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一种用于检测急性髓系白血病微小残留病的 19 色单管全光谱流式细胞术检测方法。

A 19-color single-tube full spectrum flow cytometry assay for the detection of measurable residual disease in acute myeloid leukemia.

机构信息

Department of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.

Division Data Science in Biomedicine, Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, Braunschweig, Germany.

出版信息

Cytometry A. 2024 Mar;105(3):181-195. doi: 10.1002/cyto.a.24811. Epub 2023 Dec 8.

Abstract

Multiparameter flow cytometry (MFC) has emerged as a standard method for quantifying measurable residual disease (MRD) in acute myeloid leukemia. However, the limited number of available channels on conventional flow cytometers requires the division of a diagnostic sample into several tubes, restricting the number of cells and the complexity of immunophenotypes that can be analyzed. Full spectrum flow cytometers overcome this limitation by enabling the simultaneous use of up to 40 fluorescent markers. Here, we used this approach to develop a good laboratory practice-conform single-tube 19-color MRD detection assay that complies with recommendations of the European LeukemiaNet Flow-MRD Working Party. We based our assay on clinically-validated antibody clones and evaluated its performance on an IVD-certified full spectrum flow cytometer. We measured MRD and normal bone marrow samples and compared the MRD data to a widely used reference MRD-MFC panel generating highly concordant results. Using our newly developed single-tube panel, we established reference values in healthy bone marrow for 28 consensus leukemia-associated immunophenotypes and introduced a semi-automated dimensionality-reduction, clustering and cell type identification approach that aids the unbiased detection of aberrant cells. In summary, we provide a comprehensive full spectrum MRD-MFC workflow with the potential for rapid implementation for routine diagnostics due to reduced cell requirements and ease of data analysis with increased reproducibility in comparison to conventional FlowMRD routines.

摘要

多参数流式细胞术 (MFC) 已成为定量检测急性髓系白血病可测量残留病 (MRD) 的标准方法。然而,传统流式细胞仪可用通道数量有限,需要将诊断样本分成几个管,限制了可分析的细胞数量和免疫表型的复杂性。全谱流式细胞仪通过允许同时使用多达 40 个荧光标记物克服了这一限制。在这里,我们使用这种方法开发了一种符合良好实验室规范的单管 19 色 MRD 检测试剂盒,符合欧洲白血病网流式细胞术-MRD 工作组的建议。我们的检测基于经过临床验证的抗体克隆,并在经过 IVD 认证的全谱流式细胞仪上评估其性能。我们测量了 MRD 和正常骨髓样本,并将 MRD 数据与广泛使用的参考 MRD-MFC 面板进行了比较,结果高度一致。使用我们新开发的单管面板,我们在健康骨髓中为 28 个共识性白血病相关免疫表型建立了参考值,并引入了一种半自动降维、聚类和细胞类型识别方法,有助于在不影响细胞的情况下,更准确地检测到异常细胞。总之,我们提供了一种全面的全谱 MRD-MFC 工作流程,由于细胞需求减少,与传统的 FlowMRD 常规相比,数据分析更简单,重复性更高,因此有潜力快速用于常规诊断。

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