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Cells . Usefulness of the New Hematological Parameter: Reactive Lymphocytes RE-LYMP with Flow Cytometry Markers of Inflammation in COVID-19

tetano

Editor, Senior Moderator
Cells


. 2021 Jan 6;10(1):E82.
doi: 10.3390/cells10010082.
Usefulness of the New Hematological Parameter: Reactive Lymphocytes RE-LYMP with Flow Cytometry Markers of Inflammation in COVID-19


Elżbieta Rutkowska[SUP] 1 [/SUP], Iwona Kwiecień[SUP] 1 [/SUP], Katarzyna Kulik[SUP] 1 [/SUP], Beata Chełstowska[SUP] 2 [/SUP], Krzysztof Kłos[SUP] 3 [/SUP], Piotr Rzepecki[SUP] 4 [/SUP], Andrzej Chciałowski[SUP] 3 [/SUP]



Affiliations
Free article

Abstract

Identification of patients with activation of the immune system which indicates the presence of infection is essential, especially in the times of the global coronavirus 2019 (COVID-19) pandemic. The aim of the present study was to evaluate the reactive lymphocytes (RE-LYMP) parameter in COVID-19 and to correlate it with activation lymphocytes markers by flow cytometry. The study group consisted of 40 patients: with COVID-19 infection (n = 20) and with others virus infections without COVID-19 (COVID-19(-) virus (n = 20)) and 20 healthy donors (HC). Blood count and flow cytometry were performed. The COVID-19(+) group had significantly lower RE-LYMP parameter than the COVID-19(-) virus group (5.45 vs. 11.05, p < 0.05). We observed higher proportion of plasmablasts in the COVID-19(+) and COVID-19(-) virus groups than HC (8.8 vs. 11.1 vs. 2.7, p < 0.05). In the COVID-19(+) there was a lower proportion of CD4+ CD38+ cells than in the other groups (significant differences between COVID-19(+) and COVID-19(-) virus groups). RE-LYMP correlated with activated T lymphocytes CD38+ and HLA-DR+ in the COVID-19(-) virus group, however in the COVID-19(+) group correlations with T lymphocytes CD25+ and CD45RO+ were observed. In summary the analysis of the RE-LYMP together with flow cytometric activation markers can be helpful in identifying and distinguishing patients with COVID-19(+) from other viruses and HC.

Keywords: CD25; CD38; CD45RO; COVID-19; HLA-DR; flow cytometry; plasmablasts; reactive lymphocytes.
 
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