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Updated: Jul 15, 2026

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Simultaneous Quantification of T-Cell Receptor Excision Circles (TRECs) and K-Deleting Recombination Excision Circles (KRECs) by Real-time PCR
Published on: December 6, 2014
[Establishment and application of real-time fluorescence quantitative PCR for detecting recent thymic output
Hong-bing Li1, Ming Chen, Li-ping Wang
1Department of Infection Diseases, Affiliated Hospital of Xuzhou Medical College, Xuzhou 221002 China.
Summary
This study developed a precise real-time PCR method to measure T-cell receptor (TCR) rearrangement excision circles (TRECs), indicating thymic function. Results suggest thymic output may be reduced in chronic hepatitis B patients.
Area of Science:
- Immunology and Molecular Biology
- Quantitative real-time PCR (qPCR) assay development
- T-cell receptor (TCR) repertoire analysis
Context:
- Assessing recent thymic output is crucial for understanding T-cell homeostasis and immune reconstitution.
- T-cell receptor rearrangement excision circles (TRECs) are non-replicating circular DNA molecules found in newly generated T-cells, serving as markers of recent thymic emigrants.
- Existing methods for TREC detection may lack the accuracy, efficiency, or sensitivity required for robust clinical application.
Purpose:
- To establish and validate a highly accurate and efficient real-time fluorescence quantitative PCR method for detecting TRECs in peripheral blood mononuclear cells (PBMCs).
- To analyze TREC content as a quantitative measure of recent thymic output function.
- To investigate potential alterations in thymic output in patients with chronic hepatitis B.
Summary:
- A novel TaqMan-based real-time PCR assay was developed and optimized for TREC detection, demonstrating high specificity, sensitivity, and stability.
- The assay accurately quantified TRECs in PBMCs from healthy individuals across different age groups and patients with chronic hepatitis B.
- Significantly higher TREC levels were observed in younger healthy individuals compared to older ones, and lower TREC levels were found in chronic hepatitis B patients compared to age-matched controls.
Impact:
- Provides a reliable and efficient tool for assessing recent thymic output, valuable for immunological research and clinical diagnostics.
- Suggests a potential impairment of thymic function in individuals with chronic hepatitis B, warranting further investigation.
- Advances the understanding of T-cell dynamics and immune system health in various physiological and pathological conditions.

