Literature DB >> 19813263

Comparison of interlaboratory variation in absolute T-cell counts by single-platform and optimized dual-platform methods.

Lance E Hultin1, Marianne Chow, Beth D Jamieson, Maurice R G O'Gorman, Frederick A Menendez, Luann Borowski, Thomas N Denny, Joseph B Margolick.   

Abstract

BACKGROUND: Previous studies have reported that the adoption of a single-platform flow cytometry cell counting method resulted in lower interlaboratory variation in absolute T cell counts as compared to predicate dual-platform flow cytometry methods which incorporate independent automated lymphocyte counts (Schnizlein-Bick et al., Clin Diagn Lab Immunol 2000;7:336-343; Reimann et al., Clin Diagn Lab Immunol 2000;7:344-351). In the present study, we asked whether use of a single-platform method could reduce variation in absolute cell counts across the laboratories in the Multicenter AIDS Cohort Study (MACS) (n = 4), as suggested by the studies cited.
METHODS: Identical study samples were shipped overnight to the MACS laboratories either by the National Institute of Allergy and Infectious Diseases, Division of AIDS Immunology Quality Assessment (NIAID- IQA) proficiency-testing program (n = 14), or by the Los Angeles site of the MACS (n = 10). For each sample, two tubes of blood were received; one was used for an automated complete blood count and differential, and the other for flow cytometry. The latter was performed using both our current dual-platform method (three-color CD45 gating and automated hematology) and the single-platform method (with TruCOUNT beads to generate the absolute counts).
RESULTS: The median percent coefficients of variation (%CVs) for the dual-platform and single-platform methods were 6.6 and 9.9, respectively, for CD4 T cell counts, and 5.9 and 8.5, respectively, for CD8 T cell counts (n = 24). These differences were not statistically significant. The differences in absolute T-cell counts between the MACS sites and the median of all laboratories participating in the NIAID-IQA were smaller for the dual-platform than for single-platform absolute count method.
CONCLUSION: In contrast to previous reports, we did not observe lower interlaboratory variation across the MACS sites for single-platform absolute lymphocyte subset counting relative to dual-platform methods. This result may be at least partly explained by the lower interlaboratory variation with the optimized dual-platform method in this study relative to the previous reports. 2009 Clinical Cytometry Society.

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Year:  2010        PMID: 19813263      PMCID: PMC3086643          DOI: 10.1002/cyto.b.20500

Source DB:  PubMed          Journal:  Cytometry B Clin Cytom        ISSN: 1552-4949            Impact factor:   3.058


  13 in total

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Authors:  K A Reimann; M R O'Gorman; J Spritzler; C L Wilkening; D E Sabath; K Helm; D E Campbell
Journal:  Clin Diagn Lab Immunol       Date:  2000-05

2.  Evaluation of TruCount absolute-count tubes for determining CD4 and CD8 cell numbers in human immunodeficiency virus-positive adults. Site Investigators and The NIAID DAIDS New Technologies Evaluation Group.

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Journal:  Clin Diagn Lab Immunol       Date:  2000-05

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Authors:  Maurice R G O'Gorman; Lynn S Zijenah
Journal:  Cytometry B Clin Cytom       Date:  2008       Impact factor: 3.058

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