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Development of a Modular Assay for Detailed Immunophenotyping of Peripheral Human Whole Blood Samples by Multicolor
Paul F Rühle1, Rainer Fietkau2, Udo S Gaipl3
1Department of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen 91054, Germany. paul.ruehle@uk-erlangen.de.
Insights
A new assay precisely monitors 34 immune cell subsets in peripheral blood, aiding cancer therapy response prediction. This detailed immune profiling uses minimal blood volume for longitudinal patient studies.
Area of Science:
- Immunology
- Biotechnology
- Medical Diagnostics
Background:
- Immune cell monitoring is crucial for cancer therapy prognosis and predicting treatment response.
- Multicolor flow cytometry is the preferred method for analyzing blood samples due to its specificity, multi-parameter capability, and high throughput.
- Detailed immunophenotyping of blood (DIoB) is needed for comprehensive immune status assessment.
Purpose of the Study:
- To present a modular assay for detailed immunophenotyping of blood (DIoB) optimized for direct use in whole blood samples.
- To characterize a broad range of immune cell subsets and their functional states.
- To enable longitudinal and close-meshed immune monitoring in patients.
Main Methods:
- Development of a modular assay for detailed immunophenotyping of blood (DIoB).
- Application of the assay to whole blood samples for direct analysis.
- Characterization of 34 distinct peripheral blood immune cell subsets, including T cells, B cells, NK cells, monocytes, dendritic cells (DCs), neutrophils, eosinophils, and basophils.
- Evaluation of immune cell functional states and select non-leukocytes.
Main Results:
- The DIoB assay successfully characterizes 34 immune cell subsets in peripheral blood.
- The assay requires only 2.0 mL of peripheral blood for analysis.
- It is applicable to longitudinal and close-meshed immune monitoring, not limited to peripheral blood mononuclear cells.
- The assay is currently used in clinical trials for glioblastoma, pancreatic cancer, and head and neck cancer.
Conclusions:
- The DIoB assay provides a detailed immune status overview for patients.
- It facilitates easy and direct application in whole blood samples.
- This assay may significantly contribute to identifying immune biomarkers for predicting and prognosing therapy outcomes in cancer patients.
Abstract:
The monitoring of immune cells gained great significance in prognosis and prediction of therapy responses. For analyzing blood samples, the multicolor flow cytometry has become the method of choice as it combines high specificity on single cell level with multiple parameters and high throughput. Here, we present a modular assay for the detailed immunophenotyping of blood (DIoB) that was optimized for an easy and direct application in whole blood samples. The DIoB assay characterizes 34 immune cell subsets that circulate the peripheral blood including all major immune cells such as T cells, B cells, natural killer (NK) cells, monocytes, dendritic cells (DCs), neutrophils, eosinophils, and basophils. In addition, it evaluates their functional state and a few non-leukocytes that also have been associated with the outcome of cancer therapy. This DIoB assay allows a longitudinal and close-meshed monitoring of a detailed immune status in patients requiring only 2.0 mL of peripheral blood and it is not restricted to peripheral blood mononuclear cells. It is currently applied for the immune monitoring of patients with glioblastoma multiforme (IMMO-GLIO-01 trial, NCT02022384), pancreatic cancer (CONKO-007 trial, NCT01827553), and head and neck cancer (DIREKHT trial, NCT02528955) and might pave the way for immune biomarker identification for prediction and prognosis of therapy outcome.
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