I. Millard et al., DETECTION OF INTRACELLULAR ANTIGENS BY FLOW-CYTOMETRY - COMPARISON OF2 CHEMICAL METHODS AND MICROWAVE-HEATING, Clinical chemistry, 44(11), 1998, pp. 2320-2330
Detection of intracellular antigens by flow cytometry requires effecti
ve fixation and permeabilization of the cell membrane. This study comp
ares three fixation/permeabilization techniques: two commercial chemic
al reagents, the ORTHOPermeaFix(TM) (OPF) and the FIX&PERM Cell Permea
bilization Kit(R) (F&P), and a novel method based on microwave heating
(MWH). They have been applied to the detection of two nuclear (p53 an
d rb/p105) and two cytoplasmic (bcl-2 and mdr-1/gp-170) antigens, usin
g positive- and negative-control cell lines and peripheral blood monon
uclear cells. Western blotting was performed as a control of protein e
xpression. For the four antigens assessed, cellular morphology, discri
mination between intact cells and debris, percentage of positive cells
, and mean fluorescence intensity were examined. For this last paramet
er, the assessment of the MWH technique was performed using SD and a g
raphical approach inspired by the concepts described by Bland and Altm
an (Lancet 1986;346: 1085-7) as well as Petersen et al. (Clin Chem 199
7;43: 2039-46). The statistical analysis shows that MWH is comparable
to the commercial methods and that its reproducibility is also equival
ent to OFF and F&P. As assessed for some of the most clinically releva
nt intracytoplasmic and intranuclear antigens, the MWH method appears
to be a valuable and inexpensive alternative. It is worth noting that,
unlike commercial reagents, MWH altered surface antigens. Interesting
ly, this feature, which would prevent cell selection on the basis of c
ombined membrane and intracellular epitopes, is associated with a decr
ease of nonspecific background fluorescence.