Fluorescent particles in the antibody solution result in false TF- and CD14-positive microparticles in flow

Hans Christian D Aass1, Reidun Øvstebø, Anne-Marie S Trøseid

  • 1Blood Cell Research Group, Section for Research, Department of Medical Biochemistry, Oslo University Hospital, Ullevål, Oslo, Norway. H.C.Aass@medisin.uio.no

Insights

Fluorescent antibody aggregates can cause false positives in flow cytometry assays for tissue factor (TF)-positive microparticles (MPs). Centrifugation removes these aggregates, ensuring accurate measurement of TF-protein and TF-activity in thrombosis research.

Area of Science:

  • Hematology
  • Immunology
  • Biotechnology

Background:

  • Tissue factor (TF)-positive microparticles (MPs) are crucial in thrombosis, particularly in sepsis and cancer.
  • Assaying MP-associated TF can involve immunological or functional methods, but discrepancies between TF-protein and TF-activity have been reported.
  • These discrepancies may arise from antibody interactions with inactive TF forms or interfering substances.

Purpose of the Study:

  • To investigate the interference of fluorescent antibody aggregates in flow cytometric analysis of TF-positive MPs.
  • To evaluate the impact of such interference on the accurate quantification of MP-associated TF-protein and TF-activity.

Main Methods:

  • Human monocytes were stimulated with lipopolysaccharides (LPS) to induce TF-positive MPs.
  • MP-associated TF-protein was measured using flow cytometry, and TF-activity was assessed via a clot formation assay.
  • Antibody solutions were analyzed before and after centrifugation to identify and remove interfering fluorescent events.

Main Results:

  • LPS-stimulated MPs exhibited significantly higher TF-activity (approximately 14-fold) compared to unstimulated MPs.
  • Flow cytometry using untreated anti-TF antibodies showed similar numbers of TF-positive events for both stimulated and unstimulated MPs, indicating false positives.
  • Centrifugation of antibody solutions effectively removed these interfering fluorescent events, which were likely antibody aggregates.

Conclusions:

  • Fluorescent antibody aggregates can lead to false-positive results in flow cytometric detection of MP-associated TF-protein.
  • Pre-centrifugation of antibody solutions is essential to eliminate interference and ensure accurate assessment of TF-protein and TF-activity.
  • Accurate measurement is critical for understanding the role of TF-positive MPs in thrombotic conditions.