount of fat, to sub-
stitute for this fat stained fat of the
same sort without increasing their
weight and to estimate the ratio of stained
to unstained fat after a definite interval
of time — in other words the replace-
ment. Other possibilities are to employ
for the test a fat of melting point quite
different from the native body fat of the
animals; and fatty acids tagged with
radioactive isotopes, see Fatty Acids.
The radioactive isotopes, particu-
larly those of Phosphorus and Iron give
somewhat similar clues. The amount of
radiophosphorus, for example, accumu-
lating in any particular tissue can be
accurately determined. If the supposi-
tion is justified that the total amount of
phosphorus (radioactive and non -radio-
active) remains about the same, then
non -radioactive phosphorus must be lost
at the rate that the radiophosphorus
enters. It is too soon however to pre-
dict what this possible line of investiga-
tion with the isotopes will show. See
Radiophosphorus.
Resazurin, a compound used as an o.xida-
tion-reduction indicator.
Resorcin Blue (CI, 908) — fluorescent blue,
iris blue — Often called Lacmoid. See
Nebel, B. R., Stain Techn., 1931, 6,
27-29.
Resorcin-Fuchsin, see Weigert's resorcin-
fuchsin method for elastic fibers.
Respiratory System. This contains very
diversified structural components for
which no single technique or group of
techniques can be offered. But the
interpretation of the preparations de-
pends, as in all systems of the body,
on the age. A chapter by Macklin, C.
C. and M. T., in Cowdry 's Problem of
Ageing, Baltimore : Williams and Wil-
kins, 1942, 936 pp., gives the necessary
background and numerous hints and
references to technique. See Lungs,
Trachea, Nasal Passages and Nasal
Sinuses.
Respiratory Tract Smears, see Papanicolaou
Techniques.
Respirometry, see Capillary Respirometry.
Restaining Faded Sections. This is some-
times very desirable. Try technique
outlined by Small, C. S., (Amer. J. Clin.
Path., Techn. Suppl., 1943, 7, 66-67).
Reticular Fibers. These are more finely
divided and tend more to form a reticu-
lum than the collagenic fibers. Yet
there may be anatomical continuity be-
tween collagenic and reticular fibers and
there is reason to believe that the two
are fundamentally similar. They are
not so conveniently viewed in the fresh
condition because to make thin spreads
is more difficult. For details see
Maximow, A. A., von Mollendorf's
Handbuch der Mikroskopischen Anato-
mic des Menschen, 1927, 2 (1), 232-583.
The principal methods for reticular
fibers in sections involve silver impreg-
nation (Perdrau, Foot, Wilder, Gomori
and Laidlaw), the choice of which will
to some extent depend on the kind of
RETICULAR AND COLLAGEN IC 306
FIBERS
REVIVAL OF VINEGAR EELS
tissue studied. There are, however,
several which are stains (Kinney's
Method and Biebrich Scarlet and
Picro-Anilin Blue).
Reticular and Collagenic Fibers in frozen
sections (Krajian, A. A., Arch. Path.,
1933, 16, 376-378). Cut frozen sections
5-lOii thick of tissue fixed in 10% forma-
lin and wash in 3 changes aq. dest.
After treating with 10% aq. ammonium
hydroxide at 60°C. for 15 min. (in par-
affin oven) wash them again in 3 changes
aq. dest. Place in 0.3% aq. potassium
permanganate for 5 min., wash in aq.
dest. for a few seconds and decolorize
in 1.5% aq. oxalic acid till brown color
has j ust disappeared . Wash thoroughly
in aq. dest. and place in 5% aq. silver
nitrate at 60°C. for 1 hr. Wash in 2
changes aq. dest. and place in ammonia-
cal silver nitrate solution at 60°C. for
15 min. (To make this solution add
6 drops 10% aq. sodium hydroxide to
8 cc. 10% aq. silver nitrate which gives
a brownish black precipitate. Add
fresh 10% aq. ammonium hydroxide
drop by drop until only a few small
particles of the precipitate remain.
Dilute to 28 cc. with aq. dest.). Wash
sections quickly in 3 changes aq. dest.
Treat them with 30% formalin at 60°C.
1-3 min., wash in large amount of tap
water and mount on slides. Cover
sections with a little absolute alcohol
and blot into position. Then complete
dehydration with absolute, blot, clear
in equal parts aniline oil and xylol.
Wash in xylol and mount in gum dammar
or Canada balsam. Reticulum black;
collagen, brown.
Reticulocytes. These are the stages recog-
nized in the red series before the as-
sumption of properties of Erythrocytes.
An excellent review of the properties of
reticulocytes is supplied by Orten, J.
M., Yale J. Biol. & Med., 1933-34,6,
519-539. Reticulocytes can easily be
identified by supravital staining with
brilliant cresyl blue. First make a thin
film of the dye on slide by allowing a 1%
solution in absolute alcohol, spread
evenly, to evaporate. Then mount fresh
blood, ring withvaseline and observe. To
make relatively permanent specimens,
remove the cover glass after 2 min . , smear
dry and color by Wright's Stain. The
supravital staining with cresyl blue is
inhibited by certain substances (Heath,
C. W. and Daland, G. A., Arch. Int.
Med. , 1931 , 48, 133-145) . For a calcula-
tion of experimental error in reticulo-
cyte counts, see Marcussen, P. V.,
Folia Haemat., 1938-39, 61, 49-64 and
for fragility tests, see Mermod, C.
and Dock, W., Arch. Int. Med., 1935,
55, 52-60. Resistance to hypotonic
sodium chloride solutions is described
by Daland, G. A., and Zetzel, L., Am.
J. Med. Sci., 1936, 191, 467-474. The
protoporphyrin content of reticulocytes
can be estimated by the fluorescence
technique. Watson and Clarke (C. J.
and W. O., Proc. Soc. Exp. Biol. &
Med., 1937, 36, 65-70) have discovered
that it is greater than in erythrocytes
and that brilliant cresyl blue is pre-
cipitated by protoporphyrin which may
explain the characteristic staining of
reticulocytes by this dye.
Reticulo-Endothelial Blockade. Supposed
to be a method whereby R. E. cells are
so blocked by the ingestion of one
foreign material that they are unable to
take in another. For experiments with
India ink and brilliant vital red and
critical statement, see Victor, J., Van
Buren, J. R., and Smith, H. P., J.
Exper. Med., 1930, 51, 531-548.
Reticulo-Endothelial System. This is by
definition made up of the reticular cells
of the connective tissues plus certain
special endothelial cells chiefly located
in the spleen, liver, bone marrow,
adrenals and lymph nodes. All have
the common property of phagocytosing
particulate matter such as trypan blue,
carbon, etc. These, and possibly
others, may leave their moorings and
become free cells when they become
known as Monocytes or Macrophages.
A better term is the "system of macro-
phages" (or big eaters) in which empha-
sis is placed on function not origin. See
Vital Staining.
Retina, see Eyes.
Retterer's Stain for muscle. Fix in 10
parts 80% alcohol plus 1 part formic
acid. Stain paraffin sections with alum
carmine. Muscle light red, all connec-
tive tissue unstained.
Revival of Vinegar Eels after Ultrarapid
Cooling. — Written by B. J. Luyet,
Dept. of Biology, St. Louis University.
January 15, 1951 — A drop of a con-
centrated vinegar eel suspension, ob-
tained by centrifugation, is deposited
on a glass slide and most of the remain-
ing vinegar is blotted off. Then a drop
of 30% ethylene glycol is added to the
squirming mass in order to reduce some-
what the water content of the worms.
After about 5 minutes the excess ethyl-
ene glycol is blotted off, and the eels,
still moving actively, are "wiped up,"
in a thin layer, on very thin pieces of
mica (about 5 mm. on a side and about
35 micra thick). The eels, supported
on this mica slip, are then immersed in
liquid air. After about one minute
they are removed, and, by means of a
vigorous shake of the hand, the droplet
of liquid air which may adhere to the
RHENIUM
307
RICKETTSIA
mica support is dislodged, whereupon
the preparation is abruptly swished in
a little water (about 2 cc.) in a watch
glass, at room temperature or prefer-
ably at 30°C. (The purpose of the
immersion in water is rapid rewarming.)
After about 5 minutes one sees, under a
low power microscope, several eels be-
gin to move and, after about ten min-
utes, some 50 out of 200 in the drop
become quite active, though they are
never entirely normal. See Luyet, B.,
C. rend. Soc. Biol., 1938, 127, 788-789.
Rhenium, see Atomic Weights.
Rheonine, A, Synonymous with Rheonine
AL, G or N and Fast Phosphine NAL,
an acridine dye occasionally employed
in fluorescence microscopy (Conn, H.
J. in McClung's Microscopical Tech-
nique, 1950, p. 98).
Rhodamine B (CI, 749)— brilliant pink B,
rhodamine O — A basic xanthene dye.
It gives a good color contrast with
methylene blue in coloration of the
spleen (Houcke, E., C. Rend. Soc. de
Biol., 1928, 99, 788-789).
Rhodamine O, see Rhodamine B.
Rhodamines. Similar in some respects to
pyronins but there is a third benzene
ring affixed to central carbon atom and
to this in turn is attached a carboxyl
in ortho position. Examples: Rhoda-
mine B and fast acid blue R. Rhoda-
min B (Merck) and 6G IG. have been
employed as vital stains. When used
with plant cells mitochondria become
fluorescent (Strugger, S., Protoplasma,
1938, 30, 85-100).
Rhodanid. Ammonium thiocyanate.
Rhodium, see Atomic Weights.
Rhodopsin (G. rhodon, rose + ops, eye) is
a photosensitive visual purple pigment
of the rods of the retina easily seen in
ordinary microscopic preparations. It
is a protein vitamin A combination.
Night blindness is an indication of
vitamin A deficiency.
Riboflavin (lactoflavin) shows typical green
fluorescence in living liver and kidney
observed under fluorescence micro-
scope (Ellinger, P., and Koschara, W.,
Ber. deutsch. Chem. Ges., 1933, 66,
315-317, 808-813, 1411-1414). Detected
also in Malpighian tubules of American
roach (Metcalf, R. L. and Patton, R. L.,
J. Cell and Comp. Physiol., 1942, 19,
373-376) and in tomato plants (Bonner,
J. and Borland, R., Am. J. Bot., 1943,
30, 1008-1009). See Hirt, A. and Wim-
mer, K., Klin. Wochnschr., 1939, 18,
733-740. See Vitamine B2
Rinbonuclease is an enzyme which degre-
dates ribonucleic acid. When used to
remove ribonucleic acid from sections
for histochemical observations, (Sto-
well, R. E. and Zorzoli, A., Stain Tech.
1947, 22, 51-61) pure preparation
(McDonald, M. R., J. Gen. Physiol.
1948, 32, 39-42) is desirable. See
Gram Staining, Nuclei Acids and
Nuclease.
Ribonucleic Acid. A type of Pentose
Nucleic Acid containing the ribose
type of sugar present in yeast. Also
known as UNA. (Ribonucleic Acid)
Use of electrotitration technique shows
that yeast ribose nuclei acid under the
influence of ribonuclease yields a sec-
ondary phosphate and a hydroxyl group
(of a purine or pyrimidine). See
Vandendriessche, L., C. rend, trave.
Lab. Carlsberg, S^r. Chim., 1951, 27,
341-391.
Rickettsia are small, gram negative, bacteria-
like organisms which are insect trans-
mitted and typically inhabit endothelial
cells of vertebrate hosts named after
H. T. Ricketts who died of typhus fever
while investigating them. They are
best stained by Giemsa's method
after fixation in Zenker's, Bouin's or
Regaud's fluids.
1. Rapid staining with thionin. Make
sat. sol. of thionin in aq. dest. Pre-
cipitate by adding 10% NaOH. Collect
ppt. on filter and wash until filtrate
becomes neutral. Dissolve ppt. in 2%
phenol. Stain absolute alcohol fixed
smears only 30-50 sec. Drain, wash
quickly in absolute alcohol, clear in
xylol and mount in cedar oil. Rick-
ettsia, deep violet; cytoplasm, light
violet ; red cells bluish green (Laigret,
J. and Auburtin, P., Bull. Soc. Path.
-exat., 1938, 31, 790-791).
2. Fuchsin staining method. Smear
tissue culture on slide. Dry in air,
then by heat. Filter directly on to
smear 0.25% basic fuchsin in phosphate
solution buffered to pH 7.4 or in aq.
dest. made pH 7.2-7.4 by adding sodium
hydrate or carbonate (see Buffers) .
Stain 4 min. Wash quickly with 0.5%
aq. citric acid. Pour off citric and wash
rapidly in tap water. Counterstain in
1% aq. methylene blue, 10 sec. Rick-
ettsia, red; cells, blue; not recom-
mended for tissue sections (Zinsser, H.,
Fitzpatrick, F. and Hsi Wei, J. Exp.
Med., 1939, 69, 179-190). This is very
similar to Michiavello's method de-
scribed by Cox (H. R., Publ. Health
Rep., 1939, 53, 2241-2247) as superior
to Giemsa's stain for Rickettsiae of
Rocky Mt. Spotted Fever and Typhus
groups.
The Michiavello technique has been
adapted for sections by Pinkerton (see
Harry Plotz, in Simmons and Gentz-
kow, p. 572). Stain paraffin sections
after Regaud fixation overnight in 1%
aq. methylene blue and decolorize in
RICKETTSIA ORIENTALIS
308
ROULEAUX FORMATION
95% alcohol. Counterstain with 0.25%
aq. basic fuchsin for 30 min. Decolor-
ize quickly (say 3 sec.) in 0.5% aq.
citric acid. Differentiate rapidly in
abs. ale. clear in xylol and mount in
dammar. Rickettsiae, deep red; sur-
rounding tissue, partly red. Back-
ground can be made bluer by washing
lightly in aq. dest. after the citric acid
treatment and by staining again with
methylene blue, before differentiation
in 95% alcohol dehydration, clearing
and mounting as advised by Plotz.
Plotz gives details of use of Michia-
vello's stain in demonstration of Rick-
ettsiae in yolk sac cultures.
A fuchsin and methyl violet combina-
tion is recommended for typhus fever
Rickettsiae by Nyka, W., J. Path. &
Bact., 1944, 56, 264.
See cultivation of Rickettsiae in eggs
(Fitzpatrick, F. K., J. Lab. & Clin.
Med., 1946, 31, 45-55), Typhus Fever
rickettsiae, and Rickettsia orientalis.
A convenient list of pathogenic Rick-
ettsia is provided by Pinkerton, H.,
Bact. Rev., 1942, 6, 37-78.
Rickettsia orientalis. Rapid method for
staining in smears by Clancy, C. F. and
Wolfe, D. M., Science, 1945, 102, 483.
Air dry smears of infected yolk sac
membranes, or of other tissues, and fix
by heat. Flood slide with xylol, dry
in air current, immerse in 1:5,000
methylene blue and basic fuchsin in aq.
dest. for 5 min. Wash, dry and ex-
amine. Organisms blue, background
pinkish purple. Grams should be di-
luted from 1% stock solutions on the
day used.
Ringer solution. NaCl, 0.85 gm.; KCI,
0.025 gm.; CaCU, 0.03 gm.; aq. dest.,
100 cc. Lee (p. 731) advises for am-
phibians same except that NaCl is 0.65
gm. and NaHCOs, 0.02 gm. is added to
make pH about 7.0-7.4. If NaHCOs is
present it must not be sterilized by
heat.
Ringer-Locke solution. NaCl, 0.85 gm.;
KCI, 0.042 gm.; CaCh, 0.025 gm.;
NaHCOs, 0.02 gm.;aq. dest., 100 cc. for
cold blooded animals. Lee (p. 73) ad-
vises same except that NaCl is 0.65 gm.
Should be freshly made. Owing to
presence of NaHCOa must not be steri-
lized by heat.
Rivanol, a dye sometimes employed in
fluorescence microscopy.
Roberts, see Paper Chromatography.
Rocky Mountain Spotted Fever, see Rick-
ettsia.
Roller Tube Cultures. Control of pH in, see
paper by Paff, G. H., Proc. Soc. Exp.
Biol. & Med., 1946, 62, 184-187. See
Tissue Culture.
Romanowsky Stains contain polychrome
methylene blue eosinates. Those of
Wright, Leishman and Wilson are well-
known. The Romanowsky effect is
the lavender-red coloration by them of
the nuclei of lymphocytes, monocytes,
protozoa and other materials. Acetone
solvents for Romanowsky stains (Kings-
ley, D. M., J. Lab. & Clin. Med.,
1936-37, 22, 524-531). Polychroming
process (i6 id, 736-752). Dyes for (ibid,
1264-1273). Large bibliographies.
Romieu Reaction for proteins. Fix in
formalin, in alcohol or in Bouin's fluid.
Make rather thick sections in paraffin
or preferably in celloidin. Cover sec-
tion with a drop of syrupy phosphoric
acid. After few minutes in oven at
56°C. examine directly. A red or
violet color develops in location of pro-
teins. According to Blauchetiere and
Romieu (A. and B., C. Rend. Soc. de
Biol., 1931, 107, 1127) it is due to the
tryptophane grouping. See Lison, p.
129.
Rongalite White, said to stain normal but
not cancerous cells (Roskin, G., Bull.
d'Hist. appl., 1938, 15, 20-23).
Rosanilin (Magenta I) is triamino-tolyl-
diphenyl-methane chloride, a compo-
nent of most Basic Fuchsins. Rosan-
ilin with methylene blue for Negri
bodies (Schleifstein, J., Am. J. Pub.
Health., 1937, 27, 1283-1285).
Rosazine, see Azocarmine G.
Rose Bengal (CI, 779). A xanthene dye of
fine color used for several purposes
including the staining of Soil Bacteria
by Conn (p. 157). Make suspension
of soil in 9 times its weight of 0.015%
aq. gelatin. Spread drop on clean slide
and dry over boiling water bath. Cover,
while still on bath for 1 min., with rose
bengal 1 gm.; CaClj, 0.01 gm.; 5% aq.
phenol, 100 cc. Wash quickly in water.
Dry and examine. Used to demon-
strate injured liver cells by vital stain-
ing (Williams, W. U., Yale J. Biol, and
Med., 1950, 23, 177-183). See Eosins.
Rosenthal, see Fluorescence, Microscopy,
Radioactive Isotopes, Electron Micros-
copy.
Rosin U.S. P. XI (Colophony, yellow resin,
abietic anhydride) used in Grieves'
method for undecalcified dental tissues
and bone.
Rosinduline GXF, see Azocarmine G.
Rosophenine lOB, see Thiazine Red R.
Rouget Cells, see Pericapillary cells.
Rouleaux Formation of red cells. They
are stacked like coins, outlines distinct,
usually break up on shaking, diminished
on washing with saline solution;
whereas agglutinated reds stick to-
gether irregularly, outlines indistinct,
usually become more compact on shak-
ing, not affected by washing.
RUBBER
309
SAFRANIN-LIGHT GREEN
Rubber. To stain rubber in tissues many
techniques have been reported by
Haasis, F. W., Stain Techn., 1945, 20,
37-38. The work was done in Guayule
studies under project of Bureau of
Plant Industry. Micromanipulation in
study of latex particle of rubber
(Hauser, E. A., Ind. Eng. Chem., 1926,
18, 1146-1147).
Rubber. To stain rubber in tissues many
techniques have been reported by
Haasis, F. W., Stain Techn., 1945, 20,
37-38. The work was done in Guayule
studies under project of Bureau of Plant
Industry.
Rubber Paraffin. Johnson, J. (Applied
Micr., 1903, 6, 2662) has recommended
1% crude India rubber in paraffin col-
ored amber yellow by addition of asphalt
heated to 100°C. 1-2 days. The super-
natant fluid is poured off and used as
ordinary paraffin. Double Imbedding
in celloidin and paraffin has been sug-
gested. See Beyer, E. M. (Am. J.
Clin. Path., Tech. Suppl., 1938, 2,
173-175).
Rubidium, see Atomic Weights.
Russell-Body Cells, Russell bodies and the
cytoplasm of plasma cells are probably
not hemoglobiniferous because they do
not react as do the substances in known
hemoglobiniferous cells with reference
to isoelectric point of hemoglobin
(Kindred, J. E., Stain Techn., 1935, 10,
7-20).
Ruthenium, see Atomic Weights.
Ruthenium Red is ammoniated ruthenium
oxychloride, a mineral pigment. Conn
(p. 187) says that it is used microscopi-
cally as a test for Pectin for which some
consider it to be specific.
Ruthenium Tetroxide, as a fixative said to
be superior in some ways to osmium
tetroxide; but it decomposes readily
and penetrates poorly. To prevent
decomposition make 1% sol. in sat.
chlorine water (Carpenter, D. C. and
Nebel, B. R., Science, 1931, 74, 154-155).
Saffron, a yellow dye obtained from the
plant. Crocus sativus. Long cultivated
in Persia this plant was introduced into
China by the Mongols and throughout
the Orient. In the early days of Greece
saffron was the official color. Saffron
was spread on the streets of Rome to
welcome the Emperor and his army.
Some monks discovered that by use of
an iron mordant and saffron manu-
scripts could be cheaply made to appear
golden. The City of Florence for a
time incorporated the saffron blossom
in its coat of arms. Later the City of
Basle, Switzerland, followed suit and
the "Saffron war" resulted in 1374 A.D.
This acknowledged imperial color has
come down through the ages; witness
the yellow roofs of the Imperial and
Forbidden Cities in Peking. For a
valuable account read Leggett, W. F.,
Ancient and Medieval Dyes. Brook-
lyn: Chemical Publishing Co., Inc.,
1944, 95 pp. See also saffron as em-
ployed by Vieussens and Leeuwenhoek
(Lewis, F. T., Anat. Rec, 1942, 83, 229).
Saffrosin, see Eosin B or bluish.
Safranin. In the safranins one nitrogen
of the azin group is pentavalent and to
this a benzene ring is attached. All
are strongly basic. Amethyst violet,
azocarmine G, Magdala red, pheno-
safranin and safranin O are mentioned.
Safranin Acid Violet, see Neutral Safranin.
Safranin B Extra, sec Phenosafranin.
Safranin O (CI, 841) — cotton red, Gos-
sypimine, safranin Y or A — Commission
Certified. A basic azin dye of great
usefulness which is sold as a mixture
of di-methyl and tri-methyl pheno-
safranins. Conn (p. 97) explains that
the shade depends upon their relative
proportion. The red is deeper when
there is more of the latter. Safranin O
can be employed irrespective of whether
safranin 0 wasserloslich, or safranin
spiritloslich or safranin gelb is called
for. The safranin pur, likewise of
Grubler and Co., is in his opinion
methylene violet (CI, 842). Safranin
O is one of the finest nuclear stains
especially in the Safranin Light Green
method. It is also useful in making
certain neutral stains (Neutral Safra-
nin). Standardized technique for
safranin O employing buffered solutions
is given by Sawyer, C. H., Stain Techn.,
1940, 15, 3-7.
Safranin Y or A, see Safranin O.
Safranin-Gentian Violet-Orange G. This
is Flemming's tricolor stain for nuclei.
As described by the Bensleys (p. 88).
Fix in Flemming's fluid and bring
paraffin sections down to 95% alcohol.
Stain in equal parts sat. safranin in
95% alcohol and filtered sat. anilin oil
in aq. dest., 2-24 hrs. Rinse in aq.
dest. and stain in sat. aq. gentian violet
(crystal violet), ^2 hrs. Drop on sat.
aq. orange G, 30-60 sec. Drop 95%
alcohol on slide until clouds of color
cease coming off. Drop on clove oil
and differentiate under microscope.
Clear in benzol and mount in balsam.
Violet should color diffused chromatin
strand ; safranin denser part ; and orange
G, the background.
Safranin-Light Green. — Written by C. H.
Sawyer, Duke Hospital, Durham, North
Carolina, Dec. 16, 1950. — Stain sections
24 hrs. in 2% aq. safranin O and wash
out the excess safranin in 0.25% aq.
light green (acid violet). Chromatin
appears red and acidophilic nuclear in-
SALMONELLA
310
SCHULTZE'S METHOD
elusions caused by viruses green. A
very brilliant stain but the green fades
in the course of a month or two. Stand-
ardized safranin O technique advised
by C. H. Sawyer (Stain Techn., 1940,
15, 3-7) is: overstain deparaffinized sec-
tions in 0.1% light green S.F. or fast
green FCF in 50% alcohol adjusted to
pH 2.4 with 0.1 A^ HCl (100 cc. = 20 cc.
0.5% stain + 50 cc. 100% alcohol +
8 cc. 0.1 A^ HCl + 22 cc. aq. dest.)
for 4 hrs. or more. Destain in Soren-
sen's buffer pH 8, 30 minutes or more.
Overstain in 0.1% aq. safranin O at
least 4 hrs. Rinse in aq. dest. De-
stain in 0.01 A^ HCl (pH 2) or in 0.001
N HCl (pH 3) for light green and fast
green respectively, 15 min. After rins-
ing in aq. dest. dehydrate in 2 changes
dioxan, pass through xylol and mount
in balsam. As fixatives Sawyer finds
Petrunkevitch's paranitrophenol-cu-
pric-nitrate-nitric and picro-formol-ace-
tic better than Bouin's fluid. Zenker's
fluid can be employed.
Salmonella, Flagella of non-motile, Ed-
wards, P. R., Moran, A. B. and Bruner,
D. W., Proc. Soc. Exp. Biol. & Med.,
1946, 62, 296-298. See Triphenyltetra-
zolium chloride.
Samarium, see Atomic Weights.
Sandarac mixed with dioxan, camphor and
salol is recommended by McClung
(p. 40) as a mounting medium in place
of balsam.
Sandison's Technique for inserting trans-
parent chambers in rabbit ears (Sandi-
son, J. C, Anat. Rec, 1924, 28, 281).
This has been improved by Clark, E. R.
et al., Anat. Rec, 1930, 47, 187-211 and
by Abell, R. G. and Clark, E. R., Anat.
Rec, 1932, 53, 121-140. See modifica-
tions by Williams, R. G., Anat. Rec,
1934, 60, 487-491 and by the same
author (ibid, 493-499) the latter for
insertion into skin. Moore, R. L.,
Anat. Rec, 1935-36, 64, 387-403) has
adapted the chamber for insertion into
dog's ear.
Saponin, for hemolysis in centrifugal isola-
tion of nuclei from chicken erythro-
cytes (Dounce, A. L. and Lau, T. H.,
Science, 1943, 97, 584-585).
Sarcolemma. Special technique for, see
Dahlgren in McClung's Microscopical
Technique, 1950, p. 341.
Sawyer, see Safranin-Iight green.
Scandium, see Atomic Weights.
Scarlet B or EC, see Biebrich Scarlet,
water soluble.
Scarlet B Fat Soluble, see Sudan III.
Scarlet J, JJ, V, see Eosin B or bluish.
Scarlet R, see Ponceau 2R.
Scarlet Red, see Sudan IV.
Schaudinn's Fixative. Sat. mercuric chlo-
ride in 0.85% aq. sodium chloride 2
parts. Add 1 part 95% ethyl alcohol
and enough glacial acetic to make 1%
solution immediately before use. For
Protozoa, staining in bulk.
Scheele's Green, an exogenous pigment,
copper arsenite.
SchiflF's Reaction for aldehydes (Bourne,
p. 22) is basis of Feulgen reaction for
Thymonucleic Acid.
Schistosomes. When it is necessary to
collect at autopsy all parasites irrespec-
tive of the stage of development or
location, a modification of previous
techniques described by Pan, C, and
Hunter, III. G. W. (J. Lab. & Clin.
Med., 195, 37, 815-816) is suggested.
To infect small mammals with Schisto-
soma Japonicum see method of Pan,
C, Kaufman, E. H., and Hunter, III,
G. W., Ibid., 817-819.
Schlesinger's Reagent. Add to 4 gms. zinc
acetate in a bottle 95% ethyl alcohol to
make up 100 cc. Shake occasionally
and use supernatant fluid. See Uro-
bilin.
Schmitt, see Polarization Optical Method.
Schneider's Aceto-Carmine, see Aceto-
Carmine.
Schultz, H. Cholesterol Test. Cut frozen
sections of formol fixed material. Place
sections in a 2.5% solution of iron alum
mordanting for 3 days in low tempera-
ture (37°) oven. Rinse the sections
after removal from the alum solution
in aq. dest. to which are added a few
drops of nitric acid (2 to 3 drops per
26 cc). This removes alum precipitate
in the sections. They are then trans-
ferred to 2-3% gelatin solution and
mounted in dilute gelatin on the slide.
After the mounted sections have com-
pletely dried add a few drops of a mix-
ture of equal parts of concentrated
sulphuric acid and glacial acetic acid.
The appearance of a blue -green color
indicates that cholesterol, either in free
or ester form, was present in the sec-
tions before treatment. Both acids
must be of analytical reagent standard
and the sulphuric acid at least 98%
pure. The appearance of bubbles in
large numbers indicates impure re-
agents. See Knouff, R. A., Brown,
J. B. and Schneider, B. M., Anat. Rec,
1941, 79, 17-38. Revised by R. A.
Knouff, Dept. of Anatomy, Ohio State
University, Columbus, Ohio, April 24,
1946. Swyer, G. I. M., Cancer Re-
search, 1942, 2, 372-375 has checked in a
satisfactory way the Schultz test with
quantitative determinations of cho-
lesterol in normal and enlarged pros-
tates.
Schultze's Method for clearing embryos
has been modified by Miller. See
Cartilaginous Skeleton.
SCHWEINFURT GREEN
311
SEPARATION OF CELL
COMPONENTS
Schweinfurt Green, an exogenous pigment,
cupric acetoarsenite.
Scott, see Altmann-Gersh Frozen Dehydra-
tion Method.
Sebaceous Glands. Method for staining
intoto (Badertscher, J. A., StainTechn.,
1940, 15, 29-30). Fix fresh skin for 24
hrs. in 10% formalin, or take skin from
dissecting room cadaver and fix in the
same way. Make free hand vertical
sections 1-2 mm. thick from region pos-
sessing the glands. Whole pieces of
skin 12 mm. square or larger (without
subcutaneous fat) can be used in place
of the sections. Pass through 50 to
70% alcohol. Stain for 12-24 hrs. in a
mixture of 70 parts absolute ethyl
alcohol, 20 parts 10% aq. sodium hy-
droxide and 10 parts of aq. dest. satu-
rated with Sudan IV. Wash away excess
stain by repeated changes of 70% alcohol
until glands become sharply outlined.
Clear in glycerin. Mount in Brandt's
glycerin jelly (melted gelatin, 1 part;
glycerin, 1^ parts -{- few drops carbolic
acid). Glands scarlet in transparent
background. This method may prove
useful to bring out the distribution,
number, size and other features of
sebaceous glands in different conditions
as well as at different ages. The same
method can be used for Meibomian
(tarsal) glands after a little preliminary
dissection described by the author.
Another method of staining sebaceous
glands in toto employed in the Barnard
Free Skin and Cancer Hospital is to
separate epidermis from dermis by the
dilute acetic acid method (see Epi-
dermis) and stain the epidermal sheet,
with sebaceous glands attached, with
Sudan III or IV as one would a section
for fat. A hematoxylin counterstain is
useful.
The technique of Fluorescence Mi-
croscopy is useful. Figge, F. H. J.,
Bull. School of Med. Univ. Maryland,
1942, 26, 165-176 has described the re-
markable red, white or yellow fluo-
rescence of blackheads which is charac-
teristic of different individuals.
Secretion contrasted with excretion (Cow-
dry's Histology, p. 259).
Sectioning, see Celloidin, Frozen, Gelatin
and Paraffin Sections. Also Bone
grinding and Teeth cutting with power
lathe.
Selectron, a synthetic resin recommended
by R. McClung Jones in McClung's
Microscopial Technique, 1950, p. 152
for embedding embryos. May be pur-
chased from Pittsburgh Plate Glass
Co., Grant Building, Pittsburgh, Pa.
Selenium. Intravenous injections of col-
loidal solutions of selenium in rabbits
are described by Duhamel, B. G., C.
rend. Soc. de Biol., 1919, 82, 724-726.
See Radioselenium.
Semen Stains, examination of for sperma-
tozoa. Place piece of soiled cloth not
more than \ inch in diameter on a slide.
Add few drops saline solution and
scrape surface of cloth with blunt edge
of a scalpel. Carry scrapings off with
fluid anci spread on a slide. Dry and
fix with heat. Cover with 4 cc. 1% aq.
Wollschwartz (Grubler) -f 0.05 cc. 2%
aq. sulphuric acid, 5 min. Wash in
water. Counterstain 6-8 sec. with Loef-
fler's methylene blue diluted with 15
parts aq. dest. Wash in aq. dest., dry
and examine. Heads of spermatozoa
bright golden or yellowish color, all else
gray. Useful in legal medicine (Wil-
liams, W. W., J. Lab. & Clin. Med.,
1936-37, 22, 1173-1175). See author's
figures. See Pollak, O. J., Arch. Path.,
1943, 35, 140-196.
Seminal Fluid. To study in sections
centrifuge fluid 3 to 1 hr. after ejacula-
tion for 20 min. at 3000 r.p.m. Fix
centrifugate in 4% formalin, 48 hrs.
2 changes. Take sediment into abs.
ale, then 9 parts abs. and 1 part xylol.
Gradually increase xylol to 9 parts to
1 part ale. Xylol paraffin 30 min.
Then 54°C. melting paraffin for 3 hrs.
in incubator at 58°C. After 3 hrs. in
60°C. melting paraffin embed and sec-
tion 2-3 microns thick (Joel, K., J.
Lab. & Clin. Med., 1939, 24, 970-972).
Sense Organs, see Eyes, Ear, Pacinian
Corpuscles, Meissner's Corpuscles,
Krause's End Bulbs, Nerve Endings.
Sensitol Red, see Pinacyanol.
Separation of Cell Components by Differ-
ential Centrifugation— Written by A.
Lazarow, Department of Anatomy,
Western Reserve University School of
Medicine, Cleveland, Ohio. Novem-
ber 28, 1951— When R. R. Bensley and
N. Hoerr (Anat. Rec, 1934, 60, 449-
455) successfully separated mitochon-
dria from the cell, they initiated a new
era in cytochemistry. The cells are
disintegrated by passing the tissue
through bolting silk (mild homogeniza-
tion in a glass homogenizer may also
be used). This procedure ruptures the
cytoplasmic membranes but leaves
most of the cell components relatively
unaltered. The resulting suspension
of cell fragments is subsequently
fractionated by differential centrifuga-
tion.
The sedimentation of a particle in a
centrifugal field is dependent upon its
size, its shape, and its density (relative
to the suspending media) and upon the
centrifugal force. The sedimentation
of non-spherical particles is slower than
SERUM AGAR
312
SHADOW-CASTING
that of corresponding spherical parti-
cles; this difference is attributable to a
viscosity factor and to Brownian bom-
bardment (the larger surface area of
the non-spherical particles results in
an increased Brownian bombardment
and a greater tendency to keep the
particles in suspension). If the density
of the particle is equal to that of the
media no sedimentation will take place
regardless of the centrifugal force
applied. If the particle is less dense
than the suspending media (as lipid
particles) it will be subjected to a flota-
tion during centrifugation.
The centrifugal force is defined as
the force in dynes acting on a mass of
one gram. Since it is customary to
express the centrifugal force in terms of
the earth's gravitational force, and
since the gravitational force acting
upon a mass of one gram is 980 dynes,
the centrifugal force is given by the
equation
47r^rn^
Centrifugal force = „„„ where n is
yoU
equal to the number of revolutions per
second and r is equal to the radius of
centrifuge. Thus the centrifugal force
is proportional to the square of the
number of revolutions and directly
proportional to the radius of the centri-
fuge. [Thus for an angle centrifuge
with a radius of 8 cm., the centrifugal
force is 12,400 X g. at a speed of 12,000
RPM. For the International centri-
fuge with a radius of 20 cm. the cen-
trifugal force is 1,400 X g. at a speed of
2500 RPM].
In carrying out the fractionation of
the cytoplasmic constituents, a short
preliminary centrifugation at low speed
removes the intact cell nuclei and larger
cell fragments. The mitochondria are
subsequently separated from the su-
pernatant by centrifuging at about
1,000-1,500 X gravity for 10-30 minutes.
Less contaminated preparations can be
obtained by successively centrifuging
the supernatant for several 10-minute
periods. The purity of the prepara-
tions is checked by microscopic ob-
servation of the separated fractions.
After the mitochondria have been re-
moved, the supernatant is recentrifuged
at about 10,000 X g. for 30-60 minutes.
This removes the submicroscopic par-
ticulate components of the cell (micro-
somes, or ultramicrosomes). There are
at least two types of submicroscopic
particulate components, a lipo protein
nucleic acid complex and a hydrated
glycogen-particle (Lazarow, A., Biol.
Symposium, 1943, 10, 9, edited by N. L.
Hoerr). The supernatant of this high
speed centrifugation contains the solu-
ble proteins, metabolites, electrolytes,
etc.
When sucrose is used as a suspending
media (Hogeboom, Schneider, and
Palade, J. Biol. Chem., 1946, 177, 610)
the morphology of the mitochondria is
better preserved (in salt solution the
mitochondria tend to swell and they
lose their rod -like shape). By using
various buffered citric acid solutions
it is possible to make a clean separa-
tion of the nuclei (Dounce, A. L.,
Ann. N. Y. Acad. Sci., 1950, 50, 982-
999).
In the past decade considerable
progress has been made with regard to
the localization of enzymes with the
component parts of the cell. In de-
termining the localization of enzymes
(etc.) it is necessary to consider both
the concentration [i.e., the amount of
enzyme per unit of weight or per unit
of protein nitrogen] and the relative
fraction [i.e., what fraction of the total
enzyme of the cell is present in a given
fraction]. The cytochrome-cyto-
chrome oxidase system as well as many
of the components of the Kreb's tri-
carboxylic acid cycle are concentrated
within the mitochondria (Schneider,
W. C, and Hogeboom, G. H., Cancer
Res., 1951,11, 1-22). The submicro-
scopic particles (ultramicrosomes) are
thought to be concerned with protein
synthesis.
Serum Agar, see Bacteria, Media.
Setoglaucine O (CI, 658), a basic dye less
light fast than Malachite green (CI,
657), a constituent of some bacterio-
logical media (Emig, p. 47).
Shadow-Casting — Written by W. T. Demp-
ster, Dept. of Anatomy, University of
Michigan, Ann Arbor, Mich., and R.
C. Williams, Dept. of Biochemistry,
University of California, Berkeley,
Calif. June 9, 1950— This is a tech-
nique for revealing the surface form
and texture of microscopical material
in either light or electron microscopy.
It is an outgrowth of R. C. Williams'
experience with vacuum deposited
metal films on astronomical mirrors
and of studies on the physics of metallic
films. Metal evaporated from a hot
filament in a high vacuum is of atomic
dimensions, and upon condensation on
a perfectly smooth surface it forms a
continuous film of uniform thickness.
The atomic particles of metal travel
in straight line paths from the filament.
When these are directed to an obliquely
placed surface, obstructions, however
small, cast a "shadow" that is metal-
free. The technique of condensing
metal films obliquely upon specimens
SHADOW-CASTING
313
SHADOW-CASTING
was first applied successfully to elec-
tron microscopy by R. C. Williams and
R. W. G. Wyckoff (J. Appl. Phys., 1944,
15, 712-716) who used the technique
for determining the heights of minute
objects by measuring the lengths of
their shadows. It was found by them,
however, that the process greatly en-
hanced the contrast in images of very
small objects, or of very small irregular-
ities on larger objects, and this advan-
tage of the technique has come to out-
grow in importance the original purpose
of measuring heights.
Bacteria, viruses and the larger pro-
tein molecules have been studied by
the use of the shadowing technique
(for complete bibliography, see R. W.
G. Wyckoff, Electron Microscopy, 1949,
Interscience Publishers Inc., New York)
as applied to electron microscopy. The
advantages of improved contrast are
so great that, in the case of the observa-
tion of small biological objects and
minute chemical aggregates, the tech-
nique has improved the practical use-
fulness of the electron microscope
almost ten-fold. Further applications
to both electron and visual microscopy
involved a method of studj'ing opaque
surfaces by colloidin replicas that are
shadowed (Williams, R. C, and Wyck-
off, R. W. G., J. Appl. Phys., 1946, 17,
23-33). Applications of the method
to biological material viewed with the
light microscope and an account of the
casting apparatus have been presented
by W. T. Dempster and R. C. Williams
(Anat.Rec, 1946, 96, 27-38).
For the shadowing of non-opaque
objects, materials to be observed with
the light microscope, the following
procedure is followed: Material is af-
fixed to cover slips; smears are thor-
oughly dried; paraffin is dissolved from
sections with solvents. With no fur-
ther preparation, other than thorough
drying, the slips are shadowed with a
metal deposit in a vacuum chamber.
After this, they are mounted face down
on slides with clarite or balsam.
If large, opaque materials are to be
examined under the light microscope,
a surface replica can be taken by flow-
ing a dilute solution of celloidin over
the surface, allowing it to harden, and
stripping the celloidin film off after
drying. The film is then shadowed with
its replicating surface uppermost.
For electron microscopy, regular
screen grids with a thin colloidin film
over the mesh are used as substrates
for suspensions; replicas are placed
directly on the mesh. A droplet of
suspension containing small biological
objects is placed on the substrate and
allowed to dry. Salts are then rinsed
off with distilled water and the speci-
men is ready for shadowing; then the
specimen may be studied with the elec-
tron microscope.
A metal to be used in shadowing for
light microscopy should be readily
evaporated and it should be relatively
opaque when jjresent in a very thin
film. Metallic chromium appears to
be the best metal to use for light micros-
copy since it transmits less than 50%
of the incident light in a thickness less
than 0.03 micra. For electron micros-
copy chromium is generally satisfac-
tory for objects as large as bacteria,
but, for finer detail, the metals palla-
dium and uranium are superior, as they
can be applied to yield satisfactory
contrast in thicknesses of only 0.001
micra.
The casting technique is similar for
the different metals. Shadow-casting
produces a visually structureless de-
posit which sticks to all surfaces save
those directed away from the hot fila-
ment and shadow areas due to obstruc-
tions. Surfaces perpendicular to
straight line paths from the filament
get the heaviest deposit; oblique sur-
faces get less and shadows none. Metal
deposited at a rather oblique angle has
a distribution much like light from a
point source shining obliquely on three-
dimensional objects. Highlights and
shadows are produced. Through the
microscope, shadows in the prepara-
tions transmit light and appear bright;
highlights are dark. The eye, however,
readily adapts to this reversal of tone.
Photographic negatives or prints made
from glass positives reverse the micro-
scope appearance; highlights then are
bright, shadows are dark, and varia-
tions of surface texture are shown by
gradations of tone.
Electron-microscopic negatives show
the same natural appearance of light
and dark. Although the electron mi-
crographs are taken by transmitted
electrons, in complete analogy with
photomicrographs, the negative prints
give one the impression that one is
looking down on the surface of the ma-
terial being examined.
The apparatus for shadowing con-
sists of a bell jar and a base plate with
vacuum tight electrical connections.
Electrodes raised above the level of
the base plate carry a tungsten filament
on which the metal is placed for vapor-
izing. Cover slips with affixed ma-
terial (or the grid screens) are arranged
in a semicircle at a predetermined
distance from the filament and the
metal thereon to be vaporized. The
SHANKLIN
314
SILVER CITRATE
height of the filament and the distance
from filament to specimens determine
the casting angle. Both an oil-diffu-
sion pump and a mechanical pump must
be used to produce the degree of vacuum
required (at least ICT* mm. Hg.). With
a suitable vacuum provided, the fila-
ment is heated electrically and a meas-
ured weight of metal is vaporized.
Preparations are then ready for mount-
ing or examination. A figure of the
apparatus and the formula for calcu-
lating the appropriate mass of metal for
the conditions of shadowing are pre-
sented in the Dempster and Williams
paper. Wyckoff's book (above) covers
completelj' applications to electron
microscopy.
Shanklin, see Pineal, Silver Diaminohy-
droxide after sensitizing with sodium
sulfite.
Sharpening, see Microtome Knife.
Shrinkage caused by fi.xation, dehydration
and clearing of nervous tissues has been
measured by King, H. D., Anat. Rec,
1910, 4, 213-244 and by Allen, Ezra,
Anat. Rec, 1916, 10, 565-589.
Sickle-Cell Trait. A critical study of
methods for detection by Diggs and
Pettit (L. W. and V. D., J. Lab. & Clin.
Med., 1939, 25, 1106-1111) gives first
place to the Moist Stasis technique of
Scriver and Waugh. Place a rubber
band about proximal part of a finger.
Leave 5 min. Puncture and examine
fresh blood for sickle cells. According
to Hansen-Pruss (O. C, J. Lab. & Clin.
Med., 1936-37, 22, 311-315) the maxi-
mum percentage of sickle cells is
produced in 4-5 hrs. by supravital
staining with brilliant cresyl blue or
janus green, while it takes 24 hrs. in
unstained moist preparations.
The following rapid method of diag-
nosis is reported by Neuda, P. M. and
Rosen, M. S., J. Lab. & Clin. Med.,
1945, 30, 456-458. Mix "cherry -size"
piece of feces with 5 cc. isotonic sodium
chloride solution. Add 0.1 cc. of fil-
trate to tube of nutrient broth, incubate
24 hrs. at 37°C. To top of suspected
blood on slide add drop of culture.
Something in broth makes susceptible
cells quickly assume sickle form.
Siena Orange (K. Hollborn, Leipsig) =
sodium paradipicrylamine, an alleged
stain for potassium (Carere-Comes, O.,
Zeit. wiss. Mikr., 1938, 55, 1-6).
Silicon. Easily recognizable in sections
viewed in polarized light. It often
occurs as sericite in combination with
magnesium, iron and other minerals, see
Jones, W. R.,J. Hyg 1933, 33, 307-329.
Microtechnique is discussed by Poli-
card, A., and Mastin, E., Bull. d'Hist.
Appl., 1933, 10, 22-36. Microincinera-
tion is useful but Scott says that an
exaggerated idea of amount may be
obtained (McClung, p. 659).
Sintered-glass filters, see Cunningham,
B., Kirk, P. L. and Brooks, S. C, J.
Biol. Chem., 1944, 139, 21-28.
Silver is occasionally found in the tissues
particularly after treatment with silver
nitrate or argyrol. It appears as brown
to black granules or masses, is definitely
blackened by ammonium sulphide and
may be removed by a mixture of sodium
thiosulphate and potassium ferri-
cyanide solutions. Recently a method
based on reaction between silver and p-
dimethylaminobenzylidenrhodanin has
been described and illustrated in colors
(Okamoto, K., Utamura, M. and Akagi,
T., Acta Scholae Med. Univ. Imp. in
Kioto, 1939, 22, 361-372). Details are
supplied by Glick, p. 26.
Silver Chloride Dichlorfluoresceinate
coloration of vascular endothelial cells
(Bensley, R. D. and S. H., Anat. Rec,
1935, 64, 46-49). Inject intravenously
0.8% aq. dichlorfluorescein until animal
becomes quite yellow. Kill animal:
remove tissues and immerse in 10%
aq. silver nitrate or in Bensley's Silver
Citrate solution until salmon pink color
develops. Fix in 10% neutral formalin.
Dehydrate in alcohol and Iso-Safrol,
clear in iso-safrol and mount in balsam.
Endothelial cells outlined in pink. On
exposure to light color changes in time
the silver becoming brown and black.
See demonstration of Chlorides in lungs
by this method.
Silver Citrate injection of blood vessels
(Bensley, R. D., Am. J. Anat., 1929,
40, 146-169). This method has proved
of great value in the investigation of
efferent vessels of renal glomeruli. It
can be employed to advantage in other
situations particularly in association
with supravital staining of Pericapillary
Cells with janus green. To make up
the solution dissolve 4 gm. silver nitrate
in 100 cc. aq. dest. and remove to dark
room. Completely precipitate silver
as silver phosphate by addition of
sodium phosphate solution. Wash ppt.
repeatedly with aq. dest. decanting
supernatant fluid. Make up to volume
approximately 30 cc. Dissolve ppt. by
adding 28 cms. pure citric acid (or
tartaric acid) in crystals. Dilute with
aq. dest. to 1000 cc. and keep in dark.
For use, dilute this stock solution
with 3 times its volume 1% aq. sodium
citrate. Kill the animal by bleeding.
For kidneys and other abdominal
viscera insert into aorta cannula con-
nected by rubber tubing with pressure
bottle. First perfuse with 1% aq.
sodium citrate with the pressure bottle
SILVER DEPOSITS
315
SILVER LINEATION
about 60 cm. above cannula. When
clear fluid, free from blood, appears in
inferior vena cava, clamp tube and
replace citrate solution with silver
solution. Raise bottle about 150 cm.
above cannula and release clamp. De-
termine length of time of perfusion by
trials. When complete, immediately
make frozen sections to determine re-
sults and fix other pieces in 10%
formalin for 24 hrs. Cut paraffin sec-
tions desired thickness. Mount them
in usual way, run down to water and
develop in light in diluted photographic
developer or simply by direct exposure
to sunlight or arc light. Counterstain
in Mayer's Acid Carmine, hematoxylin,
acridine red or some other suitable dye.
Dehydrate, clear, mount in balsam.
Silver Deposits, methods for removal,
Lillie, p. 135.
Silver Diaminohydroxide after Sensitizing
with Sodium Sulfite for Neuroglia —
Written by William M. Shanklin,
American University of Beirut, Beirut,
Lebanon. March 30, 1951 — Fix small
fresh pieces of the central nervous sys-
tem in formalin ammonium bromide for
4 days at room temperature (Del Rio
Hortega, P., Arch. Hist. Normal Y
Path., 1942, 1, 165-205, 329-361; 1943,
2, 231-244, 577-604) : Formalin (Merck,
blue label 40%) 70 ml.. Ammonium
bromide 14 gm. and aq. dest. 680 cc.
Wash 10 hrs. in aq. dest. to which 30
drops of strong ammonia water are
added for each 100 cc. of water, and
cover the jar. Wash in two changes of
aq. dest. for 1-2 hrs. in each; dehydrate
with alcohol. Clear in cedar oil fol-
lowed by xylene 30 min. Infiltrate
with paraffin for 3-4 hrs., embed, sec-
tion at 10-15 M and fix to slide by the
albumen water method. Remove the
paraffin with xylene, dehydrate with
alcohol and pass through three changes
of aq. dest. 1-2 min. each. Sensitize
by placing the slides in 5% aq. sodium
sulfite, 2 hrs. Pass quickly through 3
changes of aq. dest. To prepare silver
diaminohj^droxide solution place 1
ml. 28% ammonia water in a small
flask and add 7 or 8 ml. 10% silver
nitrate rapidly. Continue to add 10%
silver nitrate drop by drop shaking
between each addition to clear the
solution until a faint permanent turbid-
ity remains after the last drop is added.
This takes a total of 9 to 10 ml. silver
solution. Then dilute the resultant
solution with an equal volume of aq.
dest. (Lillie, R. D., Stain Techn., 1946,
21, 69-72; Histopathologic Technic,
Philadelphia: Blakiston Co. 1948).
Impregnate by immersion in the silver
solution at room temperature for 2 to 5
min.; the time is varied until the opti-
rnum is determined. The silver solu-
tion will keep for several daj'^s but
should be changed frequently after
use. Dip in aq. dest. 1 or 2 sec. Re-
duce for 1 min. in 2% neutral formalin
(Merck, blue label) agitating gently.
The formalin should be changed fre-
quently. Wash in aq. dest. for 1 min.
Tone in yellow gold chloride (1 g. to
500 ml. aq. dest.) a few seconds to one
minute. This step must not be pro-
longed beyond the exact time needed.
Fix in 5% hypo for 1-2 min. Wash in
tapwater and counterstain lightly with
1% picric acid. Dehydrate in alcohol,
clear in xylene, mount in neutral bal-
sam and cover with cover slips.
This method successfully stains
fibrous and protoplasmic astrocytes,
microglia and oligodendroglia. By em-
bedding the tissue in paraffin the prob-
lem of overformalinization is avoided
and the tissues are still suitable for
staining years later (See Nassar, T. K.
and Shanklin, W. M., Stain Techn.,
1951,26, 13-18).
Silver Electrode of Linderstrom-Lang,
Palmer and Holter described by Glick,
p. 183.
Silver Gray, see Nigrosin, water soluble
Silver Lineation on pulmonary alveolar
walls — Written by C. C. Macklin, Dept.
of Histological Research, The Univer-
sity of Western Ontario, London, Can-
ada. November 28, 1951 — The following
modernization of a very old tech-
nique is recommended. Immediately
after cessation of the circulation the
collapsed lungs of healthy mammals are
filled, via the trachea or a large bron-
chus, with 0.2 per cent aqueous silver
nitrate for not more than one minute;
they are at once drained. They are
promptly refilled with distilled water
and evacuated, and this last process is
repeated. They are then filled with
10% neutral formalin in water; the
trachea is tied and the preparation im-
mersed in the same fixative for 24 hours
or more. The degree of distention
should be approximately that of full
inspiration (See C. C. Macklin, J. Thor.
Surg., 1938, 7, 536-551, for further
details and bibliographj')- Silver cit-
rate may be used instead of silver
nitrate (see R. D. Bensley, Am. J.
Anat., 1929, 40, 146-169). Blocks are
cut out and sectioned while frozen, or
after having been embedded in paraffin
or celloidin. Flattened frozen sections
are best for en face examination of the
silver lines on an expanse of alveolar
wall. The silver lines are darkened by
exposure of the sections to direct sun-
light; or, as an alternative, the lungs
SILVER METHODS
316
SILVER'S
may be briefly filled with y*5 strength
hydroquinone solution after the silver
has been thoroughly washed out and
before fixation. Stains such as Mayer's
paracarmine may be used. When the
silver is thus applied for but an instant
it does not involve the underlying
endothelium or reticulin fibers. In
thick sections the silver-line network
of the bronchial epithelium may often
be followed directly into that of the
alveolar walls, and the two are then
seen to form one system. On the
alveolar walls the areas circumscribed
by the meshes of the net are not uni-
form. The smaller, more heavily
marked, meshes enclose alveolar wall
cells (pneumonocytes, septal cells, etc.,
which see) while the larger meshes,
known as bare areas, contain no surface
cells. Around them the lines in some
animals, as rabbit, are often incomplete.
Silver Methods. General statement. A
brief historical review by Silver, M. L.,
Anat. Rec, 1942, 82, 507-529 shows that
progress has been made in the control
of these techniques to the point where
they yield reliable results with con-
siderable uniformity. Impregnation of
blocks of tissue and reduction of the
silver in various ways were and still are
the bases of the methods of Golgi,
Cajal and Bielchowsky which have
contributed so much to our knowledge
of the Nervous System, which see.
But one had to wait until the sections
were cut and examined to ascertain the
results. Sometimes they were all that
heart could desire; at other times the
worker faced repeated disappointments.
Having labored with the silver impreg-
nation of neurofibrils I have always
avoided silver methods whenever others
can be employed in their place. Now
however with the successful application
of reduced silver to sections mounted
on slides the technique is brought
from the insides of the blocks of tissue
which one cannot see into the open,
thanks to Rogers, W. M., Pappenheimer,
A. M.,and Goettsch, M., J. Exp. Med.,
1931, 54, 167-169. Another advance
was the introduction of protargol as the
silver salt for treating sections of the
central nervous system by Bartelmez,
G. W. and Hoerr, N. L., J. Comp.
Neurol., 1933, 57, 401-428. Then, like-
wise in Bensley's laboratory, Bodian,
D., Anat. Rec, 1936, 65, 89-97 employed
protargol with hydroquinone as reducer
and speeding up results by copper,
mercury and acid. Finally Davenport,
H. A., McArthur, J., and Bruesch, S. P.,
Stain Techn., 1939, 14, 21-26 dispense
with copper, and, by combining pro-
targol and silver nitrate at optimum pH,
reduce staining time of sections of pe-
ripheral nerves to 2 hrs. In addition,
Silver (loc. cit.) by well planned experi-
ments has shown that staining with
silver is brought about through adsorp-
tion and flocculation of electrically
charged silver micelles by suitably
charged surfaces. When these newer
methods are widely brought to bear
upon tissues of the body in normal and
pathological conditions a significant
service will be performed. Suffice it
here to give a few details under Nervous
System, Spirochetes, tests for Calcium,
Chloride, Vitamin C, Reticular Fibers,
Melanin, etc.
It is in some cases desirable to destain
silver slides. To do this pass down to
running water for 5 min. and treat sec-
tions with 0.25% aq. potassium per-
manganate to which 1% of cone, sul-
phuric acid is added for 15 min. Wash
in running water 2 min. Bleach in 5%
aq. oxalic acid 2-5 min. Wash. Re-
peat the stain omitting preliminary
oxidation-reduction, or apply some
other technique (Wilson, R. A. J., Am.
J. Clin. Path., 1943, Tech. Suppl. 7, 39).
Silver Nitrate is employed in many tech-
niques. It is important to remember
that ammoniacal silver nitrate solutions
on evaporation yield an explosive com-
pound. Consequently solutions of this
sort should never be allowed to dry but
should be washed down the sink with
plenty of water.
Silver Staining of bone (McCollum, E. V.,
Simmonds, N., Shipley, P. G. and
Park, E. A., J. Biol. Chem., 1922, 51,
41-49).
Silver's rapid silver-on-the-slide method
for nervous tissue (Silver, M. L., Stain
Techn., 1942, 17, 123-127). A new
feature of this technique is the reducing
solution.
1. For nuclei, fine fibers and nerve
terminals, fix with 10% neutral or
commercial formalin in 1% aq. sodium
chloride with Bouin's fluid or with some
other fixatives which he specifies prefer-
ably by Perfusion.
Cut frozen sections 10-40/x or dehy-
drate slowly, imbed in paraffin or cel-
loidin and cut 2-20^. Mount paraffin
sections on slides and deparaffinize in
the usual way. In the case of celloidin
sections remove celloidin with several
changes acetone and of equal parts
absolute alcohol and ether and pass down
through alcohols to water.
To make reducing solution dissolve
64 gm. Rochelle salts (potassium sodium
tartrate) in 500 cc. aq. dest. Boil vigor-
ously. Add 10 cc. 10% aq. silver nitrate
and boil again at least 5 min. Remove
from flame. Add 0.3 gm. crystalline
SINUSOIDS
317
SKIN
magnesium sulphate and while simmer-
ing 0.2 gm. KjS (U.S. P.) employing
only the brown unoxidized part of 1
piece. Filter while hot and make up
filtrate with aq. dest. to 4 liters. This
reducer improves slightly with age.
Place mounted paraffin sections or
frozen or celloidin sections in equal
parts above reducer and 0.5% aq. pro-
targol (Winthrop Chemical Co., Inc.,
New York) at 45-55°C. Staining is
progressive and ordinarily takes 2-3
hrs. Remove and examine. When com-
plete, generally before a grossly visible
reduction of silver is evident in the
solution, remove, wash in 2 changes aq.
dest., dehydrate, clear and mount.
More finely myelinated fibers are re-
vealed than are demonstrated by the
standard Weigert technique.
2. For myelin sheaths and mito-
chondria fix with 10% formalin in 1%
aq. potassium bichromate or with 10%
formalin in 1% aq. NaCl again prefer-
ably by perfusion, and mordant small
blocks of the tissue in 3% aq. potassium
bichromate for 7 days (This mordanting
can be dispensed with if tissue is in
fixative for more than 1 week.). Wash,
dehydrate, imbed (in paraffin), cut
4-20m and mount on slide. Remove
imbedding medium and proceed as
described above.
Sinusoids are capillaries of large diameter
through which the circulation is slower.
The endothelial cells of their walls
ingest some forms of particulate matter
in the blood stream. The best place to
demonstrate them is in carmine stained
sections of formalin fixed liver of an
animal injected intravenously with
India ink as described under Vital
Staining.
Sizes of Organs. See Normals.
Skin. No other part of the body is simi-
larly spread out for examination in vivo.
Much is to be gained by correlation of
gross and microscopic study. Altera-
tions in color, moisture, consistency and
thickness can easily be detected.
Changes in sensitivity and in the num-
ber and activity of sweat glands can be
determined by appropriate methods.
Simple techniques are available for the
visualization of Lymphatic Vessels,
and the Capillaries in the dermal papil-
lae can be demonstrated microscopically
and their behavior recorded in moving
pictures. See Thomas Lewis' classic,
The Vessels of the Human Skin and
their Responses. London : Shaw &
Sons, 1927, 322 pp. Very important is
direct study of the skin with hand
lens or binocular microscope.
But examination in sections will
always remain the basic method of
study. Hair, where present, should be
cut short with scissors and removed
with an electric razor, an instrument
which does not require the use of any
soap and does not scrape away the sur-
face. Samples of skin removed at
autopsy are satisfactory for some pur-
poses up to about 24 hrs. if the body has
been kept cool because autolytic changes
take place comparatively slowly in the
skin. But biopsy specimens are much
better. The local anesthetic should be
injected in a circle about the skin to be
excised and the observer should be on
the lookout for slight modifications if the
sections include the actual area into
which it is forced. Obviously the
specimen should be lifted, never
pinched with forceps.
Because the skin is made up of 2 tis-
sues, avascular epidermis and vascular
dermis, closely bound together, differ-
ential shrinkage is a troublesome factor.
Evans, R., Cowdry, E. V. and Nielson,
P. E., have found in this laboratory
that, owing to shrinkage or drawing to-
gether of the dermis, the folds in the
epidermis are accentuated to an extent
much greater than is generally realized.
This is more marked in young skins than
in those of old people and in living skin
than in skin excised after long delayed
autopsy. It is apparently not feasible
to entirely side step this kind of artefact
but the tendency of the whole specimen
to curl up can be obviated by spreading
it out with dermis down on a piece of
wooden tongue depressor or stiff card-
board for the first few minutes of fixa-
tion. If interest definitely centers in
the dermis it should be mounted with
epidermis down. But it should not be
kept in either position too long because
the complete entry of fixative will there-
by be prevented. After 3 or 4 hrs. the
specimen should be trimmed with a
new wet razor blade.
Frozen sections are essential for rapid
diagnosis, for staining with Sudan and
for many other purposes. The tech-
nique most used by dermatologists is to
fix in Bouin's Fluid and to stain paraffin
sections with Hematoxylin and Eosin.
After Zenker Fixation, Mallory's Con-
nective Tissue Stain, or Masson's
Trichrome Stain, is suitable for muscle
and coUagenic tissue. Weigert's re-
sorcin fuchsin is recommended for elas-
tic fibers. The Dopa Reaction is re-
quired for melanin precursors. For
nerve fibers the Bodian method is prob-
ably the best. Another silver tech-
nique advised for the skin is that of
Jalowy.
MacCardle, R. C, Engman, M. F.,
Jr. and Sr., Arch. Dermat. & Syph.,
SKUNK'S STAIN
318
SMALL INTESTINE
1941, 44, 429-440 give details of spectro-
graphic analysis of skin lesions. See
also Microincineration. Ultracentrif-
ugation method for determination of
intranuclear viscosity (Cowdry, E. V.
and Paletta, F. X., Am. J. Path., 1941,
17, 335-357). Methods of transplanta-
tion are described by Kelly, R. W. and
Loeb, L., Anat. Rec, 1939, 74, 487-509
and of fluorescence examination by
Cornbleet, T. and Popper, H., Arch.
Dermat. and Syph., 1942, 46, 59-65"
An adaptation of the Sandison tech-
nique is recommended by Williams, R.
G., Anat. Rec, 1934, 60, 493-499. See
Sebaceous and Tarsal glands. Hairs,
Nails, Feathers.
If it is not desired to investigate a
particular area, to which attention has
been called by its unusual gross appear-
ance; but, instead, to demonstrate some
special component, or response, of the
skin one should be guided in selection
of the specimen by the location where
the component or response is most likely
to be found. Thus Meissner's corpuscles
are best seen in sections of skin of
palmar surface of finger tips. Weddel,
G., J. Anat., 1941, 75 (3), 346-367 reports
that multiple groups of Krause's end-
bulbs occur beneath each cold spot in the
forearm about 1 mm. inward from the
skin surface. Many helpful clues are
supplied by Lewis, T., Pain. New
York: MacMillan, 1942, 192 pp. He
quotes Strughold as stating that pain
spots are aggregated as closely as 200
per sq. cm. in supraclavicular, ante-
cubital, inguinal and popliteal fossae
while they are rare (40-70 per sq. cm.)
on tip of nose and ear, soles and palms
(see Nerve Endings). The skin of
axillary, pubic and nipple areas is more
likely than that of the rest of the body
to respond to sex hormones. Adjust-
ments to external environment are to be
expected in exposed parts. To search
for sweat glands in those mammals which
do not possess any is futile. To expect
all epidermal layers in thin epidermis is
likewise contraindicated.
Fluorescence Microscopy is capable
of yielding interesting results in dis-
tinction between psoriasis and hyper-
keratosis scales (Radley, J. A. and
Grant, J., Fluorescence Analysis in Ul-
traviolet Light. New York: Van Nos-
trand, 1935). Further indications on
fluorescence are given under Hair and
Sebaceous Glands.
Now that epidermis can be conven-
iently separated from dermis it is desir-
able to give details of technique relating
to it under a separate heading. See
Epidermis.
Skunk's Stain, see Flagella.
Skyblue (CI, 1286)— coelestin blue, coeline,
coeruleum — a mineral pigment, cobal-
tous stannate, seldom used in medical
research.
Slides, see Cleaning.
Slifer-King method, see Ticks.
Slime Forming Bacteria, Conn's method.
Stain for about 1 min. with a little heat
in Rose bengal 1 gni., 5% aq. phenol
100 cc, 1% aq. CaClj, 1 cc; then wash
quickly and dry (McClung, p. 146).
Small Intestine. JVIany conditions influence
the appearance seen in sections. If
fixed while distended with food mate-
rial, the spaces between the villi are
more noticeable, the villi shorter and
the muscular layers thinner than when
fixed while strongly contracted. See
illustrations provided by Johnson, F.
P., Am. J. Anat., 1912-13, 14, 235-250
and Contraction Bands. The time after
feeding and the character of the food has
a marked influence on structure. The
cytoplasmic granules of the Paneth
Cells are almost all discharged in guinea
pigs 6 hrs. after feeding. They are pres-
ent in large numbers after fasting for 24
hrs. (Klein, S., Am. J. Anat., 1905-06,
5,315-330). Even vitamin B deficiency
alters the distribution of intraepithelial
fat (Mottram, J. C, Cramer, W., and
Drew, A. H., Brit. J. Exp. Path., 1922,
3, 179-181). According to Hamperl
(H., Ztschr. f. Mikr.-Anat. Forsch.,
1925, 2, 506-535) Enterochromaffin Cells
can no longer be found in humans autop-
sied as late as 4-5 hrs. after death. The
incidence of Contraction Bands in
muscle is increased by exposure to air
and mechanical manipulation before
fixation. Villi are very prone to ex-
hibit Agonal Changes. If the indi-
vidual has fasted for a long time before
death a marked invasion of the mucous
membrane by lymphocytes is to be ex-
pected. See Fig. 158, Cowdry's His-
tology. It may extend throughout the
gastrointestinal tract being greatest in
the stomach and least in the large in-
testine.
A good way to examine the wall of the
small intestine is to push a test tube of
appropriate size into the lumen of a
segment. This will hold it open and
facilitate dissection. Strip off the
serosa, then the tunica muscularis, not-
ing the direction of the fibers and leaving
only the mucosa. Take small pieces of
mucosa and mount in physiological
saline inside up and examine at low
magnification. Finally with dissecting
needles pick out separate villi and study
with oil immersion objective. To ob-
tain a clearer concept of individual
muscle fibers first macerate the intestine
on the tube in 15% aq. nitric acid for
SMEARS
319
SODIUM
2-3 days. Consult Carey, E. J., Anat.
Rec, 1921, 21, 189-215 and Goerttler,
K., Morph. Jahrb., 1932, 69, 329. See
Chloralhydrate Maceration.
Smears. To examine fluids and tissues as
thin films so that the components are
individually clearly visible is often nec-
essary. Careful preliminary cleaning
of the slides is necessary. Touch the
surface of a slide about 2 cm. distant
from the end to a drop of blood imme-
diately on the appearance of the latter
from a puncture in the skin. Quickly
apply the smooth end of another slide
to the drop and the surface of the first
slide so that the drop spreads along the
line of contact. Then evenly push the
second slide, with the blood following it,
along the surface of the first slide. The
angle at which the pusher is held plus
the speed of smearing and the amount
of blood will determine the thickness of
the film. Ordinarily it should be so
thin that the reds are smeared in a single
layer. But for certain purposes as in
the search for some parasites thick
smears are the best (see Blood Smears).
In the case of cells in cerebrospinal
and other fluids and of some bacteria
and parasites it may be desirable to
concentrate the objects by centrifuga-
tion because otherwise smears would
show too few of them. See Concentra-
tion Methods. The precautions de-
tailed above to obtain evenness are sel-
dom required. The material simply is
transferred to the slide in a platinum
loop or glass pipette and spread on it.
Smears of lymph nodes and spleen are
generally made by drawing "streaking"
the freshly cut, moist surfaces along
slides. Impression preparations of
these tissues are not smears but they
serve the same purpose. In making
them the surface of slide is quickly
pressed against the surface of the tissue
and a considerable number of the easily
detachable cells adhere to the slide
where they are quickly dried, or, while
still wet the impression can be fi.xed in
Helly's fluid (i.e. formalin Zenker) as
advised by Maximow (see Downey, p.
2001). McClung (p. 262) reconrimends
smears on cover glasses for certain germ
cells.
The smears can be fixed by gentle
heat, or by methyl alcohol or in special
cases in formalin or osmic vapor. Giem-
sa's stain is the most popular but a
great many others are available es-
pecially for Bacteria.
Smears cannot be made of fixed cells
isolated by Maceration in the same way
because they are not present in body
fluids which when they dry facilitate
sticking of the cells to the slides. It is
therefore necessary to spread them on
slides previously moistened with a very
small amount of Albumen-Glycerin
before drying. Sec Papanicolaou Tech-
niques, Ear and Nasal Cell Smears.
Smith-Dietrich method for lipoids (Die-
trich, A., Verb. d. Deut. Path. Ges.,
1910, 14, 263-268). Treat frozen sec-
tions of formalin fixed tissues 1-3 days
in 5% aq. potassium bichromate at 37°C.
After washing in aq. dest. stain 4-5 hrs.
in Kultschitzky's hematoxylin (stock
solution 10% in abs. ale. ripened at
least 6 months, 10 cc. + 2% acetic acid,
90 cc). Wash. Differentiate over
night in Weigert's borax ferricyanide
(borax, 2 gm.; potassium ferricyanide,
2.5 gm. ; aq. dest., 100 cc). Wash care-
fully. Mount in syrup of levulose.
Lipoids dark blue. Lison (204) consid-
ers the positive staining as characteris-
tic for a lipine (lipoid) if the possible
presence of cholesterides and cholesterol
is excluded.
Smooth Muscle, see Contraction Bands.
Soap-Wax technique for paraffin imbedding,
see Lebowich.
Soaps. Sodium and potassium salts of fatty
acids, see Fischler's modification of
Benda method.
Sodium. A method for the retention of
sodium and potassium in microinciner-
ated tissue has been proposed by Poli-
card, A., and Fillet, D., Bull. d'Hist.
Appl., 1926, 230-235. In their opinion
these two elements are present as chlo-
rides in the tissue and their conversion
to sulphates by treating the sections
with sulphuric anhydride fumes makes
them more stable and better able to
withstand the high temperature of in-
cineration. See Microincineration Ra-
dioisotopes.
A good colorimetric method for so-
dium is reported by Bott, P. A. (J. Biol.
Chem., 1943, 147, 653-661). He used
it for determinations of sodium in
glomerular urine. It works even with
0.3 M gm. of urine in 0.2 ^l with error of
about 3%. Such techniques are not
advised for people untrained in chem-
istry.
Probably the best titrimetric method
for sodium is that of Linder, R. and
Kirk, P. L. (Mikrochemie. 1938, 23,
269-279) for small amounts of tissue
having 0.13-4.13 m gm- of sodium. Ac-
cording to Glick, p. 270 the technique
of Clark, W. G., Levitan, N. I., Gleason,
D. F. and Greenberg, G. (J. Biol.
Chem., 1942, 145, 85-100) might be
adapted to the required micro level for
histochemical investigation.
An ultramicromethod for sodium
employing the polarograph has been
devised by Carruthers, C, Indust. and
SODIUM ALIZARIN SULPHONATE
320
SPALTEHOLZ METHOD
Engin. Chem., 1943, 15, 70-71. It has
been used for analysis of small amounts
of epidermis by Suntzeff, V. and Car-
ruthers, C, Cancer Research, 1943, 3,
431-433. If it is only necessary to
prove presence or absence of traces of
sodium try Histospectrography.
Sodium Alizarin Sulphonate. See Hydrogen
Ion Indicators.
Sodium Fluoride effect on teeth (Cowdry's
Histology, p. 267).
Sodium Paradipicrylamine, see Siena Or-
ange.
Soil. Bacteria. 1. Conn's Rose Bengal
method (McClung, p. 146). To 1 gm.
soil add gelatin fixative (0.015% gelatin
in boiling water used after it has cooled)
to make 10 cc. Place about 0.01 cc. on
slide to cover 1 sq. cm. Dry on boiling
water bath. Stain with Rose bengal as
for Slime Bacteria. Unless counts are
to be made the amount smeared on the
slide is not important.
2. Fast acid blue (C.I. 760) is
strongly recommended (Romell, L. G.,
Stain techn., 1934, 9, 141-145) but it is
doubtful whether any manufacturer
other than I. G. Garbenindustrie makes
the dye. According to the General
Dyestuffs Corporation it is contained in
violamin 3B. Dry suspension of soil
on slide which has been fixed in alcohol
with 0.05% dye in 4% aq. phenol.
Washing is unnecessary. Examine
smears in water. Details are given by
Romell.
Solantine Red 8 BLN. A sulfonated 'azo
dye. For formula and influence on
mouse tumors, see Stern, K., Cancer
Res., 1950, 10, 565-570.
Solanylin, a dye extracted from the egg-
plant (Solarium melongena, var. escu-
lenta) proposed as a substitute for
hematoxylin. It will stain nuclei and
mucus (Fuse and Suzuki, Arb. Anat.
Inst, zu Sendai, 1935, 17, 175-181).
Solid Green JJO, see Brilliant Green.
Solid Green O, see Malachite Green.
Soluble Blue 3M or 2R, see Anilin Blue.
Soluble Indulin 3B, see Indulin, water
soluble.
Soluble Yellow OL, see Metanil Yellow.
Solutions. In technique several kinds are
employed.
1. Physiological solutions are in-
tended to approximate as closely as
possible to the tissue fluid environments
of cells so that cells examined in them
will not be greatly altered thereby.
See Physiological Solutions.
2. Normal solutions are, on the other
hand, chemical standards made by dis-
solving definite amounts of substance
(easily calculated) in sufficient aq. dest.
to make 1 liter. See Normal Solutions.
3. Molar, molecular and grammolecu-
lar solutions contain the molecular
weight of the substance in grams per
liter. They are of the same concentra-
tion as normal solutions of substances
possessed of one hydrogen or other
equivalent and difTer from those of sub-
stances containing more than 1 such
equivalent. See Molecular Solutions.
4. Molal solutions contain the molec-
ular weight of the substance in grams
+ 1000 grams aq. dest. The designa-
tion molal is rarely used, molecular is
common and normal most frequent.
Sonic Vibrations. Employed as a means for
fractionating spermatozoa so that their
several parts can later be collected by
centrifugation (Zittle, C. A. and O'Dell,
R. A., J. Biol. Chem., 1941, 140, 899-
907). See Ultrasonic Vibrator.
Sorensen's BuflFers. Sorenson's phosphate
bufi'ers are prepared from Merck's
special reagents. Dry salts at 105°C.
overnight and store in a dessicator over
CaCh. M/15 solutions are used. To
make them dissolve the following
amounts in aq. dist. and make each so-
lution up to one liter:
NaiHPOi anhydrous 9.47 gm.
KH2P04 9.08 gm.
To obtain a solution of the pH re-
quired, mix them in following amounts:
ec. M/15
cc. M/15
pH
NajHPOi
KH,PO.
5.4
3.0
97.0
5.6
5.0
15.0
5.8
7.8
92.2
6.0
12.0
88.0
6.2
18.5
81.5
6.4
26.5
73.5
6.6
37.5
62.5
6.8
50.0
60.0
7.0
61.1
38.
7.2
71.5
28.5
7.4
80.4
19.6
7.6
86.8
13.2
7.8
91.4
8.6
8.0
94.5
5.5
For range pH 8.2-9.2 see Palitzsh Buf-
fers. See affect of Phosphate Solutions
on living cells.
Spalteholz Method for clearing small em-
bryos as suggested by the Bensleys.
After appropriate fixation 80 and 95%
alcohol 1 day each. Two changes ab-
solute alcohol, 2 days. Equal parts
benzol and absolute alcohol, 1 day.
Two changes pure benzol, 1 day. Then
Wintergreen oil (methyl salicylate) and
benzyl benzoate by weight 5:1, 3:1 and
2:1 for very young, young and older
embryos respectively (under negative
Kressure in vacuum pump) until cleared,
lount or store in this clearing fluid. In
practice it is possible to get good results
SPECIFIC GRAVITY
321
SPORE STAIN
without the negative pressure. This
method can be used for many tissues
besides embryos. For author's account
see Spalteholz, W., Ueber das Durch-
sichkigmachen von menschlichen und
Tierischen Praparaten. Leipzig, 2nd
Edition, 1914.
Specific Gravity. It is often desirable to
ascertain the relative specific gravities
of tissues, cells and parts of cells. See
Centrifugation.
Spectrographic Analysis, see Histospectrog-
raphy and Absorption Spectra.
Spectrophotometric Analysis of tissue stain-
ing has been greatly advanced by
Stowell, R. E. and Albers, V. M., Stain
Techn., 1943, 18, 57-71. Comparison
of spectral absorption curves of stains
and substances colored bj^ them has
demonstrated that data can thereby be
obtained on the chemical processes in-
volved. No evidence was found of sig-
nificant chemical alterations in the
chromophox radicals of the stains asso-
ciated with the tissue staining under the
conditions of the experiments.
Spectrophotometric Evaluation of blood
stains (Lillie, R. D. and Roe, M. A.,
Stain Techn., 1942, 17, 57-63).
Spermatozoa, simple method for staining.
Make smears of fresh spermatic fluid on
slides and dry in air. Fix 3 minutes in
10% formalin. Stain in Harris' hema-
toxylin 1 minute, wash in water and dry
(Fetterman, G. H., Am. J. Clin. Path.,
1942, 6, 9). Microincineration (Poli-
card, A., Bull. d'Hist. Appl., 1933, 10,
313-320). Helpful histochemical meth-
ods are detailed by Marza, V. B.,
Bull, d'hist. appl., 1931, 8, 85-102.
Sperms are excellent material for
Electron Microscopy. See Schmitt, F.
O. (Biological Symposia, 1943, 10, 261)
and Scott, G. H. in McClung's Micro-
scopical Technique, 1950, p. 723. The
Keilin, D. and Hartres, E. F. (Nature,
1950, 165, 504) device of manifold in-
tensification of absorption spectra in
liquid air has been employed by Mann,
T. (Biochem. J., 1951, 48, 386-388) for
cytochrome determinations in sperm.
See Semen.
Spermin Crystals are long prism-like forma-
tions produced in dried semen colored
brown or violet with iodine or potas-
sium iodide, also known as Boettcher's
crystals.
Sphingomyelin, a compound of phosphoric
acid, a fatty acid, choline and sphingo-
sine without glycerol, soluble in ben-
zene, pyridine and hot alcohol and al-
most insoluble in ether, see Lipoids.
Spirit Blue (CI, 689)— anilin blue alcohol
soluble, gentian blue 6B, light, Lyon
and Paris blues— A mixture of di- and
tri-phenyl rosanilin chlorides. Conn
(p. 133) reports that it is a good stain
for growing nerve fibers.
Spirit Indulin, see Indulin, spirit soluble.
Spirit Nigrosin R, see Indulin, spirit soluble.
Spirochaetales. The organisms of this
group often require special methods for
demonstration ; but within the gastric
f lands of humans (Doenges, J. L., Arch,
'ath., 1939, 27, 469-477) dogs, cats, rats
and Macacus rhesus monkeys (Cowdry,
E. V. and Scott, G. H., Arch. Path.,
1936, 22, 1-23) they can frequently be
seen in ordinary hematoxylin and eosin
preparations. Preparations of these be-
nign organisms are therefore easily
made and useful as showing intracellular
forms within parietal cells. For special
techniques see Treponema Pallidum,
Warthin-Starry method and Vincent's
Angina.
Spleen. Fixatives penetrate the spleen
poorly on account of the large amount
of blood in it. Consequently it is desir-
able to fix only thin slices of it, say 3-4
mm. thick. If the spleen is particularly
soft to begin with the slices will not hold
their shape and it may be necessary to
cut parallel to the surface and include
the capsule as a support. Direct ob-
servation of splenic venous sinuses
in vivo (Knisely, M. H., Anat. Rec,
64, 499-524; 65, 23-50; MacKenzie, D.
W., Whipple, A. O. and Wintersteiner,
M. P., Am. J. Anat., 1941, 68, 397-456).
Transplants into omentum (Holyoke,
E. A., Am. J. Anat., 1940, 66, 87-132).
For vascular injections of Malpighian
bodies, see Nisimaru, Y. and Staggerda,
F. R., J. Physiol., 1932, 74, 327-337.
See Kurlof Bodies.
Spodogramme, term used bj' French his-
tologists for the mineral skeleton of
tissue revealed by Microincineration.
Spore Stain, a modification of Dorner's.
Make thin film on slide. Cover with
blotting paper and add freshly filtered
Ziehl's carbol fuchsin. Steam 5-10 min.
on hot plate, the blotting paper being
moistened with the fuchsin. Decolor-
ize instantaneouslj' with 95% alcohol
and wash in water. Add drop of sat.
aq. nigrosine and spread thinly. Dry
quickly and examine. Spores red, other
parts of bacilli almost colorless against
dark background. Said to be simpler,
quicker than the unmodified Dorner's
method. It is recommended for Bacil-
lus megatherium, B. niger, B. cereus,
B. mycoides and some cultures of B.
subtilis (Snyder, M. A., Stain Techn.,
1934, 9, 71-72).
Stain heat fixed film with carbol -
fuchsin (see Acid Fast Bacilli). Rinse
quickly and difforentiate in 95% alcohol.
Wash in hot tap water and again rin.se
in alcohol. Counterstain for 2-5 min.
SPREADING FACTORS
322
SPREADING FACTORS
with Loeffer's methylene blue. In case
of thick films pour off and add more
blue. Rinse in tap water and blot dry
(S. Bayne-Jones in Simmons and Gentz-
kow, p. 386).
A modification of Schaeffer's spore
stain. Support a small metal tray over
asbestos centered wire gauze. Add
water and heat to steaming. Slides with
ends resting on either side of the tray
should have droplets of water condense
on their under surface. Flood properly
fixed smear on slide with 5% aq. mala-
chite green and leave in this way on
steam bath 1 min. Drop in cold water,
rinse thoroughly and while wet add 0.5%
aq. safranin 30 sec. Rinse again in cold
water. Spores, green; vegetative cells,
red (Ashby, G. K., Science, 1938, 87,
443).
Spreading Factors and ground substance of
Mesenchyme — Written by F. Duran-
Reynals, Dept. of Microbiology, Yale
University, New Haven, Conn. Octo-
ber 8, 1951 — A discussion on the nature
and function of the spreading factors
(S.F.) must be indispensably preceded
by a survey on the newer knowledge of
the ground substance (G.S.) of the
mesenchyme, a knowledge to which,
precisely, the discovery of the S.F.
has largely contributed.
The importance of the G.S. is easily
emphasized: it is impossible to have a
complete concept of cell function if this
cell is not considered together with its
immediate environment, namely, the
G.S. or other intercellular matrices
which, it is to be hoped, some day will
be known. One cannot have a clear
idea of the effects on cells of poisons or
therapeutic agents; of the portal of
entry and of so many other phenomena
in infection and defense against infec-
tion without a previous knowledge of
the initial effect of the invading agent
on the G.S. or, conversely, of the effect
of the G.S. on the infectious agent.
The G.S. of the mesenchyme is, of
course, present in all mesodermic struc-
tures, and consequently it pervades the
whole animal body. It is present in
the skin where it spreads as a continu-
ous sheet underneath the epidermis;
and in between the follicular cells sur-
rounding the mammalian ovum. The
synovial fluid is a modified G.S., and
the joint cavities can be considered as
giant intercellular formations. The
G.S. is also abundantly in the vitreous
humor, in the umbilical cord, and still
other structures.
From direct studies by a group of
physiologists, the following has been
learned about the G.S. :
(a) It is a jelly placed between
vessels, cells and fibers, and does not
contain spaces;
(b) It does not contain free water
under physiological conditions. Water
is associated with components of the
jelly, which is capable of hydration
in different degrees;
(c) Dyes, and presumably metabo-
lites, do not seem to progress through
the jelly proper, but following the path-
ways of the fibrillar structures; and
(d) It shows a resistance to penetra-
tion by inoculated fluids, and this re-
sistance is not overcome until a pressure
of 8.5 cm of water has been reached.
Therefore, the G.S. is a barrier.
The main, or best known, compo-
nents of the G.S. are mucopolysaccha-
rides— -linked with protein, to which
the G.S. owes its viscid consistency.
The most significant of the polysac-
charides is hyaluronic acid (H.A.)
H.A. is a member of a very important
group of substances such as heparin,
mucoitin, and chondroitin sulphuric
acids, and still others, all of which
play preponderant physiological roles.
The G.S. can be identified by means of
staining reactions, more or less selec-
tive for polysaccharides, such as peri-
odic acid, leuco fuchsin, toluidine blue,
Prussian blue, and still others.
One may suppose that since H.A. is
so widely present in normal and patho-
logical tissues, its secretion is the work
of many mesenchymal cells, including
plain fibroblasts, in a manner perhaps
comparable to the formation of the acid
in the capsule of some bacteria, e.g.
streptococcus group A and C. However,
a variety of contributions seem to
incriminate specialized granule - con-
taining cells, identified or not to mast
cells as the elements responsible for the
formation of the G.S. in general; or of
synovial fluid; or hyaluronic acid in
particular. One may wonder whether
H.A., so rapidly and abundantly ac-
cumulated in some normal or patho-
logical tissues, such as in the sex skin
of monkeys and some tumors, is origi-
nated by the same cells that secrete the
acid present in other tissues. Be it as
it may, H.A. formation is controlled
by endocrine factors which will be re-
viewed later.
The S.F. are the agents which act
selectively or exclusively on the G.S.,
changing its physical and chemical
characteristics. They were discovered
in 1928 by the enhancing effect that
extracts from mammalian testes proved
to have on infection. The most im-
portant, or at least the best known, of
the S.F. is hyaluronidase (H) which is
present, in mammalian testes, in cer-
SPREADING FACTORS
323
SPREADING FACTORS
tain invasive bacteria such as staphy-
lococcus, streptococcus, pneumococcus,
in animal poisons such as that of rattle-
snakes, in secretions of insects such
as mosquitoes, etc. Often H. is asso-
ciated with other spreading factors in
the animal secretions.
The in vivo effect of H. is shown by the
spreading reaction. In this reaction
any material injected in the G.S., to-
gether with H., spreads rapidly as if
ink were dropped on a blotter. The
reaction is best shown when a mixture
of any H. -containing material and any
colored matter is injected intradermally
into a rabbit. A control inoculum of
the colored material alone remains
largely localized where the presence of
the injection has left it.
H. was identified to a mucolytic en-
zyme in 1939. The action of the en-
zyme, or rather of the group of enzymes,
has been and still is subject to extensive
biochemical study into which we cannot
enter. Essentially, H.A. attacked by
the specific enzyme contained, for in-
stance, in a simple rabbit testicle ex-
tract, is first depolymerized and then
split into its components, glucuronic
acid and acetyl glucosamine. The
first effect manifests itself by a sudden
drop in the viscosity of the solution
containing the polysaccharide, for in-
stance, a simple extract of umbilical
cord.
This reaction in the test tube is the
counterpart of the spreading reaction
in the animal. In the latter case, there-
fore, the H.A. of the ground substance
is similarly attacked by the injected
H. and the jelly is quickly liquefied.
What used to be a barrier is now a
pathway, and consequently, any mate-
rial injected together with the enzyme
will easily spread throughout the inter-
cellular atmosphere. Mechanical pres-
sure increases the diffusion consider-
ably.
The spreading reaction also takes
place, although far less conspicuously
than in the skin, in tissues in which con-
nective tissue exists in formations sus-
ceptible of being injected. Whether H.
attacks components of the blood capil-
laries resulting in increased capillary
permeability is still a debatable point.
At any rate, the permeability of the
blood capillaries is considerably in-
creased by some factor which is regu-
larly present in the materials contain-
ing H.
There are other S.F. which act on the
G.S. of the mesenchyme, but their
mode of action is far less known than
in the case of H. The effect of azopro-
teins and ascorbic acid seems to be of
only a physical, depolymerizing nature.
Others, found in several tissue extracts,
bacterial cultures and animal secre-
tions, and also simple chemicals, do
not affect H.A. in vitro, and their
spreading effect may largely be due to
edema formation, as shown by the lack
of spreading in the skin of the dead
rabbit. It may be quite important
that, as shown recently, derivations of
H.A. have a spreading effect even in
the dead rabbit. All these facts em-
phasize the complexity of the spreading
reaction, and suggest that more atten-
tion should be paid to S.F. other than
H. Such study could prove to be ex-
tremely fruitful.
With the above reviewed as a back-
ground, we are on a solid basis to
explain phenomena of fundamental
importance in pathology, such as the in-
vasion of the lung by the pneumococ-
cus; the progressive march of erj^sip-
elas; the brutal invasion of tissues
following snake bite; the efficacy in
the inoculation of infectious agents
carried by insect vectors; and so many
others.
In the domain of physiology, besides
other possible effects we can under-
stand the liberation of the ovum from
its surrounding granulosa cells as an
event preceding fertilization. H.A.
is largely present in the cement holding
these cells together, and from the at-
tack of the acid by the enzyme secreted
by the spermatozoa, this cement is
liquefied and the granulosa cells be-
come dispersed.
In the field of pharmacology, we can
also understand the powerful enhance-
ment of the effect of therapeutic agents
such as the various solutions adminis-
tered in clysis, of local anesthetics, of
antibiotics, etc. when the agent is in-
jected together with H. which will pro-
mote its rapid spreading and absorp-
tion. Also, the injection of H. in
edematous areas subsequent to injury
greatly accelerates the absorption of
the extravasated fluid, possibly the
effect of the enzyme being here of a
more complex nature.
If a dye solution is injected intra-
dermally into animals it will sometimes
diffuse (although far less than if H.
is added) depending on different fac-
tors such as age, sex, genetic constitu-
tion, etc. of the host. This simple
experiment indicates that the G.S. has a
physiological permeability or tonus,
subject to changes. When the per-
meability is decreased the effect is
manifest by a suppression of the spread-
ing effect of H., the opposite being prob-
SPREADING FACTORS
324
SPUTUM
ably true when the permeability of the
G.S. is increased.
Hormonal effects play a very impor-
tant part in controlling the permeabil-
ity of the G.S. Thus, estrogenic, and
some adrenal cortical, hormones de-
crease the permeability of the G.S. —
that is, increase its barrier value —
whereas chorionic gonadotropin hor-
mone has the opposite effect. Other
hormones have been studied in this
respect, sometimes with contradictory
results.
The mechanism of action of these
hormones — a crucial point in our sub-
ject— is a matter of conjecture. We
have three clear cases in which the
hormone has promoted the accumula-
tion of vast amounts of hyaluronic
and chondroitin sulphuric acid in tis-
sues of election: estrogens causing the
development of the sex skin of monkeys;
testosterone inducing the develop-
ment of the cock's comb; and thyroid
stimulating hormone provoking the
formation of periorbital tissue in the
guinea pig and pretibial myxedematous
tissue in man. In all these cases H.
injected into the tissue causes their
quick dissolution or collapse through
an effect on H.A.
In the case of the sex skin of mon-
keys, at least, the accumulation of H.A.
increases very much the barrier value
of the tissue to the penetration of
foreign matter. However, we do not
have any evidence that, in the other
cases where the permeability of the
G.S. has been diminished by endocrine
effects, the effect is due to quantita-
tive changes in the tissue polysaccha-
rides. This statement holds specially
true in the case of the adrenal cortical
hormones because their effect is very
rapid, being most marked one hour
after intravenous injection. There-
fore, it is logical to think that qualita-
tive besides quantitative changes in the
polysaccharides are effective in alter-
ing the permeability of the G.S.
It would also seem logical to suppose
that there is a common denominator
to the effects of at least some of the
hormones effective on the G.S., and,
in view of the newer knowledge on the
physiology of the adrenal cortex, one
could suspect that some of the adrenal
cortical hormones are this common
denominator. In favor of this sup-
position one could quote the fact that
a great variety of stimuli which de-
crease the permeability of the G.S.
are also known to act on the adrenal
in the alarm reaction syndrome.
Of special interest in this respect is
the case of infection, notably that in-
duced by rapidly invading bacteria.
Here, shortly after the experimental
inoculation of e.g. staphylococcus or
streptococcus, the permeability of the
G.S. is considerably diminished, and
this phenomenon is, in itself, a power-
ful element in the defense of the or-
ganism against infection, specially in
its first phases.
Whatever hormones are responsible
for the diminished permeability or in-
creased barrier value of the G.S., we
do not know how the effect is brought
out, although one could theorize on a
direct effect on the polysaccharides or
on whatever cells of the mesenchyme
responsible for the elaboration of these
polysaccharides.
These problems are of far reaching
importance. For, fluctuations in the
permeability of the G.S. of the mesen-
chyme manifest themselves by parallel
alterations in susceptibility or resist-
ance to infection, and to a certain
extent it is possible to protect against
e.g. vaccinia or tuberculosis by treat-
ment of the host with estrogenic hor-
mones. True, we still do not know the
precise mechanisms of the effect above
reviewed, but we do know that the
harmonious integration of these effects
reflects on the G.S., which will main-
tain its perfectly physiological tonus.
If we know so much about acquired
immunity, it is, to a large extent, be-
cause the natural immunity has failed.
Maintaining this tonus of the G.S.
would mean controlling of complex
mechanisms leading to natural resist-
ance, that is to health. (See Duran-
Reynals, F., Bact. Rev., 1942, 6, 197-
252. Also Symposium on "The ground
substance of the Mesenchyme and hyal-
uronidase" in: Ann. N. Y. Acad. Sci.,
1950, 52, 943-1196.)
Sputum. Amount, gross appearance, color
and odor (if present) are important.
Microscopic examination should first
be made mounted but unstained. Look
for pus, elastic tissue, pigmented heart
failure cells, amebae, fungi, ova of ani-
mal parasites, colorless, hexagonal
pointed Charcot-Leyden crystals, other
crystalline material, etc. Stain smears
by methods of Giemsa, Gram and for
Acid Fast bacilli. It may be necessary
to use Concentration methods. Inter-
pretation of findings requires much
experience . Comparison of chlorox and
sodium-hydroxide-alum techniques for
tubercle bacilli in sputum (Cameron,
G. M. and Castles, R., J. Lab. & Clin.
Med., 1946, 31, 361-368). See also Sec-
tion on Sputum Examination in Osgood,
E. S., Laboratory Diagnosis. Phil-
STAINING
325
STARCH PASTE
adelphia: Blakiston Co., 1940, 676 pp.
See Papanicolaou Techniques.
Staining is the act of giving color to some-
thing. It is said to be progressive when
the structures colored take up the stain
progressively to a greater degree than
do others which by contrast are not
colored. Thus, in testing for iron by
the Macallum method the iron is stained
progressively with hematoxylin. Stain-
ing is called regressive when many
structures are over stained and by
decolorization, or differentiation, the
color regresses and is retained only by
those which hold it most tightly in con-
trast with which the others are not
stained. To demonstrate Nissl bodies
in nerve cells the cells are over stained
with toluidin blue. By decolorization
in alcohol the color is made to regress to
the point where the Nissl bodies stand
out colored in a cytoplasm no longer
blue. See, also vital and supravital
staining and acid and basic dyes.
Acid stains are often contrasted with
basic ones though the dyes are usually
neutral salts. In "acid" dyes it is the
acid part, or anion, that is colored and
does the staining; while in "basic" dye
the reverse holds and it is the basic por-
tion, or cation, that is the coloring agent.
For instance, acid fuchsin is a sodium
salt of sulphonic acid of fuchsin and it
is the acid part which gives the color.
Basic fuchsin, on the other hand, is a
hydrochloride of rosanilin and it is the
base, rosanilin, which stains. A "neu-
tral" dye is a more complex association
between a color acid and a color base.
Basic materials may be colored by
acid dyes and acid ones by basic dyes,
but this does not by any means always
hold. A substance staining by an
"acid" dye is said to be acidophilic, as
for example the specific granules of
eosinophile leucocytes which take the
"acid" dye eosin. Similarly another
material, such as nuclear chromatin is
termed basophilic because it colors with
toluidin blue which is a "basic" stain.
A neutrophilic granule is colored by
both the color acid and the color base of
a neutral dye. An amphophilic one
(G. ampho, both; philos, fond) will
stain with either acid or basic dyes or
with a neutral dye for it likes both color
acids and color bases. Heterophile
leucocytes (G. heteros, other, and philos,
fond) px)ssess granules which are homo-
logous for the several species but dififer
in staining reaction for the species
(Ma.ximow — Bloom, Histology, 2nd Edit.
1934). See Supravital and Vital Stains.
Stains. The laboratory worker desiring to
keep clean can use the methods advised
by W. C. Tobie (Simmons, and Gentz-
kow, p. 358).
Bacteriological stains on hands.
Wash in 2 or 3% cone, hydrochloric acid
in 95% alcohol (by vol.) and then in
soap and water. For fabrics, wash in
10% acetic acid in 95% alcohol (by vol.)
and rinse repeatedly in much water; in
case stain remains wash with dilute
chlorine, or bromine water, or with fil-
tered chlorinated lime solution (as
"HTH" high test hypochlorite) and
rinse again in water.
Iodine stains. Remove with aq.
sodium thiosulphate and wash in water.
Blood stains. Wash away with 3%
aq. hydrogen peroxide, and rinse in
water.
Silver stains occasioned by silver
nitrate, argyrol and the like. Treat
with hot solution of 5 gm. mercuric
chloride + 5 gm. ammonium chloride in
100 cc. water.
Mercurochrome stains. Wash out
fresh ones with dilute bromine water or
chlorine water or fresh aq. filtered
chlorinated lime (HTH). Old ones
should be treated with 2% aq. potas-
sium permanganate followed by 5% aq.
oxalic acid and washing in water.
Biological fluids. Stains and smell of
putrefaction caused by them can be
removed, as above, by permanganate
and oxalic acid.
Standards. See Biological Standards, Nor-
mality, Normals.
Starch Grains. The usual microchemical
test is to color blue with dilute iodine.
Starch grains can also be stained side
by side with mitochondria in plant cells
(Pea roots, Elodea, etc.). After Re-
gaud fixation stain sections with warmed
anilin fuchsin about 5 min. Differen-
tiate in 5% alcoholic aurantia. Wash
in aq. dest. Mordant in 2% aq. Tan-
nin, 20 min. Wash in aq. dest. and stain
in 1% aq. toluidin blue, gentian violet
or methyl green, 5-10 min. Milovidov,
(P. F., Arch. d'Anat. Micr., 1928, 24,
8-18). Differentiate in 95% ale. dehy-
drate in abs. ale, clear in xylol and
mount. Mitochondria red, starch blue,
violet or green. Well shown in an
excellent colored plate. Armed with
illustrations showing the distinctive
structural features of starch granules
from many species of plants it is ordi-
narily a simple matter by direct micro-
scopic examination to identify a given
sample of starch (Schneider, A., The
Microbiology and Microanalysis of
Foods. Philadelphia: P. Blakiston's
Son & Co., 1920, 262 pp.). See Poly-
saccharides.
Starch Paste, as substitute for albumin-
glycerin mixture in mounting paraffin
STATISTICAL CONTROL
326
SUBMICROSCOPIC FIBRILS
sections. Mix thoroughly 1 gm. pow-
dered starch in 10 cc. cold water. Pour
into 20 cc. boiling water. Add 2 drops
dilute HCl and boil 5 min. constantly
stirring to free opalescent sol. from
lumps of starch. Add crystal of thymol
after paste has cooled. Use as the albu-
min mixture. Has advantages in stain-
ing techniques as it is unaffected by
dyes, gives a very light background
especially in silver preparations; it is
easily made, and sections adhere firmly
to slides. R. Spoerri, Science, 1939,
90, 260, see also McDowell, A. M., and
Vassos, A. A. Jr., Arch. Path., 1940, 29,
432^34. See account by Bates, J. C,
Stain Techn., 1942, 17, 49-56 on the
structure and staining of starch grains
in the potato tuber.
Statistical Control in hematology (Lancas-
ter, H. O., J. Hyg., 1950, 48, 402-417).
Steel Gray, see nigrosine, water soluble.
Stereocilia of ductus epididymis are not true
cilia. For technique and discussion,
see Lucas A. ,M., in Cowdry's Special
Cytology, 1932 1, 409-474.
Sternberg Cells, see Reed-Sternberg Cells.
Stieve's Fluid. Saturated aqueous mer-
curic chloride, 76 cc; formaldehyde
solution, 20 cc; and glacial acetic acid,
4 cc. Fix for 18 hours and wash in
several changes 95 per cent alcohol.
A good general fixative recommended
by R. E. Stovvell.
Stomach, secretory cells of. Use Mucicar-
mine or Mucihematein for surface
epithelial cells and neck chief cells ;
Bensley's Neutral Gentian for body
chief cells and any combination of dyes
including a strongly "acid" stain like
eosin for the parietal cells, all after Ben-
sley's alcoholic chrome neblimate fixa-
tion. The parietal cells can be sharply
stained by supravital intravascular in-
jection with Neutral red or Naphthol
Blue R. The canaliculi of the parietal
cells can be impregnated with silver by a
modified Golgi method (Plenk, H., von
Mollendor'f Handb. d. Mikr. Anat. d.
Menschen. 1932, 5, (2), 235-402). To
observe the cytological changes after
discharge of strongly acid gastric juice
and of juice rich in pepsin inject hist-
amine and stimulate the vagus respec-
tively (Bowie, D. J., and Voneberg, A.
M., Quart. J. Exper. Physiol., 1935
25, 247-257). For mitochondria inject
Janus Green intravascularly or fix in
Regaud's fluid, mordant in potassium
bichromate and stain with Anilin-
Fuchsin Methyl Green. See localiza-
tion of Pepsin.
Stools, see Feces.
Storage of specimens whether microscopic
slides, paraffin or celloidin blocks or
simply in preservative fluids should be
systematic in all laboratories. Every
specimen coming in for examination
should be given an accession number
and the data about it should be inscribed
in a book. A book is better than a series
of cards because cards can be removed
by irresponsible persons and lost. The
number, and other necessary informa-
tion, should be written on the slide with
a diamond pencil. This is usually done
in pathological laboratories where there
is much routine to be attended to. It is
equally important in other laboratories
devoted primarily to teaching and re-
search even when a number of inde-
pendent investigators are involved.
System pays ; lack of a unified system
serving several people means loss and
waste of valuable material.
Street, see Papanicolaou Techniques in
Exfoliative Cytology.
Strength, see Tensile.
Striated Cuticular Border of intestinal epi-
thelial cells is frequently confused with
cilia, see Lucas, A. M., in Cowdry's
Special Cytology, 1932, 1, 409-474.
Striated Muscle, glycogen distribution
(Gendre, H., Bull. d'Hist. AppL, 1938,
15, 265-276). Effect of different dehy-
dration and clearing agents (Ralph, P.,
Stain Techn., 1938, 13, 8-15). Methods
for study of wave mechanics in living
state (Carey, E. J., Zeit, W. and Masso-
pust, L., Am. J. Anat., 1942, 70, 119-133.
Styrax, a very highly refractile mounting
medium seldom employed in histology
(Lee, p. 228).
Subcutaneous Tissue spreads. Making
(McClung's Microscopical Technique
p. 336).
Sublimate Acetic is a fixative of which the
usual composition is 95 parts sat. aq.
mercuric chloride plus 5 parts glacial
acetic acid. See Laidlaw's method for
inclusion bodies. When the saturated
solution of mercuric chloride is made in
95% alcohol the fixative should be called
Sublimate Alcohol Acetic. See Mer-
curic Chloride.
Submaxillary Glands. These can be nicely
stained by the supravital methods em-
ployed for the Pancreas. Stains for
Zymogen and for Mucus are useful . The
duct cells are the principal sites of
action of the salivary gland virus when
this plays an inapparent r61e. The
tremendously enlarged duct cells pro-
vided with Nuclear Inclusions are often
seen in the guinea pig's submaxillary
and in several other species, see Cowdry ,
E. V. and Scott, G. H., Am. J. Path.,
1935, 11, 647-657.
Submicroscopic Fibrils. These by close
association may constitute the neuro-
fibrils, spindle and astral fibers, myo-
fibrils, and so on. Use of polarization
SUBMICROSCOPIC PARTICLES
327
SUDAN BLACK B
optical methods suggests the orienta-
tion of submicroscopic rodlcts parallel
to the length of the fibers. The elec-
tron microscope is capable of demon-
strating the component submicroscopic
fibrils of coUagenic fibrils (Schmitt,
F. O., Hall, C. E. and Jakus, M. A.,
Biol. Symposia, 1943, 10, 261-276).
Submicroscopic Particles. In summarizing
work in II. R. Bensley's laboratory,
Lazarow, A., Biol. Symposia, 1943, 10,
9-26 mentions two of these barely
visible as shimmering points of light in
the dark field: (1) Lipoprotein complex
discovered by Claude at the Rockefeller
Institute containing fats, proteins and
nucleo-protein and when concentrated
en masse by centrifugation of cherry
red color. Particle size 0.06-0. 2^. (2)
Particulate glycogen discovered by
Lazarow containing a little protein but
no fat. Water content 75%. See Mi-
crosomes.
Submicrosopicc Structure of cytoplasm,
methods and results (Frey-Wyssling, A.,
J. Roy. Micr. Soc, 1940, 60, 128-139).
Succinic Dehydrogenase. Semenoif, W. E.,
Zeit, f. Zellforsch. Micr. Anat., 1935,
22: 305-309 as detailed by Click, p. 96.
Treat frozen sections of fresh tissue
with 2 cc. 0.05 methylene blue plus 2
cc. 10% sodium succinate made up to
10 cc. with M/15 phosphate buffer,
pH 7.6-8.0 for 10-15 min. under cover
slip with air bubbles excluded and
edges sealed with paraffin. Compare
with section in control medium made
up without sodium succinate. Fading
of dj^e indicates enzymatic activities.
Click, p. 96. See Dehydrogenase.
Sudan, II (CI. 73)— Oil red O. Physical
properties, Lillie, R. D., J. Tech.
Methods, 1944, 24, 37-45.
Sudan III (CI, 248) — cerasin red, fat pon-
ceau G, oil red AS, O, B or 3B, scarlet
B fat soluble, Sudan G, Tony red — A
weakly acid dis-azo dye, the most
popular of fat stains in alcoholic solu-
tion. A sat. sol. in 70% alcohol is used
in the same manner as Sudan IV in
Herxheimer's solution (see below).
Variations in action of Sudan stains
depending on character of fat and kind
of fixation (Black, C. E., J. Lab. &
Clin. Med., 1937-38, 23, 1027-1036).
Staining in aqueous phase (Dufrenoy,
J., Stain Techn., 1937, 12, 71-72).
Make concentrated solution of Sudan
III in 5 cc. methylal (dimethyloxy-
metliane). Add 10-20 cc. aq. dest.
The mixture separates into 2 layers : the
lower made up of water, methylal and
Sudan III and the upper of methylal,
Sudan III and water. Whether sections
float or sink they take up Sudan III.
Another method of staining with Sudan
III in gelatin solution is given by
Telford Govan, A. D., J. Path. & Bact.,
1944, 56, 262-264. See Bell's Method
for staining fats mobilized by heat.
A promising acetic-carbol-sudan tech-
nique for lipids is described by Jackson,
C, Onderstepoort, J. Vet. Sci. & Animal
Industry, 1944, 19, 169-177. To prepare
stock solution heat to simmering 2 gms.
finely powdered Sudan III in 450 cc.
95% ale. Filter hot. Stopper, leave
in refrigerator over night and filter cold.
Add to any desired amount stock solu-
tion 5% aq. carbolic drop by drop agi-
tating vigorously till alcohol content
is reduced to 60%. About 2 cc. carbolic
to 6 cc. stock solution is required. Let
stand few hours well corked. Add
glacial acetic drop by drop 2.5 drops per
cc. of carbol sudan, or 20 drops to the
8 cc. in above instance.
Cut frozen sections of formol or
formol-saline fixed tissue. Place in
50% ale. 1 min. Stain in acid-carbol-
sudan mixture l^ hrs. in well stoppered
container. Differentiate in 50% alco-
hol, containing 5% acetic acid, 10-60,
sec. Wash in aq. dest., 1 min. Coun-
terstain in filtered Delafield's hema-
toxylin diluted 1:2 with aq. dest.
Differentiate in acid water, 10-20 sec,
blue in ammonia water (5 min.) and
wash in aq. dest. Finally mount in
glycerin-jelly. Method is particularly
recommended when existence of so-
called "Sudanophobe" lipids is sus-
pected.
Sudan IV (CI, 258) — cerotine ponceau 3B,
fat ponceau, fat ponceau R or LB, oil
red IV, scarlet red — A weakly acid dis-
azo dye also widely used as fat stain
sometimes under heading of Scharlach
R, especially in Herxheimer's Solution.
Place frozen sections of formalin fixed
tissue in 70% alcohol for a few sec.
Transfer to Herxheimer's solution for
2-5 min. in a covered container to re-
duce evaporation and precipitation.
Rinse in 70% alcohol. Wash quickly in
aq. dest. Counterstain with Harris'
hematoxylin. Wash in tap water.
Mount in Glycerin. Seal with paraffin,
or, if permanency is desired, with Duco
or Kronig's cement. As a rule these fat
stains do not last more tlmn a few months.
Physical properties of Sudan IV (Lillie,
R.D., J. Tech.Methods, 1944,24, 37-45).
Sudan Black B. This dye is of English
manufacture and is not available in U.S.
during the war. Its identity is still
uncertain.
1. For fat. Fix tissues 24 hrs. in 5%
formalin in 0.9% saline or in Zweibaum's
fluid. The latter is made by adding
1 part of 2% aq. osmic acid to 7 parts
of a mixture consisting of 3% potas-
SUDAN BLACK Bj
328
SULFHYDRYL GROUPS
sium bichromate 6 cc; 2% chromic
acid, 3 cc. ; and aq. dest. 5 cc. Wash in
running water 24 hrs. In case tissue
is delicate and requires support embed
in gelatin before cutting frozen sections :
12.5% gelatin in 1% aq. phenol filtered,
37°C., 24 hrs. 25% solution, same.
Embed in fresh 25% aq. gelatin, cool,
trim, harden in 6% formalin 24 hrs.
Cut frozen sections, whether first em-
bedded in gelatin or not, 5-10 microns
thick. Transfer to aq. dest. and then
into 50% diacetin agitated 30 sec. To
make stain, add excess Sudan Black B
(I.G.F.) to equal volumes of diacetin
and aq. dest., incubate at 55°C. for 2
days. Cool. Before use filter off
amount required. Stain 15 micron sec-
tions 2 hrs. If speed is necessary warm
in paraffin oven. 50% diacetin 30 sec.
Counterstain with carmalum. Place
in dish of water with care making sec-
tions "spin on surface and flatten."
Float on to slide and mount in Apathy's
medium. Nuclei red, lipids including
myelin black (Leach, E. H., J. Path. &
Bact., 1938, 47, 635-637). Diacetin is
glycerol diacetate introduced as solvent
for scharlach R by Gross (W., Zeit.,
wiss. Mikr., 1930, 47, 64). Since Leach
does not specify what Apathy's medium
is, it is suggested that temporary
mounts be made in glycerin.
2. For myelin (Lison, L. and Dag-
nelie, J., Bull. d'Histol. Appl., 1935,
12, 85-91). To stain lipoid granules in
leucocytes. Dry blood smear and fix
in methyl alcohol, 30 sec. Stain in a jar
with sat. Sudan black B in 70% alcohol,
30min. Rinse in water and wash 1 min.
in 70% alcohol to remove deposit.
Counterstain with sat. alcoholic eosin in
70% alcohol, 30 sec. Wash and stain
in sat. aq. methylene blue 3 min. Rinse,
blot dry and examine with oil immersion.
Lipoid granules, deep black; nuclei,
blue; and erythrocytes, red. (Sheehan,
H.L ,J. Path. & Bact., 1939, 49, 580-581).
Sudan Black Bi as a bacterial fat stain.
Sat. sol. of Sudan black B (Nat. Aniline
and Chemical Co.) in 70% alcohol, or
in ethylene glycol stains fat bodies in
bacteria deep blue black (Hartman, T.
L., Stain Techn., 1940, 15, 23-28).
Sudan Blue G, Brown 5 B, Corinth B, as fat
stains (Lillie, R. D., J. Lab. & Clin.
Methods, 1944, 24, 35-42). This gives
good account of all oil soluble dyes as
fat stains.
Sudan Dyes suspended in watery media
for use in the staining of fat are de-
scribed by Telford Govan, A. D., J.
Path. & Bact., 1944, 56, 262-264. While
stirring add sat. Sudan dye in acetone
drop by drop from capillary pipette to
1% aq. gelatin containing 1% acetic
acid to development of a deep brick-red
color and a milk like consistency.
Evaporate acetone for 2 hrs. at 37°.
Remove sediment by filtration. Cut
frozen sections. Transfer them from
water to 1% aq. gelatin for 2-3 min.
Stain for 30 min. at 37° in above de-
scribed dye suspension. Wash in 1%
aq. gelatin 2-3 min. and thoroughly in
water. Mount in glycerin jelly, see
Glycerine Jelly or in Karo Syrup.
Sudan G, see Sudan III.
Sudan Hydrotropes. Sudan stains are rela-
tively insoluble in water. They can be
changed to hydrotropes (Neuberg) which
are water soluble. The hydrotropes of
red lipid stains are of a blue color
which changes to red when the dye
passes into a lipid or a lipid solvent.
This is the basis of a useful technique
for lipids (Hadjioloff, A., Bull. d'Hist.
Appl., 1938, 15, 37-41).
Sudan R (CI, 113)— brilliant fat scarlet B,
oil Vermillion — A weakly acid mono-azo
dye.
Sudan Red, see Magdala Red.
Sugars, see Reducing Sugars.
Sulfatase. An enzyme capable of hydrolyz-
ing sulfuric acid from its ester linkages.
Since cartilage, mucus and many de-
toxification products contain esterified
sulfuric acid, an understanding of the
localization of this enzyme would be
most interesting. Seligman, A. M.,
M. M. Nachlas, L. H. Maunheimer, O.
H. Friedman and G. Wolf, Ann. Surg.,
1949, 130, 333-341, describe a method
involving the hydrolysis of beta naph-
thyl sulfate and subsequent diazotiza-
tion of the enzymatically liberated
naphthol.
Sulfhydryl Groups. 1. Prussian blue histo-
chemical reaction for (Chevremont, M.
and Frederic, J. Arch, de Biol., 1943,
54, 589-605). Fresh or fixed tissue sec-
tions or smears can be used. Formol,
formol Ringer (saline) and Bouin are
suitable fixatives; but fluids containing
sublimate, such as those of Zenker and
Helly are contraindicated. The opti-
mum time of fixation is from a few hours
to one day. Time of heating during
paraffin embedding should be reduced
to a minimum. Wash sections care-
fully in aq. dest. to remove formalin.
Plunge sections or smears in 3 succes-
sive baths of the following mixture:
1 part fresh 0.1% aq. ferricyanide of
potassium (For Analysis, C.P.) and 3
parts 1% aq. ferric sulphate (For Anal-
ysis, C.P.). The mi.xture thus pre-
pared has a pH of 2.4 and, in ordinary
light, it is stable for 2 hrs.; in darkness
it lasts longer. The time in the baths
is approximately 10-20 min. for frozen
sections, 20-25 min. for paraffin sections
SULFHYDRYL GROUPS
329
SULFONPHTHALEINS
and for blood smears and 1 hr. for
smears of yeast. If desired, stain the
background with Azo carmin. No
metal instruments must enter the baths.
A positive result is indicated by appear-
ance in cells of blue granules or of a blue
colloidal precipitate which gives the im-
pression of being diffuse. After long
washing in water preparations can be
mounted in Canada balsam after dehy-
dration or in syrup of levulose without
dehydration. They last as long as 7
months. Consult original article for
histochemical controls and for illustra-
tions of epidermis and other tissues.
2. Another reaction is given as fol-
lows by Serra, J. A., Stain Techn., 1946,
21, 5-18: "This reaction has been exten-
sively used for the study of the dis-
tribution of the tripetide glutathione.
One of the better methods of accom-
plishing the reaction is that of Giroud
and Bulliard (see Lison, 1936), which
gives a stable red coloration, while
other methods produce a violet color
rapidly fading awaJ^
"The pieces are immersed for some
seconds (in general an excess of time
does no harm) in a 5% aqueous solution
of zinc acetate. Directly afterwards
they are treated with a 10% aqueous
solution of sodium nitroprusside, con-
taining about 2% concentrated am-
monia. The pieces acquire a bright
red coloration, which attains its maxi-
mum in 3-5 minutes. Afterwards they
are mounted in pure glycerin for micro-
scopic observation, if necessary with a
preliminary washing in distilled water.
"The materials may be studied
freshly or after fixation. It must be
noted, however, that the majority of
the fixatives hinder the reaction. We
obtained good results with a fixation in
10% neutral formaldehyde during 2-15
hours at room temperature. A more
prolonged action of this fixative also
hinders the reaction; it is recommended,
therefore, that if possible 2-4 hours of
fixation be used.
"The results of the reaction have
different meanings according to the
fixation, washings, etc., because the
glutathione is partly soluble. When
the tissues are treated several times
with a 10% solution of trichloroacetic
acid for 15 minutes, the glutathione is
dissolved and only "fixed", that is, pro-
teic sulfhydryl groups remain in the
preparation. It is still possible not
only to demonstrate the existing SH
groups but also to reduce SS groups to
SH groups, by means of a pre-treatment
of the materials with a solution of 10%
KCN for 10 minutes in a small stoppered
bottle (the cyanide solution can be
weakly alkalinized with potassium hy-
droxide, to make its use safe).
"The reaction has been recognized aa
well localized, but in case of doubt a
test of secondary impregnation can be
made in the way described for the
ninhydrin." See Nitroprusside Reac-
tion.
Sulfmethemoglobin, a greenish compound
of methemoglobin and sulphur often
encountered in abdominal walls of
cadavers, but it may be present in
blood where it can be diagnosed by
spectroscopic examination (Mallory,
p. 135).
Sulfonamides. Great importance of sulfa
drugs makes their demonstration in
tissues useful. Mackee, G. M., Herr-
mann, F., Baer, R. L. and Sulzberger,
M. B., Science, 1943, 98, 66-68; J. Lab.
& Clin. Med., 1943, 28, 1642-1649.
Fix fresh tissue with dry formalde-
hyde gas and visualize sulfa compounds
as orange precipitates in frozen sections
treated with p-dimethylaminobenzalde-
hyde in acid alcohol solution. In at-
tempting to identify sulfonamides
microscopically in urinary sediments
the descriptions and diagrams of the
various crystals given by C. J. Gentz-
kow and H. A. Van Auken in Simmons
and Gentzkow will be helpful, viz.
Sulfadiazine: (1) free drug, "dark
greenish irregularity striated spheres
with either fuzzy or clean edges"; (2)
acetyl crystals like "sheaves of wheat
with eccentric bindings".
Sulfaguanidine : (1) free drug, rare;
(2) acetyl crystals as "thin oblong
plates, clear or with fine mesh pattern,
often aggregated into cross or star-like
clusters".
Sulfanilamide: (1) free drug as large
needles with angle of 106° at ends
often in sheaves; (2) acetyl crystals
similar needles with square ends.
Sulfapyridine : (1) free drug as stubby
prisms; (2) acetyl crystals as "boat-
or petal -shaped forms with rounded
edges; start angled crystals; bow ties or
burrs; and occasionally as large ro-
settes."
Sulphathiazole: (1) free drug rare as
flattened or 6 sided crystals with angle
at end of 84°; (2) acetyl crystals may
resemble those of free drug but with
end angles of 136° when they look like
wheat sheaves with central binding.
These may be swollen suggesting 2 half
circles fused at center; striated spheru-
lites frequently occur.
Sulfasuccidine crystals absent be-
cause of but slight absorption of this
drug from intestine.
Sulfonphthaleins. These are compounds of
phthalic anhydride and ortho-sulfo-
SULFUR BORDEAUX
330
SUPRAVITAL STAINING
benzoic acid. They are most valuable
indicators. Examples: brom chlor phe-
nol blue, brom cresol green, brom cresol
purple, brom phenol blue, brom phenol
red, brom thymol blue, chlor cresol
green, chlor phenol red, cresol red,
metacresol purple, phenol red, thymol
blue.
Sulfur Bordeaux (CI, 1012), Sulfogene Bor-
deaux BRN (DuPont) and Sulfur Bor-
deaux BCF (NAC) are direct dyes of
light fastness 2. Specifications for
staining invertebrates and plant tissues
are given (Emig, p. 62).
Sulfur Brilliant Blue (CI, 957), Sulfindone
Brilliant Blue CG (NAC), Sulfogene
Brilliant Blue 6BS (DuPont), and Sulfo-
gene Brilliant Blue 3 GCF (DuPont)
are the best blue direct sulfur dyes of
color fastness 2, the use of which for
staining algae and invertebrates is de-
scribed (Emig, p. 61).
Sulfur Direct Blue (CI, 956), Sulfogene
Direct Blue BRS (DuPont), a direct
dye of light fastness 2 which does not
color blue green algae as intensely or
brightly as Sulfur Brilliant Blue, but
does present details of cell structure
clearly (Emig, p. 61).
Sulfur Green (CI, 1006), Sulfogene Green
2 B (DuPont), Sulfogene Brilliant
Green 2 G (DuPont) and Sulfur Green
3 G cone. (NAC), direct dyes of light
fastness 2 action of which on plant tis-
sues and invertebrates is described
(Emig, p. 62).
Sulfur Orange (CI, 949) and Sulfur Yellow
(CI, 948) resemble Sulfur Bordeaux
(Emig, p. 61).
Sulphonal Poisoning. Effect on liver cell
mitochondria (Grynfeltt, E., and La-
font, R., C. rend. Soc. de Biol., 1921,
85, 406-408).
Sulphur. In inorganic form sulphur is not
found in living things except in the
thiobacteria. Histochemically one has
to consider sulphates and masked sul-
phur. Macallum has devised a method
for sulphates but Lison (p. 121) says
that it only gives very rough localization
in tissues because the salt is diffusible.
For organic, masked sulphur see Sulf-
methemoglobin, Glutathione, Radio-
sulphur.
Sulphur Compounds. Microdetermination
by means of the iodine-azide reaction
(Holter, H. and L0vtrup, S., C. rend.
Lab. Carlsberg, S6r. Chim., 1949, 27,
72-78). They worked with tetrathio-
nate and cystine. 1 X 10~' ng could be
determined with an accuracy of 2.5%
(standard deviation).
Sulphurous Acid. This is used for rinsing
sections which have been stained with
Feulgen or Schiff's reagent. Prepare
by dissolving 1 gm. potassium or sodium
meta bisulphite in 200 cc. of tap water
to which 10 cc. of N HCl are added.
Sultan Red 4B, see Benzopurpurin 4B.
Sun Yellow (CI, 620), a direct stilbene dye,
light fastness 3. Serves as a mordant
to produce green in combinations with
blue counterstains. Many combina-
tions of Sun Yellow with blue and red
dyes in double, triple and quadruple
stains are described (P^mig, p. 44-45).
Superchrome Black PV (CI, 170) of NAC,
an acid monoazo mordant dye action of
which on plant sections and blue green
algae is described (Emig, p. 34).
Superchrome Violet B (CI, 169) of NAC, an
acid monoazo mordant dye of light fast-
ness 3 of which action on blue green
algae is described (Emig, p. 34).
Superchrome Garnet Y (CI, 168) of NAC, an
acid monoazo mordant dye of light fast-
ness 3 of which action on blue green
algae is described (Emig, p. 34).
Supravital Staining. By this is meant
staining upon the living state. In other
words stains are applied to cells re-
moved from a living animal, or to cells
within a recently killed animal. Thus
blood cells are removed from the body
and, while still living, are stained supra-
vitally or the stains are applied to still
living cells of, say, the stomach within
the body of a recently killed animal by
vascular injection. The essential point
is that the stains act upon living cells
but the cells do not go on living, neither
does an animal injected intra vascularly
with a supravital stain. Janus green
is our most useful supravital stain.
Cells supravitally stained by it die and
when it is injected in sufficient quantity
into a living animal, the animal dies
likewise for it is toxic. Vital stains,
on the contrary, do not kill cells and can
be safely injected into living animals
since they are nontoxic in the concen-
trations necessary to obtain the desired
results. This kind of staining used to
be called intravital in contrast to supra-
vital. See Vital Stains.
Supravital stains have been known
for a long time but their introduction as
essential means of investigation is due
primarily to Professor R. R. Bensleyof
the University of Chicago (Am. J. Anat.,
1911, 12, 297-388). He_ showed their
usefulness in demonstrating specifically
by vascular injection the different epi-
thelial components of the pancreas and
he called attention to the fact that to
stain mitochondria specifically it is
essential to use janus green having the
composition of die^/ij/Zsafranin-azodi-
methylanilin, that the dimethyl com-
pound will not work. The supravital
staining of blood cells began with the
demonstration by Cowdry at Hopkins
SURAMIN
331
SURFACE TENSION
(Internat. Monatschr. f. Anat. u.
Physiol., 1914, 31, 267-286), that thia
particular janus green B as used in Ben-
sley's laboratory stains the mitochon-
dria in human white blood cells specifi-
cally. The method was later further
developed by Sabin and her associates.
Details of techniques are given under
janus green, neutral red, brilliant cresyl
blue, pyronin, methylene blue, naph-
thol blue and cyanamin. Useful table
giving reactions of types of blood cells
(Gall, E. A., J. Lab. & Clin. Med.,
1934-35, 20, 1276-1293). A critique of
supravital staining of blood cells is
provided by Schwind, J. L., Blood,
1950, 5, 597-622.
Suramin, a drug purchasable under term
of Naphuride (Winthrop), is only a
feeble inhibitor of growth of lympho-
sarcoma transplants. Its cytotoxic
efTect is rather similar to that of colchi-
cine on lymphoid tumors (Williams,
W. L., Cancer Research, 1946, 6, 344-
353).
Surface Films, study of by micrurgical
technique, Chambers, R. W. and Kopac,
M. J. on McClung's Microscopical
Technique, 1950, p. 542.
Surface Measurements. To determine the
surface area of structures of microscopic
size involves many techniques some of
which are rather complicated. The
following references are given to methods
and results in a wide variety of in-
stances. Perhaps the particular surface
to be measured will be sufficiently simi-
lar to one of these to justify employ-
ment of the same technique or a modi-
fication of it.
Endothelium of vascular capillaries —
6300 sq. meters — Krogh, A., Anatomy
and Physiology of Capillaries, Yale
Press, 1929, 422 pp.
Erythrocytes combined — 3500 sq. me-
ters— Evans, C. L., Recent Advances in
Physiology. Philadelphia: Blakiston,
1926, 383 pp.
Filtration surface of both kidneys
combined — 1.56 sq. meters — Vimtrup,
B. J., Am. J. Anat., 1928, 41, 132-151.
See also recent measurements for al-
bino rat by Kirkman, H. and Stowell,
R. E., Anat. Rec, 1942, 82, 373-389.
Gastric glands secreting surface —
2.7 sq. meters — Scott, G. H. (personal
communication), see Cowdry's Histol-
ogy (p. 282). , „ . .
Lacteal surface in small intestme-;-
5 sq. meters — Policard, A., Pr6cis
d'Histologie Physiologique. Collection
Testut, Paris: G. Doin, 923 pp., after
Potter.
Large intestinal crypts — 4.2 meters —
Policard, ibid.
Mitochondrial, zymogenic and nuclear
surfaces in pancreatic acinous cells of
guinea pig — duNouy, P. L. and Cowdry,
E. v., Anat. Rec, 1927, 34, 313-329.
Respiratory surface plus nonrespira-
tory epithelial surface of airways of
lungs — 70 sq. meters — Wilson, H. G.,
Am. J. Anat., 1922, 30, 267-295.
Surface Replica Method, see Shadow Cast-
ing in Electron Microscopy.
Surface Tension. This, or more correctly
interfacial tension, is tension at the
surface of a fluid tending to produce
a sphere. Surface tension is high for
water and low for alcohol. Soap de-
creases surface tension of water because
it concentrates at surfaces. Bile acids
lower surface tension of blood serum.
According to Gibbs any substance
lowering interfacial tension will con-
centrate at the interfaces. Surface
tension is best determined by a Cenco-
du Nouy tensiometer capable of meas-
uring the force required in lifting a
standard platinum ring out of the
surface of the liquid. The ring must
obviously be held absolutely horizontal
and be pulled away slowly (Holmes,
H. N., Glasser's Medical Physics, 257-
263).
Much has been written about surface
tension (Reviews: Harvey, E. N., and
Danielli, J. F., Biol. Rev., 1938, 13,
319-341 and Danielli, J. F. in Bourne,
pp. 69-98). Before measurements can
be made on cells it is obviously neces-
sary to isolate them and this entails
risk of injury which is much greater
in the case of mammalian cells than of
the sea urchin eggs usually employed.
The following techniques are given as
examples :
1. By centrifuging marine eggs elon-
gation can be produced and, when the
length exceeds a certain ratio of diam-
eter, the egg divides. Knowing the
minimum force required, the difference
in density between the 2 halves and the
circumference of the cylinder, it is
apparently possible to calculate the
tension at the surface (Harvey, E. N.,
J. Franklin Inst., 1932, 214, 1-23).
2. By compressing sea urchin eggs
by a minute gold beam the internal pres-
sure can be calculated and from this the
surface tension (Cole, K. S., J. Cell &
Comp. Physiol., 1932, I, 1-9).
3. By stretching a cell between the
two needles of a microdissection ap-
paratus the force required to secure a
given degree of elongation can be deter-
mined and thence the surface tension
(Norris, C. H., J. Cell & Comp. Physiol.,
1939, 14, 117-133).
4. Surface tension is probably to
some extent at least conditioned by the
elasticity of the superficial plasma gel
SURVIVAL OF TISSUES
332
TEETH
layer which brings in the methods and
observations of Lewis, W. H., Arch. f.
exp. Zellf., 1939, 28, 1-7; Am. J. Cancer,
1939, 35, 408-415 who refers to previous
work along this line.
Survival of Tissues after death of the body
(Alvarez, W. C, Quart. Rev. Biol.,
1937, 12, 152-164). Often determined
by measuring how long the tissue con-
tinues to respire. Data for whole skin,
kidney and liver (Walter, E. M., Shar-
lit, H. and Amersbach, J. C, J. Invest.
Dermat., 1945, 6, 235-238). Schrek, R.,
Radiology, 1946, 46, 395-410 has made
much use of a method for measuring the
survival of cells in terms of the per-
centage which do not stain with eosin
(and are presumably' alive) in emulsions
of cells in a special fluid held at definite
pH and temperature for various lengths
of time. See Dead cells. Revival after
freezing.
Susa fixative of Heidenhain. Corrosive
sublimate, 4.5 gm.; common salt, 0.5
gm.; aq. dest., 80 cc; formalin, 20 cc;
and trichloracetic acid, 4 cc. Fix about
12 hrs., wash in 95% alcohol. Has the
advantage over most sublimate mix-
tures that treatment with iodine is not
usually required to remove black mer-
cury deposit in the tissues. It has
been modified by several people. See
Buzaglo.
Swiss Blue, see Methylene Blue.
Synapses, see methods employed by Bartel-
mez, G. W. and Hoerr, N. L., J. Comp.
Neurol., 1933, 57, 401-428.
Synovial Fluid of normal knee joint. Method
of examination and results (Coggeshall,
H. C, Warren, C. F. and Bauer, W.,
Anat. Rec, 1940, 77, 129-144).
Syphilis, see Treponema pallidum.
Syrup, see Apathy.
Taenia Echinococcus, a parasite of dogs
which produces hydatic cysts in human
liver and other tissues. The laminated
cyst wall is typical and the heads have
double circle of hooks and 4 suckers.
Taenia Saginata. In examination of fresh
Feces identify by head with 4 suckers
but without hooks.
Taenia Solium. Look in Feces for head
with 4 suckers and a circle of small
hooks best seen in fresh mounts. The
genital system opens at the side and
the uterus is only slightly branched.
Tagged Atoms, see Radioactive Isotopes,
Deuterium.
Tannic acid iron technique is described by
Salazar, A. L., Stain Techn., 1944, 19,
131-135. He advocates it for study of
Golgi apparatus and with Giemsa's
stain to give sharper differentiation
between agranulocytes and granulo-
cytes.
Tantalum, see Atomic Weights.
Tapeworm Proglottids. Orient pieces 4-5
cm. long containing gravid proglottids
between glass slides held together by
elastic bands. Fix in Bouin's fluid (sat.
aq. picric acid, 7 parts; glacial acetic
acid, 20 parts; and formalin, 10 parts
10-12 hrs. Wash in running water 2-3
min. Flood with 10% aq. NaOH (out-
lines of uterus become visible deep
orange). Rinse in tap water. Flood
with 5% HCl 1-2 min. Tap water 10-
15 min. Dehydrate in alcohol, clear in
xylol and mount in balsam (Dammin,
G. J., J. Lab. & Clin. Med., 1937-38,
23, 192-194). An oxidation reduction
method for stain differentiation is pro-
vided by Tapmisian, T. N., Stain
Techn., 1945, 20, 11-12. See Parasites.
Target Cells. Er3'throcytes looking some-
what like the "bull's eyes" of targets
because a central hemoglobin rich area
is surrounded by a clear area enclosed
by a peripheral ring likewise rich in
hemoglobin. Target cells are well
demonstrated by Wright's Blood Stain.
They are often more numerous when the
blood plasma concentration is increased
and they show greater resistance than
normal erythrocytes to hypotonic salt
solutions. Target tissues are those
especially influenced by certain hor-
mones which seem to reach them as if
aimed at targets.
Tarsal Glands. Whole mounts can be made
by the method described for Sebaceous
Glands. They are also known as
Meibomian glands.
Taste Buds. To demonstrate, choose cir-
cumvallate papillae, fix in Bouin's
Fluid and stain with Hematoxylin and
Eosin. See Arey, L. B. et al., Anat.
Rec, 1935-36, 64, 9-25.
Tartrazine (CI, 640), a pyrazolone acid dye
of light fastness 4. This bright yellow
dj^e is useful in coloring foodstuffs, light
filters, etc. (Emig, p. 46). Recom-
mended as a substitute for Orange G
in Mallory's Stain.
Tatooing Pigments, see Exogenous Pig-
ments.
Teeth. The most comprehensive statement
of microscopical technique is contained
in A. W. Wellings' "Practical Micros-
copy of the Teeth and Associated
Parts." London: John Bale Sons &
Curnow Ltd., 1938, 281 pp. A chapter
by Churchill and Appleton in McClung's
Technique is also useful. Teeth can
be studied from so many different angles
that to outline the techniques in a few
words is extraordinarily difficult. Their
composition of (1) enamel, the hardest
tissue in the whole body, with (2) dentin
which is highly mineralized and contains
the processes of cells but not their nu-
cleated bodies plus (3) richly cellular
TEETH
333
TEETH
pulp confers numerous obstacles. The
wise histologist or pathologist will save
valuable time by at once seeking advice
from experts in some dental research
laboratory. They possess experience
and instruments for grinding and sawing
both of which he lacks. Teeth of adults
can be prepared for examination in 2
principal ways :
1. Without decalcification. Church-
ill and Appleton (McClung, p. 253)
recommend, in place of the usual grind-
ing method, a cutting technique used by
Johnston at Yale. After extraction fix
the tooth immediately in formalin. Then
dry and fix to wooden block by modelling
compound. Sections are then made by
the cutting wheels of a power lathe. If
necessary they are polished on a Belgian
stone, dehydrated in alcohol, cleared in
xylol and mounted in balsam.
Ground sections of very brittle teeth
or teeth with supporting structures
intact may be ground after imbedding
in methyl methacrylate according to
Sognnaes, R. F., Anat. Rec, 1947, 99,
133-144. This method permits sawing
of such thin slices before grinding that
serial sections may be prepared.
When one wishes to include the soft
as well as the hard parts Chase's tech-
nique of petrifaction is advised by
them. Fix as desired (say 10% forma-
lin) and wash as required. Transfer to
aq. gum arable or dextrin of syrupy
consistency. Freeze on freezing micro-
tome and cut slices with very fine saw
(jeweler's). Remove gum arable by
washing in water and stain with carmine
or hematoxylin. Dehydrate through
alcohols to 95%, | to several hours each
depending on size of slice. Acetone ^
hr. or more. Cover with thin celloidin
in a container to depth twice or more
thickness of slice. Leave container
top open very slightly permitting evap-
oration until celloidin will scarcely flow
when container is steeply tilted. Trans-
fer with considerable celloidin to con-
tainer of heavy lead foil and further
evaporate until completely hardened.
Grind and polish both sides of slice in
presence of water. Remove celloidin
with acetone and acetone with xylol.
Mount in balsam. Sections obtained
by this and the Johnston technique can
be examined by direct illumination,
in the dark field, in ultraviolet light
(Walkhoff, O., Dental Cosmos, 1923,
65, 160-176), in polarized light (Andre-
sen, V. The Physiological and Artificial
Mineralization of Enamel. Oslo. Dancke,
1926) and by x-ray for which many
references are given (McClung, 381-
385).
2. With decalcification. In the par-
affin technique, advised by Churchill
and Appleton, clip ends of roots of a
freshly extracted tooth or drill hole.
Fix in 4% formalin. Dry with towel
and seal openings to pulp with celloidin.
Quickly dry. Decalcify in 10% hydro-
chloric acid C.P. 10 days or more testing
with needle. Running water, 24 hrs.
95% ale. ,24 hrs. Abs. ale, 5 hrs. Chlor-
oform, 1 hr. Equal parts chloroform
and 45°C. paraffin in glass stoppered
bottle on top of oven (oven 58°C.) over
night. 5 hr. each in following paraffins
(1) 42-46°C., (2) 52-56°C.and (3)58-
60°C. within oven. Imbed in a mix-
ture of 235 cc. 52-56°C. paraffin and 15
cc. beeswax. See Paraffin Sections.
In the celloidin technique (Churchill
and Appleton) cut off apex of tooth or
drill a hole to pulp through crown.
Fix in 4% formalin, buffered to counter-
act acid, 45 hrs. for single teeth. (Wash
in water) change to 80% ale. 95% ale.
2 weeks -\- depending on size. Abs.
ale. 2 weeks +, abs. ale. (exposed to
anhydrous copper sulphate, see Alco-
hol) 2 weeks +. Equal parts abs. and
ether, 2 weeks +. Then 1 month or
more in |, 1, 2, 5, 7, 10, 12% celloidin
(parlodion). Orient and imbed in 12%
in stender dish. Make depth of cel-
loidin twice height of tissue. Place lid
of stender dish on tightly. Allow
bubbles to rise 24 hrs. If bubbles still
present move tissue gently so they can
escape. Put piece of paper between
lid and dish, 24 hrs. +. Evaporate to
consistency hard rubber, 7 days +.
80% ale. 48 hrs. or until beginning decal-
cification. Trim block leaving sufficient
celloidin about tissue to facilitate cut-
ting. 10% acetic or hydrochloric acid
in 70% ale. changing daily 3 weeks +
until needle penetrates easily. When
spaces appear in the celloidin drill holes
to reach them. Wash 24 hrs. in running
water; then same time in weak sol.
sodium bicarbonate. Wash 24 hrs. +
in water. 50, 70 and 80% ale. each 24
hrs. +. 95% and abs. ale, § hr. each.
Ale. ether, 0.5% and 12% celloidin 5-20
min. each. Harden in chloroform, 24
hrs. Leave in 80% until sections are
made, see Celloidin Sections.
For small and developing teeth a wider
variety of methods is possible see Teeth
Developing. To classify examples of
all the methods available for old and
young teeth and associated structures
in a manner expected by the reader is
not feasible. In general however there
are methods that involve whole teeth
which come under Teeth (Blood Ves-
sels, Innervation, Lymphatics) and
their response to Alizarin Red staining
and exposure to Radioactive Phos-
TEETH, BLOOD VESSELS
334
TEETH, DECALCIFICATION
phorus. Some techniques are also pro-
vided under Teeth and Jaws and parts
of teeth : Enamel, Dentin, and Pulp.
Teeth, Blood Vessels (Boling, L. R., Anat.
Rec, 1942, 82, 25-32). Revised by L. R.
Boling, July 27, 1946. Two suspensions
are recommended: (1) cinnabar, 120
gms. ; gum arable, 40 gms. ; water, 160
cc. (2) cinnabar (red mercuric sul-
phide), 80 gms.; corn starch, 40 gms.;
10% formalin in physiological saline,
125 cc. Grind up the mixtures slowly
in a glass ball mill for 2 or 3 days, strain
through gauze, and use immediately.
Anesthetize a cat or dog with sodium
pentobarbital. Expose and ligate both
common carotid arteries. Perfuse the
head with physiological saline through
a glass cannula inserted in one carotid.
Incise the carotid of the opposite side
distal to the ligature and allow it to
bleed until clear saline appears when it
should be clamped. Open the jugular
veins and allow them to drain. As
soon as all blood has been washed from
the vessels of the head direct the sus-
pension through the same cannula by
means of a two way stop cock. Main-
tain a pressure of 120 mm. of mercury by
air pressure. Aid penetration by gentle
rhythmic pressure on a hand bulb in-
serted in the conducting system. When
injection of the mass is begun remove
the clamp momentarily from the op-
posite carotid to allow free flow of the
mass in all large arteries. This pro-
motes good injections of both right and
left sides from the single cannula.
After completion of the injection remove
the head and place in strong formalin
over night, then cut away the soft tissue
from the jaws and place the jaws inl0%
formalin in saline solution for several
days, wash, and decalcify in 5% nitric
acid. After decalcification dehydrate
thoroughly in graded series of alcohol and
clear in two changes of methyl salicylate.
Dissect away any bone interfering with
observation of teeth. This is best done
with a dental engine and round bur while
the specimen is immersed in clearing
fluid. Moisture or heat will cause
clouding of the specimen and must be
avoided. In addition to the desirable
color of cinnabar, is the radiopacity of
these injections; the course of all
macroscopically visible vessels may be
followed m roentgenograms before decal-
cification. The method also works well
on soft tissues. The first mass will pass
through all capillaries in a tooth and
fill both arteries and veins. Better
demonstration of arteries is obtained
with the second which has not been
found to pass through capillaries. The
use of formalin seems to aid in the reten-
tion of the mass in the blood vessels and
to prevent the formation of gas bubbles
in the pulp cavity during decalcification.
Teeth, Decalcification: Details from Dr.
L. R. Boling, Washington University
(School of Dentistry). Revised by him
Dec. 16, 1950.
Decalcification of teeth for the prep-
aration of histological sections presents
several problems not encountered with
other tissues especially if the surround-
ing bone and soft tissues are also pre-
served. The great difference in salt
content and organic matrix of enamel,
dentin, cementum, bone and soft tis-
sues makes difficult the preservation of
one while the others are being decal-
cified.
Enamel, except in the most immature
portions of developing teeth, is entirely
destroyed by ordinary decalcification
methods. The organic portion of adult
enamel may be observed by the slow
decalcification of thin ground sections
under a cover slip (Chase, S. W., Anat.
Rec. 36, 239-258, 1927). The acid, one
per cent nitric, hydrochloric or sul-
phuric, or five per cent chromic, acetic
or citric, is run under a propped cover
slip over the section. Action may be
stopped at any point by substituting
water for acid and the remaining mate-
rial stained and mounted as de-
sired without disturbance. Boedeker's
method of "celloidin-decalcifying" is
also said to give good results (Funda-
mentals of Dental Histology and Embry-
ology, New York, The MacMillan Co.,
1926, p. 223) and allows sectioning of the
organic remainder in any plane. See
Enamel.
For the examination of sections of
whole teeth without enamel or for teeth
in relation to the bone of the jaws five
per cent nitric acid in water has been
found by most investigators to give con-
sistent results. Hydrochloric acid may
be used but causes too much swelling.
For delicate objects one to five per cent
nitric acid in 70 per cent alcohol may
prove superior.
Excellent results have been ob-
tained with the use of formic acid ac-
cording to the technique of Morse,
J. Dent. Res., 1945, 24, 143-153 in the
decalcification of single human teeth
or teeth and jaws of small animals.
Two solutions are made as follows:
Solution A: 1 part 90% formic acid
C.P. and 1 part aq. dest., Solution B:
20 grams sodium citrate C.P. and 100
cc. aq. dest. At the time of use com-
bine equal parts of A and B. Change
solution daily until decalcification is
complete as shown by chemical test.
(See below.) When this method is
TEETH, DEVELOPING
335
TEETH, DEVELOPING
used with very large teeth or large
blocks of tissue containing bone and
teeth, objectionable precipitates may-
be formed in the depth of the block.
Celloidin imbedding before decal-
cification helps preserve tissue relation-
ships (See Teeth, celloidin technique).
Arnim has perfected a technique of
double imbedding for rat jaws ana teeth
which, though tedious, yields beautiful
results. Enamel matrix is frequently
preserved. (Anat. Rec, 62, pp. 321-
330, 1935.) This method has been
modified by Burket for larger teeth
(McClung, p. 366).
Tooth buds may be decalcified after
paraffin imbedding by the following
method given by Dr. L. R. Doling in a
personal communication. Carefully re-
move from the tooth bud all surround-
ing bone. Fix, dehydrate, clear and
imbed in paraffin in the usual way.
Shave away paraffin and soft tissue from
one surface of the specimen so that
enamel is exposed. Immerse block in 5
per cent aq. nitric acid until decalci-
fication is complete. Place in 5 per cent
aq. sodium sulphate for a few hours.
Wash over night in running water and
reimbed, handling the tissue as gently
as possible in order not to disturb rela-
tionship of hard and soft tissues. This
method permits demonstration of Golgi
apparatus and mitochondria in amelo-
blasts and odontoblasts in situ. It
works best with teeth of small animals
easily penetrated by fi.xative. The
paraffin protects the soft tissues but does
not interfere with action of acid on
enamel and dentin. (See also Teeth,
Developing.)
Successful preparation of decalcified
tooth sections depends as much or more
on the care of the tissues before and
after decalcification than on the actual
process. Good fixation of the pulp
tissue is difficult but essential to pre-
vent shrinkage. Ten per cent formalin
in physiological salt solution may be
used for several days or weeks without
injury to the soft tissue and allow
thorough penetration. Better results
are obtained in a short time if the fixa-
tive can be perfused through the blood
vessels. In the preparation of human
or other large teeth, fixation artifacts
are minimized if the tooth is ground
longitudinally on a flat stone until the
pulp is just exposed. Two opposite
surfaces may be ground. Grinding
should be done on a sharp stone under
running water to prevent heating.
Cutting of holes through the dentin to
the pulp or the amputation of the tips
of teeth is often resorted to in order to
get better penetration but these meth-
ods are apt to disturb the position of
the pulp and should be avoided if pos-
sible. After decalcification the teeth
should be carefully handled and the de-
hydration process should be slow to
prevent separation of tissues of different
densities. The substitution of n-butyl
alcohol for ethyl alcohol and xylol in
dehydration and clearing processes has
proven advantageous (Morse, loc. cit.).
By this method dehydration may be
prolonged with less hardening.
Over decalcification should be care-
fully avoided because it will partially
destroy the dentin matrix, cause sepa-
ration of tissues of differing consistency
and disturb staining reactions. Testing
for completion of decalcification by prob-
ing with needles or bending and saueez-
ing in the fingers should be avoided at
all costs if tissue relationships are de-
sired. The progress of decalcification
can be followed radiographically but the
end point can not be accurately deter-
mined. The best method of testing is
that described by Arnim (loc. cit.).
Five cc. of the acid used in decalcifica-
tion is placed in a clean test tube and
neutralized with ammonium hydroxide,
and .1 cc. of a saturated solution of
ammonium oxalate added. If no pre-
cipitate forms additional .1 cc. portions
of oxalate are added at 15 minute inter-
vals until .4 cc. have been added. If a
precipitate is formed the tissue is placed
in fresh acid and retested in 24 hours.
Formation of no precipitate with .4 cc.
oxalate solution after 24 hours in fresh
acid is indicative of complete decalcifica-
tion.
When tissues are found to be not suffi-
ciently decalcified after imbedding the
process can be completed by immersing
the celloidin block in acid 70 per cent
alcohol or floating the paraflfin block, cut
surface down, on acid if the dentin is
exposed.
Teeth, Developing. L Tooth germs. Glas-
stone (S., J. Anat., 1935-36, 70, 260-
266) has described a method for the
excision of tooth germs from 18-21 day
rat embryos and their CultiTation in
fowl plasma and embryo extract. The
technique of Transplantation of tooth
germs of young pups into the abdominal
wall has been reported by C. H. Huggins
etal. (J. Med., 1934, 60, 199). Bevelan-
der, G., Anat. Rec, 1941, 31, 79-97 ob-
tained fine preparations of Korff 's fibers
in pig's tooth beginning with 110 mm.
stage by fixation in Formalin-Zenker
and silver impregnation by Foot's
Method.
2. Young teeth. Beams, H. W. and
King, R. L., Anat. Rec, 1933, 57, 29-40
fixed the developing molar teeth of white
TEETH, INNERVATION
336
TEETH, LYMPHATICS
rats 1-5 days old in a variety of fluids.
They employed the Nassonov technique
for the Golgi apparatus and Regand's
for mitochondria without any special
provision for decalcification. In some
cases Boling's Decalcification (Teeth,
Decalcification) method after paraffin
imbedding may prove useful. Dr. Dol-
ing states in a personal communication
that a modification of Bouin's picro-
formol fixative may be used for fixing
and decalcifying very young tooth buds
or teeth and jaws of rats. A mixture
of 75 parts saturated aqueous solution
of picric acid, 25 parts formalin and 10
to 20 parts glacial acetic acid will de-
calcify a mature rat jaw and teeth in
less than a week. Ordinary Bouin's
picro-formol is sufficiently acid to de-
calcify very young tooth buds in a few
days. After decalcification the tissues
are handled in the same manner as soft
tissues after Bouin fixation except that
a longer period is allowed for removal of
picric acid. This procedure allows
better than average staining of decal-
cified tissues. Nuclear structure is
especially well preserved and little
separation of hard and soft tissues is
found. The method of microincinera-
tion has been adjusted to developing
teeth by Hampp, E. G., Anat. Rec,
1940, 77, 273-286.
Teeth, Innervation. Methods described
under Nerve Endings require consider-
able adaptation before they can be em-
ployed for the teeth. For obvious
reasons methylene blue is particularly
difficult to use. From a great many
techniques 2 are selected.
1. Van der Sprenkel, H. B., J.
Anat., 1935-36, 70, 233-241. Grind den-
tinal wall of normal human canine tooth
down to a thickness of 300-500 microns
leaving the cavity closed and the pulp
untouched. Saw remainder of tooth
into rings (not decalcified) . From them
cut on freezing microtome cross sections
about 40 fi thick and impregnate accord-
ing to the Gros method. Van der Spren-
kel does not give a reference to this
method. Perhaps the Gros method, as
given by Lee (p. 494) will serve. Treat
frozen sections with pyridine. Wash
with aq. dest. to remove odor of pyri-
dine. 20% aq. silver nitrate, in dark, 1
hr. Transfer without washing to 20%
formalin neutralized with magnesium
carbonate. Change twice until no more
white ppt. is formed. Reduce under
microscope in following solution : Add
ammonia to 15 cc. 20% silver nitrate
until ppt. formed just disappears.
Then add 1 drop ammonia per each cc.
silver nitrate solution. After this 20%
aq. ammonia 1 min. or more. 1% acetic
acid, same. Tone in 0.2% aq. gold
chloride treat with sodium hyposul-
phite, wash, dehydrate, clear and
mount. Counterstain with Van Gieson
or toluidin blue, if desired before dehy-
dration. See Van der Sprenkel's illus-
trations.
2. Christensen, K., J. Dent. Res.,
1940, 19, 227-242 was concerned pri-
marily with determination of the source
of the large proportion of unmyelinated
and small myelinated fibers in the pulp.
His technique is a combination of dis-
section and the making of histological
preparations of cats. First inject ar-
teries with a yellow corn starch mass
(composition not specified) and harden
tissues in formalin. Expose cervical
sympathetic, common carotid and its
chief branches, mandibular canal and
floor of orbit. Wash dissected areas
with aq. dest., and brown nerves with
dilute aq. silver nitrate so that they can
be easily followed along the walls of the
yellow colored vessels. To trace their
final path to lower teeth serial sections
of inferior alveolar nerve and artery are
required and to upper teeth similar ones
of internal maxillary plexus and superior
alveolar nerves. Wrap canine teeth in
cotton, carefully crack with vise and
remove pulps. Slightly stretch each
pulp along surface of short glass tube
attaching the ends to the tube by silk
threads to prevent tortuosity of nerve
fibers in the final preparations made by
the Bodian-Method. Examine the cer-
vical sympathetic ganglia by techniques
for Nissl Bodies as well as for nerve
fibers before and after degeneration re-
sulting from experimental destruction
of dental pulp.
Teeth and Jaws. Sections through (Will-
man, M., J. Dental Res., 1937, 16, 183-
190). Fix in 10%, formalin, 10-30 days.
Transfer to 95% alcohol for same time.
After decalcification in 5% aq. nitric
acid, change to 5% aq. sodium sulphate
for 24 hrs., then wash in running water
24 hrs. Dehydrate through ascending
alcohols to 95%, then 2 changes of ab-
solute, 6%, 12% and 25% celloidin solu-
tion, 7 days each. Cut sections with
heavy, sledge type of microtome. Re-
move celloidin from sections with alco-
hol-ether and pass down to aq. dest.
Stain with Harris' hematoxylin and acid
alcohol eosin. Mount in dammar.
Control decalcification either by testing
a second tooth with a needle or by
polariscope. See Dental Enamel.
Teeth, Lymphatics. Obviously the work
of Fish, E. W., Proc. Roy. Soc. Med.,
1926-27, 20 (3), 225-236; Bddecker, C.
F., and Lefkowitz, W., J. Dent. Res.,
1937, 16, 463-475 and others relating to
TEICHMANN
337
THIAMINE
the "lymph supply" of dentin and
enamel does not refer to lymph but to
tissue fluid for the spaces are not lined
with lymphatic endothelium. For tis-
sue fluid in these situations see Cowdry,
E. V. Problems of Ageing. Baltimore:
Williams & Wilkins, 1942, p. 693. An
excellent account of techniques designed
for investigation of the lymphatic sys-
tem of teeth and jaws is provided by
MacGregor, A., Proc. Roy. Soc. Med.,
1936-36, 29 (2), 1237-1272. His favorite
injection masses were strong solutions
of basic lead acetate and acid suspen-
sions of carmine. Before killing and
injecting the animals (cats, dogs, guinea
pigs and monkeys) he caused them to
inhale large doses of amyl nitrite with
the idea of dilating the peripheral blood
vessels.
Teichmann, see Hemin Crystal Test, Flor-
ence Reaction.
Tellurium, see Atomic Weights.
Tellyesniczky's fixative. 5 parts of formol,
100 of 70% alcohol and 5 of acetic acid.
Tendons. These are dense bands of col-
lagenic fibers interspersed by a few
flattened fibroblasts (lamellar cells).
Fixatives penetrate the larger ones
poorly. Zenker's Fluid and Hematoxy-
lin and Eosin are fairly satisfactory.
For mechanical factors in structure see
Carey, E. J., Am. J. Anat., 1936, 59,
89-122; Anat. Rec, 1936, 64, 327-341.
Tensile Strength. An ingenious method has
been worked out to measure this prop-
erty of skin (Herrick, E. H., Anat. Rec,
1945, 93, 145-149).
Terbium, see Atomic Weights.
Tergitol, see Wetting Agents.
Terpineol (or terpinol), a mixture of sub-
stances of composition CioHu and
CioHuO formed by action of dil. HCl
on terpin hydrate. Used as a clearing
agent. Can clear tissues from 90%,
even from 80% ale. A good mixture is
4 parts terpineol + 1 part xylol.
Tertiary Butyl Alcohol (trimethyl carbinol).
Has been recommended as a substitute
for ethyl alcohol and clearing agents like
xylol in the paraffin technique because
it mixes easily both with water and
paraffin. It causes but little shrinkage
and hardening of tissue. One method
(Stowell, R. E., Science, 1942, 96, 166-
166) is partly to substitute for ethyl al-
cohol by passing through the following
series of mixtures: (1) Aq. dest., 60 cc. ;
96% ethyl, 40 cc. ; butyl, 10 cc. ; 1-2 hrs.
(2) Aq. dest., 30 cc. ; 95% ethyl, 50 cc. ;
butyl, 20 cc, 2 hrs. to several days. (3)
Aq. dest., 15 cc. ; 95% ethyl, 50 cc. ;
butyl, 35 cc; 1-2 hrs. (4) 95% ethyl,
45 cc. ; butyl, 55 cc. ; 1-2 hrs. (5) Butyl,
75 cc; abs. ethyl, 25 cc ; 1-3 hrs. (6)
Pure butyl, 3 changes 4 hrs. to over-
night. (7) Equal parts pure butyl and
paraffin oil, 1-2 hrs. Infiltrate in paraf-
fin. Another method (Stowell, R. E.,
J. Tech. Methods, 1942, 22, 71-74) is to
entirely substitute 50%, 70%, 85% and
pure butyl alcohol for the corresponding
ethyl alcohols. Stowell provides useful
suggestions as to the details of paraffin
imbedding. Tertiary butyl alcohol has
been recommended for dehydrating
material stained with methylene blue
and other dyes readily extracted during
ethyl alcohol dehydration (Levine, N.
D., Stain Techn., 1939, 14, 29-30). It
may be used as a substitute for ethyl
alcohol in the acid fast and Gram stains
for bacteria (Beamer, P. B. and Stow-
ell, R. E., J. Lab. & Clin. Med., 1943,
28, 1599-1602). Do not confuse with
n Butyl alcohol.
Testis, M[ethods described elsewhere for
the ConnectiTe System, Blood Vessels,
Nerve Fibers and so on are available.
Technique for isolation of seminiferous
tubules is given under Maceration.
See also Chromosomes. Wagner, K.,
Biologia Generalis, 1925, 1, 22-51 has
employed a method of vital staining with
trypan blue which he claims differen-
tiates between interstitial cells and
histiocytes or macrophages. Duesberg,
J., Biol. Bull., 1918, 35, 176-198, using
the Benda Method, obtained prepara-
tions of opossums which he thought
indicated discharge of material from the
interstitial cells into the blood stream.
Wagner (loc. cit.) has observed some-
what similar phenomena in other ani-
mals, but there has been no satisfactory
follow up. For detailed information
about interstitial cells see Rasmussen,
A. T., Cowdry '8 Special Cytology, 1932,
3, 1674-1726.
Testosterone, Pollock, Anat. Rec, 1942, 84,
23-27.
Tetrachrome Blood Stain, see MacNeal's.
Tetralin is tetrahydronaphthalene used as a
clearing agent after Diaphanol.
Tetrazolium Salt. Smith, F. Y.., Science,
1951, 113, 751-754 gives uses and limita-
tions. Neotetrazolium gives deep pur-
ple to black on reduction and is thus
superior to the tetrazolium salt. Blue
tetrazolium also has certain special
advantages. See Triphenyltetrazolium
Chloride.
Thallium. Barbaglia's Method. Fix in
95% alcohol iodized. This precipitates
thallium in the form of insoluble crystals
of thallium iodide recognizable by their
yellow color (Lison, p. 66).
Thiamine. Blaschko ana Jacobson (H. and
W. in Bourne's Cytology, 1942, p. 196)
refer to the work of Ellinger and Kos-
chara in the observation under the fluo-
rescence microscope of green fluorescence
THIAZIN DYES
338
THYMONUCLEIC ACID
due to flavin and that on alkalinization
this is replaced by a bluish fluorescence
which is known to be occasioned by the
presence of thiamine, itself identical
with vitamin B, or aneurin.
See Cartesian diver technique of
Westenbrink, H. G. K., Enzymologia,
1940, 8, 97-107. Click, p. 395 thinks
that the technique of Schultz, A., At-
kin, L. and Frey, C. N., Ind. Eng.
Chem., Anal. Ed., 1942, 14, 35-39 based
on stimulation of yeast fermentation
by thiamine.
Thiazin Dyes. A very useful group of dyes
for the histologist. The two benzene
rings are joined by =N— and — S— .
Examples : azure A, B and C, methylene
azure, methylene blue, methylene green,
methylene violet, new methylene blue
N, thionin, toluidin blue O.
Thiazine Red R (CI, 225)— chlorazol pink
Y, rosophenine lOB — An acid mono-azo
dye employed especially as counterstain
for iron hematoxylin.
Thiazole Dyes contain thiazole ring with
indamine as chroma tophore. Geranine
G, primalin, thioflavine S, and titan
yellow. All of these dyes appear to be
useful in fluorescence microscopy. Pick,
J., Zeit. f. wis. Mikr., 1935, 51, 338-351
refers to three of them.
Thiazole Yellow, see Titan Yellow.
Thioflavine S (CI, 816). An acid thiazole
dye used in fluorescence microscopy.
Thionin (CI, 920)— Lauth's violet— Com-
mission Certified. An extremely useful
basic thiazin dye. See Tissue Baso-
philes, King's Carbol Thionin, etc.
Thiourea. A derivative of urea with sul-
phur replacing oxygen. As means of
activating thyroid gland (Thomas, O.
L., Anat. Rec, 1944, 89, 461-469).
Effect on organ weights and plasma
proteins of the rat (Leathem, J. H.,
Anat. Rec, 1944, 89, 540).
Thomas, see Arginine Reaction.
Thorium Dioxide is occasionally employed
as a vital stain for reticulo-endothelium.
Angermann, M. and Oberhof, K., Zeit.
f. Ges. Exp. Med., 1934, 94, 121-126 give
directions for its administration to rab-
bits and for determination of its dis-
tribution chemically, radiologically and
histologically. (Thorotrast)
Thulium, see Atomic Weights.
Thyme Oil N.F. VI. Sometimes misnamed
oil of origanum. Contains thymol, car-
vacrol, cymene, pinene, linalool and
bornyl acetate. It is said to be useful
for clearing celloidin sections.
Thymol Blue. See Hydrogen Ion Indicators.
Thymonucleic Acid is a type of desoxypen-
tose nucleic acid isolated from nuclei
of the thymus. Also called desoxyribo-
nucleic acid on DNA for short. {Feul-
gen or nucleal reaction for). Pass
paraffin sections, fixed in equal parts
sat. aq. corrosive sublimate and ab-
solute alcohol, through xylol and al-
cohols to water. Place in a staining
jar containing normal HCl (82.5 cc.
HCl, sp. gr. 1.17-1.85 per liter of water)
at room temperature for 1 min. Trans-
fer to normal HCl, at 60°C. and there
hydrolyze for 4 min. Treat with the
fuchsin sulphurous acid reagent in a
staining jar for 3-I hr. (This reagent
is : One gram of basic fuchsin is dis-
solved in 100 cc. of distilled water with
the aid of a little heat. The solution is
filtered while still warm and 20 cc. of
normal HCl is added to the filtrate. The
resulting fluid is then cooled and 1
gm. dry sodium bisulfite (NaHSOj) is
added. Then, after standing for about
24 hrs., the reagent is ready for use and
should have a pale straw color.) Pass
through a series of 3 jars, each contain-
ing a solution made by adding 10 cc. of a
molecular solution of sodium bisulfite
(i.e., 104 grams per liter) to 200 cc. of
tap-water, allowing 1^ min. in each and
agitating frequently. Wash in tap
water for 5 min., dehydrate, clear and
mount in balsam. Thymonucleic acid
is colored purple or violet and color
holds (Cowdry, E. V., Science, 1928,
68,40-41). Collected references (Milo-
vidov, P., Protoplasma, 1938, 31 (2),
246-266) ; technique for plant tissues
(Whitaker, T. W., Stain Techn., 1939,
14, 13-16). A more recent account is
given by Stowell, R. E., Stain Techn.,
1945, 20, 45-58. Specificity has been
considered by Dodson, E. O., Stain
Techn., 1946, 21, 103-105. See Bauer-
Feulgen stain for Glycogen.
Dr. A. R. Gopal-Ayengar of the
Tata Memorial Hospital, Bombay has
supplied details of a modification of
the Feulgen technique by Rafalko,
J. S., Stain Techn., 1946 21, 91-93. In-
stead of using HCl and sulphites, as in
the usual method, Rafalko directly
charges both basic fuchsin and the
bath water with SO2 gas, using A'^ HCl
only for the necessary process of hy-
drolysis. By this method, he claims to
have been able to stain diffuse and small
chromosomes, which give negative
results with conventional procedure.
Three types of organisms were tested:
(1) Various small, endosome -containing
amoebae; (2) oocytes of parasitic wasps,
Habrobracon; and (3) the yeasts Sac-
charomyces cerevisiae and S. carlsber-
gensis. Fix smears for 2-20 min.
Wash in water 20 min. and in aq. dest.
20 min. A'^ HCl room temperature,
2 min. N HCl at 60°C., 8-10 min.
Rinse in A'" HCl at room temperature.
Rinse in aq. dest.. Sulphurous acid,
THYMONUCLEOHISTONE
339
TICKS
2 min. Leucobasic fuchsin, lJ-2 hrs.
Sulphurous acid bath, for sufficient
time to remove the free untreated
leucobasic fuchsin (2-3 changes). Tap
water, 10-15 min. Counterstain, if
necessary, with aq. or ale. fast green.
Dehydrate, clear and mount in the
usual manner, or follow Triethyl Phos-
phate technique.
See Aldehydes for discussion of spe-
cificity of Feulgen reaction and Lessler,
M. A., Arch. Biochem. and Bioph.,
1951, 32, 42-54 who thinks that it
should be feasible to correlate deter-
minations of color intensity of gelatin
DNA preparations of known DNA con-
centration with that of Feulgen stained
nuclei and thus measure approximately
the nuclear DNA content. Lessler
specifies certain sources of e.xperimental
error to be guarded against.
The histophotometric measurement
of DNA in the course of embryonic
development is described by Lison,
L. and Pasteels, J., Arch, de Biol.,
1951, 62, 1-43. A biometric investiga-
tion of their technique is provided by
Martin, L., Arch, de Biol., 1951, 62,
45-64.
Thymonucleohistone. Technique for di-
electric properties, Lars-Goran, All-
g^n. Acta Phj^siol. Scand., Suppl. 76,
22, 140 pp.
Thymus. Isolation en 7nasse of nuclei from
Behrens' method as modified by Mayer,
D. T. and Gulick, A., J. Biol. Chem.,
1942, 146, 433-440.
Thyroid. For routine purposes Zenker fixa-
tion and hematoxylin and eosin staining
of paraffin sections is suggested. If one
is interested in the colloid, its appear-
ance after various fixations, its shrinkage
patterns and the significance of its
acidophilic and basophilic staining are
described by Bucher, D., Zeit. f. Zellf.
u. Mikr. Anat., 1938, 28, 359-381. The
effect on colloid of different agents for
dehydration and clearing is described
by Ralph, P., Stain Techn., 1938, 13, 9-
15. A method for determination of the
volume of colloid is given by Stein, H.
B., Am. J. Anat., 1940, 66, 197-211.
The shape of thyroid follicles can be
distinguished but imperfectly in sec-
tions unless reconstructions are made
from serial sections. For an excellent
method of viewing entire, isolated
follicles see Maceration. The localiza-
tion of unsuspected masses of follicles,
not present in the gland, in the neck
tissues of experimental animals can be
accomplished, by supravital staining
with Naphthol Blue.
Many methods are available for the
detailed examination of the secretory
epithelial cells not requiring their
special adjustment to the thyroid gland.
See Mitochondria, Microchemical
methods, etc. The Brazilin-Wasser-
blau technique is recommended for in-
cellular secretion antecedents. If the
Golgi apparatus is to be investigated
consult Welch, C. S. and Broders, A.,
Arch. Path., 1940, 29, 759-772. A fine
beginning has been made in the direct
study of vacuoles within the follicles in
living mice by transillumination after
the fashion of Knisely (Williams, R. G.,
Anat. Rec, 1941, 79, 263-270). Minute
instructions for demonstration of blood
vessels and lymphatics and results
which are to be expected are given by
Rienhoff, W. F., Arch. Surg., 1931, 23,
783-804. For fluorescence see Grafflin,
A. L., J. Morph. and Physiol., 1940, 67,
455-470. Effect of Thiourea on thyroid
secretion (Thomas, O. L., Anat. Rec,
1944,89,461-469).
Ticks. The following method for softening
and sectioning is an adaptation by Miss
Slifer of the Slifer-King technique for
grasshopper eggs (Slifer, E. H., and
King, R. L., Science 1933, 78, 366-367).
Drop animal into dish of Carnoy-Le-
brun. After 5 min. place under binocu-
lar and puncture with a glass needle.
Allow fixative to act for at least 20 min.
longer. (Variations in the size of the
puncture and in the length of time for
fixation should be tried.) Transfer to
70% alcohol colored a light yellow with
iodine over night. If alcohol is colorless
next morning let stand a few hours
longer. Repeat if necessary. At this
point (or somewhat earlier) it is well to
make a larger incision in the animal
with a scalpel. The viscera should now
be well-hardened and should not ooze out
through the hole. 70% alcohol, several
hrs. 70% alcohol containing 4% phenol,
2 or 3 days. 95% alcohol 2 hrs. Anilin
oil, several hrs. Chloroform (2 changes
of 5 min. each). Paraffin about an hour.
Imbed and block. Trim block away so
that viscera are just exposed, at the
point where sectioning is to begin.
Place block in water containing 4%
phenol. Be sure that the cut surface is
under water and examine occasionally to
see that air bubbles do not form on it.
After 3 days a swelling of the tissues
should be noticeable so that they pro-
trude a little beyond the cut surface of
the paraffin. If this has not occurred,
cut away a little more and soak several
days longer. Trim block, place on
microtome and section 5-7 microns.
Work rapidly once you have begun. A
slight delay between sections will allow
the cut surface to dry. If, for any
reason, it is necessary to stop wet a
scrap of paper and stick it to the cut
TIGROID BODIES
340
TISSUE CULTURE
surface. In case of difficulty in making
sections stick to slides try Haupt's
gelatine fixative (Stain Techn., 1930,
5, 97-98). After the sections have
been spread, arranged on the slide and
albumen (Webb, R. L., Am. J. Anat.,
1931-32, 49, 283-334).
Tigroid Bodies (G. tigris, tiger and eidos,
appearance). A term applied to Nissl
bodies since they sometimes look
streaked and spotted like a tiger. See
Nissl Bodies.
Tissue Basophiles (tissue mast cells).
Some think that these cells are emi-
grated Basophile Leucocytes and others
that they are of extravascular origin.
They can easily be studied in fresh
spreads of Loose Connective Tissue or
omentum. Their granules are readily
colored supravi tally with brilliant cresyl
blue, methylene blue and other stains.
Tissue basophiles disintegrate quickly.
Maximow, A., Arch, f . mikr. Anat., 1913,
83 (1), 247^289 gives the following
metachromatic stain for mast cells.
Sections of abs. ale. fixed tissues are
stained 24-48 hrs. in sat. thionin in 50%
ale. Staining can be reduced to 20 min.
by adding 4 drops 3% Na2C03 to 20 cc.
thionin sol. and filtering before use.
Maximow gives technique for smears
and spreads fixed in formalin Zenker.
See his beautiful colored plates. See
Toluidine Blue Phloxinate.
Holmgren and Wilander (H. and O.,
Ztschr. f. mikr. Anat. Forsch., 1937,
42, 242-278) recommend fixation in 10%
aq. basic lead acetate and staining with
1% ale. Toluidin blue. They show
that fixation in formalin-alcohol gives
very inferior results. In their opinion
the metachromatic substance colored is
identical with Heparin.
Sylvan, B., Acta Radiol., 1940, 21,
206-212 has followed this matter up by
subjecting rats and guinea pigs (in which
the basophilic granules are said to be
less soluble in water than in most other
animals) to Gamma rays. He fixed the
tissues in weaker aq. basic lead acetate
(4%) for 24 hrs., stained paraffin sec-
tions with 5% aq. toluidin blue and
other dyes, and reached the conclusion
that the radiation brings about liberation
of organic sulphuric acids of high molec-
ular weight. It would be natural to
investigate the relation if any between
heparin and the basophilic granules in
buffy coat of centrifuged human blood
containing say 0.5% basophiles and in
that of certain turtles in which the per-
centage is as high as 80 as well as in
livers.
Another method of study is to investi-
gate heparin in relation to the charac-
teristic dissolution of basophiles 2 days
after the intraperitoneal injection of egg
albumen (Webb, R. U., Am. J. Anab.,
1931-32,49,283-334).
Tissue Culture— Written by Wilton R.
Earle, National Cancer Institute, Be-
thesda. July 10, 1951 — This technique is
obviously of great value in biology and
medicine. For orientation reference
should be made to two recent books:
Parker, R. C, Methods of Tissue Cul-
ture, 2nd. ed., New York: Hoeber,
1950, Cameron, Gladys, Tissue Culture
Technique, New York: Academic Press,
1950. At present (March 1951) the
Tissue Culture Association (% Dr. Mar-
garet Murray, College Physicians &
Surgeons, W. 168 St., New York) has
nearly ready for publication an elab-
orately cross indexed bibliography
containing over 16,000 primary refer-
ences to papers involving tissue culture.
This association also serves as a coor-
dinating organization for tissue culture
workers.
By the methods of tissue culture a
small clump of cells can be removed
from an organism and maintained in a
condition of survival or growth for
periods ranging from a few hours for
some cells to an indefinite number of
years for the descendants of others.
While so maintained they can be exam-
ined microscopically at various mag-
nifications. The differentiation of em-
bryonic organs can be followed (see
account in this book written by Honor
B . Fell : Organ Culture in vitro) . Malig-
nant cells may be grown and studied for
an extended interval and their charac-
teristics compared with those of nor-
mal cells or with malignant cells in
vivo (Lewis, W. H., Arch. f. Exp.
Zellf., 1939, 23, 8; Earle, W. R., J.
Nat. Cancer Inst., 1943, 4, 165). Cell
form, size, internal motion, locomotion
and rate and manner of cell prolifera-
tion can be routinely studied either
visually, or by means of phase inter-
ference photography, or by time-lapse
cinematography (Fell, H. B., and
Hughes, A. F., Quart. J. Micr. Sci.,
1949, 90, 355). The tissue can be
vitally stained (Ludford, R. J., Uth
Scientific Report, Imper. Cancer Re-
search Fund, 1934, 169) or fixed in situ,
and stained for microscopic examina-
tion, (Cameron, above cited), for micro-
chemical test, or for electron microg-
raphy. Physiological and nutritional
studies are possible. The culture me-
dium can be modified by the addition
or omission of various nutritional ele-
ments or other physiologically active
substances (Pogogeff, I. A., and Mur-
ray, M. R., Anat. Rec, 1946, 95, 321),
and the influence of the altered medium
TISSUE^CULTURE
341
TISSUE CULTURE
on the cells may be studied. The cul-
ture medium may be removed and
tested to determine what changes the
cells have induced in it (Brues, A. M.,
Rathbun, E. N., Cohn, W. E., J. Cell,
and Comp. Physiol., 194-i, 24, 155).
The tissue growing in culture may be
used as a host for the growth and
study of bacteria or viruses (Fo.x, J.
P., Amer. J. Hygiene, 1947, 46, 1).
Rapidly increasing facility in the han-
dling of manj^ types of cells in culture
suggests a constantly increasing useful-
ness of tissue culture methods in many
fields of future scientific work.
1. The Culture Medium and Sub-
strate. A satisfactory isotonic balanced
saline solution is necessary for washing
cultures and for dilution of plasma and
nutrient media. This balanced salt
solution can be prepared best from
glass distilled water free from fungus
or bacterial growth which might give
rise to toxic substances. Reagent
quality chemicals should be used and
heavy metal contaminants in partic-
ular should be avoided. Only minor
differences exist in the formulae of
many of the solutions in current use:
Mammalian Ringer (Ringer, S., J.
Physiol., 1895, 18, 425), Tyrode (Arch.
Intern, de Pharmacodyn. et de Thdr.,
1910, 20, 205; Gey, G. O. and Gey, M.
K., Am. J. Cancer, 1936, 27, 45). Hanks'
(Hanks, J. H., J. Cell, and Comp.
Physiol., 1948, 31, 235), Simms' (Simms,
H. S., and Sanders, M., Arch. Pathol.,
1942, 33, 619), Earle's solution (J. Nat.
Cancer Inst., 1943, 4, 165). Solutions
as amphibian Ringer are used with
amphibian cells. Any solution ap-
proximating the inorganic salt content
of serum, and having a comparable
osmotic pressure, can be employed as a
diluting and wash solution for routine
tissue cultures. For skin epithelium
Parshley and Simms (Am. J. Anat.,
1950, 86, 163) have used a diluting
solution containing no calcium or bi-
carbonate, but with increased phos-
phate, and with aspartic acid added.
This, however, apparently has not been
tested for longer culture intervals than
about a week. About 0.1% glucose is
usually included in balanced saline
solutions as a source of carbohydrate.
For much tissue culture work the solu-
tion used by Earle has the advantage
of an alkali reserve, in the form of so-
dium bicarbonate, comparable to that
of serum.
All physiological solutions, such as
serum, depending chiefly on sodium
bicarbonate for their alkali reserve, can
be maintained at a stable pH within
workable physiological limits only
when kept in sealed containers with an
adequate tension of CO2 in the air over-
lying the fluid. Sterilization by heat,
or by vacuum filtration through a bac-
teriological filter, causes an alkaline
shift, due to loss of CO2, and this
causes secondary changes in the solu-
tion such as precipitation of the cal-
cium and magnesium salts. Probably
the most satisfactory procedure for
sterilizing such a solution is to filter by
pressure (2-10 p.s.i.) and to store in
sealed containers. Before the filtra-
tion CO2 should be passed through the
solution to bring it to a pH somewhat
more acid than that desired. For
routine culture work an initial pH of
about 7.6 in the culture is desirable
because elaboration of acid by cells in
the culture will carry the pH to some-
what more acid levels.
While the balanced salt solution may
be used for rinsing cultures, and while
tissue fragments may be left in it for
short periods, these times should be
limited as continued action of the bal-
anced saline on the cells is injurious.
It is probably wiser to consider the
balanced salt solution as having its
major use as a diluent for other media
such as serum.
For the satisfactory routine main-
tenance of cultures of most tissue
cells a solid support or substrate for
their growth and migration is neces-
sary. Various types of substrates have
been employed, such as silk thread,
spider web, glass wool, lens tissue,
cellophane, gelatin and agar, and for
simple cultures, the glass surface of
the culture dish.
By far the most widely used sub-
strate, and the one which has proven
most satisfactory until recently has
been a thin layer of plasma or fibrin
clot. To prepare the culture with
this substrate, the clump of cells to be
planted (the implant) is placed in a
thin layer (0.1 to 1.0 mm. thick) of
plasma or fibrinogen solution, and this
is clotted into a solid gel by addition
of a little tissue extract or thrombin
solution. When of correct consistency
the clot is a solid, somewhat elastic,
optically clear gel. Its fibrillar struc-
ture enables the cells to migrate
through it, although they tend to col-
lect at its surfaces.
This type of culture substrate has
certain advantages: 1. The fibrin ma-
trix anchors the cells so that as long as
the matrix is intact few cells wash
loose and are lost when the culture fluid
is renewed. 2. The fibrils of the sub-
strate present effective surfaces for
adhesion and migration of the cells.
TISSUE CULTURE
342
TISSUE CULTURE
3. Consequently, with some cell types
at least the fibrillar structure of the
clot probably facilitates the final
stages of cell division, since final
separation of the cells is accomplished
by the daughter cells migrating in
opposite directions. 4. The freshly
prepared fibrin clot contains some
serum and possibly other factors which
enhance the growth of many cell types.
Chicken plasma is most often used
for the preparation of the clot because
it is less likely to clot spontaneously
and since a gel of good consistency can
be more routinely prepared from it;
but plasma homologous with the cells
is frequently employed, as is also
plasma from other animals. Premature
clotting of the plasma is usually pre-
vented by addition of a small amount
of purified heparin.
Although the plasma or fibrin clot is
widely used, it is in many ways un-
satisfactory. 1. With certain combina-
tions of cells and media the clot rapidly
dissolves and ruins the culture. 2.
In the case of very slow-growing cul-
tures the clot may gradually become so
opaque as to make optical examina-
tion impossible. 3. The chemically un-
defined nature of the plasma or fibrin
clot and the variability of its physical
structure interfere with many types of
work, such as studies in cell nutrition.
4. Since the cells are embedded in the
clot and cannot be separated from it,
differential staining, weighing of the
cells, or chemical analyses of the cells
alone in the absence of the clot, are
difficult or impossible.
Perforated cellophane (Evans, V. J.,
and Earle, W. R., J. Nat. Cancer Inst.,
1947, 8, 103) offers a substrate superior
to plasma for many kinds of work. In
the cellophane substrate culture the
cell clump is placed on the floor of the
culture container, is inamersed in a
nutrient fluid medium, and is covered
with a perforated cellophane sheet which
holds it in position against the glass
floor of the flask. This type substrate
is cheap, easily handled, may be steri-
lized by autoclaving, is relatively inert,
and is chemically defined (regenerated
cellulose, Earle, 'W. R., Evans, V. J.,
Edward, M. F., and Duchesne, E., J.
Nat. Cancer Inst., 1949, 10, 291).
Experience to date indicates that when
grown on this substrate in an adequate
nutrient culture fluid, many cell types,
both normal and malignant, continue
to proliferate with far greater luxuri-
ance than when embedded in the
plasma clot. Loose cells from the
implant float loose, reattach to the
cellophane or the glass floor of the cul-
ture vessel, and rapidly extend the
area covered by the cells (Earle, W. R.,
Evans, V. J. and Schilling, E. L., J.
Nat. Cancer Inst., 1950, 10, 943). The
luxuriance of growth is such that cul-
ture flasks of 60 square cm. floor area
may often be used for established stock
cultures. Frequently this area is cov-
ered bj^ cells so rapidly that trans-
planting is necessary in as short time
as 5-10 days. Transplanting of cello-
phane substrate cultures is most easily
accomplished by scraping or shaking
the culture. Many cells come loose
from the substrate and are trans-
ferred as a cell suspension to a new flask.
Once a luxuriant cell growth is ob-
tained on cellophane and a heavy
cell suspension is prepared from it, the
cellophane sheet may in instances be
discarded and the cells may be allowed
to settle on the glass floor of the flask
on which they attach and proliferate
(Earle, W. R., Evans, V. J., Sanford,
K. K., Shannon, J. E., Jr. and Waltz,
H. K., J. Nat. Cancer Inst., in press;
Shannon, J. E., Jr. and Earle, W. R.,
J. Nat. Cancer Inst., in press).
When survival or growth is desired
for longer than a few hours, nutrients
must be included in the culture medium.
In successful instances of cell prolif-
eration over an extended period of time
the nutrient materials used have been
a tissue extract, most often from em-
bryonic tissue, a serum, or usually a
combination of the two. In many in-
stances, particularly in the older litera-
ture, where a tissue extract alone has
been found satisfactory as a nutrient,
serum was actually also present in sub-
stantial amounts owing to use of a
plasma substrate for the culture.
The tissue extract now commonly
employed for routine tissue cultures of
cells from many species is made by
briefly extracting minced embryonic
tissue with an equal volume of balanced
salt solution, and by decanting the
supernatant fluid after centrifuging.
This concentration is known as 1:1
embryo extract. An attempt is gener-
ally made to eliminate living tissue
cells from the solution by freezing in
CO2 snow and recentrifuging. The
extract loses potency rapidly and
should therefore be used within a few
days after preparation, but if lyophil-
ized it can be kept for much longer
periods (Hetherington, D. C, and
Craig, J. S., Proc. Soc. Exp. Biol, and
Med., 1939, 42, 831).
One current source of embryo extract
is chick embryos of 9-11 days incuba-
tion. Where facilities of a local slaugh-
ter house are available some workers
TISSUE CULTURE
343
TISSUE CULTURE
find it convenient to employ beef em-
bryos removed from the uteri by asep-
tic methods (Gey and Gey, cited
above).
At present, whatever the source of
tissue, the extract is routinely pre-
pared with rigid asepsis because no
means of sterilization has yet proven
satisfactory. Filtration through a bac-
teriological filter results in rapid clog-
ging of the filter and in great reduction
in potency. However, it has been
recently reported (Bryant, Jay C,
Earle, "W. R. and Peppers, E. V., at
the 1951 Annual Meeting of the Tissue
Culture Association, Detroit) that by
treating the extract first with hyalu-
ronidase, and then by centrifuging at
approximately 40,000 G, extract from
9-day chicks may be rapidly filtered
by low pressure through a ^03 porosity,
4 mm. wall thickness Selas filter (Selas
Filter Co., Philadelphia, Penn.). The
resulting extract, used with serum,
caused rapid proliferation of mouse
strain L fibroblasts for the 17 day
interval studied. If these results are
confirmed for other cell types and for
longer intervals of culture, this method
of preparation of embryo extract should
substantially facilitate tissue culture
work.
Extracts of malignant tissues have
often been extremely effective in
stimulating growth of some types of
cells. A balanced saline extract of
Walker 256 rat mammary carcinoma,
used with horse serum, has caused
rapid proliferation of the Walker
256 carcinoma cells in culture, but
no stimulative action was noted on
either rat normal mammary epithelium
or subcutaneous fibroblasts (Earle,
W. R., Arch. f. Exp. Zellf., 1937, 20,
140).
Horse serum has been routinely used
in this laboratory over a period of
years as a serum component of nutrient
fluid. The mixture consisted of 40%
horse serum, 20% 1 : 1 extract from 9-day
chick embryos and 40% balanced saline
solution. This has given luxuriant
long-term growth with such different
cells as Walker 256 rat mammary car-
cinoma (Earle, W. R., Arch, of Path.,
1939, 27, 80), fibroblasts from rats,
mice, and humans, and a number of
mouse fibrosarcoma strains (Earle,
W. R., J. Nat. Cancer Inst., 1943, 4,
165). Not all cells do well in this me-
dium. A high concentration of chicken
serum with low embryo extract gave
superior growth of chicken monocvtes.
Parker, R. C. (J. Exp. Med., 1932,
55, 713; 1933, 58, 97; 1933, 58, 401) has
found that various strains of fibroblasts
required very different concentrations
of embryo extract and serum to attain
their optimal growth.
Where it can be used horse serum
offers certain technical advantages.
Eight to 10 liters of horse blood can
be obtained from one bleeding without
injury to the horse, and after clotting
and separation of the blood cells by
centrifugation the serum may be
sterilized by pressure filtration through
a #03 Selas filter at 5 p.s.i., and stored
under refrigeration for a year or longer.
Before filtration extreme care should be
taken to prevent any fungus or bac-
terial growth in the serum; to.xic sul)-
stances produced can pass the filter
and injure or kill the culture.
Numerous other types of sera have
been used in tissue culture. Beef
serum would probably be as satisfac-
tory as horse. If local facilities make
it available sheep serum could be
tried. In hospital centers human cord
serum has been available and has been
found extremely satisfactory bj^ many
workers (Gey, G. O. and M. K. cited
above). Dr. Margaret Murray finds
that for human tumor material it is
superior to horse serum (personal
communication) .
In exploring the possibilities of grow-
ing any cell type, various percentage
combinations of embryo extract and
serum are among the first media to be
tried, after which these combinations
may be supplemented by addition of
other physiologically active substances.
There has been a great deal of work
toward preparing a chemically defined
or synthetic culture medium for cells
growing in culture (Vogelaar, J. P.
M., and Erlichman, E., Am. J. Cancer,
1933, 18, 28; Baker, L. E., Science,
1936, 83, 605; Fischer, A., Astrup, T.,
Ehrensvard, G. and Oehlenschlager,
v., Proc. Soc. Exp. Biol. & Med., 1948,
67, 40; White, P. R., Growth, 1946,
10, 231; Davidson, J. N., Leslie, I.
and Waymouth, C, Biochem. J., 1949,
44, 5; Morgan, J. F., Morton, H. J.
and Parker, R. C, Proc. Soc. Exp.
Biol. & Med., 1950, 73, 1). Substan-
tial progress has been and is being
made in defining the nutritional re-
quirements of cells in culture, but at the
present time no chemically defined
medium now available appears to be
satisfactory for the continued pro-
liferation of any type of tissue cell
in vitro. This study of cell nutrition
of both the normal and the malignant
cell will undoubtedly continue as one of
the most interesting and active fields
of tissue culture research.
At present our knowledge of the
TISSUE CULTURE
344
TISSUE CULTURE
media and other conditions prevailing
in culture, and of the nutrients and
other materials influencing the cells
in vitro are all too inadequate. Con-
sequently any extrapolation of cell or
tissue behavior from in vitro to normal
in vivo conditions must be made with
great reserve. Great caution should
be observed in undertaking any tissue
culture study the significance of which
is dependent on in vitro conditions
being identical or closely comparable
with those in vivo.
2. Types of Cultures. In cover slip
preparations the tissue clump is planted
in a drop of plasma and nutrient cul-
ture medium on a round coverslip of
24 mm. diameter. This coverslip is
laid, culture side up, on a coverslip
48 mm. square, and is attached to the
larger coverslip through capillarity by
allowing a small drop of culture medium
to run between them.
A hollow ground slide, charged with
a vaseline ring, is then lowered onto the
the large coverslip until contact of
the coverslip with the vaseline ring on
the slide seals the preparation: For
coverslips of the size cited a rectangular
hollow ground slide 55 x 80 mm. by 6
mim. thick and with a polished concav-
ity 40 mm. in diameter and about 4.5
mm. deep at its deepest point is excel-
lent. (The more usual Maximow slide is
75 X 45 X 8 mm., with a cavity 36 mm.
in diameter, and requires a 40 x 40 mm
coverslip.)
Coverslip preparations can be given
a final outer edge-seal of paraffin. By
using very thin coverslips, and if
necessary, by even omitting the small
inner slip, the cells can be critically
studied with high numerical aperture
lenses. This type of preparation is
probably the best for routine work with
short working distance high resolution
objectives.
Since the total amount of culture
medium is only 1-3 drops, a tissue clump
of very limited size must be used and
the reasonably healthy life of the
preparation is only a few days. At the
end of that time however, the culture
may be opened, the inner coverslip
with the actual culture lifted out, rinsed
in balanced saline; fresh nutrient
fluid is added and the whole resealed
onto a new outer coverslip and hollow
ground slide. By this partial renewal
of the culture medium every 2 or 3
days the culture may be carried for ex-
tended periods. Pogogeff" and Murray
(Anat. Rec, 1946, 95, 321) report carry-
ing such cultures of muscle cells for
more than a year and a half. When the
cell clump gets too large a small frag-
ment of it may be re-explanted to a new
culture.
Instead of using a plasma substrate
for the culture, the cell clump may be
placed on the coverslip, a few drops of
nutrient fluid added, and a disc of
perforated cellophane dropped on the
cell clump (Schilling, E. L., Earle,
W. R. and Evans, V. J., J. Nat. Cancer
Inst., 1950, 10, 883). Or the cell clump
may be placed on an inner coverslip
in nutrient fluid, and covered with a
disc of perforated cellophane. Trans-
fer of the culture to a fresh slide is
similar to transfer of the usual double
coverslip culture preparation.
Coverslip cultures may be killed and
fixed and stained in toto. For even
more exacting visual or photographic
work the plasma may be omitted and
the cells grown or allowed to migrate
out directly on the glass coverslip.
In migrations under these conditions
the cells spread on the glass in ex-
tremely thin sheets. These are suit-
able for critical microscopic study of
chromosomes, mitochondria, Golgi ap-
paratus and other cellular components.
If grown on thin plastic sheets they
can even be fixed and examined with
the electron microscope.
Coverslip cultures for short periods
of time are recommended in beginning
tissue culture work, but when it is
necessary to carry them through con-
secutive changes of media, sterility is
difficult to maintain. When dangerous
infectious agents are employed, cover-
slip preparations should be handled
with great care to avoid hazard to the
operator, as they frequently develop
leaky seals and because the thin cover-
slips are easily broken. Accurate con-
trol of culture conditions over long
periods of time is more difficult in
coverslip preparations than in tube or
Carrel flask cultures.
For preparations of high optical per-
fection, such as are necessary in high
resolution microcinematography, the
culture is often prepared on a large
coverslip as described, and over this a
thin glass or metal slide, having a hole
through it the diameter of the usual
hollow-slide concavity, is placed and
sealed. The open top of the prepara-
tion is then sealed by means of another
coverslip. In this type of mount the
nutrient fluid of the culture can form
a continuous film joining a small
central area of the upper and lower
coverslips. While the optical perfec-
tion of such a preparation is high, the
cell clump used must be small and its
life is short due to limited volume of
TISSUE CULTURE
Mi
TISSUE CULTURE
culture fluid and limited access of the
cells to adequate oxygenation.
In Roller Tube Cultures (Gey.G.O.and
M. K., Am. J. Cancer, 1936, 27, 45)
the culture vessel is a test tube usually
about 15 X 150 mm., or in some cases a
larger container is used. A thin layer
of plasma and nutrient medium is
coated over the inner surface of the
tube to within 5 cm. of the mouth, and
while this plasma layer is still liquid
numerous small tissue fragments are
embedded in it. After the plasma has
clotted, about 1 ml. of nutrient solution
is added and the tube sealed with a
rubber stopper. In the incubator the
tube is slipped into a hole in the front
end of a drum-shaped frame rotating
at about 7-10 r.p.h., so that as the
drum rotates about its axis the super-
natant culture fluid slowly washes over
the clumps of cells embedded in the
plasma lining the tube. The fluid is
changed every 2 to 4 days. At periods
of 9 to 15 days, colonies of cells may be
dissected loose from the plasma film
lining the culture tube. They are then
removed from the culture tube by
means of the pipette, cut to convenient
size, and subplanted to new cultures.
This type of culture is better adapted
than is the coverslip preparation for
routine growing of large numbers of
cell clumps since each test tube can
accommodate 5 to 20 cell clumps, each
of them as large as that in a coverslip
culture. The fluid can be readily
changed with only minimal disturbance
of the embedded cultures. Where an
extensive series of cultures is carried
bacterial infection is usually less
troublesome than with slide cultures.
Since the tube may be sealed with a
rubber stopper, there is less gas (CO2
and O2) leakage than in the slide prepa-
ration (Earle, W. R., U. S. Pub. Health
Reports, 1931, 46, 199S). Moreover the
rotating mechanism for the roller-tube
unit is cheaply and easily constructed
and the cost of routine culture tubes
(pyrex test tubes) is only a few cents.
But the use of "roller-tube" cultures
is not without limitations. The thin
layer of plasma clot used is often eroded
by the cells so that frequent patching
of the clot by fresh additions of plasma
becomes necessary. This patching in-
terferes with accuracy in control of
conditions of the culture and the cul-
tures themselves are not infrequently
lost by eroding entirely out of the clot.
The curved tube surface, the thick tube
wall, and the separation which the
tube makes necessary between micro-
scope objective and condenser all com-
plicate microscopic examination and
limit it to low magnifications. This
handicap can be partially overcome by
subculturing to coverslip preparations
for detailed microscopic study, but this
is objectionable because of disturbance
of the culture and because of the poor
control of culture conditions in the
coverslip preparations. Although each
roller tube may contain a number of
implants, each of them is usually small
so that the total volume of explanted
tissue is not large. The consequent
necessity of handling many cell clumps
makes the initial planting of the cul-
tures relatively slow.
With some cell types, following lique-
faction of the plasma film in the roller
tube, loose cells scatter over the inner
surface of the tube and proliferate
luxuriantly. This gives roller tube
cultures which can be handled and
transferred by scraping and shaking
cells loose, as described below for the
cellophane substrate cultures.
Attempts have been made to adapt
the cellophane substrate to roller tubes
by inserting a loose sleeve of perforated
cellophane in the roller tube on top of
the cell clumps. Some workers have
reported that the cellophane sleeve has
a tendency to rotate within the tube
and so scrape cells off. Some method
must be used to prevent this. Other
workers have apparently had extremely
satisfactory results with cellophane
substrate roller tube cultures. Too
little information is at present available
to evaluate the method.
Flasks for Carrel Flask Cultures
(Carrel, A., J. Exp. Med., 1923, 38, 407)
are made in several sizes. A well made
"D" 3.5 type flask, as currently used is
disc shaped, 3.5 cm. in diameter, with
top and bottom blown plane and paral-
lel, each about ^ mm. in thickness.
The sides of the flask are vertical, so
that the total separation from top to
bottom of the flask is 10.0 to 11.0 mm.
A side neck of 10.3-10.8 mm. internal
diameter, 1.0-1.3 mm. wall thickness,
32-34 mm. length, projects from the
side wall of the flask and slopes upward
to form an angle of 140° with the top
surface of the flask. The end of the
throat is fire-polished and free from
bead or overhang. The entire flask is
made of Pyrex glass, and is oven an-
nealed to be strain-free under polarized
light.
The cell clump is planted on the bot-
tom of the flask in a layer of medium
which consists of 0.6 cc. of chicken
plasma and 0.7 cc. of some fluid culture
medium (20% chick embryo extract,
40% horse serum and 40% physiological
saline). After this has clotted, 1 to 2
TISSUE CULTURE
346
TISSUE CULTURE
ml. of the same fluid culture medium
is added; the flask sealed with a rubber
stopper, and incubated as usual.
About 3 times weekly the preparation
is unsealed, the old culture medium re-
moved, the solid clot with its contained
cells soaked for about 15 min. in iso-
tonic balanced saline, this saline re-
moved, fresh nutrient fluid added, and
the flask resealed. At intervals of
for instance 28 days, the whole sheet
of plasma may be slipped loose from the
floor of the flask, poured out of the
flask and the cell sheet cut into explants
of suitable size. These may be reinocu-
lated to make new cultures in other
flasks.
This type of culture, like the "roller
tube" culture is well suited for carrying
relatively large numbers of cultures
over extended periods. Washing of the
culture and renewal of the culture fluid
can be done quickly. As routinely
carried out at the National Cancer In-
stitute, the actual time required for 2
operators to set up apparatus and solu-
tions, wash and renew the nutrient
medium on 200 plasma substrate cul-
tures is about 90-110 min. In plant-
ing, each culture flask receives one ex-
plant of about 3.0 to 4.5 mm. width
and 15 mm. length, while the thickness
of the explant is only the thickness of
the culture sheet of the previous cul-
ture generation. Since only one cul-
ture is used in each culture flask, trans-
plantation is rapid. Growth from this
type explant of a rapidly growing cell
strain will often routinely cover the
floor of the flask at 28 days.
There are several advantages over
the roller tube culture. The plasma
clot is usually thicker (though a thin
clot can be used) so that there is less
trouble from clot erosion; with many
cell strains "patching" of the clot with
fresh plasma is not necessary. The
clot is of such thickness and texture that
it can be slipped loose from the flask
as a sheet, and slid out onto a sterile
glass plate, where the culture can be
easily and accurately cut up for sub-
inoculation by means of a Bard-Parker
^11 blade attached to a j^7 handle.
Because a single very thin strip-shaped
explant is placed in each flask, actual
subplanting of cultures is much more
rapid than with the roller tube prepara-
tions in general use and the actual
amount of tissue is probably greater.
If desired, flask cultures may be in-
cubated on slowly rocking shelves but
this is necessary only in studies in
which the whole surface of the culture
must be washed with a moving film of
fluid. Cultures can be routinely photo-
graphed at magnifications of 200 to 400
diameters and can be examined regu-
larly with up to a 4 nmi., 0.65 N.A.
achromatic objective. The 5.5 mm.
Bausch and Lomb objective of 0.65
N.A. is extremely useful. For higher
numerical aperture photographs sub-
inoculation must be made to slide
cultures.
The general use of the Carrel flask has
been limited. Since the flasks require
a high quality of precision glassblowing,
thej^ are expensive. D3.5 flasks cur-
rently sell for $2.25 each. Apparently
the dimensional and fabrication speci-
fications of the flask were never pub-
lished so that many of the flasks sold
have been unsatisfactory in use, or
have been so fragile as to make their
use prohibitively expensive due to
breakage. (Satisfactory flasks are now
available from Mr. Otto Hopf, Upper
Black Eddy, Penn.) In many points
their manner of use and accessory ap-
paratus used with them has been in-
adequately described in text and papers
on tissue culture. The writer considers
the Carrel flask as the most satisfactory
of the three culture methods described
for routine qualitative work, and as
a method which warrants greater at-
tention than it has received.
The preceding types of tissue culture
preparations have all allowed the
growth of a very small mass of tissue,
or of a very thin sheet of cells adherent
to a more or less plane substrate. An-
other type of three dimensional substrate
culture has recently been reported.
(Earle, W. R., SchilUng, E. L., Shan-
non, J. E., Jr., 1951 Annual Meeting
of the Tissue Culture Association, De-
troit; J. Nat. Cancer Inst., in press).
In some instances this was built from
folded perforated cellophane sheets;
in others it consisted of a mass of com-
mercially available Pyrex glass chem-
ical absorption tower packing helices
of I inch lumen, | mm. rod size. The
mouse strain L cells studied were im-
planted as a cell suspension and ad-
hered to the surfaces of the matrix,
while nutrient fluid was periodically
circulated through the interstices of
the substrate mass. Cell proliferation
of 4 X to 8.5 X the original inoculum
was obtained with both types of sub-
strates. In one instance an estimated
1145 mg. (wet weight) of cells was ob-
tained. In a number of instances the
weight exceeded 500 mg. per culture.
It appears that the general methods
and principles involved in this type
culture may already be extrapolated to
make practical the growth of far larger
masses of tissue cells. Even this type
TISSUE CULTURE
347
TISSUE CULTURE
of culture, however, must at the present
time be considered as merely a step in
the development of other and still
more useful culture types. Klein
(Klein, G., Cancer, 1950, 3, 1052) and
others have been able to grow numerous
types of malignant tumors intraperi-
toneally in animals, and by repeated
subinoculation in this site have caused
the tumor cells to form a dense cell sus-
pension in the ascitic fluid of the animal.
It appears quite probable that with
further increase of our knowledge of
the factors which control the prolifera-
tion of cells on these various types of
substrates, it may be practical to en-
tirely eliminate the necessity of the
substrate, as we now know it. By
control of culture conditions it may be
possible to routinely grow many types
of cells free-floating, or virtually free
floating, as a suspension in a nutrient
fluid. Already these possibilities are
being explored.
Numerous other types of tissue cul-
ture preparations are employed for
special purposes. A watchglass culture
is often used in embrvological studies
(Fell, H. B., above cfted). Porter, K.
R., Claude, A. and Fullam, E. F., (J.
Exp. Med., 1945, 81, 233) have intro-
duced a special flask, for use in a roller-
tube unit, designed particularly for
electron microscopy. Special flasks
designated T-12 and T-60 flasks (Earle,
W. R. and Highhouse, F., unpublished)
have been designed to handle quan-
titatively cultures planted from cell
suspensions obtained from cellophane
substrate cultures. These will be con-
sidered in more detail below.
3. The Cells in Cultures. With respect
to the types of cells which may he grown
in tissue culture at the present time,
certain rough but possibly useful gener-
alizations may be made. 1. Nearly
any type of cell can be kept alive or in
a state of survival, from a few hours
to a few days. 2. Cell proliferation is
probably not to be expected at all of
anatomically incomplete cells, such as
the erythrocyte, which lacks a nucleus.
3. Embryonic cells which have not
yet assumed a high degree of func-
tional specialization or differentiation,
are in general easier to grow than adult,
highly specialized or differentiated cells.
4. Manj' malignant cells are more
easily grown than are the normal cells
from which they arise. For instance,
there has been no satisfactory long-
term culture of the normal mammary
gland epithelium, although there have
been frequent instances of culture of
epithelium from carcinoma of the mam-
mary gland. 5. That group of cells
which we loosely designate as "fibro-
blasts", and closely related cells which
arise from the mesenchyme or meso-
derm are in general reasonably easy to
grow, particularly from very young
animals. The epithelial tissues, how-
ever, especially the highly differen-
tiated secretory epithelia, from the
liver or the thyroid, are often far more
difficult. 6. It appears quite probable
that as our knowledge of the nutrition
and endocrine control of specific cell
types increases we shall become in-
creasingly able to grow these more
highly specialized cells. 7. At present
relatively few cell strains, normal or
malignant, have been maintained in a
state of rapid proliferation for as long
as one year. 9. If an easilj' grown cell
type can be used with equal value
to one which has never been satisfac-
torily grown, the easily grown cell is
obviously the one of choice. The study
necessary to grow luxuriantly a cell
type which has never been grown may
well take years. Any problem which
depends for its success on cultivation
of a cell type which has never been
satisfactorily grown should be entered
into with caution and only after a careful
evaluation of whether the results to be
obtained justify the expenditure of
effort involved.
Until recently it has never been pos-
sible to grow a single isolated tissue
cell of any type. Consequently it has
never been possible to establish a pure
culture or strain of cells which could be
considered with assurance as made up
of only one single cell type. Cultures
of such cells as the chick-heart fibro-
blasts or the malignant mammary epi-
thelium have in instances been cultured
and have appeared stabilized for ex-
tended periods of years; but there has
been no assurance that all cells within
such cultures were identical in type or
in origin. At best they could be con-
sidered as made up of similarly ap-
pearing, or comparably reacting cells,
as judged by the tests used. Recently,
however, methods have been worked
out by which a single isolated cell
from the subcutaneous connective tis-
sue of a CsH strain mouse was success-
fully isolated and grown (Sanford, K.
K., Earle, W. R. and Likely, G. D.,
J. Nat. Cancer Inst., 1948, 9, 229).
This cell strain has continued to pro-
liferate luxuriantly'- in horse serum and
chick embryo extract for a number of
years. (The strain has now been made
available to laboratories having facili-
ties for carrying it.) The methods used
have allowed proliferation of a number
of other types of isolated cells both
TISSUE CULTURE
348
TISSUE CULTURE
normal and malignant, and should
ultimately allow the growth of large
cultures from them. To date, however,
(March 1951) technical difficulties have
interfered with carrying the proliferat-
ing isolated cell of most of these other
types through to large cultures.
For accurate cell descriptions which
are to be compared with descriptions
from other cultures at other times,
culture conditions and media should
be standardized as accurately as pos-
sible. Cultures should be well estab-
lished yet relatively young, and of
comparable size (Earle, W. R. and
Thompson, J. W., U. S. Pub. Health
Rep., 1930, 45, 2672). Chilling of the
cultures, inadequate frequency of
change of culture media, severe vibra-
tion, all tend to produce aberrant cell
shapes. Prolonged exposure to light
in the presence of erythrocytes can
injure or kill otherwise relatively in-
sensitive cells (Earle, W. R., J. Exp.
Med., 1928, 48, 457; 48, 683). The cen-
tral part of a dense culture is often
degenerating or necrotic. Cells which
have migrated out from an explant
frequently exhibit aberrant and "giant
cell" forms at the extreme periphery of
the culture. Cells located in a plasma
substrate at its interface with the
supernatant fluid often show different
structural features from cells at the
interface of the plasma with the glass
surface of the culture dish (Earle,
W. R., Schilling, E. L. and Shelton,
E., J. Nat. Cancer Inst., 1950, 10,
865 and 1067).
These variations should be recognized
by the worker and every effort made to
standardize conditions to eliminate them
as complicating factors in the records.
Photographic records of the culture
and of its living cells are extremely sat-
isfactory as records if correctly made.
Phase contrast optics are often useful
or essential. For following changes
in cell activities the time-lapse cinemat-
ograph is extremely useful.
4. Tissue Culture and Quantitative
Research. When an attempt is made
to prepare substantial numbers of repli-
cate cultures for quantitative studies
involving changes of cell proliferation
rate in culture, numerous difficulties are
encountered. If fresh tissue is used,
the amount of residual tissue material
brought over from the host, and the
variability among the explants of an
extensive series of cultures often raise
serious questions as to the significance
of results obtained. By using plasma
substrate tissue colonies of a well estab-
lished cell strain, and by bisecting
each colony, one half of each colony
may be used as a control on the other,
but even this type preparation contains
the residual materials of the plasma
matrix, while the number of control
cultures necessary to achieve reason-
ably accurate conclusions is often pro-
hibitive.
If the cell type can be grown satis-
factorily on a surface substrate (e.g.
cellophane or glass), and if a cell sus-
pension can be prepared from it, this
suspension may be handled by special
burettes and other accessory equip-
ment, and from the suspension large
numbers of replicate cultures having a
high degree of accuracy may be rapidly
planted (Evans, V. J., Earle, W. R.,
Sanford, K. K., Shannon, J. E. Jr. and
Waltz, H. K., J. Nat. Cancer Inst.,
1951, 11, 907).
The term growth has been so loosely
used in the tissue culture literature,
and particularly in the early literature,
as to be confusing and often mislead-
ing (Essentials of Tissue Culture,
Parker, R. C, Cunningham, B. and
Kirk, P. L., J. Cell, and Comp. Physiol.,
1942, 20, 343). Estimation of change
in culture area or diameter has prob-
ably been the most widely used and
most easily applied index of culture
"Growth". Substantial cell prolifera-
tion for an extended period of time can
be easily recognized, but in the early
stages of the life of the culture the
method may be grossly inaccurate due
to increase in the culture area resultant
from cell migration rather than from
cell proliferation. Even with older
cultures the method is accurate only
where cell density per uuit area is
relatively constant and if necrosis has
not supervened.
Actual observation of cell division is
the ultimate evidence of cell prolifera-
tion. By determining the number of
cells which undergo mitosis in a cul-
ture area per unit time relative to the
total number of cells in that area, an
estimate may be made of the relative
frequency of cell proliferation. But
such observations are arduous and are
subject to a number of possible errors.
Cell proliferation rate may be very
different in different parts of the same
culture, so that the method is valid
only for a constant zone or for com-
parable areas of cultures. If the
enumerations are made visually on
living cells, the accuracy of enumera-
tion is often very poor while the con-
tinuous exposure to light may be in-
jurious. When fixed preparations are
counted the method is valid only if
the average interval of duration of
mitosis is known and if the experi-
TISSUE CULTURE OF PLANTS
349
TISSUE CULTURE OF PLANTS
mental conditions do not disturb the
duration of mitosis. If such disturb-
ance occurs it must be compensated
for, as must also variation in the pro-
liferation rate with different periods in
the diurnal cycle.
By time-lapse cinematography at low
magnifications for a period of hours, it
is possible to include 100 or more cells
in the field, and at the same time to
obtain detail adequate to recognize any
cell undergoing division. It is conse-
quently practical to determine the per-
centage of cells which undergo mitosis
per unit interval of time with a high
degree of accuracy. If at least two or
more optical systems are available a
control culture and one or more under
experimental treatment may be simul-
taneously recorded. While the method
has the disadvantage of requiring ex-
pensive equipment, such multiple op-
tical system time-lapse cinematographs
promise to be powerful instruments in
the quantitative study and comparison
of such phenomena as rates of cell
proliferation, migration and necrosis
in tissue culture preparations.
Where the cells can be grown from a
cell suspension planted on the surface
of a substrate such as cellophane or
glass, the cells may be treated with a
special citric acid diluting solution and
the cell nuclei may be enumerated in
a hemocytometer (Sanford, K. K.,
Earle, W. R., Evans, V. J., Waltz, H.
K. and Shannon, J. E., Jr., J. Nat.
Cancer Inst., 1951, 11, 773). While as
yet tested for only a few cell types, of
which the L strain of mouse cells of
single cell origin is the chief one, the
method should be applicable to other
cell types and should be tried. From
the results so far obtained the method is
slow, but is both practical and accurate
for measuring any change in the total
number of nuclei in the culture planted
from the cell suspension. It has the
advantage that it enumerates only ap-
parently healthy, living nuclei, and it
also allows distinguishing and dif-
ferentially enumerating cells actually
in mitosis if this is desired.
Measurement of growth by increase
of weight of the culture is usually im-
practical with cultures of sizes and
types now available. If the cells are
within a plasma matrix they cannot be
separated from it for weighing. Even
when the cells are grown on cellophane
or glass substrates, difficulties of getting
the cells and substrate freed of media
and of fluid without changing the
weight of the cells makes weight deter-
minations difficult. Determinations of
dry weight are similarly complicated.
While optical methods for determin-
ing the "growth" of a culture have been
tried, optical quality of cultures and of
culture media may vary so greatly due
to other changes (e.g., clouding or
precipitation of the culture media,
cell granulation, accumulation of fat
or granules; occurrence of necrosis)
that various methods suggested have
not proven practical under the widely
varied experimental conditions which
may prevail.
Many chemical indices of "growth"
have been suggested and tried. Some
of these have been: rate of utilization
of glucose, lactic acid production,
change of pH of the medium, rates of
aerobic and anaerobic glycolysis, oxy-
gen consumption, increase in (Kjel-
dahl) nitrogen content of the culture,
increase in desoxyribose nucleic acid
or ribose nucleic acid, increase in
organic phosphorus and in lipid-free
organic phosphorus and the accumula-
tion of radioactive isotopes of some
metabolized substance. To a greater
or lesser degree these are useful as
indices of change of one or more com-
pounds or groups of compounds by the
cell or its enzyme systems. Such
chemical indices of change are par-
ticularly valuable when a number of
them can be simultaneously provided
in a single study so that results may be
correlated. In future work such chem-
ical studies will probably become in-
creasingly significant. However, under
the wide range of experimental condi-
tions which may be encountered in
tissue culture studies and with our
present limited knowledge, it is unwise
to rely on any one of these chemical
indices as an accurate, quantitative
measure of the proliferation of tissue
cells or nuclei.
Tissue Culture of Plants is also a fine art.
Fortunately an excellent account is
available in book form: White, P. R.,
A Handbook of Plant Tissue Culture.
Lancaster: Jaques Cattell Press, 1943,
277 pp. The nutrient fluids used are
chiefly composed of pure chemicals,
blood plasma, embryo juice and so forth
are lacking. The temperature of incu-
bation ranges from about 30°C. down
to 5°C. The tissues are easily killed
by high temperatures. The special
techniques required in physiology,
pathology and morphogenesis are de-
scribed by White who also reviews the
literature. The technique of tissue
culture has proved useful in researches
on the disorderly growth of cells from
Crown-galls (White, P. R. and Braun,
A. C, Cancer Research, 1942, 2, 597-
617).
TISSUE EOSINOPHILES
350
TOXOPLASMA
Tissue Eosinophiles. Demonstration is
easy by the same techniques as for
Eosinophile Leucocytes. In rabbits a
marked increase of tissue eosinophiles
can be produced in maxillary sinus
mucosa by pilocarpinization. This at-
tains a maximum in 5 min. and disap-
pears after 24 hrs. (Nemours, P. R.,
Arch. Otolaryng., 1933, 17, 38-42).
Tissue Fluid. All living cells of the body
are aquatic. There is reason to think
that the tissue fluids, which they in-
habit, are not of uniform composition
throughout the body but exhibit regional
differences (Cowdry, E. V., Problems of
Ageing, Baltimore: Williams &Wilkins,
1942, 583-625) . Except when present in
large amounts, these tissue fluids can-
not be collected for chemical analysis.
Consequently microchemical means are
important in determination of their
nature. They are often described in
the literature as intercellular ground
substance. Many methods have been
described by S. H. Bensley (Anat. Rec,
1934, 60, 93-109) for the ground sub-
stance of Loose Connective Tissue.
See Spreading Factors. A method for
quantitative evaluation of tissue fluid-
lymph cellular ratios has been reported
by Allen, L., Anat. Rec, 1945, 92, 279-
287. See also Cartilage and Bone.
Tissue phagocytes of the lungs (histocytes,
histiocytes, etc.) — Written by C. C.
Macklin, Dept. of Histological Re-
search, The University of Western
Ontario, London, Canada. November
28, 1951 — These cells are of mesodermal
origin and akin to the phagocytic cells
of the general connective tissue. They
are made conspicuous by the grains of
carbon or other particulate matter
which they ingest, which have escaped
the phagocytic clearance mechanism
of the pulmonary alveolar surfaces,
and which have worked their way into
the environments of the phagocytes.
They are demonstrable by any good
fixation and staining technique, and
may be made outstanding by the Vital
Staining method (which see). They are
not to be confused with the Dust Cells
(which see) which are of endodermal
origin and do not enter the connective
Titan Yellow (CI, 813)— Erie fast yellow
WB, thiazole yellow — An acid thiazole
dye used in fluorescence microscopy.
See method for Magnesium.
Titanium Dioxide. Huggins, C, Anat. Rec,
1939, 74, 231-253 used this compound
in a suspension as a vital stain for bone
marrow because the amounts taken in
by reticuloendothelial cells can be
measured. He employed specially puri-
fied titanium chloride obtained from
Dr. J. L. Turner and the Titanium Pig-
ment Corporation, 111 Broadway, New
York. The method is to make a fine
5% suspension in 2% aq. gum acacia
by mixing with an electrical mixer for
1 hr. After keeping this at 4°C. for 2
days siphon off the supernatant fluid for
use to avoid aggregates which settle to
the bottom. Keep this likewise on ice
but warm to body temperature before
intravenous injection. Inject slowly
into ear veins of rabbits, each animal to
receive 3-6 injections of 10 cc on con-
secutive days. The titanium dioxide
E articles can easily be recognized as a
lack accumulation in the phagocytes
and its amount can be determined
chemically in fairly large bone samples
by a method detailed by the author.
Tocopherol, see Vitamin E.
Toisson Solution for diluting blood; aq.
dest. 160 cc; neutral glycerin, 30 cc;
sodium sulphate, 8 gm.; sodium chlo-
ride, 1 gm.; methyl violet, 0.025 gm.
Toluene Red. Dimethyldiamidotoluphen-
azin. See Platelet staining solutions.
Toluidin Blue O (CI, 925)— methylene blue
T 50 or T extra — Employed very widely.
Metachromatic staining with this dye
is specific for certain mucoproteins.
See Sylvto, B., Acta Radio., 1945,
Suppl. 59, 100 pp.
Toluidine Blue Phloxinate. Instructions
for preparation (Lillie, R. D., Stain
Techn., 1941, 16, 1-6). Lillie now
recommends Azure Toluidine blue.
Toluylene Blue (CI, 820). A basic indamin
dye, homologue of Bindschelder's Green
which see.
Toluylene Red, see Neutral Red.
Tolyl Blue 5 R (CI, 289), a disazo mordant
dye of light fastness 3 preparation and
use of which for plant and animal tissues
is described (Emig, p. 37).
Tony Red, see Sudan III.
Torsion Balances, see Balances.
Torulosis, see Blastomycosis.
Tourmaline, as a polarizer, see Bennett,
H. S. in McCIung's Microscopical
Technique, 1950, p. 614.
Toxic Neutrophiles (see Neutrophiles,
toxic).
Toxoplasma. These protozoa can be identi-
fied microscopically. They can be
colored with Wright's or Giemsa's
stain in impression preparations (see
Smears). To demonstrate them in sec-
tions use Giemsa's stain after Regaud's
fixative, eosin-methylene blue after
Zenker-acetic or hematoxylin and
phloxin after formalin (Pinkerton, H,
and Weinman, D., Arch. Path., 1940,
30, 374; Sabin, A. B., Advances in Pe-
diatrics, 1942, 1, 1). It is helpful in
diagnosis to compare with standard
TRACHEA
351
TRANSPARENT CHAMBER
TECHNIQUE
preparations of Sarcocystis and En-
cephalitozoa.
Trachea. Excellent experimental methods
to demonstrate secretion of Mucus
are detailed by Florey, H., Carleton,
H. M. and Wells, A. Q., Brit. J. Exper.
Path., 1932, 13, 269-284. Techniques
for Nerve Endings are given under this
heading but it would be helpful to con-
sult Larsell, O. and Dow, R. S., Am. J.
Anat., 1933, 52, 125-146 who illustrates
what one may expect to find. Tech-
niques for Cilia require no special
adaptation. Celloidin sections are
smoother than paraffin ones.
Tracer Techniques, see Radioactive Isotopes.
Trachoma Bodies. These are easily colored
by Giemsa's stain. For demonstration
of glycogen in them and other pertinent
data see Thygeson, P., Am. J. Path.,
1938, 14, 455-462.
Evolution forms of Rickettsia tra-
chomatis. Fix smears in iodine alcohol,
4-5 min. Stain in May-Griinwald, 1
part; Giemsa, 1 part; neutral aq. dest.
10 parts for 1 hr. Differentiate in 95%
alcohol (Foley, H. and Parrot, L., Arch.
Inst. Pasteur d'Alg^rie, 1938, 16, 283-
292) . See colored plates by the authors.
Transplantation. This technique provides
opportunities for important microscopic
studies. See Anterior Chamber of
Eye, Chorioallantoic Membrane, Or-
gan Culture, Tissue Culture, and Tooth
Germs.
Transparent Chamber Technique — Writ-
ten hj Eliot R. Clark, Department of
Anatomy, University of Pennsylvania,
and Wistar Institute of Anatomy and
Biology, Philadelphia, Pa. Novem-
ber 28, 1951 — Several types of trans-
parent chambers and windows have
been developed, that have been inserted
in the outer ears, and in other locations,
of rabbits and other animals, with the
aid of which it is possible to watch
through the microscope — ^in some types
of chambers with the oil immersion lens —
the growth and behavior of cells and tis-
sues within the living mammal. The
stimulus for this study came from the
desire to extend to the mammal the type
of prolonged microscopic studies of cells
and tissues within the living animal that
had been carried out in the tails of
living amphibian larvae (cf. E. R.
Clark, Anat. Rec, 1909, 3, 183; Am. J.
Anat., 1912, 13, 351, and 1918, 23, 37).
The first chambers were developed by
Sandison, J. C. (Anat. Rec, 1924, 28,
281; Am. J. Anat., 1928, 41, 447), at the
instigation of E. R. Clark. His original
attempts were with mica chaml)ers,
but his successful ones were constructed
of celluloid (cellulose nitrate). The
latter provided beautiful preparations,
in which details of growth and behavior
of blood vessels and of other tissues
could be seen with highest microscopic
magnifications. They remained in the
ear a maximum of 4| months.
After Sandison transferred from
Anatomy to Surgery (1928) a group at
the University of Pennsylvania under-
took to develop, improve and modify
the chamber, and succeeded in develop-
ing several types of chambers designed
for attacking a variety of problems.
One of the most useful types, which
is a modification of Sandison's chamber,
is a type named the "round-table"
chamber (E. R. Clark, Kirby-Smith,
Rex, and R. G. Williams, Anat. Rec,
1930, 47, 187). The "round-table"
chamber, as described in 1930, has been
modified as follows: the washers, both
celluloid and rubber, have been found
unnecessary in "round-table" cham-
bers, though essential in "preformed-
tissue" chambers, and in "round-table"
chambers installed in dogs' ears; the
transplant hole in the base of "round-
table" chambers has been omitted,
since the Williams removable-top cham-
ber has proven a more satisfactory
transplant type; the protective discs
have been replaced by splints and
shields unattached to the chamber;
the celluloid rings of both base and top
have been stiffened by gluing on an
extra 0.66 mm. thick celluloid, over
their medial two-thirds; the edges of
the table have been bevelled outward,
from above down. This type is es-
pecially useful for observation of the
growth and behavior of blood vessels,
lymphatic vessels, connective tissue,
nerves, bone, cartilage, epidermis and
blood cells. To date it has been the
most used and most imitated of all
the chamber types. Published results
have appeared largely in the Anatomi-
cal Record and the American Journal
of Anatomy, from 1930 to the present.
In nearly all of them, Eleanor Linton
Clark has been joint author.
Construction, installation and meth-
ods of study are briefly as follows.
The chamber consists of two parts, a
base and a top. The base is made of
celluloid, 1.8 mm. thick, 3.2 cm. in
diameter, at the center of which is a
raised round table, 1.3 mm. high, 6.3
mm. in diameter. The top consists of
a celluloid ring, also 1.8 mm. thick and
3.2 cm. in diameter, having a central
hole 1.4 cm. across. To the ring is
glued a mica disc, 75 micra thick using
Varian's glue: gum copal, Venice tur-
pentine and xylol (Science, 1931, 73,
678). Three holes are bored at points
equidistant from each other, near the
TRANSPARENT CHAMBER
TECHNIQUE
352
TRANSPARENT CHAMBER
TECHNIQUE
outer rim of both the base and the top
ring, large enough to take bolts 0.040"
in diameter. The chamber fits the ear
best if trinmied to a pear shape. The
edges of both base and top are rounded.
To the table, close to its outer rim, are
glued 4 "buffers" (or separators) —
squares or octagons of celluloid, 5 mm.
wide and either 42 or 75 micra thick,
depending upon the thickness of grow-
ing space desired. The purpose of the
"buffers" is to leave a non-compressible
open space, into which tissues may grow
when the top of the chamber is bolted
to the base. The bolts are of brass,
and may be either headed (1 cm. long)
or headless (1.5 cm. long). They are
made from brass wire 0.040" (1.0 mm.)
in diameter, threaded 120 turns to the
inch (47 to the cm.). The brass nuts
are he.xagonal. The central 3 mm. of
the bolts is coated with celluloid by
dipping in celluloid dissolved in equal
parts of absolute alcohol and ether
and removing the celluloid from the
end sections.
Rabbits used for installation of ear
chambers should have ears at least 5
inches long, should be free from "snuf-
fles" and from "ear-mite, and should
have no scars in the chamber region.
The chamber is inserted in the ear at
a place about two-thirds of the distance
from base to tip, in the flat portion be-
low the central artery and nerve, with
the round-table close to the central
artery. With a nearly-sharp, heart-
shaped dissector, the skin is raised on
both sides of the ear, over an area about
two mm. beyond the limits of the
chamber — care being taken to remove
all the dermis, but to leave the vascular
subcutaneous layer behind. The cen-
tral portion of the raised skin is re-
moved to a distance about 4 mm. from
the outer edge. A round hole is cut
clear through the ear, slightly larger
than the top of the table, and the base
of the table is placed in position with
the table projecting through the hole.
The three bolts are forced through the
ear following a needle and the end of a
probe, the table top is brought down
over the three bolts, and the loosened
skin is lifted up over the edges of the
table on both surfaces of the ear. The
nuts are screwed down on the bolts,
until the three buffers are clearly seen,
but not enough to cause the mica to
bulge. The splints and shields (Clark,
E. R. and E. L. Clark, Anat. Rec,
1932, 51, 55) — the former a flat ring of
.66 mm. thick celluloid, the latter a
pie-plate shaped piece of 0.24 mm. thick
celluloid, shaped by heating in a
mould — are installed as follows. Two
holes are made in the ear with a leather
punch. Through each hole is passed a
headless bolt outside of which is a glass
sleeve about 4 mm. long. This sleeve
protects the ear from the bolt. The
hole in the outer splint is large enough
so that the splint clears the chamber.
The inner splint is trimmed down to a
half ring, to fit the ear fold, and the
edge rounded. Bits of sterile gauze are
pushed into the space around the
sleeves. The operations are performed
under strict asepsis-aqueous solution
of metaphen, 1:500, being the disin-
fectant of choice, both for preparing
the ear and for sterilizing the chambers.
Local anesthesia is used — injections of
novocaine, 2%, being made across the
base of the ear.
Microscopic observations are made
with the rabbit lying on its back, held
by a special rabbit board (E. R. Clark,
Sandison and Hou, Anat. Rec, 1931,
50, 169), while the ear is clamped to a
wooden or bakelite holder, which is
held and moved about by the mechan-
ical stage. Camera ludida drawings
are made using the Leitz "Zeichen-
ocular #4", which allows the micro-
scope to be tilted at an angle of 45
degrees. The microscope rests on a
sheet of heavy plate-glass which is
raised at the sides sufficiently to permit
a drawing board to move underneath.
Illumination is provided by a 6-volt
concentrated or ribbon filament lamp,
the light passing through water filter
or heat-resisting glass. Photographs
of whole chamber are made with a
bellows camera, using 16 or 32 mm.
lenses; photomicrographs with the
Leitz "Leica," or similar type camera,
that concentrate the light, permitting
oil immersion pictures of ^q" to -^■^" ex-
posure; and motion pictures including
'time-lapse" motion pictures. While
oil immersion studies may be made,
a most useful lens is the 8 mm., 20X
apochromatic objective long working-
distance type with small-tipped nose-
piece), since e.xcellent resolution is
obtained with even a 25X compensat-
ing ocular. Since the object is about
1 cm. above the top of the microscope
stage, illumination is improved by
either removing the top lens of the
condensor, or by using a supplementary
lens placed between the regular con-
densor and the mirror — as designed by
Dr. Poser, for Bausch and Lomb, which
sends a beam of parallel rays, instead
of rays converging at the thickness of
a glass slide and then diverging.
A second type of chamber has been
named the "preformed tissue" chamber
(E. R. Clark, Kirby-Smith, Rex and
TRANSPARENT CHAMBER
TECHNIQUE
Williams, Anat. Rec, 1930, 47, 187).
It makes possible a microscopic study
of the original tissues of the ear, with
their original nerve, blood vessel and
lymphatic vessel supply.
A third type, termed the "moat cham-
ber", developed by Abell and Clark
(Anat. Rec, 1932, 53, 121; and Abell,
Anat. Rec, 1937, 69, 14) contains
a small space, or "moat", accessible
to the outside, in which may be placed
any fluid substance, in order to ob-
serve, through the micrscope, the effect
upon the tissues. The fluid may be
withdrawn later, for chemical analysis.
This chamber, in Abell's hands, has
been used for studies on the absorption
of methylene blue, reactions to a phos-
phate buffer, rate of absorption of urea,
rate of diffusion from blood vessels of
nitrogenous substances, reaction of
blood vessels to foreign protein in a
sensitized animal (Abel and Schenck),
and behavior of vessels in hypertension
(Abel and Page).
A fourth type, named the "removable
top" chamber has been developed by
R. G. Williams, for the purpose, origi-
nally, of obtaining easy access to the
living tissue of the chamber, in order
that transplants of organs or tissues,
or implantation of granular substances,
might be made, without seriously dis-
turbing the delicate tissues. It con-
tains a device by which the top cover
may be temporarily lifted off merely by
unscrewing two or three nuts. This
chamber has undergone steady improve-
ment. The original model (R. G.
Williams, J. Morph., 1939, 65, 17) was a
modification of the "moat" chamber-
constructed of glass and mica. This
was improved (R. G. Williams, Anat.
Rec, 1948, 101, 291) by the substitution,
for glass, of tantalum — the metal which
is practically inert in contact with
living tissues — and the replacement of
a major part of the relatively large,
flat surface that comes in contact with
living tissue, by a tantalum gauze,
which becomes virtually a part of the
ear. Finally Williams and Roberts
(Anat. Rec, 1950, 107, 359) have intro-
duced a fifth type of chamber, a radi-
cally modified tantalum and mica
chamber, which still further reduces the
flat surfaces next living tissue, has a
longer life than any other type of
chamber (although many "round-table"
and "moat" chambers have survived
well over a year), is so little irritating
to the ear that outer splints and shields
have been found unnecessary, can be
installed in much less time than is re-
quired for other chambers, gives beau-
tiful pictures of blood capillary growth
353 TRANSPARENT CHAMBER
TECHNIQUE
and behavior, has a removable top for
transplanting, could be modified to
study preformed tissue, and has been
adapted for the introduction or removal
of fluids, for which the "moat" cham-
ber was devised. Epidermis, which
forms an annoying temporary invader
of "round-table" chambers in about
one-fourth of installed chambers, never
invades the latest tantalum chambers.
On the other hand, up to the present,
neither nerves nor lymphatics, which
have been studied in "round-table"
chambers, have been seen in the new
type chambers, although these tissues
could probably be brought in by slight
modifications of the chamber. Success-
ful autogenous transplants have been
made by Williams in one or the other
variety of his ingenious chambers, of
thyroid, adrenal cortex, spleen, lymph
node and testis, many of which have
survived and have been available for
microscopic study for months, and even
for 3-ears (cf. Am. J. Anat., vols. 62,
77, 81, and Anat. Rec, vols. 73, 104,
179).
In other laboratories, Ebert, Florey
and Pullinger (J. Path, and Bact.,
1939, 48, 379) have described a "round-
table" chamber, modified chiefly by the
substitution of another plastic, "per-
spex", for celluloid, and the use of a
vertical instead of an oblique access
hole in the base. They give an excel-
lent description of the entire method of
construction and installation of the
chambers. Ebert, Ahern and Block
(Science, 1949, 110, No. 2868, p. 665)
describe further modifications, using
the same or a similar plastic, namely
"plexiglas" (acrylic and methacrylate
resin), which include a reduction in
outside diameter from 32 to 25 mm. (a
dimension also used by Essex); replace-
ment of "buffers" by remote supports
(as in Sandison's chambers); replace-
ment of metal bolts and nuts by plastic
rods; elimination of splints and shields;
and a quadruple punch, guided by a
double, transparent template, which is
very helpful in installing chambers.
Essex, H. E. (Methods in Medical
Research, Year Book Publishers, 1948,
1, 139) gives again a complete descrip-
tion of the construction and installa-
tion of a chamber made of "lucite"
(methyl methacrylate resin), modelled
after the Ebert, Florey, Pullinger style
of "round-table" chaml)er. He studies
the ear with the rabbit in its normal
position, rather than on its back.
On account of the greater ease of
construction, greater clearness and
freedom from warping, we have tried
lucite in our laboratory, but it has been
TRANSPARENT CHAMBER
TECHEIQUES
354
TRANSPARENT CHAMBER
TECHNIQUES
found to incite what seemed to us to
be definite abnormal or pathological
reactions in the living tissue, in the
form of excessive extravasations of red
and emigrations of white blood cells in
the early stages, and later, of large ab-
normal accumulations of cells next the
Incite. Consequently, for "round-
table" chambers we have preferred
celluloid, to which the tissues do not
appear to react unfavorably. How-
ever, beautiful preparations may be
obtained with chambers made of metha-
crylate resin plastics.
Moore, R. L. (Anat. Rec, 1936, 64,
387) (in E. R. Clark's laboratory), has
adapted the "round-table" chamber to
the ear of the dog. The chamber used
was similar in construction to the one
used in the rabbit, except that the table
was about 2.00 mm., instead of 1.3 mm.
high. He also found that, in order to
obtain chambers in which the ingrowths
from the periphery filled the table area
completely, it was necessary to have the
two parts of the chamber held more
rigidly together than in the rabbits'
chambers. This was accomplished by
using, in addition to the buffers, the
celluloid and rubber washers as advo-
cated in the original "round-table"
description (Clark et al. Anat. Rec,
1930, 47, 187). Of 4 "round-table"
chambers installed in ears of dogs, 2
without washers failed to fill the table
area, while in both chambers provided
with washers, the growth was complete.
Quiet, large-eared beagle (or rabbit)
hounds were used. Moore also success-
fully installed a "preformed-tissue"
chamber in the dog's ear.
Williams, R. G. (Anat. Rec, 1934,
60, 493) has installed "round-table"
chambers in skin flaps, made in the
lateral body-wall of rabbits, and has
pointed out that, by the use of the
"preformed-tissue" type of chamber,
striated muscle (the panniculus carno-
sus) could be brought under microscopic
observation there.
Algire, G. H. (J. Nat'l. Cancer Inst.,
1943, 4, p. 1), at the National Cancer
Institute, Bethesda, Maryland, has
developed methods for the installation
and microscopic study of double-walled,
transparent chambers in the dorsal
skin of mice. The chambers are an
adaptation of the "preformed-tissue"
chambers of Clark et al. (1930). Re-
cently Algire and Legallais (J. Nat'l.
Cancer Inst., 1949, 4, 225) have de-
scribed a "round-table" modification,
for the study of new forming tissue,
and also a method of obtaining access
to the chambers. The maximum time
of survival of Algire 's chambers has
been two months. Several cancer stud-
ies have been published from Algire 's
laboratory.
Other parts of the mammal have
been brought under long-continued
(weeks or months) microscopic observa-
tion by the extension of the chamber or
window methods. Zintel, H. A. (Anat.
Rec, 1936, 66, 437) studied, in rabbits,
a loop of small intestine with its at-
tached mesentery, drawn outside the
body into a semicircular celluloid con-
tainer, and maintained there for several
weeks. Microscopic studies with trans-
mitted light were possible on the mesen-
tery. Similar chambers have been
used on dogs (Abell, R. G. and I. H.
Page, Surg., Gyn., and Obst., 1943,
77, 348). Wentsler, N. E. (Anat. Rec,
1936, 66, 423) has successfully installed
single-paned windows, constructed of
celluloid, in the skulls of rabbits,
through which it was possible to watch,
through the microscope, the pial cir-
culation, over a period of 8 months.
In Montevideo, Estabile, C. (Proc
Am. Sci. Cong, [of 1940], 1942, 6, 147)
has used a window similar to the Wents-
ler cranial window, to observe the
contractions of the musculature of the
right atrium, with transmitted light
provided by an electric light bulb
passed through the internal jugular
vein into the atrium. In a personal
communication Estabile described to
the author the use of the same window
to observe the stomach wall in action,
with light furnished by a light bulb
inside the stomach.
Transparent chambers and windows
have provided new methods for micro-
scopic observation of, and for experi-
ment upon cells, tissues and organs in
the living mammal. They are of
value, in both research and teaching
to the physiologist, pathologist, phar-
macologist, bacteriologist and surgeon,
but especially to the living anatomist,
whose field is fundamental to, and in a
way encompasses all the others.
Transparent Chamber Techniqnes — Writ-
ten by Glenn H. Algire, U. S. Public
Health Service, Bethesda, Md. June
15, 1950 — Transparent-chamber tech-
niques seek to make attainable a
dynamic, functional approach to prob-
lems of histophysiology and cellular
biology through microscopic observa-
tion of tissues and cells in unanesthe-
tized animals over periods of from
several weeks to many months. This
technique was first reported by Sandi-
son, J. C. (Anat. Rec. 1924, 28, 281-287;
1928, 41, 447-474), working under Dr.
E. L. Clark, in whose laboratory the
rabbit ear chambers were later on
TRANSPARENT CHAMBER
TECHNIQUES
355
TRANSPARENT CHAMBER
TECHNIQUES
greatly improved (Clark, E. R., et. al.,
Anat. Rec, 1930, 47, 187-211).
The cartilage of the rabbit ear serves
as a natural support for chambers
which were constructed first of cellu-
loid and mica and later on of glass and
mica, or methyl methacrylate resin (lu-
cite, perspex). An area of skin the size
of the chamber is dissected away from
the cartilage on both sides of the ear,
leaving the central artery intact. The
chamber units are inserted close to the
main artery, usually with the observa-
tion area at the inner surface of the
ear, and the skin is drawn over the
chamber edges and trimmed to expose
the observation area. The chamber is
held in position by the use of bolts or
pegs and by fitting the cartilage into
a space between the upper and lower
pieces. Protective covers of celluloid
or vinylite are used to prevent injury.
Various types of chambers have been
designed for special purposes. The
preformed-tissue design used in studies
of the original tissues of the ear is
restricted to low magnification observa-
tions of blood vessels within a rela-
tively thick layer of skin. Introduc-
tion of the preformed-tissue chamber
into the rabbit ear arouses cellular and
circulatory disturbances which require
10-14 days to subside before satisfac-
tory studies can be made.
Greatly improved resolution of cells
and tissues at high magnifications was
achieved by the round-table designs
(Clark, E. R., et al., cited above), in
which a central hole is punched through
the cartilage and a narrow space of
from 40-75 micra thickness is provided
for the ingrowth of newly formed blood
vessels and connective tissue from the
edges of the cartilage. The thickness
of the space is controlled by spacers
placed between the central round table
and the coverslip. Clark, E. R. and
Clark, E. L., have applied these tech-
niques to detailed descriptive accounts
of the growth, differentiation, and be-
havior of blood vessels, growth of
lymphatics and nerves, development of
fat tissues, migration of leukocytes and
macrophages, and inflammatory reac-
tions.
Abell and Clark, in devising the moat
chamber (Anat. Rec, 1932,53, 121-140)
modified the round-table design to
include a well, provided with silver
cannulae, for the introduction of chem-
ical solutions into the chamber in con-
tact with the living tissue. This design
was used in studies of diffusion of dyes
and of effects of chemical agents on
tissues. The round-table designs re-
quired 3 to 4 weeks for complete vas-
cularization of a table area having a
diameter of approximately 7 mm.
In the removable top chamber, Will-
iams improved the method for the in-
troduction of cell transplants. These
are implanted several weeks after
insertion of the chamber, when vascu-
larization of the round table is com-
plete. Recently Williams has suc-
ceeded in prolonging the duration of
the transplant chamber through the
use of tantalum gauze (Williams, R.
G., Anat. Rec, 1948, 101, 291-298).
Growth of blood vessels and connective
tissue through the meshes serves to
reinforce the attachments between
tissue and chamber. The useful dura-
tion of some of the tantalum chambers
has been approximately 3 years (per-
sonal communication).
Ebert, Florey, and Pullinger (Ebert,
R. H., Florey, H. W. and Pullinger,
B. D., J. Path, and Bact., 1939, 48,
79-94), introduced the use of methyl
methacrylate resin (Incite, perspex) in
the construction of the chamber and
modified an earlier design of the trans-
plant chamber by Clark (cited above),
to give access through a removable
plug introduced into the central table.
This design has been used in studies of
tissue reactions in tuberculous infec-
tion (Ebert, R. H., Ahern, J. J. and
Bloch, R. G. (Proc Soc Exp. Biol.
Med., 1948, 68, 625-^33). Further mod-
ifications of this design were published
recently which simplify the procedures
(Ahern, J. J., Barclay, W. R. and Ebert,
R. H., Science, 1949, 110, 665).
Essex has made use of a Incite cham-
ber in studies of peripheral nerve in-
jury and repair (Essex, H. E. and de
Rezende, N., Am. J. Physiol., 1943,
140, 107-114), and in studies of leuko-
cytes in leukopenia (Essex, H. E. and
Grana, A., Am. J. Physiol., 1949, 159,
396-400). Construction details of this
chamber have been given (Essex, H,
E. in Methods in Medical Research,
Year Book Publishers, 1948 1, 139-145).
Chambers have been described for
other sites, organs, and species. Per-
manent cranial windows have been de-
signed, (Wentsler, N. E., Anat. Rec,
1936, 66, 423^435), in which a small glass
window set into a celluloid frame is se-
cured to the skull with small silver pegs.
A disadvantage of this type of window,
as of the Incite disks made by Sohler,
Lothrop, and Forbes (J. Pharmacol.,
1941, 71, 325-330), is its small size,
having a diameter of 12-16 ram.
Sheldon et al. (Sheldon, C. H.
Pudenz, R. H., Restarski, J. S. and
Craig, W. McK., J. Neuro-phj-siol.,
1944, 1, 67-75) describe a technique for
TRANSPARENT CHAMBER
TECHNIQUES
356
TREPONEMA PALLIDUM
the preparation of a lucite calvarium,
in which the convex portion of the skull
of a monkey is permanently replaced
by a transparent lucite plate, thus ex-
posing the surface of both cerebral
hemispheres. These preparations have
been used in studies of superficial
cerebral vessels in head injury, drug
administration, and oxygen poisoning.
Several attempts have been made to
install permanent type chambers for
the study of internal organs. Zintel
(Anat. Rec, 1936, 66, 437-447) intro-
duced one of the earliest of these for
exteriorizing a loop of intestine and its
mesentery. A chamber for the
pancreas of the mouse has been de-
scribed (Flory, C. M. and Thai, A.,
Anat. Rec, 1947, 97, 33-40). Estable
(Proc. Soc. Exp. Biol, and Med., 1948,
67, 445-447) has described a technique
for biomicroscopic study of the ovary
and the Fallopian tube in rabbits.
The ovary is transferred to a subcu-
taneous space, retaining intact its
vascular and nerve supply. A trans-
parent capsule is applied for protection
during repeated microscopical examina-
tion.
Adaptation of the transparent cham-
ber technique to mice (Algire, G. H.,
J. Nat. Cancer Inst., 1943, 4, 1-11);
Algire, G. H. and Legallais, F. Y., J.
Nat. Cancer Inst., 1949, 10, 225-243)
makes the procedure especially useful
in the many phases of cancer research
involving inbred strains of mice. In
this modification tantalum sutures are
used to support a dorsal fold of two
skin layers between two plastic (vinyl-
ite) splints. One skin layer is incised
and retracted to allow the introduction
of a lucite ring and attached coverslip
which is in contact with the inner sur-
face of the second layer of skin. Both
the lucite ring and the supporting
splints are held in position by tantalum
bolts. This procedure makes acces-
sible to study by transmitted light a
layer of tissue approximately 500 micra
thick, consisting of peripheral nerves,
striated muscle, peripheral blood ves-
sels and lymphatics, subcutaneous
connective tissue and fat, hair follicles,
and epidermis.
Implantation of normal and neoplas-
tic cells, of embryonic organs, or of
carcinogenic chemicals is readily per-
formed during the operation for in-
sertion of the chamber. Experimental
studies of the tissue may be under-
taken immediately after the operation,
and carried on for from 30 to 60 daj^s.
Response of the host and the implanted
tissues to physical and chemical agents
may be studied in terms of cellular and
circulatory reactions, including quanti-
tative measurements of blood pressure,
dye diffusion, and arterial oxygen
saturation. Microscopic resolution is
sufficiently good to observe cross-stria-
tions in muscle, platelets in circulating
blood, and cytoplasmic detail in cells
adhering to the coverslip. Additional
resolution of cytologic detail has been
obtained through use of a round-table
design. The access-type consists of a
thick (1 mm.) coverslip of lucite
through which a 1 mm. diameter hole
provides for local application of chem-
icals at any time after introduction
of the chamber. The operative pro-
cedure requires less than one hour and
two workers can readily handle 10 to
15 animals in daily observations,
measurements, and photographic rec-
ords.
The dynamic, functional aspects of
the transparent-chamber approach in-
dicates future increased development
and correlations with other methods
of biological research.
Trematodes. Make up stain by mixing
1 gm. of dried residue on filter paper
from Schneider's aceto-carmine with
10 gm. ammonia alum in 200 cc. aq.
dest. with aid of heat. When dissolved,
cool, filter and to filtrate add crystal
of thymol. After fixation bring worms
to water or to 20% alcohol. Stain 12-36
hrs. depending on size. Remove to
water 2 changes. Dehydrate through
20, 35, and 50 to 70% alcohol. Place
few crystals potassium chlorate in small
glass covered dish; add few drops cone.
HCl. When chlorine is given off fill
dish with 70% alcohol. If deeply
stained differentiate in this chlorinated
alcohol. If not or the specimens are
small ones add it to the alcohol covering
them and agitate. When sufficiently
destained remove to fresh 80% alcohol.
Dehydrate in alcohol. Add cedar wood
oil to the absolute until mixture is one
half oil. Clear in cedar oil and mount
in balsam (Gower, W. Carl, Stain
Techn., 1939, 14,31-32).
Treponema Pallidum. The organisms can
best be seen in the primary lesions by
Darkfield examination. The same
method is useful for skin and lymph
nodes in the secondary stage but for
the tertiary lesions in deep lying tissues
sections are desirable supplemented
by smears. A negative finding is com-
forting but does not necessarily signify
absence of parasites unless confirmed
serologically.
1. Low surface tension stain for
smears (Haire, R. D., J. Lab. & Clin.
Med., 1938, 23, 1215-1216). Mix 1 gm.
Gentian violet (or crystal violet) in
TREPONEMA PALLIDUM
357
TREPONEMA PALLIDUM
mortar slowly adding 100 cc. hexylre-
sorcinol. Filter and store filtrate in
stock bottle. Stain smears 30 min.
Wash in water, dry and examine. Stain
on slide must not be heated. Trep-
onenias, light purple.
2. Wright's stain for smears (Mallory,
p. 289). To make stain add 1 cc.
Wright's stain and 1 cc. 1% aq. potas-
sium carbonate to 10 cc. aq. dest. in
test tube and heat to boiling. Spread
material thinly on cover glass (not slide)
and hold level with forceps. Cover
with hot stain 3-4 min. After fluid has
turned violet, and a yellow metallic
scum has formed over it, pour off and
repeat process twice with hot stain.
Wash in water, dry and mount in balsam.
Treponemas, intensely violet.
3. Giemsa's stain for smears (Giemsa,
G., Deut. med. Wochn., 1909, 35, 1751-
1752) after Mallory (p. 290). Fix
smears for 15 min. in absolute alcohol
or pass them through flame thrice.
Pour on freshly diluted stain (1 cc. aq.
dest. + 1 drop stock Giemsa). Steam
gently and leave 15 sec. Decant and
add immediately fresh diluted stain,
warm and let cool 15 sec. Repeat 4
times leaving 1 min. last time. Rinse
quickly in running water. Blot.
Mount in balsam. Treponemas, dark
red.
4. Fontana-Tribondeau silver method
for serum (Fontana, A., Dermat. Zeits.,
1925-26, 46, 291-293) after Mallory
(p. 291). To make silver solution add
ammonia water (diluted 1:20) drop by
drop to 50-100 cc. 1% aq. silver nitrate
until a coffee colored clouding takes
place. Air dry thin smears of serum.
Pour on few drops Ruge's sol. (aq. dest.,
100 CO.; glacial acetic, 1 cc; formalin,
2 cc.) and change several times during
1 min. Rinse in running water. Mor-
dant witha little aq. dest., 100 cc; tan-
nic acid, 5 gm. ; liquid carbolic acid, 1 cc.
for 20 sec. warming to steaming. Rinse
in aq. dest. Treat with silver solution
30 sec. heating slightly. Wash in tap
water. Dry in air. Mount in balsam.
Treponemas, brown to deep black.
5. Burri's India Ink method for lesion
fluid (Mallory, p. 291). Make 1:4
suspension of India ink in aq. dest.
Sterilize in autoclave, 15 min. Mix
this in equal parts with fluid from lesion
on slide with platinum loop. Spread
thinly. Dry and examine. Trep-
onema (and bacteria if present), white
in brown to black background.
6. Quick method for demonstration
in fresh autopsy tissues. This is
Krajian's modification of Dieterle's
method (Am. J. Syphilis, 1933, 17, 127)
as amplified in Stain Techn., 1935, 10,
68. Fix tissue 5 mm. thick 10 min. in
10% formalin, 70°C. Cut frozen sec-
tions 5-7 microns. Place in 2% aq.
sodium cobalti nitrite 5 min. Wash 2
changes aq. dest. Mordant for 15 min.
at 70°C. in uranium nitrate 1 gm. ; 85%
formic acid, 3 cc; glycerin, 5 cc;
acetone, 10 cc; 95% alcohol, 10 cc.
Wash quickly in aq. dest. Develop
5 min. in 10 cc. of following mixture -f-
1 drop albumin-glycerin before use
(hydroquinone, 0.62 gm. ; sodium sulfite,
0.12 gm.; acetone, 5 cc. ; 40% neutral
formaldehyde, 5 cc; pyridine, 5cc.;
sat. gum mastic in 95% alcohol, 5 cc,
aq. dest., 30 cc). Wash few sec. aq.
dest. Then warm silver solution 15-25
sec. and wash in aq. dest. Keep all
solutions in cool place. (Original gives
treatment with 0.75% aq. silver nitrate
at 70°C. for 1 hr. upon the development
in hydroquinone mixture.)
7. Levaditi's block silver method
(Mallory, p. 293). Fix tissue pieces
(1 mm. thick) in 10% formalin, 24 hrs.
Rinse in aq. dest. 95% alcohol, 24 hrs.
Transfer to aq. dest. and leave until
tissue sinks to bottom. Fresh 1.5-3%
aq. silver nitrate at 37°C. in dark 3-5
days changing 3 times. (The stronger
silver is advised for tissues excised
during life.) Wash in aq. dest. Re-
duce 24-72 hrs. in dark at room tempera-
ture in:aq. dest., 100 cc. ; formalin,
5 cc; pyrogallic acid, 2-4 gms. Wash
in aq. dest. Dehydrate in 80, 95 and
absolute alcohol. Clear in oil of cedar
wood, imbed in paraffin, mount 5fx sec-
tions on slides, remove paraffin and
mount in balsam. Treponemas, black.
8. Heitzman's modification of the
Warthin-Starry and Nieto's methods as
given by Mallory (p. 293). Cut frozen
sections 15/n or less of 10% formalin fixed
tissue. Place directly in pyridine,
10 min. Wash in aq. dest., 3 changes.
1% aq. uranium nitrate at 37°C., 15
min. Wash quickly in aq. dest., 2
changes. 0.25% aq. silver nitrate at
56°C., 15-30 min. Develop until dark
brown in following mixture made im-
mediately beforeliand by pipetting into
a beaker: (1) 15 cc. 5% aq. gelatin at
56°C.; (2) 3 cc. 2% an. silver nitrate;
(3) 0.5 cc. 1% aq. hydroquinone. Re-
move and thoroughly wash in warm aq.
dest. Dehydrate on slide adding by
pipette increasing alcohols to absolute.
Clear in benzol and mount in balsam.
A heavy black ppt. indicates too long
development. Treponenmas, black.
See Warthin-Starry method.
9. For routine paraffin sections,
Steiner, G., J. Lab. & Clin. Med., 1939
25, 204-210. Fix in 10% formalin and
make sections 9-10 microns. Remove
TRIACID BLOOD STAIN
358
TRICHROME-STAINS
paraffin with xylol. Pass through 2
changes abs. ale. Treat 1-1^ min. in
4% uranium nitrate in abs. ale, 20 cc;
25% gum mastic in abs. ale, 4(>-50 cc;
abs. ale, 20-30 cc. Wash in at least 3
changes aq. dest. until streaks of gum
mastic are removed. 0.1% aq. silver
nitrate in water bath at 100°C., 1-1§
hrs. Wash in aq. dest. Then through
80% and 95% to abs. ale. 10-12.5% gum
mastic in abs. ale. 5 min. Repeat 3
washings described in aq. dest. Re-
duce 20-30 min. in: hydroquinone, 10
gm.; 12.5% gum mastic in abs. ale,
1 cc.; aq. dest., 200 cc. (with tempera-
ture gradually raised to 100°C.). Wash
thoroughly in aq. dest. Counterstain
with hematoxylin and eosin if desired.
Dehydrate in abs. Clear in xylol and
mount in balsam. The advantages are
speed and decrease in confusing silver
deposits. See Steiner's illustrations.
A technician's experience with Steiner's
method has been published (Wilson,
R. A. J., Am. J. Clin. Path., 1946, 16,
21-24).
10. Nigrosine has been proposed as a
negative stain for treponema (Dienst,
R. B. and Sanderson, E. S., Am. J.
Public Health, 1936, 26, 910). Com-
parison of dark field, nigrosine stain
and Kahn test in diagnosis (Nagle, N.,
J. Lab. & Clin. Med., 1939-40, 25, 660-
661).
11. Ziehl's fuchsin stain (Perrin, T.
G., Am. J. Clin. Path., 1943, Tech.
Suppl., 7, 28). Make smears on slides
of exudate secured by compressing base
of chancre or by scraping surface of
ulcer. Dry in air and fix by heat in
flame, if desired. Stain 2 min. while
heating, or for 6 min. at room tempera-
ture, being careful not to let the stain
dry. The stain is aq. dest., 10 cc;
commercial formalin, 1 cc; acetic acid,
1 cc; Ziehl's fuchsin (Ziehl's Carbol-
Fuchsin) 4 cc. Wash in water, moving
gently, and dry in air. See Vincent's
Angina.
Triacid Blood Stain, see Ehrlich's.
Tri-Amino Tri-Phenyl Methane Dyes.
These are the rosanilins. Examples:
acid fuchsin, acid violet, anilin blue WS,
basic fuchsin, benzyl violet, crystal
violet, ethyl green, ethyl violet, Hof-
mann's violet, iodine green, isamine
blue, magenta II, methyl blue, methyl
green, methyl violet, new fuchsin (ma-
genta III), pararosanilin (magenta O),
rosanilin (magenta I), spirit blue, vic-
toria blue B and R and victoria blue 4R.
Trichinella Spiralis. Mallory (p. 304) gives
as a rapid method of diagnosis the
squeezing of small pieces of jaw muscle
or of muscle near tendon of diaphragm
between two slides and direct examina-
tion at low magnification. A useful
device for squeezing the muscle, called
a "trichinoscope" has been constructed
by Gould, S. E., Am. J. Clin. Path.,
Teehn. Suppl., 1944, 8, 98-100. If
trichinellae are calcified or encapsu-
lated specimens can be cleared with
acid. In permanent preparations of
Zenker or formalin fixed material
stained with hematoxylin and phloxine
or eosin the parasites are best seen in
longitudinal sections of muscle fibers.
To demonstrate in migratory phase
withdraw blood from vein in arm into
syringe containing 3% aq. acetic acid,
centrifuge and examine.
Rapid iodine-silver technique (Kal-
waryjski, M. B. E., Wojsk. Przegl.
Weteryn., 1938, 9, 123-136). Place thin
slices of muscle for 10 min. in iodine,
potassium iodide, aq. dest. sol. in fol-
lowing proportions 2:4:100 or 0.5:1:100
or 0.1:0.2:100 Wash in aq. dest.
Destain in 2.5% aq. sodium thiosulphate
until muscle is clear. Wash in aq. dest.
Equal parts 10% aq. silver nitrate and
strong ammonia until iodine leaves para-
sites. Wash in aq. dest. Decolorize
in 5% aq. sodium thiosulphate. Wash
in aq. dest. and mount in glycerin.
Parasites stained dark brown owing to
conversion of iodine to silver iodide.
See investigation of larvae with radio-
active phosphorus (McCoy, O. R.,
Downing, V. F. and Voorhis, S. N., J.
Parasit., 1941, 27, 53-58).
Trichomonas Vaginalis, technique for, Van
Someren, V. D., Vet. J., 1946, 102,
73; detailed by Wenrich, D. H. and
Diller, W. F. on McClung's Microscop-
ical Technique, 1950, p. 465.
Trichloracetic Acid employed with mercuric
chloride and acetic acid as a fixative
(Heidenhain, Zeit. wiss. Mikr., 1909,
25, 405) also used in 4 or 5% aq. sol. as
decalcifying agent.
Trichlorethylene, as a solvent in histo-
logical technique in place of xylol
(Oltman, R. E., Stain Techn., 1935, 10,
23-24).
Trichlorlactic Acid used as fixative fol-
lowed by staining with resorcin fuchsin
for cytoplasmic canalicular apparatus
(Holmgren, E., Ergeb. d. Anat., 1901,
11, 274-329; Cowdry, E. V., Internat.
Monatsschr. f. Anat. u. Physiol., 1912,
29, 1-32).
Trichosiderm name suggested for iron pig-
ment from red hair (Flesch, P. and
Rothman, S., J. Invest. Dermat., 1945,
6,257-270).
Trichrome-Stains. There are many such
stains. See Mallory's and Masson's.
A rapid one is described by Pollak,
O. J., Arch. Path., 1944, 37, 294. Com-
position of stain: acid fuchsin, 0.5 gm.;
TRIETHYL PHOSPHATE
359
TRIPHEXYLTKTRAZOLIUM
CHLORIDE
ponceau 2 R, 1.0 gm.; light green S F,
yellowish, 0.45 gm.; orange G, 0.75 gm.;
phosphotungstic acid C.P., 1.5 gm.;
phosphomolybdic acid, C.P., 1.5 gm.;
glacial acetic acid, 3.0 cc; ethyl ale,
50% up to 300 cc. Add acetic to alcohol
and put 50 cc. in each of 4 beakers. In
first dissolve acid fuchsin and ponceau,
in second light green, in third orange
and phosphotungstic acid, and in fourth
phosphomolybdic acid (the last named
by slight warming). Mix and use bal-
ance of alcohol to wash out contents of
beakers adding them to mixture. Stain
keeps well; can be obtained from Will
Corporation, Rochester, N. Y. See
colored plate by the author.
Triethyl Phosphate in dehydration. Nelsen,
O. E., Stain Tech., 1945, 20. 131-132.
recommends the use of this compound
(C2H6)3P04) in histological technique,
as it displaces water in tissues readily
without shrinkage or distortion. Since
tissues may be transferred directly into
it from water, the tedious alcohol dis-
placement series in the paraffin tech-
nique is unnecessary. It is soluble in
the alcohols, benzene, ether, chloroform
and xylol. Nelsen reports excellent
results with smears following the tri-
ethyl phosphate method. Following
fixation and subsequent staining with
Feulgen, the smears are first transferred
to equal parts of water and triethyl
phosphate, then to triethyl phosphate
and finally into xylene before mounting.
Fast green may be dissolved in it if
counterstaining is desired.
Trimethylcarbinol, see Tertiary Butyl
Alcohol.
Triphenyltetrazolium Chloride, A Valuable
Reagent for Studies of Reducing Ac-
tivity in Living Organisms — Written
by Dr. Robertson Pratt, University
of California College of Pharmacy,
San Francisco. January 29, 1951 — In
aqueous solutions, 2,3,5-triphenyltet-
razolium chloride (TPTC) is colorless,
diffusible, and readily transported
through plant and animal tissues; but
in the presence of living tissue or of
some other reducing agents, an in-
soluble red formazan is precipitated
from solutions of TPTC. This is the
basis for use of this compound in histo-
physiology to determine sites of de-
hydrogenase or other reducing activity
in living organisms, including cultures
of bacteria (Pratt and Dufrenoy, Stain
Technol., 1948,23,137). The compound
has practical applications also outside
of the field of research (see below).
TPTC has been used successfully in
concentrations ranging from 0.05 to 1.0%
in distilled water or in buffers within
the biologic range of pH values. The
optimum concentration depends largely
on the kind and location of tissue under
investigation. Studying sites of re-
ducing activity in stalks of sugar cane,
where the compound had to be trans-
ported through a considerable distance
of vascular tissue and some adsorption
undoubtedly occurred on the way,
Dufrenov and Pratt (Am. J. Bot.,
1948, 35', 333) found a 0.5% solution
satisfactory for demonstrating that
dehydrogenase activity was most pro-
nounced in the plasmodesmata and in
lipidic parts of the cytoplasm.
In other investigations Pratt and
Dufrenoy (Antibiotics, 1949, Phila-
delphia, Lippincott; J. Bact., 1949, 57,
9) found 0.1% solutions of TPTC
ideal for studying the efTects of peni-
cillin and other antibiotics on the
dehydrogenase systems of bacteria
(Huddleson and Baltzer, Science, 1950,
112,651).
Reduction of colorless TPTC to the
red, insoluble, formazan occurs over a
wide range of pH values. Reducing
sugars do not interfere with the reac-
tion in the normal biologic range of
hydrogen ion concentrations, since
they do not reduce TPTC below pH
11.0 (Mattson et al., Science, 1947,
106, 294). The apparent redox poten-
tial of 2,3,5-triphenyltetrazolium chlo-
ride is about —0.08 volt (Jerchel and
Mohle, Ber. deutsch. chem. Ges., 1944,
77-B, 591). Thus the compound can
act as an electron acceptor in reactions
involving dehydrogenases of pyridine
nucleotides (Jensen et al.. Science,
1951,113,65).
Other tetrazolium compounds and
several derivatives of 2,3,5-triphenyl-
tetrazolium chloride have been used
in the same way as TPTC. One of the
most useful of these is 4,4'-bis(3,5-
diphenyl-2-tetrazolium)-biphenyl di-
chloride which is colorless in aqueous
solution and upon reduction by living
cells yields an insoluble, violet or
mauve formazan. Other agents which
may be used similarly are the 2,5-
diphenyl-3(p-iodophenyl), the 2,3-di-
(p-iodophenyl)-5 phenj'l, and the
2- (p-iodophenyl) -3- (p-nitrophenyl) -5-
phenyltetrazolium compounds.
Applications of TPTC and similar
compounds outside the fields of histo-
physiologic and bacteriologic research
are in the practical testing of viability
of seeds, grains and yeasts; in the dairy
industry, for performing the Brucella
ring test (Wood, Science, 1950, 112,
86); and in the field of antibiotics, for
rapid microbiologic assaying of prepa-
rations of penicillin and other similar
agents. Triphenyltetrazolium chlo-
TROPAEOLIN D
360
TRYPANOSOMES
ride and some of its derivatives may
find application also in plant pathology
as diagnostic agents or for detection of
various bacterial or fungus infections
in the tissues of plants (Atkinson et al.,
Science, 1950, 111, 385).
Stock solutions, prepared in a satu-
rated solution of NaHCOs are stable
in the dark and may be kept for some
time, although freshly prepared solu-
tions are preferable. Solutions should
be protected from direct sunlight or
other strong radiations, especially of
the shorter wave-lengths, (Gierlach
and Krebs, Am. J. Roentgen. & Radium
Therap., 1949, 62, 559). Similarly
TPTC solutions should be shielded
from the radiations of radio-active
substances (ibid).
Solutions of TPTC may be flooded
over living tissues of plants or animals
or over cultures of bacteria on solid
or semi-solid media for a few minutes
and then removed (by decanting or
pipetting) whereupon the sites of active
reduction are clearly defined by the
red deposits of insoluble formazan
which is not diffusible. Alternatively,
the roots of intact plants or the bases
of plant stems may be immersed in
solutions of TPTC. The compound is
readily absorbed and translocated up-
ward. Subsequent longitudinal sec-
tioning of the plant reveals the sites
where the compound has been reduced
to the formazan. Stained material
can be dehydrated in alcohol and ace-
tone and preserved for cyto-histologic
examination. Bacterial cultures on
agar or other suitable media can be
dehydrated similarly and used for
cytologic study.
In bacteriology, TPTC may be in-
corporated in either liquid or semi-
solid culture media. Relative reducing
activity of different organisms under
different conditions may be determined
by noting relative intensities of color
developed in different tubes. In agar
media, TPTC has been used to dis-
tinguish variants of Salmonella typhi-
niurium, of S. sonnei, of Escherichia
coli, and of several species of Brucella
on the basis of reducing activity as
evidenced by the color of different
colonies.
Triphenyltetrazolium chloride has
proved of value in cancer studies also
and has helped in elucidation of some
problems in cancer physiologv (H61-
scher, Agnew. Chem., 1950, 62,^174).
The reaction involved in reduction
of the water-soluble, diffusible, color-
less tetrazolium salts to the water-
insoluble, non-diffusible, colored forma-
zans is as follows:
N— N-
\
y \
y \
-i-2e+2H+
N=N-
ci-
2,3,5-Triphenyltetrazolium Chloride
"N=N— /^
Triphenyl Formazan
The details of the chemistry of tetra-
zolium salts and of their insoluble
formazans have been reviewed by Ben-
son (Chem. Rev., 1947, 41, 1).
Tropaeolin D, see Methyl Orange.
Tropaeolin G, see Metanil Yellow.
Tropaeolin G or OOO No. 1, see Orange I.
Tropaeolin OOO No. 2, see Orange II.
Trotter, see Hair.
Trypan Blue (CI, 477)— azidine blue 3B,
benzamine blue 3B, benzo blue 3B,
chlorazol blue 3B, Congo blue 3B,
dianil blue H3G, naphthamine blue
3BX, Niagara blue 3B — This acid dis-
azo dye is the most popular of all Vital
Stains. See also trypan blue capillary
permeability test (e Silva, M. R., and
Dragstedt, C. A., J. Pharmac. and
Exper. Therap., 1941, 73, 405-411).
Trypan Red (CI, 438). So named because
of influence on Trypanosome infections
(G. irypanon, anger + soma, body).
An acid dis-azo dye much used as a
vital stain but less satisfactory than
trypan blue.
Trypanosomes. The following is based upon
Craig's account. Before examining
peripheral blood, or cerebrospinal fluid,
for trypanosomes it is advisable to con-
centrate them by centrifugation. They
can be well seen in the darkfield.
Smears of blood should be made a little
thicker than for malaria plasmodia and
after being air dried should be stained
immediately. The methods of Giemsa
and Wright are preferred giving a little
more time for the stains to work. For
details of structure use iron hematoxy-
lin after Schaudinn's fluid (Craig p. 49).
The South American trypanosome,
T. cruzi, is more easily cultured than
either of the African forms, T. gam-
biense or T. rhodesiense. Reiser's
medium, described fully by Craig, seems
to be the best. See references supplied
by him (p. 199) to culture in chick
embryoes.
Trypanosomes. Inclusion Bodies are pro-
duced in Trypanosomes in vivo by
effective doses of antrycide, dimidium
bromide and Suramin. Their forma-
tion can also be observed in response to
TRYPANOSOMES
361
TUMOR CELLS
vital stains under the microscope but
in this case they are not permanent.
The determination of the chemical
nature of these inclusions by Ormerod,
W. E., Brit. J. Pharm. and Chemo-
therap., 1951, 6, 334-341 is a fine example
of the application of histochemical
methods to protozoa. They contain ri-
bonucleic acid and protein and resemble
Volutin granules.
Trypanosomes. Media. Summarized from
Q. M. Geiman (Simmons and Gentzkow,
658, 661).
Brutsaert and Henrard's (A) 6.50 gm.
NaCl., 0.14 gm. KCl, 0.12 gm. CaCU +
aq. dest. to make 1000 cc. (B) 8.0 gm.
NaCl, 0.2 gm. KCl, 0.2 gm. CaCls, 0.1
gm. MgClj, 0.05 gm. NaHP204, 1 gm.
NaHCOs, 1 gm. glucose + aq. dest. to
make 1000 cc. Sterilize both by filtra-
tion and distribute in culture tubes
2 cc. A + 2.5 cc. B. Add 2 cc. citrated
human blood (1% citrate) and incubate
at 37°C. 24 hrs. to prove sterility.
Keep in refrigerator useful up to 2
weeks. Into a syringe containing 1 cc.
1% aq. sodium polyanethol sulfonate
draw up 5 cc. patient's blood. Dis-
tribute 0.5 cc. to each of 10 culture
tubes, incubate 25-28°C. Examine mi-
croscopically for trypanosomes after
10-20 days.
Kelser's. Dissolve 2.5 gm. Bacto-
beef (Difco) in 500 cc. aq. dest. on
water bath 55°C., 1 hr. Add 12.5 gm.
Bacto peptone (Difco) and 3.5 gm.
sodium chloride by placing flask in boil-
ing water 5 min. Clarify by filtering
through cotton and make pH 7 with
IN sodium hydroxide. Determine vol-
ume and add 1% Bacto-agar. Dissolve
and distribute 5 cc. per test tube or
10 cc. per small flask. Autoclave 12
lbs., 30 min. Store for latter addition
dextrose and blood or for immediate
use add 5% of 1% aq. dextrose (0.25 cc.
per tube or 0.5 cc. per flask) and 5%
fresh sterile defibrinated guinea pig
blood. After thorough mixing slant
with short slant or deep butt. Use
sterile rubber corks to prevent evapora-
tion. Prove sterility by incubation.
Inoculate by adding organisms to slant
or water of condensation. On incuba-
tion at room temperature (22-25°C.)
growth becomes apparent in approxi-
mately 1 week. Subculture at 6-8
week intervals.
Trypsin, a gelatin plate method as described
under Pepsin but slightly modified is
recommended.
Tryptagar, see Bacteria Media.
Tryptophane Reaction. The procedure of
Scrra and Lopes is specified as follows
by Serra, J. A., Stain Techn., 1946, 21,
5-18: Prepare tissue as described under
Ninhydrin Reaction.
"1. Harden the fixed pieces in 10%
formaldehyde for at least 1-5 hours (an
unnecessary step if a fixative with for-
malin has been employed); then wash
well.
"2. Immerse for 3-5 seconds in an
aqueous solution of sodium silicate
(a = 1.1). When the materials are
sufficiently hardened this step may also
be omitted; it is recommended, how-
ever, that the coloration should be tried
both with and without it.
"3. Immediately afterwards, immerse
the pieces in the Voisenet reagent for
10-15 minutes, in a small glass stoppered
bottle. This reagent is composed of
10 ml. concentrated HCl to which is
added, with a thorough stirring, one
drop of 2% aqueous formol and one drop
of 0.5% aqueous NaNOj. The reagent
is prepared freshly every day and the
nitrite solution must also be freshly
made .
"4. Mount directly in glycerin and
observe, with squeezing, if necessary.
As the coloration fades, it is necessary
to observe the preparations on the same
day.
"The reaction is given by indolic
compounds, and in proteins it is specific
for tryptophane, which reacts even
when bound. The localization of the
reaction seems to be satisfactory and
the sensitivity is sufficient for it to be
used in cytophysiological work." See
Romieu Reaction.
Tubercle Bacilli. Stain by Carbol Fuchsin,
see Acid Fast Bacilli. See Concentra-
tion method for sputum. Fluorescence
with auramine has been described
(Hagemann, P. K. H., Miinch. med.
Woch., 1938, 85, 1066). Fix smears by
flame and stain 15 min. in 1:1000 aq.
auramine (Bayer) containing 5% pheno-
lum liquefactum (liquid carbolic acid).
Wash in tap water. Decolorize in
ethanol 100 cc. ; HCl cone, 4 cc. ; sodium
chloride, 4 gm. renewing solution after
li min. Wash thoroughly in tap water.
Examine without cover glass under
fluorescence microscope using apochro-
matic dry objective and 3 compensating
ocular (X about 180). For visible and
red rays employ 3.5 mm. "Uvet" lens
and 2% aq. copper sulphate. Bacilli,
golden yellow rods in violet fluorescent
background. Kaiserling, C. Deutsche
Med. Wochenschr., 1939, 64, 1354, has
described differences in fluorescence of
human bovine tubercle bacilli. See
Coproporphyrin and Sputum.
Tumor Cells. All of these are not cancer
cells but see Cancer for technique.
TUNGSTIC ACID
362
ULTRACENTRIFUGES
Tungstic Acid, a stable soltiuon (Abraham-
son, E. M., Tech. Bull., 1940, 1, 75).
Turnbull Blue reaction for iron. Same as
Berlin blue except use K ferricyanide
and HCl.
Turpentine. Not advised as clearing agent.
See test for Alcohol absolute.
Typhus Fever rickettsiae in lungs of mice.
(Nyka, W., J. Path. & Bact., 1945, 52,
317-324). Fix in 10% neutral formalin.
Stain sections in 1:10,000 aq. methyl
violet 30 min. to 1 hr. Differentiate in
acetic acid (2 drops glacial acetic in
100 cc. aq. dest.) till cytoplasm is de-
colorized. Counterstain in 1 : 10,000 aq.
metanil yellow for few seconds. Dehy-
drate in acetone, clear in xylol and
mount in neutral medium (say immer-
sion oil). Rickettsiae, violet.
Tyrian Purple. The ancients prized this
dye very highly. Said to have been
discovered when a sheep dog of Hercules
bit into a shellfish and stained his mouth
bright red, this wonderful dye was first
produced for local use in Crete about
B.C., 1600, and was later distributed by
the Phoenicians bringing business to
Tyre; hence the name Tyrian purple.
Pliny has given a detailed description
of its preparation. Factories for ex-
traction of the dye from Murex trunclus
were established by the Phoenicians at
many points in the Mediterranean
basin, chiefly at Tyre, Tarentum and
Palermo, and trading points at Cadiz,
and in present day Morocco. Tyrian
purple became the "royal color" em-
Eloyed by royalty in Persia, Babylon,
ledia and Syria. The robes of Greek
generals were purple, likewise those of
their Gods. Jewish tabernacle decora-
tions were colored by a bluish type of
Tyrian purple. The sails of Cleo-
patra's barge were colored purple. Ac-
cording to a decree by Caesar Augustus
none in the Roman Empire but the Em-
peror and his household could wear
purple (Leggett, W. F., Ancient and
Medieval Dyes. Brooklyn: Chemical
Publishing Co., Inc., 1944, 95 pp.).
Tyrode solution. NaCl, 0.8 gm.; KCl,
0.02 gm.; CaClo, 0.02 gm.; MgCh, 0.01
gm.; NaHjPOi, 0.005 gm.; NaHCO,,
0.1 gm. (giving pH about 7.5-7.8) ;
dextrose, 0.1 gm.; aq. dest., 100 cc.
Solution cannot be boiled but can be
passed through a Berkfeld filter.
Tyrosine Reaction. The procedure of Serra
and Lopes which gives better results
than the Millon Reaction is specified as
follows by Serra, J. A., Stain Techn.,
1946, 21, 5-18: Prepare tissue as de-
scribed under Ninhydrin Reaction.
"1. Immerse the objects for 30 min-
utes in a few milliliters of the mercuric
solution (composition: HgS04, 7.5 g.;
HgClz, 5.5 g. ; NajSOi, 7.0 g. ;— dissolved
in 85 ml. of distilled water to which
12.5 g. of concentrated H2S04 is added;
after dissolving dilute to 100 ml. with
distilled water). Perform the treat-
ment in a small glass stoppered bottle,
placed in a water bath which is main-
tained at 60°C.
"2. After the 30-minute treatment,
cool the bottle in running water and
allow to stand at room temperature for
10 minutes.
"3. Dilute the mercuric solution in
the bottle, by addition of an equal vol-
ume of distilled water.
"4. Develop the color, adding now
some drops of a freshly-prepared 1 M
solution of sodium nitrite (6.9 g. NaN02
in 100 ml. of water).
"The coloration attains its maximum
in 3 minutes and lasts for some months,
though it fades gradually with time.
The materials are mounted and ob-
served in pure glycerin, where they can
be squeezed or sc^uashed, if necessary.
"Tne reaction is principally due to
the presence of tyrosine in the protein
molecule, and is also produced by other
phenolic compounds. The method here
described gives with tryptophane only
a transient coloration, which lasts no
more than a few minutes; it is hoped,
therefore, that by this procedure this
histochemical test reveals only the tyro-
sine in the proteins."
Turnick, see Aceto-Orcein-Fast Green.
Ultracentrifuges — Written by H. W. Beans,
Dept. of Zoology, State University of
Iowa, Iowa City. September 27, 1951 —
Few instruments are more essential to
certain phases of biological and medical
laboratory analj^sis and research than
the centrifuge. However, because of
the relatively low centrifugal force
generated by this instrument, its use-
fulness is limited to the displacement
of materials within living cells of rela-
tively low viscosity and to biological
materials within the test tube that
differ greatly in their relative densi-
ties. Recent improvement of the elec-
trically driven laboratory type centri-
fuge has however, resulted in machines
capable of generating forces of the order
of 10,000 to 30,000 times gravity. It
was this type centrifuge that Bensley
and Hoerr used to separate and analyze
mitochondria (Anat. Rec, 1934, 60,
251), a technique which paved the way
for the important discovery that mito-
chondria are the carriers of all the im-
portant oxidative enzymes (Green, D.
E., Scientific American, 1949, 181, 48).
The development of the ultracentri-
fuge has provided a tool for the study
of the components of living cells of
ULTRACENTRIFUGES
363
ULTRACENTRIFUGES
high viscosity, as well as certain of their
molecular components after disruption
of the cell. In fact it was the latter
that led Svedberg and his associates
to experiment with machines to de-
velop higher centrifugal force, optical
methods of recording the behavior of
mixtures during rotation, and suitable
mathematical formula for interpreting
the molecular weights of proteins (Sved-
berg, T. and K. C. Pedersen, The
Ultracentrifuge. Oxford Univ. Press
1940). Svedberg's many years of ex-
perimentation culminated in an oil-
turbine driven rotor surrounded by an
atmosphere of hydrogen to reduce
heating and hence, convection which
is always a troublesome problem in the
high speed centrifuging of mixtures.
The safe operating speed of the Sved-
berg ultracentrifuge is said to be about
67,000 R.P.M., producing about 350,000
times gravity. By means of this instru-
ment Svedberg and his associates have
demonstrated that the protein molecule
is relatively large. In addition, they
have made an important contribution
to biology by determining the molecular
weights of many of them.
Because the oil-driven ultracentri-
fuge is relatively complicated and
costly, only 9 or 10 of them have been
made (Gay, G. W., Scientific American
1951, 184, 43). In 1930, J. W. Beams
developed the air-turbine ultracentri-
fuge of Henriot and Huguenard to use
in connection with some experiments
in physics (J. Appl. Phys., 1937, 8,
795). This instrument consists of a
cone shaped rotor which is supported
and driven bj'^ air under pressure from
properly directed jets. It is relatively
simple (costs less than $100.00) and has
proven most useful for histological
and cytological studies. Displacement
of materials such as Golgi apparatus,
mitochondria, Nissl bodies, neuro-
fibrillae, centrosomes, chromosomes,
spindles, acrosomes, plastids, nuclei
and nuclear components, intracellular
virus bodies, membrane materials,
erythrocyte components, secretion
products, vitamine C granules, organizer
substances, enzymes, bacteriophage,
and sarcoma virus have been observed.
In addition, it has been successfully
used to study polarity in both plants
and animals as well as the relative
viscosity of certain cancer cells. Thus,
by use of this method, information has
been gained concerning both the struc-
ture and function of many cellular com-
ponents and inclusions both inside and
outside the cell.
E. N. Harvey has adapted his centri-
fuge-microscope principle to the air-
turbine rotor thus making possible the
direct observation of cells in a centrif-
ugal field of 100,000 to 250,000 times
gravity (Biol. Bull. 1934, 66, 48).
While the air-turbine ultracentrifuge
above described has proved satisfac-
tory for the study of many materials
within cells, it is not so suitable for
the separation of colloidal solutions
within a test tube. This is because of
the convection induced by the slight
heating of the rotor as it spins in air at
atmospheric pressure. This difficulty
has been overcome by the development
of the air-turbine vacuum-tj^pe ultra-
centrifuge. This machine consists of
a large rotor (4 to 7 inch) situated in-
side a vacuum tight chamber which
is driven and supported by an air-
turbine of the type described above,
located outside and vertically above the
vacuum tight chamber. The turbine
and rotor are connected by a flexible
shaft which enters the vacuum chamber
through a vacuum tight oil gland. By
this means a convection free centrifugal
field is established, the intensity of
which is limited only by the bursting
strength of the rotor spining the vac-
uum chamber. (Beams, J. W., J.
Appl. Phys., 1937, 8, 795; Rev. Mod.
Phys., 1938, 10, 245; Bisco, Pickels and
Wyckoff, J. Exp. Med., 1936, 64, 39).
The development of this compara-
tively inexpensive centrifuge has made
available to many biophysical and bio-
chemical laboratories an instrument
comparable to, if not superior to, the
oil-turbine ultracentrifuge of Sved-
berg. With it investigators have con-
centrated, separated, and determined
the molecular weights of substances
such as many different types of virus,
antibodies, bacteriophage, cancer
agents, hormones, and various proto-
plasmic constituents.
New uses for the ultracentrifuge in
biological research are continually ap-
pearing. For example, press reports
state that Gofman and associates have
separated cholesterol from human blood
by use of this machine. Their studies
indicate that it may be possible to antici-
pate certain circulatory diseases, such as
high blood pressure and arteriosclerosis,
by this technique. In other words,
eventually we may have available
"diagnostic ultracentrifuges".
The air-turbine tubular-type ultra-
centrifuge has been used successfully
to separate uranium 235 from uranium
238 (Smyth, H. D., Atomic Energy for
Military Purpo.ses, Princeton Univ.
Press, 1945). This machine was first
described by J. W. Beams, and has
become a subject of classified military
ULTRAFILTER
364
ULTRAVIOLET MICROSCOPE
research. Efforts to improve the ultra-
centrifuge are continuing. Beams J.
Wash. Acad. Sci., 1947, 37, 221 has de-
scribed a magnetically supported and
magnetically driven ultracentrifuge.
This machine in experimental tests
obtained rotational speeds of 48 million
R. P. M., thus producing a centrifugal
force of 500 million times gravity.
Further development of the ultra-
centrifuge will undoubtedly lead to a
wider application and more refined tech-
niques for researchers interested in
problems involving sedimentation and
fractionation of mixtures. See Cen-
trifugation.
Ultrafilter. For filtering small volumes of
fluid the ultrafilter of Johnson, H. C.
and Kirk, P. L., Mikrochemie ver.
Mikrochim, Acta, 1940, 28, 254-257 is
recommended by Glick, p. 487. See
easily constructed apparatus described
by Clark, L. C, J. Lab. & Clin. Med.,
1951,37,481-484.
Ultramarine Green, an exogenous pigment,
a sodium aluminum silicate and sulfide
(Lillie, p. 138).
Ultramicroscope, see Darkfield.
Ultrasonic Vibrator. Type used to test
effect of ultrasonics on blood elements
by Morrow, P. L., Bierman, H. R. and
Jenkins, R., J. Nat. Cancer Inst., 1950,
10, 843-859.
Ultrasonics. The division of acoustics com-
prising sound frequencies beyond the
limits of perception by the human ear.
Radiation of this sort can be very de-
structive to living cells. The tech-
nique and results are well described by
Gregg, E. C, Jr. in Glasser's Medical
Physics, 1591-1596.
Ultraviolet Microscope and Color Transla-
tion Process. A microscope using
ultraviolet radiation instead of or-
dinary light to form an image is some-
what of a misnomer, for there is nothing
to be seen. One must expose a photo-
graphic plate sensitive to the ultra-
violet rays to record the image. If the
ultraviolet is used only to excite
fluorescence then of course a visible
image is produced as has been described.
We are here concerned with images
which are not visible.
In accordance with the law, already
mentioned, R = X/2 N. A. increased
resolving power can be achieved by
employing the shorter wave lengths
of the spectrum. Considerable im-
provement of the image is obtained by
using monochromatic blue light with
the ordinary "achromatic" type of
objective; but with highly color cor-
rected "apochromatic" lenses there is
little to be gained by so doing. The
ultraviolet region of the spectrum of-
fers wave lengths as short as 0.15 m,
most of which are produced very con-
veniently by modern mercury and
hydrogen arcs. Therefore, photog-
raphy in the ultraviolet should double
or even triple the resolving power of
a lens if everything else is held constant.
Since ordinary optical glass is nearly
opaque to ultraviolet light lens makers
must use natural quartz, or fluorite,
components throughout the system.
This puts rather severe limitations on
the lens designer as it narrows his
range of possible corrections. For
example, an all-quartz objective must
be used with ultraviolet radiation of a
specified wave length in order to get a
good image (Lavin, G. I., Rev. Sci.
Inst., 1943, 14, 375-376). Focus is
obtained by trial and error. This
makes observation somewhat labori-
ous and almost impracticable for living
material. Ultraviolet microscopy is,
however, used with considerable success
in the study of fixed, unstained cells
because proteins and nucleic acids
show specific absorbtion at 0.280 m
and 0.260 ^ respectively (Caspersson,
L, J. Roy. Micr. Soc., 1940, 60, 8-25).
Thus chromosomes, rich in nucleic acid,
reveal themselves in strong contrast
and high resolution (Ludford et al.,
J. Roy. Micr. Soc, 1948, 68, 1-9).
After proper calibration one can use
the blackening of a plate, or ultraviolet
photocell currents, to measure the
concentrations of absorbing materials
in various structures under examina-
tion.
A remarkable advance in ultraviolet
microscopy has recently come about
with the development of the color
translation rnicroscope (Land, E. H. et
al., Science, 1949, 109, 371-374), for
which an objective lens corrected for
three wave lengths in the ultraviolet
has been designed. The operator takes
a photograph at each wave length.
These negatives show somewhat dif-
ferent details because the materila
being studied has different ultraviolet
absorbing powers at these three wave
lengths. The negatives are then
treated, as in the conventional process
for visual color photography, by as-
signing to each negative one of the
primary colors. The result is a color
print representing in an arbitrary way
something which is invisible to the eye.
Thus, changes in the ultraviolet ab-
sorption spectra of the materials are
revealed by changes in the apparent
colors of details in the print; hence the
term "color translation."
ULTRAVIOLET MICROSPECTRO-
PHOTOMETRY
365
URATES AND URIC ACID
Ultraviolet Microspectrophotometry has
been developed by T. Caspersson (Cell
Growth and Cell Function. A Cyto-
chemical Study. W. W. Norton and
Company, New York, 1950) and per-
mits the determination of absorption
curves of light from 240 to 350 milli-
microns w^avelength in minute parts
of cells. Information on steroids, nu-
cleic acids, proteins and iodides can
be obtained. Equipment is being de-
veloped now in several laboratories
to extend the range of measurements
from 230 niM to the infra red and the
usefulness of these types of technics.
Ultraviolet Photomicrography has certain
advantages over visible light photo-
micrography because the resolving
power of the former is greater in conse-
quence of its shorter wave length, and
as pointed out by Wyckoff and Louw
(R. \V. G. and A. L., J. Exper. Med.,
1931, 54, 449-451), because some pro-
teins absorb ultraviolet more strongly
tlian others, details can be brought out
with it not revealed by visible light.
This they demonstrate by experiments
w^ith B. subtilis. It was then found
that the substances that strongly ab-
sorb ultraviolet light give a positive
Feulgen reaction (Wyckoff, R. W. G.,
Ebeling, H. H., and Ter Louw, A. L.,
J. Morph., 1932, 53, 189-199) and that
they also yield conspicuous mineral
ash on microincineration (Scott, G. H.,
Science, 1932, 76, 148-150)— an inter-
esting superposition of three technical
methods. The work of the Swedish
group is summarized in Caspersson's
book (Cell Growth and Cell Function.
A Cytochemical Study, W. W. Norton
and Co., New York, 1950). Two avail-
able articles in the American literature
are by Stowell (Arch. Path. 1948, 46,
164-178 and Cancer, 1949, 2, 121-131).
The use of other newer types of lenses
should be mentioned. See (Mellors,
R. C, Berger, R. E., and Streim, H.
G., Science, 1950, 111, 627-632 for refer-
ences).
Union Green B, see Janus Green B. Ultro-
pak illuminator of Leitz is helpful for
micrological work. The Epi Condenser
W of Zeiss is similar. See Chambers,
R. W. and Kopac, M. J. in McClung's
Microscopical Technique, 1950, p. 508.
Unna's Orcein method for elastic fibers.
This is simple and direct. Stain paraf-
fin sections, after almost any fixation,
in: orcein, 1 gm.; absolute alcohol,
100 CO. ; and hydrochloric acid, 1 cc. for
several hours. Wash in 70% alcohol
and sharpen the deep brown coloration
of the elastic fibers by removing excess
stain from background by destaining
under the microscope in 95% alcohol
plus a trace of hydrochloric acid.
Wash in 95%, dehydrate, clear and
mount. If desired counterstain with
methylene blue.
Dahlgren (McClung, p. 425) advises
a modification of this stain for Muscle.
After sublimate fixation stain sections
24 hrs. in Wasserblau, 0.25 gm.; abso-
lute alcohol, 60 cc; orcein, 1 gm.;
glycerin, 10 cc; water, 30 cc. Wash
in 70% alcohol, dehydrate, clear and
mount. Muscle, purple; coUagenic
fibers, blue; elastic fibers, red. It is
important in doubtful cases to compare
with similar tissue colored by other
specific stains before identification of
muscle is assured.
Uranin, sodium salt of Fluorescein.
Uranium. Salts injected into tissues can
be demonstrated by (1) a method of
Schneider (G., Skand. Arch. Physiol.,
1903, 14, 383-389). Fix in : 5% aq.
potassium ferrocyanide, 50 cc, sat. aq.
picric acid, 50 cc. ; hydrochloric acid,
10 cc. Wash in 4% aq. hydrochloric
acid and then in 80% alcohol acidified
with hydrochloric acid. Imbed and
cut. The uranium ferrocyanide of
potassium is detected by its dark brown
color (Lison, p. 103). (2) the Prussian
blue reaction for iron as employed by
Gerard and Cordier (P. and R., Arch.
Biol., 1932, 43, 367-413). According to
Lison this method is highly specific.
The possibility of detecting uranium
salts in incinerated sections by their
fluorescent properties in ultraviolet
light has been described (Policard, A.
and Okkels, H., Abderhalden's Handb.
d. biol. Arbeitsmethoden, 1931, 5, 1815).
Gordon H. Scott has been successful
when large amounts are present but
has called attention to complicating
factors (McClung's Microscopical Tech-
nique, p. 660).
Urates and Uric Acid. A modification of
Courmont-Andr^'s method is suggested.
Neutralize some formalin with calcium
carbonate. Fix tissue in equal parts
1% aq. silver nitrate and 4.4% neutral
formalin in darkness, 12-24 hrs. Wash
in several changes aq. dest., 24 hrs.
Imbed in paraffin. Stain sections
hematum 10 min.; running tap water
i-1 hr. ; 1% aq. orange G or eosin ^1
hr. Wash quickly in aq. dest. Place
in 0.5% aq. phosphomolybdic acid, rinse
in aq. dest. and color in 0.12% aq. light
green, 1-10 min. Differentiate quickly
in 96% alcohol, dehydrate in iso-amyl-
alcohol, clear in xylol and mount in
balsam. Urates, black; chromatin,
blue; protoplasmic inclusions red to
orange and collagenic fibers, green.
UREA
366
URINE
Employed by HoUande for bacteriocytes
of Periplaneta orientalis L (HoUande,
A. C, Bull. d'Histol. Appl., 1931, 8,
176-178).
Urea. Many histochemical techniques have
been proposed. Leschke (E., Zeit.
Klin. Med., 1915, 81, 14-35) fixes in
half sat. sol. mercuric nitrate in 1%
nitric acid for 1 day, then washes in
frequently changed aq. dest., imbeds
in paraffin and treats the sections with
sat. aq. hydrogen sulphide staining
nuclei with hemalum. Stiibel (H.,
Anat. Anz., 1921, 54, 237-239) fixes small
pieces in 6% xanthydrol in glacial acetic
acid 6-12 hrs., imbeds in paraffin, stains
sections by ordinary methods and
examines by polarizing microscope.
Oliver (J., J. Exper. Med., 1921, 33,
177-186) employs instead a solution
containing 2 gm. xanthydrol, 10 cc.
methyl alcohol and 20 cc. glacial acetic
acid. Lison (p. 169) criticizes these
methods severely.
It may be necessary to resort to the
capillary tube colorimetric technique
of Walker, A. M. and Hudson, C. L.,
Am. J. Physiol., 1937, 118, 153-166,
or to the titrimetric method of Kinsey,
V. E., and Robison, P., J. Biol. Chem.,
1946, 162, 325-331.
Urease. A method for determining the
distribution of urease in the gastric
mucous membrane (pylorus and fundus)
of the dog has been d.escribed and used
by Linderstr0m-Lang and Ohlsen (K.
and A. S., Enzymologia, 1936-37, 1,
92-95). Cylinders of tissue (2.5 mm.
in diameter) are cut vertical to the
surface from frozen mucosa. Cross
frozen sections (25 microns thick)
of the cylinders are then tested for
urease. This is concentrated in the
surface layers containing cells stainable
with mucicarmine. Chief cells in the
bases of the glands are inactive in both
fundus and pylorus and the authors
think it very unlikely that the parietal
cells contain urease.
For help in the problem of adapting
methods for urea to urease see Glick,
p. 287.
Uremia. Microscopic demonstration of
uremia by precipitation of xanthydrol
urea in tissue. A modification of
Oestreicher's original method is pro-
vided by Brown, A. F. and Krajian,
A. A., Arch. Path., 1936, 21, 96-99.
Cut blocks of tissue 2-3 mm. thick.
Immerse in fresh xanthydrol solution
(xanthydrol, 5 gm., glacial acetic acid
100 cc.) at 80°C. for 2 hrs. Wash in
running water, 5 mm. Fix in 1 part
formaldehyde U.S. P. and 10 parts aq.
dest. at 70°C. for 15 min. Wash in tap
water and cut 5-10/x frozen sections.
Transfer them to slide and pour on
several drops "dehydrated alcohol"
(presumably abs. ethyl ale.) from a drop
bottle and blot. Repeat. Cover by
dipping in thin pyroxylin (celloidin)
contained in wide mouthed bottle.
Fix film of pyroxylin to slide by blowing
breath over section and stain in 1% aq.
eosin for several minutes. Wash in
water, dehydrate in 3 changes dehy-
drated alcohol, place in carbol-xylene,
clear in 2 changes pure xylene 1 min.
each and mount in dammar. Xanthy-
drol urea crystals appear as closely
packed clusters of yellow-green needles.
Uric Acid. Micro colorimetric method,
Borsook, H., J. Biol. Chem., 1935,
110, 481-493. See Urates.
Urinary Casts, staining with methyl blue
picric acid. To sediment from centri-
luged urine add 1 drop 0.5% aq. eosin.
Mix by side to side shaking. After 1-2
min. add 2 drops from 1 cc. 1% aq.
methyl blue + 10 cc. sat. aq. picric acid
and again mix. Color of sediment
should be distinctly bluish green. If it
is reddish brown add more methjd blue-
picric acid. Transfer to slide cover
and examine. The casts should be dis-
tinct blue but not too dark. Numerous
details are brought out (Behre, J. A.
and Muhlberg, W., J. Lab. & Clin. Med.,
1936-37, 22, 853-856). See the author's
figures.
Urinary Sediments. The following outline
is from Stitt (pp. 707-713) much ab-
breviated. Concentrate sediment by
centrifuging 15 cc. fresh urine 1500
r.p.m. 5 min. but not longer. Decant
supernatant urine. Suspend sediment
in 2 cc. urine as is the practice in the
Naval Medical School. By always using
these amounts quantitative differences
from normal in individual sediments
become apparent. Examine for epi-
thelial cells, leucocytes, erythrocytes,
casts, crystalline materials, bacteria
and so forth.
Urinary Tract Smears, see Papanicolaou
Techniques.
Urine. For microscopic study sediments
are divided into classes.
Details with helpful diagrams are sup-
plied by C. J. Gentzkow and H. A. Van
Auken in Simmons and Gentzkow,
26-33.
Unorganized components depending
chiefly on metabolic activities and
changes in content of bladder before
urination. See also Sulfonamides.
Examine for:
In acid urines
Urates, as pink amorphous mate-
rials
UROBILIN
367
VACUOLOIDS
Uric acid, as yellow brown, wedge-
like "whetstones", dumb-bell and
rosette crystals
Calcium oxalate as "envelope"
crystals
Cystine as colorless refractile 6
sided plates
Leucine (yellow spheroids)
Tyrosine (fine needles)
Hippuric acid (brownish needles
or prisms)
In neutral urines
Above components plus
Neutral calcium phosphate (slender
pyramidal ci-ystals united at
apices forming rosettes)
In alkaline urines
Phosphate deposits (white amor-
phous)
Ammonium calcium phosphate
(coffin lid or feathery crystals)
So-called triple phosphate crystals
Calcium carbonate (spheres, dumb-
bells or amorphous masses)
Ammonium urate (dark yellow
brown cockle burr crystals)
Organized components consisting of
cells and their products as well as of
casts. Microscopically to identify leu-
cocytes, red blood cells and sperms,
when present, is easy. It is necessary
to distinguish between cells from renal
tubules, transitional cells from bladder
and squamous epithelial cells. The
casts are of 4 sorts, hyaline, granular,
waxy and blood3^ See Addis Count.
Detection of acid fast bacilli in urine
(Kelso, R. E. and Galbraith, T. W.,
Am. J. Clin. Path., 1943, Techn. Suppl.,
7, 8-11).
Urobilin is a derivative of bilirubin.
Schmidt's test for urobilin in feces con-
sists of rubbing up small amount of
feces in white dish in sat. aq. mercuric
chloride whereupon particles containing
this pigment take on a deep red color
(C. J. Gentzkow and H. A. Van Auken
in Simmons and Gentzkow, p. 82).
Wintrobe, M. M., Clinical Hematology.
Philadelphia: Lea & Febiger, 1942, 703
pp. gives several tests for urobilinogen
and urobilin.
1. Remove bile pigments, if present
from 10 cc. urine (or aq. suspension
feces) by addition of 2 cc. 10% calcium
chloride and filtration. Oxidize any
urobilinogen not converted into uro-
bilin by adding 1-2 drops of Lugol's
Iodine. Then add 10 cc. Schlesinger's
Reagent, filter let stand 1-2 hrs. Uro-
bilin is indicated by green fluorescence
when examined against dark back-
ground in bright light.
2. Make dilutions of urine by adding
1 cc. to 10, 20, 30, 40 etc. cc. of aq. dest.
To 10 cc. of each dilution in test tubes
add 1 cc. Ehrlick's Aldehyde Reagent.
Urobilinogen is indicated by pink color
within 5 min. seen by looking down
through mouths of tubes.
Urography, a new technique for study of
individual metabolic spectra (Beer-
stecher, Jr. E., and Sutton, II. 1'^,
Texas Reports, Biol. & Med., 1951,
9, 8-12.
Vaccinia, Cytoplasmic inclusions in, see
Cowdry, E. V., J. Exper. Med. 1922,
36, 667-684. Summary of methods used
in the investigation of elementary
bodies of vaccine virus (Smadel, J. E.
and Hoagland, C. L., Rev. Bact., 1942,
6, 79-110.
Vaccinia, see Guarnieri Bodies.
Vacuoles, food and contractile, see Para-
mecia.
Vacuoloids — Written by C. C. Macklin,
Dept. of Histological Research, The
University of Western Ontario, London,
Canada. November 28, 1951 — This is
a provisional name for numerous clear
round regions, often containing a mi-
nute central granule, which appear in
the pneumonocytes and foam cells
(which see) after the usual methods of
fixation and staining. They superfi-
cially resemble vacuoles and give to the
cells a frothy appearance. They are
the dominant formations of the cyto-
somes of these cells. They are often
referred to as granules, for after certain
techniques many of them are found to
have an optically substantial nature,
though they ordinarily do not take
stains (Brodersen, J., Zeitschr. f.
mikros.-anat. Forsch., 1933, 32, 73-83;
Macklin, C. C, Trans. Roy. Soc. of
Can., 1946, Sect. V, 40, 93-111). They
are relatively stable, indenting the
nucleus (Macklin, C. C, Canadian
J. of Research, D, 1950, 28, 5^15) and
are from 0.5m to 1.5^ or more in diam-
eter. In fresh mounts from (jash-irriga-
tion and wash-out recoveries (which
see) they appeared as clear balls
(Macklin, C. C, Proc. 6th Internat.
Cong. exp. Cytol., Stockholm, 1947;
published 1949, 383-387) . They seemed
to be in inverse ratio to the amount of
ingested dust. In the pure foam cells
they were fairly uniform in size, sphe-
roidal and refractile, gleaming like
transparent glass beads; they were not
so sharply marked as air bubbles, and
had an extremely delicate greenish-
yellow cast. The contour was evenly
curved and sharply set off from the
environing cj'toplasm. In the fresh
condition, with conventional lighting,
no structural detail could be made out
in the pellucid interior. They were not
VAGINAL SMEARS
368
VAN DEN BERGH TEST
birefringent; and in the dark field the
surface was brilliantly illuminated.
They did not take colors dissolved
weakly in the mounting fluid. When
Janus Green B was offered in weak di-
lution, coccoid mitochondria were ob-
served between the vacuoloids. Fine
red-stained granules were found be-
tween the vacuoloids in foam cells of
frozen sections which had been stained
with Sudan IV. Vacuoloids seem to be
composed largely of water, but should
not be regarded as simple capsules.
They should certainly not be confused
with myelin figures. When foreign
particles are taken into the cell they
lodge between, never within, the vacuo-
loids, and this is true for vital dye accu-
mulations. The possibility of differen-
tiation in vacuoloids is admitted.
In material fixed in Regaud's fluid,
mordanted in potassium bichromate,
cut into frozen sections and well stained
with Heidenhain's iron hematoxylin,
some of them appear as dense blue-
black balls. Some of them appear as
large dense darkbrown spheroids or
ovals within pneumonocytes which
have been in contact wath blood and
have been fixed with pure formalin or
other aldehyde (Sjostrand and Sjos-
trand, Zeitsch. f. mikros.-anat. Forsch.,
1938, 44, 370-411). These workers find
that the colored material has properties
of hemin. The same coloration of
vacuoloids may occur in mice suffering
from a virus infection after fixation
with Bouin's fluid by immersion of the
skinned intact thorax (which see).
Some of them, in apparently normal
pneumonocytes and foam cells appear
black or gray-black after exposure to
osmic acid fixation intrabronchially
after Aquax (which see) embedding and
mounting in levulose (which see). In
apparently degenerate pneumonocytes,
all of the vacuoloids are impregnated
with osmium.
The presence of vacuoloids brings
about a lacelike picture in the mito-
chondria of pneumonocytes, for mito-
chondria are not admitted to the in-
teriors of the vacuoloids but occupy the
cytoplasm between them (Macklin,
C. C., Biol. Bull., 1949, 96, 173-178).
With Nile Blue Sulphate (Lorrain
Smith, which see) the vacuoloids in
foam cells which are not stained dark
after osmic acid fixation are some-
times colored light red as seen in
Aquax sections mounted in levulose.
Macklin spoke in the following
words at the 1947 International Cyto-
logical Congress: "The function of the
foam cell is obscure, and may be con-
cerned with the conditioning of the
alveolar wall; as for instance in the
maintenance of a proper surface ten-
sion. However, the finding of these
cells in augmented quantities under
pathological conditions in man and
rat suggests that they may be impli-
cated in the local body reactions to
chronic infection. Amoeboidism seems
to be a property. ... It looks as if the
antecedent entodermal cell has a dual
differential potency, directing it to the
left, so to speak, where it may become
an irreversible pure foam cell, or to the
right, where it may end up as an irre-
versible pure dust cell. The in-be-
tween stages, presumably very useful,
may be termed "bireactives." (Mack-
lin, C. C., Proc. 6th Internat. Cong,
exp. Cytol., Stockholm, 1947; published
1949, 383-387).
Vaginal Smears, see Papanicolaou Tech-
niques.
Valves. Aortic, staining of elastic tissue
in (Wilens, S. L., Arch. Path., 1940,
29, 200-211). X-ray demonstration of
valves of veins (Edwards, E. A., Anat.
Rec, 1936, 64, 369-385).
Vanadium, see Atomic Weights.
Van den Bergh Test for bilirubin as de-
scribed by Wintrobe, M. M., Clinical
hematology. Philadelphia: Lea &
Febiger, 1942, 703 pp. abbreviated:
1. Qualitative:
(a) Add 1.5 cc. cone, hydrochloric
acid C.P. to 30 or 40 cc. aq. dest. -f
0.1 gm. sulphanilic acid which keeps
well.
(b) Dissolve 0.5 gm. sodium nitrite
C.P. in 100 cc. aq. dest. making up fresh
every 3-4 weeks.
Make diazo reagent by mixing 5 cc.
of (a) with 0.15 cc. of (b) freshly each
day.
Mix 0.25 cc. reagent with 0.2 cc. clear
plasma or serum (2 cm. column in hema-
tocrit). Immediate purplish color at-
taining maximum in 30 sec. is direct
reaction. Color appearing at once but
reaching maximum later is biphasic re-
action. If no color in 1 min. but on
addition of 5 cc. alcohol reddish violet
color appears reaction is indirect.
2. Quantitative.
(a) Stir and shake 80-90 gms. am-
monium sulphate C.P. in 100 cc. aq.
dest. until saturated and filter.
(b) Make standard color by dissolving
3.92 gm. cobalt sulphate (7H2O) in 100
cc. aq. dest. over night.
Mix 0.5 cc. diazo reagent with 1 cc.
serum or plasma in centrifuge tube.
After standing few minutes add 2.5 cc.
95% ethyl alcohol and 1 cc. of (a). Mix
and centrifuge. In positive reaction
uppermost layer is reddish violet alco-
holic extract of diazotized bilirubin,
VAN GEHUCHTEN'S MIXTURE
369
VERHOEFF'S ELASTIC TISSUE
METHOD
next laj^er is flocculated protein and
residue is ammonium sulphate. Com-
pare supernatant fluid with the stand-
ard (b) in colorimeter. Then:
mm. standard
; X 4 X 0.5
mm. unknown
= mg. bilirubin per 100 CO.
Van Gehuchten's Mixture, see Carney's
Fluid.
Van Gieson's Connective Tissue Stain.
Paraffin sections of Zenker fixed mate-
rial are stained with Harris' hema-
toxylin. Rinse in water. Stain in 1%
aq. acid fuchsin 7.5 cc. and sat. aq.
picric acid 50 cc, 10 min. Wash in
95% ale, dehydrate, clear and mount.
Muscle yellow, collagenic fibers red,
nuclei blue black. A brilliant stain.
But it fades quickly and is not so much
employed at present as Mallory's con-
nective tissue stain. See Buzaglo's
Method, Curtis' Substitute for Van
Gieson, Collagenic Fibers, Connective
System.
Van Wijhe's method for staining cartilage
in whole tissues with methylene blue.
See Cartilage.
Vasa Vasorum. Injection with India ink
(Winternitz, M. C, Thomas, R. M.
and LeCompte, P. M., The Biology of
Arteriosclerosis. Springfield: Thomas,
1938, 142 pp.). Filter Higgins Engros-
sing ink through coarse filter paper and
dilute filtrate with 8 times volume of aq.
dest. Obtain pressure apparatus con-
sisting of 2 liter metal tank with top
and bottom outlets and air pressure
gauge. Connect upper outlet with
escape valve and high pressure air line
and the lower one with rubber tube and
cannulae. To inject vasa of coronary
arteries place fresh human heart un-
opened in 0.9% aq. sodium chloride
containing 0.1% sodium nitrite and a
little thymol for 24 hrs. at 3-4°C. Just
before injection warm heart to 37 °C.,
tie cannulae in openings of coronary
arteries and clamp or ligate all openings
of heart except the aorta. By opening
and closing the escape valve the ink in
the tank is driven into the coronaries
by a pulsating pressure. During first
10 min. maintain the minimum pressure
at about 100 mm. of mercury with
maximum pressure of pulsations not
more than 200. Then increase slowly
so that during next 20 min. the mini-
mum pressures vary 500-800 mm. and
the maximum 800-1000. After injec-
tion put heart in 10% formalin for 24
hrs. Dissect out main coronaries.
Clear by Spalteholz Method for whole
mounts or imbed in paraffin section and
color by Masson's Trichrome stain.
The authors give special directions for
injecting the aorta and vessels of kid-
neys and amputated legs. Their illus-
trations afford useful guides to the
results expected.
Vaseline in tissues can be distinguished
from the normal fats by the fact that
the former is colored clear violet and
the latter intense blue black by stain-
ing for 15 min. with Sudan Black B.
Terebenthine, turpineol and methyl
benzoate are colored blue black (Gerard,
P., Bull. d'Hist. Appl., 1935, 12, 92-93).
Vegetative Intermitotics, see Cell Classifica-
tion.
Veins, see Blood Vessels and a very fine
presentation by Franklin, K. J., A
Monograph on Veins. Springfield :
Thomas, 1937, 410 pp. with hundreds
of references to techniques and results.
Venous Sinuses, splenic, direct observa-
tion in vivo (Knisely, M. H. Anat.
Rec, 1936, 64, 499-524; 65, 23-50). See
Spleen.
Venules. A graphic demonstration of
venules in the ears of white mice can
be obtained by intravenous injection
of Chicago blue because this dye escapes
into the surrounding tissue fluid more
easily from venules than from capil-
laries (Smith, P. and Rous, P., J. Ex-
per. Med., 1931, 54, 499-514).
Verdigris. A green progeneous pigment
made up of basic copper acetates.
VerhoefiF's Elastic Tissue Method (Ver-
hoeff, F. H., J. A. M. A., 1908, 50,
876-877). Gives good results after
fixation in Zenker's fluid, formalin
alone or after Weigert's mordant for
myelin sheaths or Marchi's fluid. It
is fairly satisfactory for tissues decalci-
fied with nitric acid. Mercury deposits
resulting from Zenker's fixation are
removed by the stain : Hematoxylin
crystals, 1 gm.; Abs. ale, 20 cc; Dis-
solve in test tube with aid of heat,
filter and add in order given: 10% aq.
ferric chloride, 8 cc. ; Cone Lugol's
solution (iodine, 2; potassium iodide, 4;
water, 100), 8 cc Stain sections in
above sol. 5 min. or more. Differenti-
ate in 2% aq. ferric chloride for a few
sec. until the connective tissue takes
the color of Lugol's solution. Keep
sections in motion during differentia-
tion. They can be examined at low
magnification in water and if over
differentiated can be restained at this
stage. Wash in water followed by 95%
ale to remove the stain of Lugol's solu-
tion. Then leave in water 5 min. or
more. Counterstain in 0.2% water
sol. eosin in 80% alcohol. Dehydrate,
clear in origanum and mount in balsam.
Elastic tissue, black; fibroglia, myoglia,
neuroglia, myelin and fibrin, pink.
Degenerated elastic tissue (elacin)
VERONAL-ACETATE
370
VIRUSES
can be distinguished by less intensity
of staining and by diffuse outlines.
To differentially stain myelin sheaths
fair results are obtained after Zenker's
fixative or formalin followed by Marchi's
fluid. For best results fix in formalin
4 days, or longer, and mordant in
Weigert's potassium bichromate and
chrome alum for 4 days. Again it is not
necessary before hand to remove mer-
curial precipitates. Place sections in
3% aq. potassium permanganate, 30
min. Wash in water and color for 30
min. in the hematoxylin stain described.
Wash in water and differentiate in 10%
aq. ferric chloride until the internal
elastic membranes of blood vessels are
decolorized as determined by examina-
tion in water at low magnification.
1-2 min. are required. Wash in water
for 5 min., counterstain with eosin and
mount in usual way.
Veronal-Acetate buffers, see Michaelis, L.,
J. Biol . Chem. , 1930, 87, 34. Employed
for thionin staining of Nissl substance
by Windle, W. F., Rhines, R. and Ran-
kin, J., Stain Tech., 1943, 18, 77.
Vestibular Apparatus, see Ear.
Vesuvin, see Bismark Brown Y.
Victoria Blue (1) B (CI, 729)— corn blue
BN, fat blue B— (2) R (CI, 728)— corn
blue B, new Victoria blue B or R — (3)
4R (CI, 690)— fat blue 4R— A useful
basic tri -phenyl methane dye. 4R is
quite extensively discussed with other
vital stains by Gutstein, M., Zeit. f. d.
Ges. Exp. Med., 1932, 82, 479-524.
Herzberg, K., Zentralbl. Bakt. I Abt.
Orig. 1934, 131, 358-366 employed 4B
highly concentrated (Bayer standards,
Hollborn), as a stain for filterable
viruses (Kikuth, variola, varicella,
ectromelia and possibly herpes). Dry
smears in air 24 hrs. Stain 5-20 min.
in 3% aq. Victoria blue. This dye
solution should have been heated to
60°C. for half an hour, allowed to stand
2 weeks and filtered before use. To
increase intensity of stain add 0.3 cc.
10% aq. tartaric acid to 10 cc. of stain.
Response of different viruses to stain
is not uniform. Various counterstains
are suggested. The various Victoria
blues are not easily disentangled. Vic-
toria blue (variety unspecified) has,
according to Lee (p. 187), a special
affinity for elastic fibers and mucous
cells.
Victoria Green B or WB, see Malachite
Green.
Victoria Green G (British Drug Houses
Ltd), a triazo dye of benzidine series.
In alcoholic solution gives blue green
and yellow green colors. Can be used
with Marshall red or Hickson purple (H.
G. Cannan, J. Roy. Micr. Soc, 1941, 61,
88-94).
Victoria Rubin O, see Amaranth.
Villi, method for study of movements (ffing,
C. E. and Arnold, L., Am. J. Physiol.,
1922, 59, 97-131; King, Arnold and
Church, J. G., ibid, 61, 80-92). See
Agonal Changes. Changes in shape
when intestine is distended (Johnson,
E. P., Am. J. Anat., 1912-13, 14, 235-
250).
Vincent's Angina, staining of spirochete.
Spread ulcerative material on clean
slide. Dry in air and fix with heat.
N/20 HCl, 10 sec. Running water, 5
sec. Cover with Gram's iodine solu-
tion, 5-10 sec. Wash. Cover with
anilin gentian violet, 5-10 sec. Wash.
Gram's iodine, 5-10 sec. Wash. Anilin
gentian violet, 5-10 sec. Wash, blot
and examine. Spirochetes deep violet
color. Also good for T. pallidum
(Bailey, H. D., J. Lab. & Clin. Med.,
1937-38, 23, 960).
Violamin 3B, possibly related to fast acid
blue.
Violamin R (CI, 758). Lillie, R. D., J.
Tech. Methods, 1945, No. 25, 47 pp. has
reported that this dye is a good stain
for collagen and more light fast than
acid fuchsin. Pass sections down to
water and stain for 6 min. in Hemalum
(Mayer-Lillie) . Wash in tap water and
stain 4 min. in 0.1% fast green FCF or
in 0.3% Wool Green S (CI, 737) both in
1% aq. acetic acid. Wash in 1% aq.
acetic acid and stain 10-15 min. in 0.2%
acid fuchsin, or in 0.2% violamine R,
both in sat. aq. picric acid. Wash 2
min. in 1% aq. acetic acid. Dehydrate
in alcohol and alcohol -xylol, clear in
xylol and mount in clarite. Connective
tissue, red; erythrocytes, green; cyto-
plasm and muscle, gray-green; and
nuclei, brown.
Violet R, RR or 4RN, see Hofmann's Violet.
Virchow's Crystals are orange or bright
yellow crystals of hematoidin occasion-
ally met with in extravasated blood.
Viruses may now be studied microscopically
in several different ways. There is a
general but not very satisfactory dis-
tinction made between Elementary
Bodies of the viruses which may be
extracellular and the Inclusion Bodies
which may be larger, are intracellular
and may contain cellular material
perhaps combined with virus. The
Chorioallantoic Membrane has proved
to be an excellent tissue in which to
examine virus action. See further data
under above headings. A very compre-
hensive description is : Rocha-Lima, H.,
Reis, J., and Silberschmidt, K., Metho-
den der Virusforschung. Berlin: Ur-
VISCOSITY
371
VITAL'STAINING
ban and Schwarzenberg, 1939, 384 pp.
The "ultravirus" diseases of insects re-
quire special techniques and they
should not so often be ignored in ob-
taining a clear view of the viruses as a
whole. The following book is a mine
of useful information Paillot, A., L'ln-
fection Chez Les Insectes. Imprimerie
de Tr^voux, G. Patissier, 1933, 535 pp.
The Electron Microscope is of great
service in study of viruses.
Botanists have greatly advanced
knowledge of the chemical composition
of viruses. Discussion by Bawden,
F. C, Plant Viruses and Virus Diseases.
Waltham: Chronica Botanica Co., 1943,
294 pp. of data bearing on the purity of
virus crystals, paracrystals and liquid
crystals shows the use and limitations
of present day techniques. His photo-
micrographs of the virus crystals are
interesting. The earlier literature is
well summarized.
Viscosity. According to Heilbrunn (L. V.,
An Outline of General Physiology.
Philadelphia: Saunders, 1937), "Vis-
cosity can be roughly defined as the
force which tends to hold the particles
of a substance together when a shearing
force acting on the substance tends to
pull it apart." Viscosity is the in-
verse of fluidity. It is of great im-
portance to histologists to be able to
detect and if possible to measure changes
in viscosity. When a living cell is
examined in approximately an isotonic
medium and tiny particles in it begin
Brownian Movement a decrease in
viscosity is indicated and when the
movement ceases an increase is to be
expected. Thus Lewis (W. H., Bull.
J. Hopkins Hosp., 1923, 34, 373-379)
took cessation of Brownian movement
of particles in the nucleus viewed in the
dark field to mean gelation which is
increase in viscosity. A Microdissec-
tion method is to insert 2 microneedles
into a cell. If they can be pulled apart
easily the viscosity is low; if with diffi-
culty, it is high. The idea back of the
Ultracentrifuge method is that if two
cells of the same sort are subjected to
equal centrifugal force and a component,
say the nucleus, is displaced more in
one than in the other the viscosity of
the cytoplasm is greater in the cell
showing the least nuclear displacement.
But this is not necessarily true. One
has to be sure that the nuclei are of
equal Specific Gravity. If the more
displaced nucleus is of higher specific
gravity than the other it will be more
subjected than the other to the centrifu-
gal force and its greater displacement
will not signify a lower viscosity of the
surrounding cytoplasm. Similarly if
the specific gravity of the cvtoplasm
surrounding the more displaced nucleus
is less than that in the other cell the
greater displacement subjected to the
centrifugal force of the nucleus through
it will not indicate a lower cytoplasmic
viscosity. When a material changes
from a sol to a gel its viscosity increases
without a change in specific gravity.
Consequently in the interpretation of
alterations in displaceability of cellular
components subjected to centrifugal
force one has to be on the lookout for
changes in specific gravity and col-
loidal state. For details in respect to
intranuclear viscosity, see Cowdry, E.
V. and Paletta, F. X., Am. J. Path.,
1941, 17, 335-357; 1942, 18, 291-311).
Vital New Red. This is an acid dis-azo
dye not listed in indexes but Conn (p.
64) calls attention to chlorazol fast
pink 4BL (CI, 353) as most nearly
resembling it. Vital new red is one of
the many dis-azo dyes employed by
Evans, H. M., and Scott, K. J., Car-
negie Inst. Wash., Contrib. to Embryol.,
1921, 10, 1-56 to bring out a difference
in reaction of the two great groups of
connective tissue cells.
Vital Red (CI, 456)— acid Congo R, azidine
scarlet R, brilliant Congo R, brilliant
Congo red R, brilliant dianil red R.
brilliant vital red — An important acid
dis-azo dye frequently used in standard
method for determination of blood
volume.
Vital Staining. This technique has been
contrasted with Supravital Staining.
It must be viewed broadly. Any
nontoxic coloration of the living body is
vital staining. It is not restricted to
particulate materials or to colloidal
suspensions which are phagocytosed by
certain cells. The fat depots of an
animal become vitally stained red
when the said animal is fed fat colored
with alcohol soluble sudan III. Bone
formed while madder is available in
the circulation is stained red and dentin
is vitally stained violet by intravenous
injections of 1% sodium alizarin sul-
phonate (Gottlieb, B., Ztschr. f. Somat.,
1913, 11, 452). The phthalein indi-
cators tint the tissues of living animals
faintly but almost all the colors of the
rainbow. Bile capillaries of the liver
can easily be stained by intravenous
injection of sodium sulphindigotate.
Many other examples of similar phe-
nomena could be cited. But it is
customary to think of vital stains as
substances which are regularly taken
in by cells of the Reticulo-Endothelial
System and by a few others on occasion.
VITAMINS
372
VITAMINS
These include colloidal suspensions of
various benzidine dyes (trypan blue,
isamin blue, pyrrhol blue, trypan red,
etc.), of silver, Higgins ink, lamp black
etc.; and of simple suspensions of India
ink, carmine, graphite and so on. They
are injected intravenously, intraperi-
toneally or subcutaneously. The litera-
ture is enormous. Consult latest issue
of the Quarterly Cumulative Index
Medicus. For chemistry of Benzidine
dyes see Evans, H. M. and Schulemann,
W., Science, 1914, 39, 443.
The following experiment is suggested.
Give each of a dozen or more white
mice 1 cc. of 0.5% trypan blue in sterile
aq. dest. intraperitoneally and in the
course of a few minutes the beginning of
deposition of the dye in the ears will be
noted. Give similar doses every sec-
ond day for 8 days. A few hours after
the last draw a little blood from the
tail and observe that some of the mono-
cytes have taken up the dye. Then
autopsy the mice and study the dis-
tribution of the dye in the tissues.
The skin, kidneys, adrenals, liver,
spleen ana bone marrow will be found
quite deeply colored while the nervous
system has escaped. The heaviest
accumulation will be in the peritoneal
cavity near the sites of injection and in
the loose connective tissue everywhere.
Examination of fresh mounts in physio-
logical salt solution will reveal that the
dye is concentrated within (1) the
epithelial cells of the convoluted tubules
of the kidney, of the adrenal and choroid
plexus; (2) certain cells of the ovary
and testicle; (3) the macrophages of
loose connective tissue and especially
of the spleen, liver, bone marrow, ad-
renals and lymph nodes — fibroblasts
are colored less deeply; and (4) the
"specific endothelia" of the five organs
mentioned. If permanent preparations
are desired fix in 10% formalin and im-
bed in paraffin.
Vital staining in the narrow sense is
used for many purposes. (1) To iden-
tify phagocytic cells of the reticulo-
endothelial system and to see how they
behave in normal and pathological
conditions. (2) To locate injured cells
because some cells that do not ordi-
narily stain take up the dye when
injured. (3) To influence the activity
of R. E. cells by blocking them with
particulate matter. This has not been
very successful. See R. E. Blockade
(Victor, J., Van Buren, J. R. and
Smith, H. P., J. Exper. Med., 1930, 51,
531-548). (4) To measure the absorp-
tion by membranes of particulate matter
(Wislocki, G. B., Anat. Rec, 1921, 21,
29-33). (5) To distinguish between
malignant and non-malignant cells (Lud-
ford, R. J., Arch. f. exp. Zellf., 1933,
14, 42-55). (6) To determine pH of
different organs and tissues by injec-
tion with phthalein indicators (Rous,
P., J. Kxper. Med., 1925, 41, 739-759).
(7) To identify calcium salts laid down
(Alizarin Red S and Madder). See
method for Reticulo-endothelial system.
It is sometimes very worthwhile to
inject simultaneously three materials,
for example Higgins' Ink intravenously,
trypan blue or Niagara blue intraperi-
toneally, and lithium carmine intra-
pleurally (Foot, McClung, p. 116).
An interesting experiment is to feed
Sudan III or Scharlach (scarlet =
Sudan IV) colored lipids. Make solu-
tion in olive oil (about 20%). Intro-
duce by stomach tube into a cat. There
is slight staining of fatty tissue within
24 hrs. and maximum in 3-7 days
(Hadjioloff, A., Bull. d'Hist. AppL,
1938, 15, 81-98). Try also inducing
cat to drink large amount of milk or
cream colored with Sudan III or Sudan
black, see colored illustrations of Gage
and Fish (S. H. and P. A., Am. J. Anat.,
1924-25, 34, 1-81). History of vital
staining (Conn, H. J. and Cunningham,
R. S., Stain Techn., 1932, 7, 81-90,
115-119). See Chorioallantoic Mem-
brane, Carmine, Indigo-Carmine,
Manganese Dioxide, Higgins' Ink,
Protargol (silver), Lampblack, Leuco-
Dyes, Nuclei, Titanium Dioxide, Tho-
rium Dioxide, Copper, Platinum, Iron,
Mercury, Lymphatic Vessels.
Vitamins — Written bj^ C. Carruthers, Wash-
ington University School of Medicine,
St. Louis. February 15, 1951 — Only a
few vitamins are susceptible of micro-
scopic localization. Deficiencies in most
of them leave structural imprints
in the tissues. A list may be therefore
useful giving briefly required tech-
niques. Current information is sup-
plied in Annual Reviews of Biochem-
istry and Physiology.
A useful background is provided by
Sherman, H. C. (Chemistry of Food and
Nutrition, New York: Macmillan, 1941,
611 pp.). For a summary of tissue
changes in vitamin deficiencies see
Wollach, S. B. and Bessev, O. H. (Phvs-
iol. Rev., 1942, 22, 233-^290). For the
biochemistry and chemical determina-
tion of the vitamins the following are
recommended: Gyorgy, P., Vitamin
Methods, New York, Academic Press.
1950, 571 pp.; Williams, R. J., Eakerj
R. E., Beerstecker, E., and Shive, W.,
The Biochemistry of B. Vitamins, New
York, Reinhold Publishing Co., 1950,
741 pp.; Harrow, B., One Family.
Vitamins, Enzymes, Hormones, Minne-
VITAMINS
373
VITAMINS
apolis, Burgess Publishing Co., 1950,
115 pp.; The Association of Vitamin
Chemists, Inc., Methods of Vitamin
Assay, New York; Interscience Pub-
lishers, Inc., 1947, 189 pp.; Johnson,
D. C, Methods of Vitamin Determina-
tion, Minneapolis, Burgess Publishing
Co., 1949, 109 pp.
A. Growth promoting, anti-infective and
anti-xerophthalmic vitamin, a polyene
alcohol. There are also vitamins A2,
A3 and the so-called Sub-vitamin A,
and neo-vitamin A, which is a sterioiso-
mer of vitamin A. The members of
the vitamin A group differ in their
maximum absorption in the ultraviolet.
Provitamins A are alpha, beta and
delta carotene which vary in their
vitamin A activity. Vitamin A can
be determined by the following methods :
1. Its absorption at 326 m^ measured
by a spectrophotometer, or photoelec-
tric spectrophotometer, under con-
trolled conditions of analysis.
2. The glycerol dichlorohydrin
method of Sobel, A. E. and Werbin,
H., Ind. Eng. Chem., Anal. Ed., 1946,
18, 570-573; 1947, 19, 107-112.
3. The Carr-Price reaction which
employs the antimony trichloride re-
agent. This reaction has been applied
to determine the vitamin A content
of hepatic mitochondria of rats after
separation by differential centrifuga-
tion. The mitochondria contain 249
to 910 U.S. P. units of vitamin A per
100 mg. mitochondrial lipid (Goerner,
A. and M. M., J. Biol. Chem., 1937-
38, 122, 529-538; 1939, 128, 559-565).
This test has also been employed for
vitamin A in serum, the colors being
checked against alizarin solutions (Par-
ker, R. C, Methods of Tissue Culture,
New York: Hoeber, 1938, 292 pp.).
According to Joyet-Lavergne, P., C.
rend. Acad. d. Sci., 1935, 201, 1219-1221,
vitamin A can be demonstrated in the
red blood cells of rays (marine fish) by
the Carr-Price test. This same investi-
gator has also applied the Carr-Price
reaction to a variety of tissues of sev-
eral animals, and has found that in
every case the mitochondria appear as
bright blue bodies (Ann. physiol. physi-
cochem. biol. 1937, 13, 1019-1021), see
also Bourne, G. Austral. J. Exp. Biol.
Med. Sci. 1934, 13, 239-249. The Carr-
Price reaction can localize vitamin A
precisely in individual mitochondria
according to Jones, J., Lab. Clin.
Med., 1947, 12, 700.
4. Fluorescence microscopy. The
fading green fluorescence of vitamin A
is used by Popper for the identification
and localization of vitamin A in cells
(Gyorgy, 1950, p. 89). Tissues are
fixed in 5% formalin and examined as
soon as possible. Human tissues are
kept in the fixitive not longer than 18
hrs. and animal tissues not longer than
8 hrs. Why this difference should be
is not clear. Frozen sections are made,
mounted in water and examined at
once with a fluorescence microscope.
Any green fading fluorescence is con-
sidered to be vitamin A and is usually
located in fatty material. For a more
exact localization of this vitamin,
sections may be stained with 1% aq.
methylene blue for 30 sec. This stain
interferes only slightly with the vita-
min A fluorescence. By Popper's
method vitamin A has been found in
the liver, adrenal cortex, testicle, and
in the ovary where it undergoes charac-
teristic changes during the mentrual
cycle and during pregnancy. It is also
present in the intestinal tract during
absorption, in lactating breasts, in
the retina and in certain pathologic
conditions of the kidney. For a re-
view of its distribution in tissues, see
Popper, H., Physiol. Rev., 1944, 24,
205-224. According to Popper caro-
tene can be differentiated from vitamin
A by its very slowly fading green
fluorescence, and anhydro- or "cy-
clized", vitamin A may be recognized
by its dark brown fluorescence, which
gradually becomes dull green and fi-
nally fades out entirely.
B. Complex contains inany factors.
Bi. Thiamine hydrochloride (anti-neuritic
factor, aneurin). Thiamine can be de-
termined colorimetrically by the
method of Hochberg, M., Melnick, D.
and Oser, B. L., Cereal Chem., 1945,
22, 83-90. This vitamin can also be
determined microbiologically using
Streptococcus salwarius, or Lactobacillus
fermenti 36 (Gyorgy, 1950, pp. 372-376).
The coenzyme derived from thiamine
is thiamine pyrophosphate. It is in-
volved in the decarboxylation of alpha
keto acids, particularly pyruvic acid,
and consequently in the tissue oxida-
tion of carbohydrates. In thiamine
deficiency the pyruvate and lactate
blood levels are increased, the increase
in the former being due to a lack of
ability to change pyruvate to lactate
without thiamine. No histochemical
method is available for this vitamin.
B2. Vitamin G (Riboflavin, Lactoflavin).
Riboflavin can be determined chemi-
cally by measuring its fluorescence in
light of wave length 440 to 500 mn
(Gyorgy, 1950, pp. 102-144). Ribo-
flavin can also be determined polaro-
graphically in pure solutions. The
flavoproteins catalyze the metabolism
of such substances as D-amino acids,
VITAMINS
374
VITAMINS
L-amino acids, L-hydroxy acids, alde-
hydes and purines. In Warburg's "old
yellow enzyme", the respiratory en-
zyme, riboflavin exists as the mono-
nucleotide. The j^ellowish-green fluo-
rescence of riboflavin has been used for
its detection in tissues by Ellinger,
P., and Koschara, W., von Euler, H.,
et al., Hert, A. and Wimmer, K. and
Metcalf, R. L. and Patton, R. L. See
Glick, D., Techniques of Histo- and
Cyto-Chemistry, New York, Inter-
science Publishers, Inc., 1950, pp. 531
Metcalf, R. L. and Patton, R. L. claim
that another form of riboflavin exists
which gives a yellow-orange fluores-
cence.
B3. Pantothenic acid, first designated
B3. filtrate factor, factor II, anti-
grey-hair-factor. This vitamin is a
component of coenzyme A involved
in the acetylation of aromatic amines
and choline, and in the metabolism of
fats and carbohydrates. Pantothenic
acid is determined microbiologically
using Lactobacillus arabinosus 17-5
(Johnson, 1949, pp. 79-80).
Be. Group (Pyridoxal, Pyridoxine, and
Pyridoxamine). Pyridoxamine is basi-
cally as important as pyridoxine,
and pyridoxal is even more so. Pyri-
doxal phosphate is the coenzyme of
this vitamin group and is involved in
the decarboxylation of amino acids and
in transamination. Pyridoxine can be
determined chemically by techniques
based upon the indophenol test (Gy-
orgy, 1950, p. 239). This method,
however, is only suitable for pyridoxine
and not for the other two forms so
that it is not adaptable for tissue analy-
sis. Saccharomyces Carlsbergensis and
Neurospora sitophila are employed for
the microbiological determination of
the Be group of vitamins. Pyridoxal,
pyridoxamine and pyridoxine have ap-
proximately the same activity in stim-
ulating growth (Gyorgy, 1950, pp. 406-
414).
B12. Aniipernicious anemia factor (ani-
mal protein factor). This vitamin con-
tains 4 per cent of cobalt. It produces
a positive hematological response in
pernicious anemia in quantities as low
as 3 micrograms. This vitamin also
improves the hatchability of hen's eggs,
the growth and survival of chicks, and
the growth of rats. Vitamin B12
has been implicated in the following
processes: (1) the synthesis of purines
and pyrimidines and their derivatives,
(2) the synthesis of methionine and
folic acid, and (3) the utilization of
p-aminobenzoic acid and folic acid.
It is related metabolically to folic acid
(see The Nutritional and Chemical
Significance of Folic Acid, Lederle,
American Cyanamid Co. 1950, 121 pp.
Choline, a constituent of phospho-
lipids, lecithins and sphingomyelins,
acts as a donator of labile methyl
groups and prevents hemorrhagic de-
generation of kidneys of j^oung rats
deficient in choline. Choline can be
determined chemically or microbio-
logically (Gyorgy, 1950, pp. 243 and
464).
C. Antiscorbutic vitamin (Cebione, Re-
doxon). Bourne, G., Anat. Rec, 1936,
66, 369-385, has made a critical study
of cytological methods for the deter-
mination of vitamin C. The technique
reconomended is based on the assump-
tion that the only substance, other
than vitamin C, capable of reducing
an acid silver nitrate solution in the
dark is hydrogen sulphide "which is
not by any means a common constituent
of living tissue, if it occurs at all."
To demonstrate reduced vitamin C,
frozen sections of fresh tissue are
treated with 5% aq. silver nitrate, to
which 5 cc. acetic acid is added for
each 100 cc, for a few minutes. The
vitamin C granules blacken. After
washing in aq. dest. fat may be stained
by a solution of Sudan III or Scharlach
R in 90% ale. and the section cleared
and mounted in glycerin.
To reveal both reduced and oxidized
vitamin C is more difficult. Bourne
advised: Subject fresh tissue to glacial
acetic acid vapor for several minutes.
Cut into very thin slices and put in
atmosphere of hydrogen sulphide for
15 min. All vitamin C is thereby con-
verted to reduced form. Remove hy-
drogen sulphide by keeping in partial
vacuum for 10 to 30 min., follow by
exposure to a strong stream of nitrogen
gas for 15 min. Treat with acid silver
nitrate solution as described.
If there is reason to believe that
glutathione inhibits the reaction,
Bourne suggests, after the hydrogen
sulphide treatment, to momentarily
wash the section, then to plunge into
mercuric acetate solution for a few
minutes, wash and apply acid silver
nitrate solution. See Barnett, S. A.
and Bourne, G., J. Anat., 1940-41, 75,
251-264 for methods of demonstration
of vitamin C in chick embryos.
Modification of Giroud and Leblanc
silver method (Tonutti, E., Proto-
plasma, 1938, 1, 151-158). Briefly wash
tissue in 5.4% aq. levulose and 10% aq.
AgNOs plus 2 drops glacial acetic per
cc, up to 30 min. Rinse in aq. dest.
30 15-min. and in 3% aq. NajSoOj,
15-30 min. Rinse in aq. dest. 15-30,
min. All this is to be done in the dark
VITAMINS
375
VITAMINS
room with red light. Change to 70%
ale. and imbed in paraffin. Counter-
stain with "Kernechtrot" and light
green.
For a description of the localization
of vitamin C in fibroblasts, during the
histogenesis of chick embryos, goblet
cells, Golgi apparatus, mitochondria,
etc. see Bourne, G., Cytology and Cell
Physiology, London: The Clarendon
Press, 1951, p. 262 et seq.
D. The group of "vitamins D" consists
of a number of compounds (Rosenberg,
H. P., Chemistry and Physiology of the
Vitamins, New York: Interscience
Publishers, Inc., New York: 1942, 341
pp.) Di is a molecular compound con-
sisting of vitamin D2 and lumesterol.
D2-activated ergosterol, calciferol, or
viosterol. D3 is activated 7-dehydro-
cholesterol and D4 is activated 22-
dihydrocholesterol. D5 is activated 7-
dehydrositosterol .
There are at least 10 provitamins D.
The vitamins D can be determined
chemically; but, since the methods are
based on conjugated unsaturation of
the vitamin D molecule, no distinction
between them can be made (Rosenberg,
1942, pp. 412-413). The biological
methods for the determination of vita-
mins D are reliable when properly
conducted and they are superior to
chemical and physical techniques. See
the Line Test.
E. Antisterility vitamins of which there
are four: alpha, beta, delta and gamma
tocopherol. This vitamin can be de-
termined by chemical and biological
methods (Rosenberg, 1952, p. 452).
Vitamins E are also antioxidants, the
gamma isomer being more effective than
the beta isomer which, in turn, is more
effective than the alpha isomer which is
most active as the antisterility factor.
A pigment, classified as a lipofuscin,
develops in the uterus of vitamin E
deficient rats (Elftman, H., Kaunitz,
H. and Slanetz, C. A., Annals N. Y.
Academy of Sciences, 1949, 52, 72-79).
This pigment probably arises from
the peroxidation and polymerization
of unsaturated fatty acids. Its ap-
pearance in the uterus can be pre-
vented by ovariectomy and by main-
taining the rats on a vitamin E-deficient
diet low in unsaturated fat (Atkinson,
W. B., Kaunitz, H. and Slanetz, C. A.,
Ann., N. Y. Acad. Sci., 1949, 52, 68-71).
Folic acid (pteroylglutamic acid,
vitamin Bo, factor U, L casei factor,
Norite eluate factor). A deficiency in
folic acids results in megaloblastic
arrest in the bone marrow and the de-
velopment of a macrocytic anemia.
In chicks it is necessary for normal
growth, feathering, and egg hatchabil-
ity. For relationships between folic
acid and vitamin B^ see The Nutri-
tional and Chemical Significance of
Folic Acid, Lederle: American Cyana-
mid Co. 1950.
F. A Vitagen, Essential fatty acids
consisting of linoleic, linolenic and
arachidonic. Arachidonic acid is phys-
iologically the most important com-
pound.
H. Biotin (vitamin H, anti-egg-white
injury factor). Biotin can be assayed
microbiologically (Gyorgy, 1950, p.
61). It is probably a coenzyme for
oxalacetate decarboxylase involved in
the mechanisms of growth since its
content in embryonic and tumor tissue
is high.
I. Inositol (mouse anti-alopecia factor).
This vitamin is hexahydroxy cyclohex-
ane. Its significance in human nutri-
tion has not yet been established. It
is present in relatively large amounts
in tissues and its occurrence as a unit
structure in lipids may later remove its
inclusion as a vitamin. Definite proof
that inositol acts catalytically has not
been obtained.
K. The antihemorrhagic factor (phyllo-
quinone).
Ki. is the first form of the antihemor-
rhagic vitamin isolated bv Dam, H.,
Helv. Chem. Acta, 1939, 22, 310-313.
It is 2-methyl-3-phytyl-l,4-naphtho-
quinone.
K2. is the second form isolated by
Brinkly, S. B., MacCorquodale, D. W.,
Toyer, S. A., and Doisy, E. A., J.
Biol. Chem., 1939, 130, 219-234. It is
2 - methyl - 3 - difarnesyl - 1,4 - naptho-
quinone. Since the various K vitamins
are quinones, or easily oxidized to
quinones, most chemical methods pro-
posed for their determination are based
on oxidation-reduction titrations or
on color reactions utilizing the quinone
character of vitamin K (Gyorgy,
1950, p. 207, et seq.).
Nicotinic acid (niacin, nicotin amide
and niacin amide). Microbiological
methods employing Lactobacillus arabi-
nosus 17-5, a yeast, Torula crernoris,
and a nonpathogenic bacterium, Pro-
teus H X 19, are more sensitive than
chemical methods (Williams, pp. 55-
56. The colorimetric methods which
have been widely used in nicotinic acid
assays all involve the interaction of
this vitamin with cyanogen bromide
and an aromatic amine (Williams, 1950,
p. 54). The coenzymes, diphosphopy-
ridine nucleotide and triphosphopyri-
dine nucleotide, contain nicotinic acid.
About forty different enzyme reactions
have been reported to be catalyzed by
VALKONSKY METHOD
376
WALKER'S METHOD
one or the other of these enzymes.
The chief metabolites of nicotinic acid
which are most abundant in human,
swine and dog urine, are N'-methyl-
nicotinamide and 6-pyridone. These
can be determined in a fluorometer
having a maximum transmission at 365
m^t in the ultraviolet (Johnson, 1949,
pp. 68-69).
Paraminobenzoic acid. This vitamin
is unique among vitamins in that it
makes up an integral part of one of
the B vitamins, folic acid. Its nutri-
tional significance may depend on its
action as a building block of the folic
acid molecule. The catalytic action
of paraminobenzoic acid probably de-
pends upon this latter property.
P. Permeability factor (citrin), consid-
ered to be a minor water-soluble vita-
min. The active fraction of vitamin P,
extracted from lemon peels, is a mixture
of glucosides. Rutin is another flavone
glucoside isolated from tobacco leaves
and buckwheat which resembles vita-
min P in structure and activity. It
was first used clinically by Griffith,
J. Q., Couch, J. F. and Lindauer, M.
A., Proc. Soc. Exp. Biol. & Med., 1944,
55, 228-229 and since has been exten-
sively employed for the control of capil-
lary fragility. This vitamin may act
as a biological antioxidant for ascorbic
acid, or epinephrine, or it may inhibit
hyaluronidase activity.
Volkonsky Method for mitochondria. This
is a complicated technique involving
staining with anilin fuchsin, aurantia,
methylene violet and azure II but can
give splendid results. See original ac-
count (Volkonsky, M., Bull, d'hist.
AppL, 1928,5, 220-222).
Volume. As explained by Danielli (Bourne,
1951 p. 102), cell volume is a function
of the number of contained osmoti-
cally active particles unless change is
restricted by rigidity of the enveloping
membrane. A satisfactory technique
for measuring the volume of red blood
cells is to determine photoelectrically
light absorption of a suspension (Ja-
cobs, M. H., Biol. Bull., 1930, 58, 104).
The simplest way to obtain ratio for
cytoplasmic and nuclear volumes is to
outline nuclei and cytoplasms on koda-
loid and determine the weights as has
been recently done in carcinogenesis
(Cowdry, E. V. and Paletta, F. X., J.
Nat. Cancer Inst., 1941, 1, 745-759).
The technique, of course, varies with
structure involved, for example thyroid
colloid (Stein, H. B., Am. J. Anat.,
1940, 66, 197-211), fresh endocrine
glands (Swinvard, C. A., Anat., Rec,
1939, 74, 71-78). To determine volume
and cell numbers in small organs
(Dornfeld, E. J., et al., Anat. Rec,
1942, 82, 255-259). For influence on
tissue volume of various methods of
fixation, dehydration and imbedding,
see Stowell, R. E., Stain Techn.,
1941, 16, 67-83.
Volume measurements
1 liter = 2.1 U. S. pints (1.76 Imperial
pints)
1 cc. = 16i minims (17 minims B.P.)
1 gallon = 3.79 liters (1 Imperial gallon =
3.79 liters)
1 pint = 473 cc. (1 Imperial pint = 568 cc.)
1 fluid ounce = 29.5 cc. (1 fluid ounce
B.P. = 28.4 cc.)
1 fluid drachm = 3.7 cc. (1 fluid drachm
B.P. = 3.5 cc.)
1 minim = 0.065 cc.
For accurate measurements in capil-
lary tube colorimetry and titrametric
techniques capillary tubes, pipettes,
microliter burettes and other instru-
mentation is required. These are de-
scribed in detail by Click 1949. To
measure the volume of irregular aspects
(0.01 to 1.0 M 1) a method of Holter,
H., C. rend. trav. lab. Carlsberg, S6r.
chem., 1945, 25, 156-167 is suggested.
This is a colorimetric technique, the
amount of color displaced by the ob-
ject being measured.
Volutin. Spherical bodies in fungi, bacteria
and other organisms (Taylor in Mc-
Clung's Microscopical Technique, p.
221). According to R. F. MacLennan,
in Calkins, G. N. and Summers, F. M.,
Protozoa in Biological Research. New
York: Columbia University Press.
1941, 1148 pp., the term "volutin should
either be dropped or definitely re-
stricted to metachromatic granules
which respond to Feulgen's stain when
used without hydrolysis."
Volocidae, technique for, Hartmann, M.,
Arch. f. Protistenk., 1918, 39, 1.
Von Kossa, see Calcium.
Vulpian Reaction named after a Parisian
physician. Fresh slices of the adrenal
immersed in dil. aq. ferric chloride show
a green coloration of the chromaffin cells
of the medulla. It is a test for tissues
producing epinephrine. See : chromaffin
reaction and osmic acid.
Walker's Method for intestinal protozoa is
recommended as an excellent rapid
stream. However, almost equally satis-
factory results can be obtained by the
more tedious method of frequently
changing the water. Osmic acid con-
taining fixatives are to be washed in aq.
dest. for about an hour. After Regaud's
fixative the tissue is transferred to 3%
aq. potassium bichromate without wash-
ing in water. Tissues fixed in alcoholic
mixtures are to be briefly washed in
alcohol before dehydration. For de-
WASH-OUT RECOVERY METHOD
377
WASHING
tails about washing see the individual
fixatives.
Wash-out Recovery Method (WO)— Written
by C. C. Macklin, Dept. of Histological
Research, The University of Western
Ontario, London, Canada. November
28, 1951 — A cannula loaded with physio-
logical saline, serum or other medium
is tied into the trachea of a mouse or
other mammal and the contents in-
jected into the fresh lung, withdrawn,
and examined as fresh or dried and
stained mounts. For most animals it
is convenient to wash out a part of a
lung through a cannulated bronchus.
Granular alveolar and phagocytic al-
veolar cells (pneumonocytes) are so
recovered. (Macklin, C. C, Proc. 6th
Intern. Cong. exp. C.ytology, Stock-
holm, 1947; published' 1949," 383-387).
See Dust Cells, Foam Cells, Vacuoloids.
Wasserblau, see Brazilin-Wasserblau.
Water Absorption bj' slices of liver. The
method has been standardized by Sperry
and Brand (W. M. and F. C, Proc. Soc.
Exp. Biol. & Med., 1939, 42, 147-150)
and may prove useful in the investiga-
tion of other tissues.
Water Blue (Wasserblau), see Anilin Blue.
Wear and Tear pigment, see Lipofuscin.
Weigert Method. For myelin sheaths.
Kultschitzky modification (Romeis, B.
Taschenbuch der mikroskopischen tech-
nik, ii Auflage Section 999, p. 332). Fix
in 10% formalin and mordant in Miil-
ler's Fluid, or in Formalin Miiller or in
Weigert's Quick Mordant. Bring par-
affin or celloidin sections to water. Im-
merse in 3% aq. potassium bichromate or
in Miiller's fluid 12 hrs. Stain for 12-
24 hrs. in : 10% hematoxylin in abs. ale.
(1-6 months old), 10 cc; aq. dest., 100
CO. Wash and destain in: aq. lithium
carbonate, 100 cc. ; 1% aq. potassium
ferricyanide, 10 cc. until clear differen-
tiation appears between gray and white
matter. Wash, dehydrate and mount.
The following is provided by Dr. J.
L. O'Leary : Mordanting in the Weigert
procedure serves two purposes : (1 ) It
'renders the myelin sheath components
insoluble in the fat solvents necessary
to secure dehydration and imbedding.
(2) It distributes the chromate ion in
sufficient concentration in the myelin
sheaths to ensure the formation of an
adequate lake with hematoxylin in the
subsequent staining procedure. If par-
affin imbedding is to be used, it is abso-
lutely necessary to carry block mordant-
ing to the point where the myelin of all
fibers has been rendered insoluble. For
this reason paraffin imbedding of mate-
rial to be used for Weigert staining
should be restricted to small nerves and
thin pieces of spinal cord, otherwise
overhardening results. Here excellent
results are to be achieved, the smallest
fibers staining as completely as by the
osmic acid method. Two methods are
applicable to paraffin imbedded sections,
the procedures for which are given sub-
sequently. These are : the Kultschitzky
modification of the Weigert method and
technique for routine diagnostic work
by Craig, p. 55. To make the stain
dissolve 1 gm. hematoxylin crystals in
300 cc. aq. dest. with aid of a little heat
and add 100 cc. sat. aq. ammonium alum
with a crystal of thymol. Allow to
ripen 10 days in flask stoppered with
cotton; then keep in dark. Fix smears
in Schaudinn's Fixative 5-10 min.
Wash thoroughly in several changes
aq. dest. Immerse in above hematoxy-
lin solution 3-5 min. Then pass
through 50, 60, 70, 90 and 95% alcohol,
at least 5 min. each. After immersing
in absolute 10 min. clear in xylol and
mount in xylol balsam.
Warburg's Respiratory Enzyme, see Cyto-
chrome-Oxidase.
Warthin-Starry method for spirochaetes in
sections has been modified by Faulkner,
R. R. and Lillie, R. D. Stain Techn.,
1945, 20, 81-82 by the use of a buffered
solution. Use Walpole's buffer : 18.5 cc.
of solution of 11.8 cc. acetic acid in
1000 cc. aq. dest. + 1.5 cc. of solution
of 16.4 gm. sodium acetate in 1000 cc.
aq. dest. which gives pH of 3.6. 1.
Pass paraffin sections through xylol and
alcohols to aq. dest. buffered to pH 3.6
by addition of 20 cc. of above buffer to
480 cc. aq. dest. 2. Impregnate 45 min.
at 55-60°C. in paraffin oven in 1% aq.
silver nitrate similarily buffered. 3.
Place slides sections up on glass rods
pour on developer previously warmed
to 55-60°C. This developer is made by
heating 15 cc. 5% aq. gelatin in above
buffered aq. dest. and just before using
add 3 cc. 2% aq. silver nitrate and 1 cc.
3% aq. hydrochinone also made up in
the same buffered solution. While de-
veloping avoid direct sunlight and cold
drafts. Continue 3-5 min. until sec-
tions become golden brown or grayish
yellow and developer starts to turn
black. Pour off, rinse with warm 55-
60°C. tap water and then with aq. dest.
4. Dehydrate, clear and mount in xylene
clarite or balsam. Spirochaetes black.
Recommended for syphilitic lesions,
yaws and Vincent's stomatitis.
Washing. The surplus of most aqueous
fixatives is removed by washing the tis-
sue in water. In the case of Zenker's
fluid, for example, wash for 12-24 hrs.
in running tap water. A convenient
way is to cover the wide mouth of a
bottle containing the tissue with gauze
WEIGERT'S MORDANTS
378
WEIL'S METHOD
secured by an elastic band . Water from
the tap is allowed to drop onto the gauze
or better is led into the bottle through
the gauze in a small glass tube. Most
laboratories are provided with many
such water carrying tubes. The water
pressure should be so regulated that the
tissue is not bumped about by the
O'Leary's Brazilin method. All large
blocks of brain or spinal cord should be
imbedded in celloidin, the length of time
in celloidin and the type of celloidin to
be used being determined by the thick-
ness of the sections desired. The fol-
lowing general rules apply to the block
mordanting of material to be stained by
the Weigert method :
1. If it is advisable to stain nerve cells
and myelinated fibers in alternate sec-
tions, it is best to forego block mordant-
ing in Miiller's fluid. Formalin fixed
blocks are imbedded directly in celloidin
and alternate sections are stained by
Weil's Method and the Gallocyanin
Technique.
2. If only staining by a Weigert pro-
cedure is contemplated, the blocks may
be mordanted in Miiller's fluid for sev-
eral weeks to several months depending
upon the size of the block, imbedded in
celloidin and stained by the Weigert-Pal
method.
3. In special cases (cerebral cortex)
the small myelinated fibers are stained
completely with great difficulty. Blocks,
premordanted or not, are sectioned in
celloidin and the sections given long
mordanting (one week to one month) in
Miiller's fluid. Stain by Kultschitzky
modification of Weigert or Weigert-Pal.
Weigert's Mordants. (1) Primary, or rapid
mordant : potassium bichromate, 5 gm. ;
Fluorchrome, 2 gm.; boiling aq. dest.,
100 cc. (2) Secondary, or copper, or
neuroglia mordant: boil 2.5 gm. Fluor-
chrome with 1(X) cc. aq. dest. Take
away flame. When boiling has stopped,
add 5 cc. glacial acetic acid, then 5 gm.
finely powdered copper acetate. Stir
vigorously until dissolved and cool.
Weigert Pal Method. For myelin sheaths
(Dr. J. L. O'Leary, personal communi-
cation). Fix in 10% formalin, 1-2 wks.
Wash in running tap water, 3 hrs. Mor-
dant in Miiller's fluid 1 wk. to 3 mo.
depending on the size of block. Change
Miiller's thrice weekly at first, later once
weekly. Wash in running tap water, 6-
12 hrs. Imbed in celloidin. Cut sec-
tions 20-100 M depending upon size of
block and detail desired. 0.25% aq.
chromic acid, 3-5 hrs. 3 changes aq.
dest. 10% hematoxylin in abs. ale.
ripened and diluted to 1% with aq. dest.
prior to use, 12-24 hrs. 3 changes of aq.
dest. Differentiate in Pal's fluid (ox-
alic acid, 1 gm.; potassium sulphite, 1
gm. ; aq. dest., 200 cc), alternating with
0.25% aq. potassium permanganate if
differentiation is too slow. Wash in 3
changes aq. dest. Dehydrate in 2
changes 95% ale. Clear in carbol-
creosol-xylol followed by pure toluol.
Mount in balsam. Myelin sheaths, deep
black; background, unstained. Ano-
ther variation of the Pal -Weigert method
is given by Clark, S. L. and Ward, J. W.,
Stain Tech., 1935, 10, 53-55. See John-
son's Neutral red for counterstain.
Weigert's Borax Ferricyanide. Borax, 1
gm.; potassium ferricyanide, 1.25 gm.;
aq. dest., 100 cc. A fluid for differentia-
tion of hematoxylin stain in Weigert's
method. Employed also in copper
chrome hematoxylin method of Bensley.
Weigert's Resorcin-Fuchsin. Stain for elas-
tic fibers. Given by Mallory, p. 168.
Add 2 gm. basic fuchsin and 4 gm. resor-
cin to 200 cc. aq. dest. Boil in enamel
dish and while boiling, add 25 cc. 29% aq.
ferric chloride. Stir and boil 2-5 min.
Cool. Collect ppt. and discard filtrate.
Dry ppt. on filter paper and return both
to the enamel dish which has also been
dried. Add 200 cc. 95% alcohol, warm
carefully, stir and discard filter paper
when ppt. is dissolved out. Cool, add
95% alcohol to 200 cc. and 4 cc. hydro-
chloric acid. Mixture keeps well. For-
malin fixed material is preferred, but
most other fixatives are satisfactory.
Stain paraffin sections, after removing
paraffin, for 20 min. or more in above mix-
ture. Wash off excess in 95% alcohol and
differentiate in Acid Alcohol if required.
Wash thoroughly in tap water. Dehy-
drate, clear and mount. Elastic fibers
dark blue black. It is well to stain nu-
clei with Lithium Carmine (Orth's)
before coloring the elastic tissue. Wei-
gert's resorcin fuchsin for elastic tissue
has been supplemented by Masson's
trichrome for other connective tissue
components in a helpful way by Mende-
loff, J. and Blechman, H., Am. J. Clin.
Path., Techn. Suppl., 1943, 7, 65.
Weight measurements
1 kilogram = 2.2 lbs., or 35j ounces
1 gram = 15^ grains
1 pound = 453.6 gms.
1 ounce = 28.4 gms.
1 drachm == 3.89 gms.
1 grain = 0.065 gms.
The Troy pounds and ounces are dif-
ferent but seldom used. For weights
of organs, see Normals.
Weil's Method. For myelin sheaths (Weil,
A., Arch. Neurol, a. Psychiat. 1928, 20,
392 and Weil, A., Textbook of Neuro-
pathology, 2nd. ed. p. 328. New York
1945. Place celloidin sections of for-
malin fixed material (not yet mor-
WELD
379
WILDER'S METHOD
danted) in aq. dest. Stain for 15 min.
at 45-50°C. in equal parts of 4% aq.
iron alum and 1% aq. hematoxylin pre-
pared from 10% sol. in abs. ale. at least
6 months old. (Note : do not filter this
stain; do not use it twice; mix fluids
just before using.) Wash 2 times in
tap water. Differentiate in 4% aq.
iron alum until gray matter or degener-
ated areas become recognizable. Wash
3 times in tap water. Differentiate
over white background to desired de-
gree in: borax, 2.5 gm.; potassium ferri-
cyanide, 12.5 gm.; aq. dest., 1000 cc.
(For paraffin sections, differentiate just
long enough in 4% aq. iron alum to
remove stain from back of slide. Care
should be taken not to over-differen-
tiate, for in so doing fine fibers are lost).
Wash 2 times in tap water and next in
aq. dest., to which 28% ammonia had
been added (6 drops to 100 cc. of water) .
Dehydrate in 95% ale, abs. ale. and
ether (equal parts), clear in xylol and
mount in balsam or claritex. Revised
by A. Weil, Northwestern University
Medical School, Chicago, 111. May 14,
1946.
Weld, a plant, Reseda luteola which yields a
yellow dye. The use of this source of
yellow coloring matter is said to be of
greater antiquity than any other source
of yellow dye. It was employed to dye
the clothes of the six vestal virgins
whose responsibility it was to keep the
fire burning in the temple of Vesta in
Rome (Leggett, W. F., Ancient and
Medieval Dyes. Brooklyn: Chemical
Publishing Co., Inc. 1944, 95 pp.).
Wetting Agents. These have been used in
experiments designed to increase the
rapidity of penetration of fixatives by
Chermock, R. L. and Muller, H. E.
Science, 1946, 103, 731-732. They found
that Tergitol-4 when added to 10% for-
malin, Zenker's fluid and some others
improved fixation and staining. Tergi-
tol-08 was also an advantage when
employed in Zenker's fluid. The
authors give the literature on the
subject. Tergitol-7 is recommended
in McClung's Microscopical Technique,
1950, p. 136 to accelerate the staining
with hematoxylin. One merely adds
one drop to the jar containing the
aqueous hematoxylin. To add the
tergitol to the mordant before staining
with hematoxylin is not helpful.
Wetting Properties. An interesting method
for investigating the cell membrane is
to measure its wetting properties. The
Mudds (S., and E. B. H., J. Exp.Med.,
1926, 43, 127-142; J. Gen. Physiol., 1931,
14, 733-751) have noticed the responses
of cells to a film of oil advancing between
slide and cover glass. Erythrocytes
are easily wetted by the oil; whereas,
when leucocytes are surrounded by the
film of oil, the oil does not wet their sur-
faces but remains separated from them
by thin films of saline solution. The
Mudd's thought that this indicated that
the surface of erythrocytes is lipoid and
that of leucocytes protein. Danielli
(Bourne, p. 78) has expressed the view
that the surfaces of both cells are prob-
ably coated with protein, the erythro-
cytes with serum albumen and the leu-
cocytes with serum globulin. The wet-
ting technique has been employed in a
considerable number of experiments.
Dawson and Belkin, J. A. and M., Biol.
Bull., 1929, 56, 80-86 and Marsland, D.,
J. Cell. & Comp. Physiol., 1933, 4, 9-33
worked with amebae and Chambers, R.,
Biol. Bull., 1935, 69, 331, and Kopac, M.
J. and Chambers, R., J. Cell. & Comp.
Physiol., 1937, 9, 331-361 with naked
arbacia eggs. See Cell Membranes.
Whole Mounts of tissues which are fairly
thick are often very useful. See Blood
Vessels, Cartilaginous Skeleton, Cor-
rosion Preparations, Epidermis, In-
sects, Mammary Glands, Nerve End-
ings, Ossification, etc.
Wicks, see Hydrogen Ion Indicators, Pic-
colyte Resins.
Wilder's Method of silver impregnation for
reticular fibers (Wilder, H. C, Am. J.
Path., 1935, 11, 817-819). Fix in 10%
formalin, Zenker or formalin-Zenker.
Treat paraffin, celloidin or frozen section
in 0.25% aq. potassium permanganate or
in 10% aq. phosphomolybdic acid for 1
min. Rinse in aq. dest. and transfer to
hydrobromic acid (Merck's cone. 34%,
1 part; aq. dest., 3 parts) for 1 rain.
This can be omitted after phosphornolyb-
dic acid. Wash in tap water and in aq.
dest., then dip in 1% aq. uranium nitrate
(sodium free) 5 sec. or less. Wash in
aq. dest. 10-20 sec. and place in Foot's
silver diamino hydroxide for 1 min. To
make this: add 8.1% aq. NH4OH drop by
drop to 5 cc. 10.2% aq. AgNOj until
brown ppt. is just dissolved. Then add
5 cc. 3.1% aq. NaOH and sufficient
NH4OH to just dissolve ppt. IVlake up
to 50 cc. with aq. dest. Dip quickly in
95% ale. and reduce for 1 min. in: aq.
dest., 50 cc.; 40% neutral formalin
(neutralized with magnesium carbon-
ate), 0.5 cc; 1% aq. uranium nitrate,
1.5 cc. Wash in aq. dest. Tone in
1:500 gold chloride (Merck's reagent),
1 min. Rinse in aq. dest. and treat with
5% aq. sodium thiosulphate (hyposul-
phite), 1-2 min. Wash in tap water.
Counterstain as desired, dehydrate,
clear and mount in balsam. Reticular
fibers black. Note author's figures of
lymph nodes.
WILSON'S STAIN
380
XANTHOPROTEIC REACTION
Wilson's Stain for Leishmania is compli-
cated. Details are provided by Craig,
p. 147 in whose opinion it gives no better
results than Wright or Leishman stains.
Windaus, see Digitonine Reaction.
Wintergreen Oil (methyl salicylate) is used
in the Spalteholz Method of clearing.
Wislocki, see Placentas.
Woad is a blue dye derived from the plant
Isatis tinctoria, now only of historic
interest, as it was replaced by indigo
after over a 1,000 years of supremacy in
Europe. When, nearly 2,000 years ago,
Julius Caesar's Roman legions crossed
the English Channel they encountered
a race of Celtic origin which they called
"Picts", or painted people, because
they had punctured their skins with
flints in many patterns and had rubbed
into them anil of the woad plant. The
account of this dye by Leggett is in-
teresting reading (Leggett, W. F., An-
cient and Medieval Dyes. Brooklyn:
Chemical Publishing Co., Inc., 1944,
95 pp.). Leggett quotes opinion of
Guest that the word "Britain" is the
Latinized form of Brythen, a Celtic
term, indicating "painted men".
Woods Metal is now largely replaced by
celluloid in the making of corrosion prep-
arations.
Wool Black B (CI, 315), an acid disazo dye
of light fastness 3 to 4 staining action
of which is briefly reported (Emig,
p. 38).
Wool Green S (CI, 737) Lillie, R. D., J.
Tech. Methods, 1945, No. 25, 47 pp. has
reported this dye in a good combination
for connective tissue. Mordant sec-
tions 2 min. in sat. ale. picric acid.
Wash 3-5 times in running water and
stain 6 min. in Weigert's or other iron
hematoxylin. Wash in water and stain
4 min. in 1% Biebrich scarlet in 1% aq.
acetic acid. Wash in water and mor-
dant 4 min. in 10% dilution of U.S. P.
ferric chloride solution. Wash in water
and stain 4 min. in 1% aniline blue,
methyl blue, or wool green S in 1% aq.
acetic acid. Destain 2 min. in 1% aq.
acetic acid. Dehydrate and clear in
acetone, acetone and xylene and in
xylene. Mount in clarite in xylene or
in salicylic acid balsam. Connective
tissue and basement membranes, dark
blue or green; muscle and cytoplasm,
red.
A substitute for Wright's stain is pro-
posed by Saye, E. B., Am. J. Clin.
Path., 1943, Tech. Suppl. 7, 12-13, made
up of Eosin Y and Thionin. It is
recommended for blood cells and mala-
rial parasites.
Wool Orange 2G, see Orange G.
Wool Red, see Amaranth.
Wound Healing, method for study in vitro
(Bentley, F. H., J. Anat., 1935-36, 70,
498-506).
Wright's Blood Stain. This is a compound
stain of the Romanowsky type. The
Commission Certified (C.C.) product is
available. Dry the smear in air. Cover
the area between the wax lines with
stain measured by drops from a medicine
dropper. After 1 min. add same volume
aq. dest., shifting the slide a little from
side to side so that it mixes fairlj-^ well.
A green metallic looking scum forms on
the surface. Leave 2 or 3 min. Too long
staining produces a precipitate. It may
be necessary to use for dilution instead
of aq. dest. the McJunkin-Haden buffer.
Wash in tap water 30 sec. or more until
thin parts of smear become pink or yel-
low. Dry by blotting with smooth filter
paper and examine directly without
mounting in balsam and adding a cover
glass. Usually excellent results are ob-
tained. If however it is desired to em-
ploy buffered solutions especially for
sections consult Petrunkevitch, A.,
Anat. Rec, 1937, 68, 267-280 and Lillie,
R. D., Stain Techn., 1941, 16, 1-6. The
other most used blood stain is that of
Giemsa with its several modifications.
Ehrlich's triacid stain is less used
nowadays .
X Bodies, see Cytoplasmic Inclusions in
plants.
Xanthene Dyes. As the name implies they
are derivatives of xanthene. They com-
prise many indicators and are classified
as acridines, fluoran derivatives, phe-
nolphthalein, pyronins, quinolines, rho-
damines, and sulfonphthaleins.
Xanthene Dye, see Phosphine.
Xanthine, see Purines.
Xanthoproteic Reaction. Treat section
with cold fuming nitric acid. After a
few minutes the proteins become colored
yellow. Then rinse and expose to am-
monia vapor which changes the color to
orange. Not specific for proteins be-
cause there is also a nitration of aromatic
radicals of phenols, alkaloids, etc. The
color is often faint but fairly sharp
(Lison, p. 127). See also Bensleys
(p. 126).
The reaction is described as follows
by Serra, J. A., Stain Techn., 1946, 21,
5-18: Fix tissue as given under Nin-
hydrin Reaction. "The pieces are
treated for some minutes with concen-
trated HNO3 until they become in-
tensely yellow. After a washing in
distilled water, immerse in a diluted
ammonia solution, or expose the pieces
to ammonia vapors. The color changes
to orange. The observation can be
made by mounting directly in pure
glycerin.
"The reaction is due to the presence
XENON
381
ZYMOGEN
of tyrosine, phenylalanine or trypto-
phane in the protein molecule, and is
also given by all phenolic compounds.
Among the peptides, only the prota-
mines do not show a positive reaction.
To withstand the treatments, a strong
fixation is recommended, though the
reaction can also be performed on fresh
materials." See Purines.
Xenon, see Atomic Weights.
XL Carmoisine 6R, see Chromotrope 2R.
Xylene Cyanol FF (cyanol FF). Related
to Aniline blue, an acid dye of the
phenylmethane series employed as
ultracellular indicator (Conn, H. J.,
in McClung's Microscopical Technique,
1950, p. 103).
Xylidine Ponceau 3RS, see Ponceau 2R.
Xyloidin, see Pyroxylin.
Yeasts, vital staining of, see Brilliant Pur-
purin R. Malachite green-safranin
technique for staining spores (McClung,
L. S., Science, 1943, 98, 159-160).
Yellow M, seeMetanil Yellow.
X-Ray Absorption of tissues provides
method of quantitative study of tissue
elements and their localization (Eng-
strom. A., Acta Radiologica, suppl. 53,
1946). This method has been ad-
vanced by Engstrom over that de-
scribed under Historadiography. It
has been much used in the quantitative
determination of the density of enamel
and dentin, see Boedeker, C. F. and
Appelbaum, E., Dental Cosmos., 1933,
75, 21.
X-ray DifiFraction method for investigating
structure of nerve myelin sheath
(Schmitt, F. O., Bear, R. S. and Palmer,
K. J., J. Cell. & Comp. Physiol., 1941,
18, 31-42. See, also, Historadiography.
Yaws. Treponema pertenue, 18-20 m long,
6-20 uniform spirals. Same technique
as for Treponema Pallida.
Ytterbium, see Atomic Weights.
Yttrium, see Atomic Weights.
Zenker's Fluid. Potassium bichromate,
2.5 gms.; mercuric chloride, (corrosive
sublimate) 5 gms.; aq. dest., 100 cc;
glacial acetic acid, 5 cc. Because this
mixture does not keep well make a stock
fluid of say 2 liters by adding mercuric
chloride to saturation in 5% potassium
bichromate. It will do no harm if more
than sufficient mercuric chloride is used
and remains undissolved at the bottom
of the bottle. The main point is to reach
saturation. This will require several
hours unless the mercuric chloride is
dissolved in the aq. dest. with the aid of
gentle heat before adding the bichromate
which has been pulverized in a mortar
to facilitate solution.
Immediately before use add 5% of
glacial acetic acid. Fix tissues 24hrs.
and wash in running water about 12 hrs.
Dehydrate and imbed in the usual way.
Remove mercuric chloride from sections
by Lugol's iodine solution 5-10 min. and
wash out the iodine in alcohol before
staining. This fluid is employed in
techniques too numerous to mention.
It is called for in case of Mallory's Con-
nective Tissue stain and for demonstra-
tion of Tendons, Purkinje Cells, Muscle,
Fibrin, Hemofuscin, etc.
Zenker Less Acetic is the stock solu-
tion without addition of acetic acid.
This will serve as a fixative for mitochon-
dria; because, since it does not contain
acetic acid, they are not dissolved. It
is, however, not recommended for mito-
chondria.
Formalin-Zenker or Zenker-Formol
is a very useful fixative indeed. Helly's
fluid is Zenker with 5% formalin in place
of the 5% acetic acid. Maximow has
used 10% formalin instead of 5%. It
is added, like the acetic acid, just before
use. The time of fixation, washing, etc.
is the same as for Zenker's fluid.
Ziehl's Carbol-Fuchsin (as emended Soc.
Am. Bact.): A. Basic fuchsin, 0.3 gm.;
95% ethyl alcohol, 10 cc. : B. Phenol, 5
gm.; aq. dest., 95 cc. Mix A and B.
Much used for the staining of Acid Fast
Bacilli.
Zinc. Mendel and Bradley's Method (L.
B. and H. C, Am. J. Physiol., 1905,
14, 313-327). Treat paraffin sections
with 10% aq. sodium nitroprussate for
15 min. at 50°C. Wash carefully in
running water. Add cover glass. In-
troduce under it one drop potassium
sulphide solution which causes an in-
tense purple color (Lison, p. 98).
Zinc Chloride, as substitute for mercuric
chloride in Zenker's fluid (Russell, W.
O., J. Techn. Meth. & Bull. Int. Assoc.
Med. Museums, 1941, 21, 47).
Zirconium, see Atomic Weights.
Zweibaum's Fixative. Add 1 part 2% aq.
osmic acid to 7 parts 3% aq. potassium
bichromate, 6 cc, 2% chromic acid, 3 cc.
and aq. dest., 5 cc. See Sudan Black B.
Zymogen is substance within cells tliat
produces an enzyme (G. zyme, leaven
+ gennao, I produce). It is usually
seen in the form of granules. These
zymogen granules as they occur in the
acinous cells of the pancreas, in the
chief cells of the stomach, in the serous
(or zymogenic cells of the salivary
glands and in other situations can be well
stained with Bensley's Neutral Gentian
or Bowie's Ethyl Violet-Biebrich Scar-
let. They can also be readily studied
in living cells and their behavior noted
ZYMOHEXASE
382
ZYMONEMA DERMATITIDIS
as material is discharged from the cells
into the lumina of the acini by a method
elaborated by Covell, W. P., Anat. Rec,
1928, 40, 213-223. The technique con-
sists of carefully mounting the pan-
creas of a living mouse in such a way
that the circulation continues and the
influence of pilocarpine can be observed.
Zymohexase. This enzyme system is made
up of aldolase and isomerase. The
former converts hexosediphosphate into
dihydrocyacetone phosphate and phos-
phoglyceraldehyde. The latter cataly-
ses equilibrium between these two
products. Allen, R. J. L. and Bourne,
G. H., J. Exper. Biol., 1943, 20, 61-64
adapted methods for phosphatase to
the demonstration of zymohexase ac-
tivity. See technique and comments
by Glick, p. 86-88.
Zymonema Dermatitidis, see Blastomyco-
sis.