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波兰健康成年人淋巴细胞亚群的参考值。

Reference values of lymphocyte subsets from healthy Polish adults.

作者信息

Roszczyk Aleksander, Zych Michał, Sołdacki Dariusz, Zagozdzon Radoslaw, Kniotek Monika J

机构信息

Department of Clinical Immunology, Medical University of Warsaw, Poland.

Longevity Center, Warsaw, Poland.

出版信息

Cent Eur J Immunol. 2024;49(1):26-36. doi: 10.5114/ceji.2024.136371. Epub 2024 Mar 22.

Abstract

The flow cytometry method could support physicians' decisions in the diagnosis and treatment monitoring of immunodeficient patients. Most clinical recommendations are focused on the search for alterations in T- and B-lymphocyte subsets, less commonly natural killer (NK) cells and granulocytes. While reference values for clinically meaningful lymphocyte subsets have been published ubiquitously among numerous countries, we have not found significant data for a population of adult Polish habitats; thus we determined reference values for T, B, and NK subsets according to sex and age. The female group showed a higher percentage of lymphocytes (CD45), T helper lymphocytes with a higher absolute count, as well as CD4/CD8 ratio, marginal zone-like B cells, class-switched B cells, and CD21 B cells than the male group. The male group was found to have elevated percentages of naïve B lymphocytes, transitional B cells, and plasmablasts. A weak positive correlation with age was found among double positive T lymphocytes, natural killer T cells (NKT) lymphocytes, and CD21 B cells. A negative correlation with age for double negative T lymphocytes, marginal zone-like B cells, and plasmablasts was noted. The results indicated the importance of creating distinct reference ranges regarding sex and age concerning immunophenotype.

摘要

流式细胞术方法可为免疫缺陷患者的诊断和治疗监测提供医生决策支持。大多数临床建议集中于寻找T淋巴细胞和B淋巴细胞亚群的改变,较少关注自然杀伤(NK)细胞和粒细胞。虽然许多国家普遍公布了具有临床意义的淋巴细胞亚群的参考值,但我们尚未找到波兰成年人群体的相关重要数据;因此,我们根据性别和年龄确定了T、B和NK亚群的参考值。与男性组相比,女性组的淋巴细胞(CD45)、绝对计数较高的辅助性T淋巴细胞以及CD4/CD8比值、边缘区样B细胞、类别转换B细胞和CD21 B细胞的百分比更高。发现男性组的幼稚B淋巴细胞、过渡性B细胞和成浆细胞百分比升高。在双阳性T淋巴细胞、自然杀伤T(NKT)淋巴细胞和CD21 B细胞中发现与年龄呈弱正相关。双阴性T淋巴细胞、边缘区样B细胞和成浆细胞与年龄呈负相关。结果表明针对免疫表型建立关于性别和年龄的不同参考范围的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7e1/11130990/93adfce0bcf5/CEJI-49-52655-g001.jpg

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