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Ross et al.<br />

post-TEC fraction was collected after release of the bound cells by manual<br />

disruption of the column bed. Cytospin preparations of the entire pre-TEC fraction<br />

for each sample were made. Cytospin preparations from the pre-TEC, post-TEC,<br />

<strong>and</strong> FT fractions were immunostained with the cocktail of anti-cytokeratin mAbs<br />

for the presence of tumor cells as detailed below.<br />

A minimum of two experiments was performed for each seeding concentration.<br />

For the following tables, these calculations were used to express tumor cell<br />

recovery <strong>and</strong> enumeration:<br />

' recovery of total tumor cells =<br />

(number tumor cells in post-TEC fraction ) X 100%<br />

number tumor cells seeded in pre-TEC sample<br />

... . . % of tumor cells in post-TEC fraction<br />

fold enrichment = — -—— (2)<br />

% tumor cells in pre-TEC sample<br />

log enrichment = log (fold enrichment) (e.g., log of 500 = 2.69) (3)<br />

total tumor cells in TEC (FT) =<br />

(tumor cell count) (volume of FT fraction)<br />

mL<br />

Patient specimens<br />

Bone <strong>marrow</strong> <strong>and</strong> PBSC apheresis specimens were obtained from researchers at<br />

collaborating institutions. Both fresh <strong>and</strong> cryopreserved specimens were analyzed.<br />

Specimens were split, with 5.0X10 6<br />

cells reserved for st<strong>and</strong>ard pre-TEC ICC<br />

analysis. A minimum of 1.0X10 8<br />

cells were incubated with the biotinylated TEC<br />

mAb <strong>and</strong> processed as described above.<br />

ICC staining<br />

The pre-TEC, post-TEC, <strong>and</strong> TEC FT specimens from both tumor cell seeding<br />

<strong>and</strong> patient specimens were prepared as cytospins <strong>and</strong> fixed in a mixture of<br />

Histochoice (AMRESCO, Solon, OH) <strong>and</strong> 4% paraformaldehyde for 30 minutes at<br />

4°C <strong>and</strong> rinsed thoroughly in phosphate-buffered saline (PBS). The slides were<br />

then loaded on the TechMate 500 (Ventana Medical Systems, Tucson, AZ)<br />

immunostainer <strong>and</strong> placed in blocking solution for 25 minutes. They were then<br />

rinsed in PBS <strong>and</strong> incubated for 20 minutes in an anti-cytokeratin mAb cocktail.<br />

The slides were then rinsed in PBS, incubated for 20 minutes in the secondary<br />

antibody, <strong>and</strong> incubated for an additional 20 minutes in the ABC-alkaline<br />

523<br />

(1)

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