Implementation of a red blood cell-optical (RBO) channel for detection of latent iron deficiency anaemia by automated measurement of autofluorescence-emitting red blood cells

Sci Rep. 2020 Sep 24;10(1):15605. doi: 10.1038/s41598-020-72382-z.

Abstract

Iron deficiency is the most common and widespread nutritional disorder worldwide. The automated haematology analyser XN-30 (Sysmex, Kobe, Japan) was developed to detect malaria-infected red blood cells (RBCs) in human blood samples using flow cytometry. The optical system of the analyser detects autofluorescence (AF)-emitting RBCs containing iron-deficient haem groups and would aid in the diagnosis of anaemia resulting from iron deficiency. Here, an RBC-optical (RBO) channel was devised and implemented on the analyser. In vitro analyses showed that the analyser detected AF-emitting RBCs treated with 5-aminolevulinic acid. Furthermore, the analyser detected AF-emitting RBCs in mice fed a low iron diet and infected with a rodent malaria parasite; it could also be effectively used in humans. This study demonstrates that the analyser can quantitatively and reproducibly detect AF-emitting RBCs and measure other haematological parameters, suggesting its usefulness for the initial evaluation of latent iron deficiency anaemia in conjunction with the diagnosis of malaria.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anemia, Iron-Deficiency / diagnosis*
  • Anemia, Iron-Deficiency / etiology
  • Animals
  • Automation
  • Diet / adverse effects*
  • Erythrocyte Count
  • Erythrocytes / parasitology
  • Erythrocytes / pathology*
  • Female
  • Hematologic Tests / instrumentation*
  • Hematologic Tests / methods*
  • Humans
  • Malaria / complications*
  • Malaria / parasitology
  • Mice
  • Mice, Inbred C57BL
  • Optical Imaging
  • Plasmodium falciparum / isolation & purification