Quantitative Buffy Coat (QBC) Test: Principle, Method and Analysis


- Draw samples of blood ( 55 µl) in to the QBC tube by capillary action.
- Rotate the tubes for 10 seconds to dissolve the contained residues in the blood.
- Insert a close fitting cylindrical insert or plastic float { having a specific gravity (1.055) i.e midway between that of plasma (1.028) and red blood cells (1.090)} inside a acridine orange-coated capillary tube.
- Centrifuge the tubes at 12,000 g for 5 minutes.
After gentrification blood components and malaria parasites separate based on density, and concentrate in distinct layers.
Note: The float by virtue of its density settles on top of the centrifuged packed red cells. It occupies 90% cross-sectional area of the tube which aids in the expansion of the centrifugally seperated cell layers. It is surrounded by three discernible and now measurable layers of the buffy coat. - Insert the centrifuged QBC Malaria test into the Paraviewer. Position the tube so the closure end extends over the depressed area of the holder.
- The area surrounding the float just beneath the buffy coat was examined under oil immersion. Individual cells within this layer were easily seen by microscopy; the malaria parasites staining green (DNA) and orange (RNA) under blue-violet light.
- The entire circumference of the tube was examined systematically while moving away from the buffy coat through the erythrocyte layer.
- Each tube was examined until parasites were detected or for a maximum of 5 minutes.

- Crescent shaped gametocytes (1) will appear near the interface of the lymphocyte/monocyte and platelet layers.
- A small number of (2) schizonts and (3) mature trophozoites may appear in the granulocyte layer.
- Ring-shaped (4) immature trophozoites will appear throughout the red blood cell layer, with a concentration near the interface with the granulocyte layer.
during centrifugation, but exhibit different characteristics
Acridine Orange Staining: Principle, Procedure, Results and Applications
- For staining clinical specimen with acridine orange at low pH (Acridine orange Acid Stain)
- Requirements: Acridine orange,Glacial Acetic acid, Distilled water
- Preparation of reagent: 50 mg acridine orange is dissolved in 10 ml of distilled water to preparea stock solution and stored in the refrigerator.1 ml of Acridine orange stock solution and 0.5 ml of glacial acetic acid is added to 50 ml of distilled water to prepare a working solution.
- Staining procedure:
- Prepare a smear in a clean grease free slide and allow it to air dry.
- The slide is then fixed with methanol and dried again.
- It is then put in trough with acridine orange staining working solution (i.e 0.01 per cent).
- After 2 minutes of staining, the slides are washed gently with water and dried and then examined in a fluorescent microscope.Observance: Bacteria stain orange against a green to yellow background of human cells and debris.
- For staining cells for analysis by flow cytometry.
Requirements: 0.1M Citric Acid (dissolve 1.921g per 100ml distilled water) ,0.2M Dibasic Sodium Phosphate (dissolve 2.839g per 100ml distilled water) ,Triton X-100 (Baker),0.5M EDTA, Sodium chloride(NaCl), Acridine Orange (Powder) and Sucrose. - Preparation of reagents:
- Stock Buffer I :20mM Citrate-Phosphate, pH 3.0, 0.1mM EDTA, 0.2M Sucrose, 0.1% Triton X-100
(To 125ml distilled water add 40µl 0.5M EDTA, 26.48ml 0.1M Citric Acid, 6.85ml 0.2M Dibasic Sodium Phosphate, 13.69g Sucrose, 0.2ml Triton X-100 .QS to 200ml and 0.2µ filter. Store at 4oC)
Stock Buffer II :10mM Citrate-Phosphate, pH 3.8, 0.1M NaCl - (To 150 ml distilled water add 9.92ml 0.1M Citric Acid, 5.46ml 0.2M Dibasic Sodium Phosphate, 1.7g NaCl. QS to 200ml and 0.2m filter. Store at 4oC)
- Stock Buffer I :20mM Citrate-Phosphate, pH 3.0, 0.1mM EDTA, 0.2M Sucrose, 0.1% Triton X-100
- Make a 2mg/ml solution of Acridine orange in distilled water and dilute to 1:100 in Buffer II
- Aliquot cells: 105- 106 in 100µl PBS or media .
- Add Buffer I (0.5ml) at room temp, agitate to suspend .
- Add Buffer II + AO (0.5ml) at room temp, agitate to suspend.
- Run on flow cytometer. Excitation 488 nm; dot plot of green fluorescence at 530nm versus red fluorescence >600 nm).
- For analyzing mitochondria and lysosomal content by flow cytometry.
- For visual detection of nucleic acids on agarose and polyacrylamide gels.
- For enumerating the microbial load in a sample since acridine orange binds with the nucleic acid of both living and dead bacteria.
- For identifying engulfed apoptotic cells, because it will fluoresce upon engulfment.
- For differential staining of human cells and prokaryotic cell with a fluorescence microscope. Human cells are stained black to faint green in which Bright orange organisms are easily detected .