Comparison of poly- and monoclonal antibodies for determination of B-cell clonal excess in an routine clinical laboratory

Eur J Haematol. 1992 Jan;48(1):49-55. doi: 10.1111/j.1600-0609.1992.tb01793.x.

Abstract

Flow cytometry (FCM) has gained wide use in the determination of clonality in B-cell lymphoproliferative diseases and many methodological variations exist. We have compared the suitability of a) dual fluorochrome (FITC/PE)-labelled monoclonal antibodies, b) single fluorochrome (FITC)-labelled monoclonal antibodies and c) F(ab')2 fragments of FITC-labelled polyclonal antibodies for flow cytometric determination of clonality using commercially available software and a short sample preparation protocol. The FCM method was validated by analysis of immunoglobulin heavy chain and light chain gene rearrangements. We recommend the use of FITC-labelled monoclonals to obtain three parameters, the kappa/lambda ratio, D and D/S(n) values (Kolmogorov-Smirnov statistics) instead of the commonly used kappa/lambda ratio and D values only. This allows the use of a rapid sample preparation protocol to blood and bone marrow aspirates without sacrificing sensitivity or specificity obtained by the usual FCM method.

Publication types

  • Comparative Study

MeSH terms

  • Antibodies*
  • Antibodies, Monoclonal*
  • B-Lymphocytes / immunology*
  • Bone Marrow / immunology
  • Bone Marrow / pathology
  • Flow Cytometry / methods
  • Fluorescein-5-isothiocyanate
  • Humans
  • Immunoglobulin Fab Fragments
  • Immunophenotyping
  • Leukemia / immunology*
  • Lymphoma / immunology*
  • Lymphoproliferative Disorders / immunology*
  • Lymphoproliferative Disorders / pathology

Substances

  • Antibodies
  • Antibodies, Monoclonal
  • Immunoglobulin Fab Fragments
  • Fluorescein-5-isothiocyanate