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Flow Cytometry
Jason Ryan, MD, MPH
Flow Cytometry
• Flow = motion of fluid
• Cytometry = measurement of cells
• Flow cytometry = Analysis of cells as they flow in a
liquid through a narrow steam
• Key point: Used to analyze cells
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• By size
• By surface proteins
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Flow Cytometer
• Key components:
• Flow cell: moves cells through machine
• Laser: light scattered by cells
• Photodetector: detects light scatter

Biol/Wikipedia
Flow Cytometer

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Light Source
Photodetector
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Flow Cytometer

Light Forward Scatter


Size

Side Scatter
Granularity
Flow Cytometry

Granulocytes

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Side Scatter

Monocytes

Lymphocytes

Front Scatter
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Antibody Staining
• Specific antibodies to surface/intracellular proteins
• Tagged with unique fluorochrome
• Flow cytometer detects fluorochrome
• Indicates presence of protein in cells
Antibody Staining

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CD4

CD8
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Flow Cytometry
Clinical Uses

• Fetal maternal hemorrhage


• Fetal red cells cross placenta to maternal blood
• Seen with placental failure/trauma
• Presents as decreased fetal movement, abnormal fetal HR
• Can cause stillbirth
• Flow cytometry: monoclonal antibody to hemoglobin F
• Detects fetal hemoglobin in red cells

Øyvind Holmstad/Wikipedia
Flow Cytometry
Clinical Uses

• Paroxysmal nocturnal hemoglobinuria


• Fluorescently-labeled monoclonal antibodies
• Bind glycosylphosphatidylinositol (GPI) anchored proteins
• Decay Accelerating Factor (DAF/CD55)
• MAC inhibitory proteinAfraTafreeh.com
(CD59)
• Reduced or absent on red blood cells in PNH

Databese Center for Life Science (DBCLS)

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