Summary

मेजर multicenter चिकित्सीय परीक्षण के लिए परिधीय रक्त ल्युकोसैट आबादी एक पूरे रक्त phenotyping परख का उपयोग कर की गणना

Published: September 16, 2012
doi:

Summary

इस रिपोर्ट में, हम एक phenotyping परख प्रमुख जन्मजात और अनुकूली ल्युकोसैट आबादी की गणना के लिए नए सिरे से पूरे रक्त पर प्रदर्शन करने के धुंधला हो जाना और विश्लेषण कदम को प्रदर्शित करता है. हम एक multicenter चिकित्सीय परीक्षण के संदर्भ में इन प्रक्रियाओं के प्रदर्शन के लिए विचार पर जोर.

Abstract

Cryopreservation of peripheral blood leukocytes is widely used to preserve cells for immune response evaluations in clinical trials and offers many advantages for ease and standardization of immunological assessments, but detrimental effects of this process have been observed on some cell subsets, such as granulocytes, B cells, and dendritic cells 1-3. Assaying fresh leukocytes gives a more accurate picture of the in vivo state of the cells, but is often difficult to perform in the context of large clinical trials. Fresh cell assays are dependent upon volunteer commitments and timeframes and, if time-consuming, their application can be impractical due to the working hours required of laboratory personnel. In addition, when trials are conducted at multiple centers, laboratories with the resources and training necessary to perform the assays may not be located in sufficient proximity to clinical sites. To address these issues, we have developed an 11-color antibody staining panel that can be used with Trucount tubes (Becton Dickinson; San Jose, CA) to phenotype and enumerate the major leukocyte populations within the peripheral blood, yielding more robust cell-type specific information than assays such as a complete blood count (CBC) or assays with commercially-available panels designed for Trucount tubes that stain for only a few cell types. The staining procedure is simple, requires only 100 μl of fresh whole blood, and takes approximately 45 minutes, making it feasible for standard blood-processing labs to perform. It is adapted from the BD Trucount tube technical data sheet (version 8/2010). The staining antibody cocktail can be prepared in advance in bulk at a central assay laboratory and shipped to the site processing labs. Stained tubes can be fixed and frozen for shipment to the central assay laboratory for multicolor flow cytometry analysis. The data generated from this staining panel can be used to track changes in leukocyte concentrations over time in relation to intervention and could easily be further developed to assess activation states of specific cell types of interest. In this report, we demonstrate the procedure used by blood-processing lab technicians to perform staining on fresh whole blood and the steps to analyze these stained samples at a central assay laboratory supporting a multicenter clinical trial. The video details the procedure as it is performed in the context of a clinical trial blood draw in the HIV Vaccine Trials Network (HVTN).

Protocol

नोट: प्रकाश से fluorophore संयुग्मित एंटीबॉडी की रक्षा करने के लिए, प्रकाश बंद के साथ एक जैव सुरक्षा कैबिनेट में सभी चरणों का प्रदर्शन. 1. एंटीबॉडी धुंधला पैनल तैयारी एंटीबॉडी धुंधला हो जाना ?…

Discussion

इस रिपोर्ट में, हम प्रवाह cytometry द्वारा ताजा पूरे रक्त में ल्युकोसैट आबादी enumerating के लिए एक विधि मनका आधारित प्रस्तुत और मापदंडों केंद्रीकृत नमूना विश्लेषण के साथ अपने एक multicenter चिकित्सीय परीक्षण में उपयोग ?…

Divulgations

The authors have nothing to disclose.

Acknowledgements

हम इस विधि पांडुलिपि, और वीडियो के विकास में उनकी सहायता के लिए जेसिका जोन्स, एरिका क्लार्क, Constance Ducar, डोना स्मिथ, रॉय लुईस, लिली Apedaile, Joanne Wiesner, Devin एडम्स, कोरी McBain और स्टीफन Voght धन्यवाद.

इस काम के बिल और मेलिंडा गेट्स फाउंडेशन CAVD अनुदान 38645 (MJM) और अनुदान स्वास्थ्य के राष्ट्रीय संस्थान AI068618 UM1 और AI069481 U01 (MJM) द्वारा समर्थित किया गया. EA-N. NIH अनुदान T32 AI007140 द्वारा समर्थित है. हम उनके उदार उपकरण दान के लिए जेम्स बी Pendleton चैरिटेबल ट्रस्ट धन्यवाद.

Materials

Reagent Name Company Catalogue number
Trucount Absolute Counting Tubes BD Biosciences 340334
10X FACS Lysing Solution BD Biosciences 349202
Category B & Exempt Shipping System, Insulated Saf-T-Pak STP-320
CD45 AmCyan monoclonal antibody BD Biosciences 339192
CD3 FITC monoclonal antibody BD Biosciences 349201
CD8 PerCp-Cy 5.5 monoclonal antibody BD Biosciences 341051
CD4 Alexa Fluor 700 monoclonal antibody BD Biosciences 557922
HLA-DR ECD monoclonal antibody Beckman Coulter IM3636
CD14 v450 monoclonal antibody BD Biosciences 560349
CD19 PE monoclonal antibody BD Biosciences 555413
CD16 APC-H7 monoclonal antibody BD Biosciences 560195
CD56 PE-Cy7 monoclonal antibody BD Biosciences 335791
CD11c APC monoclonal antibody BD Biosciences 559877
CD123 PE-Cy5 monoclonal antibody BD Biosciences 551065

References

  1. Taylor, M. J., London, N. J., Thirdborough, S. M., Lake, S. P., James, R. F. The cryobiology of rat and human dendritic cells: preservation and destruction of membrane integrity by freezing. Cryobiology. 27, 269-278 (1990).
  2. Reimann, K. A., Chernoff, M., Wilkening, C. L., Nickerson, C. E., Landay, A. L. Preservation of lymphocyte immunophenotype and proliferative responses in cryopreserved peripheral blood mononuclear cells from human immunodeficiency virus type 1-infected donors: implications for multicenter clinical trials. The ACTG Immunology Advanced Technology Laboratories. Clin Diagn Lab Immunol. 7, 352-359 (2000).
  3. Boonlayangoor, P., Telischi, M., Boonlayangoor, S., Sinclair, T. F., Millhouse, E. W. Cryopreservation of human granulocytes: study of granulocyte function and ultrastructure. Blood. 56, 237-245 (1980).
  4. Perfetto, S. P., Ambrozak, D., Nguyen, R., Chattopadhyay, P., Roederer, M. Quality assurance for polychromatic flow cytometry. Nat Protoc. 1, 1522-1530 (2006).
  5. Brando, B., Barnett, D., Janossy, G., Mandy, F., Autran, B., Rothe, G., Scarpati, B., D’Avanzo, G., D’Hautcourt, J. L., Lenkei, R., Schmitz, G., Kunkl, A., Chianese, R., Papa, S., Gratama, J. W. Cytofluorometric methods for assessing absolute numbers of cell subsets in blood. European Working Group on Clinical Cell Analysis. Cytometry. 42, 327-346 (2000).
  6. Bull, M., Lee, D., Stucky, J., Chiu, Y. L., Rubin, A., Horton, H., McElrath, M. J. Defining blood processing parameters for optimal detection of cryopreserved antigen-specific responses for HIV vaccine trials. J. Immunol Methods. 322, 57-69 (2007).
  7. Kantor, A. B., Roederer, M., Herzenberg, L., Blackwell, C., Weir, D. . The handbook of Experimental Immunology. 43, 1-49 (1996).
  8. Hulspas, R. Flow cytometry and the stability of phycoerythrin-tandem dye conjugates. Cytometry A. 75, 966-972 (2009).
  9. Le Roy, C., Varin-Blank, N., Ajchenbaum-Cymbalista, F., Letestu, R. Flow cytometry APC-tandem dyes are degraded through a cell-dependent mechanism. Cytometry A. 75, 882-890 (2009).
  10. Mandy, F., Brando, B. Enumeration of absolute cell counts using immunophenotypic techniques. Curr. Protoc. Cytom. Chapter 6, Unit 6 (2001).
  11. Vuckovic, S. Monitoring dendritic cells in clinical practice using a new whole blood single-platform TruCOUNT assay. J. Immunol Methods. 284, 73-87 (2004).
  12. Lichtner, M. Circulating dendritic cells and interferon-alpha production in patients with tuberculosis: correlation with clinical outcome and treatment response. Clin. Exp. Immunol. 143, 329-337 (2006).
  13. Hosmalin, A., Lichtner, M., Louis, S. Clinical analysis of dendritic cell subsets: the dendritogram. Methods Mol. Biol. 415, 273-290 (2008).
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Hensley, T. R., Easter, A. B., Gerdts, S. E., De Rosa, S. C., Heit, A., McElrath, M. J., Andersen-Nissen, E. Enumeration of Major Peripheral Blood Leukocyte Populations for Multicenter Clinical Trials Using a Whole Blood Phenotyping Assay. J. Vis. Exp. (67), e4302, doi:10.3791/4302 (2012).

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