MindMap Gallery Cytochemical staining methods and techniques
This is a mind map about cytochemical staining methods and techniques, including staining related to identifying cell types, Staining related to identifying disease types, etc.
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Cytochemical staining methods and techniques
Cytochemical staining is mainly used clinically
1) Assist in determining the cell type of leukemia
2) Diagnosis and differential diagnosis of hematological diseases and other non-hematological diseases
Cytochemical staining procedures generally include
fixed
show
physical method
Neutrophil alkaline phosphatase staining
acid phosphatase staining
specific esterase staining
non-specific esterase staining
chemical method
azo coupling reaction
periodic acid Schiff reaction
For example: glycogen staining
Prussian blue reaction
For example: iron staining
counterstain
Staining relevant for identifying cell types
Myeloperoxidase staining
Experimental principle
Myeloperoxidase (MPO)—a protein most abundant in neutrophils
Staining reaction of normal blood cells
Grain system
As granulocytes mature, positivity gradually increases
Basophils - negative
Eosinophils – positive (strongest)
monocytic system
Most monocytes - negative/weakly positive
other cells
Phagocytic cells sometimes react positively
clinical significance
MPO staining is the first choice and the most important cytochemical staining method to identify acute leukemia cell types.
1) Acute myeloid leukemia
Myeloid blasts - often positive
2) Acute promyelocytic leukemia
Promyelocytes - Strongly Positive
3) Acute myeloid-monocytic leukemia
Myeloid blasts - positive/negative
Primitive monocytes, promonocytes - negative/weakly positive
4) Acute monocytic leukemia
Primitive monocytes, promonocytes - negative/weakly positive
5) Acute lymphoblastic leukemia
Primitive lymphocytes, prolymphocytes - negative
A positive rate of <3% is often used as the cutoff for acute lymphoblastic leukemia.
6) Pure erythroleukemia
Nucleated red blood cells - negative
Myeloid blasts - positive/negative
Primitive monocytes - negative/weakly positive
Esterase staining
Glycogen staining
Staining reaction of normal blood cells
1) Grain system
The positive reaction material is diffuse and fine granular
2) Red series
nucleated red blood cells, red blood cells - negative
3) Lymphatic system
Most - negative
A few - positive (the positive reaction material is in the form of coarse granules or lumps)
4) Monocyte system
5) Megakaryon system
clinical significance
1) Identification of erythroid diseases
2) Identification of acute leukemia cell types
3) Identification of other cells
PAS staining of Gaucher cells - strong positive
Staining relevant for identifying disease types
Neutrophil alkaline phosphatase staining
Staining reaction of normal blood cells
NAP mainly exists in the cytoplasm of mature neutrophils, so the cytoplasm of mature neutrophils is positive, and other cells are negative.
clinical significance
NAP is a marker enzyme of neutrophils and mainly exists in mature neutrophils.
NAP activity reflects the maturity and function of mature granulocytes. As the cells mature, the activity of the enzyme gradually increases. When neutrophils are activated, the positive rate and score of NAP increase.
Chronic myeloid leukemia (chronic phase)
NAP activity is significantly reduced
acute purulent infection
NAP activity significantly increased
Normal/slightly lower activity during virus infection
acute myeloid leukemia
NAP points reduction
Increased NAP score in acute lymphoblastic leukemia
acute monocytic leukemia normal/reduced
aplastic anemia
Increased NAP activity
Decreased NAP activity in paroxysmal nocturnal hemoglobinuria
iron stain
Iron in bone marrow is mainly found in red blood cells and bone marrow granules