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Updated: Sep 27, 2026

Flow Cytometric Analysis of Lymphocyte Infiltration in Central Nervous System during Experimental Autoimmune Encephalomyelitis
Published on: November 17, 2020
Immunological differentiation between tickborne encephalitis with and without concomitant neuroborreliosis
1Department of Infectious Diseases, University Medical Centre Ljubljana, Slovenia.
Insights
Flow cytometry analysis of cerebrospinal fluid revealed distinct lymphocyte subset differences between tick-borne encephalitis (TBE) and TBE with neuroborreliosis. These immune cell profiles can help diagnose co-occurring neuroborreliosis in TBE patients.
Area of Science:
- Neuroimmunology
- Infectious Diseases
Background:
- Tick-borne encephalitis (TBE) and neuroborreliosis are serious tick-borne infections affecting the central nervous system.
- Differentiating these conditions, especially when co-occurring, is crucial for appropriate patient management.
Purpose of the Study:
- To analyze cerebrospinal fluid (CSF) lymphocyte subsets in patients with TBE versus those with TBE and concomitant neuroborreliosis (double infection).
- To identify specific immune cell markers that can help diagnose double infections.
Main Methods:
- Flow cytometry was used to analyze lymphocyte subsets in the CSF of patients.
- Statistical analysis, including logistic regression, was performed to compare groups and identify predictive variables.
Main Results:
- Patients with TBE showed higher percentages of CD4+DR+ and CD25+ T cells.
- Patients with double infection exhibited higher percentages of CD19+ cells, CD8+DR- T cells, and CD3+CD71+ T cells.
- CD19+ cells, CD3+CD25+ T cells, and CD3+CD71+ T cells were significant in a logistic regression model for predicting double infection.
Conclusions:
- Distinct differences in CSF lymphocyte subsets exist between TBE and TBE with neuroborreliosis.
- Flow cytometric analysis of CSF lymphocytes can aid in diagnosing concomitant neuroborreliosis in TBE patients.
Abstract:
Cerebrospinal fluid lymphocyte subsets in patients with tickborne encephalitis (TBE) and in patients with TBE with concomitant neuroborreliosis (double infection) were analysed by flow cytometry. In the TBE group, higher percentages of CD4+DR+ T cells (p = 0.02) and CD25+ T cells (p = 0.0002) were observed, while in the group with double infection, higher percentages of CD19+ cells (p = 0.007), CD8+DR- T cells (p = 0.04), and CD3+CD71 + T cells (p = 0.0002) were found. It was concluded that several differences in immune cell parameters are present between the two groups of patients. Three variables (CD19+ cells, CD3+CD25+ T cells, CD3+CD71+ T cells) were included in the logistic regression model for calculation of probability for double infection. Flow cytometric characterisation of lymphocyte subsets in CSF can further substantiate the diagnosis of concomitant neuroborreliosis in patients with TBE.
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