Multicolor flow cytometry in clinical samples for platelet signaling assessment - Université Toulouse III - Paul Sabatier - Toulouse INP
Article Dans Une Revue Research and Practice in Thrombosis and Haemostasis Année : 2023

Multicolor flow cytometry in clinical samples for platelet signaling assessment

Cedric Garcia
Nicolas Savy
Jean-Claude Bordet
Jennifer Series
Sarah Cadot
Agnès Ribes
Sophie Voisin
Lucia Rugeri
Pierre Sié

Résumé

Background: Availability of multichannel cytometers and specific commercial antibodies makes flow cytometry a new option to simultaneously assess multiple intracellular platelet signaling pathways for clinical purposes, in small volume of blood or low platelet count. Objectives: To describe a multicolor flow cytometry with fluorescent barcoding technique for screening signaling pathways downstream membrane receptors of major platelet agonists (adenosine diphosphate, thrombin, thromboxane, and collagen). Methods: By comparison with immunoblotting, we first selected the target phosphoproteins, AKT, P38MAPK, LIMK, and SPL76; the times of stimulation; and phosphoflow barcoding conditions. We then performed a clinical study on whole blood of patients without evidence of blood platelet disorder on standard biological screening, consulting for trivial or occasionally provoked bleeds without familial antecedent (bleeding of unknown origin, n = 23) or type-1 von Willebrand disease (n = 9). In addition, we included a small group of patients with definite platelet disorders (Glanzmann thrombasthenia, δ-storage pool deficiency, and immune glycoprotein VI-related disease with granule secretion defect). Results: The range, kinetics, and distribution of fluorescence intensity were established for each agonist-target protein combination. Principal component analysis indicates a correlation in response to a target phosphoprotein (AKT and P38MAPK) to different agonists but no correlation in the response of different target phosphoproteins to the same agonist. The heterogeneity of individual responses in the whole population displayed was analyzed using clustering algorithm. Patients with platelet storage pool deficiency were positioned as lowest responders on the heatmap. Conclusion: In complement of functional tests, this study introduces a new approach for rapid platelet signaling profiling in clinical practice. Keywords: blood platelet disorders; fluorescent barcoding; multicolor flow cytometry; phosphoproteins; platelet signaling.

Dates et versions

hal-04819688 , version 1 (04-12-2024)

Identifiants

Citer

Cedric Garcia, Sebastien Dejean, Nicolas Savy, Jean-Claude Bordet, Jennifer Series, et al.. Multicolor flow cytometry in clinical samples for platelet signaling assessment. Research and Practice in Thrombosis and Haemostasis, 2023, 7 (4), pp.100180. ⟨10.1016/j.rpth.2023.100180⟩. ⟨hal-04819688⟩
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