Quantification of chemotaxis during pediatric cardiac surgery by flow and laser scanning cytometry

Attila Tarnok; Joerg W. Schmid; Pavel Osmancik; Dominik Lenz; Michal Pipek; Joerg Hambsch; Andreas O.H. Gerstner M.D.; Peter Schneider

doi:10.1117/12.468363

28 May 2002 Quantification of chemotaxis during pediatric cardiac surgery by flow and laser scanning cytometry

Attila Tarnok, Joerg W. Schmid, Pavel Osmancik, Dominik Lenz, Michal Pipek, Joerg Hambsch, Andreas O.H. Gerstner M.D., Peter Schneider

Author Affiliations +

Proceedings Volume 4622, Optical Diagnostics of Living Cells V; (2002) https://doi.org/10.1117/12.468363
Event: International Symposium on Biomedical Optics, 2002, San Jose, CA, United States

Abstract

Cardiac surgery with cardiopulmonary bypass (CPB) alters the leukocyte composition of the peripheral blood (PB). This response contributes to the sometimes adverse outcome with capillary leakage. Migration of activated cells to sites of inflammation, driven by chemokines is part of this response. In order to determine the chemotactic activity of patients serum during and after surgery we established an assay for PB leukocytes (PBL). PBL from healthy donors were isolated and 250,000 cells were placed into a migration chamber separated by a filter from a second lower chamber filled with patient serum. After incubation cells from top and bottom chamber were removed and stained with a cocktail of monoclonal antibodies for leukocyte subsets and analyzed on a flow cytometer (FCM). Cells at the bottom of the filter belong to the migrating compartment and were quantified by LSC after staining of nucleated cells. Increased chemotactic activity started at onset of anaesthesia followed by a phase of low activity immediately after surgery and a second phase of a high post-operative activity. The in vitro results correlated with results obtained by immunopenotyping of circulating PBL. Manipulation of the chemokine pattern might prove beneficial to prevent extravasation of cells leading to tissue damage. In chemotaxis assays with low amount of available serum the combined use of FCM and Laser Scanning LSC proved as an appropriate analytical tool.

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Attila Tarnok, Joerg W. Schmid, Pavel Osmancik, Dominik Lenz, Michal Pipek, Joerg Hambsch, Andreas O.H. Gerstner M.D., and Peter Schneider "Quantification of chemotaxis during pediatric cardiac surgery by flow and laser scanning cytometry", Proc. SPIE 4622, Optical Diagnostics of Living Cells V, (28 May 2002); https://doi.org/10.1117/12.468363

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KEYWORDS

Surgery

Blood

Laser scanners

Optical filters

Flow cytometry

Luminescence

Laser therapeutics

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