MEDICC Rev. 2019 Apr-Jul;21(2-3):16-21. doi: 10.37757/MR2019.V21.N2-3.5.
INTRODUCTION Quantification of lymphocyte subpopulations is useful for evaluating immune response in states of health and disease, including immunodeficiencies, autoimmunity, infections and cancer. Studies have found that concentrations and proportions of different cell subpopulations vary with geographic location, age, sex and ethnicity. Knowing the normal values of these cells and their variation in healthy populations will contribute to improved clinical practice and scientific research. OBJECTIVE Estimate normal absolute concentrations and percentages of the most abundant lymphocyte subpopulations in peripheral blood and their relation to sex and age. METHODS A cross-sectional analysis was conducted in 129 healthy adults, 61 men and 68 women aged 18-80 years; 89 aged <50 years and 40 ≥50 years. We included individuals who agreed to participate by written informed consent. Exclusion criteria were chronic disease, or use of tobacco, alcohol or medications that can alter immune system cell numbers and functions. Through dual platform flow cytometry, we determined absolute and percentage values for T lymphocyte subsets CD3+, CD3+/CD4+T, CD3+/CD8+T, CD19+ B cells and CD3-/CD56+ natural killer cells in peripheral blood, using an 8-color flow cytometer. We estimated medians and the 2.5 and 97.5 percentiles and calculated the Pearson correlation coefficient to evaluate associations. Significance tests were also used to compare groups. The significance threshold was p = 0.05 in all cases. RESULTS Ranges of absolute values and percentages (%) were: total lymphocytes: 1200-3475 cells/μL (20.2-49.3); CD3+ T cells: 880-2623 cells/μL (56.5-84.7); CD3+/CD4+ T cells: 479-1792 cells/μL (30.3-55.7); CD3+/CD8+ T cells: 248-1101 cells/μL (13.2-42.9); CD19+ B cells: 114-1491 cells/μL (5.4-49.5); CD3-/CD56+ natural killer cells: 70-652 cells/μL (3.7-28.0); and the CD4+:CD8+ index: 0.80-3.92. Absolute numbers--but not percentages--of lymphocytes and CD3+ T cells were higher in those <50 years (p = 0.025 and 0.020, respectively). Absolute values and relative percentages of CD3+/CD8+ and relative values of CD3+/ CD4+ T cells were significantly higher in the younger subgroup (p = 0.004 and p = 0.047). Age was not associated significantly with B lymphocytes or natural killer cells. Absolute and relative values of CD3+/CD4+ T lymphocytes were significantly higher in women (p = 0.009 and 0.036, respectively). CONCLUSIONS. Absolute numbers of total lymphocytes and T and CD3+/CD8+ T lymphocytes are higher in younger individuals. In percentage values, CD3+/CD4+ T lymphocytes are lower in older persons. Absolute and percentage values of CD3+/CD4+ T phenotype are higher in women. These differences justify adjusting clinical analyses to different values by age and sex. KEYWORDS T lymphocytes, B lymphocytes, normal values, flow cytometry, age, sex, Cuba.
淋巴细胞亚群的定量分析有助于评估健康和疾病状态下的免疫反应,包括免疫缺陷、自身免疫、感染和癌症。研究发现,不同细胞亚群的浓度和比例因地理位置、年龄、性别和种族而异。了解这些细胞的正常值及其在健康人群中的变化将有助于改善临床实践和科学研究。
估计外周血中最丰富的淋巴细胞亚群的绝对浓度和百分比及其与性别和年龄的关系。
对 129 名年龄在 18-80 岁的健康成年人(61 名男性和 68 名女性)进行了横断面分析,分为<50 岁(89 人)和≥50 岁(40 人)两个亚组。我们纳入了同意通过书面知情同意参与的个体。排除标准为慢性疾病或使用可能改变免疫系统细胞数量和功能的烟草、酒精或药物。通过双平台流式细胞术,我们使用 8 色流式细胞仪确定了外周血中 CD3+T 细胞、CD3+/CD4+T 细胞、CD3+/CD8+T 细胞、CD19+B 细胞和 CD3-/CD56+自然杀伤细胞的绝对值和百分比值。我们估计了中位数和 2.5 和 97.5 百分位数,并计算了 Pearson 相关系数来评估相关性。还使用显著性检验来比较组。所有情况下的显著性阈值均为 p = 0.05。
绝对值和百分比(%)范围为:总淋巴细胞:1200-3475 个/μL(20.2-49.3);CD3+T 细胞:880-2623 个/μL(56.5-84.7);CD3+/CD4+T 细胞:479-1792 个/μL(30.3-55.7);CD3+/CD8+T 细胞:248-1101 个/μL(13.2-42.9);CD19+B 细胞:114-1491 个/μL(5.4-49.5);CD3-/CD56+自然杀伤细胞:70-652 个/μL(3.7-28.0);和 CD4+:CD8+指数:0.80-3.92。<50 岁者的淋巴细胞和 CD3+T 细胞绝对值(p = 0.025 和 0.020)而非百分比更高。CD3+/CD8+的绝对值和相对百分比以及 CD3+/CD4+T 细胞的相对值在年轻亚组中显著更高(p = 0.004 和 p = 0.047)。年龄与 B 淋巴细胞或自然杀伤细胞无显著相关性。CD3+/CD4+T 淋巴细胞的绝对值和相对值在女性中显著更高(p = 0.009 和 0.036)。
总淋巴细胞和 T 细胞及 CD3+/CD8+T 淋巴细胞的绝对值在年轻人中较高。在百分比值中,老年人群的 CD3+/CD4+T 淋巴细胞较低。CD3+/CD4+T 表型的绝对值和百分比在女性中较高。这些差异证明需要根据年龄和性别调整临床分析的不同值。
T 淋巴细胞、B 淋巴细胞、正常值、流式细胞术、年龄、性别、古巴。