Mucosal inflammation is associated with altered expression of cell mem
brane molecules. Disaggregation of tissue for flow cytometry may intro
duce artefactual changes. In an attempt to prevent the induction of ar
tefacts, cells were fixed prior to isolation. The addition of 0.1% buf
fered formaldehyde to the collagenase/dispase digestion of mucosal bio
psy specimens from patients with inflammatory bowel disease enhances d
etection of CD3, CD11b, CD16, CD63, and CD14. No significant effect wa
s noted for CD19, CD67 or CD45. The expression of CD3, CD11b and CD45
correlated with the degree of endoscopic inflammation. Dilute buffered
formaldehyde may be a useful adjunct to the enzymatic isolation of ce
lls from mucosal specimens, by protecting surface antigens from digest
ion or alterations in expression.