peripheral neuropathy Toluidine blue is a basic
phenothiazine metachromatic dye with high affinity for acidic tissue components. It stains nucleic acids blue and polysaccharides purple and also increases the sharpness of histology slide images. It is especially useful today for staining
chromosomes in plant or animal tissues, as a replacement for
Aceto-orcein stain. Toluidine blue is often used to identify
mast cells, by virtue of the
heparin in their
cytoplasmic granules. It is also used to stain
proteoglycans and
glycosaminoglycans in tissues such as cartilage. The strongly acidic macromolecular carbohydrates of mast cells and cartilage are coloured red by the blue dye, a phenomenon called
metachromasia. Alkaline solutions of toluidine blue are commonly used for staining semi-thin (0.5 to 1 μm) sections of resin-embedded tissue. At high pH (about 10) the dye binds to nucleic acids and all proteins. Although everything in the tissue is stained, structural details are clearly visible because of the thinness of the sections. Semi-thin sections are used in conjunction with ultra-thin sections examined by
electron microscopy. Toluidine blue is also commonly used to stain frozen sections (rapid microscopic analysis of a specimen). Because time is of the essence for a frozen section, toluidine blue allows for the frozen section to be stained and reviewed in 10 to 20 seconds. The other staining method for frozen sections (rapid H&E) takes approximately 60 to 90 seconds. The results depend on the studied organs: • Mastocytes in purple • Cartilage in purple • Mucins in purple/red • Nuclei in blue It is used in forensic examination,
renal pathology and
neuropathology. ==Clinical uses==