WO2011143044A2 - A lytic reagent system for flow cytometric analysis of leukocytes based on morphology or immunophenotypes - Google Patents

A lytic reagent system for flow cytometric analysis of leukocytes based on morphology or immunophenotypes Download PDF

Info

Publication number
WO2011143044A2
WO2011143044A2 PCT/US2011/035346 US2011035346W WO2011143044A2 WO 2011143044 A2 WO2011143044 A2 WO 2011143044A2 US 2011035346 W US2011035346 W US 2011035346W WO 2011143044 A2 WO2011143044 A2 WO 2011143044A2
Authority
WO
WIPO (PCT)
Prior art keywords
lytic reagent
reagent system
lytic
alkaline
whole blood
Prior art date
Application number
PCT/US2011/035346
Other languages
French (fr)
Other versions
WO2011143044A3 (en
Inventor
Juiming Lin
Chiranjit Deka
Original Assignee
Idexx Laboratories, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Idexx Laboratories, Inc. filed Critical Idexx Laboratories, Inc.
Publication of WO2011143044A2 publication Critical patent/WO2011143044A2/en
Publication of WO2011143044A3 publication Critical patent/WO2011143044A3/en

Links

Classifications

    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/536Immunoassay; Biospecific binding assay; Materials therefor with immune complex formed in liquid phase
    • G01N33/537Immunoassay; Biospecific binding assay; Materials therefor with immune complex formed in liquid phase with separation of immune complex from unbound antigen or antibody
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/569Immunoassay; Biospecific binding assay; Materials therefor for microorganisms, e.g. protozoa, bacteria, viruses
    • G01N33/56966Animal cells
    • G01N33/56972White blood cells

Definitions

  • the present disclosure relates to a reagent system for preparing whole blood samples for enumerating different subpopulations of leukocytes. Specifically, the present disclosure relates to a reagent system which may be utilized for manual sample preparation methods suitable for flow cytometers and for automated sample preparation methods suitable for hematology analyzers.
  • Leukocytes are any of several types of blood cells that help with defending the body from infection.
  • the different mature forms of leukocytes include granulocytes, including neutrophils, basophils, and eosinophils; monocytes, including macrophages; and lymphocytes. These mature forms have different functions, including ingesting bacteria, protozoans, and infected or dead body cells; producing antibodies; and regulating the action of other leukocytes.
  • the leukocytes operate mostly in the tissues. Blood normally contains about 5,000 to about 20,000 leukocytes per cubic millimeter, depending on the species.
  • Analysis of leukocyte subpopulation in a blood sample is an important step in clinical pathology. It provides information for diagnosis of pathological infection and disease, and is useful in monitoring progress in recovery of patients following treatment.
  • the subtype analysis may be based on morphological differences or it may be based on functional differences, often manifested by the expression of various types of specific protein markers on the surface of the cell.
  • Traditional methods for blood analysis involve staining a blood sample with vital stains and counting individual cells on a slide under a microscope to determine the absolute number and percentage of various sub populations within a whole blood sample. For accuracy and reliability, this approach is dependent on the skill and experience of the technologist making the slides and counting the cells.
  • a pre-requisite for automated leukocyte analysis is the lysis of red blood cells (RBC) prior to measurement and stabilization of the white blood cells (WBC) during the measurement of each sample.
  • RBC red blood cells
  • WBC white blood cells
  • the morphological differences between these populations must be maintained and/or enhanced for effective response by the detector system used for the analysis.
  • size differences are of utmost importance in distinguishing one population from another.
  • resolution between individual leukocyte sub populations depends on a complex combination of size, internal structure, and relative refractive indices of the cellular material.
  • the lytic process is designed to work rapidly on the RBCs while maintaining integrity of the WBC for a short period of time (i.e. under about 1 minute) sufficient to count tens of thousands of cells. There is no requirement to retain cellular integrity after this counting period is over.
  • a short period of time i.e. under about 1 minute
  • antibodies are also required to be labeled on the WBC in a blood sample manually, as is the case for
  • the incubation time of the antibody reagent with the WBC can be much longer than 1 minute (typically about 5 minutes to about 1 hour). Therefore, in such applications the integrity of the WBC has to be maintained for a longer period than is necessary for automated hematology analyzers that are not designed for immunophenotyping.
  • the reagent system of the present disclosure may be useful for differential analysis of leukocytes, in embodiments, using optical measurements in a flow cytometer or an automated hematology analyzer based on flow cytometry principles.
  • the reagent system includes a nonionic surfactant, an alkaline metal salt used to adjust osmolality of from about 15 to about 1.50 milliosmoles (mOsm), and a buffer that maintains a pH of from about 6 to about 10.
  • the present disclosure also provides a hypertonic solution for discontinuing a lytic reaction which includes an alkaline chloride salt possessing an alkaline ion such as sodium, potassium and/or lithium.
  • the present disclosure also provides methods for resolving white blood cell types based on morphology or immunophenotypes in a whole blood sample.
  • the methods include contacting a sample of whole blood with the lytic reagent of the present disclosure to lyse RBCs and then optionally contacting the sample with the hypertonic solution of the present disclosure.
  • the sample is contacted and incubated with fluorescent labeled antibodies for a pre-determined period before or after the addition of the lytic reagent.
  • FIG. 1 illustrates dot plot results of EXT v. RAS depicting the components of a dog blood sample (FIG. 1(a)) and cat blood sample (FIG. 1(b)) utilizing a commercial reagent as described in Comparative Example 1 ;
  • FIG. 2 shows dot plot results of EXT v. RAS depicting the components of a dog blood sample (FIG. 2(a)) and a cat blood sample (FIG. 2(b)) utilizing the reagent system of the present disclosure as described in Examples 1-2;
  • FIG. 3 illustrates dot plot results of EXT v. RAS depicting the components of a dog blood sample (FIG. 3(a)) and a dog blood sample with additional buffer (FIG. 3(b)) utilizing the reagent system of the present disclosure as described in Example 3;
  • FIG. 4 depicts dot plot results of forward versus side scatter measurements of a fluorescently labeled aliquot of dog blood using a lytic reagent of the present disclosure (Fig. 4a) and the differentiation of the CD4+ immunophenotype of the same samples by fluorescence (Fig. 4b); and
  • FIG. 5 illustrates dot plot results of forward versus side scatter measurements of a fluorescently labeled aliquot of dog blood using a commercially available lytic reagent PharmLyse (Fig. 5a) and the differentiation of the CD4+ immunophenotype of the same samples by fluorescence (Fig. 5b).
  • the present disclosure provides a lytic reagent system for differential analysis of leukocytes.
  • the lytic reagent system may be utilized in automated sample preparation systems using optical measurements, including flow cytometric hematology analyzers, and manual sample preparation systems for
  • immunophenotyping such as in a conventional flow cytometer.
  • a conventional flow cytometer may allow rapid lysis of the RBC without degrading or damaging WBC and stabilize the WBC for antibody conjugation.
  • the reagent system maintains the integrity of the cell surface receptors and fluorescently labeled antibodies to such receptors such that specific cells can be analyzed for immunophenotyping.
  • the reagent system includes a nonionic surfactant that serves the dual function of lysing red blood cells (RBCs) and solubilizing debris, an alkaline metal salt used to adjust osmolality, and an inorganic buffer to maintain the pH of the reagent system from about 6 to about 10.
  • RBCs red blood cells
  • alkaline metal salt used to adjust osmolality
  • inorganic buffer to maintain the pH of the reagent system from about 6 to about 10.
  • Suitable nonionic surfactants of the lytic reagent system of the present disclosure include fatty acid esters of polyalcohols such as sorbitan, sucrose, and glycerin.
  • the surfactant may be selected from polyoxyethylene (20) sorbitan monolaurate (i.e., Tween® 20), polyoxyethylene (20) sorbitan monooleate (i.e., Tween® 80), octyl phenol ethoxylate (i.e., Triton® X-100, commercially available from Sigma- Aldrich Co.), and combinations thereof.
  • the surfactants may be present at a concentration of from about 0.005% to about 0.015%) (w/v) in a hypotonic aqueous solution of an alkaline salt such as NaCl, KCl and LiCl, maintaining the osmolality of from about 15 to about 150 mOsm, in embodiments from about 25 to about 80 mOsm.
  • an alkaline salt such as NaCl, KCl and LiCl
  • the reagent system of the present disclosure also includes an alkaline metal salt to adjust osmolality of the reagent system.
  • Suitable alkaline metal salts include, for example, alkaline halides, including chlorides, bromides, iodides, and the like.
  • the alkaline metal salts may include alkaline chlorides.
  • Suitable alkaline chlorides include, but are not limited to, sodium chloride (NaCl), lithium chloride (LiCl), potassium chloride (KCl), and/or combinations thereof.
  • a suitable salt concentration or osmolality may be important for proper lysis of the RBC and resolution of WBC populations, particularly the eosinophils from neutrophils.
  • the salt concentration in the lytic reagent may be from about 3 to about 50 mM, in embodiments from about 6 to about 35 mM.
  • the reagent system of the present disclosure also contains a buffer to maintain a desired pH.
  • Suitable buffers include any physiologic buffers such as, for example, phosphate.
  • the concentration of the buffer may be from about 2 to about 10 mM, in embodiments from about 3 to about 7 mM, in some embodiments about 5 mM.
  • the pH of the reagent system may be maintained from about 6 to about 10, in embodiments from about 7 to about 9, and in other embodiments from about 7.2 to about 8. This near physiological pH is suitable for stabilizing white blood cells in a near natural condition.
  • a stabilizer sometimes referred to herein as a leukocyte stabilizing agent, in the reagent system of the present disclosure during the lysis of RBC.
  • Suitable stabilizers include, for example, bovine serum albumin (BSA), and the like.
  • BSA bovine serum albumin
  • Other stabilizers that may be utilized to bind molecules include polysaccharides.
  • the stabilizer may be added to provide additional leukoprotective function at a concentration of from about 0.01 to about 0.2%, in embodiments of from about 0.08% to about 0.13% in deionized water.
  • the present reagent system may include an isotonic sheath.
  • the isotonic sheath is a fluid specifically formulated for use in flow cytometers and is intended for use as the delivery medium of the sample to the optics component of a flow cytometer.
  • the isotonic sheath fluid is carefully manufactured for low particle and fluorescence backgrounds to ensure superior signal to noise ratio measurements and to enhance particle identification.
  • the reagent may optionally include a hypertonic, stop reagent to permit analysis of the WBC over a longer period of time in their near native state where no structural damage to the outside membrane or internal structures of the cell are observable.
  • the stop reagent composition may include an aqueous buffer solution with alkali metal salts. Examples of alkali metal salts may include but are not limited to NaCl, LiCl, KC1, and/or combinations thereof. The concentration of salts may vary and depends on the volume added into the lysed samples.
  • the hypertonic stop reagent/solution may have alkaline salts present at a concentration of from about 150 mM to about 250 mM, in embodiments from about 175 mM to about 225 mM.
  • the stop reagent may be added subsequent to the lysis of red blood cells to stop further lytic activity and prevent lysis of white blood cells. This is done so that the lytic reagent system can be applied to temperatures of up to about 35°C, in embodiments from about 20°C to about 33°C. In one embodiment, the stop reagent is added to the sample after it has been incubated with the lytic reagent of the present disclosure for a period of about 5 to about 60 seconds, in embodiments from about 8 to about 45 seconds, and in other embodiments of from about 10 to about 30 seconds.
  • the addition of the stop reagent may provide a stabilizing effect on the leukocytes, further providing sufficient time for analysis, in embodiments of from about 60 seconds to about 15 minutes, in other embodiments of from about 2 minutes to about 10 minutes.
  • a fluid that contains a known amount of particles per unit volume passes by a sensor.
  • external energy such as light from a laser, or
  • suitable flow cytometer detection systems include, for example, the optical detection system of Accuri C6 Cytometer (commercially available from Accuri Cytometer Inc.), LASERCYTE®
  • flow cytometers may utilize forward light scatter (FS), right angle scatter or side scatter (SS), and one or more fluorescence measurements, measuring the signals from the WBC in a flow cell as the cells pass through a sensing region. Additionally, it may include other
  • EXT extinction
  • ALL axial light loss
  • the reagent system may be maintained in near-physiologic pH conditions from about 6 to about 10, in embodiments from about 7 to about 9, in other embodiments from about 7.2 to about 8, to maintain leukocytes in their native states while incubating the whole blood sample for lysis of RBC.
  • the WBC may then be contacted with the hypertonic solution to provide measurements from two optical detectors capable of measuring axial light loss, side scatter, and time of flight, for example, in the flow cytometer as the cells pass through a sensing region, the first optical detector providing a measure of axial light loss and time of flight and the second optical detector providing a measure of side scatter.
  • the present reagent system and method may optionally be used with more than two light scatter detectors.
  • the lytic reagent system of the present disclosure may be utilized in conducting leukocyte differential on whole blood samples from multiple animal species including, but not limited to, canine, feline, equine, bovine, murine, ferret, mouse, rat and human.
  • the lytic reagent system includes an optional additive such as bioactive agents.
  • bioactive agents include, for example, biocide agents, antibiotics, antimicrobial agents, medicaments, growth factors, anti-clotting agents, analgesics, anesthetics, anti-inflammatory agents, and combinations thereof.
  • leukocytes may be easily differentiated into at least three subpopulations:
  • lymphocytes lymphocytes, monocytes, granulocytes.
  • the reagent system may be utilized with any suitable blood analysis system, including flow cytometry systems.
  • a known hypotonic lytic reagent was used that served both as a lytic agent and as sheath fluid.
  • the reagent utilized was commercially available from IDEXX Laboratories, Inc. in relation to its LaserCyte® instrument.
  • the osmolality of the lytic reagent was about 23 mOsm.
  • the lytic reagent was used separately with two different animal blood samples (derived from dog and cat), using the standard automated method by which LaserCyte operates.
  • FIG. 1(a) and 1(b) shows dot plot results of EXT vs. RAS for these control samples.
  • a significant number of degraded white cells remained overlapped with the rest of the leukocyte population.
  • the region marked as R8 overlapped with the lymphocyte population and thus had the potential to inaccurately report the lymphocyte count in the sample.
  • a lytic reagent system of the present disclosure was prepared using a surfactant, an alkaline metal salt, and a buffer.
  • the lytic reagent system was formulated as follows:
  • a sheath reagent was used to hydrodynamically focus the sample stream in the flow cytometer. About 2310 ⁇ , of lytic reagent was added into about 80 ⁇ , of a dog blood sample, followed by mixing and incubation for about 80 seconds. The pH of the lytic reagent system was about 7.5 and the osmolality was about 75 mOsm.
  • a lytic reagent system of the present disclosure was prepared using a surfactant, an alkaline metal salt, and a buffer as described in Table 1.
  • a known sheath reagent was used to hydrodynamically focus the sample stream in the flow cytometer.
  • lytic reagent About 2310 ⁇ of lytic reagent was added into about 80 of a cat blood sample, followed by mixing and incubation for about 80 seconds.
  • the pH of the lytic reagent system was about 7.5 and the osmolality was about 75 mOsm.
  • FIG. 2(b) illustrates a clearer separation of the eosinophil population from the neutrophils.
  • a lytic reagent system of the present disclosure was prepared using a surfactant, an alkaline metal salt, and a buffer as described in Table 1.
  • a known sheath reagent was used to hydrodynamically focus the sample stream in the flow cytometer.
  • lytic reagent About 2 mL of lytic reagent was added into about 60 of a dog blood sample, followed by mixing and incubation for about 10 to about 30 seconds.
  • the pH of the lytic reagent system was about 7.5 and the osmolality was about 75 mOsm.
  • About 120 ⁇ of a hypertonic stop solution was then added to the resultant mixture.
  • FIG. 3(a) An aliquot of the treated sample was analyzed after about 30 seconds by a LASERCYTE® Hematology Analyzer. The resultant dot plot of EXT versus RAS is depicted in FIG. 3(a). Fig. 3a indicates a standard differential pattern on the same sample measured by the same optical detectors.
  • a lytic reagent system of the present disclosure was prepared using a surfactant, an alkaline metal salt, and a buffer as described in Table 1.
  • FIG. 4(a) The resultant dot plot of forward scatter (FSC) versus side scatter (SSC) is depicted in FIG. 4(a).
  • FIG. 4(a) illustrates the preservation of the lymphocyte and neutrophil populations after the RBC were lysed using the lytic reagent of the present disclosure.
  • the differentiation of the CD4+ immunophenotype of the same samples by fluorescence was illustrated in the resultant histogram of fluorescence (FL2) in FIG. 4(b) for the gated lymphocyte population.
  • a lytic reagent system of the present disclosure was prepared using a surfactant, an alkaline metal salt, and a buffer as described in Table 1. [0057] A known sheath reagent was used to hydrodynamically focus the sample stream in the flow cytometer.
  • FIG. 5(a) An aliquot of the treated sample was analyzed by an Accuri® C6 flow cytometer.
  • the resultant dot plot of forward scatter (FSC) versus side scatter (SSC) is depicted in FIG. 5(a).
  • FIG. 5(a) illustrates the preservation of the lymphocyte and neutrophil populations after the RBC were lysed using the Pharmlyse lytic reagent.
  • the differentiation of the CD4+ immunophenotype of the same samples by fluorescence was illustrated in the resultant histogram of fluorescence (FL2) in FIG. 5(b) for the gated lymphocyte population.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Immunology (AREA)
  • Engineering & Computer Science (AREA)
  • Hematology (AREA)
  • Molecular Biology (AREA)
  • Cell Biology (AREA)
  • Chemical & Material Sciences (AREA)
  • Urology & Nephrology (AREA)
  • Biomedical Technology (AREA)
  • Analytical Chemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • Biotechnology (AREA)
  • Pathology (AREA)
  • General Physics & Mathematics (AREA)
  • Food Science & Technology (AREA)
  • Medicinal Chemistry (AREA)
  • Physics & Mathematics (AREA)
  • Microbiology (AREA)
  • Biochemistry (AREA)
  • Zoology (AREA)
  • Tropical Medicine & Parasitology (AREA)
  • Virology (AREA)
  • Investigating Or Analysing Biological Materials (AREA)

Abstract

A lytic reagent composition and methods for differentiation and enumeration of leukocytes are disclosed. The lytic reagent is useful for rapid and automated sample preparation methods in an automated hematology analyzer, and also for manual and slow sample preparation methods required for immunophenotyping cells in a conventional fluorescence flow cytometer. The reagent system includes a nonionic surfactant in a hypotonic solution, an inorganic buffer to maintain the pH in a range of from about 6 to about 10, and optionally a leukocyte stabilizer. The reagent system is used to lyse red blood cells and stabilize the leukocytes so that antibody binding sites on the leukocytes remain unaffected by the process and the blood samples may be labeled with antibodies either before or after the lysis of the red blood cells.

Description

A LYTIC REAGENT SYSTEM FOR FLOW CYTOMETRIC ANALYSIS OF LEUKOCYTES BASED ON MORPHOLOGY OR IMMUNOPHENOTYPES
BACKGROUND
Technical Field
[0001] The present disclosure relates to a reagent system for preparing whole blood samples for enumerating different subpopulations of leukocytes. Specifically, the present disclosure relates to a reagent system which may be utilized for manual sample preparation methods suitable for flow cytometers and for automated sample preparation methods suitable for hematology analyzers.
Background of Related Art
[0002] Leukocytes are any of several types of blood cells that help with defending the body from infection. The different mature forms of leukocytes include granulocytes, including neutrophils, basophils, and eosinophils; monocytes, including macrophages; and lymphocytes. These mature forms have different functions, including ingesting bacteria, protozoans, and infected or dead body cells; producing antibodies; and regulating the action of other leukocytes. The leukocytes operate mostly in the tissues. Blood normally contains about 5,000 to about 20,000 leukocytes per cubic millimeter, depending on the species.
[0003] Analysis of leukocyte subpopulation in a blood sample is an important step in clinical pathology. It provides information for diagnosis of pathological infection and disease, and is useful in monitoring progress in recovery of patients following treatment. The subtype analysis may be based on morphological differences or it may be based on functional differences, often manifested by the expression of various types of specific protein markers on the surface of the cell. [0004] Traditional methods for blood analysis involve staining a blood sample with vital stains and counting individual cells on a slide under a microscope to determine the absolute number and percentage of various sub populations within a whole blood sample. For accuracy and reliability, this approach is dependent on the skill and experience of the technologist making the slides and counting the cells. In addition, the method is time consuming and often lacks statistical robustness as only a few hundred cells may be counted per sample. Automated hematology analyzers, based on flow cytometry technology, offer an improvement over the limitations of the manual method by counting thousands of cells within seconds.
[0005] A pre-requisite for automated leukocyte analysis is the lysis of red blood cells (RBC) prior to measurement and stabilization of the white blood cells (WBC) during the measurement of each sample. In addition, in order for the different sub populations of WBC to be analyzed individually, the morphological differences between these populations must be maintained and/or enhanced for effective response by the detector system used for the analysis. For measurement systems based on electrical impedance (i.e., Coulter Principle), size differences are of utmost importance in distinguishing one population from another. For light scatter based measurements, resolution between individual leukocyte sub populations depends on a complex combination of size, internal structure, and relative refractive indices of the cellular material. As a result, whether or not a reagent system can enable accurate identification and analysis of individual leukocyte sub populations after removal of the RBC by lysis can only be determined by experimentation.
[0006] While counting of the main subpopulations of WBC based on morphological differences offers significant clinical information, it does not provide direct information on specific infections afflicting a patient; additional immunological information is necessary for that purpose. Immunological responses are measured by further conjugating individual WBC cell types with specific antibodies that recognize only specific cell types. If the antibodies are labeled appropriately with fluorescent markers (i.e., fluorochromes, quantum dots, etc.), then each cell type specific to a particular antibody can be measured in a flow cytometer.
However, in order for such measurements to be accurate, it is important that there is minimal degradation of the target WBC and that the antibody receptor sites on those cells are not negatively affected by any of the reagents to which the sample comes in contact during sample preparation.
[0007] In automated hematology analyzers, the lytic process is designed to work rapidly on the RBCs while maintaining integrity of the WBC for a short period of time (i.e. under about 1 minute) sufficient to count tens of thousands of cells. There is no requirement to retain cellular integrity after this counting period is over. However, when antibodies are also required to be labeled on the WBC in a blood sample manually, as is the case for
conventional flow cytometers, the incubation time of the antibody reagent with the WBC can be much longer than 1 minute (typically about 5 minutes to about 1 hour). Therefore, in such applications the integrity of the WBC has to be maintained for a longer period than is necessary for automated hematology analyzers that are not designed for immunophenotyping.
[0008] Thus, improved reagent systems for blood analysis remain desirable suitable for automated sample preparation such as in a hematology analyzer and manual sample preparation for immunophenotyping such as in a conventional flow cytometer.
SUMMARY
[0009] The reagent system of the present disclosure may be useful for differential analysis of leukocytes, in embodiments, using optical measurements in a flow cytometer or an automated hematology analyzer based on flow cytometry principles. [0010] The reagent system includes a nonionic surfactant, an alkaline metal salt used to adjust osmolality of from about 15 to about 1.50 milliosmoles (mOsm), and a buffer that maintains a pH of from about 6 to about 10.
[0011] The present disclosure also provides a hypertonic solution for discontinuing a lytic reaction which includes an alkaline chloride salt possessing an alkaline ion such as sodium, potassium and/or lithium.
[0012] The present disclosure also provides methods for resolving white blood cell types based on morphology or immunophenotypes in a whole blood sample. The methods include contacting a sample of whole blood with the lytic reagent of the present disclosure to lyse RBCs and then optionally contacting the sample with the hypertonic solution of the present disclosure. The sample is contacted and incubated with fluorescent labeled antibodies for a pre-determined period before or after the addition of the lytic reagent.
BRIEF DESCRIPTION OF THE DRAWINGS
[0013] Various embodiments of the present disclosure will be described herein below with reference to the figures wherein:
[0014] FIG. 1 illustrates dot plot results of EXT v. RAS depicting the components of a dog blood sample (FIG. 1(a)) and cat blood sample (FIG. 1(b)) utilizing a commercial reagent as described in Comparative Example 1 ;
[0015] FIG. 2 shows dot plot results of EXT v. RAS depicting the components of a dog blood sample (FIG. 2(a)) and a cat blood sample (FIG. 2(b)) utilizing the reagent system of the present disclosure as described in Examples 1-2;
[0016] FIG. 3 illustrates dot plot results of EXT v. RAS depicting the components of a dog blood sample (FIG. 3(a)) and a dog blood sample with additional buffer (FIG. 3(b)) utilizing the reagent system of the present disclosure as described in Example 3; [0017] FIG. 4 depicts dot plot results of forward versus side scatter measurements of a fluorescently labeled aliquot of dog blood using a lytic reagent of the present disclosure (Fig. 4a) and the differentiation of the CD4+ immunophenotype of the same samples by fluorescence (Fig. 4b); and
[0018] FIG. 5 illustrates dot plot results of forward versus side scatter measurements of a fluorescently labeled aliquot of dog blood using a commercially available lytic reagent PharmLyse (Fig. 5a) and the differentiation of the CD4+ immunophenotype of the same samples by fluorescence (Fig. 5b).
DETAILED DESCRIPTION
[0019] In general, the present disclosure provides a lytic reagent system for differential analysis of leukocytes. In embodiments, the lytic reagent system may be utilized in automated sample preparation systems using optical measurements, including flow cytometric hematology analyzers, and manual sample preparation systems for
immunophenotyping such as in a conventional flow cytometer. Such a system may allow rapid lysis of the RBC without degrading or damaging WBC and stabilize the WBC for antibody conjugation. The reagent system maintains the integrity of the cell surface receptors and fluorescently labeled antibodies to such receptors such that specific cells can be analyzed for immunophenotyping.
[0020] The reagent system includes a nonionic surfactant that serves the dual function of lysing red blood cells (RBCs) and solubilizing debris, an alkaline metal salt used to adjust osmolality, and an inorganic buffer to maintain the pH of the reagent system from about 6 to about 10.
[0021] Suitable nonionic surfactants of the lytic reagent system of the present disclosure include fatty acid esters of polyalcohols such as sorbitan, sucrose, and glycerin. In embodiments, the surfactant may be selected from polyoxyethylene (20) sorbitan monolaurate (i.e., Tween® 20), polyoxyethylene (20) sorbitan monooleate (i.e., Tween® 80), octyl phenol ethoxylate (i.e., Triton® X-100, commercially available from Sigma- Aldrich Co.), and combinations thereof.
[0022] The surfactants may be present at a concentration of from about 0.005% to about 0.015%) (w/v) in a hypotonic aqueous solution of an alkaline salt such as NaCl, KCl and LiCl, maintaining the osmolality of from about 15 to about 150 mOsm, in embodiments from about 25 to about 80 mOsm.
[0023] As noted above, the reagent system of the present disclosure also includes an alkaline metal salt to adjust osmolality of the reagent system. Suitable alkaline metal salts include, for example, alkaline halides, including chlorides, bromides, iodides, and the like. In embodiments, the alkaline metal salts may include alkaline chlorides. Suitable alkaline chlorides include, but are not limited to, sodium chloride (NaCl), lithium chloride (LiCl), potassium chloride (KCl), and/or combinations thereof. A suitable salt concentration or osmolality may be important for proper lysis of the RBC and resolution of WBC populations, particularly the eosinophils from neutrophils. The salt concentration in the lytic reagent may be from about 3 to about 50 mM, in embodiments from about 6 to about 35 mM.
[0024] As noted above, the reagent system of the present disclosure also contains a buffer to maintain a desired pH. Suitable buffers include any physiologic buffers such as, for example, phosphate. The concentration of the buffer may be from about 2 to about 10 mM, in embodiments from about 3 to about 7 mM, in some embodiments about 5 mM. Utilizing these buffers, the pH of the reagent system may be maintained from about 6 to about 10, in embodiments from about 7 to about 9, and in other embodiments from about 7.2 to about 8. This near physiological pH is suitable for stabilizing white blood cells in a near natural condition. [0025] In embodiments, it may also be desirable to include a stabilizer, sometimes referred to herein as a leukocyte stabilizing agent, in the reagent system of the present disclosure during the lysis of RBC. Suitable stabilizers include, for example, bovine serum albumin (BSA), and the like. Other stabilizers that may be utilized to bind molecules include polysaccharides. The stabilizer may be added to provide additional leukoprotective function at a concentration of from about 0.01 to about 0.2%, in embodiments of from about 0.08% to about 0.13% in deionized water.
[0026] In embodiments, the present reagent system may include an isotonic sheath. The isotonic sheath is a fluid specifically formulated for use in flow cytometers and is intended for use as the delivery medium of the sample to the optics component of a flow cytometer. The isotonic sheath fluid is carefully manufactured for low particle and fluorescence backgrounds to ensure superior signal to noise ratio measurements and to enhance particle identification.
[0027] The reagent may optionally include a hypertonic, stop reagent to permit analysis of the WBC over a longer period of time in their near native state where no structural damage to the outside membrane or internal structures of the cell are observable. The stop reagent composition may include an aqueous buffer solution with alkali metal salts. Examples of alkali metal salts may include but are not limited to NaCl, LiCl, KC1, and/or combinations thereof. The concentration of salts may vary and depends on the volume added into the lysed samples. In embodiments, the hypertonic stop reagent/solution may have alkaline salts present at a concentration of from about 150 mM to about 250 mM, in embodiments from about 175 mM to about 225 mM.
[0028] The stop reagent may be added subsequent to the lysis of red blood cells to stop further lytic activity and prevent lysis of white blood cells. This is done so that the lytic reagent system can be applied to temperatures of up to about 35°C, in embodiments from about 20°C to about 33°C. In one embodiment, the stop reagent is added to the sample after it has been incubated with the lytic reagent of the present disclosure for a period of about 5 to about 60 seconds, in embodiments from about 8 to about 45 seconds, and in other embodiments of from about 10 to about 30 seconds.
[0029] The addition of the stop reagent may provide a stabilizing effect on the leukocytes, further providing sufficient time for analysis, in embodiments of from about 60 seconds to about 15 minutes, in other embodiments of from about 2 minutes to about 10 minutes.
[0030] In a flow cytometer, a fluid that contains a known amount of particles per unit volume passes by a sensor. When external energy such as light from a laser, or
electromagnetic radiation from an electromagnet, is directed into such a flowing fluid, the particles will scatter, absorb or reemit such energy dependent on characteristics peculiar to such particles. Scattered, absorbed or reemitted energy can be measured by a sensor. The exact amount of such energy received by a sensor per unit time gives a direct indication of the quantity of particles that have passed by in the stream. By knowing the number of such particles per unit volume, the amount of volume per unit time that has passed by can be calculated with an automated instrument (the flow rate). In embodiments, suitable flow cytometer detection systems include, for example, the optical detection system of Accuri C6 Cytometer (commercially available from Accuri Cytometer Inc.), LASERCYTE®
hematology analyzer, (commercially available from IDEXX Laboratories Inc.), and flow cytometers described in U.S. Patent Application Publication Nos. 2004/0246480 and
2006/0203226, the entire disclosures of which are incorporated by reference herein. These flow cytometers may utilize forward light scatter (FS), right angle scatter or side scatter (SS), and one or more fluorescence measurements, measuring the signals from the WBC in a flow cell as the cells pass through a sensing region. Additionally, it may include other
measurement channels, including extinction (EXT) or axial light loss (ALL).
[0031] The reagent system may be maintained in near-physiologic pH conditions from about 6 to about 10, in embodiments from about 7 to about 9, in other embodiments from about 7.2 to about 8, to maintain leukocytes in their native states while incubating the whole blood sample for lysis of RBC. The WBC may then be contacted with the hypertonic solution to provide measurements from two optical detectors capable of measuring axial light loss, side scatter, and time of flight, for example, in the flow cytometer as the cells pass through a sensing region, the first optical detector providing a measure of axial light loss and time of flight and the second optical detector providing a measure of side scatter. In another embodiment, the present reagent system and method may optionally be used with more than two light scatter detectors.
[0032] The lytic reagent system of the present disclosure may be utilized in conducting leukocyte differential on whole blood samples from multiple animal species including, but not limited to, canine, feline, equine, bovine, murine, ferret, mouse, rat and human.
[0033] In embodiments, the lytic reagent system includes an optional additive such as bioactive agents. Suitable bioactive agents include, for example, biocide agents, antibiotics, antimicrobial agents, medicaments, growth factors, anti-clotting agents, analgesics, anesthetics, anti-inflammatory agents, and combinations thereof.
[0034] By applying the lytic reagent system of the present disclosure into whole blood samples, leukocytes may be easily differentiated into at least three subpopulations:
lymphocytes, monocytes, granulocytes. The reagent system may be utilized with any suitable blood analysis system, including flow cytometry systems.
[0035] The following Examples are being submitted to illustrate embodiments of the present disclosure. These Examples are intended to be illustrative only and are not intended to limit the scope of the present disclosure. Also, parts and percentages are by weight unless otherwise indicated.
EXAMPLES
Comparative Example 1
[0036] A known hypotonic lytic reagent was used that served both as a lytic agent and as sheath fluid. The reagent utilized was commercially available from IDEXX Laboratories, Inc. in relation to its LaserCyte® instrument. The osmolality of the lytic reagent was about 23 mOsm. The lytic reagent was used separately with two different animal blood samples (derived from dog and cat), using the standard automated method by which LaserCyte operates. FIG. 1(a) and 1(b) shows dot plot results of EXT vs. RAS for these control samples. As can be seen in FIG. 1, a significant number of degraded white cells remained overlapped with the rest of the leukocyte population. In particular, the region marked as R8 overlapped with the lymphocyte population and thus had the potential to inaccurately report the lymphocyte count in the sample.
Example 1
[0037] A lytic reagent system of the present disclosure was prepared using a surfactant, an alkaline metal salt, and a buffer. The lytic reagent system was formulated as follows:
TABLE 1
NaHC03 1.07 g/L 12.74mM
HEPES-Na 1.34 g/L 5.15mM
KCI 0.1 g/L 1.34mM
NaCi 0.78 g/L 13.35mM
K2HP04 0.047 g/L 0.27mM
KH2P04 0.86 g/L 6.32mM
Polyoxyethylene (20) sorbitan
monolaurate (Tween 20) 0.013% 0.11 mM proclin 300 0.01 g/L * [0038] A sheath reagent was used to hydrodynamically focus the sample stream in the flow cytometer. About 2310 μί, of lytic reagent was added into about 80 μΐ, of a dog blood sample, followed by mixing and incubation for about 80 seconds. The pH of the lytic reagent system was about 7.5 and the osmolality was about 75 mOsm.
[0039] The treated sample was immediately analyzed by a modified LASERCYTE® Hematology analyzer (commercially available from IDEXX Laboratories Inc.). The resultant dot plot of EXT versus RAS is depicted in FIG. 2(a).
[0040] Compared with the results of Comparative Example 1 , there was significantly less debris and ghost cells present after utilizing the lytic reagent system of the present disclosure (as depicted in FIG. 2(a)) compared with the region marked R8 in FIG. 1(a). Moreover, the absence of degraded cell populations R7 and R8 in FIG. 2(a) is apparent (compare FIG. 1(a)), with only intact white blood cells separated out in distinct sub-populations after utilizing the lytic reagent system of the present disclosure.
Example 2
[0041] A lytic reagent system of the present disclosure was prepared using a surfactant, an alkaline metal salt, and a buffer as described in Table 1.
[0042] A known sheath reagent was used to hydrodynamically focus the sample stream in the flow cytometer.
[0043] About 2310 μΕ of lytic reagent was added into about 80 of a cat blood sample, followed by mixing and incubation for about 80 seconds. The pH of the lytic reagent system was about 7.5 and the osmolality was about 75 mOsm.
[0044] The treated sample was immediately analyzed by a modified LASERCYTE® Hematology analyzer. The resultant dot plot of EXT versus RAS is depicted in FIG. 2(b).
[0045] Compared with the results of Comparative Example 1, there was significantly less debris and ghost cells present after utilizing the lytic reagent system of the present disclosure (as depicted in FIG. 2(b)) compared with the region marked R8 in FIG. 1(b). Moreover, the absence of degraded cell populations R7 and R8 in FIG. 2(b) is apparent (compared to FIG. 1 (b)), with only intact white blood cells separated out in distinct sub-populations after utilizing the lytic reagent system of the present disclosure. In addition, FIG. 2(b) illustrates a clearer separation of the eosinophil population from the neutrophils.
Example 3
[0046] A lytic reagent system of the present disclosure was prepared using a surfactant, an alkaline metal salt, and a buffer as described in Table 1.
[0047] A known sheath reagent was used to hydrodynamically focus the sample stream in the flow cytometer.
[0048] About 2 mL of lytic reagent was added into about 60 of a dog blood sample, followed by mixing and incubation for about 10 to about 30 seconds. The pH of the lytic reagent system was about 7.5 and the osmolality was about 75 mOsm. About 120 μΕ of a hypertonic stop solution was then added to the resultant mixture.
[0049] An aliquot of the treated sample was analyzed after about 30 seconds by a LASERCYTE® Hematology Analyzer. The resultant dot plot of EXT versus RAS is depicted in FIG. 3(a). Fig. 3a indicates a standard differential pattern on the same sample measured by the same optical detectors.
[0050] A second aliquot of the treated sample with about 120 μΐ, of additional lOx phosphate buffered saline (PBS) was analyzed after 3 minutes by a LASERCYTE®
Hematology analyzer. The resultant dot plot of EXT versus RAS is depicted in FIG. 3(b). The dot plot results show that even after about 3 minutes the lymphocyte and neutrophil populations are still well preserved and therefore available for further immuphenotype analysis.
Example 4
[0051 ] A lytic reagent system of the present disclosure was prepared using a surfactant, an alkaline metal salt, and a buffer as described in Table 1.
[0052] About 5 μΐ^ of anti canine CD4 antibody was added into about 50 μϊ^ of a dog blood sample, followed by mixing and incubation for about 30 minutes. About 2 mL of lytic reagent of the present disclosure was then added to the above mixture and incubated for about 10 to about 30 seconds. The pH of the lytic reagent system was about 7.5 and the osmolality was about 80 mOsm.
[0053] An aliquot of the treated sample was analyzed in an Accuri® C6 flow cytometer (commercially available from Accuri Inc.). Distilled water was utilized as the sheath reagent to hydrodynamically focus the sample stream in the flow cytometer.
[0054] The resultant dot plot of forward scatter (FSC) versus side scatter (SSC) is depicted in FIG. 4(a). FIG. 4(a) illustrates the preservation of the lymphocyte and neutrophil populations after the RBC were lysed using the lytic reagent of the present disclosure. The differentiation of the CD4+ immunophenotype of the same samples by fluorescence was illustrated in the resultant histogram of fluorescence (FL2) in FIG. 4(b) for the gated lymphocyte population.
Example 5
[0055] Comparative example using a commercial lytic reagent designed for
immunophenotyping applications only.
[0056] A lytic reagent system of the present disclosure was prepared using a surfactant, an alkaline metal salt, and a buffer as described in Table 1. [0057] A known sheath reagent was used to hydrodynamically focus the sample stream in the flow cytometer.
[0058] About 5 of anti canine CD4 antibody was added into about 50 μΐ, of a dog blood sample, followed by mixing and incubation for about 30 minutes. Afterwards, about 2 mL of a commercial lytic reagent Pharmlyse® (commercially available from Becton
Dickinson) was added to the above mixture and incubated for about 15 minutes. Then this mixture was centrifuged at 200 x g (centrifugal force, times gravity) for about 5 minutes and washed once with about 2 ml of lx PBS/1%FBS. The cell pellet was added to about 400 μΐ of lx PBS/1%FBS to resuspend the sample.
[0059] An aliquot of the treated sample was analyzed by an Accuri® C6 flow cytometer. The resultant dot plot of forward scatter (FSC) versus side scatter (SSC) is depicted in FIG. 5(a). FIG. 5(a) illustrates the preservation of the lymphocyte and neutrophil populations after the RBC were lysed using the Pharmlyse lytic reagent. The differentiation of the CD4+ immunophenotype of the same samples by fluorescence was illustrated in the resultant histogram of fluorescence (FL2) in FIG. 5(b) for the gated lymphocyte population.
[0060] It will be appreciated that several of the above-disclosed and other features and functions, or alternatives thereof, may be desirable combined into many other different systems or applications. Also that various presently unforeseen or unanticipated alternatives, modifications, variations or improvements therein may be subsequently made by those skilled in the art which are also intended to be encompassed by the following claims. Unless specifically recited in a claim, steps or components of claims should not be implied or imported from the specification or any other claims as to any particular order, number, position, size, shape, angle, color, or material.

Claims

CLAIMS What is claimed is:
1. A lytic reagent system for use in the analysis of leukocytes in whole blood
comprising:
a nonionic surfactant having a concentration of from about 0.005% wt% (w/v) to about 0.02 wt% (w/v);
an alkaline metal salt to adjust osmolality of the system of from about 15 mOsm to about 150 mOsm selected from the group consisting of alkaline halides, alkaline chlorides, alkaline bromides, alkaline iodides, and combinations thereof; and
a buffer to maintain a pH of the system of from about 6 to about 10, wherein the lytic reagent system is applied to temperatures of up to about 35° C.
2. The lytic reagent system according to claim 1, wherein the alkaline metal salt is used to adjust the osmolality of the system of from about 25 mOsm to about 100 mOsm.
3. The lytic reagent system according to claim 1, wherein the buffer maintains the pH of the system of from about 7 to about 9.
4. The lytic reagent system according to claim 1 , wherein the nonionic surfactant is selected from the group consisting of polyoxyethylene (20) sorbitan monolaurate,
polyoxyethylene (20) sorbitan monooleate, octyl phenol ethoxylate, and combinations thereof.
5. The lytic reagent system according to claim 1, wherein the alkaline metal salt includes an alkaline ion selected from the group consisting of lithium, sodium and potassium.
6. The lytic reagent system according to claim 1, wherein the buffer is selected from the group consisting of phosphate buffers having a combined concentration of from about 2 mM to about 10 mM.
7. The lytic reagent system according to claim 1, further comprising a white blood cell stabilizer.
8. The lytic reagent system according to claim 7, wherein the white blood cell stabilizer includes bovine serum albumin having a concentration of from about 0.01% to about 0.2%.
9. The lytic reagent system according to claim 1, wherein the whole blood is derived from an animal selected from the group consisting of bovine, canine, feline, equine, ferret and human.
10. A method for resolving white blood cell sub-populations in a whole blood sample, comprising:
(i) incubating the whole blood sample with the lytic reagent of claim 1 to lyse blood cells;
(ii) measuring a response in a flow cytometer which includes at least two optical detectors as the blood cells pass through a flow cell intersecting a laser beam, wherein at least one detector measures light scatter; and
(iii) differentiating white blood cells in the whole blood sample.
11. A method according to claim 10, further comprising the step of: (iv) adding a hypertonic solution for discontinuing the lytic reaction after step (i) of claim 10.
12. The method according to claim 11 , wherein the hypertonic solution includes an alkaline metal salt with an alkaline ion selected from the group consisting of sodium, potassium, and lithium.
13. The method according to claim 10, wherein the whole blood sample is derived from an animal selected from the group consisting of bovine, canine, feline, equine, ferret and human.
14. A method for resolving immunophenotypes of white blood cell sub-populations in a whole blood sample, comprising:
(i) adding at least one antibody specific to receptors on or in at least one white blood cell sub-population, and incubating the mixture for a predetermined period of time;
(ii) adding the lytic reagent of claim 1 to lyse the red blood cells;
(iii) adding a hypertonic solution for discontinuing the lytic reaction;
(iv) measuring a response from at least two optical detectors as the white blood cells pass through a sensing region in a flow cell of an optical detection system, wherein at least one detector measures light scatter; and
(v) differentiating the white blood cells in the whole blood sample.
15. The method according to claim 14, wherein the hypertonic solution includes an alkaline metal salt having an alkaline ion selected from the group consisting of sodium, potassium, and lithium.
16. The method according to claim 14, wherein the whole blood sample is derived from an animal.
17. The method according to claim 14, wherein the whole blood sample is derived from an animal selected from the group consisting of bovine, canine, feline, equine, ferret and human.
18. The method according to claim 14, wherein the antibodies are further conjugated with fluorochromes.
PCT/US2011/035346 2010-05-10 2011-05-05 A lytic reagent system for flow cytometric analysis of leukocytes based on morphology or immunophenotypes WO2011143044A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US33287010P 2010-05-10 2010-05-10
US61/332,870 2010-05-10

Publications (2)

Publication Number Publication Date
WO2011143044A2 true WO2011143044A2 (en) 2011-11-17
WO2011143044A3 WO2011143044A3 (en) 2012-01-05

Family

ID=44914909

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2011/035346 WO2011143044A2 (en) 2010-05-10 2011-05-05 A lytic reagent system for flow cytometric analysis of leukocytes based on morphology or immunophenotypes

Country Status (1)

Country Link
WO (1) WO2011143044A2 (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108866146A (en) * 2018-07-04 2018-11-23 中国医学科学院放射医学研究所 A kind of cell cycle detection kit
CN109852607A (en) * 2018-12-30 2019-06-07 上海星耀医学科技发展有限公司 It the reagent of erythroplastid and is applied in DNA extraction in a kind of removal biological sample
CN112305210A (en) * 2020-10-15 2021-02-02 爱若维生物科技(苏州)有限公司 Three-classification blood cell analysis reagent for livestock and preparation method thereof

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5648225A (en) * 1993-02-25 1997-07-15 Abbott Laboratories Method of using a multi-purpose beagent for subclassification of nucleated blood cells
US5817518A (en) * 1995-12-18 1998-10-06 Coulter International Corp. Reagent and method for differential determination of leukocytes in blood
US20050026240A1 (en) * 2003-07-21 2005-02-03 Sommer Michael J. Reagent composition for the analysis of residual white blood cells in leuko-reduced blood banking products
US20080176331A1 (en) * 2007-01-24 2008-07-24 Idexx Laboratories, Inc. Lytic reagent and method for leukocytes differential in whole blood

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5648225A (en) * 1993-02-25 1997-07-15 Abbott Laboratories Method of using a multi-purpose beagent for subclassification of nucleated blood cells
US5817518A (en) * 1995-12-18 1998-10-06 Coulter International Corp. Reagent and method for differential determination of leukocytes in blood
US20050026240A1 (en) * 2003-07-21 2005-02-03 Sommer Michael J. Reagent composition for the analysis of residual white blood cells in leuko-reduced blood banking products
US20080176331A1 (en) * 2007-01-24 2008-07-24 Idexx Laboratories, Inc. Lytic reagent and method for leukocytes differential in whole blood

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108866146A (en) * 2018-07-04 2018-11-23 中国医学科学院放射医学研究所 A kind of cell cycle detection kit
CN109852607A (en) * 2018-12-30 2019-06-07 上海星耀医学科技发展有限公司 It the reagent of erythroplastid and is applied in DNA extraction in a kind of removal biological sample
CN112305210A (en) * 2020-10-15 2021-02-02 爱若维生物科技(苏州)有限公司 Three-classification blood cell analysis reagent for livestock and preparation method thereof

Also Published As

Publication number Publication date
WO2011143044A3 (en) 2012-01-05

Similar Documents

Publication Publication Date Title
US7449337B2 (en) Lytic reagent and method for leukocytes differential in whole blood
Dragovic et al. Sizing and phenotyping of cellular vesicles using Nanoparticle Tracking Analysis
JP2565844B2 (en) Accurate counting of heterogeneous cell populations under lysis conditions and grading for sensitivity
JP2716267B2 (en) Versatile reagent system for rapid lysis of whole blood samples
US4654312A (en) Lysing agent for analysis of peripheral blood cells
KR100276144B1 (en) Reagent composition and their use in the identification and characterization of reticulocytes in whole blood
US5155044A (en) Lysing reagent system for isolation, identification and/or analysis of leukocytes from whole blood samples
AU750108B2 (en) Fully automated method and reagent composition therefor for rapid identification and characterization of reticulocytes, erythrocytes and platelets in whole blood
US4902613A (en) Lysing agent for analysis of peripheral blood cells
JP3679127B2 (en) Reagent and method for determining differential formula of leukocytes in blood
JP5457560B2 (en) How to flag a sample
US10371640B2 (en) Compositions and methods for leukocyte differential counting
JPH034171A (en) Dissolving agent and usage thereof
JPH07181177A (en) Reagent for analysis of white corpuscles
JPH0534342A (en) Preparing method of sample for classification and counting of leucocyte
JP3345135B2 (en) Blood analysis method
WO2013064078A1 (en) Method and device for recognizing plasmodium-infected erythrocyte
JP2007516422A (en) Method for assessing samples containing cell targets and soluble analytes substantially simultaneously
JP3822625B2 (en) Hematology control products
EP3491381A1 (en) Suspension composition for hematology analysis control
JP2001524665A (en) Erythroblast identification method
Sköld et al. Autofluorescence in human alveolar macrophages from smokers: relation to cell surface markers and phagocytosis
Valkonen et al. Assessment of time-dependent platelet activation using extracellular vesicles, CD62P exposure, and soluble glycoprotein V content of platelet concentrates with two different platelet additive solutions
WO2011143044A2 (en) A lytic reagent system for flow cytometric analysis of leukocytes based on morphology or immunophenotypes
CN112305232A (en) Mixed quality control substance of blood and specific protein and quality control method thereof

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 11781046

Country of ref document: EP

Kind code of ref document: A2

NENP Non-entry into the national phase in:

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 11781046

Country of ref document: EP

Kind code of ref document: A2