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Clinical and Diagnostic Laboratory Immunology logoLink to Clinical and Diagnostic Laboratory Immunology
. 1996 Jan;3(1):30–36. doi: 10.1128/cdli.3.1.30-36.1996

Multiparametric immunophenotyping of B cells in peripheral blood of healthy adults by flow cytometry.

H G Höffkes 1, G Schmidtke 1, M Uppenkamp 1, U Schmücker 1
PMCID: PMC170243  PMID: 8770500

Abstract

The investigation of patients suffering from malignant lymphomas of the B-cell type requires flow cytometric immunophenotyping. Several reports described the expression of almost all B lineage antigens on normal and abnormal B lymphocytes. Thus, immunophenotyping of lymphomas must be interpreted in the context of the reference values obtained for healthy control individuals. For this purpose multiparametric flow cytometric analysis offers the unique feature for lymphocyte subset analysis. In the present study B lymphocytes in the peripheral blood of healthy adults were investigated by multiparametric flow cytometric immunophenotyping for the detection of the frequency (in percent) of antigens provided by the revised European-American classification of lymphoid neoplasms (REAL) classification. Thus, 84 healthy adults were investigated and grouped by age (average ages were as follows: group 1, 25.38 years; group 2, 33.86 years; group 3, 44.17 years; group 4, 55.67 years; group 5, 66.67 years). Analysis was done for surface immunoglobulins (kappa and lambda chains of immunoglobulin M [IgM] and IgD) as well as CD10, CD11c, CD23, CD38, CD103, FMC-7, and B-B4. Three-color immunophenotyping was performed for kappa/CD19/CD5, lambda/CD19/CD5, surface IgM/surface IgD/CD19, FMC-7/CD19/CD5, CD103/CD11c/CD19, CD10/CD23/CD19, and CD38/B-B4/CD19 by live gating of CD19+ events (n = 2,000). Although some numerical differences could be obtained for the different groups, statistical differences (P < 0.005) could only be obtained for the CD19+/CD5+ B-cell subset, which was decreased in the elderly patients (group 5). The established two-color and three-color stainings will serve as a basis for future multiparametric immunophenotyping of abnormal lymphocytes (e.g., for patients suffering from non-Hodgkin's lymphoma of the B-cell type).

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Selected References

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  1. Almasri N. M., Duque R. E., Iturraspe J., Everett E., Braylan R. C. Reduced expression of CD20 antigen as a characteristic marker for chronic lymphocytic leukemia. Am J Hematol. 1992 Aug;40(4):259–263. doi: 10.1002/ajh.2830400404. [DOI] [PubMed] [Google Scholar]
  2. Anderson K. C., Bates M. P., Slaughenhoupt B. L., Pinkus G. S., Schlossman S. F., Nadler L. M. Expression of human B cell-associated antigens on leukemias and lymphomas: a model of human B cell differentiation. Blood. 1984 Jun;63(6):1424–1433. [PubMed] [Google Scholar]
  3. Andreoni C., Rigal D., Bonnard M., Bernaud J. Phenotypic analysis of a large number of normal human bone marrow sample by flow cytometry. Blut. 1990 Nov;61(5):271–277. doi: 10.1007/BF01732876. [DOI] [PubMed] [Google Scholar]
  4. Ault K. A. Detection of small numbers of monoclonal B lymphocytes in the blood of patients with lymphoma. N Engl J Med. 1979 Jun 21;300(25):1401–1405. doi: 10.1056/NEJM197906213002501. [DOI] [PubMed] [Google Scholar]
  5. Babcock G. F., Taylor A. F., Hynd B. A., Sramkoski R. M., Alexander J. W. Flow cytometric analysis of lymphocyte subset phenotypes comparing normal children and adults. Diagn Clin Immunol. 1987;5(4):175–179. [PubMed] [Google Scholar]
  6. Bishop P. C., Boone D., Parker J. W. Immunophenotypes by flow cytometry: a longitudinal study in healthy individuals. Diagn Clin Immunol. 1988;5(5):232–240. [PubMed] [Google Scholar]
  7. Borowitz M. J., Bousvaros A., Brynes R. K., Cousar J. B., Crissman J. D., Whitcomb C. C., Kerns B. J., Byrne G. E., Jr Monoclonal antibody phenotyping of B-cell non-Hodgkin's lymphomas. The Southeastern Cancer Study Group experience. Am J Pathol. 1985 Dec;121(3):514–521. [PMC free article] [PubMed] [Google Scholar]
  8. Brittinger G., Bartels H., Common H., Dühmke E., Fülle H. H., Gunzer U., Gyenes T., Heinz R., König E., Meusers P. Clinical and prognostic relevance of the Kiel classification of non-Hodgkin lymphomas results of a prospective multicenter study by the Kiel Lymphoma Study Group. Hematol Oncol. 1984 Jul-Sep;2(3):269–306. doi: 10.1002/hon.2900020306. [DOI] [PubMed] [Google Scholar]
  9. Clark P., Normansell D. E., Innes D. J., Hess C. E. Lymphocyte subsets in normal bone marrow. Blood. 1986 Jun;67(6):1600–1606. [PubMed] [Google Scholar]
  10. De Paoli P., Reitano M., Battistin S., Castiglia C., Santini G. Enumeration of human lymphocyte subsets by monoclonal antibodies and flow cytometry: a comparative study using whole blood or mononuclear cells separated by density gradient centrifugation. J Immunol Methods. 1984 Sep 4;72(2):349–353. doi: 10.1016/0022-1759(84)90003-6. [DOI] [PubMed] [Google Scholar]
  11. Dworsky R., Paganini-Hill A., Ducey B., Hechinger M., Parker J. W. Lymphocyte immunophenotyping in an elderly population: age, sex and medication effects--a flow cytometry study. Mech Ageing Dev. 1989 Jun;48(3):255–266. doi: 10.1016/0047-6374(89)90087-0. [DOI] [PubMed] [Google Scholar]
  12. Edwards B. S., Altobelli K. K., Nolla H. A., Harper D. A., Hoffman R. R. Comprehensive quality assessment approach for flow cytometric immunophenotyping of human lymphocytes. Cytometry. 1989 Jul;10(4):433–441. doi: 10.1002/cyto.990100411. [DOI] [PubMed] [Google Scholar]
  13. Fauci A. S. Human bone marrow lymphocytes. I. Distribution of lymphocyte subpopulations in the bone marrow of normal individuals. J Clin Invest. 1975 Jul;56(1):98–110. doi: 10.1172/JCI108085. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Fleisher T. A., Hagengruber C., Marti G. E. Immunophenotyping of normal lymphocytes. Pathol Immunopathol Res. 1988;7(5):305–318. doi: 10.1159/000157125. [DOI] [PubMed] [Google Scholar]
  15. Garcia C. F., Warnke R. A., Weiss L. M. Follicular large cell lymphoma. An immunophenotype study. Am J Pathol. 1986 Jun;123(3):425–431. [PMC free article] [PubMed] [Google Scholar]
  16. Gobbi M., Caligaris-Cappio F., Janossy G. Normal equivalent cells of B cell malignancies: analysis with monoclonal antibodies. Br J Haematol. 1983 Jul;54(3):393–403. doi: 10.1111/j.1365-2141.1983.tb02114.x. [DOI] [PubMed] [Google Scholar]
  17. Greaves M. F., Chan L. C., Furley A. J., Watt S. M., Molgaard H. V. Lineage promiscuity in hemopoietic differentiation and leukemia. Blood. 1986 Jan;67(1):1–11. [PubMed] [Google Scholar]
  18. Harris N. L., Jaffe E. S., Stein H., Banks P. M., Chan J. K., Cleary M. L., Delsol G., De Wolf-Peeters C., Falini B., Gatter K. C. A revised European-American classification of lymphoid neoplasms: a proposal from the International Lymphoma Study Group. Blood. 1994 Sep 1;84(5):1361–1392. [PubMed] [Google Scholar]
  19. Hollema H., Poppema S. Immunophenotypes of malignant lymphoma centroblastic-centrocytic and malignant lymphoma centrocytic: an immunohistologic study indicating a derivation from different stages of B cell differentiation. Hum Pathol. 1988 Sep;19(9):1053–1059. doi: 10.1016/s0046-8177(88)80086-8. [DOI] [PubMed] [Google Scholar]
  20. Horning S. J., Doggett R. S., Warnke R. A., Dorfman R. F., Cox R. S., Levy R. Clinical relevance of immunologic phenotype in diffuse large cell lymphoma. Blood. 1984 May;63(5):1209–1215. [PubMed] [Google Scholar]
  21. Jackson N., Ling N. R., Ball J., Bromidge E., Nathan P. D., Franklin I. M. An analysis of myeloma plasma cell phenotype using antibodies defined at the IIIrd International Workshop on Human Leucocyte Differentiation Antigens. Clin Exp Immunol. 1988 Jun;72(3):351–356. [PMC free article] [PubMed] [Google Scholar]
  22. Johnson A., Cavallin-Ståhl E., Akerman M. Flow cytometric light chain analysis of peripheral blood lymphocytes in patients with non-Hodgkin's lymphoma. Br J Cancer. 1985 Aug;52(2):159–165. doi: 10.1038/bjc.1985.172. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Liendo C., Danieu L., Al-Katib A., Koziner B. Phenotypic analysis by flow cytometry of surface immunoglobulin light chains and B and T cell antigens in lymph nodes involved with non-Hodgkin's lymphoma. Am J Med. 1985 Oct;79(4):445–454. doi: 10.1016/0002-9343(85)90031-2. [DOI] [PubMed] [Google Scholar]
  24. Ligler F. S., Vitetta E. S., Smith R. G., Himes J. B., Uhr J. W., Frenkel E. P., Kettman J. R. An immunologic approach for the detection of tumor cells in the peripheral blood of patients with malignant lymphoma; implications for the diagnosis of minimal disease. J Immunol. 1979 Sep;123(3):1123–1126. [PubMed] [Google Scholar]
  25. Loken M. R., Shah V. O., Dattilio K. L., Civin C. I. Flow cytometric analysis of human bone marrow. II. Normal B lymphocyte development. Blood. 1987 Nov;70(5):1316–1324. [PubMed] [Google Scholar]
  26. Marti G. E., Magruder L., Patrick K., Vail M., Schuette W., Keller R., Muirhead K., Horan P., Gralnick H. R. Normal human blood density gradient lymphocyte subset analysis: I. An interlaboratory flow cytometric comparison of 85 normal adults. Am J Hematol. 1985 Sep;20(1):41–52. doi: 10.1002/ajh.2830200107. [DOI] [PubMed] [Google Scholar]
  27. McCoy J. P., Jr, Overton W. R. Quality control in flow cytometry for diagnostic pathology: II. A conspectus of reference ranges for lymphocyte immunophenotyping. Cytometry. 1994 Sep 15;18(3):129–139. doi: 10.1002/cyto.990180304. [DOI] [PubMed] [Google Scholar]
  28. Parker J. W. Flow cytometry in the diagnosis in hematologic diseases. Ann Clin Lab Sci. 1986 Nov-Dec;16(6):427–442. [PubMed] [Google Scholar]
  29. Patrick C. W., Ash R., Libnoch J. A., Keller R. H. Clinical cytometry and immunophenotyping. I. Flow cytometric analysis of normal peripheral blood and bone marrow. Pathol Immunopathol Res. 1987;6(1):64–76. doi: 10.1159/000157042. [DOI] [PubMed] [Google Scholar]
  30. Picker L. J., Weiss L. M., Medeiros L. J., Wood G. S., Warnke R. A. Immunophenotypic criteria for the diagnosis of non-Hodgkin's lymphoma. Am J Pathol. 1987 Jul;128(1):181–201. [PMC free article] [PubMed] [Google Scholar]
  31. Pontvert-Delucq S., Breton-Gorius J., Schmitt C., Baillou C., Guichard J., Najman A., Lemoine F. M. Characterization and functional analysis of adult human bone marrow cell subsets in relation to B-lymphoid development. Blood. 1993 Jul 15;82(2):417–429. [PubMed] [Google Scholar]
  32. Ritz J., Nadler L. M., Bhan A. K., Notis-McConarty J., Pesando J. M., Schlossman S. F. Expression of common acute lymphoblastic leukemia antigen (CALLA) by lymphomas of B-cell and T-cell lineage. Blood. 1981 Sep;58(3):648–652. [PubMed] [Google Scholar]
  33. Ryan D., Kossover S., Mitchell S., Frantz C., Hennessy L., Cohen H. Subpopulations of common acute lymphoblastic leukemia antigen-positive lymphoid cells in normal bone marrow identified by hematopoietic differentiation antigens. Blood. 1986 Aug;68(2):417–425. [PubMed] [Google Scholar]
  34. Schuurman H. J., Huppes W., Verdonck L. F., Van Baarlen J., Van Unnik J. A. Immunophenotyping of non-Hodgkin's lymphoma. Correlation with relapse-free survival. Am J Pathol. 1988 Apr;131(1):102–111. [PMC free article] [PubMed] [Google Scholar]
  35. Schwonzen M., Pohl C., Steinmetz T., Seckler W., Vetten B., Thiele J., Wickramanayake D., Diehl V. Immunophenotyping of low-grade B-cell lymphoma in blood and bone marrow: poor correlation between immunophenotype and cytological/histological classification. Br J Haematol. 1993 Feb;83(2):232–239. doi: 10.1111/j.1365-2141.1993.tb08277.x. [DOI] [PubMed] [Google Scholar]
  36. Schwonzen M., Pohl C., Steinmetz T., Wickramanayake P. D., Thiele J., Diehl V. Bone marrow involvement in non-Hodgkin's lymphoma: increased diagnostic sensitivity by combination of immunocytology, cytomorphology and trephine histology. Br J Haematol. 1992 Jul;81(3):362–369. doi: 10.1111/j.1365-2141.1992.tb08240.x. [DOI] [PubMed] [Google Scholar]
  37. Smith B. R., Weinberg D. S., Robert N. J., Towle M., Luther E., Pinkus G. S., Ault K. A. Circulating monoclonal B lymphocytes in non-Hodgkin's lymphoma. N Engl J Med. 1984 Dec 6;311(23):1476–1481. doi: 10.1056/NEJM198412063112304. [DOI] [PubMed] [Google Scholar]
  38. Stewart C. C., Stewart S. J. Immunological monitoring utilizing novel probes. Ann N Y Acad Sci. 1993 Mar 20;677:94–112. doi: 10.1111/j.1749-6632.1993.tb38769.x. [DOI] [PubMed] [Google Scholar]
  39. Terstappen L. W., Gandour D., Huang S., Lund-Johansen F., Manion K., Nguyen M., Mickaels R., Olweus J., Töpker S. Assessment of hematopoietic cell differentiation by multidimensional flow cytometry. J Hematother. 1993 Fall;2(3):431–447. doi: 10.1089/scd.1.1993.2.431. [DOI] [PubMed] [Google Scholar]
  40. Vuillier F., Scott-Algara D., Dighiero G. Extensive analysis of lymphocyte subsets in normal subjects by three-color immunofluorescence. Nouv Rev Fr Hematol. 1991;33(1):31–38. [PubMed] [Google Scholar]
  41. Weisenburger D. D., Harrington D. S., Armitage J. O. B-cell neoplasia. A conceptual understanding based on the normal humoral immune response. Pathol Annu. 1990;25(Pt 1):99–115. [PubMed] [Google Scholar]
  42. Zukerberg L. R., Medeiros L. J., Ferry J. A., Harris N. L. Diffuse low-grade B-cell lymphomas. Four clinically distinct subtypes defined by a combination of morphologic and immunophenotypic features. Am J Clin Pathol. 1993 Oct;100(4):373–385. doi: 10.1093/ajcp/100.4.373. [DOI] [PubMed] [Google Scholar]
  43. de Martini R. M., Turner R. R., Boone D. C., Lukes R. J., Parker J. W. Lymphocyte immunophenotyping of B-cell lymphomas: a flow cytometric analysis of neoplastic and nonneoplastic cells in 271 cases. Clin Immunol Immunopathol. 1988 Dec;49(3):365–379. doi: 10.1016/0090-1229(88)90126-2. [DOI] [PubMed] [Google Scholar]
  44. van't Veer M. B., Kluin-Nelemans J. C., van der Schoot C. E., van Putten W. L., Adriaansen H. J., van Wering E. R. Quality assessment of immunological marker analysis and the immunological diagnosis in leukaemia and lymphoma: a multi-centre study. Dutch Cooperative Study Group on Immunophenotyping of Leukaemias and Lymphomas (SIHON). Br J Haematol. 1992 Apr;80(4):458–465. doi: 10.1111/j.1365-2141.1992.tb04558.x. [DOI] [PubMed] [Google Scholar]

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