B-Cell Phenotyping Profile for Immunodeficiency and Immune Competence Assessment, Blood
Use
This test is used for screening common variable immunodeficiency (CVID) and hyper-IgM syndromes. It also assesses B-cell subset reconstitution following stem cell or bone marrow transplant and the response to B-cell-depleting immunotherapy. CVID is the most common primary immunodeficiency characterized by hypogammaglobulinemia and impaired functional antibody responses, often with recurrent sinopulmonary infections. The test helps in diagnosing hyper-IgM syndromes, which feature defective isotype class-switching and reduced class-switched memory B cells. This test is not suitable for evaluating lymphoproliferative disorders such as leukemia, lymphoma, and multiple myeloma.
Special Instructions
Not provided.
Limitations
This assay's results are based on B cells from the mononuclear cell fraction of peripheral whole blood, which may differ from whole blood assays. Timing and consistency of blood collection time are critical for reliable monitoring of lymphocyte subsets. The test's accuracy might be affected if specimens are not received by Friday at 8 p.m. Central Time as tests are not conducted on weekends or observed holidays.
Methodology
Cell-based / Cytometry (Flow Cytometry)
Biomarkers
LOINC Codes
- 90416-9 - Lymph subset + B-cell phenotype Pnl Bld
- 89352-9 - CD27+IgD+IgM+/CD19 cells NFr Bld
- 89348-7 - CD27+IgD-IgM+/CD19 cells NFr Bld
- 89344-6 - CD38+IgM- cells/Cells.CD19 NFr Bld
- 89341-2 - CD38+IgM+ cells/Cells.CD19 NFr Bld
- 89354-5 - CD19+21- cells # Bld
- 89351-1 - CD19+CD27+IgD+IgM+ cells # Bld
- 89349-5 - CD19+CD27+IgD-IgM- cells # Bld
- 89357-8 - CD19+CD38+IgM+ cells # Bld
- 8116-6 - CD19 Cells # Bld
- 25164-5 - CD21 Cells # Bld
- 89353-7 - CD19+CD27+ cells # Bld
- 89343-8 - CD19+CD38+IgM- cells # Bld
- 89345-3 - CD19+IgM+ cells # Bld
- 8117-4 - CD19 Cells NFr Bld
- 9558-8 - CD20 Cells # Bld
- 8119-0 - CD20 Cells NFr Bld
- 89355-2 - CD21- cells/Cells.CD19 NFr Bld
- 89356-0 - CD21 Cells/Cells.CD19 NFr Bld
- 89347-9 - CD19+CD27+IgD-IgM+ cells # Bld
- 89358-6 - CD27 Cells/Cells.CD19 NFr Bld
- 89346-1 - IgM cells/Cells.CD19 NFr Bld
- 89350-3 - CD27+IgD-IgM-/CD19 cells NFr Bld
- 80722-2 - T-cell + B-cell + NK subsets Bld-Imp Nar
- 8112-5 - CD3-CD16+CD56+ Cells NFr Bld
- 20402-4 - CD16+CD56+ Cells # Bld
- 8122-4 - CD3 Cells # Bld
- 8123-2 - CD3+CD4+ Cells NFr Bld
- 24467-3 - CD3+CD4+ Cells # Bld
- 14135-8 - CD3+CD8+ Cells # Bld
- 54218-3 - CD3+CD4+ Cells/CD3+CD8+ Cll Bld
- 27071-0 - CD45 Cells # Bld
- 8124-0 - CD3 Cells NFr Bld
- 8101-8 - CD3+CD8+ Cells NFr Bld
- 33193-4 - Viable cells NFr Bld
Result Turnaround Time
3-4 days
Related Documents
For more information, please review the documents below
Specimen
Whole Blood
Volume
3 mL
Minimum Volume
1 mL
Container
4 mL Lavender top (EDTA)
Collection Instructions
Send whole blood specimen in original tube. Do not aliquot. Label specimen as TBBS. Ship ambient.
Storage Instructions
Ship ambient, stable for <52 hours
Causes for Rejection
Gross hemolysis, Gross lipemia
