心肌纤维化特殊染色方法比较与优化
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中国医学科学院医学实验动物研究所

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中国医学科学院医学与健康科技创新工程;中央高校基本科研业务费-青年教师项目


Comparison and optimization of special staining methods for myocardial fibrosis observation
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Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences

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Chinese Academy of Medical Sciences (CAMS) Innovation Fund for Medical Sciences; Special Research Fund for Central Universities, Peking Union Medical College (PUMC)

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    摘要:

    目的 心肌组织病理学检测是心肌纤维化诊断的金标准,而特殊染色是病理学检查中常用的检测手段,然而目前心肌纤维常用特染方法在软件分析中,存在胶原位置难辨识及定量分析误差大等问题,探讨最佳的特染方法对心肌纤维化诊断具有重要的临床意义。方法 利用实验室前期构建的心肌组织特异性cTnT R141W基因突变致扩张型心肌病转基因小鼠模型,制备心脏组织石蜡切片,分别进行马松三色染色法(Masson's trichrome staining,Masson)、天狼星红染色法(Picric Sirius red,PSR)、天狼星红-品红染色法(van Gieson staining,VG)、天狼星红-固绿染色法(Sirius Red/Fast Green staining,SR/FG)染色,利用Image J软件对胶原纤维面积进行定量比较。并从染液浓度、染色时间、酸性溶液预染三个方面对天狼星红-固绿染色法进行优化,对后续的胶原纤维定量分析进行应用验证。结果 四种特染方法均可实现胶原纤维的分布观察,其中,优化后的天狼星红-固绿染色法,即0.1%天狼星红-苦味酸酸性溶液预染5min,随后于0.1%天狼星红-苦味酸与0.04%固绿的混合液中染色1h,在软件识别中具有更低的漏读率和遗失率。结论 本文优化后的天狼星红-固绿染色法较其他几种传统胶原纤维特染方法,胶原纤维与心肌组织着色鲜亮,颜色对比明显,稳定性佳,方便快捷,更适用于后续胶原纤维占比定量分析应用。

    Abstract:

    Objective Myocardial histopathological detection is the gold standard for the diagnosis of myocardial fibrosis, and special staining is a commonly used detection method in pathological examination.However, at present, there are some problems in the software analysis of commonly used special staining methods for myocardial fibers, such as the difficulty in identifying the location of collagen and the large error in quantitative analysis, and it is of great clinical significance to explore the best special staining method for the diagnosis of myocardial fibrosis. Methods Paraffin sections of cardiac tissue were prepared using a transgenic mouse model of cardiomyopathy with specific cTnT R141W gene mutation caused by myocardial tissue mutation constructed in the laboratory, and four staining methods were performed, includind Masson's trichrome staining (Masson), Picric Sirius red staining (PSR), van Gieson staining (VG), and Sirius red/Fast Green staining(SR/FG), and comparative observation. Subsequently, Image J software was used to quantitatively compare the area of collagen fibers.The Sirius red/Fast green staining method was optimized from three aspects: dye concentration, staining time, and acid solution prestaining, and the subsequent quantitative analysis of collagen fibers was applied and verified. Results The distribution of collagen fibers could be observed by the four special staining methods, among which the Sirius red/Fast green staining method, 0.1% Sirius red-picric acid acidic solution was used to pre-stain for 5 min, and the concentration of the dye solution was adjusted to 0.1% Sirius red-picric acid and 0.04% fast green mixture, and the sections were placed in the mixed staining solution for 1h, has the lowest missed reading and loss in determine the proportion of collagen fibers. Conclusion Compared with other traditional collagen fiber special staining methods, the optimized Sirius red/Fast green staining method in this paper has bright coloring between collagen fibers and myocardial tissue, obvious color contrast, good stability, convenience and speed, and is more suitable for subsequent quantitative analysis and application of collagen fiber proportion.

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  • 收稿日期:2023-12-07
  • 最后修改日期:2024-03-21
  • 录用日期:2024-05-13
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