View source for Histology

[[Image:Emphysema H and E.jpg|right|300px|thumb|A thin section of [[lung]] tissue stained with [[hematoxylin]] and [[eosin]].  This individual suffers from [[emphysema]].]]
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'''Histology''' (from the [[Greek language|Greek]] ''{{polytonic|ἱστός}}'') is the study of [[biological tissue|tissue]] sectioned as a thin slice, using a [[microtome]]. It can be described as microscopic [[anatomy]]. The photographing of stained cells is called '''histography'''.  Histology is an essential tool of [[biology]]. 

'''[[Histopathology]]''', the microscopic study of diseased tissue, is an important tool of [[anatomical pathology]] since accurate diagnosis of [[cancer]] and other diseases usually requires histopathological examination of samples.  

The trained scientists who perform the preparation of histological sections are '''Histotechnicians''', Histology Technicians (HT), Histology Technologists (HTL), Medical Scientists, [[Medical Laboratory Assistant|Medical Laboratory Technicians]] or [[Biomedical scientist]]s.  Their field of study is called '''histotechnology'''.

==Technical Procedure==
===Fixation===
{{main|Fixation (histology)}}
Fixatives are used to preserve the tissue, the structures of the cell, and the cell organelles found in the individual cells (eg. nucleus, rough [[endoplasmic reticulum]], [[mitochondria]], and a lot more). The tissues are mechanically and biochemically stabilized in a fixative. The most common fixative is neutral buffered formalin (10% [[formaldehyde]] in [[Phosphate buffered saline]] (PBS)). It is important to consider that a fixative should not be too toxic to its handler, and it should not damage the tissue being preserved.

===Processing===
The most common technique is wax processing. The samples are immersed in multiple baths of progressively more concentrated [[ethanol]] to dehydrate the tissue, followed by a clearing agent such as, [[xylene]] or Histoclear, and finally hot molten paraffin wax (impregnation). During this 12 to 16 hour process, paraffin wax will replace the xylene:

===Embedding===
Soft, moist tissues are turned into a hard paraffin block, which is then placed in a mold containing more molten wax (embedded) and allowed to cool and harden.

Embedding can also be accomplished using frozen, non-fixed tissue in a freezing medium.  This freezing medium is liquid at room temperature but when cooled will solidify.  Non-fixed tissue allows for procedures such as in-situ hybridizations for specific [[messenger RNA|mRNA]] that would have been destroyed during the fixing process.  It also allows for very short turnaround where that is needed, as with a patient currently undergoing [[surgery]].

===Sectioning===
The tissue is then sectioned into very thin (2 - 8 micrometer) sections using a [[microtome]]. These slices, usually thinner than the average [[Cell (biology)|cell]], are then placed on a glass [[microscope slide|slide]] for [[staining (biology)|staining]].

Frozen tissue embedded in a freezing medium is cut on a microtome in a cooled machine called a cryostat.

===[[Staining (biology)|Staining]]===
Routine staining:This is done to give contrast to the tissue being examined, as without staining it is very difficult to see differences in cell morphology. [[Hematoxylin]] and [[eosin]] (abbreviated H&E) are the most commonly used stains in histology and histopathology. Hematoxylin colors [[cell nucleus|nuclei]] blue, eosin colors the [[cytoplasm]] pink.
To see the tissue under a [[microscope]], the sections are [[staining|stained]] with one or more pigments.  Special Staining: There are hundreds of various other techniques which have been used to selectively stain cells and cellular components. Other compounds used to color tissue sections include [[safranin]], oil red o, Congo red, fast green FCF, silver salts and numerous natural and artificial [[dye]]s, that were usually originated from the development dyes for the textile industry.

[[Histochemistry]] refers to the science of using chemical reactions between laboratory chemicals and components within tissue. A commonly performed histochemical technique is the Perls [[Prussian blue]] reaction, used to demonstrate iron deposits in diseases like [[Hemochromatosis]].

Histology samples have often been examined by radioactive techniques.  In [[historadiography]] a slide (sometimes stained histochemically) is X-rayed.  More commonly, [[autoradiography]] is used to visualize the locations to which a radioactive substance has been transported within the body, such as cells in [[S phase]] (undergoing [[DNA replication]]) which incorporate tritiated [[thymidine]], or sites to which radiolabeled [[nucleic acid]] probes bind in [[in situ hybridization]].  For autoradiography on a microscopic level the slide is typically dipped into liquid nuclear tract emulsion, which dries to form the exposure film.  Individual silver grains in the film are visualized with [[dark field microscopy]].

Recently, [[antibodies]] are used to specifically visualize proteins, carbohydrates and lipids: this is called [[immunohistochemistry]], or when the stain is a [[fluorescent]] molecule, [[immunofluorescence]]. This technique has greatly increased the ability to identify categories of cells under a microscope. Other advanced techniques can be combined with this, such as nonradioactive [[in situ hybridization]] to identify specific DNA or RNA molecules with fluorescent probes or tags that can be used for immunofluorescence and  enzyme-linked fluorescence amplification (especially [[alkaline phosphatase]] and tyramide signal amplification).  [[Fluorescence microscopy]] and [[confocal microscopy]] are used to detect fluorescent signals with good intracellular detail.  Digital cameras are increasingly used to capture histological and histopathological images.

== Common Laboratory Stains ==

{| class="wikitable"
|-
! Stain
! Common use
! Nucleus
! Cytoplasm
! Red Blood Cell (RBC)
! Collagen Fibers
! Specifically stains
|-
| [[Haematoxylin]]
| General staining when paired with Eosin
| Blue
| N/A
| N/A
| N/A
| Nucleic acids - Blue
blue eER (ergastoplasm) - Blue
|-
| [[Eosin]]
| General staining when paired with Haematoxylin
| N/A
| Pink
| Orange/Red
| Pink
|Elastic fibers - pink, 
reticular fibers - pink
|-
| [[Toluidine blue]]
| General staining 
| Blue
| Blue
| Blue
| Blue
| Mast cells granules - purple
|-
| [[Masson's trichrome stain]]
| Connective tissue
| Black
| Red/Pink
| Red
| Blue/Green
| Cartilage - Blue/green, Muscle fibers - Red
|-
| Mallory's trichrome stain
| Connective tissue
| Red
| Pale Red
| Orange
| Deep Blue
| Keratin - Orange, 
Cartilage - Blue, 
Bone matrix - Deep Blue, 
Muscle fibers - Red
|-
| [[Weigert's elastic stain]]
| Elastic fibers
| Blue/Black
| N/A
| N/A
| N/A
| Elastic fibers - Blue/Black
|-
| Heidenhains'azan trichrome stain
| Distinguishing cells from extracellular components
| Red/Purple
| Pink
| Red
| Blue
| Muscle fibers - Red
Cartilage - Blue, 
Bone matrix - Blue
|-
| [[Silver stain]]
| Reticular fibers, Nerve fibers
| N/A
| N/A
| N/A
| Reticular fibers, Brown/Black
Nerve Fibers - Brown/Black
|-
| [[Wright's stain]]
| Blood cells
| Bluish/Purple
| Bluish/Gray
| Red/Pink
| N/A
| Neutrophil granules - Purple/Pink
Eosinophil granules - Bright Red/Orange
Basophil granules - Deep Purple/Violet
Platelet granules - Red/Purple
|-
| [[Orcein stain]]
| Elastic fibres
| Deep Blue
| N/A
| Bright Red
| Pink
| Elastic fibres - Dark Brown
Mast cells granules - purple
Smooth Muscle - Light Blue
|-
| [[Periodic acid-Schiff stain]] (PAS) 
| Basement Membrane, Localising carbohydrates
| Blue
| N/A
| N/A
| Pink
| Glycogen and other Carbohydrates - Magenta
|}

Table sourced from {{cite book |author=Michael H. Ross, Wojciech Pawlina, |title=Histology: A Text and Atlas |publisher=Lippincott Williams & Wilkins |location=Hagerstwon, MD |year=2006 |pages= |isbn=0-7817-5056-3 |oclc= |doi=}}

The [[Nissl method]] and [[Golgi's method]] are useful in identifying [[neuron]]s.

===Alternative techniques===
Alternative techniques include [[frozen section procedure|cryosection]]. The tissue is frozen and cut using a cryostat.  Tissue staining methods are similar to those of wax sections. Plastic embedding is commonly used in the preparation of material for electron microscopy.  Tissues are embedded in [[epoxy]] resin. Very thin sections (less than  0.1 micrometers) are cut using diamond or glass knives.  The sections are stained with electron dense stains (uranium and lead) so that they can be seen with the [[electron microscope]].

==History==
In the 19th century, histology was an academic discipline in its own right.  The 1906 [[Nobel Prize]] in Physiology or Medicine was awarded to the histologists, [[Camillo Golgi]] and Santiago Ramon y Cajal.  They had dueling interpretations of the neural structure of the brain based in differing interpretations of the same images.

==Histological classification of animal tissues==
There are four basic types of tissues: muscle tissue, nervous tissue, connective tissue, and epithelial tissue. All tissue types are subtypes of these four basic tissue types (for example blood cells are classified as connective tissue since they generally originate inside bone marrow).

*[[Epithelium]]: the lining of glands, bowel, skin and some organs like the liver, lung, kidney,
*[[Endothelium]]: the lining of blood and lymphatic vessels,
*[[Mesothelium]]: the lining of pleural, and pericardial spaces,
*[[Mesenchyme]]: the cells filling the spaces between the organs, including fat, muscle, bone, cartilage and tendon cells,
*[[Blood cell]]s: the red and white blood cells, including those found in lymph nodes and spleen,
*[[Neurons]]: any of the conducting cells of the nervous system,
*[[Germ cell]]s: reproductive cells, [[spermatozoa]] in men, [[oocyte]]s in women,
*[[Placenta]]: an organ characteristic of true mammals during pregnancy, joining mother and offspring, providing endocrine secretion and selective exchange of soluble, but not particulate, blood borne substances through an apposition of uterine and trophoblastic vascularised parts, and
*[[Stem cell]]s: cells able to turn into one or several of the above types.

Note that tissues from plant, fungus and microorganisms can also be examined histologically. Their structure is very different from animal tissue.

==Related sciences==

*[[Cell biology]] is the study of living cells, their DNA, RNA and the proteins they express. 
*[[Anatomy]], is the study of [[organ (anatomy)|organs]] visible by the naked eye; and 
*[[Morphology (biology)|Morphology]], which studies entire organisms.

==Artifacts==

Artifacts are structures or features in tissue that interfere with normal histological examination. These are not always present in normal tissue and can come from outside sources. Artifacts interfere with histology by changing the tissues appearance and hiding structures. These can be divided into two categories:

====Pre-histology====
These are features and structures that have being introduced prior to the collection of the tissues. A common example of these include: ink from tattoos and freckles (melanin) in skin samples.

====Post-histology====
Artifacts can result from tissue processing. Processing commonly lead to changes like shrinkage, color changes in different tissues types and alterations of the structures in the tissue. Because these are caused in a laboratory the majority of post histology artifacts can be avoided or removed after being discovered. A common example is mercury pigment left behind after using Bouin's fixative to fix a section.

== References ==
1. Merck Source (2002).  [[Dorland's Medical Dictionary]].  Retrieved 2005-01-26.

2. Stedman's Medical Dictionaries (2005).  [http://stedmans.com/ Stedman's Online Medical Dictionary].  Retrieved 2005-01-26.

3. 4,000 online histology images (2007). (http://histology-online.com)

== See also ==
* [[Pathology]]
* [[Anatomical pathology]]
* [[Histopathology]]
* [[Staining (biology)|Biological staining]]
* [[List of publications in biology#Histology|Important publications in histology]]
* [[Geoffrey Bourne (anatomist)|Geoffrey Bourne]]

== External links ==
*[http://www.ihcworld.com/protocol_database.htm Histology Protocols]
*[http://www.immunoportal.com Immunohistochemistry - In Situ Hybridization]
*[http://www.kumc.edu/instruction/medicine/anatomy/histoweb Histoweb]
*[http://www.siumed.edu/%7Edking2/index.htm SIU SOM Histology]
*[http://www.visualhistology.com/Visual_Histology_Atlas/ Visual Histology Atlas]
*[http://www.histology-world.com/glossary/glossary1.htm Histology Glossary]
*[http://www.hgv.org.au Histology Group of Victoria Incorporated]
*[http://www.histology-world.com/photoalbum/ Histology Photomicrographs]

{{Epithelial tissue}}
{{Connective tissue}}
{{Muscle tissue}}
{{Nervous tissue}}

[[Category:Medical terms]]
[[Category:Physiology]]
[[Category:Histology]]
[[Category:Subjects taught in medical school]]

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