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Decalcification is the process of removal of calcium from decalcified tissue and making suitable for section cutting.
In presence of calcium salts makes the tissue hard and brittle, which will cause difficulty in section cutting and damage to the microtome knife.
DECALCIFICATION
Selection of tissue Fixation Decalcification Detection of end point Neutralization Washing
STEPS
Thin sizes of bone and other calcified hard tissues are obtained by using fine toothed forceps or hack saw .Have to take thickness of tissue at 4-5 mm.
SELECTION OF TISSUE
Adequate fixation should be needed before decalcification otherwise tissue will be damaged in acid decalcification.
Bony tissue is fixed in 10% buffered neutral formalin for 2-4 days,
For bone marrow zenkers formalin is used.
FIXATION
Different steps of decalcification are By using dilute mineral acid By using ion exchange resins By chelating agent Electrophoretic decalcification
DECALCIFICATION
Complete removal of calcium Minimal tissue damage Shouldn't interfere the staining reaction Speed of decalcification The factors which influence the speed of
decalcification are Heat Strength of acid Agitation
CRITERIA OF GOOD DECALCIFYING AGENT
The acid which is used for decalcification should be simple solution or mixed with other reagents especially with fixative or buffered solution.
Different type of decalcifying fluid Gooding and stewarts fluid Formic acid(90%)-100ml Formalin-50ml Distilled water-850ml By using formic acid gives a good routine decalcifying
fluid it will give reasonable speed and minimum tissue damage.
Formaldehyde gives protection to the tissue from acids. Decalcification by using this solution with in 2-4 days
depends on the thickness and degree of decalcification
BY USING DILUTE MINEREAL ACID
Conc. HCL-15ml Nacl-175gm Distilled water-up to 1lt 0.5 % HCl should be added daily till
decalcification is complete.This is a moderately rapid decalcification.
VON-EBNER’S FLUID
Absolute alcohol-73ml Chloroform-10ml Acetic acid-3ml HCl-4ml Distilled water-10ml More amount of fluid is needed that is 40-50
times the volume of tissue After decalcification the tissue is directly
transfer to several changes of absolute alcohol till the acid is removed from the tissue.
JENKER’S FLUID
PH-4.5 7% citric acid monohydrate-5ml 7.54% anhydrous ammonium citrate-95ml 1% zinc sulphate-2ml Chloroform-2 drops calcium ions are soluble at PH 4.5 This is slower in action but there is no
damage to the tissue.
CITRATE-CITRIC ACID BUFFER
Nitric acid recause the formation of yellow dis coloration to the tissue and it will interfere with subsequent staining reaction
The formation of yellow dis coloration can be prevented by adding 1% urea to pure nitric acid. But it is having only a temporary effect
FLUID CONTAINING NITRIC ACID
Concentrated HNO3-5-10ml Distilled water-up to 100ml It is a good protein decalcifying fluid Rapid in action but it will cause damage to
the tissue It will give brilliant staining reaction
AQUEOUS NITRIC ACID
Formalin-5ml Conc. HNO3-7.5ml Distilled water-up to 100ml Formalin prevents the softening effect of
nitric acid on the cell
FORMALIN NITRIC ACID
Conc. HNO3-10 ml Phloroglucin-1gm When bubbling stops at 100 ml of 10%
nitric acid to this solution Phloroglucin protect the tissue from
softening and gives brilliant staining effect
PHLOROGLUCIN NITRIC ACID
10% HNO3-40mlAbsolute alcohol-30ml0.5% chromic acid-30ml It’s very slow in action for bones. But
excellent for small deposits of calciumIt will cause little hard to the tissueThe end point detection is by x-ray
PERENYS FLUID
It is use to remove calcium ions from the fluid that will make more rapid rate of solubility of calcium from the tissue and time taken for decalcification can be reduced
The resins commonly used as ammonium forms of suphonated poly styrene resins
It’s layered on the bottom of the container to a depth of a rod 1cm and the specimen is allowed to rest on it
The volume of fluid will be 20-30 times the bulk of the specimen
Formic acid containing decalcifying fluid will be better results
After use with resins the tissue must be washed twice in diluted HCL and followed by washing in running tap water for 3 times
BY USING ION EXCHANGE RESINS
These are organic compounds having capacity to bind with calcium metals
Tissue decalcified by this method showing minimum of artifacts and good staining results
CHELATING AGENTS
The fixative used is 10% neutral formal saline
After fixation the tissue is transffered to 50 times its bulk of 55% sequestrine buffer of ph 7.4 is prepared in phosphate buffer
The fluid is changed daily for determination of end point
After decalcification , the tissue is transffered to 70% alcohol for dehydration
PROCEDURE
HILLEMANN’S AND LEE FLUID EDTA disodium salts – 5.5 gm Distilled water – 90ml Formalin – 10ml NEUTRAL EDTA It is a cloudy solution it can be neutralised
by adding 2.5 gm of NaOH
DIFFERENT TYPES OF CHELATING AGENTS
The tissue is placed in electrophoretic tank containing 2 electrodes and electrolyte solutions
Equal parts of 8% HCL + 10% Formic acid is used as an electrolyte
ELECTROPHORETIC DECALCIFICATION
Tissue should be exposed for longer time in decalcifying fluid in which it will cause damage to the tissue
So the end point of decalcification should be determined to prevent tissue damage and to ensure the complete removal of calcium
DETECTION OF END POINT
1) PHYSICAL METHOD It is a crude method consists of probing the
tissue with a needle and cutting using a scalpel or should check the flexibility of the tissue
2) CHEMICAL METHOD 5 ml decalcifying fluid is utilized by strong
ammonia then add 5ml of ammonium oxalate solution
3) RADIO GRAPHIC METHOD X-ray
DIFFERENT METHODS ARE
After decalcification the tissue should be neutralized with treating with alkali overnight.
5% Lithium carbonate or NaSO4 can be used for neutralization
Failure to do the neutralization property that will cause the swelling of the tissue
NEUTRALISATION OF ACID
Washing is necessary for removal of alkali otherwise that will interfere with the staining reaction
Washing can be done overnight in water or 70% alcohol for 3-5 hrs
WASHING