Urates

Controls Slides Histopathology Urates

Validation Stain: Gomori Methenamine Silver

 

Tissue: 
(+) Gouty Tophi
Adhesive or Charged Slides: 
Superfrost +

Product Options:

Part # 4700A10/Set $46.00

Urates Control Slides contain sections of positive staining gouty tophi tissue.

 

PRODUCT DESCRIPTION:

The enclosed positive control slides are intended to be used to verify histological techniques and reagent reactivity.  These slides are to be used for the qualitative purpose of determining positive or negative results, and are not intended to be used for any quantitative purpose.  The first serial section within the control box is stained and provided for your reference.  Before using the unstained slides, review the enclosed stained slide with your pathologist to ensure that this tissue source is acceptable.  Newcomer Supply will not accept a return with missing slides in the series. Newcomer Supply guarantees reactivity of these control slides for one year from the date of receipt.  Revalidate after one year to verify continued reactivity.  Store at 15-30°C in a light deprived and humidity controlled environment.

These positive control slides were produced from human surgical or autopsy tissues under carefully controlled conditions.  Reasonable measures are used to deliver quality control slides that are as consistent as possible.  However, characteristics of quality control slides may be dissimilar due to variations in the reagents, stains, techniques, laboratory conditions, and tissue sources used. Newcomer Supply Laboratory uses a manual method of performing quality control procedures, specifically avoiding automation, in order to provide reactive control slides for even less aggressive methods of staining that our customers may be using.

 

CONTROL SLIDE VALIDATION:

With Urate Stain, Gomori Methenamine Silver Method: Individual Stain Solution
Methenamine 3%, Aqueous Part 12239
Silver Nitrate 5%, Aqueous Part 13805
Sodium Borate 5%, Aqueous Part 13826
Gold Chloride 0.25%, Aqueous Part 11287
Sodium Thiosulfate 2.5%, Aqueous Part 13889
Light Green SF Yellowish Stain 0.2%, Aqueous Part 12202

                                                               

For storage requirements and expiration date refer to individual product labels.

  

APPLICATION:

Newcomer Supply Urates Control Slides are for the positive histochemical staining of urates in tissue sections. With abnormal accumulations found around joints and in soft tissues, this disturbance in uric acid metabolism is known as gout, with collections of urate crystals referred to as gouty tophi.

Calcium pyrophosphate crystals or pseudogout may also be demonstrated in this procedure. When viewed with a polarizing filter and red compensator filter, gout and pseudogout can be distinguished.

 

METHOD:

Fixation: 100% ethyl alcohol; a minimum of 2 changes 4 hours each.

  1. See Procedure Note #1.

Processing:  Transfer from 100% ethyl alcohol fixative to xylene for 1 hour; proceed with equal parts xylene/paraffin at 58°C for 2 hours. Infiltrate with paraffin for a minimum of 1 hour; embed.

Technique: Chill paraffin blocks in 100% ethyl alcohol; cut paraffin sections at 5 microns with minimal water bath exposure.

Solutions:  All solutions are manufactured by Newcomer Supply, Inc.

               

NEWCOMER SUPPLY VALIDATION PROCEDURE:

  1. All glassware/plasticware must be acid cleaned prior to use.
    1. See Procedure Notes #2 and #3.
  2. Prepare Methenamine Silver Stock Solution.
    1. Methenamine 3%, Aqueous                            50 ml
    2. Silver Nitrate 5%, Aqueous                            2.5 ml
    3. Slowly add silver nitrate; mix to clear milky precipitate.
    4. Store clear solution at 2°C-8°C for up to 2 months.
  1. Prepare fresh Methenamine Silver Working Solution; combine and mix well.
    1. Methenamine Silver Stock Solution                25 ml
    2. Distilled Water                                                 25 ml
    3. Sodium Borate 5%, Aqueous                            3 ml
  2. Preheat fresh Methenamine Silver Working Solution to 60°C in a water bath.
  3. Deparaffinize sections thoroughly in three changes of xylene, 3 minutes each.  Rinse in two changes of 100% ethyl alcohol, 10 dips each.
    1. Do not use 95% ethyl alcohol or distilled water steps.
    2. See Procedure Notes #4 and #5.
  4. Place slides in preheated Methenamine Silver Working Solution in a 60°C water bath for 30 minutes. Remove the control slide, rinse in warm distilled water, check microscopically for adequate silver development. Crystals should be dark brown/black.  If structures are not sufficiently dark, place slides back in warm silver solution.  Recheck at 2-3 minute intervals until desired intensity is achieved.
  5. Rinse well in distilled water.
  6. Tone in Gold Chloride 0.25%, Aqueous until brown colorization disappears; 5 to 30 seconds.
  7. Rinse well in distilled water. 
  8. Place in Sodium Thiosulfate 2.5%, Aqueous; 2 to 3 minutes.
  9. Wash well in running tap water for 3 minutes; rinse in distilled water.
  10. Counterstain in Light Green SF Yellowish Stain 0.2%, Aqueous for 1 to 2 minutes, depending on preference of counterstain intensity.
  11. Dehydrate in two changes each of 95% and 100% ethyl alcohol. Clear in three changes of xylene, 10 dips each; coverslip with compatible mounting medium.

 

RESULTS:

Light Field Microscopy:

Gout/urate crystals Black
Background Green

Polarized/Red Compensator Filter: (long axes aligned parallel)

Gout/urate crystals  Yellow, long & needle shaped
Pseudogout crystals Blue, shorter & rhomboidal

                       

PROCEDURE NOTES:

  1. Urate crystals are soluble in aqueous solutions. An alcoholic fixative and non-aqueous reagents for processing must be used.
  2. Acid clean all glassware/plasticware (Part 12086) and rinse thoroughly in several changes of distilled water.  Cleaning glassware with bleach is not equivalent to acid washing.
  3. Plastic (Parts 5500, 5501), plastic-tipped or paraffin coated metal forceps must be used with any silver solution to prevent precipitation of silver salts.  No metals of any kind should be in contact with any silver solution. Only glass thermometers should be used.
  4. Drain staining rack/slides after each step to prevent solution carry over.
  5. Do not allow sections to dry out at any point during staining procedure.
  6. If using a xylene substitute, closely follow the manufacturer’s recommendations for deparaffinization and clearing steps.

 

REFERENCES:

  1. Carson, Freida L., and Christa Hladik. Histotechnology: A Self-Instructional Text. 3rd ed. Chicago, Ill.: American Society of Clinical Pathologists, 2009.255-256, 267-268.
  2. Luna, Lee G. Manual of Histologic Staining Methods of the Armed Forces Institute of Pathology. 3rd ed. New York: Blakiston Division, McGraw-Hill, 1968. 187-188.
  3. Sheehan, Dezna C., and Barbara B. Hrapchak. Theory and Practice of Histotechnology. 2nd ed. St. Louis: Mosby, 1980. 225-226.
  4. Modifications developed by Newcomer Supply Laboratory.