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발작야간혈색소뇨증에서 GPI 결핍세포 검출을 위한 유세포검사법: 국내 실태조사 및 검사법 지침 제언

Detection of GPI-deficient Cells in Paroxysmal Nocturnal Hemoglobinuria Patients Using Flow Cytometry: Current Status in Korea and Proposal for Testing Guidelines

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초록

We performed an online survey to investigate the current status of detecting glycosylphosphatidylinositol (GPI)-deficient cells in patients with paroxysmal nocturnal hemoglobinuria (PNH) using flow cytometry in Korea. Questionnaires were sent to 29 laboratories performing flow cytometric analyses. The questionnaire included testing procedures, data analysis, reporting, assay validation, and quality control. The results demonstrated these factors varied among laboratories in Korea; thus, we propose a protocol to improve the quality of flow cytometric PNH testing based on international guidelines.

Abstract

We performed an online survey to investigate the current status of detecting glycosylphosphatidylinositol (GPI)-deficient cells in patients with paroxysmal nocturnal hemoglobinuria (PNH) using flow cytometry in Korea. Questionnaires were sent to 29 laboratories performing flow cytometric analyses. The questionnaire included testing procedures, data analysis, reporting, assay validation, and quality control. The results demonstrated these factors varied among laboratories in Korea; thus, we propose a protocol to improve the quality of flow cytometric PNH testing based on international guidelines.

참고문헌 (11)

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  4. Dezern AE, "ICCS", ESCCA consensus guidelines to detect GPI-deficient cells in paroxysmal nocturnal hemoglobinuria(PNH)and related disorders part 1-clinical utility, 2018, pp.94, 16~22
  5. Fattizzo B, "Clinical and prognostic significance of small paroxysmal nocturnal hemoglobinuria clones in myelodysplastic syndrome and aplastic anemia", Leukemia, 35, pp.3223~3231 (2021)
  6. Clinical, Laboratory Standards Institute, "Red Blood Cell Diagnostic Testing Using Flow Cytometry; Approved Guideline-" (2014), Clinical and Laboratory Standards Institute
  7. Richards SJ, "Introduction to ICCS", ESCCA consensus guidelines to detect GPI-deficient cells in paroxysmal nocturnal hemoglobinuria and related disorders, 2018, pp.94, 12~13
  8. Sutherland DR, "ICCS", ESCCA consensus guidelines to detect GPI-deficient cells in paroxysmal nocturnal hemoglobinuria(PNH)and related disorders part 2-reagent selection and assay optimization for high-sensitivity testing, 2018, pp.94, 23~48
  9. Borowitz MJ, "Guidelines for the diagnosis and monitoring of paroxysmal nocturnal hemoglobinuria and related disorders by flow cytometry", Cytometry B Clin Cytom, 78, pp.211~230 (2010)
  10. Oldaker T, "ICCS", ESCCA consensus guidelines to detect GPI-deficient cells in paroxysmal nocturnal hemoglobinuria(PNH)and related disorders part 4-assay validation and quality assurance, 2018, pp.94, 67~81
  11. Illingworth A, "ICCS", ESCCA consensus guidelines to detect GPI-deficient cells in paroxysmal nocturnal hemoglobinuria(PNH)and related disorders part 3-data analysis, reporting and case studies, 2018, pp.94, 49~66

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