Biology of Disease

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BOX 6.1 The flow cytometer

The flow cytometer (Figure 6.3) is an instrument that can analyze
several properties of cells simultaneously in mixed populations.
The cells to be analyzed are passed as single cells in a stream
past a laser light source. This is usually achieved by having a
sheath of fluid passing through an orifice of 50–300 Mm. The
sample is injected into the sheath fluid as it passes through the
orifice. With the right sheath fluid flow rate, the sample and the
fluid do not mix (Figure 6.4). As the cells are illuminated by the
laser beam some of the light is scattered. The scattered light is
detected simultaneously by two detectors. One measures side
scatter, that is the light deflected 90ΒΊ from the incident beam.
The other detects the light scattered in a forward direction up
to 10o from the incident beam. This is the forward scatter. The
intensity of the forward and side scatters are related to the size
and shape of the cells. The forward scatter is sensitive to the sur-
face characteristics of the cell, whereas side scatter is more sensi-
tive to the granularity of a cell. Thus a mixed population of cells
can be analyzed on the basis of these measurements. In addition

Figure 6.3A flow cytometer.Obtained from http://flowcyt.cyto.purdue.edu/
flowcyt/educate/photos/flowware/fwarepre.htm

Figure 6.4Schematic of a Flow Cell.See main text for details.

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Focused
laser
beam

Sheath
fluid

Sheath
fluid

Fluorescence
and
scatter signals

Injector tip

that these procedures were successful when the blood transfused was of an
identical blood group. The discovery of the ABO blood group system led to
Landsteiner receiving the Nobel Prize for Physiology and Medicine in 1930.
Landsteiner later discovered other blood group systems, including the Rh sys-
tem. Since then, numerous other systems have been discovered, as shown in
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