CLPD antibodies refer to fluorochrome-conjugated monoclonal antibodies used to detect cell surface markers on malignant B-cells in chronic lymphoproliferative disorders. These disorders include chronic lymphocytic leukemia (CLL), marginal zone lymphoma, and plasma cell dyscrasias . The antibodies target cluster of differentiation (CD) markers to distinguish malignant clones from normal lymphocytes .
The BD OneFlow™ B-CLPD T1 panel is an 8-color flow cytometry kit containing antibodies critical for immunophenotyping:
Target Marker | Fluorochrome | Clone | Clinical Utility |
---|---|---|---|
CD23 | FITC | EBVCS-5 | Distinguishes CLL from mantle cell lymphoma |
CD10 | PE | HI10a | Identifies follicular lymphoma |
CD79b | PerCP-Cy5.5 | SN8 | Differentiates CLL (typically dim) |
CD200 | APC | MRC OX-104 | Supports CLL diagnosis (high expression) |
CD43 | APC-H7 | 1G10 | Marks aggressive subtypes |
CD20 | V450 | L27 | Backbone marker for B-cell identification |
CD45 | V500-C | 2D1 | Leukocyte common antigen |
Source: BD Biosciences and EuroFlow Consortium
This panel enables simultaneous analysis of 12 markers, improving diagnostic accuracy by identifying phenotypic aberrations like CD5+/CD23+ in CLL .
CLL Identification: Co-expression of CD5, CD23, and CD200 with dim CD20/CD79b is pathognomonic .
Disease Stratification: CD38 and CD49d predict Richter transformation in CLL .
Plasma Cell Disorders: CD19-/CD56+ profiles indicate monoclonal gammopathies .
Flow cytometry using CLPD antibodies achieves >95% specificity in distinguishing indolent vs aggressive subtypes .
Immune Defect Correlation:
Targeted Therapies:
A 2022 cohort study of 83 B-CLPD patients revealed:
Key Immune Deficits:
Outcomes:
The EuroFlow Consortium developed harmonized protocols to reduce inter-laboratory variability . Key innovations include:
Lymphoid Screening Tube (LST): 12-marker panel for initial CLPD screening .
8-Color Multiplexing: Enables analysis of rare populations (e.g., <0.01% clonal cells) .
How can manufacturability challenges (e.g., low expression, aggregation) be resolved during CLPD antibody humanization?
Poor expression (<5 mg/L) and aggregation (>8%) often stem from suboptimal framework regions. A case study demonstrated a 30-fold titer increase by humanizing onto favorable VH/VL germlines .
Optimization workflow:
What strategies address data contradictions in CLPD antibody binding kinetics across studies?
How are bispecific CLPD antibodies engineered to balance avidity and toxicity in T-cell recruitment?