Single-tube 10-fluorochrome analysis for efficient flow cytometric evaluation of minimal residual disease in plasma cell myeloma Journal Article


Authors: Royston, D. J.; Gao, Q.; Nguyen, N.; Maslak, P.; Dogan, A.; Roshal, M.
Article Title: Single-tube 10-fluorochrome analysis for efficient flow cytometric evaluation of minimal residual disease in plasma cell myeloma
Abstract: Objectives: Widespread adoption of recent recommendations for minimal residual disease (MRD) detection in myeloma has partly been impeded by a paucity of studies detailing multiparameter flow cytometry (MPF) assay validation. In response, we have validated a novel and efficient single-tube 10-color assay for MRD detection that incorporates the recently recommended plasma cell markers. Methods: Aspirate samples from 53 patients with plasma cell disorder were analyzed using a novel single-tube 10-color method. The limit of detection, precision of measurement, and linearity of measurement of our new assay were determined using serial dilution experiments. The stability of the new antibody cocktail and the viability/specificity of stained samples were evaluated using serial time course measurements. Results: There was a high degree of quantitative agreement between our new 10-color method and an established eightcolor method. Four positive samples detected by the 10-color assay were below or at the limit of detection of the eight-color assay, confirming its high sensitivity. In two cases, subsequent revision of the International Myeloma Working Group Uniform Response Criteria was necessary. Conclusion: Adoption of our validated 10-color assay would enable clinical laboratories to satisfy current MRD recommendations without significantly increasing the demands on current workflow practices. © American Society for Clinical Pathology, 2016. All rights reserved.
Keywords: multiple myeloma; minimal residual disease; validation; mrd; 10-color; multiparameter flow cytometry; plasma cell disorder; single tube
Journal Title: American Journal of Clinical Pathology
Volume: 146
Issue: 1
ISSN: 0002-9173
Publisher: Oxford University Press  
Date Published: 2016-07-01
Start Page: 41
End Page: 49
Language: English
DOI: 10.1093/ajcp/aqw052
PROVIDER: scopus
PUBMED: 27402608
PMCID: PMC6365913
DOI/URL:
Notes: Conference Paper -- Export Date: 1 September 2016 -- Source: Scopus
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MSK Authors
  1. Peter Maslak
    197 Maslak
  2. Ahmet Dogan
    454 Dogan
  3. Mikhail Roshal
    227 Roshal
  4. Qi   Gao
    66 Gao
  5. Nghia Trong Nguyen
    4 Nguyen