A standardized flow cytometry network study for the assessment of circulating endothelial cell physiological ranges

Abstract Circulating endothelial cells (CEC) represent a restricted peripheral blood (PB) cell subpopulation with high potential diagnostic value in many endothelium-involving diseases. However, whereas the interest in CEC studies has grown, the standardization level of their detection has not. Here...

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Autores principales: Paola Lanuti, Pasquale Simeone, Gianluca Rotta, Camillo Almici, Giuseppe Avvisati, Rosa Azzaro, Giuseppina Bologna, Alfredo Budillon, Melania Di Cerbo, Elena Di Gennaro, Maria Luisa Di Martino, Annamaria Diodato, Paolo Doretto, Eva Ercolino, Alessandra Falda, Chiara Gregorj, Alessandra Leone, Francesca Losa, Natalia Malara, Mirella Marini, Pasquale Mastroroberto, Vincenzo Mollace, Michele Morelli, Emma Muggianu, Giuseppe Musolino, Arabella Neva, Laura Pierdomenico, Silvia Pinna, Giovanna Piovani, Maria Serena Roca, Domenico Russo, Lorenza Scotti, Maria Cristina Tirindelli, Valentina Trunzo, Roberta Venturella, Carlo Vitagliano, Fulvio Zullo, Marco Marchisio, Sebastiano Miscia
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Publicado: Nature Portfolio 2018
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Acceso en línea:https://doaj.org/article/4510c1edb29c4f32a18d18d2532c8115
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spelling oai:doaj.org-article:4510c1edb29c4f32a18d18d2532c81152021-12-02T15:08:18ZA standardized flow cytometry network study for the assessment of circulating endothelial cell physiological ranges10.1038/s41598-018-24234-02045-2322https://doaj.org/article/4510c1edb29c4f32a18d18d2532c81152018-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-24234-0https://doaj.org/toc/2045-2322Abstract Circulating endothelial cells (CEC) represent a restricted peripheral blood (PB) cell subpopulation with high potential diagnostic value in many endothelium-involving diseases. However, whereas the interest in CEC studies has grown, the standardization level of their detection has not. Here, we undertook the task to align CEC phenotypes and counts, by standardizing a novel flow cytometry approach, within a network of six laboratories. CEC were identified as alive/nucleated/CD45negative/CD34bright/CD146positive events and enumerated in 269 healthy PB samples. Standardization was demonstrated by the achievement of low inter-laboratory Coefficients of Variation (CVL), calculated on the basis of Median Fluorescence Intensity values of the most stable antigens that allowed CEC identification and count (CVL of CD34bright on CEC ~ 30%; CVL of CD45 on Lymphocytes ~ 20%). By aggregating data acquired from all sites, CEC numbers in the healthy population were captured (medianfemale = 9.31 CEC/mL; medianmale = 11.55 CEC/mL). CEC count biological variability and method specificity were finally assessed. Results, obtained on a large population of donors, demonstrate that the established procedure might be adopted as standardized method for CEC analysis in clinical and in research settings, providing a CEC physiological baseline range, useful as starting point for their clinical monitoring in endothelial dysfunctions.Paola LanutiPasquale SimeoneGianluca RottaCamillo AlmiciGiuseppe AvvisatiRosa AzzaroGiuseppina BolognaAlfredo BudillonMelania Di CerboElena Di GennaroMaria Luisa Di MartinoAnnamaria DiodatoPaolo DorettoEva ErcolinoAlessandra FaldaChiara GregorjAlessandra LeoneFrancesca LosaNatalia MalaraMirella MariniPasquale MastrorobertoVincenzo MollaceMichele MorelliEmma MuggianuGiuseppe MusolinoArabella NevaLaura PierdomenicoSilvia PinnaGiovanna PiovaniMaria Serena RocaDomenico RussoLorenza ScottiMaria Cristina TirindelliValentina TrunzoRoberta VenturellaCarlo VitaglianoFulvio ZulloMarco MarchisioSebastiano MisciaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-10 (2018)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Paola Lanuti
Pasquale Simeone
Gianluca Rotta
Camillo Almici
Giuseppe Avvisati
Rosa Azzaro
Giuseppina Bologna
Alfredo Budillon
Melania Di Cerbo
Elena Di Gennaro
Maria Luisa Di Martino
Annamaria Diodato
Paolo Doretto
Eva Ercolino
Alessandra Falda
Chiara Gregorj
Alessandra Leone
Francesca Losa
Natalia Malara
Mirella Marini
Pasquale Mastroroberto
Vincenzo Mollace
Michele Morelli
Emma Muggianu
Giuseppe Musolino
Arabella Neva
Laura Pierdomenico
Silvia Pinna
Giovanna Piovani
Maria Serena Roca
Domenico Russo
Lorenza Scotti
Maria Cristina Tirindelli
Valentina Trunzo
Roberta Venturella
Carlo Vitagliano
Fulvio Zullo
Marco Marchisio
Sebastiano Miscia
A standardized flow cytometry network study for the assessment of circulating endothelial cell physiological ranges
description Abstract Circulating endothelial cells (CEC) represent a restricted peripheral blood (PB) cell subpopulation with high potential diagnostic value in many endothelium-involving diseases. However, whereas the interest in CEC studies has grown, the standardization level of their detection has not. Here, we undertook the task to align CEC phenotypes and counts, by standardizing a novel flow cytometry approach, within a network of six laboratories. CEC were identified as alive/nucleated/CD45negative/CD34bright/CD146positive events and enumerated in 269 healthy PB samples. Standardization was demonstrated by the achievement of low inter-laboratory Coefficients of Variation (CVL), calculated on the basis of Median Fluorescence Intensity values of the most stable antigens that allowed CEC identification and count (CVL of CD34bright on CEC ~ 30%; CVL of CD45 on Lymphocytes ~ 20%). By aggregating data acquired from all sites, CEC numbers in the healthy population were captured (medianfemale = 9.31 CEC/mL; medianmale = 11.55 CEC/mL). CEC count biological variability and method specificity were finally assessed. Results, obtained on a large population of donors, demonstrate that the established procedure might be adopted as standardized method for CEC analysis in clinical and in research settings, providing a CEC physiological baseline range, useful as starting point for their clinical monitoring in endothelial dysfunctions.
format article
author Paola Lanuti
Pasquale Simeone
Gianluca Rotta
Camillo Almici
Giuseppe Avvisati
Rosa Azzaro
Giuseppina Bologna
Alfredo Budillon
Melania Di Cerbo
Elena Di Gennaro
Maria Luisa Di Martino
Annamaria Diodato
Paolo Doretto
Eva Ercolino
Alessandra Falda
Chiara Gregorj
Alessandra Leone
Francesca Losa
Natalia Malara
Mirella Marini
Pasquale Mastroroberto
Vincenzo Mollace
Michele Morelli
Emma Muggianu
Giuseppe Musolino
Arabella Neva
Laura Pierdomenico
Silvia Pinna
Giovanna Piovani
Maria Serena Roca
Domenico Russo
Lorenza Scotti
Maria Cristina Tirindelli
Valentina Trunzo
Roberta Venturella
Carlo Vitagliano
Fulvio Zullo
Marco Marchisio
Sebastiano Miscia
author_facet Paola Lanuti
Pasquale Simeone
Gianluca Rotta
Camillo Almici
Giuseppe Avvisati
Rosa Azzaro
Giuseppina Bologna
Alfredo Budillon
Melania Di Cerbo
Elena Di Gennaro
Maria Luisa Di Martino
Annamaria Diodato
Paolo Doretto
Eva Ercolino
Alessandra Falda
Chiara Gregorj
Alessandra Leone
Francesca Losa
Natalia Malara
Mirella Marini
Pasquale Mastroroberto
Vincenzo Mollace
Michele Morelli
Emma Muggianu
Giuseppe Musolino
Arabella Neva
Laura Pierdomenico
Silvia Pinna
Giovanna Piovani
Maria Serena Roca
Domenico Russo
Lorenza Scotti
Maria Cristina Tirindelli
Valentina Trunzo
Roberta Venturella
Carlo Vitagliano
Fulvio Zullo
Marco Marchisio
Sebastiano Miscia
author_sort Paola Lanuti
title A standardized flow cytometry network study for the assessment of circulating endothelial cell physiological ranges
title_short A standardized flow cytometry network study for the assessment of circulating endothelial cell physiological ranges
title_full A standardized flow cytometry network study for the assessment of circulating endothelial cell physiological ranges
title_fullStr A standardized flow cytometry network study for the assessment of circulating endothelial cell physiological ranges
title_full_unstemmed A standardized flow cytometry network study for the assessment of circulating endothelial cell physiological ranges
title_sort standardized flow cytometry network study for the assessment of circulating endothelial cell physiological ranges
publisher Nature Portfolio
publishDate 2018
url https://doaj.org/article/4510c1edb29c4f32a18d18d2532c8115
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