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Immunophenotyping by Flow Cytometry ZAP-70 Test

DNA Labs India | ISO 9001:2015 Certified

Immunophenotyping by Flow Cytometry ZAP-70 Test

Short Name: ZAP-70 Flow Cytometry

Also known as: ZAP-70 Flow Cytometry, ZAP-70 Immunophenotyping, ZAP-70 Protein Expression Test

Immunophenotyping by Flow Cytometry ZAP-70 Test test available at DNA Labs India for ₹3,500. Uses Flow Cytometry on Whole blood or bone marrow samples. Results in Sample daily by 9 am; report same day. Free home collection in 300+ cities across India.

Hematologist, OncologistAdults🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose is to detect ZAP-70 expression by flow cytometry on leukemic B cells to aid in the diagnosis and prognostic assessment of chronic lymphocytic leukemia (CLL).

Test Code
3498
Price
₹3,500
Sample Type
Whole blood or bone marrow
Result Time
Sample daily by 9 am; report same day
Fasting Required
No
Method
Flow Cytometry
Step 1

Sample Collection

Give a brief clinical history including time, date, and relevant clinical details on the test request form. No fasting is required.

Method: Venipuncture for whole blood; bone marrow aspiration for bone marrow sample

Step 2

Laboratory Analysis

Whole blood is collected in one EDTA tube and one sodium heparin tube. Bone marrow is collected in a sodium heparin tube by a trained clinician.

Step 3

Report Delivery

Ship immediately at 18–22°C. Do not refrigerate or freeze.

Timeline: Sample daily by 9 am; report same day

Patient Instructions

1
Before the Test:No special preparation such as fasting is needed. Provide a brief clinical history to the laboratory.
2
During the Test:A healthcare provider will collect whole blood by venipuncture or bone marrow by aspiration. You may feel mild discomfort.
3
After the Test:You can resume normal activities. Keep the collection site clean and observe for any prolonged bleeding or swelling.

About This Test

Who Should Get This Test

The purpose is to detect ZAP-70 expression by flow cytometry on leukemic B cells to aid in the diagnosis and prognostic assessment of chronic lymphocytic leukemia (CLL).

How to Prepare

  • Collect 3 mL whole blood in one Lavender Top (EDTA) tube and 3 mL whole blood in one Green Top (Sodium Heparin) tube; alternatively collect 2 mL bone marrow in one Green Top (Sodium Heparin) tube.
  • Label samples with patient identification and collection time.
  • Ship immediately at 18–22°C. Do not refrigerate or freeze.
  • Write time, date, and clinical details on the test request form.

Doctor's Notes

Reviewed by — MBBS, MD (Pathology) · Reg. No. 21521

"ZAP-70 status by flow cytometry is a key prognostic marker in chronic lymphocytic leukemia. A positive ZAP-70 result is associated with more aggressive disease and may influence treatment planning. Always interpret this result with clinical findings, complete blood counts, morphology, cytogenetic markers, and other immunophenotypic findings."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeWhole blood or bone marrow
Sample Volume3 mL (2 mL min.) whole blood in EDTA tube AND 3 mL (2 mL min.) whole blood in Sodium Heparin tube; OR 2 mL (1 mL min.) bone marrow in Sodium Heparin tube
Container1 Lavender Top (EDTA) tube AND 1 Green Top (Sodium Heparin) tube; OR 1 Green Top (Sodium Heparin) tube for bone marrow
Collection MethodVenipuncture for whole blood; bone marrow aspiration for bone marrow sample

Sample Stability

Room Temperature: 24 hrs
Refrigerator: NA
Frozen: NA
Sample Rejection Criteria:
  • Frozen or refrigerated samples
  • Samples older than 24 hours
  • Clotted, hemolyzed, or insufficient volume samples
  • Unlabeled or mismatched samples

Understanding Your Results

ZAP-70 expression is interpreted in the context of the leukemic B-cell population. A positive ZAP-70 result generally indicates more aggressive CLL and may influence prognostic counseling and treatment decisions.
Positive ZAP-70: associated with more rapid disease progression and shorter time to treatment
Negative ZAP-70: often associated with indolent disease course
ZAP-70 should be interpreted alongside CD19, CD5, CD23, and other immunophenotypic markers
⚠️ When to Consult a Doctor:

If you have symptoms such as unexplained weight loss, fever, night sweats, fatigue, swollen lymph nodes, easy bleeding or bruising, or abnormal blood counts, consult a hematologist or oncologist.

Limitations

  • ZAP-70 testing requires fresh, viable cells and should be performed promptly after collection
  • Flow cytometry gating and antibody panels may vary by laboratory
  • ZAP-70 alone is not diagnostic; results should be correlated with morphology, cytogenetics, immunophenotype, and clinical findings

Risks & Considerations

  • Mild pain or bruising at venipuncture site
  • Bone marrow aspiration may cause temporary discomfort or soreness

Interfering Factors

  • Improper sample storage or temperature during transport may reduce cell viability and affect results
  • Recent chemotherapy or immunotherapy can alter cell populations and ZAP-70 expression
  • Hemodiluted, clotted, or insufficient samples may yield unreliable results

Compare With Similar Tests

TestImmunophenotyping by Flow Cytometry ZAP-70 Test
ComparisonImmunophenotyping by Flow Cytometry ZAP-70 Test

Frequently Asked Questions

What is the ZAP-70 test?
The ZAP-70 test is an immunophenotyping test performed by flow cytometry that measures ZAP-70 protein expression on leukemic B cells. It helps diagnose chronic lymphocytic leukemia (CLL) and assess disease prognosis.
Why is ZAP-70 testing done in CLL?
ZAP-70 expression helps predict the course of CLL. Positive ZAP-70 is generally associated with more aggressive disease, while negative ZAP-70 often indicates a slower, more indolent course.
What sample is required for the ZAP-70 test?
The test requires 3 mL whole blood in an EDTA lavender top tube and 3 mL whole blood in a sodium heparin green top tube, or 2 mL bone marrow in a sodium heparin tube.
Do I need to fast before the ZAP-70 test?
No fasting is required. However, you should provide a brief clinical history, including time, date, and relevant clinical details, on the test request form.
How is the ZAP-70 test performed?
The sample is stained with fluorescent antibodies and analyzed by flow cytometry to identify ZAP-70 expression on the CLL B-cell population.
What does a positive ZAP-70 result mean?
A positive ZAP-70 result means that a significant proportion of leukemic B cells express ZAP-70. In CLL, this is often associated with a more aggressive clinical course and may influence treatment decisions.
What does a negative ZAP-70 result mean?
A negative ZAP-70 result indicates that ZAP-70 is not significantly expressed on leukemic B cells. This is often associated with a more indolent, slower-progressing form of CLL.
How much does the ZAP-70 test cost in India?
At DNA Labs India, the ZAP-70 test costs INR 3500. The price includes free home sample collection for online bookings across India.
How long does it take to get ZAP-70 test results?
If the sample is received by 9 am, results are typically available the same day. Reports can be delivered online, by email, or WhatsApp.
Can the ZAP-70 test be collected at home?
Yes, DNA Labs India offers free home sample collection for online bookings of the ZAP-70 test in many cities across India.
Is the ZAP-70 test covered by insurance?
Coverage varies by insurance provider and plan. You should check with your insurer or the laboratory to confirm whether flow cytometry tests are reimbursable.
How should a ZAP-70 sample be transported?
Samples should be shipped immediately at 18–22°C. Do not refrigerate or freeze the sample, and ensure the test request form includes time, date, and clinical details.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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