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Flow Cytometry Examples

 
Paroxysmal Nocturnal Hemoglobinuria (PNH)

The classical demonstration of PNH by complement-mediated hemolysis (Ham’s Test and Sucrose Lysis Test) is now known to reflect a deficiency in GPI-anchored proteins, including CD59 (membrane inhibitor of reactive lysis) and CD55 (decay accelerating factor).

PNH Granulocytes
Figure 1

The use of monoclonal antibodies against CD55 and CD59 in the analysis by flow cytometry of red cells and granulocytes provides the clinician with a powerful new tool to detect even small populations of blood cells partially or totally deficient in these proteins.

Flow analysis of erythrocytes and granulocytes provides the most accurate diagnostic test for paroxysmal nocturnal hemoglobinuria (PNH).
This technique may also be valuable in the evaluation of patients with aplastic anemia.
Specimen Required: One 5 ml EDTA tube of whole blood. Forward promptly at ambient temperature. DO NOT FREEZE OR COOL SPECIMEN. Specimens received within
48 hours are suitable.

Transport:
Please call (612)220-8910 for specimen transport assistance.

Turnaround Time:
One day, Monday through Friday.


Figures 1 and 2: CD59 expression measured by flow analysis of granulocytes and erythrocytes. Patient with known PNH.

PNH Erythrocytes
Figure 2


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This page was last modified December 03, 2004
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