CN110823789A - Method for measuring CD64 of neutrophil granulocytes for clinical infectious diseases - Google Patents

Method for measuring CD64 of neutrophil granulocytes for clinical infectious diseases Download PDF

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CN110823789A
CN110823789A CN201911186780.2A CN201911186780A CN110823789A CN 110823789 A CN110823789 A CN 110823789A CN 201911186780 A CN201911186780 A CN 201911186780A CN 110823789 A CN110823789 A CN 110823789A
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fluorescence intensity
neutrophil
clinical infectious
lymphocyte
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方代华
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Xuzhou Childrens Hospital
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Abstract

The invention relates to the technical field of neutrophil determination, in particular to a neutrophil CD64 determination method for clinical infectious diseases. The method comprises the following steps: collecting a sample; flow detection; CD64 index calculation: the formula is as follows: the CD64 index ═ (neutrophil CD64 fluorescence intensity-lymphocyte CD64 fluorescence intensity)/[ monocyte CD64 fluorescence intensity-lymphocyte CD64 fluorescence intensity) - (neutrophil CD64 fluorescence intensity-lymphocyte CD64 fluorescence intensity ]. In the method for measuring the neutrophil CD64 for clinical infectious diseases, the fluorescence intensity of the mononuclear cells is used as a positive control, the fluorescence intensity of the lymphocytes is used as a negative control, so that the influence of factors such as instruments, reagents, voltage and the like on the result can be eliminated, and the standardization of the result is facilitated.

Description

Method for measuring CD64 of neutrophil granulocytes for clinical infectious diseases
Technical Field
The invention relates to the technical field of neutrophil determination, in particular to a neutrophil CD64 determination method for clinical infectious diseases.
Background
CD64 is also known as Fc-gamma receptor protein 1 (FcyRI). CD64 is expressed on the surface of peripheral blood neutrophils in low level, and when the organism is infected, the stimulating factors such as bacterial cell wall lipopolysaccharide, granulocyte colony stimulating factor and interferon can cause CD64 on the surface of neutrophils to be rapidly converted from low level expression to high level expression, and activate neutrophils, so that the CD64 is used as an infection indicator. The activation degree caused by different pathogens has difference, and researches find that the different pathogens have certain discrimination capability on bacterial and viral infection. The determination of CD64 is of great significance for the diagnosis of clinical infectious diseases, but because the determination of fluorescence intensity is affected by instruments, reagents, voltages, etc., it cannot be standardized, and has not been widely used clinically.
Disclosure of Invention
The present invention is directed to a method for measuring neutrophil CD64 in clinical infectious diseases, which solves the problems of the background art mentioned above.
In order to achieve the above object, the present invention provides a method for measuring neutrophil CD64 for clinical infectious diseases, which comprises the following steps:
s1, sample collection: collecting 1-2mL of fasting venous blood, and adopting ethylenediamine tetraacetic acid for anticoagulation;
s2, flow detection: processing a sample, detecting the processed sample blood by adopting a flow cytometer, and obtaining the fluorescence intensity of lymphocytes, monocytes and neutrophils;
s3, CD64 index calculation: the formula is as follows: the CD64 index ═ (neutrophil CD64 fluorescence intensity-lymphocyte CD64 fluorescence intensity)/[ monocyte CD64 fluorescence intensity-lymphocyte CD64 fluorescence intensity) - (neutrophil CD64 fluorescence intensity-lymphocyte CD64 fluorescence intensity ].
Preferably, in the sampling of S1, the fasting venous blood is collected on the same day.
Preferably, in the S2 flow assay, the sample processing method includes the following steps:
s2.1.1, respectively adding 20 μ L of CD64-PE monoclonal fluorescent antibody and 50 μ L of anticoagulated whole blood into the numbered test tubes, and mixing well;
s2.1.2 incubating at room temperature in dark for 15 min;
s2.1.3, adding 1mL of FACSLysin into the test tube, and uniformly mixing;
s2.1.4 incubating at room temperature in dark for 10 min;
s2.1.5, washing cells 2 times with 2mL of PBS buffer;
s2.1.6, cells were suspended in 450. mu.L PBS buffer.
Preferably, in the S2 flow assay, the method for obtaining fluorescence intensity of lymphocytes, monocytes and neutrophils comprises the following steps:
s2.2.1, delineating lymphocytes, monocytes and neutrophils in an FSC/SSC scattergram, respectively;
s2.2.2, respectively establishing a histogram and displaying the geometric mean fluorescence intensity of the three groups of cells;
s2.2.3 10000 cells were taken per sample, and mean fluorescence intensity data for CD64 was obtained for each cell.
Compared with the prior art, the invention has the beneficial effects that: in the method for measuring the neutrophil CD64 for clinical infectious diseases, the fluorescence intensity of the mononuclear cells is used as a positive control, the fluorescence intensity of the lymphocytes is used as a negative control, so that the influence of factors such as instruments, reagents, voltage and the like on the result can be eliminated, and the standardization of the result is facilitated.
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FIG. 1 is a block diagram of the overall process flow of the present invention;
FIG. 2 is a block flow diagram of a sample processing method of the present invention;
FIG. 3 is a flow chart of the method for obtaining fluorescence intensity of lymphocytes, monocytes and neutrophils according to the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-3, the present invention provides a technical solution:
the invention provides a method for measuring neutrophil CD64 for clinical infectious diseases, which comprises the following steps:
s1, sample collection: collecting 1-2mL of fasting venous blood, and adopting ethylenediamine tetraacetic acid for anticoagulation;
s2, flow detection: processing a sample, detecting the processed sample blood by adopting a flow cytometer, and obtaining the fluorescence intensity of lymphocytes, monocytes and neutrophils;
s3, CD64 index calculation: the formula is as follows: the CD64 index ═ (neutrophil CD64 fluorescence intensity-lymphocyte CD64 fluorescence intensity)/[ monocyte CD64 fluorescence intensity-lymphocyte CD64 fluorescence intensity) - (neutrophil CD64 fluorescence intensity-lymphocyte CD64 fluorescence intensity ]. Performing normality test on the data to obtain data conforming to normal
Figure BDA0002292583900000031
One-way ANOVA analysis was performed, and data not conforming to normal distribution was expressed using median (quartile) [ M (P)25,P75)]Described, a nonparametric test (Kruskal-Wallis test) and pairwise comparisons (Mann-Whitney test) were performed to test for differences between groups. Categorizing variables by [ n (%)]Denotes, using x2And (6) checking. P < 0.05 is statistically significant.
In this embodiment, in the sample sampling of S1, the fasting venous blood is collected on the same day.
Further, in the S2 flow test, the method for processing the sample includes the following steps:
s2.1.1, respectively adding 20 μ L of CD64-PE monoclonal fluorescent antibody and 50 μ L of anticoagulated whole blood into the numbered test tubes, and mixing well;
s2.1.2 incubating at room temperature in dark for 15 min;
s2.1.3, adding 1mL of FACSLysin into the test tube, and uniformly mixing;
s2.1.4 incubating at room temperature in dark for 10 min;
s2.1.5, washing cells 2 times with 2mL of PBS buffer;
s2.1.6, cells were suspended in 450. mu.L PBS buffer.
In S2 flow detection, the method for obtaining fluorescence intensity of lymphocytes, monocytes and neutrophils comprises the following steps:
s2.2.1, delineating lymphocytes, monocytes and neutrophils in an FSC/SSC scattergram, respectively;
s2.2.2, respectively establishing a histogram and displaying the geometric mean fluorescence intensity of the three groups of cells;
s2.2.3 10000 cells were taken per sample, and mean fluorescence intensity data for CD64 was obtained for each cell.
The fluorescence intensity of the mononuclear cells is used as a positive control, the fluorescence intensity of the lymphocytes is used as a negative control, the influence of factors such as instruments, reagents, voltage and the like on the result can be eliminated, the test result is stable on different flow cytometers, and no significant difference exists through statistical analysis. And 126 normal persons are detected, and a normal reference value is established. The CD64 measurement is standardized, the influence of different instruments, different reagents and different operators is eliminated, and the fluctuation influence of the instrument voltage can be eliminated.
The foregoing shows and describes the general principles, essential features, and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, and the preferred embodiments of the present invention are described in the above embodiments and the description, and are not intended to limit the present invention. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (4)

1. A method for determining CD64 in neutrophils for clinical infectious diseases, comprising the steps of:
s1, sample collection: collecting 1-2mL of fasting venous blood, and adopting ethylenediamine tetraacetic acid for anticoagulation;
s2, flow detection: processing a sample, detecting the processed sample blood by adopting a flow cytometer, and obtaining the fluorescence intensity of lymphocytes, monocytes and neutrophils;
s3, CD64 index calculation: the formula is as follows: the CD64 index ═ (neutrophil CD64 fluorescence intensity-lymphocyte CD64 fluorescence intensity)/[ monocyte CD64 fluorescence intensity-lymphocyte CD64 fluorescence intensity) - (neutrophil CD64 fluorescence intensity-lymphocyte CD64 fluorescence intensity ].
2. The method of determining neutrophil CD64 for clinical infectious disease according to claim 1, characterized in that: in the sampling of S1, the fasting venous blood is collected on the same day.
3. The method of determining neutrophil CD64 for clinical infectious disease according to claim 1, characterized in that: in the S2 flow test, the method for processing the sample includes the following steps:
s2.1.1, respectively adding 20 μ L of CD64-PE monoclonal fluorescent antibody and 50 μ L of anticoagulated whole blood into the numbered test tubes, and mixing well;
s2.1.2 incubating at room temperature in dark for 15 min;
s2.1.3, adding 1mL of FACSLysin into the test tube, and uniformly mixing;
s2.1.4 incubating at room temperature in dark for 10 min;
s2.1.5, washing cells 2 times with 2mL of PBS buffer;
s2.1.6, cells were suspended in 450. mu.L PBS buffer.
4. The method of determining neutrophil CD64 for clinical infectious disease according to claim 1, characterized in that: in the S2 flow detection, the method for acquiring the fluorescence intensity of the lymphocytes, the monocytes and the neutrophils comprises the following steps:
s2.2.1, delineating lymphocytes, monocytes and neutrophils in an FSC/SSC scattergram, respectively;
s2.2.2, respectively establishing a histogram and displaying the geometric mean fluorescence intensity of the three groups of cells;
s2.2.3 10000 cells were taken per sample, and mean fluorescence intensity data for CD64 was obtained for each cell.
CN201911186780.2A 2019-11-28 2019-11-28 Method for measuring CD64 of neutrophil granulocytes for clinical infectious diseases Pending CN110823789A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114441419A (en) * 2022-01-29 2022-05-06 杭州翔宇医学检验实验室有限公司 Stream type gate circling method and application
CN114624165A (en) * 2022-03-10 2022-06-14 杭州翔宇医学检验实验室有限公司 Method for measuring CD64 of neutrophils in blood sample
CN116042519A (en) * 2023-03-31 2023-05-02 北京大学口腔医学院 Classification, induction and activation method for repairing neutrophils and application thereof

Citations (1)

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CN103604919A (en) * 2013-11-05 2014-02-26 复旦大学附属华山医院 Method for detecting activation peroid markers of T lymphocyte in human peripheral blood

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许明峰: "脐带血中性粒细胞CD64指数在诊断胎膜新生儿感染的价值", 《中国优秀硕士学位论文全文数据库 医药卫生科技辑》 *
闫佩毅等: "流式细胞术检测CD64指数及其在诊断细菌感染中的应用", 《检验医学》 *

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114441419A (en) * 2022-01-29 2022-05-06 杭州翔宇医学检验实验室有限公司 Stream type gate circling method and application
CN114441419B (en) * 2022-01-29 2022-11-22 杭州翔宇医学检验实验室有限公司 Flow type gate looping method and application
CN114624165A (en) * 2022-03-10 2022-06-14 杭州翔宇医学检验实验室有限公司 Method for measuring CD64 of neutrophils in blood sample
CN114624165B (en) * 2022-03-10 2023-05-23 杭州翔宇医学检验实验室有限公司 Method for measuring neutrophil CD64 in blood sample
CN116042519A (en) * 2023-03-31 2023-05-02 北京大学口腔医学院 Classification, induction and activation method for repairing neutrophils and application thereof

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