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Category

Amyloid

Bennhold’s Congo Red for Amyloid

By Amyloid, Direct Dye Staining, Protocols, Stain Target, Stain Type

Bennhold's Congo Red

for Amyloid

8
steps
5
materials

Materials

  • Mayer’s hemalum
  • Congo red
    MaterialAmount
    Congo red1g
    Distilled water100mL
  • Lithium carbonate
    MaterialAmount
    Lithium carbonateasrequired
    Distilled water100mL

Dissolve to saturation.

Tissue Sample

Paraffin sections of formalin fixed tissues are satisfactory.

Protocol

  1. Bring sections to water via xylene and ethanol.
  2. Place into the congo red solution for
    1. 30 minutes at room temperature, or
    2. 45 minutes at 56°C, or
    3. 15 seconds at boiling.
  3. Drain and, without rinsing, place into lithium carbonate solution for 15 seconds.
  4. Drain and, without rinsing, differentiate in 80% ethanol. This usually takes just a few seconds.
  5. Wash well with tap water.
  6. Stain nuclei with hematoxylin and blue.
  7. Dehydrate with ethanol.
  8. Clear with xylene and mount with a resinous medium.

Expected Results

  • Amyloid  –  red
  • Nuclei  –  blue

Notes

  • Amyloid displays apple green birefringence when viewed with crossed polarisers, one above and one below the section.
  • The congo red is most commonly applied for 30 minutes at room temperature.
  • Differentiation in 80% ethanol is difficult to control, and amyloid is often poorly demonstrated. Due to this the method is not usually recommended.

Safety Note

Prior to handling any chemical, consult the Safety Data Sheet (SDS) for proper handling and safety precautions.

References

  1. Bennhold, H., (1922),
    Eine specifische amyloidfärbung mit kongorot,
    Münchener Medizinische Wochenschrift, v 44, page 1537

Lendrum, Slidders & Fraser’s Alcian Blue for amyloid

By Amyloid, Protocols, Stain Target

Lendrum, Slidders & Fraser's Alcian Blue

for amyloid

10
steps
10
materials

Materials

  • Stock A
    Alcian blue 8GX1g
    Ethanol 80%100mL
  • Stock B
    Sodium sulfate, hydrate1g
    Distilled water100mL
  • Working solution
    Stock A45mL
    Stock B45mL
    Glacial acetic acid10mL

    Mix. Leave 30 minutes. Prepare daily.

  • Acetic ethanol
    Ethanol, 95%45mL
    Distilled water45mL
    Glacial acetic acid10mL

    Prepare daily.

  • Borax Ethanol
    Boraxasrequired
    Ethanol, 80%100mL

    Dissolve borax to saturation.

Tissue Sample

Paraffin sections of formalin fixed tissues are satisfactory. If using the more complex trichrome counterstains, formal sublimate fixation is preferred.

Protocol

  1. Bring sections to water via xylene and ethanol.
  2. Place into acetic alcohol for 1 – 2 minutes.
  3. Place into the working solution for 2 hours.
  4. Place into acetic alcohol for 1 – 2 minutes.
  5. Wash with water.
  6. Place into alcoholic borax for 30 minutes.
  7. Wash with water.
  8. Counterstain (see notes).
  9. Dehydrate with absolute ethanol.
  10. Clear with xylene and mount with a resinous medium.

Expected Results

  • Amyloid  –  blue green
  • Other tissue  –  according to the counterstain

Notes

  • The simplest counterstain is the van Gieson.
  • If counterstaining with PAS, treatment with alcoholic borax may be omitted.
  • If counterstaining with silver impregnation for reticulin, the method must not include a Mallory bleach.
  • The authors suggested their own, more complex trichrome counterstain.

Safety Note

Prior to handling any chemical, consult the Safety Data Sheet (SDS) for proper handling and safety precautions.

References

  1. Lendrum, A.C., Slidders, W. and Fraser, S., (1972),
    Renal hyalin: A study of amyloidosis and diabetic fibrinous vasculosis with new staining methods.,
    Journal of Clinical Pathology, v 25, page 373.