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Immunodeficiency Panel

Principle

This test quantitates and analyzes cell-surface markers of lymphocyte subsets and other leukocyte populations using monoclonal antibodies. The two major classes of lymphocytes are T lymphocytes, which mediate cellular immunity, and B lymphocytes, which mediate humoral immunity. Monoclonal antibodies specific to these cell types and their subsets are conjugated to fluorochromes and incubated with lymphocytes. The percentage of positively stained cells is then determined by flow cytometry. Results are reported as the percentage of positive lymphocytes; absolute counts are additionally provided for the immunodeficiency profile.

Specimen Requirements

Specimen

Whole blood

Collection

Collect 10-20 mL of whole blood in green-top (sodium heparin) tubes. Mix thoroughly after collection to prevent clot formation.

Storage and Transport

Send at room temperature. Do not refrigerate.

Unacceptable Specimens

  • Refrigerated or cold specimens (including those shipped on ice)
  • Extensive clotting or hemolysis
  • Specimens older than 48 hours

Stability

Deliver to the laboratory within 24 hours.

Method

Flow Cytometry.

Normal Range

Refer to laboratory report.

Turnaround Time

3 days

Panel

  • CD3+CD8+
  • CD3+CD4+
  • CD3+CD56+
  • CD19+

References

  • Lovett, E.J. et al: Application of flow Cytometry to Diagnostic Pathology. Lab. Invest. 50:115, 1984.
  •  Lane, H.C. and A. Fauci. Immunologic Aspects of the acquired immunodeficiency syndrome. Adv. Host Def. Mech. 5:131, 1985.

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