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Autologous Bone Marrow Transplantation - Blog Science Connections

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570 Tumor Cell Detection<br />

MATERIAL AND METHODS<br />

Patient Population<br />

Thirty-four patients at different stages of documented SCLC formed the<br />

basis of the study for the human tumor cloning system. Thirty-nine patients at<br />

the time of initial staging provided samples for the immunodetection. Staging<br />

was exhaustive and aggressive. Fifteen normal bone marrow samples were<br />

obtained from six healthy donors, one patient with a Ewing's sarcoma and<br />

four with neuroblastoma.<br />

Collection of <strong>Bone</strong> <strong>Marrow</strong> for Culture and Immunodetection<br />

<strong>Bone</strong> marrow aspirates were collected in a syringe containing 125 0/ml<br />

of Calparine (Choay, Paris, France). The samples were then diluted with an<br />

equal volume of calcium- and magnesium-free Hanks' medium. Mononuclear<br />

cells were concentrated by density centrifugation on Ficoll-Hypaque (1077<br />

g/cm 3 ) (Pharmacia, Uppsala, Sweden) at 400 g on the interface during 30<br />

minutes at 16° C. Next, the cell layer at the interface was collected, washed in<br />

Hanks' medium, and centrifuged at 400 g for 20 minutes. Finally, the pellet<br />

was counted using a Coulter Counter (Coulter Electronics 2 TD, England)<br />

and resuspended in calcium- and magnesium-free phosphate-buffered saline<br />

medium.<br />

Human Tumor Cloning System<br />

Cells were cultured according to Hamburger and Salmon (8), as<br />

described by Pollard et at (9).<br />

Anti-SCLC Rat Monoclonal Antibodies<br />

The isolation and characterization of the MAbs anti-LCAl, LCA2, and<br />

LCA3 have been described elsewhere (10). The antibodies were biotinylated<br />

as described previously (11).<br />

Indirect Immunofluorescence Assays<br />

This assay was performed using each of the three MAbs separately. Cells<br />

from the SCLC cell line, 250,000, or 500,000 isolated marrow cells were<br />

incubated at 4°C during 30 minutes with 25 u\ of biotinylated MAb diluted to<br />

1:100. After two washings with phosphate-buffered saline-fetal bovine serum<br />

2%-Azide 5%, 50 u\ of fluorescent Avidine (Beckton Dickinson, California)<br />

diluted to 1:100 was added to the pellet. Following an incubation period of 60<br />

minutes at 4°C, the cells were washed two more times. After having mounted<br />

cytocentrifuged cell smears in Tris-buffered glycerol (pH 9), the slides were<br />

examined with a reflected light fluorescent microscope equipped with a 40 X<br />

objective (Olympus Optical Co., Japan). The entire smear was scanned and<br />

scored positive if at least one cell with bright surface fluorescence was<br />

detected. Positive controls using the NCI-H69 line were made with each test.

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