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Test Code TCP T-Cell Subsets, Naive, Memory, and Activated, Blood

Important Note

TML Outreach Instruction:  Requires strict ambient transport

Additional Codes

Torrance Memorial Laboratories Test Code:  186545120

Reporting Name

T Cell Phenotyping, Advanced

Useful For

Determining the presence of naive, memory, and activated T cells in various clinical contexts including autoimmune diseases, immunodeficiency states, T-cell recovery post-hematopoietic stem cell transplant, DiGeorge syndrome, and as a measure for T-cell immune competence

 

Naive T-cells results can be used as a surrogate marker for thymic-derived T-cell reconstitution, when used in conjunction with assessment of T-cell receptor excision circles (TRECS / T-Cell Receptor Excision Circles Analysis, Blood)

 

Assessing a patient's relative risk for infections

 

Evaluating patients with cellular or combined primary immunodeficiencies

 

Evaluating T-cell reconstitution after hematopoietic stem cell transplant, chemotherapy, biological therapy, immunosuppression, or immunomodulator therapy

 

Evaluating patients with autoimmune diseases

 

Evaluating patients who are HIV-positive for naive and memory subsets

 

Evaluating T-cell immune competence (presence of memory and activated T cells) in patients with recurrent infections

Method Name

Flow Cytometry

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Whole Blood EDTA


Ordering Guidance


This assay provides quantitative information on various T-cell subsets in blood; it does not provide any information on the antigen-specific or otherwise functional state of the T cells.

 

To assess the overall functional state of T cells, order either LPMGF / Lymphocyte Proliferation to Mitogens, Blood or LPAGF / Lymphocyte Proliferation to Antigens, Blood (using Candida and tetanus antigens).

 

To assess cytomegalovirus (CMV)-specific immune competence, order CMVC8 / Cytomegalovirus (CMV) CD8 T-Cell Immune Competence, Quantitative Assessment by Flow Cytometry, Blood.



Shipping Instructions


Testing performed Monday through Friday. Specimens not received by 4 p.m. Central time on Fridays may be canceled.

 

Specimens arriving on the weekend and observed holidays may be canceled.

 

Collect and package specimen as close to shipping time as possible.

 

It is recommended that specimens arrive within 24 hours of collection.



Necessary Information


Ordering healthcare professional's name and phone number are required.



Specimen Required


Container/Tube: Lavender top (EDTA)

Specimen Volume: 3 mL

Collection Instructions: Send whole blood specimen in original tube. Do not aliquot.

Additional Information: For serial monitoring, it is recommended that specimens are collected at the same time of day.


Specimen Stability Information

Specimen Type Temperature Time Special Container
Whole Blood EDTA Ambient 72 hours PURPLE OR PINK TOP/EDTA

Reject Due To

Gross hemolysis Reject
Gross lipemia Reject

Reference Values

The appropriate age-related reference values will be provided on the report.

Day(s) Performed

Monday through Friday

Report Available

3 to 4 days

CPT Code Information

86356 x 7

LOINC Code Information

Test ID Test Order Name Order LOINC Value
TCP T Cell Phenotyping, Advanced 96493-2

 

Result ID Test Result Name Result LOINC Value
609282 CD4 (T Cells) 24467-3
609283 CD8 (T Cells) 14135-8
29151 %CD4+CD45RA+ naive T cells 89360-2
29152 %CD4+CD62L+CD27+ naive T cells 89340-4
29153 %CD8+CD45RA+ naive T cells 82744-4
29154 %CD8+CD62L+CD27+naive T cells 89339-6
29155 %CD4+CD45RO+ memory T cells 89362-8
29156 %CD4+CD62L+CD27+CD45RO+ (Tcm) 89338-8
29157 %CD4+CD62L-CD27-CD45RO+ (Tem) 89337-0
29158 %CD8+CD45RO+ memory T cells 89336-2
29159 %CD8+CD62L+CD27+CD45RO+ (Tcm) 89335-4
29160 %CD8+CD62L-CD27-CD45RO+ (Tem) 89334-7
29161 %Activated CD4 T cells (4+CD25+) 89431-1
29162 %CD4+HLA DR+CD28+ T cells 89333-9
29163 %CD8+HLA DR+CD28+ T cells 89332-1
29164 CD4+CD45RA+ naive T cells 26759-1
29165 CD4+CD62L+CD27+ naive T cells 89331-3
29166 CD8+CD45RA+ naive T cells 82743-6
29167 CD8+CD62L+CD27+naive T cells 89330-5
29168 CD4+CD45RO+ memory T cells 85792-0
29169 CD4+CD62L+CD27+CD45RO+ (Tcm) 89329-7
29170 CD4+CD62L-CD27-CD45RO+ (Tem) 89328-9
29171 CD8+CD45RO+ memory T cells 85790-4
29172 CD8+CD62L+CD27+CD45RO+ (Tcm) 96492-4
29173 CD8+CD62L-CD27- CD45RO+ (Tem) 89327-1
29174 Activated CD4 T cells (4+CD25+) 26982-9
29175 CD4+HLA DR+CD28+ T cells 89326-3
29176 CD8+HLA DR+CD28+ T cells 89325-5
29178 Interpretation 69052-9

Test Classification

This test was developed using an analyte specific reagent. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the US Food and Drug Administration.