PAS STAIN.pptx

Histolopatholgy

1. PAS TECHNIQUE AND STAINING Presented by ; Shahzeb Hussain

2. Introduction The Periodic Acid-Schiff (PAS) Stain is widely used technique in histopathology for the demonstration of carbohydrates and carbohydrate rich compounds in tissues. PAS stain demonstrates polysaccharides, mucin, glycogen, certain glycoproteins and glycolipids, basement membrane and certain fungus in tissues.

3. Principle Principle of PAS STAIN ; Glycol group of carbohydrates are oxidized by periodic acid to release dialdehydes. These dialdehydes on subsequent combination with Schiff’s reagent result in the formation of magenta colored complex, localized at the site of aldehyde formation.

4. Preparation of reagents for PAS stain Preparation of Reagents for PAS Stain Periodic Acid Solution; Periodic acid solution, used for oxidation is used in any strength between 0.5% and 2.5%. 1% solution is preferred.
Periodic acid= 1gm
Distilled water= 100ml Schiff’s reagent ; Fuchsin Basic : 1 gm
Distilled water : 100 ml
Sodium metabisulphite : 2 gm
Conc. HCl : 2 ml
Charcoal activated : 0.3 gm

5. Preparation of reagents for PAS Stain Stir solution for 2 hours, set ina dark cool place overnight. The solution is now a clear light brown to yellow color. Add:
Activated charcoal 500.0 gm (or two heaping spoons)
Stir. Filter through Whatman #2 filter paper into a 1000 ml graduated cylinder. Change the filter paper often. Restore volume to 1000 ml with distilled water.
Store in Refrigerator, solution is stable for 6 months.

6. Procedure of staining Deparaffinization; flame the slide on burner and place in the xylene. Repeat the treatment to remove the wax. Hydration; Drain xylene and hydrate the tissue section by passing through decreasing concentration of alcohol baths (100%, 90%, 80%, 70%) and water. Oxidation ; Place the sections in periodic acid solution (1%) for 5-10 minutes. Rinse ; Wash in at least two changes of distilled water. Treatment with Schiff’s reagent; Cover with Schiff’s reagent for 20-30 minutes.

7. Procedure of staining Rinse ; Rinse in running tap water for 5-10 minutes. Counterstain; Cover with hematoxylin for 3-5 minutes. Differentiate and blue for the sections. Dehydration ; Dehydrate in increasing concentration of alcohols. Clearing; Put slides in two xylene baths for clearing. Mounting; Mount in DPX or other mounting media. Microscopy ; Observe under microscope.

8. Results and interpretations Substance Resulting colors Pas positive materials Magneta pink to red Nuclei Blue

9. Important Uses of Pas staining PAS helps to demonstrate glycogen, cellulose and starch. This is useful to detect glycogen deposits in liver when glycogen storage disease is suspected.
Basement membrane of various tissues may also be visualized through the PAS stain. The PAS is most commonly used to demonstrate the thickness of glomerular basement membrane when renal disease is being assessed.
Certain fungi in tissue samples such as Cryptococcus neoformans, Histoplasma capsulatum, Aspergillus fumiagtus, Blastomyces etc can be demonstrated by PAS stain because of high carbohydrate content in their cell wall/capsule

10. Important Uses of Pas staining Mucin, particularly acid mucin is demonstrated by PAS. It is important un endocervical glands, intestinal glands and bronchial glands.
PAS helps to demonstrate cerebrosides and gangliosides. It helps in diagnosis of Gaucher’s disease, Krabbe’s disease and lysosomal storage diseases etc.
Certain pigments such as lipofuchsin and pigments of Dubin-Johnson syndrome are demonstrated by PAS stain.
Russell bodies of plasma cells are stained by PAS.

11. Substances positive for Pas staining Polysaccharides; Glycogen, cellulose and starch. Many leucocytes contain glycogen, capsule of fungi (Candida albicans, Histoplasma capsualtum, Cryptococcus and Blastomycosis), actinomycosis and bacteria. Glycoproteins; Mucins, mucoid secrection of intestinal tracts, uterine glands, ducts, tracheobronchial tress, hormones (TSH), megakaryocytes etc. Glycolipids; Gangliosides , mainly gray matter composed of fatty acids. Non –carbohydrate contain Unsaturated lipids, phospholipids and phosphoinositides.

12. Substances positive for Pas staining Certain pigments and substance; Ceroid, lipofucsin, pigment in melanosis coli and Dubin-Johnson pigmen Plasmogens; They are acetyl phospholipids, eg: Russell bodies. Miscellaneous;Amyloid , cartilage matrix, colloid and ocular lens material.