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In recent years, a special type of cancer cell—the cancer stem cell (CSC)—has been identified and characterized for different tumors. CSCs may be responsible for the recurrence of a tumor following a primarily successful therapy and are thought to bear a high metastatic potential.
The proportion of CSCs in tumor tissues is very small, only 0.01%-2.00%, which is difficult to isolate. Flow cytometry is helpful to seperate CSCs.
Multiparametric flow cytometry is the method of choice for the analysis of CSCs. It allows the simultaneous analysis of different cellular features with high performance and reliability. Moreover, it enables the separation of living cells on the basis of marker expression or functional properties by fluorescence-activated cell sorting. A major advantage of this technique is its ability to isolate rare cells, which is a prerequisite of identifying small cell populations within the tumor bulk. Quantification is also possible and can be achieved either by the addition of count check beads to the sample or by volume-based flow cytometry.