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Myeloid Leukemia

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246 Christopherson et al.<br />

4. Each batch of slides is tested with cell lines and/or frozen peripheral blood leukocytes<br />

or leukemia cells of known immunophenotype to check antibody-binding<br />

activities.<br />

3.2. Binding of Leukocytes to the DotScan Microarray<br />

1. The collection of peripheral blood from patients and normal subjects, purification<br />

of mononuclear leukocytes on Histopaque-1077, and their immunophenotyping on<br />

a CD antibody microarray are described by Belov et al. (3,10).<br />

2. Most lymphoid cell suspensions are tested in PBS containing 1 mM ethylenediamine<br />

tetraacetic acid (EDTA), but cells from patients with AML are tested in<br />

PBS, without EDTA, containing heat-inactivated human AB serum (2% (v/v),<br />

Sigma-Aldrich, St. Louis, MO) to minimize nonspecific Fc receptor binding (see<br />

Note 1).<br />

3. Leukocytes (4–6 ⋅ 10 6 cells, see Note 2) suspended in 300 ∝L of PBS plus AB<br />

serum are incubated at room temperature (20°C) for 60 min.<br />

4. Unbound cells are gently washed off with PBS; then the microarrays are fixed for<br />

at least 20 min in PBS containing 3.7% (v/v) formaldehyde, and washed in PBS.<br />

5. Complete instructions on the use of the DotScan microarray are provided with<br />

the kits available from Medsaic Pty. Ltd. (Australian Technology Park, Eveleigh,<br />

Australia).<br />

3.3. Data Recording and Analysis<br />

Dot patterns of leukocytes captured on the DotScan microarray are recorded<br />

using a DotScan array reader and software (see Note 3). The software quantifies<br />

the intensities of each dot from the digital image file and compiles expression<br />

profiles as bar charts showing the average intensities above background<br />

on an 8-bit grayness scale from 1 to 256 (see Note 4). Fig. 1 shows dot patterns<br />

obtained for M4 AML from peripheral blood and bone marrow from two different<br />

patients. The digital images of the dot patterns obtained with the DotScan<br />

array reader (Fig. 1) were analyzed using the DotScan software to produce the<br />

bar charts shown in Fig. 2. The immunophenotype (see Note 5) of the AML-<br />

Fig. 1. (opposite page) Mononuclear leukocytes from patients with acute myeloid<br />

leukemia captured on the DotScan microarray: (A) antibody location; (B) patient<br />

63047, acute myeloid leukemia (AML)-M4 peripheral blood; (C) patient 63269, AML-<br />

M4 bone marrow. The DotScan microarray contains duplicate antibody microarrays,<br />

and the dot intensities are averaged by the software. The numbers in the key provide<br />

addresses for the cluster of differentiation (CD) antibodies; mIgG1, mIgG2a, mIgG2b<br />

and mIgM are murine isotype control antibodies; TCR α/⇓, TCR . /δ, HLA-DR, FMC7,<br />

. , . , and sIg are antibodies against T-cell receptors α/⇓ and . /δ, HLA-DR, FMC7,<br />

. -, and . -immunoglobulin light chains and surface immunoglobulin, respectively.<br />

Mabthera (Roche, Hertfordshire, UK) is a humanized monoclonal antibody against<br />

CD20. 33 HIM and 34 581 are antibodies 33 HIM 3–4 and 34 581 derived from different<br />

hybridoma clones from those for CD33 and CD34 in the main array.

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