1What are the components of flow cytometer?
fluidics, optics, electronics
2What are the flow cytometry parameters?
FSC (forward scatter)
SSC (side scatter)
Fluorescence
3What is needed to operate clinical FC in hematology lab?
sample prep/ processing
FC clinical application
Data analysis, QC, troubleshooting
4What is autofluorescence?
natural fluorescence found within cells
(needs to be minimized)
5What is event?
any particle which generates signal after passing through the laser beam
(units are events per second!)
6What is forward scatter (FSC)?
light that is scattered in the forward direction (up to 20deg) after interacting with a particle
7What is FSC proportional to?
cell size
8What is side scatter (SSC)?
light that is scattered at 90deg after interacting with particle
9What is SSC proportional to?
internal complexity like granularity, presence of vacuoles, or inclusions
10What are histograms?
plots which display a single measurement parameter
11What are dot plots?
plots which display 2 measurement parameters (bi-variate plots)
12What 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)
13What is viability dye?
dye which allows ID of dead cells through a reduction in cell membrane integrity
(cells are still alive?)
14What has the lowest cytoscatter? Why?
lymphocytes
bc they don’t have granules
(if not then debris)
15What is flow cytometry?
measuring the physical and chemical properties of cells which are flowing in a stream of fluid
16What 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
17What does flow cytometry measure based on?
based on lights scattered and the fluorescence emitted by cells/ particles
18What samples can flow cytometry measure?
cells AND particles (from bacterium (0.2 um) to human blastocyst (100 um)
and chromosomes/ proteins
19How is information obtained from cells in FC?
information Is combination of processed lights scattered and forward/side angles, and fluorescence
20Why 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
21What are the components of FC (expanded)?
fluidics, optics, electronics, detectors
22What does fluidics involve?
sheath fluid tank
flow cell
23What do optics involve?
lasers
filters
24What do detectors involve?
FSC, SSC
FL detectors
25What does electronics involve?
ADC system
data processing system
26How does the fluidics work?
sheath fluid tank pressurized by air which injects sheath fluid by laminar flow to a flow cell
27What 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
28What is hydrodynamic focusing?
allows cells to be interrogated one by one by the laser beam
29What 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
31How 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
32What are the steps to BM aspiration?
1. sample prep
2. instrument sample
3. run the data through FC
4. analyze data
33What 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
34What are the 2 main things needed for sample preparation?
samples must be single cell suspensions
cell viability is crucial (85% needs to be alive)
35How 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)
36How 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)
37What must be avoided in sample prep?
aggregates, micro clots, or cell clumps
(use cell strainer)
38What kind of cells are needed for FC?
LIVE and intact cells (live cell analysis)
39What 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
40What is the first step noted in data analysis?
IDing normal pop using the same parameters
41What does CD stand for?
clusters of differentiation
42What are CD molecules?
cell surface markers useful for the ID and characterization of leukocytes
43How was CD nomenclature developed/ maintained?
through human leukocyte differentiation antigens (HLDA) workshop started in 1982
44What is the goal of HDLA?
provide standardization of monoclonal abs to human antigens across labs
45What is used to detect CD markers?
mAbs conjugated with FL
46What are the CD markers of T helpers?
CD3+ CD4+
47What are the CD markers of T cytotoxic?
CD3+ CD8+
48What are the CD markers of B cells?
CD19+ CD20+ CD3-
49What are the CD markers of NK cells?
CD16+ CD56+ CD3-
50What are the CD markers of HSCs?
CD20- CD25- CD34+
51What are the CD markers of Dendritic cells?
CD11c CD123
52What are the CD markers of Stem cell precursor?
CD34
53What are the CD markers of mq/ monocyte?
CD13 CD33
54What are the CD markers of granulocyte?
CD66b
55What are the CD markers of platelet?
CD41 CD61 CD62
56How are scatter plots created?
using 2 cell properties picked up by FC detectors
57What is another name for scatterplots?
bi-variate plots
58What 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)
59What does histogram shift suggest?
right: positive (more intense signal)
therefore higher expression of ag
60What does histogram display?
one parameter vs count or time
61When 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
62What is a gate?
an electronic boundary an operator uses to delineate cell clusters;
gating selects population of interest and excludes the other
63How do we confirm particular populations?
continue with SSC vs CD45
64What can CD45/ SS display detect?
blasts
65What is the purpose of FS/ SS and CD45/ SS display?
allows initial ID of the target population
66What step should follow using FS/ SS and CD45/ SS display?
eval of antigenic profile of target population by gating
67What are other applications of FC in hematology?
immune deficiency
stem cell enumeration
PNH
Reticulocytes
FMH
Cell cycle analysis
Transplantation
68How can FC help in immune deficiency?
SCID, HIV, etc
69How can FC help in stem cell enumeration?
CD34
70How can FC help in PNH?
CD55, CD59
71How can FC help in reticulocytes?
RNA binding dyes
e.g. TO
72How can FC help in FMH?
Ab against HbF, RhD, or both
or CA
73How can FC help in cell cycle analysis?
DNA content
74How can FC help in transplantation?
HLA, flow cross match
donor lymph + pt serum, incubate with antihuman IgG F(ab)/ FITC
75What 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)
76What should be done to increase cell viability (generally)?
keeping cells on ice can improve viability bc it slows down necrosis and cell metabolism
77How are WB samples delivered?
delivered fresh to lab
Even stored at 4C, samples deteriorate (but more slowly than at RT)
78When does WBC apoptosis happen?
within 48 hrs, influenced by type of anticoag
79When does granulocyte apoptosis occur?
at 6 hrs when incubated in EDTA
Heparin delays process significantly (preferred anticoag)
80How should BM samples be delivered?
promptly, as many cells deteriorate/ die
81What is the anticoagulant of choice for BM?
heparin