Reference values for T and B lymphocyte subpopulations in Turkish children and adults

Yıl: 2021 Cilt: 51 Sayı: 4 Sayfa Aralığı: 1814 - 1824 Metin Dili: İngilizce DOI: 10.3906/sag-2010-176 İndeks Tarihi: 12-01-2022

Reference values for T and B lymphocyte subpopulations in Turkish children and adults

Öz:
Background/aim: Established reference values are critical for the interpretation of immunologic assessments. In particular, the proportion and absolute counts of T- and B- cell subpopulations are subject to change with age and ethnicity. We aimed to establish agespecific reference values for lymphocyte subsets using updated immunophenotyping panels. Materials and methods: We studied a total of 297 healthy Turkish subjects aged 0 to 50 years, stratified into major age brackets in a cluster factor of 10 per age-group. The predetermined age intervals contained randomly allocated participants enrolled over a period of 6 months, who were homogenously distributed by sex. We analyzed a complete blood count test and simultaneously with detailed immunophenotyping enumerated the percent and absolute cell counts of lymphocyte subsets. Results: The percentage and absolute counts of lymphocyte subsets show a marked surge across the age-span. T helper, T cytotoxic, and the natural killer cell numbers were increasing from birth until 6 months, followed by a gradual decrease thereafter. B cell numbers were rising until 2 years, followed by a gradual decrease for the upcoming years, accompanied by a steady expansion of unclass-switched- and class-switched- B cells. Conclusion: We provide updated extensive reference intervals for lymphocyte subpopulations in Turkish people.Key words: Immunophenotyping, lymphocyte subsets, reference values, lymphocyte percentage, absolute count
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  • 1. Comans-Bitter WM, De Groot R, Van den Beemd R, Neijens HJ, Hop WC et al. Immunophenotyping of blood lymphocytes in childhood. Reference values for lymphocyte subpopulations. The Journal of Pediatrics 1997; 130 (3): 388-393. doi: 10.1016/ s0022-3476(97)70200-2
  • 2. Lee BW, Yap HK, Chew FT, Quah TC, Prabhakaran K et al. Age- and sex-related changes in lymphocyte subpopulations of healthy Asian subjects: from birth to adulthood. Cytometry 1996; 26 (1): 8-15. doi: 10.1002/(SICI)1097- 0320(19960315)26:1<8::AID-CYTO2>3.0.CO;2-E
  • 3. Ikincioğullari A, Kendirli T, Doğu F, Eğin Y, Reisli I et al. Peripheral blood lymphocyte subsets in healthy Turkish children. Turkish Journal of Pediatrics 2004; 46 (2): 125-130.
  • 4. Kiykim A, Charbonnier LM, Akcay A, Karakoc-Aydiner E, Ozen A et al. Hematopoietic stem cell transplantation in patients with heterozygous stat1 gain-of-function mutation. Journal of clinical immunology 2019; 39 (1): 37-44. doi: 10.1007/s10875-018-0575-y
  • 5. Shearer WT, Rosenblatt HM, Gelman RS, Oyomopito R, Plaeger S et al. Lymphocyte subsets in healthy children from birth through 18 years of age: the Pediatric AIDS Clinical Trials Group P1009 study. Journal of Allergy and Clinical Immunology 2003; 112 (5): 973-980. doi: 10.1016/j. jaci.2003.07.003
  • 6. Erkeller-Yuksel FM, Deneys V, Yuksel B, Hannet I, Hulstaert F et al. Age-related changes in human blood lymphocyte subpopulations. The Journal of Pediatrics 1992; 120 (2 Pt 1): 216-222. doi: 10.1016/s0022-3476(05)80430-5
  • 7. Schatorjé EJ, Gemen EF, Driessen GJ, Leuvenink J, Van Hout RW et al. Paediatric reference values for the peripheral T cell compartment. Scandinavian Journal of Immunology 2012; 75 (4): 436-444. doi: 10.1111/j.1365-3083.2012.02671.x
  • 8. Morbach H, Eichhorn EM, Liese JG, Girschick HJ. Reference values for B cell subpopulations from infancy to adulthood. Clinical and Experimental Immunology 2010; 162 (2): 271- 279. doi: 10.1111/j.1365-2249.2010.04206.x
  • 9. Piątosa B, Wolska-Kuśnierz B, Pac M, Siewiera K, Gałkowska E et al. B cell subsets in healthy children: reference values for evaluation of B cell maturation process in peripheral blood. Cytometry B Clinical Cytometry 2010; 78 (6): 372-381. doi: 10.1002/cyto.b.20536
  • 10. Tosato F, Bucciol G, Pantano G, Putti MC, Sanzari MC et al. Lymphocytes subsets reference values in childhood. Cytometry A 2015; 87 (1): 81-85. doi: 10.1002/cyto.a.22520
  • 11. Kalina T, Bakardjieva M, Blom M, Perez-Andres M, Barendregt B et al. EuroFlow standardized approach to diagnostic immunopheneotyping of severe PID in newborns and young children. Frontiers in Immunology 2020; 11: 371. doi: 10.3389/ fimmu.2020.00371
  • 12. Tangye SG, Al-Herz W, Bousfiha A, Chatila T, CunninghamRundles C et al. Human inborn errors of immunity: 2019 update on the classification from the international union of immunological societies expert committee. Journal of Clinical Immunology 2020; 40 (1): 24-64. doi: 10.1007/s10875-019- 00737-x
  • 13. Granot E, Rabinowitz R, Schlesinger M. Lymphocyte subset profile of young healthy children residing in a rural area: possible role of recurrent gastrointestinal infections. Journal of Pediatric Gastroenterology and Nutrition 1999; 28 (2): 147- 151. doi: 10.1097/00005176-199902000-00010
  • 14. Ogulur I, Kiykim A, Baser D, Karakoc-Aydiner E, Ozen A et al. Lymphocyte subset abnormalities in pediatric-onset common variable immunodeficiency. International Archives of Allergy and Immunology 2020; 181 (3): 228-237. doi: 10.1159/000504598
  • 15. Demirel GY, Deniz G, Demiralp EE. Lenfosit immünofenotiplemesi için kılavuz bilgiler. Türk İmmünoloji Derneği Akan Hücre Ölçer Alt Grubu. 2010; 1-19. (in Turkish).
  • 16. Meeker WQ, Hahn GJ, Escobar LA. Statistical Intervals: A Guide for Practitioners and Researchers. 2nd ed. Hoboken, NJ, USA: John Wiley & Sons, Inc; 2017
  • 17. Rieux-Laucat F, Magerus-Chatinet A. Autoimmune lymphoproliferative syndrome: a multifactorial disorder. Haematologica 2010; 95 (11): 1805-1807. doi: 10.3324/ haematol.2010.030395
APA Besci O, BAŞER D, OGULUR I, BERBEROĞLU A, Kiykim A, Besci T, Leblebici A, Ellidokuz H, Boran P, Ozek E, Haklar G, ÖZER A, Baris S, Karakoc-Aydiner E (2021). Reference values for T and B lymphocyte subpopulations in Turkish children and adults. , 1814 - 1824. 10.3906/sag-2010-176
Chicago Besci Ozge,BAŞER Dilek,OGULUR ISMAIL,BERBEROĞLU Ayşe Cansu,Kiykim Ayca,Besci Tolga,Leblebici Asım,Ellidokuz Hülya,Boran Perran,Ozek Eren,Haklar Goncagul,ÖZER Ahmet,Baris Safa,Karakoc-Aydiner Elif Reference values for T and B lymphocyte subpopulations in Turkish children and adults. (2021): 1814 - 1824. 10.3906/sag-2010-176
MLA Besci Ozge,BAŞER Dilek,OGULUR ISMAIL,BERBEROĞLU Ayşe Cansu,Kiykim Ayca,Besci Tolga,Leblebici Asım,Ellidokuz Hülya,Boran Perran,Ozek Eren,Haklar Goncagul,ÖZER Ahmet,Baris Safa,Karakoc-Aydiner Elif Reference values for T and B lymphocyte subpopulations in Turkish children and adults. , 2021, ss.1814 - 1824. 10.3906/sag-2010-176
AMA Besci O,BAŞER D,OGULUR I,BERBEROĞLU A,Kiykim A,Besci T,Leblebici A,Ellidokuz H,Boran P,Ozek E,Haklar G,ÖZER A,Baris S,Karakoc-Aydiner E Reference values for T and B lymphocyte subpopulations in Turkish children and adults. . 2021; 1814 - 1824. 10.3906/sag-2010-176
Vancouver Besci O,BAŞER D,OGULUR I,BERBEROĞLU A,Kiykim A,Besci T,Leblebici A,Ellidokuz H,Boran P,Ozek E,Haklar G,ÖZER A,Baris S,Karakoc-Aydiner E Reference values for T and B lymphocyte subpopulations in Turkish children and adults. . 2021; 1814 - 1824. 10.3906/sag-2010-176
IEEE Besci O,BAŞER D,OGULUR I,BERBEROĞLU A,Kiykim A,Besci T,Leblebici A,Ellidokuz H,Boran P,Ozek E,Haklar G,ÖZER A,Baris S,Karakoc-Aydiner E "Reference values for T and B lymphocyte subpopulations in Turkish children and adults." , ss.1814 - 1824, 2021. 10.3906/sag-2010-176
ISNAD Besci, Ozge vd. "Reference values for T and B lymphocyte subpopulations in Turkish children and adults". (2021), 1814-1824. https://doi.org/10.3906/sag-2010-176
APA Besci O, BAŞER D, OGULUR I, BERBEROĞLU A, Kiykim A, Besci T, Leblebici A, Ellidokuz H, Boran P, Ozek E, Haklar G, ÖZER A, Baris S, Karakoc-Aydiner E (2021). Reference values for T and B lymphocyte subpopulations in Turkish children and adults. Turkish Journal of Medical Sciences, 51(4), 1814 - 1824. 10.3906/sag-2010-176
Chicago Besci Ozge,BAŞER Dilek,OGULUR ISMAIL,BERBEROĞLU Ayşe Cansu,Kiykim Ayca,Besci Tolga,Leblebici Asım,Ellidokuz Hülya,Boran Perran,Ozek Eren,Haklar Goncagul,ÖZER Ahmet,Baris Safa,Karakoc-Aydiner Elif Reference values for T and B lymphocyte subpopulations in Turkish children and adults. Turkish Journal of Medical Sciences 51, no.4 (2021): 1814 - 1824. 10.3906/sag-2010-176
MLA Besci Ozge,BAŞER Dilek,OGULUR ISMAIL,BERBEROĞLU Ayşe Cansu,Kiykim Ayca,Besci Tolga,Leblebici Asım,Ellidokuz Hülya,Boran Perran,Ozek Eren,Haklar Goncagul,ÖZER Ahmet,Baris Safa,Karakoc-Aydiner Elif Reference values for T and B lymphocyte subpopulations in Turkish children and adults. Turkish Journal of Medical Sciences, vol.51, no.4, 2021, ss.1814 - 1824. 10.3906/sag-2010-176
AMA Besci O,BAŞER D,OGULUR I,BERBEROĞLU A,Kiykim A,Besci T,Leblebici A,Ellidokuz H,Boran P,Ozek E,Haklar G,ÖZER A,Baris S,Karakoc-Aydiner E Reference values for T and B lymphocyte subpopulations in Turkish children and adults. Turkish Journal of Medical Sciences. 2021; 51(4): 1814 - 1824. 10.3906/sag-2010-176
Vancouver Besci O,BAŞER D,OGULUR I,BERBEROĞLU A,Kiykim A,Besci T,Leblebici A,Ellidokuz H,Boran P,Ozek E,Haklar G,ÖZER A,Baris S,Karakoc-Aydiner E Reference values for T and B lymphocyte subpopulations in Turkish children and adults. Turkish Journal of Medical Sciences. 2021; 51(4): 1814 - 1824. 10.3906/sag-2010-176
IEEE Besci O,BAŞER D,OGULUR I,BERBEROĞLU A,Kiykim A,Besci T,Leblebici A,Ellidokuz H,Boran P,Ozek E,Haklar G,ÖZER A,Baris S,Karakoc-Aydiner E "Reference values for T and B lymphocyte subpopulations in Turkish children and adults." Turkish Journal of Medical Sciences, 51, ss.1814 - 1824, 2021. 10.3906/sag-2010-176
ISNAD Besci, Ozge vd. "Reference values for T and B lymphocyte subpopulations in Turkish children and adults". Turkish Journal of Medical Sciences 51/4 (2021), 1814-1824. https://doi.org/10.3906/sag-2010-176