Buffy-coat

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Buffy coat refers to the fraction of an anticoagulated blood sample that lies between the plasma and red blood cells after centrifugation. This layer is typically thin and contains most of the white blood cells (leukocytes) and platelets of the original blood sample. The term "buffy coat" derives from the layer's buff (pale yellow-brown) color. The isolation of the buffy coat is crucial in various medical and research applications, including immunology, transfusion medicine, and the study of blood-borne diseases.

Composition[edit | edit source]

The buffy coat is composed primarily of white blood cells, which are key players in the immune response, and platelets, which are critical for blood clotting. The specific types of leukocytes found in the buffy coat include neutrophils, lymphocytes, monocytes, eosinophils, and basophils. Each of these cell types has unique functions in the body's defense mechanisms and in maintaining homeostasis.

Isolation[edit | edit source]

To isolate the buffy coat, a blood sample is subjected to centrifugation. During this process, the denser red blood cells move to the bottom of the centrifuge tube, while the less dense plasma rises to the top. The buffy coat forms as a distinct layer between these two components. The specific gravity and centrifugation parameters can be adjusted to optimize the purity and yield of the buffy coat fraction.

Applications[edit | edit source]

The buffy coat is used in a variety of medical and research settings. In transfusion medicine, it is a source of white blood cells for certain types of transfusions, although this practice has declined due to the risk of febrile non-hemolytic transfusion reactions and alloimmunization. The buffy coat is also used to extract DNA for genetic studies, as white blood cells are a rich source of nucleated cells. Additionally, researchers study the buffy coat to understand the characteristics and behavior of leukocytes and platelets in various diseases and conditions.

Challenges and Considerations[edit | edit source]

The use of the buffy coat in medical research and treatment comes with several challenges. The isolation process must be carefully controlled to prevent contamination and ensure the viability of the cells. Additionally, the small volume of the buffy coat relative to the original blood sample can limit the amount of material available for analysis or treatment. Researchers and clinicians must also be aware of the potential for activation or damage to the cells during the isolation process, which can affect the results of experiments or the efficacy of treatments.

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Contributors: Prab R. Tumpati, MD