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A Semi-automated Approach to Preparing Antibody Cocktails for Immunophenotypic Analysis of Human Peripheral Blood
Published on: February 8, 2016
Immunophenotyping of normal lymphocytes
1Department of Haematology, Singleton Hospital, Swansea, Wales, UK.
Insights
This study establishes reproducible normal reference values for peripheral blood mononuclear cell populations using flow cytometry. These findings provide essential benchmarks for clinical use in immunology and hematology.
Area of Science:
- Immunology
- Hematology
- Cell Biology
Background:
- Accurate enumeration of peripheral blood mononuclear cells is crucial for diagnosing and monitoring various health conditions.
- Establishing reliable reference ranges for immune cell populations is essential for clinical interpretation.
Purpose of the Study:
- To establish reproducible normal reference values for peripheral blood mononuclear cell populations.
- To validate flow cytometric analysis for enumerating T cells, B cells, natural killer (NK) cells, and myeloid cells.
- To assess the clinical utility of these reference values in both healthy individuals and patients with non-hematological disorders.
Main Methods:
- Direct and indirect immunofluorescence labeling of peripheral blood mononuclear cells.
- Flow cytometric analysis to define cell surface antigen expression.
- Use of polyclonal and monoclonal antibodies for T cells, T-cell subsets, B cells, NK cells, and myeloid cells.
- Comparison with established methods like whole blood lysis and E rosettes.
Main Results:
- Normal values for absolute numbers and percentages of mononuclear cell populations were established with high reproducibility.
- Flow cytometry results were comparable to other established immunological methods.
- Immune cell recovery was generally complete, indicating the reliability of the method.
- Results were consistent between normal controls and patients with non-hematological disorders.
Conclusions:
- The study successfully established clinically useful, reproducible reference values for peripheral blood mononuclear cell populations.
- Flow cytometry is a reliable method for enumerating immune cell subsets.
- These reference values serve as a crucial benchmark for lymphoid sub-populations in normal controls and can aid in clinical assessments.
Abstract:
We report the data of direct and indirect immunofluorescence labelling of peripheral blood mononuclear cells obtained from 40 normal controls and nine patients having blood tests for non-haematological disorders (PNHD controls) using flow cytometric analysis. Polyclonal and monoclonal antibodies were used to define the expression of cell surface antigen of T cells, their subsets, B cells, natural killer cells (NK) and myeloid cells. Normal values of absolute number and percentages of each of the populations of mononuclear cells were established and were sufficiently reproducible to be of clinical use. The percentages of positive values of T cells, T-cell subsets, and B cells in ten normal controls when mononuclear cells were used, were comparable to those using whole blood lysis, APAAP immuno-alkaline phosphatase, and E and M rosettes. The results obtained were similar in both the normal and PNHD controls. In most instances the percentage recovery of identified T, B and NK cells was complete. Currently we are using the results as reference values for lymphoid sub-populations in normal controls.
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