19-color, 21-antigen single tube for efficient evaluation of B- and T-cell neoplasms Journal Article


Authors: Chan, A.; Gao, Q.; Roshal, M.
Article Title: 19-color, 21-antigen single tube for efficient evaluation of B- and T-cell neoplasms
Abstract: Non-Hodgkin lymphoma (NHL) is a heterogeneous disease, encompassing a wide variety of individually distinct neoplastic entities of mature B-, T-, and NK-cells. While they constitute a broad category, they are the most common hematologic malignancies in the world. The distinction between different neoplastic entities requires a multi-modal approach, such as flow cytometric immunophenotyping, which can exclude a neoplastic proliferation and help narrow the differential diagnosis. This article describes a flow cytometric test developed at Memorial Sloan Kettering Cancer Center to assess B-, T-, and NK-cells in a single tube, 21-antibody, 19-color assay. The assay can identify most B- and T-cell NHLs with high specificity and sensitivity and significantly narrow the differential when a specific diagnosis cannot be made. The basic protocol provides a detailed operational procedure for sample processing, staining, and cytometric acquisition. The support protocol provides typical steps and caveats for data analysis in lymphoproliferative disorders and in discriminating a variety of specific disease entities from each other and normal lymphoid populations. © 2023 Wiley Periodicals LLC. Basic Protocol: Processing, staining, and cytometric analysis of samples for B- and T-cell assessment. Support Protocol: Analysis and interpretation of the B- and T-cell lymphocyte assay. © 2023 Wiley Periodicals LLC.
Keywords: hematologic neoplasms; lymphoma, non-hodgkin; lymphoma; antibodies; antibody; hematologic disease; non-hodgkin lymphoma; t-cells; b-cells; lymphoproliferative disorder; humans; human; lymphoid leukemia; excipient; excipients
Journal Title: Current Protocols
Volume: 3
Issue: 9
ISSN: 2691-1299
Publisher: John Wiley & Sons, Inc.  
Date Published: 2023-09-01
Start Page: e884
Language: English
DOI: 10.1002/cpz1.884
PUBMED: 37725693
PROVIDER: scopus
PMCID: PMC10516508
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PubMed and PDF -- MSK corresponding author is Mikhail Roshal -- Source: Scopus
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MSK Authors
  1. Mikhail Roshal
    227 Roshal
  2. Qi   Gao
    66 Gao
  3. Alexander Yoshifumi Chan
    42 Chan