Lymphocyte subset counting by immunoperoxidase using an automated routine hematologic analyzer

Haematologica. 1989 Mar-Apr;74(2):137-42.

Abstract

Using monoclonal antibodies against CD2, CD4, CD8 and CD19 antigens and an automated biotin-avidin immunoperoxidase technique on whole blood samples, we evaluated the technical performance and clinical usefulness of lymphocyte subset counting by the routine hematology analyzer Technicon H*1. Statistical evaluation demonstrated excellent precision and very good correlation with the immunofluorimetric flow cytometer Ortho Spectrum III. Correlation between manual immunofluorescence at the microscope and the H*1 method was much poorer, owing to the high intrinsic imprecision of the manual method. Reference ranges obtained with the H*1 immunoperoxidase method in 44 healthy subjects closely matched those obtained with the Spectrum III. In 46 subjects with or at risk for HIV infection, we found with the H*1 method a significant decrease in CD4+ cells and in the CD4+/CD8+ cell ratio, which was progressively more marked in HIV- negative patients with lymphadenopathic syndrome, AIDS-related complex, and in patients with full-blown AIDS.

Publication types

  • Comparative Study

MeSH terms

  • Antibodies, Monoclonal
  • Antigens, Differentiation / analysis
  • Flow Cytometry
  • Fluorescent Antibody Technique
  • HIV Seropositivity / pathology
  • Humans
  • Immunoenzyme Techniques / instrumentation*
  • Leukocyte Count / instrumentation*
  • Lymphocytes / classification*
  • Lymphocytes / enzymology
  • Predictive Value of Tests

Substances

  • Antibodies, Monoclonal
  • Antigens, Differentiation