Human specimens were fixed in 1/2 strength Karnovsky’s fixative and processed for TEM using standard procedures, as described previously70 (link), 71 (link). Briefly, specimens were rinsed in cacodylate buffer, post-fixed in 2% osmium tetroxide, en bloc stained with 2% uranyl acetate, dehydrated with alcohol to propelene oxide, and infiltrated with tEPON-812 epoxy resin (Tousimis, Rockville, MD) utilizing an automated EMS Lynx 2 EM tissue processor (Electron Microscopy Sciences, Hatfield, PA). Ultrathin sections (80 nm) were cut from the epoxy block using a Leica EM UC7 ultramicrotome (Leica Microsystems, Buffalo Grove, IL) and a diamond knife. Sections were imaged using an FEI Tecnai G2 Spirit transmission electron microscope (FEI, Hillsboro, Oregon) at 80 kV interfaced with an AMT XR41 digital CCD camera (Advanced Microscopy Techniques, Woburn, MA).
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