Flow cytometric evaluation of platelet-leukocyte conjugate stability over time: methodological implications of sample handling and processing.
Publication/Presentation Date
1-1-2021
Abstract
Platelet activation and subsequent aggregation is a vital component of atherothrombosis resulting in acute myocardial infarction. Therefore, quantifying platelet aggregation is a valuable measure for elucidating the pathogenesis of acute coronary syndromes (ACS). Circulating platelet-monocyte conjugates (PMC) as determined by flow cytometry (FCM) are an important measure of in vivo platelet aggregation. However, the influence of sample handling on FCM measurement of PMC is not well-studied. The changes in FCM measurement of PMC with variation in sample handling techniques were evaluated. The stability of PMC concentrations over time with changes in fixation and immunolabeling intervals was assessed. The effect of Time-to-Fix and Time-to-Stain on FCM PMC measurements was investigated in five healthy volunteers. Time-to-Fix (i.e., interval between phlebotomy and sample fixation) was performed at 3, 30, and 60 min. Time-to-Stain (i.e., time of fixed sample storage to staining) was performed at 1, 24, and 48 h. Increasing Time-to-Stain from 1 to 24 or 48 h resulted in lower PMC measures (p < 0.0001). A statistically significant difference in PMC measurement with increasing Time-to-Fix was not observed (p < 0.41). Postponement of sample staining has deleterious effects on the measurement of PMC via FCM. Delays in immunolabeling of fixed samples compromised measurement of PMC by 30% over the first 24 h. Staining/FCM should be completed within an hour of collection.
Volume
51
Issue
1
First Page
120
Last Page
128
ISSN
1573-742X
Published In/Presented At
Singh, A., Coulter, A. R., Trainor, P. J., Singam, N. S. V., Aladili, B. N., Amraotkar, A. R., Owolabi, U. S., & DeFilippis, A. P. (2021). Flow cytometric evaluation of platelet-leukocyte conjugate stability over time: methodological implications of sample handling and processing. Journal of thrombosis and thrombolysis, 51(1), 120–128. https://doi.org/10.1007/s11239-020-02186-5
Disciplines
Medicine and Health Sciences
PubMedID
32557223
Department(s)
Department of Medicine
Document Type
Article