Re: Advice/help regarding red cell lysis

From: Maciej Simm (simmmmer@yahoo.com)
Date: Thu Feb 03 2000 - 22:19:26 EST


Dear Sarah, 

2 thoughts. Or maybe more I suck at counting:

1. One time (OK maybe 2 times) when I ran a burst test I diluted 
the lysing 10X stock in PBS instead of DI water (no hypotonic
solution, no lysing). 
2. Young patients (<2 weeks old) and preterm babies with frequent
transfusions are IMPOSSIBLE to lyse due to their evilly sturdy RBC's
3. Certain drugs, such as iron chelating agents in Thalassemia 
patients will hinder lysis. 

Solution:
1. ensure the right hypotonicity of the lysing solution
2. make sure it's not dilluted out by an increase in sample
volume for whatever reason
3. extend the time of lysis by 1/2, then 2X if that doesnt work
4. try lysing in a waterbath, 37oC works wonders
5. try a different lysing solution
6. if you have enough blood and are good with the technique - 
separate the lymphs over ficoll, then lyse. This is really evil
to the cells and even RBC free preparations look crappy. This
doesn't work in thalassemia patients their RBC's float on ficol
with the rest of the pack. 

Hope you solve your problem! if you do please post the answer. 

Maciej
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