SUMMARy A simple histochemical procedure for assessing relative amounts of neutral and acidic sugars in mucin glycoproteins, and its application in the study of cyclical changes of human cervical mucins, is described. This procedure, the saponification/selective periodate oxidation/borohydride reduction/alcian blue pH 2-5/periodic acid Schiff (KOH/PA*/Bh/Ab 2-5/PAS) method, uses a selective oxidation step to remove the PAS positivity of sialic acid; thus only neutral sugars stain positively with PAS, and acidic sugars (0-sulphate esters and carboxyl groups) stain with alcian blue. This differs from the KOH/Ab/PAS technique which stains sialic acid residues with both alcian blue and PAS. Applying the KOH/PA*/Bh/Ab 2-5/PAS technique to the study of cyclical changes of human cervical mucins, a decreased neutral:acidic sugar ratio in the secretory phase mucins compared with those of the proliferative phase was found. This difference was not seen with KOH/ Ab/PAS staining in the same cases.The techniques and reagents used in this procedure can be easily applied in a clinical histopathology laboratory. In this paper we describe the use of PA* in the development of a histochemical technique, the saponification/selective periodate oxidation/borohydride reduction/Ab 2 5/PAS (KOH/PA*/Bh/Ab 2-5/PAS) technique, for the assessment of the relative quantities ofacidic sugars (0-sulphate esters, carboxyl groups) and "neutral sugars" with periodate oxidisable vicinal diols (hexoses, 6-deoxyhexoses, N-acetyl hexosamines) and its application to human cervical mucin.
Material and methodsSpecimens of Sprague-Dawley rat liver, salivary glands (sublingual, submandibular, and parotid), and gastrointestinal tract, obtained fresh at necropsy, were fixed in 10% formalin-calcium for periods in excess of seven days. After fixation "swiss rolls" were prepared from the colon and the entire small intestine plus a strip of stomach.9 All the tissues were routinely processed in paraffin wax and embedded in Paraplast. Studies were also performed on formalin fixed, paraffin wax processed blocks of surgical specimens of