8 Plastic embedding for light microscopy
Introduction
Paraffin wax is a suitable embedding medium for most tissues, combining adequacy of tissue support with ease of sectioning on a standard microtome. Section thicknesses of about 5 µm are satisfactory for most diagnostic purposes, although with skill and experience thinner sections may be produced. However, there are three main areas where paraffin wax is an unsuitable embedding medium for light microscopy studies. Firstly, it may not offer sufficient support for some tissues. Secondly, it does not permit very thin sections to be cut (these two factors are inter-related). Thirdly, labile substances such as enzymes are destroyed. In these circumstances, the use of plastic instead of paraffin wax may provide superior histological preparations. This chapter will focus mainly on the use of plastic techniques for light microscopy, as details of those for electron microscopy demand specific and different protocols, which are described in Chapter 22. The main applications of the use of plastic embedding are outlined below.
Ultrastructural studies
In the early development of electron microscopy, extremely hard ester waxes were used with limited success. They were unsuitable for ultrastructural studies as they did not offer sufficient support for ultra-thin sections (approximately 30–80 nm), and because they were unable to withstand the high-energy electron beam that passes through the section within the electron microscope (see Chapter 22). The introduction of plastic/resin embedding media during the 1950s provided improved results and stimulated the development of electron microscopy. Nunn (1970) and Glauert (1987) discuss the properties of embedding media suitable for ultrastructural studies.
Hard tissues and implants
In extremely hard tissues such as undecalcified bone, especially where the sample is large and/or when dense cortical bone is present, the difference in hardness between the tissue and the medium in which it is embedded may be so great that sectioning is exceptionally difficult, resulting in only poor-quality fragmented sections being obtained. Therefore the use of a harder embedding medium such as a plastic can enable superior sections to be cut, compared to the use of paraffin wax. This may be achieved either in the form of a section using a motorized microtome, or as a slice which is then ground down to the required thickness. The latter (known as a ground section) requires specialized equipment and procedures that are different from those used for conventional microtomy. Ground sections are useful if inorganic material such as a stent (vascular implant) is present, or the tissue is tooth, as these are virtually impossible to section by traditional means. These applications are discussed more fully in Chapter 16.
Plastic embedding media
Epoxy plastics
Various epoxy plastics have found their widest application as embedding media for ultrastructural studies, because the polymerized plastic is sufficiently hard to permit sections as thin as 30–40 nm to be cut, and it is stable in an electron beam. Embedding schedules for the different epoxy resins used in electron microscopy are given in Chapter 22, and only a brief outline of their properties and uses is given here. Epoxy plastics derive their name from the active group through which they polymerize (Fig. 8.1).
Epoxy plastics have some disadvantages: they are hydrophobic and subsequent oxidation by peroxide to correct this may produce tissue damage. Both epoxide groups and anhydrides can react under mild conditions with proteins, which may reduce the antigenicity of embedded tissue, and may in addition cause sensitization of workers who absorb them by skin contact or inhalation. The components of many epoxy plastics are toxic, and one, vinylcyclohexane dioxide (VCD), is known to be carcinogenic. Hence gloves should always be worn when handling these plastics, and adequate facilities must be provided for the removal of the chemical vapors and the disposal of toxic waste (Causton 1981).
Cutting and staining epoxy sections for light microscopy
Ultra-thin section cutting and staining for electron microscopy are discussed in detail in Chapter 22. It is not possible to obtain satisfactory sections of thickness 0.5–1 µm on a standard microtome using a steel knife, so semi-thin sections are produced using a glass or diamond knife, and cut on a motorized microtome. Using specialized strips of glass and equipment, two types of glass knives can be prepared: either the more common triangular shape Latta-Hartmann knife or the Ralph knife, which has a longer cutting edge.
To an observer experienced in its interpretation, there is little doubt that for high-resolution light microscopy, toluidine blue is the most useful and informative stain applied to tissue sections embedded in an epoxy plastic. If the stain is heated and used at high alkaline pH, it easily penetrates the plastic and stains various tissue components a blue color of differing shades and intensities, with no appreciable staining of the embedding medium. The staining intensity of tissue components by toluidine blue largely reflects its electron density, and the ultrastructural appearances on subsequent electron microscopy can be partly predicted by the appearances at light microscopy level. For those who prefer polychromatic stains, various formulations, e.g. Paragon, can be used which resemble H&E staining. Many staining techniques can be applied after the surface resin has been ‘etched’ using alcoholic sodium hydroxide (Janes 1979), but the results are not always reliable. Another type of pre-treatment consists of oxidizing osmium-fixed tissue without etching (Bourne & St John 1978) so that aqueous solutions can be stained more consistently.
A few reports have described the application of immunohistochemistry to epoxy sections for light microscopy studies following treatment with sodium ethoxide/methoxide (Giddings et al. 1982; McCluggage et al. 1995; Krenacs et al. 2005), but this practice is seldom used. In general, for the majority of occasions when high-resolution light microscopy is required, it is preferable to use acrylic plastic sections because of their potential easier handling and quality of staining achieved, although some techniques such as immunohistochemistry (as discussed later) have presented tough challenges.
Polyester plastics
These plastics were originally introduced for electron microscopy in the mid-1950s, but were soon superseded by the superior epoxides for ultrastructural purposes. Nowadays they are rarely used for microscopy, although Mawhinney and Ellis (1983) have reported on the use of embedding undecalcified bone for light microscopy studies.
Acrylic plastics
Poly (2-hydroxyethyl methacrylate) ‘glycol methacrylate’ (GMA) has proved to be a popular embedding medium for light microscopy since it is extremely hydrophilic, allowing many tinctorial staining methods to be applied, yet tough enough when dehydrated to section well on most microtomes. Various mixes have been reported, with a result that some may be either prepared from the ingredients or purchased as a commercial kit, but many are based on the recipe published by Ruddell (1967). Although the mixes all contain the monomer HEMA, the proportion and variety of this and other ingredients may be different, leading to dissimilar characteristics between various kits. The monomer can be contaminated with methacrylic acid, which may result in some background staining, but this can be reduced by purchasing low-acid HEMA or a high-quality proprietary kit such as JB4, JB4 Plus (Polysciences Inc., USA), Technovit 7100, or Technovit 8100 (Kulzer, Germany). Butyl methacrylate is now rarely used for any histological purpose unless as an ingredient in an acrylic mix, e.g. Unicryl (British BioCell International, UK), since it has proved unreliable and produces considerable tissue artifact during polymerization.
There are also available aromatic polyhydroxy dimethacrylate resins (Histocryl, LR White & LR Gold from London Resin Company, UK). Histocryl is intended for light microscopy purposes but LR White and LR Gold can be used both for light and electron microscopy since they combine hydrophilicity with electron beam stability. LR White may be polymerized by the addition of dimethyl p-toluidine, whereas LR Gold is cured by the addition of benzil and exposure to a quartz halogen lamp specifically for sub-zero temperature embedding. Other acrylic plastics cured at low temperature include Lowicryl HM20, HM23 (hydrophobic) and K4M, K4M Plus, K11M (hydrophilic), and Unicryl (formerly called Bioacryl). The Lowicryls may be cured by the addition of a benzoin photocatalyst exposed to ultraviolet light. Though in some cases these plastics can be employed for light microscopy studies, they are really intended and are more suitable for electron microscopy. Lowicryl K4M Plus is a light curable epoxy-acrylate product combining rapid polymerization of an acrylic with the high strength of an epoxy. Various plastic embedding kits have been marketed under different names (especially the Technovit range), which has caused confusion (Hand 1995a), and there is a constant introduction of new proprietary kits, each with claims suggesting their suitability for specific studies, which often makes it difficult for the scientist to know which to choose. Currently many of these kits are available from TABB, UK and/or Polysciences, USA.
Applications of acrylic sections
The development of acrylic plastic embedding media has usually been stimulated by a requirement for a specific application. Most applications are for light microscopy, but as understanding of the formulation of acrylics has increased, so too have various plastics been introduced which may also be useful for some electron microscopy studies. Some of these plastics, such as the Lowicryls, have been developed mainly for electron microscopy alone (Carlemalm et al. 1982; Acetarin et al. 1986), whereas LR White and Unicryl (Scala et al. 1992) can be used for either purpose. However, for various technical reasons, not all dual-purpose plastics are practical for routine high-resolution light microscopy studies.
Tinctorial staining
An alternative approach is to use MMA where the plastic can easily be removed prior to staining, using similar procedures and solutions but with slightly extended times to those used routinely for dewaxing paraffin sections. It is beyond the scope of this chapter to describe in detail numerous staining methods on different acrylics, but generally best results are achieved using either a method previously published or one that is recommended by other histologists. It should be noted that tinctorial staining of tissue embedded in MMA is possible (where no cross-linker has been added) without removing the plastic, and this is often useful for sections of undecalcified bone MMA prepared as described in Chapter 16. However, this type of procedure is unsuitable for semi-thin sections described in this chapter for high-resolution light microscopy.