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Reference ranges of lymphocyte subsets in healthy Qatari adults
Asma Al-Thani, Wedad S Hamdi, Asma Al-Marwani1
12Hematology Department, Hamad General Hospital, Hamad Medical Corporation, Doha.
Insights
This study establishes reference ranges for lymphocyte subsets in healthy Qatari adults. Findings highlight population-specific values for CD3, CD4, CD8, B cells, and NK cells, emphasizing the need for local ranges.
Area of Science:
- Immunology
- Hematology
- Clinical Chemistry
Background:
- Accurate lymphocyte subset reference ranges are crucial for diagnosing and monitoring immune status.
- Existing reference ranges may not accurately reflect the immunological profiles of diverse populations.
- Establishing population-specific data is essential for precise clinical interpretation.
Purpose of the Study:
- To determine the reference ranges for lymphocyte subsets in a healthy Qatari adult population.
- To provide a basis for accurate immunological assessments within this demographic.
- To highlight the importance of localized reference values in clinical practice.
Main Methods:
- A cohort of 150 healthy Qatari adults provided blood samples for analysis.
- Four-color flow cytometry was employed to quantify lymphocyte subsets.
- Key subsets analyzed included CD3, CD4, CD8, B cells (CD19+), and NK cells (CD16/56+).
Main Results:
- Mean percentages and absolute counts for CD3, CD4, CD8, B cells, and NK cells were determined.
- The CD4/CD8 ratio was calculated as 1.3 ± 0.5.
- Significant sex-based differences were observed in CD3, CD4, CD8, and NK cell counts and percentages, with age impact being less clear.
Conclusions:
- The established reference values for lymphocyte subsets are specific to the Qatari population.
- This study underscores the necessity of developing and utilizing local reference ranges for immunological parameters.
- Accurate, population-specific data improves the reliability of clinical diagnostics and patient management.
Aim:
Determine reference ranges of lymphocyte subsets in healthy Qatari adults.
Patients & Methods:
Blood samples (n = 150) were investigated using four colors flow cytometery.
Results:
The mean percentage and absolute values of the lymphocyte subsets were: CD3: 73.6 ± 6.1%; 2,072 ± 644 cells/μl; CD4: 41.1 ± 7.9%; 1,167 ± 396 cells/μl; CD8: 33.8 ± 7.1%; 967 ± 364 cells/μl; B cells (CD19(+)): 11.3 ± 3.9%; 318 ± 144 cells/μl and natural killer (NK) cells (CD16/56(+)): 16.5 ± 6.3%, 440 ± 401 cells/μl, respectively. The CD4/CD8 ratio was 1.3 ± 0.5. The ratio, CD3(+) and CD4(+) percentage and CD4(+) cell counts were significantly higher in females; CD8(+) and NK cell count and CD8(+) percentage were significantly higher in males. The impact of age was less certain.
Conclusion:
The reference values of lymphocyte subsets appear to be specific to this population, demonstrating the importance of establishing local reference ranges.
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