Fluid preservation in brain banking: a review

• Published in: Free Neuropathology Vol. 5
• Main Authors: McKenzie, Andrew T, Nnadi, Oge, Slagell, Kat D, Thorn, Emma L, Farrell, Kurt, Crary, John F
• Format: Journal Article
• Language: English
• Published: Germany freeneuropathology 01.01.2024; University of Münster / Open Journals System
• Subjects: Biobanking; Fluid preservation; Formaldehyde; Overfixation; Postmortem brain; Review; Storage artifact; Storage artifact; Biobanking; Fluid preservation; Glycerol; Tissue clearing; Overfixation; Postmortem brain; Formaldehyde
• ISSN: 2699-4445
• DOI: 10.17879/freeneuropathology-2024-5373

Fluid preservation is nearly universally used in brain banking to store fixed tissue specimens for future research applications. However, the effects of long-term immersion on neural circuitry and biomolecules are not well characterized. As a result, there is a need to synthesize studies investigating fluid preservation of brain tissue. We searched PubMed and other databases to identify studies measuring the effects of fluid preservation in nervous system tissue. We categorized studies based on the fluid preservative used: formaldehyde solutions, buffer solutions, alcohol solutions, storage after tissue clearing, and cryoprotectant solutions. We identified 91 studies containing 197 independent observations of the effects of long-term storage on cellular morphology. Most studies did not report any significant alterations due to long-term storage. When present, the most frequent alteration was decreased antigenicity, commonly attributed to progressive crosslinking by aldehydes that renders biomolecules increasingly inaccessible over time. To build a mechanistic understanding, we discuss biochemical aspects of long-term fluid preservation. A subset of lipids appears to be chemical altered or extracted over time due to incomplete retention in the crosslinked gel. Alternative storage fluids mitigate the problem of antigen masking but have not been extensively characterized and may have other downsides. We also compare fluid preservation to cryopreservation, paraffin embedding, and resin embedding. Overall, existing evidence suggests that fluid preservation provides maintenance of neural architecture for decades, including precise structural details. However, to avoid the well-established problem of overfixation caused by storage in high concentration formaldehyde solutions, fluid preservation procedures can use an initial fixation step followed by an alternative long-term storage fluid. Further research is warranted on optimizing protocols and characterizing the generalizability of the storage artifacts that have been identified.