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使用次氯酸使含黑色素组织褪色以增强苏木精-伊红和免疫组织化学染色。

Depigmentation of Melanin-containing Tissues Using Hypochlorous Acid to Enhance Hematoxylin-eosin and Immunohistochemical Staining.

机构信息

Department of Pathology, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang, China.

出版信息

Appl Immunohistochem Mol Morphol. 2024 Jan 1;32(1):53-59. doi: 10.1097/PAI.0000000000001167. Epub 2023 Oct 19.

Abstract

Pathologists diagnose diseases by observing the histologic and cellular morphology microscopically. However, the high pigmentation in melanin-containing tumors can hide the tumor cell structures, making diagnosing challenging. Previously, hydrogen peroxide and potassium permanganate were utilized for melanin bleaching with several limitations. For instance, hydrogen peroxide has a weak bleaching ability, and the process is time-consuming (12 h). Meanwhile, potassium permanganate affects the antigenicity of antigens and is unsuitable for immunohistochemical (IHC) staining. In this study, the hypochlorous acid (HClO) solution was applied to hematoxylin-eosin and IHC staining of melanin tissue sections. The study discovered that 1% HClO could completely bleach melanin particles in tumor tissues in a short period (19.95 ± 2.53 min) without compromising the hematoxylin-eosin staining. In addition, 2% HClO was utilized for bleaching at room temperature for 61.17 ± 4.32 minutes after the tissue was incubated with 3,3'-diaminobenzidine in IHC staining. This treatment effectively removed melanin without negatively impacting 3,3'-diaminobenzidine signal expression, thus ensuring that the sections met the necessary diagnostic requirements. Therefore, this method could facilitate pathologists in disease diagnosis of melanin-containing tissues.

摘要

病理学家通过观察组织学和细胞形态学微观结构来诊断疾病。然而,含黑色素肿瘤的高色素沉着会隐藏肿瘤细胞结构,使得诊断具有挑战性。以前,过氧化氢和高锰酸钾用于黑色素漂白,但存在一些局限性。例如,过氧化氢的漂白能力较弱,且过程耗时(12 小时)。同时,高锰酸钾会影响抗原的抗原性,不适合免疫组织化学(IHC)染色。在这项研究中,次氯酸(HClO)溶液被应用于黑色素组织切片的苏木精-伊红和 IHC 染色。研究发现,1% HClO 可以在短时间内(19.95 ± 2.53 分钟)完全漂白肿瘤组织中的黑色素颗粒,而不会影响苏木精-伊红染色。此外,在 IHC 染色中,组织孵育 3,3'-二氨基联苯胺后,使用 2% HClO 在室温下漂白 61.17 ± 4.32 分钟。这种处理有效地去除了黑色素,而不会对 3,3'-二氨基联苯胺信号表达产生负面影响,从而确保切片满足必要的诊断要求。因此,该方法可以帮助病理学家诊断含黑色素的组织疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd18/10695334/ec5ae77b665c/pai-32-53-g001.jpg

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