BACKGROUND: Current methods for the detection of granulocyte antibodies req
uire panels of freshly isolated cells. This makes these assays time-consumi
ng, costly, and technically difficult.
STUDY DESIGN AND METHODS: The immunofluorescence method of detecting the bi
nding of antibodies to granulocytes was modified for use with a flow cytome
ter, and methods were tested to store granulocytes for use in that assay. G
ranulocytes were stored at 4 degrees C for 7 days under three conditions: I
-percent formaldehyde-fixed cells were stored in Hanks' balanced salt solut
ion (HBSS); untreated cells were stored in tissue culture medium (RPMI-1640
); and cells were fixed and stored with a commercial white cell-storage sol
ution (Cyto-Chex Reagent). Antigen stability was evaluated by using monoclo
nal antibodies (MoAbs) and alloantibodies. Serologic studies were done by a
n indirect immunofluorescence assay and assessed by flow cytometric analysi
s.
RESULTS: On Day 2, only 2 to 7 percent of granulocytes stored in RPMI-1640
remained. On Day 7, 67 to 76 percent of granulocytes fixed in formaldehyde
and stored in HBSS remained, and 47 to 87 percent of granulocytes stored in
a white cell-storage solution remained. All antigens were detectable by th
e MoAbs and alloantisera on Day 7. However, nonspecific staining by the flu
orescein isothiocyanate (FITC)-conjugated secondary antibody hindered inter
pretation of test results on Day 4. Nonspecific staining occurred over time
and was associated with increased cell permeability during storage. Two so
urces of nonspecific staining were identified. The first source was the FIT
C-conjugated secondary antibody; it was eliminated by switching to a phycoe
rythrin conjugate. The second source was factors in human serum; it was res
olved by examining only viable, impermeable cells identified by using 7-ami
noactinomycin-D.
CONCLUSION: Granulocytes and their antigens can be preserved for at least 7
days, but evaluation of antibody reactions was possible for only 4 days as
a result of nonspecific staining due to enhanced membrane permeability of
dying cells.