Lymphocyte Proliferation to Mitogens, Blood
Use
This test is useful for assessing T-cell function in patients undergoing immunosuppressive therapy, including those with solid-organ transplants. It helps evaluate patients suspected of having impaired cellular immunity, including those with primary immunodeficiencies such as DiGeorge syndrome and severe combined immunodeficiency, as well as secondary immunodeficiencies. The test is also valuable in assessing the recovery of T-cell function following bone marrow or hematopoietic stem cell transplantation.
Special Instructions
For serial monitoring, it is recommended to perform specimen collection at the same time of day. If specimens are not received in the laboratory by Friday at 4 pm (CST), the test may be canceled. Specimens arriving on weekends and observed holidays may also be canceled. Ensure to ship the specimen using an Ambient Shipping Box-Critical Specimens Only (T668).
Limitations
Interpretation of results may be affected by factors such as patient use of steroids or immunosuppressive agents. Specimens older than 24 hours or containing gross hemolysis or lipemia might yield unreliable results. Timing and consistency in blood collection are crucial for accurate monitoring. The test does not provide absolute correlation between in vitro T-cell proliferation and clinical immunodeficiency.
Methodology
Cell-based / Cytometry (Flow Cytometry)
Biomarkers
LOINC Codes
- 69018-0
- 33193-4
- 57741-1
- 69038-8
- 69037-0
- 69020-6
- 69019-8
- 69052-9
- 48767-8
Result Turnaround Time
8-11 days
Related Documents
For more information, please review the documents below
Specimen
Whole Blood
Volume
20 mL
Minimum Volume
See Specimen Required
Container
Green top (sodium heparin)
Collection Instructions
Send whole blood specimen in the original tube. Do not aliquot.
Patient Preparation
For serial monitoring, it is recommended that specimen collection be performed at the same time of day.
Causes for Rejection
Gross hemolysis, Gross lipemia
Stability Requirements
| Temperature | Period |
|---|---|
| Room Temperature | 48 hours |
