Correction for erythroid cell contamination in microassay for immunophenotyping of neonatal lymphocytes

Arch Dis Child Fetal Neonatal Ed. 1999 May;80(3):F226-9. doi: 10.1136/fn.80.3.f226.

Abstract

Immunophenotyping of blood lymphocyte subpopulations in neonates and young infants is hampered by the limited amount of blood that can be collected. Contamination of the flow cytometric "lympho-gate" by normoblasts and analysed erythrocytes, and therefore the underestimation of the relative frequencies of lymphocyte subpopulations, interferes with the precise calculation of absolute counts. A microassay was developed by adapting the lysed whole blood technique. Triple immunostaining in a single antibody staining step was used to reduce washing steps and cell loss. Introduction of a triple staining for CD71 (expressed by erythroid precursors), glycophorin A (GpA, expressed by all erythroid cells), and CD45 (expressed by all leucocytes) permitted the relative frequencies of normoblasts (CD71(+)/GpA+/CD45(-) population) and unlysed erythrocytes (CD71(-)/GpA+/CD45(-) population)to be identified and measured within the "lympho-gate" of neonatal cord blood samples. Particularly high frequencies were found (median: 31%) in cord blood samples from preterm neonates. These erythroid cells disappear rapidly by 1 week of age The relative frequencies of erythroid cells can be used to calculate correct lymphocyte subpopulation values. Using only 0.5-0.8 ml of blood, this micro- assay would also be suitable for rapid prenatal immunodiagnosis of congenital immunodeficiencies.

MeSH terms

  • Antigens, CD / analysis
  • Antigens, Differentiation, B-Lymphocyte / analysis
  • Autoimmune Diseases / immunology
  • Erythrocytes / immunology
  • Erythroid Precursor Cells / immunology
  • Fetal Blood / immunology*
  • Flow Cytometry
  • Glycophorins / analysis
  • Humans
  • Immunophenotyping / methods*
  • Infant, Newborn / immunology*
  • Infant, Premature / immunology
  • Infant, Premature, Diseases / immunology
  • Leukocyte Common Antigens / analysis
  • Lymphocyte Count
  • Lymphocyte Subsets / immunology*
  • Receptors, Transferrin
  • Sensitivity and Specificity
  • Statistics, Nonparametric

Substances

  • Antigens, CD
  • Antigens, Differentiation, B-Lymphocyte
  • CD71 antigen
  • Glycophorins
  • Receptors, Transferrin
  • Leukocyte Common Antigens