High‐sensitivity 5‐, 6‐, and 7‐color PNH WBC assays for both Canto II and Navios platforms

Paroxysmal Nocturnal Hemoglobinuria (PNH) is a rare acquired hematopoietic stem cell disorder characterized by an inability to make Glyco‐Phosphatidyl‐Inositol (GPI)‐linked cell surface structures. Fluorescent proaerolysin (FLAER‐Alexa488) is increasingly used to detect GPI‐deficient WBCs by flow cytometry. However, FLAER is not available in all countries and is expensive to obtain in others. An earlier study to compare FLAER‐based and non‐FLAER assays confirmed very good agreement between the two tubes suggesting a cost effective simultaneous evaluation of PNH neutrophils and monocytes is possible without FLAER.

[1]  P. Wallace,et al.  ICCS/ESCCA Consensus Guidelines to detect GPI‐deficient cells in Paroxysmal Nocturnal Hemoglobinuria (PNH) and related Disorders Part 2 – Reagent Selection and Assay Optimization for High‐Sensitivity Testing , 2018, Cytometry. Part B, Clinical cytometry.

[2]  P. Wallace,et al.  ICCS/ESCCA Consensus Guidelines to detect GPI‐deficient cells in Paroxysmal Nocturnal Hemoglobinuria (PNH) and related Disorders Part 4 – Assay Validation and Quality Assurance , 2018, Cytometry. Part B, Clinical cytometry.

[3]  O. Wagner-Ballon,et al.  ICCS/ESCCA Consensus Guidelines to detect GPI‐deficient cells in Paroxysmal Nocturnal Hemoglobinuria (PNH) and related Disorders Part 3 – Data Analysis, Reporting and Case Studies , 2018, Cytometry. Part B, Clinical cytometry.

[4]  E. Colado,et al.  Diagnostic screening of paroxysmal nocturnal hemoglobinuria: Prospective multicentric evaluation of the current medical indications , 2017, Cytometry. Part B, Clinical cytometry.

[5]  D. Sutherland,et al.  Performance Characteristics of a Non‐Fluorescent Aerolysin‐Based Paroxysmal Nocturnal Hemoglobinuria (PNH) Assay for Simultaneous Evaluation of PNH Neutrophils and PNH Monocytes by Flow Cytometry, Following Published PNH Guidelines , 2016, Cytometry. Part B, Clinical cytometry.

[6]  D. Sutherland,et al.  High‐Sensitivity Detection of PNH Red Blood Cells, Red Cell Precursors, and White Blood Cells , 2015, Current protocols in cytometry.

[7]  J. Čermák,et al.  Clinical relevance of CD157 for rapid and cost‐effective simultaneous evaluation of PNH granulocytes and monocytes by flow cytometry , 2015, International journal of laboratory hematology.

[8]  I. Marinov,et al.  Intra‐ and interlaboratory variability of paroxysmal nocturnal hemoglobinuria testing by flow cytometry following the 2012 Practical Guidelines for high‐sensitivity paroxysmal nocturnal hemoglobinuria testing , 2013, Cytometry. Part B, Clinical cytometry.

[9]  D. Sutherland,et al.  Practical guidelines for the high‐sensitivity detection and monitoring of paroxysmal nocturnal hemoglobinuria clones by flow cytometry , 2012, Cytometry. Part B, Clinical cytometry.

[10]  M. Ahluwalia,et al.  Multiparameter flow cytometry for the diagnosis and monitoring of small GPI‐deficient cellular populations , 2010, Cytometry. Part B, Clinical cytometry.

[11]  D. Sutherland,et al.  Use of a FLAER-based WBC assay in the primary screening of PNH clones. , 2009, American journal of clinical pathology.

[12]  J. Reilly,et al.  Development and evaluation of a stabilized whole‐blood preparation as a process control material for screening of paroxysmal nocturnal hemoglobinuria by flow cytometry , 2009, Cytometry. Part B, Clinical cytometry.

[13]  A. Órfão,et al.  Detailed immunophenotypic characterization of different major and minor subsets of peripheral blood cells in patients with paroxysmal nocturnal hemoglobinuria , 2008, Transfusion.

[14]  Hong Chang,et al.  Diagnosing PNH with FLAER and multiparameter flow cytometry , 2007, Cytometry. Part B, Clinical cytometry.

[15]  A. Órfão,et al.  Normal patterns of expression of glycosylphosphatidylinositol‐anchored proteins on different subsets of peripheral blood cells: A frame of reference for the diagnosis of paroxysmal nocturnal hemoglobinuria , 2006, Cytometry. Part B, Clinical cytometry.

[16]  Neal Young,et al.  Diagnosis and management of paroxysmal nocturnal hemoglobinuria. , 2005, Blood.

[17]  J. Fehr,et al.  Clinical evaluation of an aerolysin‐based screening test for paroxysmal nocturnal haemoglobinuria , 2005, Cytometry. Part B, Clinical cytometry.

[18]  F. Malavasi,et al.  CD157, the Janus of CD38 but with a unique personality , 2002, Cell biochemistry and function.

[19]  C. Parker Historical aspects of paroxysmal nocturnal haemoglobinuria: ‘defining the disease’ , 2002, British journal of haematology.

[20]  Shiyong Li,et al.  Improved detection and characterization of paroxysmal nocturnal hemoglobinuria using fluorescent aerolysin. , 2000, American journal of clinical pathology.

[21]  S. Richards,et al.  Application of flow cytometry to the diagnosis of paroxysmal nocturnal hemoglobinuria. , 2000, Cytometry.

[22]  W. Rosse,et al.  The use of monoclonal antibodies and flow cytometry in the diagnosis of paroxysmal nocturnal hemoglobinuria. , 1996, Blood.

[23]  T. Huizinga,et al.  Deficiency of glycosyl-phosphatidylinositol-linked membrane glycoproteins of leukocytes in paroxysmal nocturnal hemoglobinuria, description of a new diagnostic cytofluorometric assay. , 1990, Blood.

[24]  L Luzzatto,et al.  Paroxysmal nocturnal hemoglobinuria: evidence for monoclonal origin of abnormal red cells. , 1970, Blood.

[25]  D. Sutherland,et al.  High-Sensitivity Detection of Red and White Blood Cells in Paroxysmal Nocturnal Hemoglobinuria by Multiparameter Flow Cytometry , 2016 .

[26]  M. Borowitz,et al.  Standardizing Leucocyte PNH clone detection: An international study. , 2014, Cytometry. Part B, Clinical cytometry.