The buffy coat is the fraction of an anticoagulant blood sample that contains most of the leukocytes and thrombocytes following centrifugation.
The buffy coat is commonly used for DNA extraction, with leukocytes providing approximately 10 times more concentrated sources of nucleated cells. Mammalian erythrocytes are cell nucleus and do not contain DNA, so erythrocytes are normally removed for DNA analysis. A common protocol is to store buffy coat specimens for future DNA isolation and these may remain in frozen storage for many years.
The blood is taken in a QBC capillary tube which is coated with acridine orange (a fluorescent dye) and centrifuged; the fluorescence parasitized erythrocytes get concentrated in a layer which can then be observed by fluorescence microscopy, under ultraviolet radiation at the interface between erythrocytes and buffy coat. This test is more sensitive than the conventional thick smear and in over 90% of cases the species of parasite can also be identified.
In cases of extremely low leukocyte count, it may be difficult to perform a manual differential of their various types and it may be virtually impossible to obtain an automated differential. In such cases, the medical technologist may obtain a buffy coat, from which a blood smear is made. This smear contains a much higher number of leukocytes than whole blood.
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