Validation of Cytomegalovirus Immune Competence Assays for the Characterization of CD8+ T Cell Responses Posttransplant

Cytomegalovirus (CMV) infection is one of the most important infectious complications of transplantation. Monitoring CMV-specific CD8 T cell immunity is useful for predicting active CMV infection and for directing targeted antiviral therapy. In this study, we examined four basic parameters for valid...

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Main Authors: Eugene V. Ravkov, Igor Y. Pavlov, Kimberly E. Hanson, Julio C. Delgado
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2012/451059
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author Eugene V. Ravkov
Igor Y. Pavlov
Kimberly E. Hanson
Julio C. Delgado
author_facet Eugene V. Ravkov
Igor Y. Pavlov
Kimberly E. Hanson
Julio C. Delgado
author_sort Eugene V. Ravkov
collection DOAJ
description Cytomegalovirus (CMV) infection is one of the most important infectious complications of transplantation. Monitoring CMV-specific CD8 T cell immunity is useful for predicting active CMV infection and for directing targeted antiviral therapy. In this study, we examined four basic parameters for validation of CMV-specific tetramer staining and peptide stimulation assays that cover five most frequent HLA class I alleles. We also examined the potential use of CMV-specific CD8+ T cell numbers and functional and cytolytic responses in two autologous HSCT recipients treated for multiple myeloma. The coefficient of variation (CV %) of the precision within assays was 3.1−24% for HLA-tetramer staining, 2.5−47% for IFN-γ, and 3.4−59.7% for CD107a/b production upon peptide stimulation. The precision between assays was 5−26% for tetramer staining, 4−24% for IFN-γ, and 5−48% for CD107a/b. The limit of detection was 0.1−0.23 cells/μL of blood for tetramer staining, 0−0.23 cell/μL for IFN-γ, and 0.11−0.98 cells/μL for CD107a/b. The assays were linear and specific. The reference interval with 95% confidence level was 0−18 cells/μL for tetramer staining, 0−2 cells/μL for IFN-γ, and 0–3 cells/μL for CD107a/b. Our results provide acceptable measures of test performance for CMV immune competence assays for the characterization of CD8+ T cell responses posttransplant measured in the absolute cell count per μL of blood.
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spelling doaj-art-caaeea07aa5149228acb512793d5ee9c2025-08-20T02:19:34ZengWileyClinical and Developmental Immunology1740-25221740-25302012-01-01201210.1155/2012/451059451059Validation of Cytomegalovirus Immune Competence Assays for the Characterization of CD8+ T Cell Responses PosttransplantEugene V. Ravkov0Igor Y. Pavlov1Kimberly E. Hanson2Julio C. Delgado3Department of Pathology, ARUP Institute for Clinical and Experimental Pathology, School of Medicine, University of Utah, 500 Chipeta Way, Salt Lake City, UT 84108, USADepartment of Pathology, ARUP Institute for Clinical and Experimental Pathology, School of Medicine, University of Utah, 500 Chipeta Way, Salt Lake City, UT 84108, USADepartment of Pathology, ARUP Institute for Clinical and Experimental Pathology, School of Medicine, University of Utah, 500 Chipeta Way, Salt Lake City, UT 84108, USADepartment of Pathology, ARUP Institute for Clinical and Experimental Pathology, School of Medicine, University of Utah, 500 Chipeta Way, Salt Lake City, UT 84108, USACytomegalovirus (CMV) infection is one of the most important infectious complications of transplantation. Monitoring CMV-specific CD8 T cell immunity is useful for predicting active CMV infection and for directing targeted antiviral therapy. In this study, we examined four basic parameters for validation of CMV-specific tetramer staining and peptide stimulation assays that cover five most frequent HLA class I alleles. We also examined the potential use of CMV-specific CD8+ T cell numbers and functional and cytolytic responses in two autologous HSCT recipients treated for multiple myeloma. The coefficient of variation (CV %) of the precision within assays was 3.1−24% for HLA-tetramer staining, 2.5−47% for IFN-γ, and 3.4−59.7% for CD107a/b production upon peptide stimulation. The precision between assays was 5−26% for tetramer staining, 4−24% for IFN-γ, and 5−48% for CD107a/b. The limit of detection was 0.1−0.23 cells/μL of blood for tetramer staining, 0−0.23 cell/μL for IFN-γ, and 0.11−0.98 cells/μL for CD107a/b. The assays were linear and specific. The reference interval with 95% confidence level was 0−18 cells/μL for tetramer staining, 0−2 cells/μL for IFN-γ, and 0–3 cells/μL for CD107a/b. Our results provide acceptable measures of test performance for CMV immune competence assays for the characterization of CD8+ T cell responses posttransplant measured in the absolute cell count per μL of blood.http://dx.doi.org/10.1155/2012/451059
spellingShingle Eugene V. Ravkov
Igor Y. Pavlov
Kimberly E. Hanson
Julio C. Delgado
Validation of Cytomegalovirus Immune Competence Assays for the Characterization of CD8+ T Cell Responses Posttransplant
Clinical and Developmental Immunology
title Validation of Cytomegalovirus Immune Competence Assays for the Characterization of CD8+ T Cell Responses Posttransplant
title_full Validation of Cytomegalovirus Immune Competence Assays for the Characterization of CD8+ T Cell Responses Posttransplant
title_fullStr Validation of Cytomegalovirus Immune Competence Assays for the Characterization of CD8+ T Cell Responses Posttransplant
title_full_unstemmed Validation of Cytomegalovirus Immune Competence Assays for the Characterization of CD8+ T Cell Responses Posttransplant
title_short Validation of Cytomegalovirus Immune Competence Assays for the Characterization of CD8+ T Cell Responses Posttransplant
title_sort validation of cytomegalovirus immune competence assays for the characterization of cd8 t cell responses posttransplant
url http://dx.doi.org/10.1155/2012/451059
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