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Histology: Introduction To The Course

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1/6/2020

Histology
BIO 3140
Dr. Dale Telgenhoff

Introduction to the Course

Eye, Monkey x04 Blue Histology


Alcian Blue & Van Gieson stain

Use of images for educational purposes only

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Instructor: Dr. Dale Telgenhoff


Office Hours: Wed. 10 - 12 pm or by appt. (3161 HHB)
Phone: 248-364-8689 email: [email protected]

Educational Background:
Ph.D., Cell Biology, Michigan State University, M.B.A. Tarleton State University
B.A., Biology, Western Michigan University
C(ASCP), HTL(ASCP), Tarleton State University

Teaching Interests:
Clinical Chemistry, Biochemistry, Histology, Pharmacology

Research:
Dr. Telgenhoff’s research focuses on factors that affect wound healing. In particular, he is
interested in the migration of skin cells into the wound area, and the effects of pathologic
states such as diabetes and hyperlipidemia on this migration. His current studies utilizes cells
grown in culture to mimic the wound environment in both normal and underlying
pathologies.

Personal Interests:
Woodworking, fishing, homebrewing, and travel

Course Description
• Histology is the study of body organization and
anatomy at the microscopic level. Simultaneous
registration in the laboratory class (BIO 3141) is not
required, but is encouraged.
• In this class students will integrate cell biology,
physiology, and pathology through a visual/structural
approach to tissues and organ systems.
• The textbook, combined with supplementary reading
material, will be used to communicate and reinforce
fundamental concepts in the areas of basic tissues and
integrated cell biology and organ systems.
• The format for the course includes conventional
lectures as well as class discussion designed to
promote active learning.

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Course Details
• Class meets: T – TH 8 – 9:47am, 202 Dodge
• Textbook (required): Ross MH & Pawlina W. 2011.
Histology: A Text and Atlas
• Prerequisite(s): BIO 1200
• Point Accumulation:
Unit Exams (6 at 100 pts, lowest dropped): 500
Final Exam: 125
TOTAL 625

Our Text

Pawlina W. 2018

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What is Histology?

Cell

Organ System

Tissue Organ
Use of images for educational purposes only

Four Tissue Types are the Building Blocks


of all Organs

1. Epithelial Tissue

2. Connective Tissue

3. Muscle Tissue

4. Neural Tissue

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How do we study cells, tissues, organs,


& organ systems?
• Gross Level (Anatomy)

• Microscopic Level (Histology)

• Molecular Level (Cell Biology)

Use of images for educational purposes only

Histology Techniques
• Many techniques are used to study cells and
tissues.

• In this class, we will be using light microscopy


to observe sections of tissue mounted on glass
slides.

• How are these sections prepared?

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Preparation of Tissues for Light Microscopy


1. Harvest tissue

2. Fixation to preserve structure of the tissue

3. Dehydration to remove water from the tissue

4. Clear the alcohol from the tissue

5. Infiltrate and Embed with Paraffin wax

6. Section tissue into thin slices (like deli meat)

7. Mount sections on a slide

8. Rehydration to prepare sections for staining

9. Stain to enhance contrast or highlight structures of interest

10. Observe with the light microscope

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• Is it cancer ??
• If it is… how serious is it?
• Will I need treatment? What kind?

Next step in the journey….


• “We need to look at
the tissues. We
need a biopsy.”
– Is it cancer or is it
benign ?
– Is it invasive?
– What treatments?

http://www.breastcancerlaw.com/counseling.jpg

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Histology will answer our questions!


• Histology: study of normal tissues
• Pathology: study of diseased tissues
• Tissue:
– Building blocks of organs
– group of cells working together to carry out a
specific function
• Biopsy: small bit of tissue removed from
patient for examination with microscope

From Biopsy to Pathology report

?
1. Biopsy specimen → microscope slide
(histotechnique)
2. Interpretation of slide → pathology report
(pathologist)

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From biopsy specimen to microscope slide:


HISTOTECHNIQUE

“why is it taking
so long?”

DIAGRAM: Kessel, Basic


Medical Histology, Oxford

Why “fix” and University Press.


Why thin section?
process ?

Why paraffin?

From biopsy specimen to microscope slide:


tissue fixation and processing

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From biopsy specimen to microscope slide:


infiltration and embedding

From biopsy specimen to microscope slide:


sectioning

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From biopsy specimen to microscope slide:


staining

http://www.scuddlebutt3.co.uk/L_microscope_sli
de_mountant_1.jpg

From biopsy specimen to microscope slide:


The finished microscope slide

http://www.scuddlebutt3.co.uk/L_
microscope_slide_mountant_1.jpg

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Limitations of histotechnique
• Tissue is dead
• Only a slice: 2D
• Color artificial:
– Purple nuclei
– Pink cytoplasm
• Need to know
“what is normal”

What kinds of treatment?


Are hormone receptors present?

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From microscopy slide to Pathology Report:


POWER of Histotechnique
Specimen:
Clinical History
49 year old female who was found to have a mass on physical exam and mammography.
Stereotactic core biopsy reveals malignancy.
Clinical Diagnosis: Right breast cancer

Microscopic Description
Slides A3- A4 consist of a portion of breast tissue in which is located an infiltrating ductal
carcinoma of the breast. The malignancy is characterized by infiltrating nests of malignant
cells in which there is glandular formation. The cells demonstrate a moderate degree of nuclear
pleomorphism, with some of the cells having central nucleoli. However, the mitotic rate is less
than 1 mitosis per 10 high power fields. Overall the carcinoma is grade II. Adjacent to the
carcinoma are areas of ductal carcinona in situ. Histologically the tumor is 2mm from the
inked margin. No lymphatic invasion is appreciated.

Diagnosis Infiltrating ductal carcinoma of the breast, Grade II


Foci of ductal carcinoma in situ
Tumor is 2 mm from the inked margins
Metastatic cancer in 2/12 lymph nodes.
Markers The tumor is estrogen receptor positive
The tumor is Her 2 neu positive

Histotechnology

Theory and Practice

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Histotechnology

When tissues are removed from the body, there is


rapid onset of action of degradative enzymes,
which start the process of autolysis

Thus, the tissues need to be immediately


processed, perhaps to isolate cells or frozen in
order to be studied, or fixed, in order to preserve
them for study as archival material

Histotechnology
Frozen tissues need storage space in either liquid
nitrogen or in minus 80 degree freezers which take up
space

Fixed tissues are then subjected to a process of


dehydration before being infiltrated with paraffin wax
(at high temperatures) in order to be able to store
them at room temperature for use as archival material

The fixatives used preserve morphology of the tissue


but can alter cell surface molecules

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WELL FIXED SMALL BOWEL AND POORLY FIXED SAMPLE

Processing of tissue :

Freeze for Process for EM


histology/histochemistry/
& use for Process into paraffin blocks
immunohistochemistry

-Fix
-Dehydrate
OCT in
Dry ice plastic mold -Infiltrate with xylene
-Infiltrate with hot paraffin wax
-Make blocks for sections
-Store at room temperature

Frozen or paraffin
tissue can then be
sectioned for histology
3--30 micron sections

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MATERIALS NEEDED TO FREEZE TISSUE SAMPLES

MATERIALS NEEDED TO PROCESS FIXED TISSUE

Place fresh or fixed, trimmed, tissue into


cassettes to be processed into paraffin blocks
for sectioning at room temperature

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Paraffin embedded tissues ready for sectioning onto glass slides

HISTO: HISTOLOGY SECTIONS FOR VIEWING UNDER THE MICROSCOPE, using


BRIGHTFIELD illumination

Always review sections using the basic hematoxylin and eosin (H&E) stain
before proceeding to perform a special stain

H&E= hematoxylin and eosin.


Hematoxylin colors nuclei blue
Eosin colors the cytoplasm pink

in order to check out the morphology of the tissue and to determine that
what you are looking for is present in the section

and that the section has no other abnormalities

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LIST OF ORGANS FOR HISTOPATHOLOGICAL ANALYSIS:

Neural Respiratory:
Brain : Cerebrum, Lungs and trachea
Olfactory, Cerebellum Other:
Spinal cord and peripheral nerves Eyes, Inner ear, nasal passages

Vascular: Hematologic:
Heart and blood vessels Spleen, Thymus, Bone Marrow
Lymph nodes and Peyer’s patches

Integument: GastroIntestinal:
Skin, Bone, Cartilage Liver, Salivary Gland, Pancreas
Skeletal muscle, Stomach and Duodenum,
Stroma and Adipose tissue Small intestine (Ileum)
Large intestine (Colon), Cecum

GenitoUrinary Endocrine:
Kidney, Bladder Adrenals, Pituitary
Uterus, Ovary, Fallopian tubes Thyroid , Parathyroid
Testis, Prostate,
Breast, Placenta

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Staining
• Basic dyes stain acidic structures
(e.g. deoxyribonucleic acid (DNA), RNA, etc.)

• Acidic dyes stain basic structures


(e.g., cytoplasm, intra- and extra-cellular
filaments, etc.)

• Common stains seen in this class use a


combination of basic and acidic dyes:

H&E, PAS, Trichrome

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Hematoxylin & Eosin (H&E)


Hematoxylin only Eosin only Both

Basic dye: stains only Acidic dye: stains only


Combined, H&E
nuclei, ribosomes, and cytoplasm and other
provides contrast among
other chemically acidic chemically basic
cell organelles
substances substances

Pancreas tissue stained by with H&E


Use of images for educational purposes only

Periodic Acid-Schiff (PAS) reaction stains carbohydrates


and carbohydrate-rich macromolecules

It is used to demonstrate:
• glycogen in cell
• mucus in certain cells
• the basement
membrane that
underlies epithelia
• reticular fibers in
connective tissue

kidney tissue stained by the PAS method


T: kidney tubules
C: glomerular capillaries
BC: Bowman’s capsule

Use of images for educational purposes only

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Trichrome Stains
• Trichrome = “Three colors”
• Usually consists of an acidic dye, a basic dye,
and a dye for a specific structure or cell
product (e.g. lipids, elastic fibers, etc.)

Weigert’s Elastic Stain Masson’s Trichrome Stain

Integumentary system stained with different trichrome stains


Use of images for educational purposes only

Seeing in 2D, Thinking in 3D


Sectional macro- and micro-anatomy allows us to study
the topographical relationships among structures

Sagittal section, CT scan, Transverse slices , A-B, D: CT scan, Transverse &


human head human abdomen sagittal slices , human skull
C: 3D reconstruction of face
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In Histology, We have to Reconstruct the 3D Image in our Minds

SEM image of a renal corpuscle


& surrounding kidney tubules
Things to keep in mind:
• The size and internal structural appearance are reflected in the plane of section
• Understanding the gross structure of the organ will help you to interpret your sections
• This takes a lot of practice, but is a skill you will use A LOT in professional school!
Use of images for educational purposes only

Relative Sizes of Eukaryotic


and Prokaryotic Cells

44

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Scale

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Review of Linear Measurements in the Metric System

1m= 100 cm (about like a yardstick)


1cm= 10 millimeters (mm)
1mm= 1000 micrometers (μm)
1μm= 1000 nanometers (nm)

Histological ruler

Diameter of erythrocyte
(RBC) is about 7.8 µm
Use of images for educational purposes only

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