Definition & Example: Diagnosis of Immunodeficiency (X-Linked Agammaglobulinemia)
Leonard Herzenberg developed flow cytometry in the 1960s to automate cell counting.
Source: The New York Times, November 11, 2013
Light Scatter
Forward Scatter (FSC) → Relative cell size (measured along the light axis)
Side Scatter (SSC) → Internal complexity/granularity (measured at a right angle)
Fluorescence
Excitation & Emission: Absorption of laser light and emission of visible photons
FITC Excitation and Emission Spectrum
Fluidics
Sheath fluid & sample meet in the flow cell → hydrodynamic focusing (single-file alignment of cells)
Optics
Lasers (light sources): Violet (405nm), Blue (488nm), Yellow-Green (561nm), Red (633-640nm)
Electronics
Converts light signals into electronic data
One-dimensional histograms (intensity measurement)
Two-dimensional dot plots (light scatter profiles)
Example: Light scatter profile of lymphocytes
Powerful method for medical discoveries
Large-scale production of specific antibodies
Applications:
Neutralizing toxins (e.g., snake venom)
Neutralizing pathogens (e.g., HIV, SARS-CoV-2)
Neutralizing cytokines (e.g., TNF-α in rheumatoid arthritis)
Complement-fixing antibodies for targeting specific cells (e.g., leukemia treatment)
Discovery: Kohler & Milstein (1975)
Epitope (antigenic determinant): Region of antigen recognized by antibody or TCR
Paratope: Region of antibody binding to the epitope
"Lock & Key" Fit: Janeway’s Immunobiology (Figures 4-8, 1-13)
Cloning Antibody-Secreting Cells
Immortalization → Screening for specificity → Large-scale production
Hybridoma Technology (Kohler & Milstein)
B cell (HPRT+, antibody-producing) fused with myeloma (HPRT-, immortal) → Hybridoma
Survives in HAT Media (blocks de novo DNA synthesis, forcing salvage pathway use)
Immunization → Inject antigen into an animal
Fusion → Fuse B cells with myeloma cells
Selection → Culture in HAT media
Expansion → Grow positive clones
Testing → Validate function via assays
Hemolytic Plaque Assay (Niels Jerne)
ELISA (Enzyme-Linked Immunosorbent Assay)
Western Blot (Immunoblot)
Flow Cytometry
Challenges: Mouse-derived antibodies can cause serum sickness (Type III hypersensitivity)
Solution: Develop humanized monoclonal antibodies (less immunogenic)
Current Success:
5/10 Bestselling Drugs in 2024 were Humanized Monoclonal Antibodies
Molecular biology techniques used to replace mouse sequences with human sequences