Validation of the single-platform ISHAGE protocol for enumeration of CD34+ hematopoietic stem cells in umbilical cord blood in a Brazilian center

• Published in: Hematology, Transfusion and Cell Therapy Transfusion and Cell Therapy, 2022-01, Vol.44 (1), p.49-55
• Main Authors: Pedrosa de Lira de Morais, Carla Cristina, Dias Alves Pinto, Juliana, Wagner de Souza, Karen, Izu, Marina, Fernando da Silva Bouzas, Luis, Henrique Paraguassú-Braga, Flávio
• Format: Article
• Language: English
• Subjects: Dual-platform; Flow cytometry; ISHAGE; MEDICINE, GENERAL & INTERNAL; Original; Single-platform; Stem cell CD34
• ISSN: 2531-1379; 2531-1387; 2531-1387
• DOI: 10.1016/j.htct.2020.09.151

This study aims to validate the single-platform method for enumeration of CD34+ cells, by comparing the performance of two different commercial kits, as well as to evaluate the efficiency of the Accuri C6 cytometer in providing direct counts of absolute cell numbers. We evaluated 20 samples from umbilical cord blood (UCB), comparing the two different methodologies for enumeration of CD34+ cells: single and dual-platform. For the assessment of the single-platform, Procount and SCE kits were used, both of which use fluorescent beads as a counting reference to obtain absolute CD34+ cells numbers. Moreover, after the acquisition of samples in flow cytometer Accuri C6, following the protocol established for each kit, the number of CD34+ cells was recalculated, considering the cell count provided by the Accuri C6. In our analysis, the results showed a strong correlation between the number of CD34+ cells/μL (r =0.77) when comparing the SCE kit and the current dual-platform method. On the other hand, the comparison between Procount kit and dual-platform results showed a moderate correlation for the number of CD34+/μL cells (r =0.64). Our results showed that the Accuri C6 flow cytometer can be used safely, applying both the dual and single platform analysis strategy. Considering the ISHAGE protocol-based single-platform approach, as the most appropriate methodology for CD34+ cells enumeration, our results demonstrated that the SCE kit has great potential for national standardization of UCB samples analysis methodology.