This section details normal erythroid maturation phenotypes. Knowledge of normal phenotypes is important in identifying cell populations and recognising phenotypic aberrancy.

Normal Erythroid Phenotypes

Flow Cytometry: Antigen Expression During Normal Erythroid Maturation
Antigen expression during normal erythroid maturation showing how antigen expression changes as the cell differentiates from a blast into a pro-erythroblast, erythroblast and finally, mature red blood cell.

Maturation Pathways

Side Scatter and CD45

As erythroid cells mature, they become smaller and the nucleus shrinks, eventually being expelled. Hence, their side scatted decreases as they mature. They also progressively lose CD34.

Flow Cytometry: Erythroid Maturation (Side Scatter and CD45)

Side Scatter and CD34

As erythroid cells mature, they lose CD34 and their side scatter reduces.

Flow Cytometry: Erythroid Maturation (Side Scatter and CD34)

CD117 and HLA-DR

Pro-erythroblasts are CD117+ and HLA-DR-dim. As they mature into erythroblasts, both CD117 and HLA-DR are lost.

Flow Cytometry: Erythroid Maturation (CD117 and HLA-DR)

CD34 and CD33

Early precursor cells are CD34+ and CD33+. Pro-erythroblasts are negative for both CD33 and CD34, as are more mature erythroblasts.

Flow Cytometry: Erythroid Maturation (CD34 and CD33)

CD105 and CD36

As stem cells develop into pro-erythroblasts, they gain CD105 and CD36. CD105 is lost as pro-erythroblasts mature into erythroblasts, disappearing shortly after CD117 is lost, while CD36 expression is slightly reduced but overall retained.

Flow Cytometry: Erythroid Maturation (CD105 and CD36)

CD36 and CD71

As stem cells develop into pro-erythroblasts, they gain CD36 and CD71. CD71 is lost as the nucleus is expelled and erythroblasts mature into red blood cells, while CD36 expression is slightly reduced but overall retained.

Flow Cytometry: Erythroid Maturation (CD36 and CD71)

This view is also useful for excluding unlysed red blood cells, which are CD36+/71-. Dysplastic erythroblasts tend to be dim for both CD36 and CD71.

Flow Cytometry: Erythroid Maturation (CD36 and CD71)