Immunoenzymatic staining of haematological samples with monoclonal antibodies

This paper describes the use of immunoenzymatic techniques (and in particular a recently developed immuno-alkaline phosphatase procedure) for labelling haematological samples with monoclonal antibodies. Since cells are smeared and fixed before staining it is possible to combine optimal preservation of cellular detail with visualization of positive labelling. Additional advantages over conventional immunofluorescent procedures for detecting cellular antigens include the fact that samples may be stored for long periods both before and after staining, and that double labelling may readily be performed (either by combining immunoenzymatic staining with T cell rosetting or by performing immunoperoxidase and immuno-alkaline phosphatase techniques sequentially). Furthermore, these methods may be applied to samples containing too few cells for conventional examination (e.g. samples of cerebrospinal fluid). A total of 16 different antigens (including HLA-DR, common ALL antigen and antigens associated with T cells, B cells, erythroid cells and megakaryocytes) were demonstrated by immuno-enzymatic staining on a range of normal and neoplastic haematological samples. It is concluded that this approach to cellular antigen labelling is of potential value not only in routine haematological diagnosis, but also for research in many immunological and haematological fields.