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Multicenter evaluation of the IL-3-pSTAT5 assay to assess the potency of cryopreserved stem cells from cord blood units: The BEST Collaborative study

  • The Biomedical Excellence for Safer Transfusion Collaborative

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The IL-3-pSTAT5 assay, a new, rapid, and standardized flow-cytometry-based assay may compensate for several limitations of the colony-forming unit (CFU) assay typically used for stem cell potency assessments of cord blood units (CBU). We performed an inter-laboratory evaluation of the performance of this new assay. Study design and methods: This Biomedical Excellence for Safer Transfusion (BEST) Collaborative multicenter, international study included 15 participants from public cord blood banks (CBBs), CBB-supporting research laboratories, and stem cell laboratories. To perform the IL-3-pSTAT5 assay, participating centers received reagents, instructions, and 10 blind CBU samples, including eight normal samples and two samples exposed to a transient warming event. We measured inter-laboratory agreement qualitatively (proportion of correctly classified samples) and quantitatively (coefficient of variation [CV], correlation coefficients, receiver operating characteristics (ROC) curve, and intraclass correlation coefficient [ICC]). Results: The qualitative agreement was 97.3% (i.e., 107/110; Fleiss' kappa = 0.835). The average CV on a per-sample basis was 11.57% among all samples, 8.99% among normal samples, and on a per-center basis was 9.42% among normal samples. In a correlation matrix that compared results across centers, the mean Pearson's correlation coefficient was 0.88 (standard deviation = 0.04). The ICC was 0.83 (95% confidence interval = 0.68–0.95). The area under the curve (AUC) from the ROC curve was 0.9974. Discussion: Excellent qualitative and quantitative agreement was exhibited across laboratories. The IL-3-pSTAT5 assay may therefore be implemented in flow cytometry laboratories to rapidly and reliably provide standardized measures of stem cell potency in CBUs.

Original languageEnglish (US)
Pages (from-to)1595-1601
Number of pages7
JournalTransfusion
Volume62
Issue number8
DOIs
StatePublished - Aug 2022

Bibliographical note

Funding Information:
The authors would like to thank Sonia Néron, Marie-Eve Rhéaume, Julie Carrier, Liette Vaudry for their direct help with the study, Antoine Lewin for helping with the statistical analyses, and Samuel Rochette for editing the manuscript. We would also like to thank Kelly Murphy at Canadian Blood Services Edmonton Stem Cell Laboratory, Roya Pasha at Canadian Blood Services Ottawa Centre for Innovation, FenFen Hsieh and Ashley at the University of Utah, Takafumi Kimura and Nobuki Matsuyama at Japanese Red Cross Kinki Block Blood Centre, Gemma Aran and Carmen Azqueta at the Banc de Sang I Teixits, and also Matthew N. Klein, Cynthia Thérien and Geneviève Quenneville for their significant contribution to this study.

Publisher Copyright:
© 2022 AABB.

Keywords

  • cord blood
  • flow cytometry
  • multicenter evaluation
  • potency
  • stem cells

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