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Published on: April 8, 2016
Reference values of lymphocyte subsets from healthy Polish adults
Aleksander Roszczyk1, Michał Zych1, Dariusz Sołdacki2
1Department of Clinical Immunology, Medical University of Warsaw, Poland.
Insights
This study establishes crucial reference ranges for T, B, and NK lymphocyte subsets in adult Poles, highlighting sex and age differences in immunophenotype. These findings are vital for accurate diagnosis and monitoring of immunodeficient patients.
Area of Science:
- Immunology
- Clinical Diagnostics
- Flow Cytometry
Background:
- Flow cytometry aids in diagnosing and monitoring immunodeficient patients.
- Clinical guidelines often focus on T, B, and NK cells, but reference values vary globally.
- Limited data exists for adult Polish populations regarding lymphocyte subsets.
Purpose of the Study:
- Determine reference values for T, B, and NK lymphocyte subsets in adult Poles.
- Analyze sex-based differences in lymphocyte subset percentages and counts.
- Investigate age-related correlations within specific lymphocyte subsets.
Main Methods:
- Utilized flow cytometry to analyze T, B, and NK cell subsets.
- Collected data from an adult Polish population.
- Stratified results by sex and age groups.
Main Results:
- Females exhibited higher percentages of CD45++, T helper cells, CD4/CD8 ratio, marginal zone-like B cells, class-switched B cells, and CD21low B cells.
- Males showed elevated percentages of naïve B lymphocytes, transitional B cells, and plasmablasts.
- Age correlated positively with double positive T, NKT, and CD21low B cells, and negatively with double negative T cells, marginal zone-like B cells, and plasmablasts.
Conclusions:
- Established sex- and age-specific reference ranges for lymphocyte subsets in adult Poles.
- Emphasized the importance of distinct reference ranges for accurate immunophenotyping.
- Findings support improved clinical decision-making for immunodeficient patients.
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 CD21low 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 CD21low 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.
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