A 3-step method for preparing cryopreserved samples of apheresis products for post-thaw analysis yields a higher percentage of viable cells

Transfusion. 2024 May;64(5):866-870. doi: 10.1111/trf.17822. Epub 2024 Apr 12.

Abstract

Background: Standard flow cytometry protocols for CD34+ cell enumeration designed for fresh samples are not appropriate for cryopreserved products. Special protocols have been developed to remove the cryoprotectant by quickly washing a freshly thawed sample. Exposing cells to a large volume of hypotonic solution and subsequent washing process was hypothesized to cause lab-induced cell death. Moreover, standard gating strategies must be altered to avoid reporting falsely high viabilities.

Study design and methods: We developed a novel method whereby thawed samples were diluted step-wise to 1:2 by 3 additions of 1/3 sample volume using 1% Human Albumin in Dextran 40 (10% Low Molecular Weight Dextran in 0.9% NaCl) separated by 5 min between each addition. An additional 1:10 dilution was required to obtain a desired cell concentration for flow cytometry testing resulting in a 1:20 dilution.

Results: Twenty samples were tested simultaneously in a method comparison; the new method demonstrated significant increases in mean cell viabilities for white blood cells, hematopoietic progenitor cells, and T cells as well as reduced standard deviations for each parameter.

Discussion: Slow, step-wise dilutions of freshly thawed samples of cryopreserved apheresis products to 1:20 yielded higher and more precise viability measurements compared to quickly washing samples to remove DMSO.

Keywords: CD34; HPC; cryopreservation; post‐thaw; viability.

MeSH terms

  • Antigens, CD34 / analysis
  • Blood Component Removal* / methods
  • Blood Preservation / methods
  • Cell Survival*
  • Cryopreservation* / methods
  • Cryoprotective Agents / pharmacology
  • Flow Cytometry* / methods
  • Hematopoietic Stem Cells / cytology
  • Humans

Substances

  • Cryoprotective Agents
  • Antigens, CD34