04 Sample Preparation and Processing

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03-10-2012

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Flow cytometric analysis involves 3 stages:
Preanalytical - Specimen handling & processing,
including Ab staining
Analytical - Running sample through the flow
cytometer & acquiring data
Postanalytical - Data analysis & interpretation
Dr.GarimaGoel,MAMC
2 broad groups:
Liquid specimens
Peripheral blood
Bone marrow aspirate (BMA)
Body fluids
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2 broad groups:
Solid tissue specimens
Lymph nodes
Bone marrow biopsy
Tonsils/adenoids
Spleen
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Peripheral blood & BMA samples:
EDTA - anticoagulant of choice
Hemogram
Smears can be prepared
Specimen processed within 24hrs
Heparin
Specimen processed within 48 hrs
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Solid tissue samples:
Submitted as thin slices (<2mm thick) in sterile
tissue culture media at 4

C.
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03-10-2012
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Ideally sample - processed within 48 hours of
collection
For tumors with high turnover rate - time
window
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WBC count, differential & unstained blood
film - accompany each specimen
Specimens - 18

-22

C in a leak proof
container
Temp. <4C & >30C - avoided
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Poor sample collection major source of
potential unsatisfactory FCM analysis
Factors affecting viability of cells
Time elapsed between sample collection &
delivery to lab
Environmental conditions during transport of
sample to lab
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Samples unacceptable for analysis:
Exposure to extreme temperature
Presence of blood clots
Grossly hemolysed sample
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Dr.GarimaGoel,MAMC
Sample volume (peripheral blood & BMA) -
0.5 to 1ml in each tube
Concentration of nucleated cells in each tube
for test - 0.5 to 2x10
6
/ml (MC - 1x10
6
/ml or
1x10
3
/l)
TLC of sample - <10
4
/l
If more dilute the sample with PBS
If less take more sample to decrease dilution
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03-10-2012
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Lyses of RBCs
Removal of lysed RBCs
Staining with Abs
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Nucleated cells - separated from RBCs
RBC lysis - before or after staining with Abs
Lysing agents
Can be with or without fixative
E.g. - Ammonium chloride
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Failure of RBC lysis
Reticulocytes in peripheral blood
Lipids in serum
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Lysed RBCs
Removed by multiple (at least 2) washings with
isotonic fluid
Isotonic fluid e.g. Phosphate Buffered Saline
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Staining with desired Abs -before or after RBC lysis
2 types of antigens
Cell surface antigen ( )
e.g. CD19, CD10,
CD13, CD33, CD117,
CD38 etc.
Intracellular antigens ( )
e.g. TdT, cytoplasmic
light chains, cCD3,
cCD22, MPO, bcl-2 etc.
Dr.GarimaGoel,MAMC
Cell surface Ag
Staining done on
viable unfixed cells
Intracellular Ag
Staining requires cell
fixation &
permeabilization
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03-10-2012
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To maintain structural integrity
Fixative
Preserve epitope of intracellular antigen
Without aggregation of cell suspension
E.g. formaldehyde
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To allow Abs to reach appropriate
intracellular targets
Permeabilizing agent - low concentration non
ionic detergents like saponin
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Simultaneous detection of intracellular & cell
surface Ag - sensitivity of diagnosis
Ensure stability of AgAbfluorochrome
complexes on cell surface
Preservation of targeted intracellular
antigens
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E.g.
CD19 & 10 with TdT
CD22 & cCD3
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For each sample analyzed one control tube
is required
Cells are mixed in the presence of an isotypic
control
Determines the level of non specific binding &
autofluroscence
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100l sample + Abs
Vortex +20mins incubation in dark
500l lysing agent
2 washes with isotonic fluid
Resuspendin 1ml isotonic fluid
Vortex +10mins incubation in dark
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03-10-2012
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50 50l sample + surface Abs
15mins incubation in dark
100l fixative + vigourous vortex +15mins incubation
1 wash with isotonic fluid +100l permeabilizing agent 1 wash with isotonic fluid +100l permeabilizing agent
Resuspendin 0.5ml isotonic fluid
DO NOT VORTEX +5mins incubation in dark DO NOT VORTEX +5mins incubation in dark
2 washes with isotonic fluid
Add Intracellular Abs +15mins incubation in dark Add Intracellular Abs +15mins incubation in dark
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Type of Ab monoclonal or polyclonal
Ab isotype - IgG1, G2 or M
Ab clone
Dye conjugation
Stoichiometry between Ab & fluorochrome
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Dyes- accept light energy at a given wavelength
& re-emit it at a longer wavelength
Different fluorochromes
FITC Fluoresicein Isothiocyanate
PE Phycoerythrin
ECD PhycoerythrinTexas Red
PC5 &7 - Phycoerythrin-Cyanin5 &7
APC Allophycocyanin
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Depends on
Fluorochrome brightness
Ag density
Background staining of Ab
Amount of compensation required between
conjugates
Single or multiple laser
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Brighter fluorochrome used for
Dull Ab
Low Ag expression
For staining cells with high autofluoroscent
background
E.g. PE is used with CD25
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Duller fluorochrome used for
Bright Ab
High Ag expression
E.g. FITC with anti kappa, anti lambda, CD45
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03-10-2012
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Simultaneous use of >1 flurochrome
Saves time & sample
Exponential in information
Helps identify new/rare cell populations
no. of tubes in Ab panel
no. cells required for entire FCM analysis
Provides internal controls
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Carefully choose combinations of
flurochrome conjugates
Non availability of all reagents in all colours
Greater potential for errors in compensation
Requirement of proper controls
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Conjugated antibodies
Stored between 2 & 8

C
Protected from light
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Do not use reagent beyond expiry date
Do not freeze reagent or sample
Let reagent come down to room temp before
use
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Minimize exposure to light
Avoid microbial contamination of reagents
Absolutions like anti kappa & anti lambda
contain sodium azide& should be handled
carefully
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