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flow cytrometric analysis of red blood cells in polycythemia vera

flow cytrometric analysis of red blood cells in polycythemia vera

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Gheorghe A., Rug<strong>in</strong>a Alx., Moicean A., Ardelean A., Bratos<strong>in</strong> D.<br />

thrice by centrifugation (5 m<strong>in</strong>, 1000 x g at 4°C) with<br />

phosphate buffe<strong>red</strong> sal<strong>in</strong>e (PBS):Na 2 HPO 4 1.8 mM,<br />

KH 2 PO 4 140 mM, NaCl 2.7 mM, KCl, pH 7.4. After<br />

centrifugation, plasma, platelets and leukocytes were<br />

removed by aspiration and the <strong>red</strong> <strong>blood</strong> <strong>cells</strong> were<br />

resuspended (10 7 <strong>cells</strong> per ml) for further experiments<br />

<strong>in</strong> isotonic phosphate-buffe<strong>red</strong> sal<strong>in</strong>e (PBS) solution<br />

pH 7.4.<br />

Flow cytometric <strong>analysis</strong><br />

Flow cytometric analyses were performed on a<br />

FACScan cytometer us<strong>in</strong>g CellQuestPro s<strong>of</strong>tware for<br />

acquisition and <strong>analysis</strong>. Cells <strong>in</strong> suspension <strong>in</strong> isotonic<br />

PBS buffer pH 7.4 were gated for the light scatter<br />

channels on l<strong>in</strong>ear ga<strong>in</strong>s, and the fluorescence channels<br />

were set on a logarithmic scale with a m<strong>in</strong>imum <strong>of</strong><br />

10,000 <strong>cells</strong> analyzed <strong>in</strong> each condition.<br />

Morphological changes assessment <strong>of</strong> <strong>red</strong><br />

<strong>blood</strong> <strong>cells</strong> <strong>in</strong> Polycythemia <strong>vera</strong> by light<br />

scatte<strong>red</strong> measurements<br />

Analysis <strong>of</strong> the scatte<strong>red</strong> light by <strong>flow</strong> cytometry <strong>in</strong><br />

the mode FSC/SSC provides <strong>in</strong>formations about cell<br />

size and structure. The <strong>in</strong>tensity <strong>of</strong> light scatte<strong>red</strong> <strong>in</strong> a<br />

forward direction (FSC) correlates with cell size. The<br />

<strong>in</strong>tensity <strong>of</strong> scatte<strong>red</strong> light measu<strong>red</strong> at a right angle to<br />

the laser beam (side scatter/SSC), on the other hand,<br />

correlates with granularity, refractiveness and presence<br />

<strong>of</strong> <strong>in</strong>tracellular structures that can reflect the lightwere<br />

associated with cell shr<strong>in</strong>kage. RBCs <strong>in</strong> suspension <strong>in</strong><br />

isotonic PBS buffer, pH 7.4 were gated under forward<br />

and side scatter parameters (FSC versus SSC).<br />

Flow cytometric measurement <strong>of</strong> the b<strong>in</strong>d<strong>in</strong>g<br />

<strong>of</strong> fluoresce<strong>in</strong> isothiocyanate (FITC)-labeled<br />

lect<strong>in</strong>s to RBCs<br />

Accord<strong>in</strong>g to the protocol described by Bratos<strong>in</strong><br />

(Bratos<strong>in</strong> et al., 1995), a solution (50μl) <strong>of</strong> FITClabeled<br />

lect<strong>in</strong>s <strong>in</strong> phosphate buffe<strong>red</strong> sal<strong>in</strong>e (PBS)-<br />

phenylmethysulfonyl fluoride (PMSF) buffer, pH 7.4<br />

(10 mM Na 2 HPO 4 , 1.8 mM KH 2 PO 4 , 140 mM NaCl,<br />

2.7 mM KCl, 0.2 mM PMSF), was added to 50 μl <strong>of</strong> a<br />

<strong>red</strong> <strong>blood</strong> cell suspension <strong>in</strong> the same buffer<br />

(correspond<strong>in</strong>g to 2x10 6 <strong>red</strong> <strong>cells</strong>). After 1h <strong>in</strong>cubation<br />

at 4°C <strong>in</strong> the dark, 10,000 <strong>cells</strong> were analyzed directly.<br />

The b<strong>in</strong>d<strong>in</strong>g for each lect<strong>in</strong> was first studied at<br />

concentrations rang<strong>in</strong>g from 0 to 50 mM <strong>in</strong> order to<br />

determ<strong>in</strong>e the optimal lect<strong>in</strong> concentration. This<br />

experimental protocol was applied to the follow<strong>in</strong>g<br />

FITC-labeled lect<strong>in</strong>s: Sambucus nigra agglut<strong>in</strong><strong>in</strong><br />

(SNA) and Maackia amurensis agglut<strong>in</strong><strong>in</strong> (MAA),<br />

specific for sialic acids and Ric<strong>in</strong>us communis<br />

agglut<strong>in</strong><strong>in</strong> (RCA 120 ) specific for β-galactosyl term<strong>in</strong>al<br />

residues. Experiments were performed at least three<br />

times with three replicates each time.<br />

Flow cytometric measurement <strong>of</strong> cell viability<br />

us<strong>in</strong>g Calce<strong>in</strong>-AM<br />

Cell viability assessment was studied accord<strong>in</strong>g to<br />

the procedure <strong>of</strong> Bratos<strong>in</strong> et al. (Bratos<strong>in</strong> et al., 2005)<br />

30<br />

based on the use <strong>of</strong> acetoxymethyl ester calce<strong>in</strong><br />

(Calce<strong>in</strong>-AM), a fluoresce<strong>in</strong> derivative and nonfluorescent<br />

vital dye that passively crosses the<br />

membrane <strong>of</strong> viable <strong>cells</strong> and is converted by cytosolic<br />

esterases <strong>in</strong>to calce<strong>in</strong> that produces <strong>in</strong>tense green (530<br />

nm) signal, and is reta<strong>in</strong>ed by <strong>cells</strong> with <strong>in</strong>tact plasma<br />

membranes. From dy<strong>in</strong>g or damaged <strong>cells</strong> with<br />

compromised membrane <strong>in</strong>tegrity unhydrolysed<br />

substrat and their fluorescent products are rapidly<br />

extruded from <strong>cells</strong>.<br />

The membrane-permeable dye Calce<strong>in</strong>-AM was<br />

prepa<strong>red</strong> as a stock solution <strong>of</strong> 10 mM <strong>in</strong><br />

dimethylsulfoxide sto<strong>red</strong> at -20°C and as a work<strong>in</strong>g<br />

solution <strong>of</strong> 100 µm <strong>in</strong> PBS buffer pH 7.4. RBCs (4<br />

x10 5 <strong>in</strong> 200 µl PBS buffer, pH 7.4) were <strong>in</strong>cubated with<br />

10 µl Calce<strong>in</strong>-AM work<strong>in</strong>g solution (f<strong>in</strong>al<br />

concentration <strong>in</strong> Calce<strong>in</strong>-AM: 5 µm) for 45 m<strong>in</strong> at<br />

37°C <strong>in</strong> the dark and then diluted <strong>in</strong> 0.5 ml <strong>of</strong> PBS<br />

buffer for immediate <strong>flow</strong> cytometric <strong>analysis</strong> <strong>of</strong><br />

Calce<strong>in</strong> fluorescence retention <strong>in</strong> <strong>cells</strong>. Experiments<br />

were performed at least three times with three<br />

replicates each time.<br />

Flow cytometric <strong>analysis</strong> <strong>of</strong><br />

phosphatidylser<strong>in</strong>e exposure<br />

To 10 µl <strong>of</strong> the RBCs suspension (10 7 <strong>cells</strong> per ml)<br />

<strong>in</strong> PBS buffer, pH 7.4, were added 90 µl <strong>of</strong> b<strong>in</strong>d<strong>in</strong>g<br />

HEPES buffer, pH 7.4 and 5µl (0.05 µg) <strong>of</strong> FITC-<br />

Annex<strong>in</strong> V solution. After <strong>in</strong>cubation for 15 m<strong>in</strong> at<br />

room temperature <strong>in</strong> the dark, 400 µl <strong>of</strong> HEPES (N-(2-<br />

hydroxymethyl)piperaz<strong>in</strong>e-N’-(2-ethane)sulfonic acid)<br />

buffer, pH 7.4 were added and the suspension was<br />

analysed <strong>in</strong> the <strong>flow</strong> cytometer and gated for<br />

biparametric histograms FL1 (FITC fluorescence)<br />

versus FL2 (RBC aut<strong>of</strong>luorescence). Ten thousand<br />

fluorescent particles <strong>of</strong> each gated population were<br />

analyzed. Data were collected on a Becton Dick<strong>in</strong>son<br />

FACScan cytometer and analyzed us<strong>in</strong>g CellQuestPro<br />

s<strong>of</strong>tware. The light scatter channels were set on l<strong>in</strong>ear<br />

ga<strong>in</strong>s and the fluorescence channels on a logarithmic<br />

scale. Experiments were performed at least three times<br />

with three replicates each time.<br />

CaspGLOW TM fluoresce<strong>in</strong> active caspase-3 or -<br />

8 <strong>flow</strong> cytometric analyses<br />

10 6 RBCs were first <strong>in</strong>cubated for 1h with 1 µl <strong>of</strong><br />

FITC-IETD-fmk for caspase-8 activity or FITC-<br />

DEVD-fmk for caspase-3 activity at 37°C under 5%<br />

CO 2 atmosphere. After 3 treatments with 0.5 ml <strong>of</strong><br />

wash<strong>in</strong>g buffer, the <strong>cells</strong> were gated for parametric<br />

histograms FL1 (FITC fluorescence <strong>of</strong> CaspGLOW TM ).<br />

Experiments were carried out <strong>in</strong> triplicate.<br />

Scann<strong>in</strong>g electron microscopy (SEM) <strong>analysis</strong><br />

Erythrocytes were fixed for 4 h with a 1.25%<br />

glutaraldehyde solution <strong>in</strong> 0.1 M sodium cacodylate<br />

buffer pH 7.2 and post-fixed for 4 h <strong>in</strong> 1% osmium<br />

tetraoxide <strong>in</strong> the same buffer. The suspensions were<br />

then filte<strong>red</strong> onto 0.2 μ Anodisc filters and dehydrated<br />

<strong>in</strong> an ethanol series. After dry<strong>in</strong>g with carbon dioxide<br />

Studia Universitatis “Vasile Goldiş”, Seria Şti<strong>in</strong>ţele Vieţii<br />

Vol. 21, issue 1, 2011, pp. 29-35<br />

© 2011 Vasile Goldis University Press (www.studiauniversitatis.ro)

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