Evaluation of ultrastructural alterations of glomerular basement membrane and podocytes in glomeruli by low-vacuum

Ping Lan1,2, Dedong Kang1, Akiko Mii3

  • 1Department of Analytic Human Pathology, Nippon Medical School, 1-1-5, Sendagi, Bunkyo-ku, Tokyo, 113-8602, Japan.

Abstract

Insights

Low-vacuum scanning electron microscopy (LV-SEM) offers a valuable 3D view of glomerular basement membrane and podocyte alterations in renal pathology. Optimal sample preparation is key for clear visualization of these critical kidney structures.

Area of Science:

  • Nephrology
  • Pathology
  • Electron Microscopy

Background:

  • Low-vacuum scanning electron microscopy (LV-SEM) is increasingly applied in diagnostic renal pathology.
  • Understanding its utility requires investigating optimal conditions for examining kidney tissue samples.

Purpose of the Study:

  • To demonstrate the diagnostic utility of LV-SEM in renal pathology.
  • To identify optimal sample preparation techniques for LV-SEM analysis of glomerular basement membrane (GBM) and podocytes.

Main Methods:

  • LV-SEM was used to examine GBM and podocyte alterations in control and active Heymann nephritis (AHN) rat models.
  • Specimens included routine light microscopy (LM), immunofluorescence (IF), and specialized staining (PAM, Pt-blue) on various fixed and unfixed tissues.
  • Optimized section thicknesses for formalin-fixed paraffin-embedded (FFPE) and frozen sections were determined.

Main Results:

  • LV-SEM revealed three-dimensional (3D) crater-like protrusions on the GBM surface in AHN rats, correlating with LM and IF findings.
  • Periodic acid-silver methenamine (PAM) staining enhanced GBM surface visualization, though acellular glomeruli required careful interpretation.
  • Podocyte foot process effacement was clearly observed in Pt-blue stained FFPE and 2.5% glutaraldehyde-fixed paraffin-embedded (2.5%GFPE) specimens.

Conclusions:

  • LV-SEM is a useful tool for assessing GBM and podocyte alterations in renal pathology.
  • The technique provides valuable 3D ultrastructural insights when applied to routine and specifically prepared specimens.
  • Optimized fixation and staining protocols, particularly with 2.5%GFPE, improve visualization quality.