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Updated: May 13, 2026

Isolation of Precursor B-cell Subsets from Umbilical Cord Blood
Published on: April 16, 2013
Significant changes in the composition of the precursor B-cell compartment in children less than 2 years old
Barbara Piątosa1, Mariusz Birbach, Katarzyna Siewiera
1Histocompatibility Laboratory, Children's Memorial Health Institute, Warsaw, Poland. b.piatosa@czd.pl
Insights
This study establishes normal ranges for B-cell development in children, crucial for diagnosing immune deficiencies. Early B-cell maturation varies significantly with age, especially in the first two years of life.
Area of Science:
- Immunology
- Pediatrics
Background:
- Defects in early B lymphocyte maturation are key in primary immune deficiencies causing agammaglobulinemia.
- Limited data exists on the precursor B-cell compartment composition in bone marrow (BM).
Purpose of the Study:
- To define normal age-related ranges for B-cell content and precursor B-cell distribution in pediatric BM.
- To provide reference data for clinical diagnostics of B-cell differentiation defects.
Main Methods:
- Utilized four-color flow cytometry to analyze B-cell compartment composition.
- Examined specimens from 59 healthy children aged 14 days to 16 years.
- Stratified participants into six age groups.
Main Results:
- Observed significant age-related variations in B-cell maturation stages, most pronounced in children under two years.
- Documented a shift from early-stage B-cells to mature B-cells with age.
- Found significantly higher proportions of pro-B lymphocytes in neonates compared to other age groups.
Conclusions:
- Physiological age-related variations in precursor B-cell composition significantly impact children under two years.
- Accurate interpretation of immunophenotyping for suspected B-cell defects necessitates appropriate reference data.
Background:
Defects in early B lymphocyte maturation in bone marrow (BM) compose a characteristic feature of many primary immune deficiencies associated with agammaglobulinemia. To date, only limited data on the composition of the precursor B-cell compartment in BM is available. The aim of this study was to define normal age-related ranges of total B-cell content and distribution of precursor B-cell stages in BM for the future use in clinical diagnostics.
Methods:
Four color flow cytometry was used to analyze the composition of the B-cell compartment in specimens from 59 hematologically healthy children, aged 14 days to 16 years, assigned to six age groups: neonates less than 1 month old, infants >1-12 months old, children >1-2 years old, >2-5 years old, >5-10 years old, and older than 10 years.
Results:
Analysis of the composition of the B-cell compartment revealed significant age-related variation in the distribution of individual B-cell maturation stages, most seriously affecting children during first 2 years of life, with the shift from domination of the earliest stages, to gradually increasing content of mature B-cells. Significantly higher proportions of pro-B lymphocytes were observed in neonates than in any other age group.
Conclusion:
Physiological age-related variation in the precursor B-cell compartment composition affects most seriously very young children below the age of 2 years. Proper interpretation of immunophenotyping results performed in cases of suspected early B-cell differentiation defect requires application of adequate reference data.
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