- Objectif de la teinture spéciale :
- Demonstrating the myelin sheath, exhibiting optimal contrast between grey and white matter
- Applications diagnostiques :
- Diagnosis of demyelination in brain tissue such as MS (multiple sclerosis)
- Matériel fourni pour les relevés :
- Brain tissue from a known case of MS, cut at 3-7µm (some laboratories may prefer thicker sections)
- Contrôle recommandé :
- Brain tissue with demyelination, as well as areas of normal brain tissue to act as an internal control
1. Luxol fast blue for Myelin – using ammonia and alcohol as differentiators
Réactifs – source commerciale inconnue, sauf indication contraire :
| 1. 10% Acetic Acid | |
| a) Acide acétique glacial | 10 ml |
| b) Eau distillée | 90 ml |
| 2. 0.1% Luxol fast blue | |
| a) Luxol fast blue, MBS (Dye) | 0,1 g |
| b) 95% Ethyl alcohol | 100 ml |
| c) 10% Acetic acid | 0,5 ml |
- Mix and filter. Keeps indefinitely. Can be reused.
| 3. 0.1% Cresyl fast violet – prepare fresh | |
| a) Cresyl fast violet (Dye) | 0.1 g – Cresyl violet acetate |
| b) Eau distillée | 100 ml |
- Add this just before use – 5 to 10 drops of 10% acetic acid per 50 mL of stain.
| 4. 1% Ammonia | |
| a) Ammonia | 1,0 g |
| b) Eau distillée | 100 ml |
| 5. 95% Alcohol | |
| a) 100% Alcohol | 950 ml |
| b) Eau distillée | 50 ml |
Méthode:
- De-wax sections to 95% alcohol.
- Stain 3 – 4 hours in 0.1% Luxol fast blue at 60°C (waterbath/oven) or overnight at 37°C.
- Remove excess stain with 95% alcohol.
- Differentiate in 1% ammonia (with care); 5 – 10 seconds (until no more blue leaves section).
- Bien laver à l'eau du robinet.
- Stain in Cresyl fast violet at 60°C; 10 minutes.
- Laver à l'eau.
- Differentiate Nissl in 95% alcohol.
- Laver à l'eau.
- Déshydrater, clarifier et monter.
Résultats:

Myelin – blue
Nissl – purple
Nuclei – violet
2. Luxol fast blue for Myelin – using lithium carbonate and alcohol as differentiators
Réactifs – source commerciale inconnue, sauf indication contraire :
| 1. 10% Acetic Acid | |
| a) Acide acétique glacial | 10 ml |
| b) Eau distillée | 90 ml |
| 2. 0.1% Luxol fast blue (stable for 18 months) | |
| a) Luxol fast blue | 0,1 g |
| b) 95% Alcohol | 100 ml |
| c) 10% Acetic acid | 0.1 mL |
| 3. 0.1% Cresyl violet – (stable for 2 years) | |
| a) Cresyl violet | 0,1 g |
| b) Eau distillée | 100 ml |
| c) 10% Acetic acid | 1 ml |
| 4. 0.05% Lithium carbonate (stable for 2 years) | |
| a) Lithium carbonate | 0,1 g |
| b) Eau distillée | 200 ml |
| 5. 95% Alcohol | |
| a) 100% Alcohol | 950 ml |
| b) Eau distillée | 50 ml |
Méthode:
- De-wax sections to 95% alcohol.
- 1% Luxol fast blue at 60°C (waterbath/oven) for 6 hours, or overnight.
- Rincer à l'alcool 70%.
- Rincer à l'eau.
- Differentiate in 0.05% Lithium carbonate for 15 minutes, until myelin is sharply differentiated macroscopically.
- Rincer à l'eau.
- Continue differentiation by rinsing in 70% alcohol.
- Wash thoroughly in water.
- 1% Cresyl violet (use pre-warmed) at 60°C for 5 minutes.
- Differentiate in 95% alcohol until stain stops running.
- Déshydrater, clarifier et monter.
Résultats:

Myelin and Erythrocytes – deep blue/purple
Nuclei and Nissl substance – purple/blue
3. Luxol fast blue – modified Klüver’s for Myelin
Réactifs – source commerciale inconnue, sauf indication contraire :
| 1. 10% Acetic Acid | |
| a) Acide acétique glacial | 10 ml |
| b) Eau distillée | 90 ml |
| 2. 0.1% Luxol fast blue – Du Pont | |
| a) Luxol fast blue powder | 0,1 g |
| b) 95% Ethanol | 100 ml |
| c) 10% Acetic acid | 0,5 ml |
- Add solutions in the order above, mix with a magnetic stirrer for 1 hour.
- Filter solution using filter paper, store in closed container, stable for 1 year.
| 3. 0.25% Cresyl Echt violet – Pharmaceutical Laboratories National Aniline Division | |
| a) Cresyl Echt violet | 0.25 g |
| b) Eau distillée | 100 ml |
| c) 10% Acetic acid | 1 ml |
- Add solutions in the order above, mix with a magnetic stirrer.
- Filter solution using filter paper, store in closed container, stable for 1 year.
| 4. 0.05% Lithium carbonate – Merck Pty Ltd – store in room temperature | |
| a) Lithium carbonate | 0,5 g |
| b) Eau distillée | 1 L |
| 5. 0.3% Eosin in 70% Ethanol – store in room temperature | |
| a) Eosin powder | 6 g |
| b) 70% Ethanol | 2 L |
- Cover tightly with aluminium foil and stir with a magnetic stirrer for 1 hour.
| 6. 95% Ethanol | |
| a) 100% Ethanol | 950 ml |
| b) Eau distillée | 50 ml |
| 7. 70% Ethanol | |
| a) 100% Ethanol | 700 mL |
| b) Eau distillée | 300 mL |
Méthode:
- De-wax sections to 95% ethanol:
- 4 minutes in xylene
- 2 minutes in xylene
- 1 minute in xylene
- 1 minute in 100% ethanol
- 1 minute in 100 % ethanol
- 1 minute in 95% ethanol
- Submerge sections in Luxol fast blue solution using a sealable container. To protect against possible evaporation, seal the container with parafilm. Incubate at 60°C in a water bath overnight.
- Rinse in 95% ethanol.
- Rincer à l'eau distillée.
- Differentiate slides in lithium carbonate solution for 10 seconds. Agitate constantly.
- Continue differentiation in 2 changes of 70% ethanol for 10 seconds each. Agitate constantly.
- Laver à l'eau distillée.
- If required repeat steps 5-7 until there is a sharp contrast between the blue of the white matter and the colorless grey matter. As a rule of thumb repeat differentiation one time.
- Rinse slides in 70% ethanol.
- Incubate slides for 2 minutes in 0.3% Eosin.
- Wash in distilled water thoroughly.
- Incubate sections in 0.25% Cresyl Violet solution for 30 seconds.
- Rinse slides in distilled water.
- Dehydrate slides in 95% Ethanol for 10 seconds then 100% Ethanol for 10 seconds followed by 1 minute in clean xylene.
- Coverslip slides.
Résultats:

Myelinated fibers – Blue
Nerve cells – Purple
Clause de non-responsabilité:
Ces méthodes sont fournies à titre indicatif uniquement. Les laboratoires qui souhaitent mettre en œuvre ces méthodes doivent procéder à une validation interne avant utilisation. Le RCPAQAP ne fait aucune déclaration ni ne donne aucune garantie quant à l'exactitude ou aux performances de ces méthodes.
Références
2021 RCPAQAP Neuropathology Technical Survey 1.
2025 RCPAQAP Neuropathology Technical Survey 1.
Nestor. Scott L, Techniques in Neuropathology in Bancroft J, Gamble M. Théorie et pratique des techniques d'histologie. 6ème Edition.2008, p376-378. Churchill Livingstone.
Ralis HM, Beesley RA, Ralis ZA. Techniques in Neurohistology. London: Butterworth and Co, 1973: 110-2.
Klűver H, Barrera BS. A method for the combined staining of cells and fibres in the nervous system. Journal of Neuropathology and Experimental Neurology, 1953; X11: 400-4.
Bancroft JD, Stevens A. Theory and Practice of Histological techniques, 4ème ed. 1996.
Sheehan D, Hrapchak B, Theory and practice of Histotechnology, 2nd ed, 1980, pp262-264, Battelle Press, Ohio.
Crookham,J, Dapson,R, Hazardous Chemicals in the Histopathology Laboratory, 2nd ed, 1991, Anatech.
Bancroft J, Gamble M. Théorie et pratique des techniques d'histologie. 6ème Edition. 2008, p137-138. Churchill Livingstone.