1. FLOW CYTOMETRY Dr. MOHAMMED H SAIEMA LDAHR KAAU FACULTY OF APPLIED MEDICAL SCIENCES MEDICAL TECHNOLOGY DEPT. 2 ND YEAR MT INSTROMINTATION EXT 21060

2. OPTICS (FSC)

3. Optics Side Scatter Channel (SSC)  The amount of light scattered at right angle to the incident light beam depends on the internal complexity of the particle, this known as wide angle or Side Scatter (SSC), side scatter detected at 90, to the laser beam.

4. SSC) Optics (

5. OPTICS PROPERTIES OF FSC& SSC

6. PROPERTIES OF FSC& SSC  As the cell passes through the laser beam, light is scattered in all directions and that scattered in the forward direction is proportional to the square of the radius of a sphere, and so to the size of the cell or particle.  The cells may be labeled with fluorochrome-linked antibodies or stained with fluorescent membrane, cytoplasmic or nuclear dye.

7. What can a Flow Cytometer (FCM) tell us about a cell?  Its relative size (Forward Scatter—FSC)  Its relative granularity or internal complexity (Side Scatter—SSC)  Its relative fluorescence intensity (FL1, FL2, FL3, FL4)

8. Optics - Fluorescence Channels  Any fluorescent molecule present in or on the particle will absorb energy from the laser light and release the absorbed energy at longer wave length, the emitted light is collected by lenses and detectors, emitted fluorescence intensity is proportional to the amount of fluorescent compound on the particle.

10. Optical Design PMT 1 PMT 2 PMT 5 PMT 4 Dichroic Filters Band pass Filters Laser Flow cell PMT 3 Scatter Sensor Sample

11. Electronics  The scattered light from particles passing the laser light is converted to digital values that stored in the computer for analysis.

12. Electronics

14. FLOW CYTOMETRY  Gating.  Gating is in essence electronic window that sets upper and lower limits on the type and amount of material that passes through.  It is used to separate a sub-population from heterogeneous population.  It permits very specific questions to be asked about a particular population.

16. Fluorescence and Fluorochrome.  The coupling of monoclonal antibodies with fluorescent dyes is necessary for recognition and enumeration by flow cytometer.  Each fluorochrome possesses a distinctive spectral pattern of absorption (excitation) and emission.  The property of fluorescence is that, the fluorochromes present on the cell absorb the laser light and re-emit the light at a lower energy and longer wave length.  The most popular fluorochrome used in immuno-fluorescent is fluorescein isothiocyanate (FITC), which has an absorption maximum between 450 and 550 nm.

17. Fluorescence and Fluorochrome.  FITC emits light detected in FL1 on the FCM.  Another example of an excellent combination is Phycoerythrin (PE) as a second fluorochrome since it can absorb light at higher wave lengths than the FITC.  PE emits light can be detected in FL2 on the FCM

18. APPLICATION Applications in Clinical Laboratories  Immunophenotyping (HIV)  CD4 absolute counts  Leukemia and lymphoma immunophenotyping  Cell cycle and ploidy analysis of tumors  Reticulocyte enumeration  Flow cross-matching (organ transplantation)  Stem cell enumeration  Residual white blood cell detection  (QC platelet, red blood cells)

19. APPLICATION Research Laboratories  Immune function studies  Hematopoietic stem cells  Multi-drug resistance studies (cancer)  Kinetics studies (cell function) Platelet analysis (coronary disease)  Environmental sample analysis  Flow and FISH

20. APPLICATION Immunophenotyping  Is the termed used in the identification of cells by labeling with monoclonal antibodies identified as cluster designations (CD)  CDs is a group of antibodies that all recognize the same antigen

21. Immunophenotyping  Is performed by labeling the cells with red, green, and / or orange labeled monoclonal antibody.  The cells are then interrogated in the Flow Cytometry, and the number, percentage of positive cells are recorded.

22. CD Markers used for Primary Diagnosis

24. TYPES OF MEASUREMENTS  Intrinsic parameters: Cell size & Granularity.  Extrinsic parameters: Surface Antigens  Single or multiple surface membrane antigens are detected with fluorescinated monoclonal antibodies examples, CD45, CD4, CD8, etc).

25. TYPES OF MEASUREMENTS Multi-parametric FCM  In the multi-parameter approach more than one feature of the same cell is measured, such as three color surface and cytoplasmic staining in conjunction with the cellular DNA content leukemia and lymphoma. Distinction of myeloid leukemia from lymphatic can be precisely determined by the analysis of surface and cytoplasmic antigens.

26. TYPES OF MEASUREMENTS FCM analysis of Platelets  Glanzmann’s Thrombasthenia (GPIIb/IIIa).  Bernard – Soulier Syndrome (GPIb).  Storage Pool Disease: Dense Granule SPD. Gray Platelets SyndromeL.  Reticulated Platelets.  Anti-platelets Antibodies.  Monitoring treatment with GPIIb/IIIa antagonist

27. TYPES OF MEASUREMENTS DNA content & cell cycle analysis  Aneuploidy and/or elevated S-phase fraction have been shown to be ominous prognostic indicators in breast, colon, rectal, prostate, and bladder tumours.

28. G2G2G2G2 M G0G0G0G0 G1G1G1G1 s 0 200 400 600 8001000 G0G0G0G0 G1G1G1G1 s G2G2G2G2M DNA Analysis DNA content CountCount 2N 4N Normal Cell Cycle

29. APPLICATION