{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T03:11:48Z","timestamp":1792120308672,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T00:00:00Z","timestamp":1643587200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R35 HL145262"],"award-info":[{"award-number":["R35 HL145262"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R34 HL128798\u201001"],"award-info":[{"award-number":["R34 HL128798\u201001"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01 HL112633"],"award-info":[{"award-number":["R01 HL112633"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cytometry Pt A"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The morphology and other phenotypic characteristics of erythrocytes in sickle cell disease (SCD) have been analyzed for decades in patient evaluation. This involves a variety of techniques, including microscopic analysis of stained blood films, flow cytometry, and cell counting. Here, we analyzed SCD blood using imaging flow cytometry (IFC), a technology that combines flow cytometry and microscopy to enable simultaneous rapid\u2010throughput analysis of cellular morphology and cell\u2010surface markers. With IFC, we were able to automate quantification of poikilocytes from SCD blood. An important subpopulation of poikilocytes represented dense cells, although these could not be distinguished from other poikilocytes without first centrifuging the blood through density gradients. In addition, CD71\u2010positive RBCs from SCD patients had two subpopulations: one with high CD71 expression and a puckered morphology and another with lower CD71 expression and biconcave morphology and presumably representing a later stage of differentiation. Some RBCs with puckered morphologies that were strongly positive for DAPI and CD49d were in fact nucleated RBCs. IFC identified more phosphatidylserine\u2010expressing red cells in SCD than did conventional flow cytometry and these could also be divided into two subpopulations. One population had diffuse PS expression and appeared to be composed primarily of RBC ghosts; the other had lower overall PS expression present in intense, punctate dots overlying Howell\u2010Jolly bodies. This study demonstrates that IFC can rapidly reveal and quantify RBC features in SCD that require numerous tedious methods to identify conventionally. Thus, IFC is likely to be a useful technique for evaluating and monitoring SCD.<\/jats:p>","DOI":"10.1002\/cyto.a.24536","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T05:05:05Z","timestamp":1643605505000},"page":"448-457","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Phenotypic analysis of erythrocytes in sickle cell disease using imaging flow cytometry"],"prefix":"10.1002","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7527-3933","authenticated-orcid":false,"given":"Tahsin","family":"\u00d6zpolat","sequence":"first","affiliation":[{"name":"Bloodworks Research Institute  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim C.","family":"Chang","sequence":"additional","affiliation":[{"name":"Luminex Corporation  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoping","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Pathology University of Washington  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander E.","family":"St. John","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of Washington  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara A.","family":"Konkle","sequence":"additional","affiliation":[{"name":"Bloodworks Research Institute  Seattle WA USA"},{"name":"Department of Medicine University of Washington  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junmei","family":"Chen","sequence":"additional","affiliation":[{"name":"Bloodworks Research Institute  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 A.","family":"L\u00f3pez","sequence":"additional","affiliation":[{"name":"Bloodworks Research Institute  Seattle WA USA"},{"name":"Department of Medicine University of Washington  Seattle WA USA"},{"name":"Department of Biochemistry University of Washington  Seattle WA USA"},{"name":"Department of Mechanical Engineering University of Washington  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,31]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/180326a0"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI109646"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI111913"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511596582.014"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.23699"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jim.2015.03.019"},{"key":"e_1_2_9_8_1","volume-title":"Pediatric healthcare innovation: advancing technologies to improve child health","author":"Zhou 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of red cells in the sickler: a characteristic with practical clinical and pathophysiological implications","volume":"8","author":"Fabry ME","year":"1982","journal-title":"Blood Cells"},{"key":"e_1_2_9_22_1","first-page":"295","volume-title":"Blood cell: a practical guide","author":"Bain B","year":"2015"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2013-01-476390"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1309\/D70F-HCC1-XX1T-4ETE"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.V89.4.1121"},{"key":"e_1_2_9_26_1","first-page":"604a","article-title":"Increased RBC phosphatidylserine exposure in sickle cell disease patients at risk for stroke by transcranial Doppler screening","volume":"90","author":"Styles 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