Summery of responses for question "Loss of erythroid precursors from bone marrow during Whole Blood Lysis technic

From: Bakul Dalal [Dr.] [VH] <bdalal@vanhosp.bc.ca>
Date: Mon Dec 06 2004 - 15:23:19 EST
Six responses. In summary, two said no loss, four said some loss. It seems that I shall
not be using flow cytometry as surrogate for bone marrow differential counts.

Many thanks for your input.


Bak

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We use Whole Blood Lysis technique for our flow all the time, and we do not
experience any loss of erythroid precursors. 

Good luck. Irina
Irina Grigorieva, PhD
Director, Flow Cytometry Laboratory
Northside Hospital, Atlanta, GA
(404)  851 6541
e mail: irina.grigorieva@northside.com

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Hi Bak
that's a question I have been wrestling with for years, and there is no
simple answer. It is all gradual, and not black and white. Precursors span a
wide range of maturity (and lysability) levels, and it also depends of
course on which lysis method/mechanism and protocol details you use. Mature
erythrocytes lyse faster than nucleated erythroid cells, so if you lyse
"just enough" to blow up the erythrocytes, most precursors will still be
there.
Their stainability with hemoglobin antibodies goes down before they vanish,
but you will probably use surface markers.

I would be interested in the responses you get. Could you copy them to me,
please ?
Greetings
Ralph M. Bohmer, Melbourne

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Yes,  erythroid precursors are lost during any lytic procedure.   The % loss depends upon
many factors but primarily on the number of total nucleated cells present and the quality
of the aspirate [age post collection].	 The best method is to collect the nucleated
cells on a Histopaque 1.119 density interface.	 Then stain with antibodies while using a
cell permeant, vital dye for gating.  We use a 4 color, 3 tube protocol with
45/71/glycophorin A [erythroid precursors],   45/38/56 [plasma cells, neuroendocrine CA],
 and  45/34/HLA DR [myeloblasts, lymphoblasts] in the last.   Lymphs, monos, and grans
may be calculated from any one tube.   We usually see up to 50% RBC contamination.   The
vital dye is syto13 from Molecular Probes.   Good luck.
Mark L. Shenkin, Ph.D. 
Director, Flow Cytometry 
Ameripath, Inc. 
mshenkin@att.net 

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From:	Brian Newsom <BrianN@OpexaPharma.com>
To:	"Bakul Dalal [Dr.] [VH]" <bdalal@vanhosp.bc.ca>
Date:	2004 December 03 1:13:19 PM
Subject:	RE: Loss of erythroid precursors from bone marrow during Whole Blood
Lysis technic

Depends on the type of lysis and what you consider a RBC precursor, however,
the earlier the precursor the more protected they are from lysis is they way
I have seen it.

Brian

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With Tris ammonium chloride treatment for RBC lysis in bone marrow,
erythrocytes are lysed, but erythroid precursors are not.


Sandra H. Burnett, M.S., Ph.D.
Assistant Professor
Dept. of Microbiology & Molecular Biology
791 WIDB
Brigham Young University
Provo, UT  84602
Phone:	(801) 422 1310
Fax:  (801) 422 0519
sandrab@byu.edu

--------------------------------------------

In our hands, the majority of polychromatic and orthochromic erythroid
precursors are indeed lost from bone marrow that has undergone lysing using
commercially prepared lysing buffers. For enumeration, proerythroblasts and
basophillic erythroblasts make it through the procedure relatively
unscathed.

Renold Capocasale
Research Scientist
Experimental Pathology, Toxicology and Investigational Pharmacology
Centocor, Inc
a Division of Johnson & Johnson Inc
Ph # 610 651 6421 
Fax  610 651 7363


Bakul I. Dalal MD FRCPC FCAP FASCP
Director, Flow Cytometry Laboratory
Assoc Director, Hematology Laboratory
Vancouver General Hospital
Clinical Professor, Faculty of Medicine
University of British Columbia
bdalal@vanhosp.bc.ca
604 875 4496 / 4798(f)

Life is not measured by the number of breaths we take, but by the moments
that take our breath away.
Received on Tue Dec 7 13:58:00 2004

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