Refined characterization and reference values of the pediatric T- and B-cell compartments

Clin Immunol. 2009 Oct;133(1):95-107. doi: 10.1016/j.clim.2009.05.020. Epub 2009 Jul 7.

Abstract

Work in the past years has led to a refined phenotypical description of functionally distinct T- and B-cell subsets. Since both lymphocyte compartments are established and undergo dramatic changes during childhood, redefined pediatric reference values of both compartments are needed. In a cohort of 145 healthy children, aged 0-18 years, the relative and absolute numbers of the various T- and B-cell subsets were determined. In addition, we found that besides thymic output, naive (CD27(+)CD45RO(-)) T-cell proliferation contributed significantly to the establishment of the naive T-cell compartment. At birth, regulatory (CD25(+)CD127(-)CD4(+)) T cells (Tregs) mainly had a naive (CD27(+)CD45RO(-)) phenotype whereas 'memory or effector-like' (CD45RO(+)) Tregs accumulated slowly during childhood. Besides the CD27(+)IgM(+)IgD(+) memory B-cell population, the recently identified CD27(-)IgG(+) and CD27(-)IgA(+) memory B-cell populations were already present at birth. These data provide reference values of the T- and B-cell compartments during childhood for studies of immunological disorders or immune reconstitution in children.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • B-Lymphocyte Subsets / immunology*
  • Child
  • Child, Preschool
  • Cohort Studies
  • Fetal Blood / immunology
  • Humans
  • Immune System Diseases / blood*
  • Infant
  • Infant, Newborn
  • Lymphocyte Count
  • Reference Values
  • T-Lymphocyte Subsets / immunology*