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Updated: Jun 21, 2026

Toluidine Blue Staining of Resin-Embedded Sections for Evaluation of Peripheral Nerve Morphology
Published on: July 3, 2018
Chapter 5: Methods and protocols in peripheral nerve regeneration experimental research: part II-morphological
Stefania Raimondo1, Michele Fornaro, Federica Di Scipio
1Department of Clinical and Biological Sciences, San Luigi Gonzaga School of Medicine, University of Turin, Turin 10043, Italy.
This review details methods for peripheral nerve fiber morphological analysis using microscopy. Osmium tetroxide post-fixation is highlighted for improved results, with protocols and stereological analysis discussed.
Area of Science:
- Neuroscience
- Microscopy Techniques
- Histology
Background:
- Morphological analysis of peripheral nerve fibers is crucial for understanding neural structure and function.
- Standardized and detailed protocols are needed for reliable light, confocal, and electron microscopy studies.
- Stereological analysis provides quantitative data on nerve fiber morphology.
Purpose of the Study:
- To critically review and detail established procedures for peripheral nerve fiber morphological analysis.
- To emphasize the utility of osmium tetroxide post-fixation across different embedding methods.
- To provide practical guidance on imaging approaches and stereological analysis techniques.
Main Methods:
- Detailed protocols for light, confocal, and electron microscopy of peripheral nerve fibers.
- Emphasis on osmium tetroxide post-fixation as a universal enhancement step.
- Explanation of design-based sampling and the disector for morpho-quantitative stereological analysis.
Main Results:
- Osmium tetroxide post-fixation enhances morphological preservation irrespective of embedding medium.
- Different embedding procedures (paraffin vs. resin) can impact the size distribution of myelinated nerve fibers.
- Practical considerations for various imaging techniques are addressed.
Conclusions:
- Standardized, detailed protocols are essential for accurate peripheral nerve fiber analysis.
- Osmium tetroxide post-fixation is a valuable technique for improving morphological detail.
- Embedding methods can influence quantitative stereological outcomes, necessitating careful selection.
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