Feb 08, 2025

Public workspaceHematoxylin and Eosin (H&E) Staining for Human Pancreas

  • 1University of Florida;
  • 2hhuang88@ufl.edu
  • Human BioMolecular Atlas Program (HuBMAP) Method Development Community
    Tech. support email: Jeff.spraggins@vanderbilt.edu
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Protocol CitationMartha Campbell-Thompson, Ann Fu, Hong Huang 2025. Hematoxylin and Eosin (H&E) Staining for Human Pancreas. protocols.io https://dx.doi.org/10.17504/protocols.io.261ger5pdl47/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: December 09, 2024
Last Modified: February 08, 2025
Protocol Integer ID: 114630
Keywords: pancreas, H&E, whole slide scan, brightfield, Leica autostainer, wax block, paraffin-embedded, formalin
Funders Acknowledgements:
Martha Campbell-Thompson
Grant ID: U54DK127823
Abstract
PURPOSE
To provide instructions for using the automated Leica AutoStainer XL instrument to produce quality hematoxylin and eosin (H&E) stained slides from fixed paraffin-embedded samples for human pancreas studies by the HubMap Tissue Mapping Center- PNNL/UF (U54DK127823 (Qian, contact PI). 
SCOPE
This procedure applies to tissue sections to be stained with H&E and includes instructions for properly using the Leica AutoStainer XL. This protocol is also used for paraffin-embedded sections following assay on the Nanostring GeoMx digital spatial profiler instrument and large paraffin-embedded sections placed on large format slides (2" x 3" slides).
RESPONSIBILITIES
The Lab Manager, or designate, is responsible for making sure that staff members are properly trained and equipment is appropriately cleaned, maintained in good working order, and available as requested.

Lab staff members are responsible for reading and understanding this SOP and related documents and performing these tasks in accordance with the SOPs including cleaning and solution rotations and/or changes.
Attachments
Image Attribution
HubMap human pancreatic islet (P6-19B), 4% paraformaldehyde-fixed paraffin-embedded, Thikness4 µm thick section stained by H&E according to protocol.

Materials
1.
2. Supplies
Leica Staining racks and rack holders- multiple
Rack adaptor for staining supa mega slides- Electron Microscopy Services 70065-30
Whatman #1 filter paper, 32 cm diameter- Sigma WHA1001320
Glass funnel and 500ml glass beaker

3. QC slide
Quality control FFPE H&E slide containing representative tissues from human.

4. Reagents
ReagentXyleneFisher ScientificCatalog #X3P-1GAL
Ethanols, 95%, 100%- Fisher Scientific 04-355-226, 04-355-223
Hematoxylin 7211- Fisher Scientific, 22-050-111
Clarifier 1- Fisher Scientific for Richard Allan, 22-050-118
Bluing Reagent- Fisher Scientific, 22-050-115
Eosin-Y alcoholic- Fisher Scientific for Richard Allan, 22-110-637

Suitable alternative reagents can be used at management’s discretion.
Safety warnings
All reagents should be handled with the proper PPE.
Follow universal safety precautions when staining unfixed human samples (e.g., face mask with shield, gloves, lab coat or apron).
Operate equipment with suitable air exhaust or within a fume hood.
For detailed information, consult the MSDS website for each chemical.
1.1 Xylene: Prolonged or repeated skin contact can cause moderate irritation and defatting dermatitis. Avoid eye contact. Keep xylene containers in the autostainer covered with lids when not in use.
1.2 Ethanol: Harmful vapors, use adequate ventilation. Avoid contact with skin, eyes, and clothing.
1.3 Hematoxylin 7211: Harmful vapors, use adequate ventilation. Avoid contact with skin, eyes, and clothing. Fatal or harmful if swallowed.
1.4 Eosin Y: Highly flammable. Harmful vapors, use adequate ventilation. Avoid contact with skin, eyes, and clothing. Ingestion may cause poisoning.
1.5 Clarifier 1: Contains acetic acid. Avoid inhalation, ingestion or skin contact.  If contact occurs, flush affected area with water.
Operation
Operation
Filter, change and/or rotate solutions according to Attachment page 4. Filter Hematoxylin before first use each day.
An approved control fixed paraffin-embedded slide containing human pancreas, brain, liver, and/or kidney is stained after solution changes/substitutions or equipment maintenance to verify stain quality.
The designee will be responsible for determining staining quality for the control slide.
Label control slide with stain and date and store stained control slides for as long as required. Use to validate new reagents and times.
Select the desired program by pushing Stain key (F1) and use up/down arrows on keypad to select desired program (see Attachment page 5).
Load dried slides, labeled end up, in a rack. Place rack in the autostainer via the load drawer at the front right hand side. To open the drawer, grasp and push up on the release lever on the underside of the drawer and pull outward.
Press Load key. Slides will be stained according to the selected program.
Representative station times by reagent, station, time, maintenance procedure, and purpose. From Attachment page 5.

When a rack is in the exit station, the (Exit) LED will be on and the beeper will sound every 30 seconds. To unload the rack, open the exit drawer and remove the rack.
Remove the entire xylene reagent container or transfer slide rack to another xylene reagent container of xylene and move to fume hood for coverslipping.
Record the number of slides stained on the H&E Staining Log. Place a checkmark in each column to indicate whether that solution was rotated, changed, filtered, or topped off. Enter the number of slides stained during the day in the “Number of Slides” column and place the cumulative total number of slides in the “Total Slides Stained” column. This number will be reset to zero after ~200 slides have been stained.
Maintenance and Cleaning
Maintenance and Cleaning
The Leica autostainer must be properly installed and maintained to achieve optimum results. The basic operation of the stainer will be in accordance with the operating manual furnished by the manufacturer.
Clean reagent containers using soap and water then dry before use. Use bleach to remove hematoxylin staining.
Change the activated carbon filter annually or as indicated by fume hood manufacturer.
Record maintenance on the Equipment Repair Record and perform annual preventative maintenance by trained service technicians.
In the event the Leica autostainer is unavailable, slides can be stained manually in appropriate containers using the same reagents and times.
Expected Results
Expected Results
Pancreas: Nuclei of cells within islets should stain purple with darker nucleoli. Nuclei of acinar cells stain purple. Cytoplasm should stain pink except for blue acinar cell zymogen granules. Collagen, RBCs, smooth muscle, and cytoplasm should be easily differentiated in the exocrine pancreas.
Brain: Cytoplasm should stain pink. If it is gray or blue, there is too much hematoxylin. Cerebellar Purkinje cells should be purple.
Liver: Nuclei of cells in the hepatic triads are dense and the hepatocytes have an open euchromatin pattern. Collagen, RBCs, smooth muscle, and cytoplasm should be easily differentiated in the hepatic triads.
Kidney: Nuclei of cells within the glomerulus have dense chromatin. The proximal tubules have open euchromatin. The large blood vessels should demonstrate clear differentiation of RBCs, collagen, smooth muscle, and cytoplasm.
Protocol references
Campbell-Thompson ML, Heiple T, Montgomery E, Zhang L, Schneider L. Staining protocols for human pancreatic islets. Journal Visual Experimentation, 2012 May 23;(63). pii: 4068. doi:10.3791/4068. PMID: 22665223

H&E Staining Overview: A Guide to Best Practices link



Acknowledgements
This protocol was originally developed for Good Laboratory Practice compliant studies conducted by the Molecular Pathology Core at the University of Florida for rodent preclinical studies (NCRR U42 RR016586 (Byrne, PI)). Subsequent revisions in program steps and times were made for additional species, tissue types, and alternative reagents as needed.