Böhler T, von Au M, Klose N, Müller K, Coulibaly B, Nauwelaers F, Spengler H P, Kynast-Wolf G, Kräusslich H-G
Department of Virology, University of Heidelberg, Im Neuenheimer Feld 324, D-69120 Heidelberg, Germany.
Clin Vaccine Immunol. 2007 Jun;14(6):775-81. doi: 10.1128/CVI.00043-07. Epub 2007 Apr 18.
In the context of a larger clinical study in Nouna, Burkina Faso, we evaluated a simplified dual-platform (DP) flow cytometric (FCM) method that allows the determination of major lymphocyte subsets in a single test tube. We compared the phenotyping of lymphocytes with DP FCM and simultaneous measurements with standard single-platform (SP) FCM for samples from 177 individuals. Analysis of the comparative measurements revealed that DP FCM systematically underestimates the proportion of NK cells, overestimates the percentage of CD3(+) CD8(+) lymphocytes, and yields proportions of B cells and CD4(+) T cells comparable with the results from SP FCM. Bland-Altman analysis showed a low bias between both methods and an acceptable precision for percent values of CD4(+) T cells (bias +/- precision, -1% +/- 6%) and CD8(+) T cells (-3% +/- 6%). The absolute cell numbers of all lymphocyte subpopulations, however, were systematically biased towards lower values being obtained by DP FCM. Reference values for the distribution of T-cell maturation phenotypes in 177 healthy adults were calculated using DP FCM. The mean +/- standard deviation (SD) CD4(+)-to-CD8(+) T-cell ratio was 1.61 +/- 0.61, the mean percentage +/- SD of CD4(+) T cells was 42% +/- 7%, and that of CD8(+) T cells 29% +/- 7%. Among CD4(+) lymphocytes, 28% +/- 7% were classified as central memory (CD45RA(low) CCR7(+)), 22% +/- 10% as naïve (CD45RA(high) CCR7(+)), 45% +/- 12% as effector memory (CD45RA(low) CCR7(-)); and 5% +/- 3% as terminally differentiated effector memory expressing CD45RA (CD45RA(high) CCR7(-)). Among CD8(bright) lymphocytes, 3% +/- 2% had a central memory phenotype, 27% +/- 13% were naïve, 37% +/- 13% had an effector memory phenotype, and 34% +/- 12% were terminally differentiated effector memory cells expressing CD45RA.
在布基纳法索努纳开展的一项更大规模临床研究的背景下,我们评估了一种简化的双平台(DP)流式细胞术(FCM)方法,该方法可在单个试管中测定主要淋巴细胞亚群。我们比较了177名个体样本的淋巴细胞表型分析(采用DP FCM)和同时使用标准单平台(SP)FCM进行的测量结果。对比较测量结果的分析显示,DP FCM系统性地低估了自然杀伤细胞的比例,高估了CD3(+) CD8(+)淋巴细胞的百分比,而得出的B细胞和CD4(+) T细胞比例与SP FCM的结果相当。布兰德-奥特曼分析表明,两种方法之间的偏差较低,CD4(+) T细胞(偏差±精密度,-1%±6%)和CD8(+) T细胞(-3%±6%)百分比值的精密度可接受。然而,所有淋巴细胞亚群的绝对细胞数系统性地偏向于DP FCM得出的较低值。使用DP FCM计算了177名健康成年人T细胞成熟表型分布的参考值。CD4(+)与CD8(+) T细胞的平均±标准差(SD)比值为1.61±0.61,CD4(+) T细胞的平均百分比±SD为42%±7%,CD8(+) T细胞为29%±7%。在CD4(+)淋巴细胞中,28%±7%被分类为中枢记忆细胞(CD45RA(low) CCR7(+)),22%±10%为初始细胞(CD45RA(high) CCR7(+)),45%±12%为效应记忆细胞(CD45RA(low) CCR7(-));5%±3%为表达CD45RA的终末分化效应记忆细胞(CD45RA(high) CCR7(-))。在CD8(bright)淋巴细胞中,3%±2%具有中枢记忆表型,27%±13%为初始细胞,37%±13%具有效应记忆表型,34%±12%为表达CD45RA的终末分化效应记忆细胞。