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How Histology Slides are Prepared

Image showsing some of the tools required for histology slide preparation

If you’re involved in biological research, chances are at some stage you’ve submitted tissue specimens to a histology lab. Somehow they magically produced beautiful slides for you – each containing thin sections of your specimens, ready for microscopic evaluation.

Have you ever wondered how the histology technician does this histology slide preparation?  Read on for the five important stages in histology slide production.

The Five Steps of Histology Slide Preparation

1. Tissue fixation

Slide preparation begins with the fixation of your tissue specimen. This is a crucial step in tissue preparation, and its purpose is to prevent tissue autolysis and putrefaction. For best results, your biological tissue samples should be transferred into fixative immediately after collection.

Although there are many types of fixative, most specimens are fixed in 10% neutral buffered formalin. The optimum formalin-to-specimen volume ratio should be at least 10:1 (e.g., 10ml of formalin per 1 cm3 of tissue). This will allow most tissues to become adequately fixed within 24-48 hours. Formalin containers should be capped and leak-proof, and labeled correctly.

2. Specimen Transfer to Cassettes

After fixation, specimens are trimmed using a scalpel to enable them to fit into an appropriately labeled tissue cassette. Specimens should not be so big that they fill the cassette – they are trimmed so as not to touch the edges. Additionally, they must not be too thick (ideally they should be less than 4 mm), otherwise, they risk being “waffled” when the cassette lid is closed. The filled tissue cassettes are then stored in formalin until processing begins.

3. Tissue Processing

Processing tissues into thin microscopic sections is usually done using a paraffin block, as follows:

  1. Dehydration, which involves immersing your specimen in increasing concentrations of alcohol to remove the water and formalin from the tissue.
  2. Clearing, in which an organic solvent such as xylene is used to remove the alcohol and allow infiltration with paraffin wax.
  3. Embedding, where specimens are infiltrated with the embedding agent – usually paraffin wax. The tissue becomes surrounded by a large block of molten paraffin wax, creating what is now referred to as the “block”.  Once the block solidifies, it provides a support matrix that allows very thin sectioning.

4. Sectioning

Your tissue specimen is now ready to be cut into sections that can be placed on a slide.

  1. Wax is removed from the surface of the block to expose the tissue.
  2. Blocks are chilled on a refrigerated plate or ice tray for 10 minutes before sectioning.
  3. A microtome is used to slice extremely thin tissue sections off the block in the form of a ribbon.

The microtome can be pre-set to cut at different thicknesses, but most tissues are cut at around 5 µm. You can discover more ways to slice tissue sections here.

Once cut, the tissue ribbons are carefully transferred to a warm water bath. Here they are allowed to float on the surface, and can then be scooped up onto a slide placed under the water level. Charged slides work best for this process – they improve tissue adhesion to the glass, and help to reduce the chance of sections washing off the slide during staining.

Slides should be clearly labeled, and then allowed to dry upright at 37oC for a few hours to gently melt the excess paraffin wax, leaving the tissue section intact.

5. Staining

Most cells are transparent and appear almost colorless when unstained. Histochemical stains (typically hematoxylin and eosin) are therefore used to provide contrast to tissue sections, making tissue structures more visible and easier to evaluate.  Following staining, a coverslip is mounted over the tissue specimen on the slide, using optical grade glue, to help protect the specimen.

Histology Slide Preparation Wrapped Up

So as you can see, histology slide preparation is no breeze – it’s quite an intricate work of art!  Although you may want to learn how to do this to help cut costs in the lab, I’d advise you to think twice about this, and instead send the specimens to a histology laboratory for this purpose – especially if tissue evaluation is an important part of your study. You’ll save yourself a lot of stress and time by leaving this job to an experienced histology technician, and your slides will be much easier to evaluate.

While histology is great for lower resolution imaging of whole tissues, it is limiting if you want to investigate subcellular structures for example when studying changes in brain tumors. In this case, a more detailed and high-powered technique such as brain cancer electron microscopy is required.

If histology has enough resolution for your needs, do you prefer to make your own slides, or send tissues to a histology lab for processing? Leave a comment below.

Further Reading

If you found this article useful, you might want to check out some of our related articles below:

Originally published April 4, 2012. Reviewed and updated on November 19, 2020.

Image showsing some of the tools required for histology slide preparation

11 Comments

  1. Isaac kwagam on February 20, 2020 at 5:01 am

    Its more clear for tissue processing and brief to the points



  2. Benjamin Azumah on February 11, 2020 at 9:19 pm

    this is so excellent.



  3. Sade Adebowale on April 14, 2019 at 12:06 pm

    this is brief and perfect. thank you



    • Waleed Musa on February 17, 2020 at 8:04 am

      This is a concise breif writing!!



  4. ray on November 18, 2018 at 1:43 am

    can you please tell me the references?



  5. Yvonne on September 14, 2018 at 3:34 pm

    Thanks for the information.
    However, I hope you can expand more on “staining.”



  6. Azad ali on January 29, 2018 at 3:20 pm

    Yeah,this is very useful for everyone.thanks for your useful matter about tissue.best of luck.



  7. REHAB on September 25, 2017 at 8:07 pm

    Thnx that was short and to the point…a very useful revision fir histology



  8. shireen on September 23, 2017 at 12:52 pm

    It is a more benifical and excellent site for tissue sampling and histological slide prepration.



  9. habiburrahman rahimi on May 7, 2017 at 8:07 am

    best article for tissue processing thanks



  10. gidey tadesse on March 20, 2017 at 4:10 pm

    this is very detailed explanation of tissue processing and is presented in an easy to understand manner!



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