Background
The immune function refers to the resistance of the body to diseases, and is completed under the interaction of lymphocytes, monocytes and other related cells and products thereof, wherein the immune function comprises natural immunity mainly comprising natural killer cells (NK) and adaptive immunity mainly comprising T cells and B cells.
The protein PD-1 (programmed death receptor 1) on T cells is an important immunosuppressive molecule. By down-regulating the immune system's response to human cells, and by inhibiting T cell inflammatory activity, to regulate the immune system and promote self-tolerance. PD-1 can prevent autoimmune diseases, but also prevent the immune system from killing cancer cells.
Therefore, PD-1 plays a key role in research of immune cell activity, human health maintenance and tumor resistance, but current scientific research and clinical diagnosis face patients with diseases, while sub-health and healthy people do not know how to define and evaluate the immune activity at the stage when the disease is not reached. With the development of economy and the increasing living standard, people have increasingly strengthened consciousness on health care, so that a means for evaluating the activity of immune cells of healthy people is urgently needed, so that the balance and the health condition of the individual basic immunity can be objectively and accurately reflected, and the immune function of people without diseases can be better evaluated and analyzed.
Disclosure of Invention
The invention aims to provide a non-diagnostic purpose PD-1-based healthy human immune cell activity assessment analysis method, which is used for assessing the immune cell activity in blood, is helpful for understanding and defining the immune function of people who do not suffer from diseases, and provides guidance and basis for human health monitoring.
In order to solve the technical problems, the invention adopts the technical scheme that: a PD-1-based healthy human immune cell activity evaluation analysis method comprises the following steps:
analyzing human peripheral blood lymphocyte subsets of healthy sample population by adopting flow cytometry to obtain a flow chart, and counting the proportion of PD-1 blocking failure type CD4+ T cells, PD-1 blocking failure type CD8+ T cells, PD-1 blocking type functional CD4+ T cells, PD-1 blocking type functional CD8+ T cells, PD-1 blocking type terminal CD4+ T cells and PD-1 blocking type terminal CD8+ T cells to obtain an evaluation standard;
analyzing the difference of different gender characteristics in each age group and the change trend of the different gender characteristics along with the age according to the evaluation standards of the male and the female;
and step three, comparing with an evaluation standard to obtain an immune cell activity evaluation result of the health detection population.
Preferably, the population of health samples comprises males between 20 and 70 years of age and females between 20 and 70 years of age, wherein the population is normally distributed.
Preferably, the population of health samples is in one group every 5 years of age, with the highest population in the age range of 45-49 years.
Preferably, the flow cytometer employs a BD FACS Canto plus flow cytometer.
Compared with the prior art, the invention has the beneficial effects that: when sub-healthy and healthy people do not reach diseases, the immune cell activity detection method is used for detecting the immune cell activity, is helpful for understanding and defining the immune function of people who do not suffer from diseases, can early warn the possible disease risk in the future, and provides guidance and basis for people health monitoring. In addition, the invention aims to establish immune health standards by establishing immune function parameters and comprehensively research the immune phenotype of healthy people.
Detailed Description
The invention is further described with reference to the following examples:
the invention relates to a PD-1-based healthy human immune cell activity evaluation and analysis method, which comprises the following steps:
step one, blood samples of healthy male samples aged 20 to 70 years and healthy female samples aged 20 to 70 years (15279 total samples) are taken for pretreatment, as shown in fig. 1, the sample population is normally distributed, one group is formed by every 5 years of age, and the number of people in the age range of 45-49 years is the largest.
Adding 100 mu L of whole blood into the flow tube, adding a surface staining antibody, and staining for 20 min in a dark place; after dyeing is finished, adding 1 mL of hemolysin into the flow tube, and after clarification, centrifuging for 5 min at the rotating speed of 1500 rpm by using a centrifuge; discarding the supernatant, adding PBS to wash once, and centrifuging at 1500 rpm for 5 min; the supernatant was discarded and fixed with 1% paraformaldehyde. The flow cytometer adopts a BD FACS Canto plus flow cytometer, and is operated on a computer to analyze by using CELLQuest software to obtain a flow chart;
and counting the proportion of PD-1 blocking exhaustion type CD4+ T cells, PD-1 blocking exhaustion type CD8+ T cells, PD-1 blocking type functional CD4+ T cells, PD-1 blocking type functional CD8+ T cells, PD-1 blocking type terminal CD4+ T cells and PD-1 blocking type terminal CD8+ T cells to obtain an evaluation standard.
Male evaluation criteria are shown in Table 1, taking the median of each age group, the upper and lower 75% quantile results.
TABLE 1 evaluation criteria for males
Female evaluation criteria are shown in table 2, taking the median of each age group, the upper and lower 75% quantile results.
TABLE 2 female evaluation criteria
Step two, the difference of different gender characteristics in each age group was analyzed according to the evaluation criteria of males and females, as shown in table 3.
TABLE 3 Male and female characteristic value differences
In Table 3, + indicates that the median value for male trait is greater than the median value for female trait, and vice versa; + + + + - - - - -represents p < 0.001; +, - -represents 0.001. ltoreq. p < 0.01; +, -denotes 0.01. ltoreq. p < 0.05. Wherein P is a P Value (Pr) commonly found in hypothesis testing, and the P Value, i.e. the Probability, reflects the Probability of an event. Statistics the P values obtained by the significance test method generally show that P <0.05 is statistically different, P <0.01 is statistically different, and P <0.001 is very statistically different. Meaning that the probability that the difference between samples is due to sampling error is less than 0.05, 0.01, 0.001.
As can be seen, the characteristic mean value of PD-1 blocking terminal CD4+ T cells in men is higher than that in women between the ages of 35-39 and 45-49 years; the characteristic mean of PD-1 blocking terminal CD8+ T cells in men is higher than that in women between the ages of 45 and 49. The characteristic mean value of PD-1 blocking depleted CD8+ T cells in women is higher than that in men in the 40-44 year-old interval; the female PD-1 blocking type functional CD4+ T cells are higher than the male cells in the range of 30-54 years old and 64-69 years old; female PD-1 blocking type functional CD8+ T cells were higher than males between the ages of 25-44.
The trend of the different sex characteristics with age is shown in fig. 2, where r >0 indicates that the higher the characteristic value with age, r <0 and vice versa (pearson correlation analysis).
As can be seen, the characteristic mean values of PD-1 blocking depleted CD8+ T cells, PD-1 blocking functional CD4+ cells and PD-1 blocking terminal CD8+ T cells of both men and women decrease with age; the characteristic mean values of the PD-1 blocking type functional CD8+ T cells and the PD-1 blocking type terminal CD4+ T cells of the male increase with the age, and the characteristic mean values of the PD-1 blocking type functional CD8+ T cells and the PD-1 blocking type terminal CD4+ T cells of the female decrease with the age.
And step two, comparing with an evaluation standard to obtain an immune activity evaluation result of the health detection population.
For example, when the characteristic value of PD-1 blocking failure type CD4+ T cells detected by a 42-year-old healthy female is higher than the characteristic mean value of the age group, the characteristic value indicates that the PD-1 blocking failure type CD4+ T cells show an ascending trend, the cells are T cells in a failure state, have no proliferation and differentiation potential, do not have a killing effect on tumors, and slightly reduce the tumor killing activity of immune cells in the body before the reaction.
Therefore, the invention can analyze the immune aging level of lymphocyte subpopulation: different PD1 indicators are used for representing the failure degree of the T cells, the failure degree is arranged according to the functional type < aging type < terminal aging type < failure type, the whole immunity level of the tumor patient is in an aging failure state, the functional T cell proportion is reduced, and the aging/failure T cell proportion is increased. Assessment analysis of lymphocyte subpopulation immune checkpoints was also performed: the expression level of immune cells is blocked by the PD1 indication function, and under the condition that tumors exist, the tumor cells can 'domesticate' the immune cells of the body through various ways, so that the immune cells of the body can not play the function. In tumor patients, several criteria of the present invention will rise. The immune checkpoint PD-1 is normally expressed in each immune cell subgroup, and no immunosuppression condition appears, which indicates that the cancer prevention 'escape' (leak) protective capability of immune lymphocytes is normal.
The embodiments of the present invention have been described in detail, but the description is only for the preferred embodiments of the present invention and should not be construed as limiting the scope of the present invention. All equivalent changes and modifications made within the scope of the present invention should be covered by the present patent.