Electron microscopy for the cytochemistry of cholinesterase was performed in the human intercostal muscle by using an indoxyl acetate esterase method.The enzyme activity was visible as a fine and nondroplet electron opaque endproduct in the axonal plasma membrane, the sarcolemmal plasma membrane of the muscle fiber, the junctional cleft, the endoneurium, and unknown membrane system between the muscle fibers.Cholinesterases have been demonstrated with several electron microscopic methods involving both metal capturing thiolacetic acid and thiocholine methods and azo dye methods (1-8, 11-13). Although the former methods have their own hazards for the staining artifacts, for example a possible nonenzymatic reaction of lead salt, a question on the conversion technique to metal sulfide and large crystalline structure of the reaction product, it has been shown recently that aurous gold capturing method demonstrates excellently the localization of acetylcholinesterase and nonspecific cholinesterase (7).The most recent work in the latter reveals small droplet endproducts at the sites of the enzyme activity of which appearance proves to be a disadvantage of the azo dye method (4). In this study, therefore, a new azo dye method was employed in order to confirm the exact localization of cholinesterase.
MATERIAL AND METHODSHuman intercostal muscles were excised under general anesthesia with Halothane. For electron microscopy, thin strips of the intercostal muscle (1.5cm long, 0.2cm wide and 0.2cm thick) were tied to a splint before the excision in order to keep them at resting length. They were immediately fixed in cold buffered formalin with 5 % sucrose for two hours. Then small blocks (1.0 by 0.5 by 0.5mm) of the tissue were cut keeping them moist with the fixative and afterwards they were placed into physiological saline solution. After washings they were incubated at 5°C to 15°C for 90 minutes. The incubation medium was prepared immediately before use as follows :indoxyl acetate in 0.1 ml of acetone 4mg 0.2 M phosphate buffer, pH 7.3 2.5ml distilled water 2.5m1 physiological saline 5m1 54