Rovati Bianca, Mariucci Sara, Poma Rossella, Tinelli Carmine, Delfanti Sara, Pedrazzoli Paolo
SC Oncologia, Laboratorio di Citofluorimetria e Terapie Cellulari, Fondazione IRCCS Policlinico San Matteo, 27100, Pavia, Italy .
Clin Exp Med. 2014 Aug;14(3):249-59. doi: 10.1007/s10238-013-0239-4. Epub 2013 May 28.
Determination of immunoregulatory cells in peripheral blood is important in the management of disease or in the therapeutic approaches that involve alterations in lymphocyte subpopulations. The aims of the present study were (1) to develop a standard multiparametric flow cytometric method for phenotypic detection and enumeration of lymphocyte subsets so as to reduce the variability in both sample preparation methodology and flow cytometric operations; (2) to furnish reference values of lymphocytes by using a selected healthy population; and (3) to examine the influence of age and sex on the distribution of lymphocytes expressing surface markers. Eighty healthy donors were analysed, and ten-parameter, eight-colour analytical procedure was performed. We furnished a panel to detect and to enumerate lymphocyte subpopulations by a multiparametric flow cytometric method to set the reference values to a selected healthy population. These values showed statistically but not clinically significant differences in T lymphocyte subsets and natural killer cells. Furthermore, significant age-related correlations in T lymphocyte and natural killer cells were observed. Lastly, males and females in relation to age showed a significant different trend in T and B lymphocyte subsets. We confirmed that this study provides a rapid and accurate method for the detection and quantification of lymphocyte subsets that could be utilized in the clinical settings. The definition of reference values in the healthy selected population could be helpful also to better define the disease status and to evaluate the treatment efficacy during clinical trials.
外周血中免疫调节细胞的测定对于疾病管理或涉及淋巴细胞亚群改变的治疗方法至关重要。本研究的目的是:(1)开发一种标准的多参数流式细胞术方法,用于淋巴细胞亚群的表型检测和计数,以减少样品制备方法和流式细胞术操作中的变异性;(2)通过使用选定的健康人群提供淋巴细胞的参考值;(3)研究年龄和性别对表达表面标志物的淋巴细胞分布的影响。对80名健康供体进行了分析,并采用十参数、八色分析程序。我们提供了一个检测和计数淋巴细胞亚群的方法,通过多参数流式细胞术为选定的健康人群设定参考值。这些值在T淋巴细胞亚群和自然杀伤细胞中显示出统计学上但非临床上的显著差异。此外,观察到T淋巴细胞和自然杀伤细胞与年龄存在显著相关性。最后,男性和女性在T和B淋巴细胞亚群方面随年龄呈现出显著不同的趋势。我们证实,本研究提供了一种快速准确的检测和定量淋巴细胞亚群的方法,可用于临床环境。在选定的健康人群中定义参考值也有助于更好地定义疾病状态并评估临床试验期间的治疗效果。