Lecture 10

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1
What are the components of flow cytometer?
fluidics, optics, electronics
2
What are the flow cytometry parameters?
FSC (forward scatter)
SSC (side scatter)
Fluorescence
3
What is needed to operate clinical FC in hematology lab?
sample prep/ processing
FC clinical application
Data analysis, QC, troubleshooting
4
What is autofluorescence?
natural fluorescence found within cells
(needs to be minimized)
5
What is event?
any particle which generates signal after passing through the laser beam
(units are events per second!)
6
What is forward scatter (FSC)?
light that is scattered in the forward direction (up to 20deg) after interacting with a particle
7
What is FSC proportional to?
cell size
8
What is side scatter (SSC)?
light that is scattered at 90deg after interacting with particle
9
What is SSC proportional to?
internal complexity like granularity, presence of vacuoles, or inclusions
10
What are histograms?
plots which display a single measurement parameter
11
What are dot plots?
plots which display 2 measurement parameters (bi-variate plots)
12
What is immunophenotyping?
identification of cells in population through the staining and identification of specific markers using monoclonal abs conjugated with fluorochromes
(detects signal surface markers)
13
What is viability dye?
dye which allows ID of dead cells through a reduction in cell membrane integrity
(cells are still alive?)
14
What has the lowest cytoscatter? Why?
lymphocytes
bc they don’t have granules
(if not then debris)
15
What is flow cytometry?
measuring the physical and chemical properties of cells which are flowing in a stream of fluid
16
What is the purpose of the flow system in flow cytometry?
delivers the cells singly past a point of measurement (laser beam) at a speed of several thousands per second
17
What does flow cytometry measure based on?
based on lights scattered and the fluorescence emitted by cells/ particles
18
What samples can flow cytometry measure?
cells AND particles (from bacterium (0.2 um) to human blastocyst (100 um)
and chromosomes/ proteins
19
How is information obtained from cells in FC?
information Is combination of processed lights scattered and forward/side angles, and fluorescence
20
Why is FC valuable to clinical hematology?
1. able to analyze multiple parameters in large # of cells
2. can ID rare-event cells in heterogenous cell pop (MRD in leukemia/ lymphoma)
3. central role in diagnostic algorithm for leukemias
21
What are the components of FC (expanded)?
fluidics, optics, electronics, detectors
22
What does fluidics involve?
sheath fluid tank
flow cell
23
What do optics involve?
lasers
filters
24
What do detectors involve?
FSC, SSC
FL detectors
25
What does electronics involve?
ADC system
data processing system
26
How does the fluidics work?
sheath fluid tank pressurized by air which injects sheath fluid by laminar flow to a flow cell
27
What happens to sheath fluid within flow cell?
a faster outer sheath fluid around the sample stream allows narrowing of the stream creating a stream of single cells
28
What is hydrodynamic focusing?
allows cells to be interrogated one by one by the laser beam
29
What component of FC has hydrodynamic focusing?
fluidics
What is definition of hydrodynamic focusing?
30
(again? I guess :|)
central alignment of cells within the flow cell essential for consistent illumination of cells as they pass the laser beam
31
How is the cell interrogated by the laser?
cell enters beam > generates scattered lights/ fluorescence > makes current in PMT > when center of beam, PMT reaches max, cell fully illuminated > cell flows out and PMT drops to baseline
32
What are the steps to BM aspiration?
1. sample prep
2. instrument sample
3. run the data through FC
4. analyze data
33
What specimens are most commonly analyzed for FC?
BM aspirate in heparin
BM FNB
Peripheral blood in EDTA
lymphoid tissues
body cav fluids and solid tissues
34
What are the 2 main things needed for sample preparation?
samples must be single cell suspensions
cell viability is crucial (85% needs to be alive)
35
How are solid tissue samples (like localized tumors and LN/BM biopsies) need to be prepped?
have to become homogenized and prepared as single cell suspensions
(using mech disruption)
36
How are whole blood and BM aspirates samples collected? Tissue samples?
transported to lab as anticoagulated;
tissue samples and BM transported in culture media to maintain viability (RPMI 1640)
37
What must be avoided in sample prep?
aggregates, micro clots, or cell clumps
(use cell strainer)
38
What kind of cells are needed for FC?
LIVE and intact cells (live cell analysis)
39
What are the 2 main objectives of data analysis?
1. to obtain stats (to report pop %, abs cell cts, fluorescence intensity)
2. to ID abnormal pop based on light scatter, staining patterns, or both
40
What is the first step noted in data analysis?
IDing normal pop using the same parameters
41
What does CD stand for?
clusters of differentiation
42
What are CD molecules?
cell surface markers useful for the ID and characterization of leukocytes
43
How was CD nomenclature developed/ maintained?
through human leukocyte differentiation antigens (HLDA) workshop started in 1982
44
What is the goal of HDLA?
provide standardization of monoclonal abs to human antigens across labs
45
What is used to detect CD markers?
mAbs conjugated with FL
46
What are the CD markers of T helpers?
CD3+ CD4+
47
What are the CD markers of T cytotoxic?
CD3+ CD8+
48
What are the CD markers of B cells?
CD19+ CD20+ CD3-
49
What are the CD markers of NK cells?
CD16+ CD56+ CD3-
50
What are the CD markers of HSCs?
CD20- CD25- CD34+
51
What are the CD markers of Dendritic cells?
CD11c CD123
52
What are the CD markers of Stem cell precursor?
CD34
53
What are the CD markers of mq/ monocyte?
CD13 CD33
54
What are the CD markers of granulocyte?
CD66b
55
What are the CD markers of platelet?
CD41 CD61 CD62
56
How are scatter plots created?
using 2 cell properties picked up by FC detectors
57
What is another name for scatterplots?
bi-variate plots
58
What are the typical axis of scatterplots?
SS vs FS
SS vs 1 CD ab (single color)
1 CD ab vs another CD ab (2 colors)
59
What does histogram shift suggest?
right: positive (more intense signal)
therefore higher expression of ag
60
What does histogram display?
one parameter vs count or time
61
When do we use gating?
when cell pop have similar physical properties:
size, cytoplasmic complexity, and expression of spec ag form clusters on the plots generated by FC
62
What is a gate?
an electronic boundary an operator uses to delineate cell clusters;
gating selects population of interest and excludes the other
63
How do we confirm particular populations?
continue with SSC vs CD45
64
What can CD45/ SS display detect?
blasts
65
What is the purpose of FS/ SS and CD45/ SS display?
allows initial ID of the target population
66
What step should follow using FS/ SS and CD45/ SS display?
eval of antigenic profile of target population by gating
67
What are other applications of FC in hematology?
immune deficiency
stem cell enumeration
PNH
Reticulocytes
FMH
Cell cycle analysis
Transplantation
68
How can FC help in immune deficiency?
SCID, HIV, etc
69
How can FC help in stem cell enumeration?
CD34
70
How can FC help in PNH?
CD55, CD59
71
How can FC help in reticulocytes?
RNA binding dyes
e.g. TO
72
How can FC help in FMH?
Ab against HbF, RhD, or both
or CA
73
How can FC help in cell cycle analysis?
DNA content
74
How can FC help in transplantation?
HLA, flow cross match
donor lymph + pt serum, incubate with antihuman IgG F(ab)/ FITC
75
What affects cell viability?
1. WB or BM samples stored for long time with anticoag (>4hrs)
2. tissue samples not transferred in approp media (culture media or saline-moistened gauze)
3. harsh vortex (only spacial vortex for cell pellets)
4. agg mech disruption of tissues
5. cell pellets are kept dry for long time (resuspend in relevant buffer no bubbles)
6. high conc suspension used (adjust and dilute)
76
What should be done to increase cell viability (generally)?
keeping cells on ice can improve viability bc it slows down necrosis and cell metabolism
77
How are WB samples delivered?
delivered fresh to lab
Even stored at 4C, samples deteriorate (but more slowly than at RT)
78
When does WBC apoptosis happen?
within 48 hrs, influenced by type of anticoag
79
When does granulocyte apoptosis occur?
at 6 hrs when incubated in EDTA
Heparin delays process significantly (preferred anticoag)
80
How should BM samples be delivered?
promptly, as many cells deteriorate/ die
81
What is the anticoagulant of choice for BM?
heparin
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