Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access |
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc |
Journal website https://www.jocmr.org |
Original Article
Volume 13, Number 5, May 2021, pages 293-303
Human Leukocyte Antigen-DR Isotype Expression in Monocytes and T Cells Interferon-Gamma Release Assay in Septic Patients and Correlation With Clinical Outcome
Figures
Tables
Healthy controls (Ctrl, n = 20) | Presence of infection (BC-, n = 16) | Confirmed sepsis (BC+, n = 39 (BO = 27; WO = 12)) | 4 weeks follow-up (sBC+, n = 16 (deceased: 5/16)) | |
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aOther specimens culture: samples from respiratory and urogenital sites, serous cavities, and skin. BC+: patients with positive blood culture; BC-: patients with positive cultural assay in different sites; BO: septic patients with better clinical outcome; WO: septic patients with worst clinical outcome; sBC+: long hospitalized septic patients monitored for 4 weeks. Data are presented as mean ± SEM or n. SEM: standard error of the mean. | ||||
Age (years) | 53 ± 4 | 68 ± 3 | 67 ± 3 | 72 ± 3 |
Gender (male/female) | 6/12 | 11/5 | 18/21 | 6/10 |
Blood culture | - | - | + | + |
Other specimens culturea | - | + | - | - |
Parameters | Time | Monocytes | Lymphocytes | Neutrophils | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Alive | Dead | P (alive-dead) | Controls | P (alive-controls) | P (dead-controls) | Alive | Dead | P (alive-dead) | Controls | P (alive-controls) | P (dead-controls) | Alive | Dead | P (alive-dead) | Controls | P (alive-controls) | P (dead-controls) | ||
Average values of tridimensional distribution for each population were reported from admission time (T0) to 4 weeks (T5) after diagnosis of sepsis; statistical analysis was performed by unpaired Student’s t-test of alive vs. dead values; alive vs. controls values; dead vs. controls values (P < 0.05). Parameters related to dispersion of values around the mean are expressed according to distribution width (W) for each population. Optical signals related to internal cells complexity are reported as X values (side scatter, SSc), fluorescence related to nucleic acid content as Y values (SFl), and cell size values are reported in the Z axis (forward scatter, FSc). | |||||||||||||||||||
Cytoplasmic complexity (SSc) | |||||||||||||||||||
X | T0 | 125.6 | 129.8 | 0.165 | 113.4 | < 0.001 | < 0.001 | 83.5 | 85.1 | 0.407 | 76.8 | 0.082 | < 0.001 | 152.9 | 157.3 | 0.193 | 142.6 | 0.534 | 0.0214 |
T1 | 127.8 | 130.9 | 0.262 | 83 | 83.8 | 0.631 | 154.5 | 158.4 | 0.145 | ||||||||||
T2 | 126.8 | 132.2 | 0.055 | 84.2 | 85.3 | 0.482 | 154.1 | 156.6 | 0.555 | ||||||||||
T3 | 125.3 | 122.9 | 0.208 | 84.3 | 84.3 | 1 | 154.2 | 156.8 | 0.468 | ||||||||||
T4 | 126 | 123.1 | 0.106 | 84.1 | 83.9 | 0.925 | 155.5 | 152.4 | 0.45 | ||||||||||
T5 | 125.9 | / | / | 82.9 | / | / | 153.4 | / | / | ||||||||||
Total | 126.4 | 129.1 | 0.008 | 83.6 | 85 | 0.042 | 153.7 | 156.7 | 0.026 | ||||||||||
WX | T0 | 264.6 | 246.3 | 0.556 | 237.5 | 0.324 | 0.082 | 497.7 | 419 | 0.182 | 442.1 | 0.463 | 0.694 | 654.7 | 832 | 0.039 | 282.6 | 0.009 | 0.0234 |
T1 | 270.3 | 209 | 0.009 | 502.1 | 454.2 | 0.427 | 707.9 | 847.7 | 0.362 | ||||||||||
T2 | 268.7 | 229 | 0.162 | 498.5 | 550 | 0.573 | 628.1 | 835.2 | 0.644 | ||||||||||
T3 | 259.8 | 236 | 0.425 | 468.5 | 536 | 0.153 | 663 | 650.5 | 0.41 | ||||||||||
T4 | 251.2 | 260 | 0.611 | 475.6 | 547.5 | 0.019 | 672.5 | 745.5 | 0.267 | ||||||||||
T5 | 244.6 | / | / | 447 | / | / | 706 | / | / | ||||||||||
Total | 263.9 | 230.7 | < 0.001 | 488.9 | 488.3 | 0.978 | 662.7 | 806 | 0.995 | ||||||||||
Nuclear complexity (SFl) | |||||||||||||||||||
Y | T0 | 118.9 | 136 | 0.064 | 105.8 | 0.104 | 0.019 | 72.1 | 74.8 | 0.486 | 166.7 | 0.94 | 0.68 | 51.6 | 69.1 | 0.366 | 44.9 | 0.003 | 0.0049 |
T1 | 118.6 | 135.1 | 0.027 | 71 | 74.8 | 0.233 | 53 | 71.4 | 0.181 | ||||||||||
T2 | 114.8 | 127.3 | 0.155 | 72.5 | 76.4 | 0.098 | 50.5 | 68.7 | 0.24 | ||||||||||
T3 | 117 | 108.2 | 0.215 | 72.8 | 77.2 | 0.093 | 49.5 | 50.6 | 0.643 | ||||||||||
T4 | 117.1 | 112.7 | 0.557 | 72.1 | 45.4 | 0.052 | 51.1 | 47.5 | 0.526 | ||||||||||
T5 | 112.9 | / | / | 69.1 | / | / | 49.3 | / | / | ||||||||||
Total | 117.3 | 126.2 | 0.003 | 71.6 | 72.9 | 0.503 | 51.2 | 67.2 | < 0.001 | ||||||||||
WY | T0 | 737.1 | 466 | 0.044 | 665 | 0.259 | 0.074 | 916.2 | 734.3 | 0.132 | 783.8 | 0.042 | 0.918 | 654.7 | 832 | 0.052 | 555.6 | < 0.001 | 0.0008 |
T1 | 740.3 | 528.5 | 0.114 | 925.7 | 790.2 | 0.184 | 707.9 | 847.7 | 0.114 | ||||||||||
T2 | 728.6 | 474 | 0.037 | 931.2 | 1001 | 0.676 | 628.1 | 835.2 | 0.014 | ||||||||||
T3 | 765 | 917.5 | 0.1 | 956.3 | 1076 | 0.441 | 663 | 650.5 | 0.722 | ||||||||||
T4 | 774.7 | 817.5 | 0.547 | 905.1 | 711.5 | 0.206 | 672.5 | 745.5 | 0.441 | ||||||||||
T5 | 749 | / | / | 930 | / | / | 706 | / | / | ||||||||||
Total | 746 | 547.7 | < 0.001 | 920.5 | 847.8 | 0.148 | 662.7 | 806 | < 0.001 | ||||||||||
Cell size (FSc) | |||||||||||||||||||
Z | T0 | 64.8 | 63.2 | 0.486 | 61.9 | 0.001 | 0.109 | 58 | 58.7 | 0.592 | 54.1 | 0.614 | < 0.001 | 87 | 88.2 | 0.657 | 81.2 | 0.119 | 0.9177 |
T1 | 63.3 | 62.4 | 0.674 | 56.9 | 59 | 0.104 | 86.2 | 86.8 | 0.773 | ||||||||||
T2 | 63.8 | 67.5 | 0.065 | 58.2 | 57.3 | 0.306 | 82.5 | 86.2 | 0.299 | ||||||||||
T3 | 63.8 | 65.8 | 0.526 | 58 | 57.6 | 0.654 | 86.2 | 88.9 | 0.449 | ||||||||||
T4 | 62.9 | 64.6 | 0.149 | 58.8 | 58.6 | 0.829 | 86.5 | 87 | 0.902 | ||||||||||
T5 | 60.8 | / | / | 57.5 | / | / | 84.5 | / | / | ||||||||||
Total | 63.5 | 64.7 | 0.156 | 57.8 | 58.4 | 0.155 | 85 | 87.2 | 0.075 | ||||||||||
WZ | T0 | 579.1 | 430 | 0.073 | 487.2 | 0.001 | 0.757 | 514.6 | 573 | 0.354 | 450.3 | 0.109 | 0.006 | 626.2 | 737.3 | 0.057 | 585.4 | 0.342 | 0.162 |
T1 | 602.9 | 455.5 | 0.052 | 496.5 | 591.2 | 0.189 | 629.4 | 694.7 | 0.256 | ||||||||||
T2 | 627.8 | 544.5 | 0.148 | 566.4 | 583.5 | 0.723 | 681.3 | 664.2 | 0.69 | ||||||||||
T3 | 577.8 | 592 | 0.827 | 523.2 | 704 | 0.058 | 628.8 | 641 | 0.823 | ||||||||||
T4 | 595.4 | 580 | 0.851 | 489 | 647.5 | 0.058 | 636.8 | 650 | 0.835 | ||||||||||
T5 | 601 | / | / | 508.7 | / | / | 630.7 | / | / | ||||||||||
Total | 596 | 507.1 | 0.001 | 519 | 630.4 | 0.138 | 643.6 | 674.5 | 0.122 |