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PEMERIKSAAN LIMFOSIT T CD4+ DENGAN FLOW CYTOMETRY Hermi Indita/Endang Retnowati 1
2
3
4
5
Aplikasi Klinis Flow Cytometry Monitoring perubahan populasi sel pada penyakit infeksius ,[object Object],Identifikasi populasi sel abnormal pada keganasan ,[object Object],6
Flow CytometerBD FACSCalibur™ System 7
8
Sistem Fluida Terdiri dari sheath fluid dan central channel Tenaga hidrodinamik 	sel satu persatu melewati central channel Fluidics–Hydrodynamic Focusing Excitation Optics (laser) 9
Sistem Optik Laser            eksitasi fluorokrom yang menempel  pada sel Filter optik 	       membedakan berbagai macam fluorokrom Sinar pencar & emisi fluoresen	  informasi struktur sel : ,[object Object],Mengukur luas permukaan sel ,[object Object]
Mendeteksi sinar pada sudut 900
  Mengukur kompleksitas & granulasitas selDetektor yang dipakai : ,[object Object]
   Photodiode  : FSC10
BD FACSCalibur Optics 11
12
Sistem komputer Pengumpulan dan analisis data :   mengubah sinyal analog	 sinyal digital   analisa tegangan pulsa : tinggi, luas, lebar 13
Prosedur Pemeriksaan Limfosit CD4+ Dengan Menggunakan Flow Sitometer BD FACSCalibur™ System Prinsip : Tabung reagen mengandung antibodi yang 	          ditandai fluorochrome dalam jumlah 		          tertentu. Jika  ditambahkan sampel, 	 	          antibodi tsb akan terikat dengan antigen pd 	          permukaan limfosit dan akan 	  	   	          berfluoresensi bila terkena sinar laser. 	   	          Fluoresensi yang terjadi sebanding dgn 	          jumlah sel yang ada  14
15
Persiapan reagen 16
Cara kerja 17
Interpretasi Hasil Nilai normal : Dewasa :  ,[object Object]
Limfosit T CD4 %			: ≥ 25%
Bayi ≥ 12 bulan :
Limfosit T CD4 absolut		: ≥1500/cmm3
Limfosit T CD4%			:≥25%
1 – 5 tahun :
Limfosit  T CD4 absolut		: ≥1000/cmm3
Limfosit T CD4 %			:≥25%18
Contoh printout pemeriksaan limfosit T CD4+ menggunakan Flow Cytometer BD FACSCalibur Nilai absolut dan prosentase limfosit T CD4+ yang sangat menurun 19
Kalibrasi  Menggunakan  2 tabung BD FACSCount  Tabung A			    	Tabung B 	     - 1 ml sheath fluid (BD fascflow)		- 3 ml sheath fluid 	        -  1 tetes unlabelled beads			 - masing-masing 1 tetes : 						       		*unlabelled beads 						       		*FITC beads 			vortex			       		* PE beads 						       		* perCP beads 						               		      vortex ,[object Object],20
Hasil Kalibrasi 21
Terima Kasih 22
Current CD4 monitoring tests and technologies include  Flow based assays   Becton Dickinson FACSCount   Guava EasyCD4 PartecCyFlow   Beckman Coulter PointCARE Manual immune bead-based assays DynalDynabeads   Coulter Cytosphere   In the pipeline LabNow microchip technology SemiBio slide test (microscopy) 23
T – cell subsets CD3 T CD3 CD3 T T C H CD4 CD8 24
Specific  Antibody Antigen Foreign  Invader 25

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