Flow cytometry and fluorescence in situ hybridization to detect residual neuroblastoma cells in bone marrow

Mehmet Fatih Okcu, Rui Yu Wang, Carlos Bueso-Ramos, Wendy Schober, Douglas Weidner, Richard Andrassy, Martin Blakely, Heidi Russell, Alp Ozkan, John Kuttesch, Michael Andreeff, Ka Wah Chan, Joann Ater

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Background. In patients with neuroblastoma morphological assessment of BM for residual NB cells is not precise, particularly when the number of tumor cells is small. Procedure. To develop a sensitive and rapid method of detecting NB cells in BM, we assessed the efficiency of flow cytometry (FCM) using markers CD9, CD56, and CD45. The percent of CD9+/ CD56+/CD45- (NB phenotype) cells was determined by FCM in 41 samples (16 patients) at various time points. For confirmation fluorescence in situ hybridization (FISH) for 17q gain was performed. Results. Nineteen of the 22 (86%) samples that were negative by morphology were positive by FCM (>0.006% CD9+/ CD56+/CD45- cells). The longest time to complete the FCM study was 3 hr. In six FISH experiments the sorted CD9+/CD56+/CD45-population had a higher percentage of cells with 17q gain (11.5-95%) compared to a CD56-/ CD45+ internal control population (2-8%). Conclusions. Our preliminary results suggest that FCM determination of the percent of CD9+/ CD56+/CD45- cells is an effective method of rapidly detecting NB cells in BM.

Original languageEnglish (US)
Pages (from-to)787-795
Number of pages9
JournalPediatric Blood and Cancer
Volume45
Issue number6
DOIs
StatePublished - Oct 2005

Keywords

  • Flow cytometry
  • Neuroblastoma
  • Residual disease

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Hematology
  • Oncology

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