The Measurement of Lymphocyte Particle Deformability George By We have determined deformability the and influence suspending and B. Segel. Giles of reference buffer tonicity however. was lymphocytocrit/lymphocyte lymphocyte weight difference between 21 8 cu lymphocyte the of lymphocyte T HE when volume of 21 0 cu tm ELECTRONIC particle volume by the due to factor) analyzer To ensure were Biophysics. cine Dentistry. 23355. and Research of Rochester, in part by HL-18208. Jimmy” Pediatrics, N. USPHS by Fund, filter of of and (no. of Grants University by the Ruth of CA-l2790. Goldberg were Address Rochester August reprint School 29, 1980; requests accepted to George of Medicine. Elmwood Avenue, Rochester, J 981 by Grune & Stratton, 0006-4971/81/5705-00l3$Ol.OO/O 894 l0 GIBCO, cells/mi and volume of twice solution contain- salt This tightly eluted from Ashland, the in Forty 50-mI a column in this suspension was from a leukopheresis Mass.). packed prepared cell prepared with way milliliters syringe. 20 ml contained The portions fewer of than ofLymphocyte and Lymphocyte of in then cell 6 microliters Foun- Instruments, suspensions unlabeled sucrose 60 tl the were of the total was N KOH. The excess supernate height. to was measure- g for 6 mm cell The and added of per suspension packed scintillation plasma was added at 8000 the column Ill.) AB microcuries this of the supernatant Grove, 20% 8 replicate sedimented and supernatant Downers of to provide centrifuge at the juncture of Three tubes as a percentage severed plus cells/mI. Precisely microhematocrit cell in TC-l99 l0 I .66 mmole microhematocrit Blood x suspension. into These a suspended of containing the ments. Medi- were a concentration Volume by Count volume tubes pellet. Instagel fluid were Twenty (Packard with 80 sl of 0.625 Submitted (C) a balanced Inc., were Lymphocytes Measurement Lymphocytocrit dation. 601 2 x I .5% monocytes. ilL- Rochester Estrin cell concentrates an equal lymphocytes/mI. Fenwal, material measured Research cell-rich described.8 199 (TC-199), of at 37#{176}C with reagent, l0 4C2450; filter TC-l99. Radiation School the white medium a nylon fiber column lymphocytes Y. the and Medicine, of Rochester volume mononuclear as previously at a concentration lymphocyte passed through of the true lymphocyte on an electronic particle University culture for 30 mm concentration pipetted Departments true ing iron filings (Technicon Inst. Corp., Tarrytown, N.Y.). The mononuclear cells were then separated on a step and the mononuclear cell layer was harvested, washed, and resuspended at a ml Supported N.Y.) the donors of monocytes, in tissue Island, ‘4C-sucrose the the METHODS from of healthy a low proportion suspended Lymphocytes and Since AND prepared residues concentrated at and were plateletpheresis analyzer. From aperture. of Lymphocytes Lymphocytes incubated measured lymphocyte volume by two independent methods to allow calculation of a shape or deformability factor,f, for lymphocytes. Knowledge of this shape Biology sizing MATERIALS Grand by assessing the effect of standard particle deformability and suspending buffer tonicity on the electronic measurement of lymphocyte volume. Further, we have volume the Preparation for use in a clinical laboratory standardization has been estabblood red cells, white cells, and determination measurements traverses has of the same nucleated cells. For example, the reported lymphocyte volume varies from 180 to 280 cu We have explored the reasons for the marked variation allows from A. Lichtman as platelets, but for sizing only human red cells. When such instruments have been used in research laboratories, there has been a marked variation in the volume factor volume Marshall equals the Vs/f,. the red cells with a shape factor near 1.0 were sized appropriately by this method. In contrast. the lymphocyte shape factor was 1 .38; thus. the true lymphocyte volume was 289 cu tm/1.38 or 210 cu tim. The tonicity of the suspending solution also influenced the measurement of particle volume when osmotically inactive standard particles (e.g.. latex spherules) were used as a reference. Whereas the true lymphocyte volume was 210 cu ,m at 286 mosmole/liter. it was 194 cu m at 330 and 229 cu m at 250 mosmole/liter. The standard Counting solution. Isoton. is hyperosmolar (330 mosmole/liter) and causes an 8% shrinkage of osmotically active cells. the become a standard tool in many biomedical research laboratories. Many of these instruments were designed principally setting. Therefore, lished for counting and Tonicity it was (shape Solution particle measured deformability Counting of Reference on count and 203 cu m by wet and density (mean 21 0 cu im). The the electronic volume ( V.) of 289 cu Mm and true influence sm Importance R. Cokelet, measurement of lymphocyte volume by an electronic particle volume analyzer. When the volume analyzer was standardized with latex spherules having a shape factor (f.) of 1 .5. red cell volume was 96 cu m and lymphocyte volume was 289 cu m. The red cell volume corresponded closely to the true red cell volume; the true lymphocyte volume. Volume: January B. Segel. Department N. Y. 14642. Inc. 8. 1981. M.D. , University of Pediatrics. Box of 777, and the pellet containing dispersed thawed incubation 0.4 and and pushed ml distilled allowed digested at was blotted was the water. to freeze at with l 37#{176}C,the from from 100 digest the end of the cell severed The - of was tube pellet into was pellet, a tube thoroughly 20#{176}C for 45 mm. It was then 2.5 N KOH. throughly Blood, Vol. 57. mixed After and No. 5 (May), 30-mm 100 zl 1981 MEASUREMENT added OF LYMPHOCYTE to Instagel determined in scintillation in a Packard photon emission samples. The beta was minus the sucrose as follows: Lymphocyte vials. The beta radioactivity in volume volume 895 spectrophotometer. equivalent lymphocyte volume VOLUME The the supernatant was calculated of trapped of and from supernate was quenching the pellet aspirated mA cytocrit measured by at a flow was set at 6 and Coulter electric (cu sm/cell) Lymphocytocrit = volume Cell (jl) count Trapped - volume (.tl) increase pulse height, volume through enters must the the is related cell 1 .66 mmole suspension. suspension One was added on an analytical and of 6 x I0 containing ml of the cell The cells 50 beta z1 TC-199 and were reweighed The the dispersed cell insides the KOH added. This incubated sample of beta in the samples were prepared by adding the cell pellet the pellet surface performed and to measure evaporated during resulted This by medium on radioactivity from the that the total 19% of the lated from did and pellet wet weight the since Particle volumes particle volume were particles passing ZBI evaporation weight. was subtracted for ‘ about was calcu- weight of I .06’ The supernate - by the formula: count (no/pellet) Volume and cum/ml integrated from this particles most base + reproducible to the mean was equipped under integration: with or modal with particle oscilloscope. of the current, the instrument electrolyte (suspending) A parameters Kfe = where K is a constant. function of the of the resistivities and the particle P2’ A, and I, the blood shape f, value off, that volume this signal or to used reflects “electronic” evaluate K determine (Reference 12 of electronic is in the V. of operation shape will erythrocytes the range ofvalues electronic particle have with = flow.’2 will A prolate aperture havef. deform to the has good a For value of 1.5O.I23 J a smaller ellipsoid its longer calculated shapes. with axis value, as it a large parallel axial to the that normal as they flow into analyzer apertures prolate axis orienta- An encountered been some 1.0. It has been observed ellipsoids with experimental of I .04 for erythrocytes. volume for and experimental particle are approximately in a value particles experimentally ellipsoid. in the human parallel various spherical of flow, resulted for a prolate oriented tion the principals confirmed direction they and of are in turn is the signal v that correctly be determined.’2 has a theoretical A deformable that to particle, a function factors “effective” order instrument) describes f, rigid spheres,.!, ratio, must and into the only is Since the the usual operating these show the In V,. to the a i5 aperture, analyzers.) of theory deforms f, equations is called particle, review The value from which V. Under in the orifice; f, factor, in the medium ratio. suspensions, these 2 (calibrate recent orientation deformability. volume, the equation correct suspending cell (2) conductivity of the and orientation cell of and and on the particle product volume shape V shape to orifice diameters with particle The particle (1-1.5) long determination Thesef. when of values calibrating so f,’6 illustrate and using analyzers. Calibration studies electronic counter and by Electronic a Coulter Channelizer the (1) V Calibration of the Instrument for Measurement Latex Spherules and Red Cell Volume 2 x 10 (g/ml) from by the RESULTS determined analyzer derived was n/2 and compared were Channelizer calculated best that volume (total on were accounted lymphocyte but medium this weight and ofLymphocyte volumes the and Counting Particle on to studies water . Measurement buffer pellet Ife resistivity = (g)/cell density voltage V, and particle Blank to assess the radioac- represent cell density for was removed Further water and of photon containing walls. not The (cu Mm/cell Cell volume, particle ing medium to measure was mm samples. within of lymphocytes lymphocyte volume quenching pellet radioactivity radioactivity. the aperture The area, andf. dependent 45 mm. to Instagel The process, did pellet pellet of the suprapellet not represent ‘4C-sucrose total Lymphocyte Cell that filter wet 30 specific I is the electric conditions of 0.4 ml of 2.5 N added served tube weighing the wet weight wet weight) the cell and trapped the proportion in radioactivity the current. is the aperture cross-sectional is a shape and conductivity factor. For a given suspend- ratio 10 with 20#{176}Cfor - supernate blank not the and a ‘4C-sucrose This dried at 37#{176}C for supernate sedimentation. as before. at was radioactivity. identical treated was weighed with 15 mm was contributed of this measurement The frozen 500-.tl was tivity per at 900 g for were tubes at 37#{176}C for emission the pellet and A after that for balance. water digest the microliters tube tubes The dispersed. measurement across the constant j of was added sedimented fluid of the analytical The cell lysate was thawed thoroughly conical were blotted. in 1 .6 ml distilled drop a constant nonconducting AB microcuries sucrose scintillation surfaces on Three 20% was added with 500 l of 0.5 N KOH to Instagel radioactivity. paper with and eighty is the P2 medium, in TC-l99 cells/mI. to a 2.5-ml balance. From unlabeled hundred mm and 50 sl of the supernate and Volume Density was prepared at a concentration ‘4C-sucrose a equation:’2 where plasma to with When voltage 4v suspension threshold was set at 2 (no/pellet) ofLymphocyte Wet Weight A lymphocyte channel current operates aperture. to maintain x l09cujzm/z1 Measurement Lymphocyte base at I 00. The analyzer the aperture, in order v, The threshold at 1. particle current particle volume of 2.5 mI/mm. and the amplification The ‘4C- rate the upper The the channel attachment. size distribution number (n) curve, median and channel threshold. perspective of .tm aperture ZBI Particle the = median channel channel encom- This The provided volume Coulter and particles analyzer spherules sm-Particle (2) Coulter generated of accumulated particle measurements. a 100 by 150 Model the when Model were with the Coulter Model ZBI “Channelizer” particle volume were performed with 3 particles: (source with a true, mean volume Information 4C Standard leah, Fla.), and (3) particle was studied (330 mosmole/liter), of Services, (Coulter Los Altos, Electronics, ( I ) latex of 1 I 3 cu Calif.), Hia- normal human red cells. Each in 3 media: ( I ) Coulter’s Isoton (2) isotonic phosphate-buffered saline (PBS) (286 mosmole/liter), PBS (250 mosmole/liter). and (3) hypotonic SEGAL. 896 Table 1 . Sizing of Latex Spherules Suspending Medium 330 Median channe I (10) cupm/channel The median 1/amp number channel 1 on = of measurements is expressed Suspending 23.7 ± 0.1 24.3 ± 0.2 Median 7.12 ± 0.05 7.15 ± .05 6.98 ± .05 Electronic SE) and cu Mm/channel electronic is shown particle in parenthesis. are indicated volume for analyzer. The buffer Volume spherules. their and ( V) Since volume when they are rigid, is represented isl.S, Vis these Table spherules were I were obtained. record values iv values but into “channels,” to v, last row The number osmolarity finger sized When equation n, is 2 becomes: (3) the cu tm/channel volume electronic is changed as the suspending swelling of the 4C in has Coulter’s Isoton (330 mosmole/ ratio of 0.97 is reported volume (with unknownf a true volume of 83 cu of 1.0. The change in (f,) medium red cells. Tab le 3. V, 1 of ± 2.8 87.2 ± 2.8 93.5 on 1 .05 (effective) the measurements (mean electronic is shown 0.4 ± 2.8 1.13 volume Coulter ± ± particle SE) are volume in parenthesis. The as mosmole/liter. red cells. The red cells from eight donors were added directly from a The Sizing (8) channel with tonicity, the the and media and were particle volume electronic K2 values red cell volume, obtained volume with in the the three suspending media was calculated using the ideal osmotic swelling law.’4 The law states that red cell volume is a linear function of the reciprocal of the medium cell volume data according to this tonicity range experimental red of Evans and Fung’5 were law and a linear relationship tonicity. plotted in the of our The suspending media was obtained. Red cell volumes were also calculated from the ideal osmotic swelling law using the same plot slope but a value of 87 cu sm for the isotonic cell volume.” These calculated volumes are included The experimental f values V,/ V, where V, the true volume, cu jsm at 286 mosmole/liter’4 Fung’s data.’5 From these data, shape factor for normal human 0.99 what in Table 3. were calculated from was taken either as 87 or from Evans and it is apparent that the red cells is between and 1.1, and that its precise we take as the true erythrocyte off equal reasonable. tonicity median (calculated of Hum an Red Blood to I .04 for normal red value is sensitive to volume. A value cells appears to be 6 Cells Suspending Medium Osmolarity 286 250 12.3 ± 0.09 13.5 ± 0.03 87.6 ± 0.6 96.5 ± 0.2 14.8 ± 0.2 ± 1.4 red cell volumecu,um True volumes, Evans cu zm, based and Fung data factors, Evans 1’,, based on true volumes 87cumat286 channel and electronic studied (effective) is shown 89.3 97.4 79 87 105.4 95 0.98 0.99 0.98 1.11 1.11 1.09 . from and Fung data of red cell populations 103.3 on 87cuimat286 median 80.5 stick to the three suspending individually with the electronic 330 The 1 0.97 is expressed suspending and equation 3. red cell standard particle factor number 0.4 and electronic = human healthy medium K2V, sm is the electronic Shape ± latex spherules) are tabulated in Table 3. Since the true volume of a human red cell varies with suspending value) or else the m and a shape Electronic 1 2.2 v sorts the individual channel number, is said to have a volume of 83 cu V, the true particle volume, or V, channel 0.4 rather the 4C Standard is designed for use with solution as the suspending medium liter). In this medium, the volume essentially unity, indicating that the Median ± analyzer. I shows volume reflects channel 1 /amp 250 3.4 1 1 .3 cu zm for Normal different the electronic volume. We used the calibration factors determined with the latex spherules to obtain V values in the three different suspending media (Table 2). A volume ratio can be calculated as V/83 cu sm. The of 83 cu V,J83 Osmolarity 286 in not the data The Coulter 4C Standard tm, which may be Medium sized electrically, the data Since the instrument does from Standard. calculated Coulter 4C l70cuum. cu zm LICHTMAN not = in Table ( I /K2) do placed in media of different their effective or electronic by V f V. In this case,f. K2fV= = spherules Vis and n The latex Il3cuumandthus, proportional ratio analyzer. buffer change tonicity volume volume, indicated osmolarity (6) The median The as mosmole/liter. Latex channel AND of 4C Standard 330 0.1 ± Sizing 250 ± Coulter 2. Osmolarity 286 23.8 (mean the Table COKELET, volume (mean in parenthesis. ± SE) are indicated The buffer osmolarity for 1 /amp = is expressed 1 on the Coulter as mosmole/liter. electronic particle volume analyzer. The MEASUREMENT OF LYMPHOCYTE 897 VOLUME Table Exp. No. Measurement of Lymphocyte Trapped Volume (z1) 3.5 9.28 1.42 15.3 225 3.0 8.39 1.77 21.0 221 3 6.1 2.7 5 3.9 Mean SE t volume effective 22.2 224 14.8 203 11.0 2.54 23.0 217 3.84 10.5 2.12 19.3 218 0.60 1.9 0.52 6.44 calculated fro m the equation shown in Materials Volume The V, volume only if the of human shape blood f, factor, lymphocytes is can be determined calibrated with only if the particle volume a particle having the same analyzer is shape factor or if the factors particle shape the lymphocyte cases (such as are latex from measured independent included volume by a lymphocytocrit of the volume net lymphocyte was determined populations lated from trapped the true and measurements lymphocyte methods measurement at 286 of method volume, V, mosmole/liter. the packed and cell measurement wet weight. The lymphocyte from the lymphocytocrit in S (Table volume experimental the by two These cell calibrating known. Except for a few special spherules), the shape factor, f, must be determined of Vand V,. have for the 4). The cell lymphocytocrit (see volume was volume Materials and calcu- minus the Methods). The percentage of trapped volume in these studies averaged I 9 ± 0.4. The mean lymphocyte volume in these studies was 218 ± 4 cu tim. Alternatively, lymphocyte volume was determined from the cell pellet weight and lymphocyte was calculated wet density from weight. (Table 5). The the total weight The percentage cell pellet weight minus the superof Table 5. supernate Measurement wet of Lymphocyte Total Exp. No. and 0.4 4 Methods. weight volume presented above indicate that a particle’s V. can be calculated from its electronic or volume, known. 3.91 0.95 was 17.6 ofLymphocyte The data volume, was 17 ± 2.6, by weight/density and the mean lymphocyte was 203 ± 3 cu .tm. The mean volume from these compared to the electrical mosmole/liter) measured two methods, 210 cu zm, is volume, 289 ± S cu j.tm (286 in the same lymphocyte populations using latex spherules particle. These measurements are ferent (p < 0.001). Since the shape for lymphocytes In practical terms, simplest method for lymphocyte volume; analyzer is calibrated is the ratio 289/210 or 1.38. the knowledge off permits the the electronic measurement of that is, the particle volume with latex spherules in isotonic Ve/V,fc buffer volume, (286 mosmole/liter) Ve. The Ve for directly volume, can in the same V, is calculated be calibrated of Coulter with the using lymphocytes buffer. from also by using 4C Standard same results. lymphocytes sized true The tion may was volume lymphocyte instrument the electronic volume or normal human red The median channels in Isoton is taken as a change shape factor of I .38 their electronic is determined The V,/f. (330 mosmole/liter) (286 mosmole/liter) and PBS (250 shown in Table 6. When the change lymphocyte as the standard significantly diffactor,fe, equals in lymphocyte volume is used to determine at each osmolarity, an and the the true 8% reduc- Volume Supernate by Weight/Density Wet Weight 1mg) Weight mg) Percent Supernate Lymphocyte Volume (cu Mm) 1 7.49 20.1 4.22 21 8.29 22.4 5.13 23 196 3 6.67 18.9 3.92 21 211 200 27.9 3.82 14 204 5 6.70 15.9 0.93 6 211 6 9.56 24.3 4.67 19 194 Mean 8.30 21.6 3.78 17 203 SE The lymphocyte 1.7 0.71 volume was calculated from the equation 0.60 shown in Materials are channel from 210 to 194 cu zm is observed in Isoton. This not be an exact calculation, since the shape factor determined at physiologic osmolarity, 286 Cell Count ( x 1 0’ Cells) 11.1 cells of PBS mosmole/liter) in median 2 4 weight. Lymphocyte Volume (cu Mm) Percent Trapped 1 Measurement nate by Lymphocytocrit 2 4 We Volume Lymphocytocrit Volume (z1) Cell Count lx iO’ Cells) The lymphocytocri true 4. and Methods. 3 2.6 Cell pellet wet weight = Total weight - Supernate wet SEGAL. COKELET. 898 Table Sizing 6. of Human Blood Lymphocytes Suspending Medium Osmolarity -0 Median channel (9) Electronic 37.4 266 volume 286 0.4 ± 2.8 40.4 289 194 Truevolume 220 120 20C 100 C 0 ± LICHTMAN a 330 )lsoton) AND 250 ± 0.4 ± 2.9 44.0 307 210 ± 0.5 ± 3.5 80 18C 00 229 I- The median channel indicated for 1 /amp analyzer. The number parenthesis. The calculating factor 1 on = of buffer was 1 .38 (effective) the Coulter lymphocyte mosmol/liter), assumed SE) are ± particle studied is the value lymphocyte of the be somewhat altered 60 16C 45 volume shown shape In C) shape 0 > U factor 0 at 330 #{176} -e in as mosmole/liter. that This may (mean electronic is expressed it was at all osmolarities. at 286 volume populations osmolarity the true volume, (measured at 250 and electronic and mosmole/liter. A1 .,‘J 14C 0 0 -0 12C 0. 20 E -J 100 A 2#{212}0225 175 mosmole/liter, andf (330 mosmole/liter). use of osmotically may be slightly The inactive standardize the motically responsive altered reduction particles, instrument for in Isoton results from latex spherules, measurement Lymphocyte the to of os- lymphocytes. 250 275 300 Volume (pm3) Fig. 1 . The lymphocyte sodium. potassium. and sodium plus potassium concentrations are plotted against lymphocyte volume. The figure shows data calculated from a cell potassium of 25 fmole/cell and a sodium as 78% of the lymphocyte of 3 fmole/cell.’7” volume.’7 Cell water was taken DISCUSSION The accuracy tronic particle factors. These ment, the area characteristics of volume determinations on an elecvolume analyzer is dependent on several include electronic features of the instruand length of the aperture, and the flow and deformability of the particle used as a standard and the evaluated the effects particles by calculating particle to be sized. We have of (I ) the deformability of the shape factor, f, and (2) the buffer osmolarity on the blood lymphocyte volume. however, to the measurement The precise determination particular importance in measurement of human These findings apply, of any cell’s volume. of cell volume is of transport and metabolic volumes volume 22 from 1 75 to 300 cu tm. At a lymphocyte of 1 75 cu .tm, the Na and K concentrations are and 183 mmole/liter cell water, respectively. contrast, at a volume of 300 cu m, the concentrations are 12 and 108 mmole/liter Thus, from differences measurement In Na and K cell water. in the apparent cell volume resulting errors can account for a difference in cell concentration of a constituent The reported values for from 180 to 280 cu tm.’9 of up to 80%. lymphocyte volume range Such variation would be predicted without if the volume measurements were regard for the deformability characteristics the cell to be measured and the standard particle made of used experiments in which cell volume contributes to the estimation of the distribution space of internal contents. Cell volume is a rapid, easy, accurate, and reproducible basis for calculating the cell water when compared to more tedious methods. Cell water or volume can serve as the denominator for calculation of to calibrate the instrument. For example, if the shape factor is ignored and the instrument is calibrated with latex spherules, the lymphocyte electronic volume in isoosmotic medium is 193 cu sm. In contrast, the lymphocyte electronic volume is 276 cu sm if the instrument is calibrated with the Coulter 4C Stan- the concentration or content of internal influence of cell volume on the apparent dard. This range of volumes corresponds to the reported values for lymphocyte volumes; moreover, the lowest values were measured when latex spherules were used to calibrate the electronic particle sizer3’4’6 of internal monovalent solutes cation concentration 180 mmole/liter Although measuring volume shown content has is exemplified concentration. been cell substance. The concentration by its effect on The cell potassium reported between water in mammalian 1 10 and cells. some variation may be due to difficulties in the cations themselves, the influence of cell on cation concentration in Fig. 1. In this analysis, of 25 fmole/cell cell’7”8 have monovalent been cation and Na used to calculate concentration may the be marked, lymphocyte content the at of 3 fmole/ lymphocyte lymphocyte as K and the highest for calibration.8’9 ignored and true Two shape group groups values when red blood cells In these studies, shape volume was not measured. of investigators have were used factor was considered factor in the sizing of human lymphocytes. concluded that the lymphocyte behaved the One as a rigid sphere on the basis ofdirect microscopic observations of cells flowing through the sizing aperture and concluded that lymphocyte volume was 180 cu MEASUREMENT They OF did not lymphocyte The other LYMPHOCYTE provide 899 an independent measurement f volume, however, to verify an group used data calculated from ments of cell diameter determination.2 They shape factor to be that calculated a lymphocyte By VOLUME using two lymphocyte as the independent volume considered the lymphocyte of a rigid sphere (J I .5) and volume of 195 cu tm. = independent volume, of of I .5. measure- methods we have value of 1.38. This slightly greater than arrived to measure at a shape factor An additional but problem is introduced molarity of Isoton results in about an 8% decrease of lymphocyte volume measured in isotonic medium with latex spherules as the standard particle. results in a lymphocyte volume that reported by Ben-Sasson and coworkers.2 The difference between a shape factor of I .38 and I .5 is small, and the important insight is that lymphocyte volume is about 200 cu m rather than the higher values of 250-290 cu sm. less critical in the measurement of cell volume if the commercial diluting solution, Isoton, is used to suspend the particles for measurement and an osmotically inactive particle is used as a standard. Isoton, despite its name, has an osmolarity of 330 mosmole/liter. The hyperos- ACKNOWLEDGMENT We thank Dr. Regional Red pheresis residues. and Valerie these Jacob Nusbacher Cross Blood Elizabeth Black, and Center Dr. for Kearney a student Joanna Heal, supplying provided at Keuka Rochester human technical College, also plateletassistance participated in studies. REFERENCES I . Thom sizing, G, Lewis York, Academic, Ben-Sasson sizing and results by improved in Izak gy. New 2. R: Method (eds): 1972, 5, Patinkin of particles 84:205, SM Modern electronic blood-cell Concepts in Hematolo- Doljanski F: Electrical rapid p 191 NB, IV. Lymphocytes. J Cell from Physiol 1974 P, Chanana of human lymphocytes of nuclear volume and HB, Nielsen AD, Sipe CR, in culture: cell Crokite EP: Proliferation Determination number. Nouv I 2. by measurement Rev Fr Hematol in 20:545, volume spectroscopy. 5. HG: membrane: Applying to measure rapid Braylan Herman Ci: neoplastic Westring of human 8. Segel Nusbacher of human 9. Studies Sipe J Immunol The changes 10:135, volume. cells. Cytol DW, Ladinsky Proc Lichtman JL, Feick Soc Exp MA, J: Plateletpheresis 41:201, Med BR, A source 1969 MacPherson JL, quantities blood lymphocytes. Transfusion 16:455, 1976 CR, Chanana AD, Cronkite EP, Gulliani GL, Joel DD: on lymphocytes, XIII. Nuclear volume measurement J Haematol PF, New York, Naaman EA, Waterman CS, Improved Mendelsohn Wiley, granulocytes 97):77, 1968 normal Blood sizing human 34:591, 1969 (Coulter ML sizing), (eds): Flow 1979, p61 5, Doljanski in suspensions. II. F, Nadav Experiments E: with 1969 and Related Phenomena (rev ed). New I 971 Fung geometry. pulse i, Ben-Sasson J 9:1415, & Stratton, of by size. resistance E: Hemolysis Evans SL: separation and 21 (Suppl Improved measurements Microvasc YC: Res 4:335, 1972 Atkinson EE measurement Jr. Wilkins B Jr. of erythrocyte of Fischer volume the CL, distribu- tion by aperture-counter signal analysis. Clin Chem 21 :1 201, 1975 17. Segel GB, Lichtman MA: Potassium transport in human distribution I 3 1 : I 077, of large 16. Kimzey The of particles Biophys Ponder erythrocyte B: Mullaney NB, sizing Grune I 5. 1977 1978 P: The volume Biol Gordon residues: 21:96, 5K, Berard CW, of normal and Invest and classification MR. spheres. York, Lab Cassen and Sorting. Grover 14. computer Scand cells J Clin V: Electrical Melamed Electrical lymphocyte and a hybrid Acta Cancer by fraction. of mononuclear Scand by density Cytometry rigid the BJ, Jaffe ES, Sanders and DNA distributions lymphoid studied 1979 of size analyzer in cell lymphocytes. GB, blastogenesis permeability a particle RC, Fowlkes Cell volumes human Lymphocyte Scand Hempling 6. V: proliferative Isolation RM, Kachel 13. 4. Steen A: blood. I 1. Zucker I978 7. Boyum human leukocytes 3. Chandra to estimate 1976 10. D, Grover in suspensions. approach 16:196, as a blood lymphocytes 58:1358, 18. and blood treated with phytohemagglutinin. J Clin Invest 1976 Segel GB, potassium lymphocytes. Simon transport J Clin W, in Lichtman MA: Regulation phytohemagglutinin-stimulated Invest 64:834, 1979 of sodium human