alpha-Naphthyl acetate esterase (alpha-NAE) is primarily found in mono
nuclear phagocytes and may be used to distinguish them from other leuc
ocytes. Conventional cytochemical techniques are subjective and may be
difficult to interpret, especially with cells which express only low
levels of activity. This has caused difficulties in the classification
of non-lymphoblastic leukaemias. This paper describes the adaptation
of a cytochemical assay for use with the flow cytometer. The alpha-NAE
activity of peripheral blood mononuclear cells was examined and found
to be associated with the expression of the surface antigen CD14. The
reaction could be inhibited by sodium fluoride. A series of human cel
l lines were also compared for alpha-NAE activity. Distinct difference
s in staining observed between the cell lines correlated with the numb
er of cell-associated granules observed under the microscope.