The use of acridine orange and glutaraldehyde-fixed chicken red blood cells for absolute counting of residual white blood cells in leuco-depleted packed red blood cells.
Abstract
BACKGROUND
We have previously developed an affordable flow cytometric method for absolute cell count using glutaraldehyde-fixed chicken
red blood cells. However, its use is limited to CD4+ T cells. In the current investigation, we studied the potential use of
glutaraldehyde-fixed chicken RBCs to determine the number of residual white blood cells (rWBCs) in WBC-reduced blood component.
METHODS
Acridine orange (AO) was used to identify leucocytes in serial diluted blood samples ranging from 0.65 to 1,000 cells/microL.
The absolute number of AO stained leucocytes were determined by using a known number of glutaraldehyde-fixed chicken RBCs
on flow cytometer. The results were compared with the expected value and the absolute count determined by BD Leucocount (Becton
Dickinson Bioscience). In addition, the stability of AO stained leucocytes and sample stability at various time points were
measured. Reproducibility of the assay method was also addressed.
RESULTS
There was a good correlation in the number of leucocytes between our new method and the expected numbers from serially diluted
blood samples (r2 = 0.99, y = 1.04x + 0.50, p < 0.001). Furthermore, absolute leucocyte counts determined by the new method
correlated well with those obtained from BD Leucocount (r2 = 0.99, y = 1.31 x - 6.37, p < 0.001). FL-1 intensity and the absolute
number of AO stained leucocytes were stable for at least 24 hours after staining. Samples stored at 4 degrees C were stable
for 48 hours and CV of the assay was at an acceptable level.
CONCLUSION
This flow cytometric method for absolute leucocyte counts using AO and glutaraldehyde-fixed chicken RBCs is a simple, rapid,
reliable and inexpensive method for routine monitoring of low levels of leucocytes in blood products.
Links
Authors
Noulsri E, Lerdwana S, Pattanapanyasat K
Institution
Office for Research and Development, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Source
Asian Pacific journal of allergy and immunology / launched by the Allergy and Immunology Society of Thailand 30:2 2012 Jun pg 123-9MeSH
Acridine OrangeAnimals
Blood Component Transfusion
Chickens
Erythrocytes
Flow Cytometry
Glutaral
Humans
Leukocyte Count
Leukocyte Reduction Procedures
Leukocytes
Reproducibility of Results
Pub Type(s)
Journal ArticleResearch Support, Non-U.S. Gov't
Language
eng
PubMed ID
22830291
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