Acid-fastness

Last updated
Mycobacterium tuberculosis (stained red) in tissue (blue). Mycobacterium tuberculosis Ziehl-Neelsen stain 640.jpg
Mycobacterium tuberculosis (stained red) in tissue (blue).

Acid-fastness is a physical property of certain bacterial and eukaryotic cells, as well as some sub-cellular structures, specifically their resistance to decolorization by acids during laboratory staining procedures. [1] [2] Once stained as part of a sample, these organisms can resist the acid and/or ethanol-based decolorization procedures common in many staining protocols, hence the name acid-fast. [2]

Contents

The mechanisms of acid-fastness vary by species, although the most well-known example is in the genus Mycobacterium , which includes the species responsible for tuberculosis and leprosy. The acid-fastness of Mycobacteria is due to the high mycolic acid content of their cell walls, which is responsible for the staining pattern of poor absorption followed by high retention. Some bacteria may also be partially acid-fast, such as Nocardia .

Acid-fast organisms are difficult to characterize using standard microbiological techniques, though they can be stained using concentrated dyes, particularly when the staining process is combined with heat. Some, such as Mycobacteria, can be stained with the Gram stain, but they do not take the crystal violet well and thus appear light purple, which can still potentially result in an incorrect gram negative identification. [3]

The most common staining technique used to identify acid-fast bacteria is the Ziehl–Neelsen stain, in which the acid-fast species are stained bright red and stand out clearly against a blue background. Another method is the Kinyoun method, in which the bacteria are stained bright red and stand out clearly against a green background. Acid-fast Mycobacteria can also be visualized by fluorescence microscopy using specific fluorescent dyes (auramine-rhodamine stain, for example). [4] The eggs of the parasitic lung fluke Paragonimus westermani are actually destroyed by the stain, which can hinder diagnosis in patients who present with TB-like symptoms.[ citation needed ]

Some acid-fast staining techniques

Notable acid-fast structures

Very few structures are acid-fast; this makes staining for acid-fastness particularly useful in diagnosis. The following are notable examples of structures which are acid-fast or modified acid-fast:

Related Research Articles

<i>Bacillus</i> Genus of bacteria

Bacillus is a genus of Gram-positive, rod-shaped bacteria, a member of the phylum Bacillota, with 266 named species. The term is also used to describe the shape (rod) of other so-shaped bacteria; and the plural Bacilli is the name of the class of bacteria to which this genus belongs. Bacillus species can be either obligate aerobes which are dependent on oxygen, or facultative anaerobes which can survive in the absence of oxygen. Cultured Bacillus species test positive for the enzyme catalase if oxygen has been used or is present.

<span class="mw-page-title-main">Gram stain</span> Investigative procedure in microbiology

In microbiology and bacteriology, Gram stain, is a method of staining used to classify bacterial species into two large groups: gram-positive bacteria and gram-negative bacteria. The name comes from the Danish bacteriologist Hans Christian Gram, who developed the technique in 1884.

<span class="mw-page-title-main">Gram-positive bacteria</span> Bacteria that give a positive result in the Gram stain test

In bacteriology, gram-positive bacteria are bacteria that give a positive result in the Gram stain test, which is traditionally used to quickly classify bacteria into two broad categories according to their type of cell wall.

<span class="mw-page-title-main">Endospore</span> Protective structure formed by bacteria

An endospore is a dormant, tough, and non-reproductive structure produced by some bacteria in the phylum Bacillota. The name "endospore" is suggestive of a spore or seed-like form, but it is not a true spore. It is a stripped-down, dormant form to which the bacterium can reduce itself. Endospore formation is usually triggered by a lack of nutrients, and usually occurs in gram-positive bacteria. In endospore formation, the bacterium divides within its cell wall, and one side then engulfs the other. Endospores enable bacteria to lie dormant for extended periods, even centuries. There are many reports of spores remaining viable over 10,000 years, and revival of spores millions of years old has been claimed. There is one report of viable spores of Bacillus marismortui in salt crystals approximately 250 million years old. When the environment becomes more favorable, the endospore can reactivate itself into a vegetative state. Most types of bacteria cannot change to the endospore form. Examples of bacterial species that can form endospores include Bacillus cereus, Bacillus anthracis, Bacillus thuringiensis, Clostridium botulinum, and Clostridium tetani. Endospore formation is not found among Archaea.

<i>Mycobacterium</i> Genus of bacteria

Mycobacterium is a genus of over 190 species in the phylum Actinomycetota, assigned its own family, Mycobacteriaceae. This genus includes pathogens known to cause serious diseases in mammals, including tuberculosis and leprosy in humans. The Greek prefix myco- means 'fungus', alluding to this genus' mold-like colony surfaces. Since this genus has cell walls with a waxy lipid-rich outer layer that contains high concentrations of mycolic acid, acid-fast staining is used to emphasize their resistance to acids, compared to other cell types.

<span class="mw-page-title-main">Staining</span> Technique used to enhance visual contrast of specimens observed under a microscope

Staining is a technique used to enhance contrast in samples, generally at the microscopic level. Stains and dyes are frequently used in histology, in cytology, and in the medical fields of histopathology, hematology, and cytopathology that focus on the study and diagnoses of diseases at the microscopic level. Stains may be used to define biological tissues, cell populations, or organelles within individual cells.

The cell envelope comprises the inner cell membrane and the cell wall of a bacterium. In gram-negative bacteria an outer membrane is also included. This envelope is not present in the Mollicutes where the cell wall is absent.

<span class="mw-page-title-main">Ziehl–Neelsen stain</span> A type of acid-fast stain

The Ziehl-Neelsen stain, also known as the acid-fast stain, is a bacteriological staining technique used in cytopathology and microbiology to identify acid-fast bacteria under microscopy, particularly members of the Mycobacterium genus. This staining method was initially introduced by Paul Ehrlich (1854–1915) and subsequently modified by the German bacteriologists Franz Ziehl (1859–1926) and Friedrich Neelsen (1854–1898) during the late 19th century.

<span class="mw-page-title-main">Auramine–rhodamine stain</span> Histological technique

The auramine–rhodamine stain (AR), also known as the Truant auramine–rhodamine stain, is a histological technique used to visualize acid-fast bacilli using fluorescence microscopy, notably species in the Mycobacterium genus. Acid-fast organisms display a reddish-yellow fluorescence. Although the auramine–rhodamine stain is not as specific for acid-fast organisms as the Ziehl–Neelsen stain, it is more affordable and more sensitive, therefore it is often utilized as a screening tool.

<i>Mycobacterium smegmatis</i> Species of bacterium

Mycobacterium smegmatis is an acid-fast bacterial species in the phylum Actinomycetota and the genus Mycobacterium. It is 3.0 to 5.0 µm long with a bacillus shape and can be stained by Ziehl–Neelsen method and the auramine-rhodamine fluorescent method. It was first reported in November 1884 by Lustgarten, who found a bacillus with the staining appearance of tubercle bacilli in syphilitic chancres. Subsequent to this, Alvarez and Tavel found organisms similar to that described by Lustgarten also in normal genital secretions (smegma). This organism was later named M. smegmatis.

<span class="mw-page-title-main">Carbol fuchsin</span> Staining chemical

Carbol fuchsin, carbol-fuchsin, carbolfuchsin, or Castellani's paint is a mixture of phenol and basic fuchsin that is used in bacterial staining procedures. It is commonly used in the staining of mycobacteria because it has an affinity for the mycolic acids found in their cell membranes.

<span class="mw-page-title-main">Auramine O</span> Chemical compound

Auramine O is a diarylmethane dye used as a fluorescent stain. In its pure form, Auramine O appears as yellow needle crystals. It is insoluble in water and soluble in ethanol and DMSO.

The bacterium, despite its simplicity, contains a well-developed cell structure which is responsible for some of its unique biological structures and pathogenicity. Many structural features are unique to bacteria and are not found among archaea or eukaryotes. Because of the simplicity of bacteria relative to larger organisms and the ease with which they can be manipulated experimentally, the cell structure of bacteria has been well studied, revealing many biochemical principles that have been subsequently applied to other organisms.

Auramine phenol stain is a stain used in clinical microbiology and histology to identify tuberculosis mycobacteria.

<span class="mw-page-title-main">Löwenstein–Jensen medium</span> Growth medium used to culture Mycobacterium species

Löwenstein–Jensen medium, more commonly known as LJ medium, is a growth medium specially used for culture of Mycobacterium species, notably Mycobacterium tuberculosis.

<span class="mw-page-title-main">Friedrich Neelsen</span>

Friedrich Carl Adolf Neelsen was a German pathologist.

<span class="mw-page-title-main">Endospore staining</span>

Endospore staining is a technique used in bacteriology to identify the presence of endospores in a bacterial sample. Within bacteria, endospores are protective structures used to survive extreme conditions, including high temperatures making them highly resistant to chemicals. Endospores contain little or no ATP which indicates how dormant they can be. Endospores contain a tough outer coating made up of keratin which protects them from nucleic DNA as well as other adaptations. Endospores are able to regerminate into vegetative cells, which provides a protective nature that makes them difficult to stain using normal techniques such as simple staining and gram staining. Special techniques for endospore staining include the Schaeffer–Fulton stain and the Moeller stain.

The Kinyoun method or Kinyoun stain, developed by Joseph J. Kinyoun, is a procedure used to stain acid-fast species of the bacterial genus Mycobacterium. It is a variation of a method developed by Robert Koch in 1882. Certain species of bacteria have a waxy lipid called mycolic acid, in their cell walls which allow them to be stained with Acid-Fast better than a Gram-Stain. The unique ability of mycobacteria to resist decolorization by acid-alcohol is why they are termed acid-fast. It involves the application of a primary stain, a decolorizer (acid-alcohol), and a counterstain. Unlike the Ziehl–Neelsen stain, the Kinyoun method of staining does not require heating. In the Ziehl–Neelsen stain, heat acts as a physical mordant while phenol acts as the chemical mordant. Since the Kinyoun stain is a cold method, the concentration of carbol fuschin used is increased.

In microbiology, the term isolation refers to the separation of a strain from a natural, mixed population of living microbes, as present in the environment, for example in water or soil, or from living beings with skin flora, oral flora or gut flora, in order to identify the microbe(s) of interest. Historically, the laboratory techniques of isolation first developed in the field of bacteriology and parasitology, before those in virology during the 20th century.

<i>Mycobacterium ulcerans</i> Species of bacterium

Mycobacterium ulcerans is a species of bacteria found in various aquatic environments. The bacteria can infect humans and some other animals, causing persistent open wounds called Buruli ulcer. M. ulcerans is closely related to Mycobacterium marinum, from which it evolved around one million years ago, and more distantly to the mycobacteria which cause tuberculosis and leprosy.

References

  1. Madison B (2001). "Application of stains in clinical microbiology". Biotech Histochem. 76 (3): 119–25. doi:10.1080/714028138. PMID   11475314.
  2. 1 2 Ryan KJ; Ray CG, eds. (2004). Sherris Medical Microbiology (4th ed.). McGraw Hill. ISBN   0-8385-8529-9.
  3. Reynolds, Jackie; Moyes, Rita B.; Breakwell, Donald P. (November 2009). "Differential staining of bacteria: acid fast stain". Current Protocols in Microbiology. Appendix 3: Appendix 3H. doi:10.1002/9780471729259.mca03hs15. ISSN   1934-8533. PMID   19885935. S2CID   45685776.
  4. Abe C (2003). "[Standardization of laboratory tests for tuberculosis and their proficiency testing]". Kekkaku. 78 (8): 541–51. PMID   14509226.
  5. "Acid fast / Auramine-rhodamine". Pathologyoutlines.com.
  6. Theory and Practice of Histological Techniques, John D Bancroft, 6th ed, p314
  7. Dorner, W. 1926. Un procédé simple pour la colouration des spores. Le Lait 6:8–12.
  8. Schaeffer AB, Fulton M (1933). "A simplified method of staining endospores". Science. 77 (1990): 194. Bibcode:1933Sci....77..194S. doi:10.1126/science.77.1990.194. PMID   17741261.
  9. "Endospore Stain Protocol". 1 June 2012. Archived from the original on 1 June 2012. Retrieved 7 March 2022.
  10. M. Hayama; K. Oana; T. Kozakai; S. Umeda; J. Fujimoto; H. Ota; Y. Kawakami (2007). "PROPOSAL OF A SIMPLIFIED TECHNIQUE FOR STAINING BACTERIAL SPORES WITHOUT APPLYING HEAT – SUCCESSFUL MODIFICATION OF MOELLER'S METHOD" (PDF). European Journal of Medical Research. 12 (8): 356–359. PMID   17933713 . Retrieved 7 March 2022.
  11. "Stainsfile – Fite". stainsfile.info. Archived from the original on 2011-11-18. Retrieved 2012-06-28.
  12. "Fite-Faraco Staining Protocol for Leprosy Bacilli". Ihcworld.com.
  13. "Stainsfile – Fite Faraco". stainsfile.info. Archived from the original on 2011-11-18. Retrieved 2012-06-28.
  14. "Stainsfile – Wade Fite". stainsfile.info. Archived from the original on 2011-11-18. Retrieved 2012-06-28.
  15. Ellis, R. C.; Zabrowarny, L. A. (1993). "Safer staining method for acid fast bacilli". Journal of Clinical Pathology. 46 (6): 559–560. doi:10.1136/jcp.46.6.559. PMC   501296 . PMID   7687254.
  16. "Histology Lab: STAIN FOR ACID FAST BACILLI". Archived from the original on 2006-01-04. Retrieved 2006-03-11.
  17. Garcia LS, Bruckner DA, Brewer TC, Shimizu RY (July 1983). "Techniques for the recovery and identification of Cryptosporidium oocysts from stool specimens". J. Clin. Microbiol. 18 (1): 185–90. doi:10.1128/JCM.18.1.185-190.1983. PMC   270765 . PMID   6193138.
  18. Ng E, Markell EK, Fleming RL, Fried M (September 1984). "Demonstration of Isospora belli by acid-fast stain in a patient with acquired immune deficiency syndrome". J. Clin. Microbiol. 20 (3): 384–6. doi:10.1128/JCM.20.3.384-386.1984. PMC   271334 . PMID   6208216.
  19. Ortega YR, Sterling CR, Gilman RH, Cama VA, Díaz F (May 1993). "Cyclospora species—a new protozoan pathogen of humans". N. Engl. J. Med. 328 (18): 1308–12. doi: 10.1056/NEJM199305063281804 . PMID   8469253.
  20. Clavel A, Varea M, Doiz O, López L, Quílez J, Castillo FJ, Rubio C, Gómez-Lus R (1999). "Visualization of hydatid elements: comparison of several techniques". J Clin Microbiol. 37 (5): 1561–3. doi:10.1128/JCM.37.5.1561-1563.1999. PMC   84828 . PMID   10203521.
  21. "Dako Products – Agilent" (PDF). Dako.com. Archived from the original (PDF) on 4 March 2016. Retrieved 3 December 2018.
  22. Wages ds, Wear dJ. acid-fastness of fungi in blastomycosis and histoplasmosis. Arch Pathol Lab Med 1982; 106:440-41.

Online protocol examples