{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:55:16Z","timestamp":1791179716925,"version":"4.1.0"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Immunol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Peripheral blood leukocyte immunophenotyping offers a minimally invasive insight into an individual\u2019s immune system and is an attractive biomarker for detecting and monitoring disease. Advances in high-parameter spectral flow cytometry now resolve leukocyte subsets in unprecedented detail, but this depth adds complexity to sample preparation, acquisition and analysis, introducing technical variability that can obscure the biological signatures required for longitudinal monitoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We built and validated an optimized, high-parameter spectral flow cytometry pipeline for repeated blood leukocyte profiling and asked whether the resulting signatures are stable and distinct enough to identify individuals over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Using rainbow beads and monoclonal-antibody spectra, we confirmed that instrument performance and spectral unmixing remained stable across more than two years, and that this dual measure localized faults to either the instrument or a reagent. Against a stabilized biological-invariant control, gating built on the dimensionality-reduction method PaCMAP was substantially more reproducible between operators than traditional two-dimensional gating and produced cleaner populations. Chemical fixation and one-week antibody pre-storage preserved leukocyte composition, whereas delayed processing and, more severely, cryopreservation altered it, the latter through near-complete granulocyte loss. Of the count-normalization schemes tested, normalization to the percentage of CD45\n                      <jats:sup>+<\/jats:sup>\n                      leukocytes best preserved individual signatures over time, whereas counting-bead normalization performed worst. Applying the pipeline to ten donors sampled repeatedly across a year, we found that leukocyte signatures were dominated by stable, individually distinct differences between people \u2014 so distinct that a held-out visit could be assigned back to its donor, both by a trained random forest and by simple proximity to that donor\u2019s own mean.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Together these results define a technically sound, operator-reproducible and handling-robust pipeline whose normalized signatures capture a temporally stable individual immune fingerprint, providing a practical foundation for blood leukocyte profiling as a longitudinal biomarker of immune state in cancer and other diseases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fimmu.2026.1959895","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:33:11Z","timestamp":1791178391000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["An optimized spectral flow cytometry pipeline for longitudinal blood leukocyte immunophenotyping reveals stable, individually distinct immune signatures"],"prefix":"10.3389","volume":"17","author":[{"given":"Katharine","family":"Gosling","sequence":"first","affiliation":[{"name":"Irradiation Immunity Interaction Lab, Division of Genome Sciences and Cancer, John Curtin School of Medical Research, Australian National University","place":["Canberra, ACT, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Price","sequence":"additional","affiliation":[{"name":"Irradiation Immunity Interaction Lab, Division of Genome Sciences and Cancer, John Curtin School of Medical Research, Australian National University","place":["Canberra, ACT, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Simon Davis","sequence":"additional","affiliation":[{"name":"Irradiation Immunity Interaction Lab, Division of Genome Sciences and Cancer, John Curtin School of Medical Research, Australian National University","place":["Canberra, ACT, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhan M.","family":"Syed","sequence":"additional","affiliation":[{"name":"Irradiation Immunity Interaction Lab, Division of Genome Sciences and Cancer, John Curtin School of Medical Research, Australian National University","place":["Canberra, ACT, Australia"]},{"name":"Radiation Oncology Department, Canberra Hospital, Canberra Health Services","place":["Canberra, ACT, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin J. C.","family":"Quah","sequence":"additional","affiliation":[{"name":"Irradiation Immunity Interaction Lab, Division of Genome Sciences and Cancer, John Curtin School of Medical Research, Australian National University","place":["Canberra, ACT, Australia"]},{"name":"Radiation Oncology Department, Canberra Hospital, Canberra Health Services","place":["Canberra, ACT, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1016\/j.cell.2014.12.020","article-title":"Variation in the human immune system is largely driven by non-heritable influences","volume":"160","author":"Brodin","year":"2015","journal-title":"Cell"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0264631","article-title":"Machine learning predicts cancer subtypes and progression from blood immune signatures","volume":"17","author":"Simon Davis","year":"2022","journal-title":"PloS One"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1038\/ni.3371","article-title":"The cellular composition of the human immune system is shaped by age and cohabitation","volume":"17","author":"Carr","year":"2016","journal-title":"Nat Immunol"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2023.1211064","article-title":"Identifying cancer-associated leukocyte profiles using high-resolution flow cytometry screening and machine learning","volume":"14","author":"Simon Davis","year":"2023","journal-title":"Front Immunol"},{"key":"B5","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1038\/nri3158","article-title":"Standardizing immunophenotyping for the human immunology project","volume":"12","author":"Maecker","year":"2012","journal-title":"Nat Rev Immunol"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1002\/cyto.a.24801","article-title":"Standardized high-dimensional spectral cytometry protocol and panels for whole blood immune phenotyping in clinical and translational studies","volume":"105","author":"Dott","year":"2024","journal-title":"Cytometry A"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1093\/bib\/bbae633","article-title":"Comprehensive evaluation and practical guideline of gating methods for high-dimensional cytometry data: manual gating, unsupervised clustering, and auto-gating","volume":"26","author":"Liu","year":"2024","journal-title":"Brief Bioinform"},{"key":"B8","doi-asserted-by":"publisher","first-page":"112616","DOI":"10.1016\/j.jim.2019.06.007","article-title":"Impact of blood storage and sample handling on quality of high dimensional flow cytometric data in multicenter clinical research","volume":"475","author":"Diks","year":"2019","journal-title":"J Immunol Methods"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1002\/cyto.b.21994","article-title":"An easy and reliable whole blood freezing method for flow cytometry immuno-phenotyping and functional analyses","volume":"100","author":"Braudeau","year":"2021","journal-title":"Cytometry Part B Clin Cytometry"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.3390\/cells11091527","article-title":"Comparison of whole blood cryopreservation methods for extensive flow cytometry immunophenotyping","volume":"11","author":"Serra","year":"2022","journal-title":"Cells"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jim.2022.113379","article-title":"Comparative flow cytometry-based immunophenotyping analysis of peripheral blood leukocytes before and after fixation with paraformaldehyde","volume":"511","author":"Vistica Sampino","year":"2022","journal-title":"J Immunol Methods"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1002\/cyto.b.21773","article-title":"Comparison of volumetric and bead-based counting of CD34 cells by single-platform flow cytometry","volume":"96","author":"Saraiva","year":"2019","journal-title":"Cytometry B Clin Cytom"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1.3.1","DOI":"10.1002\/cpcy.14","article-title":"Standardization, calibration, and control in flow cytometry","volume":"79","author":"Wang","year":"2017","journal-title":"Curr Protoc Cytometry"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.48550\/arXiv.1802.03426","article-title":"UMAP: uniform manifold approximation and projection for dimension reduction","author":"McInnes","year":"2020"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1","DOI":"10.48550\/arXiv.2012.04456","article-title":"Understanding how dimension reduction tools work: An empirical approach to deciphering t-SNE, UMAP, TriMap, and PaCMAP for data visualization","volume":"22","author":"Wang","year":"2021","journal-title":"J Mach Learn Res"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1038\/s41587-020-00809-z","article-title":"Initialization is critical for preserving global data structure in both t-SNE and UMAP","volume":"39","author":"Kobak","year":"2021","journal-title":"Nat Biotechnol"},{"key":"B17","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1002\/cyto.b.20038","article-title":"Fixation and cryopreservation of whole blood and isolated mononuclear cells: Influence of different procedures on lymphocyte subset analysis by flow cytometry","author":"Pinto","year":"2005","journal-title":"Cytometry Part B Clin Cytometry"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2025.e41836","article-title":"Human immune system: Exploring diversity across individuals and populations","volume":"11","author":"Hoang Nguyen","year":"2025","journal-title":"Heliyon"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1038\/nri.2016.125","article-title":"Human immune system variation","volume":"17","author":"Brodin","year":"2017","journal-title":"Nat Rev Immunol"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1002\/cpz1.589","article-title":"Do more with less: Improving high parameter cytometry through overnight staining","volume":"2","author":"Whyte","year":"2022","journal-title":"Curr Protoc"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0188916","article-title":"Flow cytometric discrimination of seven lineage markers by using two fluorochromes","volume":"12","author":"Boin","year":"2017","journal-title":"PloS One"},{"key":"B22","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1002\/cyto.a.24958","article-title":"Development of a 29-color single-tube full spectrum flow cytometry assay for the detection of measurable residual disease and leukemic stem cells in acute myeloid leukemia","volume":"107","author":"Zhang","year":"2025","journal-title":"Cytometry Part A"},{"key":"B23","unstructured":"Hammill\n              D\n            \n          \n          Dillonhammill\/Cytoexplorer\n          \n          2026"},{"key":"B24","unstructured":"Gamer\n              M\n            \n            \n              Lemon\n              J\n            \n            \n              Fellows\n              I\n            \n            \n              Singh\n              P\n            \n          \n          Irr: Various Coefficients of Interrater Reliability and Agreement\n          \n          2026"},{"key":"B25","unstructured":"Oksanen\n              J\n            \n            \n              Simpson\n              GL\n            \n            \n              Blanchet\n              FG\n            \n            \n              Kindt\n              R\n            \n            \n              Legendre\n              P\n            \n            \n              Minchin\n              PR\n            \n          \n          Vegan: Community Ecology Package\n          \n          2024"},{"key":"B26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.18637\/jss.v080.i01","article-title":"brms: An R package for Bayesian multilevel models using Stan","volume":"80","author":"Burkner","year":"2017","journal-title":"J Stat Software"},{"key":"B27","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1023\/A:1010933404324","article-title":"Random forests","volume":"45","author":"Breiman","year":"2001","journal-title":"Mach Learn"},{"key":"B28","doi-asserted-by":"publisher","first-page":"1","DOI":"10.18637\/jss.v077.i01","article-title":"ranger: A fast implementation of random forests for high dimensional data in C++ and R","volume":"77","author":"Wright","year":"2017","journal-title":"J Stat Software"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.1002\/imt2.43","article-title":"Complex heatmap visualization","volume":"1","author":"Gu","year":"2022","journal-title":"Imeta"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.21105\/joss.01686","article-title":"Welcome to the tidyverse","volume":"4","author":"Wickham","year":"2019","journal-title":"J Open Source Software"},{"key":"B31","unstructured":"Pedersen\n              TL\n            \n          \n          Patchwork: The Composer of Plots\n          \n          2025"},{"key":"B32","unstructured":"Wild\n              F\n            \n          \n          Lsa: Latent Semantic Analysis\n          \n          2022"},{"key":"B33","doi-asserted-by":"publisher","DOI":"10.1093\/cei\/uxae041","article-title":"Impact on in-depth immunophenotyping of delay to peripheral blood processing","volume":"217","author":"Higdon","year":"2024","journal-title":"Clin Exp Immunol"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.1016\/j.it.2016.08.002","article-title":"Shaping variation in the human immune system","volume":"37","author":"Liston","year":"2016","journal-title":"Trends Immunol"},{"key":"B35","doi-asserted-by":"publisher","first-page":"1415","DOI":"10.1016\/j.cell.2016.10.042","article-title":"The allelic landscape of human blood cell trait variation and links to common complex disease","volume":"167","author":"Astle","year":"2016","journal-title":"Cell"},{"key":"B36","doi-asserted-by":"publisher","first-page":"4260","DOI":"10.1038\/s41467-025-59525-4","article-title":"Genome-wide analyses of variance in blood cell phenotypes provide new insights into complex trait biology and prediction","volume":"16","author":"Xiang","year":"2025","journal-title":"Nat Commun"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-024-03092-6","article-title":"A unified metric of human immune health","volume":"30","author":"Sparks","year":"2024","journal-title":"Nat Med"},{"key":"B38","doi-asserted-by":"publisher","DOI":"10.3390\/cancers17030483","article-title":"Machine learning methods in clinical flow cytometry","volume":"17","author":"Spies","year":"2025","journal-title":"Cancers"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2021.787574","article-title":"Application of machine learning for cytometry data","volume":"12","author":"Hu","year":"2022","journal-title":"Front Immunol"}],"container-title":["Frontiers in Immunology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fimmu.2026.1959895\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:33:14Z","timestamp":1791178394000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fimmu.2026.1959895\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,5]]},"references-count":39,"alternative-id":["10.3389\/fimmu.2026.1959895"],"URL":"https:\/\/doi.org\/10.3389\/fimmu.2026.1959895","relation":{},"ISSN":["1664-3224"],"issn-type":[{"value":"1664-3224","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,5]]},"article-number":"1959895"}}