Dear Tetiana,
We know from experience that some patient-samples can sometimes generate strange backgrounds in ELISpot that look like the ones seen in your images. One common theme is that the patients analyzed has an ongoing inflammation in their body from a disease state such as cancer, sepsis or autoimmune disease. I have some speculation as to what could be happening:
1. During widespread inflammation cells in the blood become sticky and can form clumps. After Ficoll separation this is often seen when taking out the PBMC band. The inherent stickiness of the cells leads to more debri being left on the ELISpot membrane during incubation.
2. Red blood cells often contaminate the PBMC band after Ficoll separation. A lot of red blood cells can lead to very strange backgrounds, but not always. It needs to be red blood cells of certain kind (like often seen in inflammatory patients). Since you have many contaminating red blood cells in the ficoll separation it is high liklihood you have plenty of platelets to. These are said to act as spunges in the blood picking up cytokines and releaseing them on the ELISpot membrane during incubation. Platelets bahavior changes in patients compared to healthy donors.
3. HRP is a great senstive enzyme for detection in immune assays. However, I do prefer ALP in ELISpot. One reason why is because cells can release endogenous peroxidases during the incubation. These enzymes react with the TMB substrate in ELISpot and can form small tiny spots on the membrane. In healthy donors this is most often no problem but in patients the cells are more prone to acting strange like described above. One way to counteract endgenous peroxidase activity is to treat the membrane with a low concentration of hydrogen peroxidase before adding the detection antibody.
4. Neutrophils increase in numbers during inflammation and become a bit like baloons during inflammation. As a result, they easily contaminate the PBMC band during Ficoll separation. Neutrophils inhibit T-cell responses and releases peroxidases. They are also sticky cells after activation. Furthermore, if they get counted as PBMC the proportion of T-cells analyzed in each well goes down.
How do you isolate your PBMC? There are ways to get rid of contaminating granulocytes for example.