Flow Cytometry: Principles and Applications

 
FLOW
CY
T
OMET
R
Y
 
FLOW CY
T
OMET
R
Y
 
Defi
n
iti
o
n:
 
 
 
 
 
Me
a
suring
 
pr
o
p
e
rti
e
s
 
of
 
cell 
a
s 
t
h
e
y 
f
low in
 
a
fluid suspension
 
acro
s
s
 
an
 
illumi
n
ated light
path.
 
Ba
s
ic
 
me
c
hani
s
m
 
Biologic
a
l
 
sa
m
ple
 
 
 
 
L
a
b
e
l 
i
t
 
with a
 
fluore
s
c
e
nt
 
m
a
rker
 
 
 
 
C
e
lls
 
mo
v
e
 
in a
 
line
a
r
 
stream
 
throu
g
h a foc
u
s
e
d
 
light
s
o
urce
 
(las
e
r bea
m
)
 
 
 
 
F
luore
s
c
e
nt
 
mol
e
c
u
le
 
g
e
ts a
c
tivated
 
a
n
d emits
 
light
th
a
t
 
is
 
filter
e
d 
a
nd
 
d
e
te
c
ted
 
by
 
s
e
n
s
itive
 
lig
h
t
d
e
te
c
tors (u
s
u
a
lly
 
a
 
p
h
ot
o
m
u
ltipli
e
r
 
tu
b
e)
 
 
 
 
Co
n
v
e
rsion
 
of
 
a
n
alog
 
fluore
s
c
e
nt
 
si
g
n
a
ls
 
to digital
s
ig
n
als
 
Flow
 
Cytometry
 
This   
 
me
t
h
o
d   
 
al
l
ows   
 
the   
 
qu
ant
i
tat
i
ve   
 
and
qu
a
l
it
a
tiv
e 
 
a
n
a
l
y
sis 
 
o
f 
 
severa
l 
 
p
r
o
p
e
r
ti
es 
 
o
f 
 
ce
ll
po
p
u
l
a
ti
o
ns  
 
fro
m  
 
v
i
rtu
a
l
ly  
 
any  
 
type  
 
o
f  
 
fresh
un
fix
ed
 
tis
su
e 
o
r
 
body
 
fl
u
id.
 
 
 
 
The  
 
p
r
o
p
e
rt
i
es  
 
me
asu
r
e
d  
 
i
n
cl
u
de  
 
a  
 
p
ar
t
i
c
le
s
r
e
l
ated  
 
s
i
ze
,  
 
r
e
l
at
i
ve  
 
g
r
a
n
u
l
a
r
ity  
 
o
r  
 
i
nte
r
n
a
l
compl
e
x
i
t
y
, 
an
d
 
r
e
l
a
tiv
e
 
fl
u
o
r
e
s
ce
n
c
e
 
i
nte
n
s
i
ty
 
 
 
Mo
st
 
c
om
m
o
n
l
y
 
a
n
a
l
yz
ed
 
m
a
t
e
rials
 
a
r
e:
b
l
o
od,
bo
n
e
 
ma
r
row
 
a
s
pi
r
ate
 
a
n
d
ly
mph
 
n
o
de
 
s
u
s
p
e
n
si
o
n
s.
 
Pr
i
nc
i
ple
 
of
 
Flow
 
Cytometry
 
Flow
 
c
y
tometer
 
is com
p
os
e
d
 
of three main
c
o
mp
o
n
e
nts:
 
 
 
T
h
e
 
F
l
o
w
 
s
y
s
t
e
m
 
(
f
l
u
i
d
i
c
s
)
Cells
 
in su
s
pe
n
sion
 
are brought in single
 
fi
l
e
 
pa
s
t
 
 
 
T
h
e
 
O
p
t
i
c
a
l
 
s
y
s
t
e
m
 
(
l
i
g
h
t
 
s
e
n
s
i
n
g
)
a foc
u
s
e
d
 
la
s
er
 
w
h
ich
 
s
c
atter
 
light
 
a
n
d emit
fluoresc
e
nce
 
that is
 
fi
l
tered 
a
nd c
o
llected
 
 
 
T
h
e
 
E
l
e
c
t
r
o
n
i
c
 
s
y
s
t
e
m
 
(
s
i
g
n
a
l
 
p
r
o
c
e
s
s
i
n
g
)
e
m
i
t
t
e
d
 
l
i
g
h
t
 
i
s
 
c
o
n
v
e
r
t
e
d
 
t
o
 
d
i
g
i
t
i
z
e
d
 
v
a
l
u
e
s
 
t
h
a
t
a
r
e
 
s
t
o
r
e
d
 
i
n
 
a
 
f
i
l
e
 
f
o
r
 
a
n
a
l
y
s
i
s
 
The
 
F
low System
 
One
 
of 
t
he
 
fun
d
am
e
ntals
 
of f
l
ow
 
c
y
tometry
 
is the a
b
ili
t
y
to m
e
as
u
re
 
the properties
 
of in
d
ividu
a
l
 
particles,
 
which
is ma
n
a
g
ed
 
by
 
t
he
 
f
luidi
c
s
 
s
y
ste
m
.
 
Wh
e
n
 
a s
a
mple
 
is
 
inje
c
ted into a flow c
y
tomete
r
,
 
it is
ordered
 
into a
 
st
r
eam
 
of 
s
ingle
 
particles.
 
T
he
 
fluidic s
y
stem
 
c
o
n
s
ists
 
of a
 
F
L
OW
 
CE
L
L
 
(Quartz
C
h
am
b
er):
 
Ce
n
t
r
al
 
ch
a
nn
e
l/
 
core 
-
 
through whi
c
h
 
the sam
p
le
 
is
inje
c
ted.
 
Outer s
h
e
a
th
 
-
 
c
o
ntains
 
faster flowing
 
fluid
 
k/a
She
a
th 
f
luid 
(
0.9% Saline /
 
P
B
S
)
 
, e
n
clo
s
ing
 
the
c
e
ntral
 
c
o
re.
 
Hydr
o
dyn
a
mic
 
Focu
s
ing
 
Once
 
the sample
 
is
 
injected
into
 
a
 
strea
m
 
of
 
s
he
ath
 
fluid
within
 
th
e
 
f
l
ow
 
c
hamb
e
r
,
 
they
are
 
forced
 
i
nto
 
the
 
center
 
of
the strea
m
 
forming
 
a
 
single
fi
l
e
 
by
 
the
 
PRINCIPLE
 
OF
HYDRODYNAMIC
FOCUSING.
 
 
 
 
'On
l
y
 
o
n
e
 
c
e
l
l
 or
 
p
a
r
t
i
cle
 
c
an
pas
s
 
t
h
r
o
u
gh
 
th
e
 
la
s
er
 
b
e
a
m
at
 
a
 
giv
en
 
m
o
m
en
t
.'
 
Th
e 
sa
m
p
l
e
 
pressure is al
w
ays
 
h
i
gh
e
r
 
than
 
the
sheath flu
i
d
 
pressure
,
 
ensuring
 
a
 
high
 
flow rate
a
l
l
o
w
i
ng
 
more cel
l
s
 
to 
e
nter the stream
 
at a
given moment.
 
H
i
gh
 
F
l
ow
 
R
a
te
 
-
 
Im
m
un
o
ph
e
notyp
i
ng
 
an
a
lys
i
s
of cel
l
s
Low F
l
ow
 
R
a
te
 
-
 
D
N
A
 
A
n
a
l
ysis
 
OPTICS
 
A
f
t
er
 
the 
c
e
l
l
 
de
l
iv
e
ry
 
system,
 
the need
 
is to e
x
cite
 
the
cel
l
s
 
usi
n
g
 
a
 
l
i
ght
 
source.
 
The
 
li
g
ht
 
source used
 
in
 
a flow cytometer:
 
L
a
s
e
r
 
(
m
o
r
e
 
c
o
m
m
o
n
l
y
)
 
A
r
c
 
l
a
m
p
 
Why
 
Las
e
rs
 
are 
m
ore common?
 
They
 
are
 
highly
 
c
o
he
r
ent
 
and
 
uniform.
 
They
 
c
a
n
 
be ea
s
ily
focu
s
ed
 
on
 
a 
v
ery
 
small
 
area
 
(li
k
e
 
a sample
 
str
e
am
)
.
 
They
 
are
 
mono
c
hro
m
atic,
 
emit
t
ing single
 
wavelengths
 
of
 
light.
 
A
R
G
O
N Lasers
 
-
 
48
8
nm w
a
vel
e
ngth
 
(blue
 
to
b
l
u
e green)
 
Wh
e
n a l
i
g
h
t
 
i
n
tersects a
 
las
e
r
 
b
e
am
 
at
 
the
 
so ca
l
l
e
d
 
'
inte
r
ogation
 
point'
 
two even
t
s
 
occu
r
:
 
 
a)
light
 
sca
t
tering
 
 
b)
e
m
ission
 
of l
i
ght
 
(
f
luores
c
ence
 
)
 
F
l
uorescence
 
is l
i
ght
 
e
m
itted
 
duri
n
g
 
dec
a
y
 
of
e
xcited e
l
ectron
 
to 
i
ts b
a
sal
 
state.
 
OPTICS
 
a) LI
G
HT
 
S
C
A
TTER
 
When l
i
ght
 
f
r
om
 
a laser
 
i
n
terrogates a cel
l
,
 
that ce
l
l
scatters
 
l
i
ght
 
in
 
a
l
l
 
d
i
recti
o
ns.
 
The
 
scattered
 
l
i
ght
 
can t
r
avel
 
f
rom
 
the inter
r
og
a
tion
 
po
i
nt
d
o
wn
 
a path to
 
a
 
d
e
tecto
r
.
 
OPTICS
 
- 
FO
R
W
ARD
 
SC
A
T
T
ER
(FSC)
 
L
i
g
h
t
 
that
 
is sc
a
ttered
 
in
 
the
 
forward d
i
rection
(alo
n
g
 
the same a
x
is
 
the 
l
aser
 
is t
r
ave
l
i
n
g)
 
is
detected in the Forward Scatter C
h
an
n
e
l
.
 
 
T
h
e i
n
tens
i
ty
 
of
 
this s
i
g
n
al
 
h
a
s be
e
n
 
att
r
i
b
uted to
cell siz
e
,
 
ref
r
active
 
i
n
dex
(
m
embrane perm
 
eabi
l
ity
).
 
OPTICS
 
-
 
SIDE
 
SC
A
TTER
(SSC)
 
L
a
ser l
i
g
h
t
 
that 
i
s scattered
 
at
 
90
 
degre
e
s
 
to
 
the
 
a
x
is
 
of
 
the 
l
aser
 
path is detected in the
 
S
i
de
 
Sc
a
t
t
er
 
C
h
an
n
e
l
.
 
 
Th
e i
n
tensity
 
of
 
this sig
n
al
 
is proportional
 
to the
 
amount
 
of
 
cytoso
l
ic
 
structure
 
in
 
the
 
ce
l
l
 
(
eg
. 
g
ranu
l
es,
 
ce
l
l
 
i
n
cl
u
si
o
n
 
s,
 
etc.)
 
Side
 
scat
t
er
 
detect
o
r
M
easuring
 
cell
 
gr
a
nul
a
rity
 
F
S
C
D
e
t
e
c
t
o
r
 
C
o
l
l
e
c
t
i
o
n
L
e
n
s
 
S
S
C
D
e
t
e
c
t
o
r
 
L
a
s
e
r
 
B
e
a
m
 
M
o
n
o
c
y
t
e
s
 
R
B
C
s
,
 
D
e
b
r
i
s
,
D
e
a
d
 
C
e
l
l
s
 
 
FSC
 
 
 
 
Study of F
S
C and 
S
SC a
l
l
o
ws
 
us
 
to k
n
ow
 
the
d
i
f
ferenti
a
tion
 
of 
d
i
f
ferent
 
types 
o
f ce
l
ls.
 
SSC
 
G
r
a
n
u
l
o
c
y
t
e
s
 
L
y
m
p
h
o
c
y
t
e
s
 
Why FSC &
 
SSC?
 
Th
e
 
light
 
sca
t
tered
 
i
n
 
the
 
forw
a
rd
 
d
i
rection
 
is 
proport
i
on
a
l
 
to
 
the
 
square
 
o
f
 
the
 
r
a
d
i
u
s
 
o
f
 
a
sphere,
 
and so to
 
the
 
size 
o
f
 
the cell
 
o
r
 
particl
e
.
 
Th
e
 
cells
  
are
 
l
a
belled
antibo
d
ies
 
o
r
 
s
tained
 
w
i
th
 
with
 
fluo
r
o
c
hrom
e
-li
n
ke
d
 
f
l
u
oresc
e
nt
 
membrane,
 
cytop
l
asm
i
c
 
o
r
 
n
u
cl
e
ar
 
dye
.
 
Com
m
only
 
used
 
Fluorochromes
 
Opti
c
s
 
B)
 
EMIS
S
ION
 
OF
 
F
L
UO
R
E
S
C
E
NT
 
LIGHT
 
(FLUOR
E
S
C
E
N
C
E
)
 
As the
 
fluorescent mo
l
ecu
l
e
 
present 
i
n
 
or 
o
n the
particle is 
i
nterrogated
 
by the
 
l
a
ser
 
l
i
g
h
t,
 
it
 
w
i
ll
 
a
b
sorb
e
n
ergy
 
f
r
om
 
the laser
 
l
i
ght
 
and
 
rele
a
se
 
the 
a
bsorbed
en
e
rgy
 
at
 
l
o
ng
e
r
 
w
a
ve
 
l
e
ngt
h
.
 
Em
i
tted
 
p
h
otons
 
p
a
ss through
 
the
 
co
l
l
e
ction
 
l
e
ns a
n
d
are spl
i
t
 
and
 
steered down
 
spec
i
fic
 
chan
n
e
l
s
 
w
i
th the
u
se of filters.
 
 
Optic
s
-
 
Filters
 
Di
f
ferent
 
wav
ele
ngths
 
o
f
 
light
 
are
 
scattered simu
l
taneous
l
y
 
f
r
om
 
a cell
 
Need 
 
to 
 
s
p
l
it 
 
the 
 
l
i
g
ht 
 
i
n
to 
 
its 
 
specific 
 
wave
l
engths 
 
in
order
 
to 
 
m
eas
u
re 
 
and 
 
q
u
antify 
 
th
e
m 
 
independent
l
y
.
Th
i
s 
i
s 
don
e
 
w
i
th
 
filters.
 
The
 
system
 
of
 
filt
e
r
s
 
e
n
sures
 
th
at
 
e
a
ch
 
p
h
ot
o
d
e
tector
receives
 
light
 
bands of 
vario
us
 
wavel
e
n
g
th
s
.
 
Optic
a
l 
 
fil
t
ers
reflect
 
s
o
me
others.
 
T
yp
e
s
 
o
f
 
filters
 
1.
Lon
g
 
P
a
ss
 
3
.
 
B
a
nd
 
P
a
ss
 
are
 
desig
n
ed
  
s
uch
 
that
 
t
h
ey
  
abso
r
b
 
or
w
a
v
e
len
g
ths
 
o
f
 
l
i
g
ht,
 
w
h
ile
 
t
r
ansmi
t
ti
n
g
 
2
.
 
S
h
ort P
a
ss
 
4
.
 
D
i
chroic
 
Opti
c
s
-
 
Lon
g Pa
s
s Filters
 
T
ransmit
 
a
l
l
 
w
a
ve
l
e
n
gths
 
greater than
 
sp
e
cif
i
ed
 
w
a
vel
e
ngth
 
E
x
ample:
 
50
0
LP
 
w
i
ll
 
t
r
ansmit
 
a
l
l
 
w
a
vel
e
ngths
 
greater
 
than 5
0
0
n
m
 
400nm
 
500nm
 
600nm
 
700nm
 
T
ran
s
mi
t
tan
c
e
 
Or
i
gin
a
l
 
f
rom
 
C
y
t
om
ation
 
T
raining
 
M
anual
 
Opti
c
s
-
 
Short
 
Pa
s
s
 
Filt
e
r
 
T
ransmits
 
a
l
l
 
w
a
ve
l
e
n
gths
 
l
e
ss than sp
e
cif
i
ed
 
w
a
vel
e
ngth
 
E
x
ample:
 
6
00
S
P
 
w
i
ll
 
t
r
ansmit
 
a
l
l
 
w
a
vel
e
ngths
 
l
e
ss
 
than 6
0
0
n
m.
 
400nm
 
500nm
 
600nm
 
700nm
 
T
ran
s
mi
t
tan
c
e
 
Or
i
gin
a
l
 
f
rom
 
C
y
t
om
ation
 
T
raining
 
M
anual
 
Opti
c
s
-
 
Band Pa
s
s Filter
 
T
ransmits
 
a sp
e
cif
i
c
 
b
a
nd
 
of
 
w
a
ve
l
e
n
gths
 
E
x
ample:
 
5
50/20
B
P
 
F
i
lter w
i
ll
 
t
r
ansmit 
w
ave
l
en
g
ths
of 
l
i
g
ht
 
betw
e
en
 
54
0
nm
 
and
 
56
0
nm (550/20
 
=
5
50+
/
- 1
0
, 
n
ot 550+/-
20)
 
400nm
 
500nm
 
600nm
 
700nm
 
T
ran
s
mi
t
tan
c
e
 
Or
i
gin
a
l
 
f
rom
 
C
y
t
om
ation
 
T
raining
 
M
anual
 
Opti
c
s
-
 
Dichro
i
c
 
Filters
 
L
o
ng
 
p
a
ss or short p
a
ss filters
 
P
l
aced
 
at a
 4
5º ang
l
e
 
of 
i
nci
d
ence
 
P
a
rt
 
o
f the
 
l
i
ght
 
is refl
e
cted at 
9
0º ,
 
and
 
part of the
 
l
i
ght
 
is
t
r
ansmitted 
a
nd conti
n
ues.
 
Dichroic
 
Fil
t
er
 
Detector
 
1
 
Detector
 
2
 
OPTICS -
 
DETEC
T
ORS
 
Th
e p
h
otod
e
tectors
 
co
n
vert
 
the
 
p
h
otons
 
to
 
e
l
ectrical
 
impu
l
ses.
 
 
T
wo
 
common 
t
ypes of
 
detectors
 
used 
i
n
 
flow
 
cytometr
y
:
 
P
h
otodi
o
de
 
used
 
for
 
st
r
ong
 
sign
a
ls,
 
w
h
en
 
saturati
o
n
 
is a
potential prob
l
em
 
(
e
g
, forward scatter
 
detector
)
.
 
P
h
otomultip
l
i
e
r
 
tube (PMT)
 
more
 
sens
i
tive
 
than photod
i
ode
 
but
 
can be
destroyed by e
x
pos
u
re
 
to too
 
much li
g
ht.
 
used
 
for
 
si
d
e
 
scatter
 
and
 
fluorescent
 
si
g
no
l
s.
 
ELE
C
TRONICS
 
The
 
electronic
 
subsystem co
n
verts
 
ph
o
tons
 
to
 
p
h
otoe
l
ectrons.
 
 
 
 
 
 
Meas
u
res ampl
i
tude,
 
area and w
i
dth
 
of 
p
hotoe
l
ectron
 
p
u
ls
e
.
 
 
 
 
 
It
 
ampl
i
fies
 
pu
l
se
 
e
i
ther
 
l
i
ne
a
rly
 
or 
l
og
a
rithmic
a
l
l
y
and then dig
i
taliz
i
ng
 
the amp
l
ifi
e
d
 
pu
l
se.
 
T
i
m
e
 
Electroni
c
s
-
 
Crea
t
ion
 
of
 
a 
V
ol
t
a
g
e P
u
lse
 
Data
 
Ana
l
y
s
i
s
-
 
Plot
 
T
ypes
 
There are
 
several
 
pl
o
t
 
cho
i
ces:
 
S
i
ng
l
e
 
C
o
l
o
r
 
H
i
stogram
F
l
uorescence
 
i
n
tensity
 
(FI)
 
versus the number of
ce
l
ls counted.
 
T
wo
 
Col
o
r
 
D
o
t 
P
l
o
t
 
FI
 
of 
p
arameter 1
 
versus 
F
I of
 
P
a
rameter 2
 
T
wo
 
Col
o
r
 
C
o
ntour P
l
ot
 
C
o
nc
e
ntric
 
rin
g
s
 
form
 
arou
n
d
 
p
o
p
u
l
a
tio
n
s. 
 
T
h
e more
de
n
se
 
the 
p
op
u
l
a
tion,
 
the 
c
l
o
ser
 
the r
i
ngs
 
are
 
to 
e
ach
other
 
T
wo
 
Col
o
r
 
D
e
nsity
 
P
l
ot
Areas of h
i
gh
e
r
 
de
n
sity wi
l
l
 
have
 
a di
f
ferent
 
col
o
r
 
than
other areas
 
Plot
 
T
ypes
 
C
o
nt
o
ur
 
Pl
o
t
 
D
e
n
sity
 
P
lo
t
 
Gre
y
sca
l
e
 
D
e
ns
i
ty
 
D
o
t
 
Pl
o
t
 
ww
w
.tr
ee
st
a
r
.
c
om
 
H
i
sto
g
ram
 
D
A
T
A
 
ANA
L
YSIS
 
-
 
G
A
TING
 
Gati
n
g
 i
s
 
in
 
e
s
s
e
nce
 
e
l
e
ctro
n
i
c
 
wind
o
w
 
th
at
 
sets
uppe
r
 
an
d
 
l
ower
 
lim
i
ts 
on
 
t
h
e
 
typ
e
 
and
 
am
o
u
n
t
of
 
mater
i
al
 
tha
t
 
pas
s
es
 
th
r
ou
gh.
 
Selec
t
i
o
n
 
of
 
only
 
a
 
ce
rta
in
 
po
p
u
l
at
i
on
 
of
 
ce
lls
for 
a
n
a
l
y
sis
 
on
 
a
 
p
l
ot.
 
Allows
 
the 
a
b
il
i
ty to
 
l
ook
 
at
 
p
a
r
a
met
ers
 
sp
e
cif
i
c
to
 
o
n
ly t
hat
 
su
b
s
et.
 
Interpret
a
tion
 
of Graphs
 
An
 
im
p
o
r
tant
 
tool
 
for
 
ev
a
lu
a
ting
 
d
a
ta
 
is
 
the dot
pl
o
t
.
 
 
 
 
 
 
The
 
inst
r
u
m
ent
 
d
e
tects
 
e
a
ch
 
cell as
 
a
 
p
o
int
 
on
an
 
X
-Y
 
gr
a
ph.
 
This
 
form
 
of
 
data
 
pr
e
sen
t
a
t
ion
lo
o
ks
 
at
 
two
 
p
a
r
a
m
e
ters
 
of
 
the
 
sa
m
ple
 
at
 
the
sa
m
e
 
tim
e
.
 
Three
 
common
 
modes
 
for
 
dot
 
plots
are:
 
Forw
a
rd
 
scatter
 
(FS
C
) vs. s
i
de
 
scatter
 
(SS
C
)
 
T
o
 
l
o
ok
 
at the
 
d
i
st
r
i
b
ution
 
of c
e
l
l
s
 
bas
e
d
 
up
o
n
 
size
 
&
granularity
 
S
i
ng
l
e
 
col
o
r
 
vs. s
i
de scatter
 
T
o
 
visu
a
l
i
ze
 
the expression
 
of the
 
fluo
r
escence 
of the
cel
l
s
 
T
w
o
-co
l
or
 
flu
o
resce
n
ce
 
p
l
ot.
 
T
o
 
d
i
f
f
erentiate
 
betw
e
en
 
those cel
l
s
 
that
 
express
 
on
l
y one
of the
 
particul
a
r
 
fluorescent
 
m
arkers,
 t
hose
 
t
hat
 
express
ne
i
the
r
,
 
and
 
t
hose
 
t
hat
 
express
 
bot
h
.
 
used
 
to
 
d
i
scri
m
inate
 
de
a
d
 
cel
l
s
 
f
r
om
 
t
he
 
l
i
ve
 
on
e
s 
t
hat
are expressing
 
the 
d
esired
 
fluorescence
.
 
How
 
to
 
di
f
ferentia
t
e
 
dim
 
&
 
bright
exp
r
es
s
ion
 
of
 
an
 
antigen?
 
Dim
 
:
 
cells
 
are
p
r
es
e
nt
 
m
o
re
 
tow
a
r
d
s
the
 
o
r
ig
i
n
(
0)
 
on
 
x
(
red
)
-
 
y
 
axis 
(
p
i
nk
)
 
Brig
h
t
 
:
 
cel
l
s
 
a
r
e
p
r
es
e
nt
 
aw
a
y
 
from
the
 
o
r
ig
i
n
(
0)
 
on
x
(
g
r
ee
n
)
 
& y
(
yel
l
o
w
)
axis.
 
DIM
 
BRIGHT
 
Y
-a
x
is
CD4
 
X
-a
x
is
CD8
 
W
H
A
T
 
IS
 
U
NIQ
U
E
 
IN
FLO
W
CY
T
OME
T
R
Y
 
MU
L
TI
P
ARAMETRIC
 
RAP
I
D
 
ANA
L
Y
S
IS OF
 
LARGE NUMBER
 
OF
CEL
L
S
 
INFORM
A
TION
 
A
T
 
A
 
SINGLE
 
CELL
 
LEV
E
L
 
DET
E
CTION
 
OF
 
RARE
 
C
E
LL
 
P
O
PUL
A
TI
O
NS
 
ALLOWS
 
PHY
S
ICAL
 
ISOL
A
TION
 
OF
 
CEL
L
S
OF
 
INTERE
S
T
 
USES 
O
F
FLO
W
CY
T
OMET
R
Y
 
AP
P
LIC
A
TIONS
 
ANA
L
Y
S
IS
 
Immu
n
o
p
h
e
n
o
typi
n
g
 
D
y
es
 
that
 
bind
 
t
o
 
n
u
cl
e
ic
 
a
c
ids
 
(DN
A
,
 
R
N
A)
 
F
u
n
c
tional
 
a
s
s
a
ys
 
CELL
 
COUNTING
 
CELL
 
SO
R
TING
 
CLINI
C
AL
 
AP
P
LIC
A
TIONS
 
A
b
so
l
ute
 
C
D
4
 
co
u
nts
 
HIV/A
I
DS
 
H
L
A
 
B27
 
ass
a
y
 
J
o
int
 
Pain
 
D
i
a
g
n
o
sis
 
a
n
d
 
C
l
ass
i
ficati
o
n
D
e
tecti
o
n
 
of MRD
 
Hem
a
tologi
c
al
Malig
n
a
n
cies
 
D
N
A
 
P
lo
i
d
y
S Ph
a
se
 
fracti
o
n
 
Solid
 
T
u
m
o
u
rs
 
T
B
N
K
P
h
a
g
oc
y
tic
 
fu
n
ction
 
d
e
fect
 
Primary
 
Immun
o
d
e
ficiency
dis
or
d
ers
 
Cont..
 
Reticuloc
y
te
 
count
PNH
O
smot
i
c fragi
l
ity assay
 
Hemolytic
 
a
n
a
e
mia
 
Fe
t
o
-
 m
a
t
er
n
al Hemo
r
rh
a
ge
t
rea
t
ment
 
response
 
in
 
S
i
ckle
 
Ce
l
l
 
Anem
i
a
 
Fet
al 
H
b
 
d
e
tec
t
ion
 
P
l
a
t
e
l
et
 
recep
t
or
 
assa
y
s
 
(Pla
t
e
l
et
 
count,
 
G
T
,
BSS)
P
l
a
t
e
l
et
 
f
unction assay
 
(C
D
62
P
,
 
P
A
C
-
1)
 
CD34
 
S
T
EM
 
CELL
 
C
O
UN
T
S
Res
i
dual
 
WBC
 
count
 
in
 
leukodep
l
eted
 
b
l
ood
packs
F
l
ow
 
c
y
tometry
 
Cross
m
a
t
ch
S
u
rface
 
mark
e
rs in PMN, Mo
n
oc
y
tes
C
y
toki
n
e
 
res
p
o
n
se
 
Ble
e
ding
 
Disorders
 
T
ransf
u
sion
 
a
n
d
T
ransplant
 
 
Host
 
Imm
u
ne
resp
o
nse 
in
 
Se
p
sis
 
References
 
THE FLOW CYTOMETRIC EVALUATION OF HEMATOPOIETIC NEOPLASIA
Brent L. Wood, Michael J. Borowitz. Henry’s, 22nd edition, Chapter 34
https://www.bosterbio.com/protocol-and-troubleshooting/flow-
cytometry-principle
https://www.abcam.com/protocols/introduction-to-flow-cytometry
 
Video Link:
 
https://www.youtube.com/watch?v=5IdYFgYb9ls
https://www.youtube.com/watch?v=7bCZx5xPwt0&t=94s
 
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Flow cytometry is a powerful technology used to analyze the properties of cell populations. By measuring size, complexity, and fluorescence intensity, this method provides valuable insights into various biological samples. The process involves labeling cells with fluorescent markers, passing them through a laser beam for activation, and detecting emitted light for analysis. With its ability to quantify and qualify cellular characteristics, flow cytometry is widely used in fields such as hematology, immunology, and oncology.

  • Flow Cytometry
  • Cell Analysis
  • Biological Samples
  • Fluorescent Markers
  • Laser Detection

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  1. FLOW CYTOMETRY

  2. FLOW CYTOMETRY Definition: Measuring properties of cell as they flow in a fluid suspension across an illuminated light path.

  3. Basic mechanism Biological sample Label it with a fluorescent marker Cells move in a linear stream through a focused light source (laser beam) Fluorescent molecule gets activated and emits light that is filtered and detected by sensitive light detectors (usually a photomultiplier tube) Conversion of analog fluorescent signals to digital signals

  4. Flow Cytometry This qualitative analysis of several properties of cell populations from virtually any type of fresh unfixed tissue or body fluid. method allows the quantitative and The properties measured include a particle s related size, relative complexity, and relative fluorescence intensity granularity or internal Most commonly analyzed materials are: blood, bone marrow aspirate and lymph node suspensions.

  5. Principle of Flow Cytometry Flow cytometer is composed of three main components: The Flow system (fluidics) Cells in suspension are brought in single file past The Optical system (light sensing) a focused laser which scatter light and emit fluorescence that is filtered and collected The Electronic system (signal processing) emitted light is converted to digitized values that are stored in a file for analysis

  6. The Flow System One of the fundamentals of flow cytometry is the ability to measure the properties of individual particles, which is managed by the fluidics system. When a sample is injected into a flow cytometer, it is ordered into a stream of single particles. The fluidic system consists of a FLOW CELL(Quartz Chamber): Central channel/ core - through which the sample is injected. Outer sheath - contains faster flowing fluid k/a Sheath fluid (0.9% Saline / PBS) , enclosing the central core.

  7. Hydrodynamic Focusing Once the sample is injected into a stream of sheath fluid within the flow chamber, they are forced into the center of the stream forming a single file by the PRINCIPLE OF HYDRODYNAMIC FOCUSING. 'Only one cell or particle can pass through the laser beam at a given moment.'

  8. The sample pressure is always higher than the sheath fluid pressure, ensuring a high flow rate allowing more cells to enter the stream at a given moment. High Flow Rate - Immunophenotyping analysis of cells Low Flow Rate - DNAAnalysis Sample Tube Sample Pressure (Variable) Sheath Pressure (Constant) Waste T ank Sheath T ank Vacuum Line Pressure

  9. OPTICS After the cell delivery system, the need is to excite the cells using a light source. The light source used in a flow cytometer: Laser (more commonly) Arc lamp Why Lasers are more common? They are highly coherent and uniform. They can be easily focused on a very small area (like a sample stream). They are monochromatic, emitting single wavelengths of light. ARGON Lasers - 488nm wavelength (blue to blue green)

  10. When a light intersects a laser beam at the so called 'interogation point' two events occur: a) light scattering b) emission of light (fluorescence ) Fluorescence is light emitted during decay of excited electron to its basal state.

  11. OPTICS a) LIGHT SCATTER When light from a laser interrogates a cell, that cell scatters light in all directions. The scattered light can travel from the interrogation point down a path to a detector.

  12. OPTICS - FORWARD SCATTER (FSC) Light that is scattered in the forward direction (along the same axis the laser is traveling) is detected in the Forward Scatter Channel. The intensity of this signal has been attributed to cell size, refractive index (membrane perm eability).

  13. OPTICS - SIDE SCATTER (SSC) Laser light that is scattered at 90 degrees to the axis of the laser path is detected in the Side Scatter Channel. The intensity of this signal is proportional to the amount of cytosolic structure in the cell (eg. granules, cell inclusions, etc.) Side scatter detector Measuring cell granularity

  14. FSC Detector Laser Beam Collection Lens SSC Detector

  15. Why FSC & SSC? Granulocytes Lymphocytes SSC Monocytes RBCs, Debris, Dead Cells FSC Study of FSC and SSC allows us to know the differentiation of different types of cells.

  16. The light is proportional to the square of the radius of a sphere, and so to the size of the cell or particle. scattered in the forward direction The antibodies cytoplasmic or nuclear dye. cells are or labelled stained with fluorescent fluorochrome-linked membrane, with

  17. Commonly used Fluorochromes FLUOROCHROMES EMISSION MAXIMUM Fluorescein Isothiocynate (FITC) 530nm Phycoerythrin (PE) 576nm Peridin-chlorophyll alpha complex (PerCP) 680nm Allophycocyanin (APC) 660nm T exas red 620nm ECD( PE - T exas Red T andem) 615nm PC5 (PE - cyanin 5 dye tandem) 667nm

  18. Optics B) EMISSION OF FLUORESCENT LIGHT (FLUORESCENCE) As the fluorescent molecule present in or on the particle is interrogated by the laser light, it will absorb energy from the laser light and release the absorbed energy at longer wave length. Emitted photons pass through the collection lens and are split and steered down specific channels with the use of filters.

  19. Optics- Filters Different wavelengths scattered simultaneously from a cell Need to split the light into its specific wavelengths in order to measure and quantify them independently. This is done with filters. of light are The system of filters ensures that each photodetector receives light bands of various wavelengths. are designed such that they absorb or wavelengths of light, while transmitting Optical filters reflect some others. Types of filters 1. Long Pass 3. Band Pass 2. Short Pass 4. Dichroic

  20. Optics- Long Pass Filters Transmit all wavelengths greater than specified wavelength Example: 500LP will transmit all wavelengths greater than 500nm Transmittance 400nm 700nm 600nm 500nm Original from Cytomation Training Manual

  21. Optics- Short Pass Filter Transmits all wavelengths less than specified wavelength Example: 600SP will transmit all wavelengths less than 600nm. Transmittance 400nm 700nm 600nm 500nm Original from Cytomation Training Manual

  22. Optics- Band Pass Filter Transmits a specific band of wavelengths Example: 550/20BP Filter will transmit wavelengths of light between 540nm and 560nm (550/20 = 550+/- 10, not 550+/-20) Transmittance 400nm 700nm 600nm 500nm Original from Cytomation Training Manual

  23. Optics- Dichroic Filters Long pass or short pass filters Placed at a 45 angle of incidence Part of the light is reflected at 90 , and part of the light is transmitted and continues. Detector 1 Detector 2 Dichroic Filter

  24. OPTICS - DETECTORS The photodetectors convert the photons to electrical impulses. Two common types of detectors used in flow cytometry: Photodiode used for strong signals, when saturation is a potential problem (eg, forward scatter detector). Photomultiplier tube (PMT) more sensitive than photodiode but can be destroyed by exposure to too much light. used for side scatter and fluorescent signols.

  25. ELECTRONICS The electronic subsystem converts photons to photoelectrons. Measures amplitude, area and width of photoelectron pulse. It amplifies pulse either linearly or logarithmically and then digitalizing the amplified pulse.

  26. Electronics- Creation of a Voltage Pulse Time

  27. DataAnalysis- Plot Types There are several plot choices: Single Color Histogram Fluorescence intensity (FI) versus the number of cells counted. Two Color Dot Plot FI of parameter 1 versus FI of Parameter 2 Two Color Contour Plot Concentric rings form around populations. The more dense the population, the closer the rings are to each other Two Color Density Plot Areas of higher density will have a different color than other areas

  28. Plot Types Density Plot Contour Plot Histogram Greyscale Density Dot Plot www.treestar.com

  29. DATAANALYSIS - GATING Gating is in essence electronic window that sets upper and lower limits on the type and amount of material that passes through. Selection of only a certain population of cells for analysis on a plot. Allows the ability to look at parameters specific to only that subset.

  30. Interpretation of Graphs An important tool for evaluating data is the dot plot. The instrument detects each cell as a point on an X-Y graph. This form of data presentation looks at two parameters of the sample at the same time.

  31. Three common modes for dot plots are: Forward scatter (FSC) vs. side scatter (SSC) To look at the distribution of cells based upon size & granularity Single color vs. side scatter To visualize the expression of the fluorescence of the cells Two-color fluorescence plot. To differentiate between those cells that express only one of the particular fluorescent markers, those that express neither, and those that express both. used to discriminate dead cells from the live ones that are expressing the desired fluorescence.

  32. How to differentiate dim & bright expression of an antigen? Dim : cells are present more towards the origin(0) on x(red) - y axis (pink) BRIGHT DIM Y-axis CD4 Bright : cells are present away from the origin(0) on x(green) & y(yellow) axis. X-axis CD8

  33. WHAT IS UNIQUE IN FLOWCYTOMETRY MULTIPARAMETRIC RAPIDANALYSIS OF LARGE NUMBER OF CELLS INFORMATIONATASINGLE CELL LEVEL DETECTION OF RARE CELLPOPULATIONS ALLOWS PHYSICAL ISOLATION OF CELLS OF INTEREST

  34. USES OF FLOWCYTOMETRY

  35. APPLICATIONS ANALYSIS Immunophenotyping Dyes that bind to nucleic acids (DNA, RNA) Functional assays CELLCOUNTING CELLSORTING

  36. CLINICALAPPLICATIONS Absolute CD4 counts HIV/AIDS HLAB27 assay Joint Pain Hematological Malignancies Diagnosis and Classification Detection of MRD DNAPloidy S Phase fraction Solid Tumours Primary TBNK Phagocytic function defect Immunodeficiency disorders

  37. Cont.. Reticulocyte count PNH Osmotic fragility assay Hemolytic anaemia Feto- maternal Hemorrhage treatment response in Sickle CellAnemia Fetal Hb detection Platelet receptor assays (Platelet count, GT , BSS) Platelet function assay (CD62P , PAC-1) Bleeding Disorders Transfusion and Transplant CD34 STEM CELLCOUNTS Residual WBC count in leukodepleted blood packs Flow cytometry Crossmatch Surface markers in PMN, Monocytes Cytokine response Host Immune response in Sepsis

  38. References THE FLOW CYTOMETRIC EVALUATION OF HEMATOPOIETIC NEOPLASIA Brent L. Wood, Michael J. Borowitz. Henry s, 22nd edition, Chapter 34 https://www.bosterbio.com/protocol-and-troubleshooting/flow- cytometry-principle https://www.abcam.com/protocols/introduction-to-flow-cytometry Video Link: https://www.youtube.com/watch?v=5IdYFgYb9ls https://www.youtube.com/watch?v=7bCZx5xPwt0&t=94s

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