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Updated: Jul 17, 2026

Quantification of Cellular Densities and Antigenic Properties using Magnetic Levitation
Published on: May 17, 2021
An immunomagnetic single-platform image cytometer for cell enumeration based on antibody specificity
Xiao Li1, Arjan G J Tibbe, Erik Droog
1Biophysical Engineering Group, University of Twente, Dienstweg 1, Building Zuidhorst, 7522 ND Enschede, The Netherlands. l.x.lixiao@tnw.utwente.nl
Insights
A new immunomagnetic single-platform image cytometer (SP ICM) offers a simple, affordable method for cell enumeration. This technology shows promise for accurate blood cell counting in resource-poor settings.
Area of Science:
- Biomedical Engineering
- Immunology
- Cell Biology
Background:
- Accurate cell enumeration is crucial for disease diagnosis and monitoring.
- Existing technologies like flow cytometry can be expensive and complex, limiting their use in resource-poor settings.
- There is a need for simplified, cost-effective cell counting methods.
Purpose of the Study:
- To develop and evaluate an immunomagnetic single-platform image cytometer (SP ICM) for cell enumeration.
- To assess the system's precision, linearity, and correlation with established flow cytometry methods.
- To explore the potential of SP ICM for enumerating specific cell populations, including T lymphocytes.
Main Methods:
- An immunomagnetic single-platform image cytometer (SP ICM) was designed using antibody specificity for cell labeling.
- Cells were stained with acridine orange and magnetically labeled, concentrating them for image capture.
- The system was validated by enumerating leukocytes (CD45), T lymphocytes (CD3), and B lymphocytes (CD19), comparing results with SP and DP flow cytometry.
Main Results:
- The SP ICM demonstrated excellent precision and linearity in cell enumeration.
- Cell counts obtained by SP ICM showed good correlation (R >= 0.95) with both SP (TruCount) and dual-platform (DP) flow cytometry methods.
- The system showed higher counts for CD4(+) cells due to the inclusion of CD4(+) dim monocytes, indicating potential for broader immune cell profiling.
Conclusions:
- The developed immunomagnetic SP ICM is a simple and potentially affordable technology for cell enumeration.
- The system shows promise for accurate blood cell counting, particularly in resource-limited environments.
- Further development with additional labels, like CD3, could enable precise enumeration of specific lymphocyte subsets such as CD4(+) T lymphocytes.
Abstract:
Simplification of cell enumeration technologies is necessary, especially for resource-poor countries, where reliable and affordable enumeration systems are greatly needed. In this paper, an immunomagnetic single-platform image cytometer (SP ICM) for cell enumeration based on antibody specificity is reported. A chamber/magnet assembly was designed such that the immunomagnetically labeled, acridine orange-stained cells in a blood sample moved to the surface of the chamber, where a fluorescent image was captured and analyzed for cell enumeration. The system was evaluated by applying one kind of antibody to count leukocytes and one kind for each leukocyte subpopulation: CD45 for leukocytes, CD3 for T lymphocytes, and CD19 for B lymphocytes. Excellent precision and linearity were achieved. Moreover, these cell counts, each from blood specimens of 42 to 52 randomly selected patients, were compared with those obtained by SP (TruCount) and dual-platform (DP) flow cytometry (FCM) technologies. The cell counts obtained by our system were in between those obtained from the TruCount and DP FCM methods; and good correlations were achieved (R > or = 0.95). For CD4(+) counts, as we expected, the cell count by our system was significantly higher than the CD4(+) T-lymphocyte counts obtained by SP and DP FCM methods. Immunophenotyping of the immunomagnetically selected CD4(+) cells showed that, besides CD4(+) T lymphocytes, a proportion of the CD4(+) dim monocytes was also selected. Our system is a simple immunomagnetic SP ICM, which can potentially be used for enumeration of CD3(+) CD4(+) T lymphocytes in resource-poor countries if an additional CD3 immunofluorescent label is applied.
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