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Flow cytometry (immunophenotyping)

aka immunophenotype, immunophenotyping, multiparameter flow cytometry, MFC, next-generation flow, NGF, CD markers, cluster of differentiation

A machine that streams cells one by one past lasers and reads the surface proteins (CD markers) each carries, identifying what kind of cell it is. It is how leukaemias and lymphomas are typed and how residual disease is counted.

Antibodies tagged with fluorescent dyes label CD19, CD20, CD33, CD34, CD38, BCMA and dozens of other markers; the pattern (immunophenotype) distinguishes B from T from myeloid lineages and normal from malignant cells. It diagnoses acute leukaemia, CLL and myeloma from blood or marrow within hours, and multiparameter or next-generation flow measures minimal residual disease to one cell in 100,000-1,000,000, guiding transplant and maintenance decisions. It also confirms that a CAR-T target (CD19, BCMA) is still present after relapse, since antigen loss is a recognised escape.

Category
Pathology & biomarkers

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