Laboratory Medicine ›› 2018, Vol. 33 ›› Issue (10): 894-898.DOI: 10.3969/j.issn.1673-8640.2018.10.005

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Expressions of leukocyte CD35 and CD11b in the diagnosis of bacterial infection

WANG Weiwei1, HAO Jun2, YUAN Xiangliang1, ZHANG Lihua1, ZHENG Peiming1, FEI Qili1, XI Di1, SHEN Lisong1()   

  1. 1. Department of Clinical Laboratory,Xinhua Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200092,China
    2. Department of Clinical Laboratory,Weihai Central Hospital,Weihai 264400,Shandong,China
  • Received:2017-11-22 Online:2018-10-30 Published:2018-10-30

Abstract:

Objective To evaluate the roles of leukocyte complement receptor (CR) 1 (CD35) and CR3(CD11b) expressions for the diagnosis of bacterial infection. Methods The mean fluorescence intensities (MFI) of CD35 and CD11b in leukocytes (lymphocytes,monocytes and neutrophils) in 39 patients with bacterial infection and 23 healthy subjects (healthy control group) were determined by flow cytometry. The neutrophil CD35 MFI/lymphocyte CD35 MFI ratio (hereinafter referred to as CD35 ratio) and neutrophil CD11b MFI/lymphocyte CD11b MFI ratio (hereinafter referred to as CD11b ratio) were calculated. CD35 infection index and CD11b infection index were calculated according to the formula: infection index = neutrophil MFI2/(lymphocyte MFI×monocyte MFI). CD64 MFI was determined,and the CD64 ratio and CD64 infection index were calculated. The performance of each indicator in the diagnosis of bacterial infection was assessed using receiver operating characteristics (ROC) curve. Results The MFI of lymphocyte CD35,CD11b and CD64 in bacterial infection group were lower than those in healthy control group (P<0.000 1,P<0.01,P<0.000 1). The MFI of neutrophil CD35,CD11b and CD64 in bacterial infection group were higher than those in healthy control group (P<0.000 1,P<0.000 1,P<0.01). The MFI of monocyte CD11b and CD64 in bacterial infection group were higher than those in healthy control group (P<0.000 1,P<0.01),and there was no statistical significance for monocyte CD35 MFI between the 2 groups (P>0.05). In bacterial infection group,CD35 ratio,CD35 infection index,CD11b ratio,CD11b infection index,CD64 ratio and CD64 infection index were higher than those in healthy control group (P<0.000 1). ROC curve analysis showed that the areas under curves (AUC) of CD35 ratio,CD11b ratio and CD64 ratio had no statistical significance (P>0.05). The AUC of CD11b infection index was bigger than that of CD64 infection index (P<0.05),and there was no statistical significance between CD35 infection index and CD64 infection index (P>0.05). Conclusions CD35 and CD11b could be new markers for the diagnosis of bacterial infection.

Key words: Complement receptor, CD35, CD11b, CD64, Infection, Leukocyte, Flow cytometry

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