Enumeration of antigen-specific CD8+ T lymphocytes by single-platform, HLA tetramer-based flow cytometry: a European

Ingmar A F M Heijnen1, David Barnett, Maria J Arroz

  • 1Division of Immunology, Department of Laboratory Medicine, Kantonsspital Aarau, Aarau, Switzerland. ingmar.heijnen@ksa.ch

Insights

Standardizing tetramer flow cytometry is crucial for routine diagnostics. A new single-platform method for counting cytomegalovirus (CMV)-specific CD8(+) T cells proved reproducible across multiple labs.

Area of Science:

  • Immunology
  • Cellular immunology
  • Flow cytometry

Background:

  • Human Leukocyte Antigen (HLA) class I peptide tetramers are vital for detecting and monitoring antigen-specific CD8(+) T cells.
  • Standardization of tetramer flow cytometry is essential for its routine diagnostic application.
  • A multicenter study was initiated to develop and evaluate a standardized single-platform tetramer-based method using cytomegalovirus (CMV) as a model.

Purpose of the Study:

  • To develop and evaluate a standardized single-platform tetramer-based method for enumerating antigen-specific CD8(+) T cells.
  • To assess the reproducibility of the method across multiple clinical sites.
  • To establish a reliable assay for routine diagnostic use.

Main Methods:

  • A single-platform tetramer-based method was developed and evaluated.
  • Absolute counts of CMV-specific CD8(+) T cells were determined by combining tetramer-binding cell percentages with absolute CD8(+) T-cell counts.
  • Stabilized blood samples were distributed to multiple clinical sites for analysis on three separate occasions.

Main Results:

  • Between-site coefficients of variation were <10% for absolute CD8(+) T-cell counts and ~30% for CMV-specific CD8(+) T-cell counts.
  • Within-site coefficients of variation were ~5% for absolute CD8(+) T-cell counts, ~9% for the percentage of CMV-specific CD8(+) T cells, and ~17% for absolute counts.
  • Lower variation in CMV-specific CD8(+) T-cell subsets correlated with higher proportions of these cells.

Conclusions:

  • The evaluated single-platform MHC tetramer-based method is a reproducible assay.
  • This method is suitable for the routine enumeration of antigen-specific CD8(+) T cells.
  • The standardization efforts contribute to the reliable implementation of tetramer flow cytometry in diagnostics.
Abstract

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