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Lysakova EV, Shumeev AN, Chuvpilo SA, Laktyushkin VS, Arsentieva NA, Bobrov MY, Rybtsov SA. Quantitative Analysis of Phagocytosis in Whole Blood Using Double Staining and Visualization. BIOCHEMISTRY. BIOKHIMIIA 2024; 89:923-932. [PMID: 38880652 DOI: 10.1134/s0006297924050122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 01/09/2024] [Accepted: 02/19/2024] [Indexed: 06/18/2024]
Abstract
Phagocytosis is an essential innate immunity function in humans and animals. A decrease in the ability to phagocytize is associated with many diseases and aging of the immune system. Assessment of phagocytosis dynamics requires quantification of bacteria inside and outside the phagocyte. Although flow cytometry is the most common method for assessing phagocytosis, it does not include visualization and direct quantification of location of bacteria. Here, we used double-labeled Escherichia coli cells to evaluate phagocytosis by flow cytometry (cell sorting) and confocal microscopy, as well as employed image cytometry to provide high-throughput quantitative and spatial recognition of the double-labeled E. coli associated with the phagocytes. Retention of pathogens on the surface of myeloid and lymphoid cells without their internalization was suggested to be an auxiliary function of innate immunity in the fight against infections. The developed method of bacterial labeling significantly increased the accuracy of spatial and quantitative measurement of phagocytosis in whole blood and can be recommended as a tool for phagocytosis assessment by image cytometry.
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Affiliation(s)
- Elena V Lysakova
- Immunobiology and Biomedicine Division, Center for Genetics and Life Sciences, Sirius University of Science and Technology, Sirius, Krasnodar Region, 354340, Russia
| | - Alexander N Shumeev
- Resource Center for Cell Technologies and Immunology, Sirius University of Science and Technology, Sirius, Krasnodar Region, 354340, Russia
| | - Sergei A Chuvpilo
- Immunobiology and Biomedicine Division, Center for Genetics and Life Sciences, Sirius University of Science and Technology, Sirius, Krasnodar Region, 354340, Russia
| | - Viktor S Laktyushkin
- Resource Center for Cell Technologies and Immunology, Sirius University of Science and Technology, Sirius, Krasnodar Region, 354340, Russia
| | | | - Mikhail Yu Bobrov
- Immunobiology and Biomedicine Division, Center for Genetics and Life Sciences, Sirius University of Science and Technology, Sirius, Krasnodar Region, 354340, Russia
| | - Stanislav A Rybtsov
- Resource Center for Cell Technologies and Immunology, Sirius University of Science and Technology, Sirius, Krasnodar Region, 354340, Russia.
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Jing B, Chen D, Dai H, Liu J, Chen C, Dai M, Hu J, Lu Z, Wang J. Association between neutrophil-to-lymphocyte ratio and postoperative fatigue in elderly patients with hip fracture. Heliyon 2023; 9:e22314. [PMID: 38144319 PMCID: PMC10746395 DOI: 10.1016/j.heliyon.2023.e22314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 11/09/2023] [Accepted: 11/09/2023] [Indexed: 12/26/2023] Open
Abstract
Background and purpose: Postoperative fatigue (POF) is a common and distressing post-operative symptom. This study aimed to explore the relationship between neutrophil-to-lymphocyte ratio (NLR) and POF in elderly patients with hip fracture. Method Elderly patients (age ≥65 years) with acute hip fracture admitted to the Department of Orthopedics of Anqing Municipal Hospital from June 2018 to June 2020 were included. Fatigue was assessed using the Fatigue Severity Scale at the 3-month follow-up postoperatively. Univariate and multivariate analyses were performed to explore the associations between NLR and POF. The diagnostic performance of NLR was analysed using Receiver Operating Characteristic (ROC) curve analysis and the Delong test. Result A total of 321 elderly patients with hip fractures were included; 120 (37.4 %) of them were diagnosed with POF. Univariate analysis indicated significant differences in NLR, platelet-to-lymphocyte ratio (PLR), education, neutrophil count, lymphocyte count, Hamilton Depression Scale (HAMD) and Insomnia Severity Index (ISI) scores (P < 0.05). Multivariate analysis indicated neutrophil count (odds ratio [OR], 1.46; 95 % confidence interval [CI] 1.27-1.67), lymphocyte count (OR 0.32, 95 % CI 0.19-0.53), NLR (OR1.81, 95 % CI 1.50-2.17) and PLR (OR 1.005, 95 % CI 1.001-1.009) were significantly associated with POF. The areas under the ROC curves (AUCs) of neutrophil count, lymphocyte count, NLR and PLR were 0.712, 0.667, 0.775 and 0.605, respectively. The Delong test indicated that NLR had the best diagnostic performance (p < 0.05). Conclusion NLR independently predicts POF in elderly patients with acute hip fracture.
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Affiliation(s)
- Baosheng Jing
- Department of Orthopedics, AnQing Municipal Hospitals, Anqing, China
| | - Dangui Chen
- Department of Hematology, AnQing Municipal Hospitals, Anqing, China
| | - Huming Dai
- Department of Orthopedics, AnQing Municipal Hospitals, Anqing, China
| | - Jingrui Liu
- Department of Orthopedics, AnQing Municipal Hospitals, Anqing, China
| | - Cheng Chen
- Department of Orthopedics, AnQing Municipal Hospitals, Anqing, China
| | - Mingjun Dai
- Department of Orthopedics, AnQing Municipal Hospitals, Anqing, China
| | - Jing Hu
- Department of Orthopedics, AnQing Municipal Hospitals, Anqing, China
| | - Zhengfeng Lu
- Department of Orthopedics, The Second Affiliated Hospital of Soochow University, Suzhou, China
| | - Jianjun Wang
- Department of Orthopedics, AnQing Municipal Hospitals, Anqing, China
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Xiao LN, Ran X, Zhong YX, Li SS. Clinical value of blood markers to assess the severity of coronavirus disease 2019. BMC Infect Dis 2021; 21:921. [PMID: 34488665 PMCID: PMC8420143 DOI: 10.1186/s12879-021-06623-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Accepted: 08/27/2021] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) is threatening the world with the symptoms of seasonal influenza. This study was conducted to investigate the patient characteristics and clinical value of blood markers to assess the severity of coronavirus disease 2019 (COVID-19). METHODS 187 patients, diagnosed with COVID-19 (non-severe and severe cases) and admitted to hospital between January 27th and March 8th of 2020, were enrolled in the present study. RESULTS A higher proportion of clinical symptoms, including cough, expectoration, myalgia, and fatigue were observed in the non-severe group. The level of white blood cell count, neutrophils, CRP, IL-6 and IL-8 were significantly increased, while the platelet count was remarkedly decreased in the severe group. The risk model based on lymphocyte, IL-6, IL-8, CRP and platelet counts had the highest area under the receiver operator characteristic curve (AUROC). The baseline of IL-6, IL-8 and CRP was positively correlated with other parameters except in the cases of lymphocyte, hemoglobin and platelet counts. The baseline of the platelet count was negatively correlated with other parameters except in the lymphocyte and hemoglobin counts. Additionally, there was no connection between the severity of COVID-19 and cultures of blood, sputum or catheter secretion. CONCLUSIONS The present study suggested that high leucocyte and low platelets counts were independent predictive markers of the severity of COVID-19.
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Affiliation(s)
- Liu-Niu Xiao
- Department of Intensive Care Unit of Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Qiaokou District, Wuhan, 430030, Hubei, China. .,Tongji Medical College of Huazhonng University of Science and Technology, Wuhan, 430030, Hubei, China.
| | - Xiao Ran
- Department of Intensive Care Unit of Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Qiaokou District, Wuhan, 430030, Hubei, China
| | - Yan-Xia Zhong
- Department of Intensive Care Unit of Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Qiaokou District, Wuhan, 430030, Hubei, China.,Tongji Medical College of Huazhonng University of Science and Technology, Wuhan, 430030, Hubei, China
| | - Shu-Sheng Li
- Department of Intensive Care Unit of Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Qiaokou District, Wuhan, 430030, Hubei, China
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Yang F, Zhang F, Yang L, Li H, Zhou Y. Establishment of the reference intervals of whole blood neutrophil phagocytosis by flow cytometry. J Clin Lab Anal 2021; 35:e23884. [PMID: 34288133 PMCID: PMC8373350 DOI: 10.1002/jcla.23884] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 05/30/2021] [Accepted: 06/08/2021] [Indexed: 01/16/2023] Open
Abstract
Objective To investigate the reference intervals (RIs) of the whole blood neutrophil phagocytosis by flow cytometry (FCM) and to study the application value of neutrophil phagocytosis in infectious diseases. Methods Pathogens (Escherichia coli ATCC 25922, Staphylococcus aureus ATCC 25923) cultured for 18–24 h were labeled by fluorescence probe carboxyfluorescein diacetate succinimidyl ester (CFDA‐SE), and then incubated with whole blood at 37℃. The phagocytosis of pathogens by neutrophils was detected by flow cytometry, and a reference interval was established. Results In the healthy adults, the reference interval for the neutrophil phagocytosis to Escherichia coli was 46.91%–83.09% and to Staphylococcus aureus was 33.92%–69.48%. This method showed good reproducibility. Neutrophil phagocytosis was negatively correlated with the neutrophil count, neutrophil percentage, and neutrophil‐to‐lymphocyte ratio (NLR, p < 0.05). Conclusion We have successfully established the RIs of neutrophil phagocytosis in whole blood in healthy adults by flow cytometry (FCM), which might be of important clinical value in the diagnosis, treatment, and prognosis of infectious diseases.
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Affiliation(s)
- Fangfang Yang
- Department of Clinical Laboratory, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China
| | - Fujie Zhang
- College of Medical Technology, Zhejiang Chinese Medical University, Hangzhou, China
| | - Liping Yang
- Department of Clinical Laboratory, Quzhou People's Hospital, Quzhou, China
| | - Haoran Li
- School of Laboratory Medicine and Life Sciences, Wenzhou Medical University, Wenzhou, China
| | - Yonglie Zhou
- Department of Clinical Laboratory, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China
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