Course Title: 5110BMBMOL - Cellular Pathology
Lecture Topic: Advanced Histology Techniques
Instructor: Dr. Nick Bryan
Contact: n.bryan@ljmu.ac.uk
Important Sections: liver, portal plate, interlobular regions
Fundamental understanding of histology and specimen generation
Awareness of basic stains and their identification in tissue sections
Goals:
Explore quantification of histology
Familiarize with various cells and tissue structures in histological sections
Contextualize histology in diagnostic/scientific workflows (focus on biomaterials)
Discuss immunohistochemistry for added specificity in histology
Review covered materials
Discuss quantification of histological findings
Look into immunohistochemistry and its value in histological analysis
Definition: Exogenous materials restoring function to damaged tissue.
Examples include:
Vascular Graft
Pacemaker
Stitches/Suture
Stent
Heart Valve
Prosthetic Knee
Implant example (hip, knee, vascular graft) removed due to loosening
Key questions for histological investigation:
Presence of delivered cells and infiltration by external cells
Integration with surrounding tissues
Encapsulation or fibrotic development
Implant condition (degradation/resorption profile)
Foreign body response and inflammatory cell recruitment
Localized necrosis assessment
Vascularization status (macro/microscopic blood supply)
Neutrophils:
First responders, produce damaging molecules while coordinating healing
Macrophages:
Clear debris and guide tissue healing but may cause damage if uncontrolled
Lymphocytes:
Chronic inflammation, remove foreign molecules; roles in both destruction and healing
Fibroblasts:
Secrete extracellular matrix (ECM) to stabilize implants
Mast Cells:
Direct inflammation response through cytokine secretion
Tissue-specific cells:
Include osteoblasts, chondrocytes, endothelial cells, adipocytes, neural and glial cells, with regenerative roles in device-specific applications.
Mention of reviewed topics and future discussion points (similar to Page 3).
Standards for evaluating medical device biocompatibility before clinical trials
Emphasis on histopathologic data from animal models
Pathologic Index:
A scoring system (0-4) based on sample criteria presence/absence:
Neutrophils
Macrophages
Fibroblasts
Encapsulation
Necrosis
Degradation
Neovascularization
Presented data on different features and their significance across materials
Samples compared with particular focus on cell types and conditions.
Pros:
Quick pathologic indexing lends to perioperative histology
Provides statistically testable values in a qualitative field
Cons:
Interpretation is subjective and reliant on skilled histologists
Inter-histologist variability may introduce subjectivity
Used to identify leukocytes through specific esterase enzymes reactions
Enzyme activity produces a colored product at the site
Example of staining monocyte lineage cells
Identical positive stained cells in different sample sizes do not imply similar behavior
Perform a nuclear stain (e.g., haematoxylin) to count total cells
Cells of interest can be expressed as a percentage of the total count.
Same as earlier objectives, focusing on revision and quantification of findings.
Use of antibodies to visualize specific molecules within, on, or outside a cell.
Overview of antibody parts:
Fab Region (antigen binding)
Fc Region (crystallisable fragment)
Heavy and Light Chains
Variable Domain as Antigen Binding Site
Antibodies are called Immunoglobulins (Ig).
Specificity of antibodies is crucial for identifying cells/substances.
Help target immune responses and limit damage to native tissues.
Use of antibody specificity in molecular biology for identification purposes.
Method involves inoculating animals with an antigen
Production of polyclonal antibodies against various epitopes of the antigen.
Inoculate mammal with antigen
Collect blood and isolate antibodies
Chickens yield antibodies from both blood and eggs
Typically involves 3-4 inoculations over 28 days.
Approach using hybridoma cells
Hybridoma cells fuse B-cell and myeloma cancer cell properties
Yield monoclonal antibodies targeting one epitope of the antigen.
Inoculation, blood extraction, B-cell isolation, fusion with myeloma cells, hybridoma growth and harvesting antibody.
Polyclonal: Multiple B cell clones, detect different epitopes.
Monoclonal: Single parent clone, detects one epitope.
Fluorescence: Antibodies conjugated to fluorophores viewed via fluorescence microscopy.
Enzyme-linked methods produce color changes at antibody binding sites.
Formalin fixation can mask antigenic sites; retrieval needed for antibody binding.
Methods:
Heat Induced Antigen Retrieval
Enzymatic Antigen Retrieval
Steps in unmasking antigens to allow antibody binding post-fixation.
Explanation of electron excitation in fluorophores and energy release.
Details on excitation and emission wavelengths of fluorescein, a common fluorophore in IHC.
Different excitable fluorophores allow visualization of multiple targets in a single sample.
Discussion on traditional light sources in fluorescence microscopy.
Overview of significant CD markers and their associated cell types.
Examples include:
CD31 (Endothelial Cells)
CD14 (Monocytes/Macrophages)
CD45 (White Blood Cells)
Species specificity of antibodies and nomenclature explained.
Use of secondary antibodies enhances signal strength in immunohistochemistry.
Importance of knowledge on the shape of antibodies for molecular biology applications.
Importance of knowing conjugates in order to select proper reading instruments and avoid crossovers in experiments.
Visual representation of direct conjugation process in IHC.
Use of secondary antibodies to increase fluorescence signal.
Using multiple antibodies to visualize different targets in the same sample.
Ensure distinct spectral properties among antibodies to avoid color overlap.
Nuclear Stains:
DAPI as a commonly used DNA intercalating dye.
Cytoskeletal Stains:
Example: Phalloidin highlighting actin filaments.
Techniques can include colorimetric methods using enzymes for visible changes in samples.
Example of macrophages visualized on biomaterials.
IHC utilized to determine effective drug treatments for cancers based on receptor status.
Mention of standard histology stains and versatile multipurpose histological tools.
Emphasizing the need for quantitative approaches in modern histology, including advanced image analysis and immunohistochemistry techniques.