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General Information: Patients with AIDS exhibit T-cell Flow Cytometric Analysis: CD4-PE fluorescence can be
lymphopenia, a loss of CD4+ lymphocytes and a relative analysed on a Partec Flow Cytometer with an excitation light
increase in the CD8+ subtype and in the CD3+CD4-CD8- source of 488 nm or 532 nm (blue or green solid state laser).
subtype. A precise enumeration of CD4+ T-cells is To count CD4+ T-cells transfer the test tube with 840 µl of the
necessary for a reliable and controlled antiretroviral therapy ready prepared blood sample (see Method) to your Partec
and patient monitoring. Flow Cytometer and carry out a count analysis. For detailed
information on the handling and calibration of the instrument
Specificity and Antigen Distribution: The mouse please refer to the operating manuals and application notes.
monoclonal antibody MEM-241 recognizes the human CD4 The blood preparation allows one count procedure on the
antigen, a transmembrane glycoprotein (55 kDa) of the same sample. Following the above procedure the dilution
immunoglobulin supergene family, present on a subset of factor is 42. In the CyFlow® Counter and CyFlow® SL_3 this
T-lymphocytes (“helper/inducer” T-cells) and also dilution factor is already set or can be directly set by the
expressed at a lower level on monocytes, tissue instrument operator in the instrument software. Counting
macrophages and granulocytes. Approximately 20-60% of results will be displayed automatically as CD4+ T-cells per µl
human peripheral blood mononuclear cells as well as a whole blood.
subpopulation of monocytes but with a weaker signal are
stained. The antibody has been studied at the 8th Recommended and Required Materials:
International Workshop on Human Cell Differentiation • Partec Flow Cytometry instrument (e.g. CyFlow® Counter
Molecules HCDM (former HLDA VIII), May 2006, Québec, or CyFlow® SL_3)
Canada. CD4 is the primary cellular receptor for the human • Partec test tubes (Code No. 04-2000)
immunodeficiency virus (HIV). • Micropipettes and pipette tips (e.g. Eppendorf, Code No.
Clone: MEM-241, Isotype: Mouse monoclonal IgG1 3112 000.029 and 3111 000.0165)
• Powder-free latex gloves (e.g. Safeskin, Code No. 545-950-
Applications: 06)
• Identification and enumeration of the CD4+ helper/inducer • Venous Blood Collection System with EDTA as
T-lymphocytes subset anticoagulant (e.g. Greiner Bio-One: Vacuette® EDTA
• Studies of HIV infection. Patients infected with HIV loose Tubes, K3E/EDTA K3, 3 ml, Code No. 454217, Vacuette®
CD4+ helper/inducer lymphocytes Blood Collection Needles 38 x 0.8 mm, Code No. 450076,
• Characterization of subtypes of T-cell leukemias and Vacuette® Tube Holders, Code No. 450201)
lymphomas
• For in vitro diagnostic use Handling and Storage: CD4 mAb PE is supplied as
lyophilisate. The amount of lyophilized CD4 mAb PE in each
Method: sample tube is sufficient for labelling 1x106 cells. Store the
• Add 20 µl whole blood (EDTA as anticoagulant) to a sample tubes with lyophilized CD4 mAb PE at 2-35°C,
Partec sample tube (green cap) with lyophilized CD4 protected from light and humidity. Store the CD4 buffer
mAb PE. Add blood to the bottom of the tube at 2-35°C. Do not freeze or expose to elevated temperatures.
• Mix gently and incubate for 15 minutes at room The CD4 easy count kit - dry is stable until the expiration date
temperature protected from light printed on the kit label.
• After 5 minutes incubation time mix again gently
• Pour 820 µl CD4 buffer out of sample tube (white cap) to
the stained blood sample and shake gently
• Analyze blood sample on a Partec device
Contact Information:
Rev. 005 Date 2009-07-24 05-8401-d CD4 easy count kit - dry
CD4 easy count kit – dry – Page 2
Example of a direct CD4 counting result using the CD4 Literature:
easy count kit – printout from a Partec CyFlow® Counter. As Cassens, U. et al.: Simplified volumetric flow cytometry allows
depicted in the histogram, the CD4+ T-cells (prominent peak on feasible and accurate determination of CD4 T lymphocytes in
the right) can be clearly separated from the CD4+ monocytes immunodeficient patients worldwide”, Antiviral Therapy 9:
(left peak of weaker fluorescence intensity). The absolute 395-405 (2004)
concentration of CD4+ T-cells is displayed directly as number
of cells/µl whole blood Göhde, W. et al.: A New Protocol to Follow-up Immune
Impairment in HIV/AIDS-Children, Scientific Presentation -
Abstract No. MoPeLB151C02 at the 3rd IAS Conference on
HIV Pathogenesis and Treatment in Rio de Janeiro, July 2005
Greve, B. et al.: ”A New No-Lyse, No-Wash Flow-Cytometric
Method for the Determination of CD4 T Cells in Blood
Samples”, Transfus Med Hemoth (2003), 30: 8-13
Imade, G. et al.: “Comparison of a New, Affordable Flow
Cytometric Method and the Manual Magnetic Bead
Technique for CD4 T-Lymphocyte Counting in a Northern
Nigerian Setting”, Clinical and Diagnostic Laboratory
Immunology, Jan. 2005, p. 224-227
Dieye, T.N. et al.: Absolute CD4 T-Cell Counting in Resource-
Poor Settings: Direct Volumetric Measurements Versus Bead-
Based Clinical Flow Cytometry Instruments, Journal of
Acquired Immune Deficiency Syndromes, Volume 39,
Example of a direct CD4 counting result using the CD4 Number 1, May 1 2005
easy count kit – display of a Partec CyFlow® SL_3. The FL2
CD4 PE histogram plot shows the precise separation of the Fryland, M. et al.: The PARTEC CyFlow counter for CD4+ T-
CD4+ T-cell peak (cell population in the RN1 range) from cell counting produces high quality results and is robust when
other cell distributions. evaluated under routine field conditions in Malawi, Scientific
Oral Presentation - Abstract No. TuOrB1149 at the XV.
International AIDS Conference in Bangkok, July 2004
Contact Information:
Rev. 005 Date 2009-07-24 05-8401-d CD4 easy count kit - dry