Xiao Yao, Zhang Gui-yun, Pei Li-jian, Zhang Ke, Zhang Yong-hong, Feng Yi, Jiang Yan
National AIDS Reference Laboratory, National Center for AIDS/STD Control and Prevention. Beijing 100050, China.
Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi. 2004 Jun;18(2):129-31.
By analyzing the CD4+ and CD8+ T lymphocyte count of whole blood from HIV/AIDS patients, which were stored at different temperatures for various durations, the authors studied the ideal preserving condition for whole blood and processed, in a purpose of guaranteeing the accuracy of clinical testing of CD4+ and CD8+ T lymphocyte count.
Blood from 34 HIV carriers/AIDS patients, were kept at 4 degrees C for 2, 24, 48, or 72 h, and tested for CD4+ and CD8+ T lymphocyte count using cytometric analysis. Part of the blood was processed, and kept at degrees C or room temperature for 2, 24, 48, or 72 h, then tested for CD4+ and CD8+ T lymphocyte count. The results were compared statistically in parallel.
Whole blood and processed samples preserved at degrees C showed no statistical difference in CD4+ T lymphocyte count among different preserving durations (P greater than 0.05), but CD8+ T lymphocyte counts were significantly different at 72 h (P less than 0.05). Processed samples at 72 h were significantly different in CD4+ T lymphocyte count(P less than 0.05), and significantly different in CD8+ T lymphocyte count at 24 h (P less than 0.05). At room temperature, samples at different duration were not significantly different in CD4+ T lymphocyte count, but significantly different in CD8+ T lymphocyte count at 48 and 72 h (P less than 0.05).
There were stable results for performing analysis of the CD4+ and CD8+ T lymphocyte count of the anticoagulated blood within 48 h. At room temperature, there were stable results for performing the analysis of CD4+ and CD8+ T lymphocyte count of processed samples within 24 h. Between 24 h and 48 h, although CD4+ count was stable, CD8+ count showed significant changes, so the ratio of CD4 to CD8 changed accordingly.
通过分析储存在不同温度下不同时长的HIV/AIDS患者全血中的CD4+和CD8+ T淋巴细胞计数,作者研究了全血的理想保存条件并进行处理,目的是保证CD4+和CD8+ T淋巴细胞计数临床检测的准确性。
采集34例HIV携带者/艾滋病患者的血液,在4℃保存2、24、48或72小时,采用流式细胞术分析检测CD4+和CD8+ T淋巴细胞计数。将部分血液进行处理,在4℃或室温下保存2、24、48或72小时,然后检测CD4+和CD8+ T淋巴细胞计数。对结果进行平行统计学比较。
保存在4℃的全血和处理后的样本在不同保存时长下CD4+ T淋巴细胞计数无统计学差异(P>0.05),但在72小时时CD8+ T淋巴细胞计数有显著差异(P<0.05)。处理后的样本在72小时时CD4+ T淋巴细胞计数有显著差异(P<0.05),在24小时时CD8+ T淋巴细胞计数有显著差异(P<0.05)。在室温下,不同时长的样本CD4+ T淋巴细胞计数无显著差异,但在48和72小时时CD8+ T淋巴细胞计数有显著差异(P<0.05)。
抗凝血液在48小时内进行CD4+和CD8+ T淋巴细胞计数分析结果稳定。在室温下,处理后的样本在24小时内进行CD4+和CD8+ T淋巴细胞计数分析结果稳定。在24小时至48小时之间,虽然CD4+计数稳定,但CD8+计数有显著变化,因此CD4与CD8的比值也相应改变。