⑫ Staining

Gallyas-Braak staining

Gallyas-Braak staining, demonstrates the accumulation of phosphorylated tau, such as neurofibrillary tangles and glial inclusions, as well as glial cytoplasmic inclusion of multiple system atrophy, These deposits are colored black.

Staining procedure

*:Avoid using metal implements during the silver impregnation, reduction, and gold impregnation processes. Instead, use plastic and glass equipment.

1DeparaffinizationXylene3 changes, 10 minuntes each
2Removal of xylene100% ethanol3 changes, 5 minutes each
3Hydration95%, 70% ethanol5 minutes each
4WashingRunning tap water2 minutes
5Oxidizing *1Oxidizing solution15 minutes
Section color:Reddish brown
6WashingRunning tap water 
7Decolorizing *22% oxalic acid solution1 minute
Section color:White
8WashingRunning tap water 
9Washing *3Distilled water3 changes, 1 minunte each
10Silver impregnation *3Impregnating solution2 to 5 minutes
Section color:White
11Rinsing *30.5% acetic acid solution3 changes, 1 minunte each
12Reducing *4Reducing solution
  • Use a cold solution to slow the reaction.
  • React until the section is stained a pale color that enables visualization of the structures within the entire section.

Section color:Pale brown
13Rinsing *40.5% acetic acid solution3 changes, 1 minunte each
14WashingRunning tap water 
15Rinsing *5Distilled water 
16Toning *5Toning solution5 to 15 minutes
Section color:Grayish white
17Washing *6Running tap water 
18Fixing *7Fixing solution10 minutes
Section color:Pale purple
19Washing *8Running tap waterMore than 10 minutes
20Counterstaining *9Kernechtrot5 minutes
21WashingRunning tap water10 minutes
22Dehydration70%, 95% ethanol5 minutes each
23Dehydration 100%ehtanol3 changes, 5 minutes each
24ClearingXylene3 changes, 10 minuntes each
25Coverslipping  

Work procedure

*1 Oxidizing

proceduresection colors

0.25% potassium permanganate solution

  • 15 minute

Turns reddish brown

*2 Decolorizing

proceduresection colors

2% oxalic acid solution

  • 1 minute

Before immersion in oxalic acid

After immersion (white)

*3 Washing & Silver impregnation & Rinsing

procedure

Washing

Distilled water

  • 1 minutes × 3 times
  • Use plastic tweezers from this point on.

Silver impregnation

Alkaline silver iodide solution

  • 2 〜 5 minute

Rinsing

0.5% acetic acid solution

  • 1 minutes × 3 times

*4 Reducing & Rinsing

proceduresection colors

Reducing

  • Use cold solution to slow the reaction.
  • React until the section is stained a pale color that enables visualization of the structures within the entire section.
  • React in a dish to see the color change.
  • The reaction time is often longer than 10 minutes; however, be aware that the reaction time differs depending on the section.
    ※Section A:Changes color in five minutes and is complete in 15 minutes
    ※Section B:Changes color in 13 minutes and is complete in 17 minutes
  • If you perform the reaction using reducing solution at room temperature, then the reaction will progress extremely quickly and be impossible to control. Therefore, always use a chilled reducing solution.

Rinsing

0.5% acetic acid solution

  • 1 minutes × 3 times


The reducing solution will darken over time. If the liquid is left in a glass container, then it will permanently stain the container due to the silver mirror reaction. Therefore, containers must be immediately washed after use.

Section A

After 8 minutes:Some parts of the section turn a very faint blackish brown After 15 minutes:All of the structures are blackish brown in color After 20 minutes:The entire section is a blackish brown color. The overall structures are difficult to discern.

Section B

After 13 minutes:Some parts of the section turn a very faint blackish brown After 17 minutes:All of the structures are a blackish brown color

*5 Rinsing & Toning

proceduresection colors

Rinsing

Distilled water

  • 1 minutes × 3 times

Toning

1% gold chloride solution

  • 5 〜 15 minutes
Reduction 8 minutes:Turns white Reduction 15 minutes:Turns gray. The excess color fades, and the contours become sharp. Reduction 20 minutes:Turns blackish gray

*6 Washing

procedure

Running tap water

  • A few minutes
  • Metal implements may be used from this point on.

*7 Fixing

proceduresection colors

Photographic fixing solution (diluted 10 times) or 5% sodium thiosulfate aqueous solution

  • 10 minutes
Reduction 8 minutes:Very faint lilac Reduction 15 minutes:Lilac Reduction 20 minutes:Gray purple

*8 Washing

procedure

Running tap water

  • Wash more than 10 minute, otherwise the section color will change

*9 Counterstaining

procedure

Counterstain in Kernechtrot

  • 5 minutes
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Staining results

The staining results differ depending on the reduction time.

Reduction time of 8 minutesReduction time of 15 minutesReduction time of 20 minutes

40 times

200 times

400 times

40 times

200 times

400 times

40 times

200 times

400 times
Reduction time of 8 minutes

The overall color is faint. This will not produce a positive staining image.

Reduction time of 15 minutes

The section is stained a sharp black, and the shapes of fine fibers can be discerned.

Reduction time of 20 minutes

The background is stained black. The cells are stained completely black, making it impossible to discern detailed structures.

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Issues to consider with reducing solution reactions

Temperature of the reducing solution

Performing a reaction using room-temperature reducing solution will result in the reaction progressing too quickly, and the entire section will have a blackish brown stain.

To control the reaction, conduct it slowly using chilled reducing solution.

Chilled reducing solution:After five minutes

Room temperature reducing solution:After five minutes

Types of glass slide

With MAS-coated glass slides, the entire glass turns black. Therefore, you should avoid using this type of glass; however, the pathological deposits can be detected.

We use silane coating or egg white albumin coating.

Chilled reducing solution:After five minutes

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Reagent

  1. 0.25% potassium permanganate solution
  2. 2% oxalic acid solution
  3. Alkaline silver iodide solution
  4. 0.5% acetic acid solution
  5. Reducing solution (mixture of solutions A and B)
  6. 1% gold chloride solution
  7. Photographic fixing solution (diluted 10 times)

③ Alkaline silver iodide solution

Dissolve sodium hydroxide and potassium iodide in that order in distilled water and then mix slowly with 1% silver nitrate aqueous solution.

The solution becomes cloudy when the silver nitrate is added; however, but it will become clear once everything is mixed together.

sodium hydroxide4g
Potassium iodide10g
1% silver nitrate solution3.5ml
distilled water100ml

⑤ Reducing solution (mixture of solutions A and B)

solutions A

Dissolve ammonium nitrate, silver nitrate, and tungstosilicic acid in that order in distilled water and add aqueous formaldehyde solution afterwards.

ammonium nitrate0.2g
silver nitrate0.2g
Tungstosilicic acid1g
Formaldehyde solution (37% to 38%)0.5ml
distilled water100ml
solutions B

Dissolve anhydrous sodium carbonate in distilled water.

Anhydrous sodium carbonate5g
distilled water100ml
Reducing solution

Pour small amount of solution A into solution B at a time until equal parts of solutions A and B are mixed. The mixture is best prepared fresh each time. The solution will become cloudy when solution A is added; however, it will become clear once the solutions are mixed together.

1% gold chloride solution

This solution can be used repeatedly. Filter the solution after use and then refrigerate it.

Gold(Ⅲ) chloride acid tetrahydrate1g
distilled water100ml

Quick tips for reagents

Some reagents are stable and may be used repeatedly.

Convenient reagents to prepare in advance

Reducing solution A and B
(Store refrigerated. )
Alkaline silver iodide solution (store in refrigerator)
 
1% silver nitrate solution (store in refrigerator)
 

※ Please note that reagents will turn black if they are stored for a long period. Discard it when it turns black.
1% gold chloride solution (store in refrigerator)
2% oxalic acid solution
Fixing solution

※ 1% gold chloride and 2% oxalic acid aqueous solutions as well as fixing solution can be stored for a long time and used for other silver stainings. Therefore, it is convenient to always have these reagents prepared.

Reagents that can be used multiple times (Store refrigerated.)

There are reagents that can be reused at a later date after previous use.

① Reagents that can be reused for staining over consecutive days
② Reagents that can be repeatedly reused over a long period of time