Absolute neutrophil count (ANC) is used clinically to monitor physiological dysfunctions such as myelosuppression or infection. In the research laboratory, ANC is a valuable measure to monitor the evolution of a wide range of disease states in disease models. Flow cytometry (FCM) is a fast, widely used approach to confidently identify thousands of cells within minutes. FCM can be optimised for absolute counting using spiked-in beads or by measuring the sample volume analysed. Here we combine the 1A8 antibody, specific for the mouse granulocyte protein Ly6G, with flow cytometric counting in straightforward FCM assays for mouse ANC, easily implementable in the research laboratory. Volumetric and Trucount TM bead assays were optimized for mouse neutrophils, and ANC values obtained with these protocols were compared to ANC measured by a dual-platform assay using the Orphee Mythic 18 veterinary haematology analyser. The single platform assays were more precise with decreased intra-assay variability compared with ANC obtained using the dual protocol. Defining ANC based on Ly6G expression produces a 15% higher estimate than the dual protocol. Allowing for this difference in ANC definition, the flow cytometry counting assays using Ly6G can be used reliably in the research laboratory to quantify mouse ANC from a small volume of blood. We demonstrate the utility of the volumetric protocol in a time-course study of chemotherapy induced neutropenia using four drug regimens. V C 2014 International
Society for Advancement of CytometryKey terms absolute count; neutrophils; ANC; flow cytometry; volumetry; single-platform; doubleplatform THE concentration of blood circulating neutrophils is considerably altered by a wide range of physical and chemical stimuli such as microbial infections, gamma irradiation, and chemotherapy. Fluctuations outside of the normal range of absolute neutrophil count (ANC) correlate with increased morbidity and mortality (1). ANC is a relevant clinical parameter (2) and is routinely obtained from automated haematology instruments. However, more than 25% of samples require additional manual review of peripheral blood smears, usually because measurements fall outside the acceptable range of the instrument (3). Manual smear inspection increases workload and cost while reducing ANC accuracy. Hence, standardized flow cytometry (FCM) absolute count protocols are being pursued for implementation in the clinic (4). Even in research laboratories where flow cytometers are prevalent, ANC is obtained with veterinary haematology analysers (5) and often outsourced (6). At the time of writing, there is no published protocol to measure mouse ANC using a single, straightforward, flow cytometric assay.FCM protocols are available for absolute counting of other white blood cell (WBC) subpopulations in animal experimental models and in humans (7). Volumetric FCM involves the systematic measurement of all volumes throughout the procedure, including the volume acquired on the flow cytometer. Therefore, with a simple