Use of CD34+ internal controls

From: Emanuel Raniolo (emanuel.raniolo@imvs.sa.gov.au)
Date: Mon Nov 26 2001 - 19:33:00 EST


Hi all

Our standard method for CD34 enumeration is a dual platform ISHAGE gated
(wash) method.
In order to establish and validate a single platform (no wash) ISHAGE method
in the laboratory, it would be nice to be able to run an internal control.

I have used Beckman-Coulter's commercial Stem-Trol control cells for this
purpose, but have been unable to recover the stated assayed concentration.
In fact I my determinations are consistently higher than the allowable +/-
15% range.

Apart from some difficulties in gating placement, as these cells display
increased forward and side light scatter characteristics to normal human
haematopoetic precursors, I cannot see why my results are too high (around
40% above the stated concentration). I practice reverse pipetting, and mix
the fluorospheres adequately prior to dispensing.  Single vs dual platform
comparisons for peripheral blood demonstrate a small positive bias in favour
of the single platform method, whereas results are identical for apheresis
product. In addition, the absolute CD45+ count is in general agreement with
the analyser WBC count.

I would like to ask:
What is the group experience with the use of internal controls for CD34
enumeration, and in particular with Stem-Trol cells?
Is the stated Stem-Trol assayed concentration and range reflective of common
experience?
Are internal CD34+ controls regularly utilised in routine practice?
What alternative sources are available?

Thanks

Emanuel Raniolo
IMVS Laboratories
The Queen Elizabeth Hospital
Department of Haematology
Cell Analysis and Cryopreservation Laboratory
Adelaide, South Australia.



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