Bone marrow fluorescence activated cell

Newer strategies for stem cell identification have been developed based on the knowledge of cell functions. A primitive and multipotential subpopulation of bone marrow mononuclear cells has been identified on the basis of the intracellular presence of aldehyde dehydrogenase (ALDH). Those cells can be marked on the basis of the presence of ALDH and are called aldehyde dehydrogenase-bright cells (ALDH cells), allowing for their separation from a bone marrow aspiration mononuclear subpopulation under fluorescence-activated cell sorter (FACS) analysis. 

The various organs of the immune system such as spleen, lymph nodes, thymus and bone marrow containing the cells involved in the various immune responses offer the possibility to harvest these cells and perform in vitro assays for evaluation of effects on the immune system. When part of an in vivo animal study this may indicate a direct toxic effect of pharmaceuticals, that is, immunosuppression (Table 18.2). So, it is feasible to obtain cell suspensions for further evaluation such as determination of cellular subsets of T and B leukocytes by fluorescent activated cell sorter analysis (FACS analysis), and determination of natural killer (NK) cell activity of the spleen cell population. An advantage of this approach is that it may lead to identification of a biomarker to be used in clinical studies. In addition, in vitro stimulation of spleen cells with mitogens activating specific subsets may indicate potential effects on the functionality of splenic cell populations. Concanavalin A (Con A) and phytohemagglutinin (PHA) activate Tcells, while lipopolysaccharide (LPS) activates primarily B cell populations. Blood is collected for total white blood cell (WBC) determination and blood cell differential count. In addition, serum can be obtained for determination of serum immunoglobulins. 

The hematopoietic lineage originally was worked out by Injecting the various types of precursor cells into mice whose precursor cells had been wiped out by irradiation. By observing which blood cells were restored in these transplant experiments, researchers could infer which precursors or terminally differentiated cells (e.g., erythrocytes, monocytes) arise from a particular type of precursor. The first step in these experiments was separation of the different types of hematopoietic precursors. This is possible because each type produces unique combinations of cell-surface proteins that can serve as type-specific markers. If bone marrow extracts are treated with fluorochrome-labeled antibodies for these markers, cells with different surface markers can be separated in a fluorescence-activated cell sorter (see Figure 5-34). 

Populations of hematopoietic cells enriched with stem cells can be isolated by fluorescence activated cell sorting, based on the expression of specific cell surface markers. Increasing the population of stem cells in cells used for a bone marrow transplantation increases the chances of success of the transplantation. 

Multipotent adult progenitor cells (MAPCs) isolated by fluorescent-activated cell sorting (FACS) from the bone marrow... 

Enzyme activities may also be measured in urine, cerebrospinal fluid, bone marrow cells or fluid, amniotic cells or fluid, red blood cells, leukocytes, and tissue cells. Cytochemical localization is possible in leukocytes and biopsy specimens (e.g., from liver and muscle). Under ideal conditions, both the concentration of the enzyme and its activity would be measured. Radioimmunoassay (RIA) and its alternative modes such as fluorescence immunoassay (FIA), fluorescence polarization immunoassay (FPIA), and chemiluminescence immunoassay (CLIA) (discussed later), can be used to measure enzyme concentration as well as other clinically important parameters. 

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