title: The preparation of periapical lesions for flow cytometry.
abstract: OBJECTIVE
  To devise an optimal protocol and to analyse the leucocyte composition of periapical (PA) lesions by flow cytometry.
  
  
  METHODS
  PA lesions were mechanically agitated, with and without proteolysis. This was with either 0.2% collagenase alone, or in combination with 0.02% DNA-ase in serial incubations until all tissue was digested. The efficacy of each method was assessed by counting total cell yield and cell viability. Phenotype stability was gauged by the percentage of peripheral blood leucocytes (PBL) which expressed CD45RB, CD3, CD20, CD4 and CD8 before and after mechanical and collagenase treatment.
  
  
  RESULTS
  Disaggregation of PA lesions was superior if collagenase was present, but cell clumping was problematic unless the DNA-ase was also added, and serial digestion with this combination produced optimal cell yield and viability. Nevertheless, the total number of cells released rarely exceeded 105, though viability was in excess of 80%. Mechanical agitation and proteolysis adversely affected PBL phenotypes, but collagenase digestion limited to 10 min caused least damage. Flow cytometric analysis of disaggregated PA lesions failed to identify more than 7.9% (mean, range 6-10%) CD45RB + cells.
  
  
  CONCLUSIONS
  Because of the necessity for single cell suspensions, flow cytometry is not easily applied to the analysis of leucocytes in PA lesions, and further refinements in tissue disaggregation and cell preparation are required.
authors: Department of Conservative Dentistry, Eastman Dental Institute for Oral Healthcare Sciences, University College London, UK.
authors: K
authors: K
authors: Fernando
authors: K
authors: K
authors: Gulabivala
authors: A W
authors: AW
authors: Barrett
mesh_terms: D015703:Antigens, CD / Q000235:genetics; D002469:Cell Separation / Q000379:methods; D002470:Cell Survival; D017364:Collagenases; D003851:Deoxyribonucleases; D005434:Flow Cytometry; D016591:Histocytological Preparation Techniques; D006801:Humans; D007962:Leukocytes / Q000276:immunology; D010485:Periapical Periodontitis / Q000276:immunology* / Q000473:pathology*; D010641:Phenotype
chemical_list: D015703:Antigens, CD; D003851:Deoxyribonucleases; D017364:Collagenases