- Matlamat noda khas:
- Demonstrating the myelin sheath, exhibiting optimal contrast between grey and white matter
- Aplikasi diagnostik:
- Diagnosis of demyelination in brain tissue such as MS (multiple sclerosis)
- Bahan yang dibekalkan untuk tinjauan:
- Brain tissue from a known case of MS, cut at 3-7µm (some laboratories may prefer thicker sections)
- Kawalan yang disyorkan:
- 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
Reagen – sumber komersial tidak diketahui, melainkan dinyatakan:
| 1. 10% Acetic Acid | |
| a) Asid asetik glasier | 10 mL |
| b) Air suling | 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) Air suling | 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) Air suling | 100 mL |
| 5. 95% Alcohol | |
| a) 100% Alcohol | 950 mL |
| b) Air suling | 50 mL |
Kaedah:
- 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).
- Basuh dengan baik dalam air paip.
- Stain in Cresyl fast violet at 60°C; 10 minutes.
- Basuh dalam air.
- Differentiate Nissl in 95% alcohol.
- Basuh dalam air.
- Dehidrasi, jelas dan lekapkan.
Keputusan:

Myelin – blue
Nissl – purple
Nuclei – violet
2. Luxol fast blue for Myelin – using lithium carbonate and alcohol as differentiators
Reagen – sumber komersial tidak diketahui, melainkan dinyatakan:
| 1. 10% Acetic Acid | |
| a) Asid asetik glasier | 10 mL |
| b) Air suling | 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) Air suling | 100 mL |
| c) 10% Acetic acid | 1 mL |
| 4. 0.05% Lithium carbonate (stable for 2 years) | |
| a) Lithium carbonate | 0.1 g |
| b) Air suling | 200 mL |
| 5. 95% Alcohol | |
| a) 100% Alcohol | 950 mL |
| b) Air suling | 50 mL |
Kaedah:
- De-wax sections to 95% alcohol.
- 1% Luxol fast blue at 60°C (waterbath/oven) for 6 hours, or overnight.
- Bilas dalam alkohol 70%.
- Bilas dalam air.
- Differentiate in 0.05% Lithium carbonate for 15 minutes, until myelin is sharply differentiated macroscopically.
- Bilas dalam air.
- 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.
- Dehidrasi, jelas dan lekapkan.
Keputusan:

Myelin and Erythrocytes – deep blue/purple
Nuclei and Nissl substance – purple/blue
3. Luxol fast blue – modified Klüver’s for Myelin
Reagen – sumber komersial tidak diketahui, melainkan dinyatakan:
| 1. 10% Acetic Acid | |
| a) Asid asetik glasier | 10 mL |
| b) Air suling | 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) Air suling | 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) Air suling | 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) Air suling | 50 mL |
| 7. 70% Ethanol | |
| a) 100% Ethanol | 700 mL |
| b) Air suling | 300 mL |
Kaedah:
- 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.
- Bilas dalam air suling.
- 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.
- Basuh dalam air suling.
- 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.
Keputusan:

Myelinated fibers – Blue
Nerve cells – Purple
Penafian:
Kaedah ini bertujuan sebagai panduan sahaja. Makmal yang ingin melaksanakan kaedah ini harus melakukan pengesahan dalaman sebelum digunakan. RCPAQAP tidak membuat sebarang tuntutan atau jaminan untuk ketepatan atau prestasi kaedah ini.
Rujukan
2021 RCPAQAP Neuropathology Technical Survey 1.
2025 RCPAQAP Neuropathology Technical Survey 1.
Nestor. Scott L, Techniques in Neuropathology in Bancroft J, Gamble M. Teori dan Amalan Teknik Histologi. 6ke 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, 4ke 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. Teori dan Amalan Teknik Histologi. 6ke Edition. 2008, p137-138. Churchill Livingstone.