2017
DOI: 10.1002/cyto.b.21511
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Flow cytometric osmotic fragility test: Increased assay sensitivity for clinical application in pediatric hematology

Abstract: Background: Osmotic fragility test (OFT) is widely considered as a sensitive indicator of red blood cells' sensitivity to the hypotonic solution. It is often used as a screening test for the diagnosis of hereditary spherocytosis (HS). Nowadays, the osmotic fragility test based on flow cytometric analysis (FCM OF) is widely used in laboratory practice. The purpose of this study was to optimize the assay sensitivity and to validate its clinical application in the diagnostic screening of childhood anemias.Methods… Show more

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Cited by 18 publications
(17 citation statements)
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“…This assay can be completed with osmotic fragility tests, which are challenging to implement, and lack of sensitivity and specificity . Furthermore, osmotic fragility test by flow cytometry is emerging and could become a promising alternative test . Additionally, sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS‐PAGE) has also been implemented in diagnosis of atypical cases and discriminates HS from congenital dyserythropoietic anemias type II (CDA II) .…”
Section: Introductionmentioning
confidence: 99%
“…This assay can be completed with osmotic fragility tests, which are challenging to implement, and lack of sensitivity and specificity . Furthermore, osmotic fragility test by flow cytometry is emerging and could become a promising alternative test . Additionally, sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS‐PAGE) has also been implemented in diagnosis of atypical cases and discriminates HS from congenital dyserythropoietic anemias type II (CDA II) .…”
Section: Introductionmentioning
confidence: 99%
“…In this study the events acquisition was performed for 100 s mimicking the events acquisition time after the distilled water spiking of Warang et al protocol, which has a total assay time of 140 s . Recently, Ciepiela et al described that increasing the events acquisition time after the distilled water spiking increased the assay sensitivity—total assay time of 300 s . The application of this increased events acquisition time after the distilled water spiking was not tested in our protocol and should be examined in future studies.…”
Section: Discussionmentioning
confidence: 99%
“…Readings were taken at saline concentrations ranging from 9.0 g/L (308 mOsmol/L) to 1.0 g/L (34.2 mOsmol/L) NaCl. However, flow cytometric OFT revealed 12.36% residual red cells (reference range 35.59%±15.30%3) (figure 1C). Flow cytometric eosin-5′-maleimide dye’s mean channel fluorescence ratio of patient versus normal controls was 0.94, thus excluding hereditary spherocytosis.…”
Section: Laboratory Evaluationmentioning
confidence: 97%