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用流式细胞仪分析艾滋病患者的T淋巴细胞亚群

[Analyze T lymphocyte subsets of HIV/AIDS patients by flowcytometer].

作者信息

Qiu Z, Wang A, Chen H

机构信息

Peking Union Medical College Hospital, Chinese Academy of Medical Science and PUMC, Beijing 100730.

出版信息

Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi. 1999 Mar;13(1):45-7.

Abstract

OBJECTIVE

Using flowcytometer (FCM) to detect CD4+, CD8+ lymphocytes in peripheral blood, combine with clinical symptoms to evaluate the HIV/AIDS patients' immune state.

METHODS

Anti-coagulated peripheral blood were obtained from 8 HIV-AIDS patients and 5 normal persons. After analyzing their total white cell counts, the whole blood was stained with two-color immunofluorescence using directly conjugated monoclonal antibody pairs, followed by lysis of red erythrocytes, fixation of lymphocytes, and analysis by flowcytometry. Multiplying the CD4 and CD8 percentages by the absolute number of lymphocytes obtained from the total white blood cell (WBC) count divide by the lymphocyte differential percentage, we got the CD4, CD8 counts.

RESULTS

The HIV/AIDS patients' CD4 counts were lower than those of normal controls'. Especially, the AIDS patients' CD4 counts were all below 200 cells/mm3 and their clinical symptoms were serious.

CONCLUSION

The HIV/AIDS patients' CD4 counts are highly correlated with their clinical symptoms. The result also shows that FCM is accurate, sensitive and reliable in CD4 count.

摘要

目的

运用流式细胞仪(FCM)检测外周血中CD4+、CD8+淋巴细胞,并结合临床症状评估艾滋病患者的免疫状态。

方法

采集8例艾滋病患者及5例正常人的抗凝血。分析其白细胞总数后,全血用直接偶联的单克隆抗体对进行双色免疫荧光染色,随后裂解红细胞,固定淋巴细胞,并用流式细胞仪分析。将CD4和CD8百分比乘以从白细胞(WBC)总数中获得的淋巴细胞绝对数除以淋巴细胞分类百分比,得到CD4、CD8计数。

结果

艾滋病患者的CD4计数低于正常对照组。尤其是,艾滋病患者的CD4计数均低于200个细胞/mm3,且临床症状严重。

结论

艾滋病患者的CD4计数与其临床症状高度相关。结果还表明,流式细胞仪在CD4计数方面准确、灵敏且可靠。

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