Immunophenotypic differentiation patterns of normal hematopoiesis in human bone marrow: Reference patterns for age‐related changes and disease‐induced shifts

Background The abundance of monoclonal antibodies (mAb) and the routine use of quadruple stainings in flow cytometry allow stepwise analysis of bone marrow (BM) samples that are suspected for abnormal hematopoiesis. A screening phase that precedes lineage‐specific classification phases should be suf...

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Veröffentlicht in:Cytometry. Part B, Clinical cytometry Clinical cytometry, 2004-07, Vol.60B (1), p.1-13
Hauptverfasser: van Lochem, E.G., van der Velden, V.H.J., Wind, H.K., te Marvelde, J.G., Westerdaal, N.A.C., van Dongen, J.J.M.
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container_end_page 13
container_issue 1
container_start_page 1
container_title Cytometry. Part B, Clinical cytometry
container_volume 60B
creator van Lochem, E.G.
van der Velden, V.H.J.
Wind, H.K.
te Marvelde, J.G.
Westerdaal, N.A.C.
van Dongen, J.J.M.
description Background The abundance of monoclonal antibodies (mAb) and the routine use of quadruple stainings in flow cytometry allow stepwise analysis of bone marrow (BM) samples that are suspected for abnormal hematopoiesis. A screening phase that precedes lineage‐specific classification phases should be sufficient to assess whether the BM has a normal or abnormal composition, as well as to identify the abnormal differentiation lineage. Methods For a quick and easy flow cytometric screening of BM samples, we selected six quadruple immunostainings that cover multiple differentiation stages of the B‐cell, monocytic, granulocytic, and erythroid lineages: TdT/CD20/CD19/CD10 and CD45/CD34/CD19/CD22 for B cells, CD34/CD117/CD45/CD13.33 for precursor granulocytic and precursor monocytic cells (myelo/monoblasts), CD14/CD33/CD45/CD34 for monocytic cells, CD16/CD13/CD45/CD11b for granulocytic cells, and CD71/CD235a/CD45/CD117 for erythroid cells. Results The six quadruple immunostainings reveal specific staining patterns in normal BM, which allow the recognition of various subpopulations of the respective lineages. These staining patterns can be used as a frame of reference for recognition of normal and abnormal BM development. Examples of normal (age‐related) variations in these otherwise stable staining patterns are presented together with several abnormal differentiation patterns. Conclusions Although alternative immunostainings can be used (e.g., including NK‐ and T‐cell markers), we feel that the selected six stainings represent a comprehensive and easy screening phase for quick identification of shifts in the composition of the studied differentiation lineages, reflecting age‐related changes or disease‐induced BM abnormalities. © 2004 Wiley‐Liss, Inc.
doi_str_mv 10.1002/cyto.b.20008
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A screening phase that precedes lineage‐specific classification phases should be sufficient to assess whether the BM has a normal or abnormal composition, as well as to identify the abnormal differentiation lineage. Methods For a quick and easy flow cytometric screening of BM samples, we selected six quadruple immunostainings that cover multiple differentiation stages of the B‐cell, monocytic, granulocytic, and erythroid lineages: TdT/CD20/CD19/CD10 and CD45/CD34/CD19/CD22 for B cells, CD34/CD117/CD45/CD13.33 for precursor granulocytic and precursor monocytic cells (myelo/monoblasts), CD14/CD33/CD45/CD34 for monocytic cells, CD16/CD13/CD45/CD11b for granulocytic cells, and CD71/CD235a/CD45/CD117 for erythroid cells. Results The six quadruple immunostainings reveal specific staining patterns in normal BM, which allow the recognition of various subpopulations of the respective lineages. These staining patterns can be used as a frame of reference for recognition of normal and abnormal BM development. Examples of normal (age‐related) variations in these otherwise stable staining patterns are presented together with several abnormal differentiation patterns. Conclusions Although alternative immunostainings can be used (e.g., including NK‐ and T‐cell markers), we feel that the selected six stainings represent a comprehensive and easy screening phase for quick identification of shifts in the composition of the studied differentiation lineages, reflecting age‐related changes or disease‐induced BM abnormalities. © 2004 Wiley‐Liss, Inc.</description><identifier>ISSN: 1552-4949</identifier><identifier>EISSN: 1552-4957</identifier><identifier>DOI: 10.1002/cyto.b.20008</identifier><identifier>PMID: 15221864</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Aging - physiology ; B-Lymphocytes - cytology ; B-Lymphocytes - immunology ; Bone Marrow - immunology ; Bone Marrow - pathology ; Bone Marrow - physiology ; Bone Marrow Cells - cytology ; Bone Marrow Cells - immunology ; Cell Lineage ; Erythroid Cells - cytology ; Erythroid Cells - immunology ; expression profile ; Flow Cytometry ; Granulocytes - cytology ; Granulocytes - immunology ; Hematologic Diseases - pathology ; Hematopoiesis ; Humans ; Immunophenotyping ; Monocytes - cytology ; Monocytes - immunology ; normal bone marrow ; Reference Values ; staining patterns</subject><ispartof>Cytometry. 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Part B, Clinical cytometry</title><addtitle>Cytometry B Clin Cytom</addtitle><description>Background The abundance of monoclonal antibodies (mAb) and the routine use of quadruple stainings in flow cytometry allow stepwise analysis of bone marrow (BM) samples that are suspected for abnormal hematopoiesis. A screening phase that precedes lineage‐specific classification phases should be sufficient to assess whether the BM has a normal or abnormal composition, as well as to identify the abnormal differentiation lineage. Methods For a quick and easy flow cytometric screening of BM samples, we selected six quadruple immunostainings that cover multiple differentiation stages of the B‐cell, monocytic, granulocytic, and erythroid lineages: TdT/CD20/CD19/CD10 and CD45/CD34/CD19/CD22 for B cells, CD34/CD117/CD45/CD13.33 for precursor granulocytic and precursor monocytic cells (myelo/monoblasts), CD14/CD33/CD45/CD34 for monocytic cells, CD16/CD13/CD45/CD11b for granulocytic cells, and CD71/CD235a/CD45/CD117 for erythroid cells. Results The six quadruple immunostainings reveal specific staining patterns in normal BM, which allow the recognition of various subpopulations of the respective lineages. These staining patterns can be used as a frame of reference for recognition of normal and abnormal BM development. Examples of normal (age‐related) variations in these otherwise stable staining patterns are presented together with several abnormal differentiation patterns. Conclusions Although alternative immunostainings can be used (e.g., including NK‐ and T‐cell markers), we feel that the selected six stainings represent a comprehensive and easy screening phase for quick identification of shifts in the composition of the studied differentiation lineages, reflecting age‐related changes or disease‐induced BM abnormalities. © 2004 Wiley‐Liss, Inc.</description><subject>Aging - physiology</subject><subject>B-Lymphocytes - cytology</subject><subject>B-Lymphocytes - immunology</subject><subject>Bone Marrow - immunology</subject><subject>Bone Marrow - pathology</subject><subject>Bone Marrow - physiology</subject><subject>Bone Marrow Cells - cytology</subject><subject>Bone Marrow Cells - immunology</subject><subject>Cell Lineage</subject><subject>Erythroid Cells - cytology</subject><subject>Erythroid Cells - immunology</subject><subject>expression profile</subject><subject>Flow Cytometry</subject><subject>Granulocytes - cytology</subject><subject>Granulocytes - immunology</subject><subject>Hematologic Diseases - pathology</subject><subject>Hematopoiesis</subject><subject>Humans</subject><subject>Immunophenotyping</subject><subject>Monocytes - cytology</subject><subject>Monocytes - immunology</subject><subject>normal bone marrow</subject><subject>Reference Values</subject><subject>staining patterns</subject><issn>1552-4949</issn><issn>1552-4957</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFu1DAQhi1ERUvhxhn5xInd2ontxNzQikKlSpWqcuBkOfa4MUrsYDuq9tZH4BV4tT4J2e6K3uhpZjSfvpHmR-gdJWtKSHVmtiWuu3VFCGlfoBPKebVikjcv__VMHqPXOf8kpOZMNK_QMeVVRVvBTtCfi3GcQ5x6CLFsJ2-w9c5BglC8Lj4GPOlSIIWMo8MhplEPuIdRlzhFD9ln7APu51EH3MUAeNQpxbtP-BoeLQaeBC4mrG_h4f53gkEXsNj0OtxCxjrY5W4GnXdbH-xslm3uvSv5DTpyesjw9lBP0ffzLzebb6vLq68Xm8-XK8OEaFfAKrBGd1JSXjeGGZDE1IZb0dRkGTraUQdcMyqh5tw2gkCjnTAVpbK1TX2KPuy9U4q_ZshFjT4bGAYdIM5ZCSE4ayV5FqxI3UgmduDHPWhSzDmBU1Pyy3-2ihK1y07tslOdesxuwd8fvHM3gn2CD2EtQL0H7vwA2__K1ObHzdVe-xeuoqzD</recordid><startdate>200407</startdate><enddate>200407</enddate><creator>van Lochem, E.G.</creator><creator>van der Velden, V.H.J.</creator><creator>Wind, H.K.</creator><creator>te Marvelde, J.G.</creator><creator>Westerdaal, N.A.C.</creator><creator>van Dongen, J.J.M.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200407</creationdate><title>Immunophenotypic differentiation patterns of normal hematopoiesis in human bone marrow: Reference patterns for age‐related changes and disease‐induced shifts</title><author>van Lochem, E.G. ; van der Velden, V.H.J. ; Wind, H.K. ; te Marvelde, J.G. ; Westerdaal, N.A.C. ; van Dongen, J.J.M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4668-e42edcab991537c4ce90c3c5d6730ce9b1b1fe5a419e355d760e7af6c21198d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aging - physiology</topic><topic>B-Lymphocytes - cytology</topic><topic>B-Lymphocytes - immunology</topic><topic>Bone Marrow - immunology</topic><topic>Bone Marrow - pathology</topic><topic>Bone Marrow - physiology</topic><topic>Bone Marrow Cells - cytology</topic><topic>Bone Marrow Cells - immunology</topic><topic>Cell Lineage</topic><topic>Erythroid Cells - cytology</topic><topic>Erythroid Cells - immunology</topic><topic>expression profile</topic><topic>Flow Cytometry</topic><topic>Granulocytes - cytology</topic><topic>Granulocytes - immunology</topic><topic>Hematologic Diseases - pathology</topic><topic>Hematopoiesis</topic><topic>Humans</topic><topic>Immunophenotyping</topic><topic>Monocytes - cytology</topic><topic>Monocytes - immunology</topic><topic>normal bone marrow</topic><topic>Reference Values</topic><topic>staining patterns</topic><toplevel>online_resources</toplevel><creatorcontrib>van Lochem, E.G.</creatorcontrib><creatorcontrib>van der Velden, V.H.J.</creatorcontrib><creatorcontrib>Wind, H.K.</creatorcontrib><creatorcontrib>te Marvelde, J.G.</creatorcontrib><creatorcontrib>Westerdaal, N.A.C.</creatorcontrib><creatorcontrib>van Dongen, J.J.M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Cytometry. Part B, Clinical cytometry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Lochem, E.G.</au><au>van der Velden, V.H.J.</au><au>Wind, H.K.</au><au>te Marvelde, J.G.</au><au>Westerdaal, N.A.C.</au><au>van Dongen, J.J.M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immunophenotypic differentiation patterns of normal hematopoiesis in human bone marrow: Reference patterns for age‐related changes and disease‐induced shifts</atitle><jtitle>Cytometry. Part B, Clinical cytometry</jtitle><addtitle>Cytometry B Clin Cytom</addtitle><date>2004-07</date><risdate>2004</risdate><volume>60B</volume><issue>1</issue><spage>1</spage><epage>13</epage><pages>1-13</pages><issn>1552-4949</issn><eissn>1552-4957</eissn><abstract>Background The abundance of monoclonal antibodies (mAb) and the routine use of quadruple stainings in flow cytometry allow stepwise analysis of bone marrow (BM) samples that are suspected for abnormal hematopoiesis. A screening phase that precedes lineage‐specific classification phases should be sufficient to assess whether the BM has a normal or abnormal composition, as well as to identify the abnormal differentiation lineage. Methods For a quick and easy flow cytometric screening of BM samples, we selected six quadruple immunostainings that cover multiple differentiation stages of the B‐cell, monocytic, granulocytic, and erythroid lineages: TdT/CD20/CD19/CD10 and CD45/CD34/CD19/CD22 for B cells, CD34/CD117/CD45/CD13.33 for precursor granulocytic and precursor monocytic cells (myelo/monoblasts), CD14/CD33/CD45/CD34 for monocytic cells, CD16/CD13/CD45/CD11b for granulocytic cells, and CD71/CD235a/CD45/CD117 for erythroid cells. Results The six quadruple immunostainings reveal specific staining patterns in normal BM, which allow the recognition of various subpopulations of the respective lineages. These staining patterns can be used as a frame of reference for recognition of normal and abnormal BM development. Examples of normal (age‐related) variations in these otherwise stable staining patterns are presented together with several abnormal differentiation patterns. Conclusions Although alternative immunostainings can be used (e.g., including NK‐ and T‐cell markers), we feel that the selected six stainings represent a comprehensive and easy screening phase for quick identification of shifts in the composition of the studied differentiation lineages, reflecting age‐related changes or disease‐induced BM abnormalities. © 2004 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>15221864</pmid><doi>10.1002/cyto.b.20008</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
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subjects Aging - physiology
B-Lymphocytes - cytology
B-Lymphocytes - immunology
Bone Marrow - immunology
Bone Marrow - pathology
Bone Marrow - physiology
Bone Marrow Cells - cytology
Bone Marrow Cells - immunology
Cell Lineage
Erythroid Cells - cytology
Erythroid Cells - immunology
expression profile
Flow Cytometry
Granulocytes - cytology
Granulocytes - immunology
Hematologic Diseases - pathology
Hematopoiesis
Humans
Immunophenotyping
Monocytes - cytology
Monocytes - immunology
normal bone marrow
Reference Values
staining patterns
title Immunophenotypic differentiation patterns of normal hematopoiesis in human bone marrow: Reference patterns for age‐related changes and disease‐induced shifts
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