Warthin-starry silver method showing particulate matter in macrophage

Hong-Gang Liu1

  • 1Department of Pathology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China. liuhg1125@163.com

Abstract

Insights

The Warthin-Starry (WS) silver stain effectively detects air particulate matter (PM) within macrophages, outperforming standard hematoxylin and eosin (HE) staining for visualizing these particles in lung tissue.

Area of Science:

  • Pathology
  • Toxicology
  • Materials Science

Background:

  • Macrophages play a crucial role in clearing inhaled particulate matter (PM).
  • Accurate visualization of PM within macrophages is essential for understanding PM-related lung pathology.
  • Traditional staining methods like HE may not adequately detect fine PM within cells.

Purpose of the Study:

  • To evaluate the efficacy of the Warthin-Starry (WS) silver stain in detecting in situ air particulate matter (PM) within macrophages.
  • To compare the sensitivity of WS staining against hematoxylin and eosin (HE) staining for PM detection.

Main Methods:

  • Autopsy samples from 26 cases (cerebral hemorrhage, silicosis, fetal death) were analyzed.
  • Serial sections of lung and lymph nodes were stained using HE, WS silver, and CD68 immunohistochemistry.
  • Transmission electron microscopy (TEM) and X-ray spectrum analysis (X-RSA) were used to characterize PM in WS-positive samples.

Main Results:

  • WS staining clearly identified larger and fine PM within macrophages ("dust cells") in silicosis and hemorrhage groups.
  • HE staining showed limited detection of fine PM compared to WS staining.
  • CD68 staining confirmed "dust cells" as macrophages, and TEM/X-RSA verified the particles as PM.

Conclusions:

  • Warthin-Starry (WS) silver staining is superior to HE staining for visualizing particulate matter within macrophages.
  • WS staining provides enhanced sensitivity for detecting inhaled PM in lung tissues.