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    3

    ec lcific tion nd

    other tre tments for

    h rd

    t ssu s

    Decalcificatien

    by

    acids

    45

    Decalcification by cheloting agent 46

    0eCIIlciticlltioD in praclicll

    41

    AciII

    dllC8lcifien .

    3.3.2

    Ole\alio,

    Mm EDrA

    49

    3.3.3. Erld poIm

    de :alc,fcation 49

    3.4.

    Softenilg of

    nl)ll-

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    WlII

    be

    dnven from

    left to right, removing

    the hydroxide ions liberated as a result of

    dissolution of

    the

    hydroxyapatite.

    Any

    strong acid could

    serve

    as a source of hydro

    gen

    ions,

    but

    Ihose that

    form

    sparingly soluble calcium

    salts

    e.g.

    sulphuric

    acid

    are,

    far

    obvious reasons, unsuitable. Hydrochloric,

    nitric and

    formic

    acids are Ihe

    ooes

    most often

    used.

    The

    overall

    readions of

    lhese

    adds

    with hydroxyapatile

    are

    respectively:

    Ga

    1O

    P

    4

    )6 OH)2 + 20H+ + 2 cr

    10Ca

    2

    + +

    2 Cr

    +

    6H

    3

    P

    4

    +

    2H

    2

    0

    The

    calcium from

    the

    tissue

    ends

    up

    as

    calcium ions dissolved

    In

    the

    decalcifying

    fluid. If the

    latter

    is changed frequently the

    completion

    of decalcification can be rec

    ognized when extraded calcium ions are no longer

    delectable

    by a

    simple

    cnemi

    calles . .

    The aystallanice of the hydroxyapatile of bones

    and

    teeth

    inrorporates

    small num

    bers of carbonate ions in addition

    to the

    more

    abundant

    phosphates and hydrox

    ides.

    The mineralized

    tissue contains, in

    effect.

    a

    small percentage

    af

    calcium

    carbonate.

    This is

    dissolved

    by acids:

    Minute bubbles

    carbon dioxide

    are

    fQ lTled

    within and on Ihe surfaces

    of

    speci

    mens being decalcified

    in adds,

    but they do not usually

    produce

    signs of damage

    visible

    under

    the microscope.

    Mast enzymes

    are

    put out of aaion

    by

    acid decalcifying

    agents,

    but the strudure

    of the tissue is only slightly disrupted provided that

    fixation

    has

    been adequate.

    Immunohistochemical

    stilining

    is

    often

    poor after decalcification ilt km p

    and

    weilker

    acids such

    as

    acetic Henzen-Longmans

    al

    1965)

    or ascorbic,

    pH

    aboul

    2.5, Merchan-Perez

    al 1999)

    are

    preferred

    for

    most antigens.

    Decalcification by

    ilcids can

    result in

    hydro/ysis

    of

    nudeic adds. RNA is

    broken into

    soluble

    fragments,

    V\lth resulting redudion

    or 55

    of cytoplasmic

    staining

    by cation

    ic

    dyes. The

    purine and pyrimidine

    bases

    are

    removed from

    he sugar-phosphilte

    backbone of

    ONA; this occurs

    less completely

    than

    in

    a deliberille Feulgen hydro/y

    sis

    Chilpter 9 , bul

    nevertheless

    inlerferes with

    the interpretation of

    densitometric

    measurements of

    histochemically stained sections Of with s tu hybridiziltion

    A1es

    al 1999 .

    In

    a

    comparison of decalcifying

    solutions Shibata al 2000) found

    that hybridization

    of

    labelled probes

    with

    mRNA

    in

    dental

    tissues

    was

    severely

    impaired by

    mineral

    acids but was satisfac:l.ory alter

    soIutions

    containing formic aeid.

    by

    chelating agenls

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    Decalcification

    in pradice l. J

    Ethylenediamine tetraacetic acid EDTA forms ordinary salts four are possible)

    with sodium and other alkali metals, but the ethylenediamine tetraacetate ions

    combine with most other metal ions to form stable, soluble chelates.

    If

    a piece of

    calcified tissue

    is

    immersed

    in

    liquid containing

    EDTA

    anions, free calcium ions will

    be removed from the solution by chelation. Hydroxyapatite will therefore dissolve

    because it will be unable to attain equilibrium with a saturated solution.

    [EDTA]2 -

    As in a solulion of lhe

    disodium sall of EDTA

    The bonds to lhe

    Ca alom are of

    equal lenglh and mutually at

    right angles, directed as if to the

    vertices of a regular octahedron.

    For

    a full account of the chemistry of chelation, see Chaberek and Martell 1959).

    lhe

    chelation of metal ions by dye molecules

    is

    described in Chapter

    5.

    of this

    book. Decalcification

    by EDTA

    differs from decalciflcation

    by

    acids

    in

    that hydrogen

    ions play no part

    in

    the chemical reaction involved.

    lhe

    chelating agent

    is

    used on

    the alkaline side of neutrality, so

    the deleterious effects of acids on labile sub

    stances such as nucleic acids and enzymes are avoided. Strongly alkaline solutions

    are not used, however, because they extract proteoglycans from the extracellular

    matrix of the tissue lppolito

    al

    1981). The main disadvantage of EDTA is that

    it acts more slowly than the acids.

    Note that EDTA has many names, including versene, sequestrene, edetic acid, eth

    ylene-bis iminodiacetic acid) and ethyjenedinitrilo)tetraacetic acid, with correspon

    ding names for the socIium

    salts.

    In a solution of any of the salts the number of

    ionized carboxyl groups available for chelation increases with the pH. A

    1

    solu

    tion of

    Na2EDTA has

    a pH of 5.3 whereas with

    Na3EDTA

    the pH is 9.3 and with

    Na

    4

    EDTA it

    is

    11.3.

    Decalcification in practice

    Specimens \hat are to

    be

    decalcified must

    be

    properly fixed and no longer respon

    sive to changes in osmotic pressure. Usually the flXative must be thoroughly

    washed out of the tissue with water prior to decalcification in order to avoid unde

    sirable chemical reactions.

    For

    example, residual sodium phosphates from a

    buffered formaldehyde flXative would oppose the action of

    an

    acid decalcifier.

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    l I Chapter 3 Iecalcficaton and other treabnents for hard tssues

    300 mi

    50

    g

    6 70 mi

    30m

    3 3 1

    dd decaldfiers

    every 3-5 days. If t he ammonlum oxalate test Section 3.3.3)

    is

    t o b e used, the

    anticipated last change of decalcfer should have only about five times the volume

    of the specirnen,

    so

    that any calcum in the liquid wil l be present at higher concen

    tration than in a larger volume.

    Teeth present various difficulties not encountered with bone. The enamel

    consists

    almost entirely of calcium salts, with a tenuous framework of protein that usually

    collapses after decalcification. The fixative should be one that strongjy

    cross-links

    protein molecules; glutaraldehyde is suitable.

    lh e

    pulp can shrnk, tearing the odon

    tablast processes, which pass from the pulp into the dentine.

    lhis

    artifact is

    also

    reduced by glutaraldehyde fixation van Wyk, 1993).

    Formic acid, at pH 1.5 t o 3.5

    is

    the decalcifier of choice for most purposes.

    Several

    mixtures similar to the one below have been described. Sorne of them also con

    tain formaldehyde.

    in an

    attempt to offset the consequences of inadequate

    primary

    fixation.

    ther

    organic acids used for decalcifcation indude acetic and ctric, which

    are slow, and lactic, which

    is

    nearly as fast as formic Eggert and Germain, 1979).

    Adequately fixed specimens severaI days in formaldehyde; shorter times in more

    rapidly acting fixatives)

    can

    be decalcified in 1.0 M hydrochloric or nitric acid

    C h a p ~ r

    20).

    lhese

    mineral acids pH

    =

    remove calcified deposits more

    quick

    Iy than formc acd see Sanderson, 1994). De Castro s fluid is one of many older

    decalcifying fluids that contain a mineral acid. Ascorbic acid

    is

    suitable only for del

    icate objects containing only thin layers of bone.

    An acid decalcifier typically takes

    4-5

    days

    to

    soften a

    5

    mm

    cube

    of

    cancellous

    bone Culling, 974). Nilsson

    et

    l (1991) perfused mts with a flxative, followed

    by an acid decalcifier for

    6

    h. This was

    as

    effective

    as

    immerslng fixed tissues

    for

    h i n t he sa me liquid. A more generally applicable way to reduce the time con

    sists of heating to 55C

    in

    a microwave oven. lhis

    is

    said t o p ro du ce a lO-fald

    acceleration of t he reaction Kok and Boon, 1 99 2).

    lhus,

    a pece of bone requir

    ing 3 h to decalcify at room temperature can be ready to dehydrate and embed

    after

    as

    little as 3 h in at C

    When decalcification is complete Section 3.3.3) the speClmen should be washed

    in severa changes of water or 70 alcohol.

    uffered formc cd

    C1ark, 1954

    Formic acid (90 ): 250 mi

    Water:

    750

    mi

    Sodum formate HCOONa):

    34

    g

    Alternatively, a solution with the same compositlon

    can

    be made by

    dissolving

    19.8g of sodium hydroxide in 729 mi water and adding 271 mi of 9 formic

    acid.

    This solution keeps ndeflnrtely. Its pH is 2.0, and it produces only minimal suppres

    sion of the stainability of nucleic acids. Ippolito

    et 1

    (1981) found that formic

    acid

    at pH 2.0 extracted less proteoglycan from cartilage than 5 other decalcifying

    agents tested.

    De

    astro s

    fluid

    Absolute ethanol:

    Chloral hydrate:

    Water:

    Concentrated nitric acid (70

    HN 0

    3

    Mix in arder stated. Keeps Indefinitely.

    Cauton. The nitric acid must be added last. Concentrated HN0

    3

    reacts explosively

    with concentrated ethanol.

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    1 0

    g

    0.85 g

    100ml

    3 3

    heJation with

    E T

    3 3 3

    End point

    o

    decalcificaton

    3.3 Decalcification

    in praetice I

    De Castro s flUid is traditionally used in conjunction with neurological staining meth

    ods. It

    is

    strongly acidic and decalcifies rapidly. The alcohol and chloral hydrate in

    the mixture

    are

    supposed to prevent swelling of the tissue, presumably by ncreas

    ing the osmotic pressure of the fluid. This may be unimportant when adequately

    flxed specimens

    are

    being decalcified. However, de Castro s mixture was formerly

    used

    as

    a simultaneous fixing and decalcifying agent

    In

    this circumstance the

    osmotic effects,

    as

    well

    as

    the fixative properties of

    al

    three ngredents, assumed

    greater slgnificance.

    scorbc ocid n so ne

    (Merchan-Perez

    a 1999

    Ascorbic acid:

    Sodium chloride:

    Water:

    This solution is prepared immediately before use and is used only once. It is suit

    able for small specimens, notably the inner ears

    of

    small animals, with which

    Mercha

    n-Perez

    a/.

    1

    999) found immunohlstochemical

    sta

    i

    ni ng

    for various antl

    gens to be superior to that seen after decalcfication in

    EDTA.

    Decalcification wlth EDTA proceeds much more slowly than wth acids, several

    weeks occasiona 1y being required, but this

    is

    not Injurious to the t;ssues.

    EDTA

    s

    frequently used when the sectlons are to be stained with immunohistochemical

    methods, and

    s

    able to unmask some antgens (Hosoya a/. 2005; see also

    Chapter 19). After decalciflcation with

    EDTA

    some histochemical methods for

    enzymes can subsequently be performed upon frozen sedions.

    An

    EDTA

    solution

    is

    made up immediately before using and

    is

    used only once.

    Dsodum EDr solution

    Thls solution

    is

    recommended for routine decalciflcation.

    Either 5 or 10 g of disodlum ethylenediamine tetraacetate, [CH

    2

    N(CH

    2

    COOH)

    CH

    2

    COONah 2H

    2

    0, is dissolved in 100 mi

    of

    water, and 4 NaOH is added until

    the pH

    is

    between 7 and

    8.

    mmonum EDr soluton

    This solution is recommended for specimens containing dense bone. Sanderson

    al. 1995) found that t took 6 days to decalcify material that required 18 days in

    other

    EDTA

    mxtures.

    Ethylenediamine tetraacetc acid [CH

    2

    N(CH

    2

    COOH)2b: 14 g

    (Note that this is

    EDTA

    acid, not one of its salts.)

    Ammonium hydroxlde (ammonla solution, 28-30 SG

    0 9 :

    9 mi

    Water:

    76

    mi

    Stir until dissolved, then

    add

    more ammonium hydroxide until the

    pH is 7 1.

    The specimen is put in a perforated plasbc casette in the jar contaning the EDTA

    solution, and left on a magnetic stirrer to keep the liquid

    In

    gentle motion while

    decalcificatlon proceeds.

    An EDTA

    soluton should be changed every third or fourth

    day. when deca cified, the specimens should be washed in water befare dehydra

    tion, because the

    EDTA

    salts are insoluble

    In

    alcohol. (Alcohol-soluble

    salts

    of

    EDTA

    are avallable, but accordi ng to Eggert

    et

    o 1981) they have no special

    adva

    ntages

    as

    histological decalcifying agents.)

    If

    the specimen

    is

    large enough, extends beyand the reglan of interesl and con

    tains calcified tissue throughout,

    it

    may be trimmed with a razor blade or scalpel at

    intervals during decalciflcatian. When it can be cut

    easlly,

    it will also be 50ft enough

    to be sectioned

    on

    a microtome. Sometimes the specimen

    is

    too small to be

    trimmed, ar the calcifled material is isolated

    In

    the middle of the block. An

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    l 50 Chapter

    3

    I

    Decaicification and other

    treahnents

    for hard tissues

    othelWise unwanted piece of bone of approximately the same size can then be

    processed alongside the specimen. When this piece of bone is fully softened the

    specimen for hlstological study should also be decalcified. Specimeos should never

    be tested by poking needles into them; the holes will persist in the sectons.

    A more

    exaet

    test for completeness of decalciflcation makes use of the facl that cal-

    cium oxalate, though soluble in mineral acids, is insoluble in water aod io aqueous

    solutions of alkahs.

    CaZ

    +

    +

    e o

    2

    +

    HZO

    -

    Z 4

    The lest is conducted as follows:

    1)

    Add drops of strong ammonia solulion (ammonium hydroxlde, se 0.9 to

    about 5 mi of used decalcifying fluid until the mixtu re becomes alkallneto lit-

    mus paper (pH > 7).

    2 Add 5 mi of a saturated aqueous solution of ammonium oxalate (approxi

    mately 3 (NH4)2C204.H20; can be kept

    00

    the shelf for years) and leave

    to stand for

    30

    min.

    l no white precipitate

    has

    formed after this time, the fluid contains no calcium ions.

    Thls test can also be used

    to

    determine the end-point of decalcification by

    EDTA

    even though solutions

    of

    the latter do not contain free calCium ions (Eggert

    and

    Germain, 1979). lh e [caEDTAF- anion presumably dissociates as the highly insol

    uble oxalate is formed. Rosen

    1

    981 recommends adjusting EDTA solutlons to pH

    3.2 3.6

    for maximum sensitivity of the oxalate test.

    If

    an

    X ray machne is available,

    me

    presence

    or

    absence

    of

    calcified deposits in a

    speClmen can be demonstrated by radiography. Control specimens known to con

    talO and not to contain calcified materiaI should be X .rayed alongside the speClmen

    being testE;d. in order to assess the amount of radio-opacity due to soft tissues.

    It.is

    p ~ ~ l a r

    i m p o r t ~ t t? determine the e n d p o i ~ t

    of

    decalcificaton when 1

    0

    M

    n1tnc or hydrochlonc aCld IS used, because excesslve exposure to these solullOns

    will cause hydrolysis of proteins and macromolecular carbohydrates

    as

    well

    as

    nudeic acids, with consequent struetural damage.

    3.4.

    oftening

    non calcareaus materials

    Cartlage

    in

    vertebrates and chtin

    in

    arthropods are composed largely of macro

    molecular carbohydrates, but they often also contain insoluble calcium salts.

    lhese

    materials can be softened to some extent by demneralizaton in acids or chelating

    agents. The hard external layer

    of insed

    cuticle can be softened with

    an

    alkahne

    hypochlorite solution and removed by careful dissecton (Haas, 1992 .

    Wood

    is

    cellulose, reinforced by lignin (Chapter 10), and aften contains deposits

    of silica Si0

    2

    Crystals of silica

    can

    cause sectioning difficultes with other

    tissues

    including leaves of some grasses. Hydrofluoric acid HF , whlch dissolves silica

    ,

    is

    sometimes used as a softeoing agent for hard plant tissues. The concentration

    may

    range from

    15

    to 60 depending on the hardness, applied for

    12 36

    h (see

    Ruzin 1999). If calcium silicate is also present, the solution should also include a

    little sulphuric

    aCld

    (Tomasi and Rovasio 1997).

    xtreme c uton

    is needed when

    using concentrated hydrofluoric acid: protectlon of the eyes hands (nitrile or natu

    ral

    rubber gloves) and body (natural rubber or neoprene apron) and an adequate

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    7/7

    3.5 Softening specimens

    already embedded in

    wax I

    fume hood. Calcium carbonate or hydroxide powder should be to hand for neutral

    izing spills. Calcium fluoride is insoluble and not hazardous. Many institutions

    require specific training of personnel who are to use HE

    Carlqust

    1982)

    preferred a solution containing ethylenediamine.

    Its

    mechanism

    of adion

    is

    uncertain. The original author used 4 ethylenediamine, prior to desili

    cifying very hard woods with 24

    HF Kul


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