pullorum. This organism was first described in 1994 GPCR Compound Library ic50 after clinically derived CLO isolates were examined by various methods, and within 387 samples, six strains of H. pullorum were identified (including NCTC 12826, NCTC 12827, UB3166, UB3659) all associated with gastrointestinal

illness (Burnens et al., 1994; Stanley et al., 1994). One of the patients was a 27-year-old man with diarrhoea, 30 kg weight loss and deranged liver enzymes. No gastrointestinal histology or clinical progress was reported on this case; hence, the similarity of his disease to IBD cannot be commented upon further. One patient was HIV-positive. Helicobacter pullorum (NCTC 13155) has also been associated with diarrhoeal illness in humans in a German study describing two cases with diarrhoea (without blood), one of whom also had common variable immunodeficiency (Steinbrueckner et al., 1997). Both cases apparently resolved spontaneously. The first (immunosuppressed) case was treated once asymptomatic with roxythromycin after which stools were negative for H.

pullorum; however, the second case continued to have positive stools and went on to have a second episode of diarrhoeal illness during which the organism was again cultured. This suggests the possibility of chronic carrier status. Interestingly, in one case, the organism was first identified as C. jejuni/coli based on its Y-27632 molecular weight appearance, growth conditions and oxidase/catalase tests. As we shall see, standard laboratory methods of identification may underestimate the burden of lower gastrointestinal Helicobacter (and indeed novel Campylobacter) disease. One study has potentially contradicted the possibility of H. pullorum being a pathogenic agent resulting in diarrhoeal disease in humans. The work of Ceelen

et al. (2005) examined 531 stool samples from patients with gastroenteritis alongside stool from 100 healthy individuals by H. pullorum-specific PCR. This study demonstrated a strikingly similar prevalence within the two cohorts. The gastroenteritis group were PCR-positive for H. pullorum in 4.3% of cases and the controls in 4.0%. The authors rightly state that DNA positivity may come from ingested foodstuffs and that it does not necessarily infer replication of the organisms within the gastrointestinal tract. Other possibilities explored included a Aspartate variable pathogenicity within the organisms themselves or variable host factors (which may include immunodeficiency or genetic susceptibility). The PCR primers designed by Stanley et al. (1994), which were apparently utilized in this study, have since been revised (Fox et al., 2000). It is not clear what effect, if any, this may have had on the prevalence data provided by the work of Ceelen. The pathogenicity of H. pullorum was recently studied in vitro by Varon et al. (2009) utilizing human gastric (AGS) and intestinal (CaCo-2 and HT-29) epithelial cell lines.

iNKT cells represent a lipid-responsive arm

of the innate immune system that has been implicated in the regulation or promotion of a variety of immune, infectious and neoplastic processes. Invariant natural killer T cells are partially activated at baseline, with stores of both Th1 and Th2 cytokines (e.g. IFN-γ and IL-4, respectively) that can be rapidly secreted [3, 4]. Consistent with this wide-ranging capacity, iNKT cells have been implicated in playing beneficial pro-inflammatory roles (e.g. cancer immunity), deleterious pro-inflammatory roles (e.g. atherosclerosis) and anti-inflammatory roles [e.g. non-alcoholic fatty liver disease (NAFLD), see more graft-versus-host disease (GVHD)] [3, 5, 6]. We have studied iNKT cells in contact sensitivity (CS), also known as contact hypersensitivity or allergic contact dermatitis. CS is a local immune inflammatory response in the skin that occurs following topical exposure to a chemically reactive hapten allergen that covalently binds to self-peptides [7]. Sensitization typically occurs with first exposure to a concentrated dose of hapten,

while elicitation of a profound local inflammatory response may be provoked with subsequent exposure (i.e. challenge) to the same hapten at a much lower dose than required for sensitization. Poison ivy and nickel sensitivity are clinical examples. We have previously described hepatic iNKT cells to be amongst the earliest immune responders following sensitization. As early as 7 min after sensitization, hepatic iNKT cells release IL-4 that binds to Selleckchem Regorafenib IL-4R on peritoneal B-1 B cells, which concurrently receive a second signal via surface B cell receptors of hapten conjugated to circulating self-peptides [8–10]. B-1 B cells are stimulated via Stat-6 signalling to migrate from the peritoneal cavity to the spleen within 24 h to produce antigen-specific IgM antibodies [8, 11]. Meanwhile, naïve T cells are primed via exposure to hapten conjugated to self-peptide that is presented on MHC complexes

by antigen-presenting cells (APC) in the draining lymph nodes of the sensitization site. Upon subsequent exposure, B-1 B cell-generated IgM antibodies bind allergen and then activate complement, triggering mast cells and platelets to locally release Megestrol Acetate vasoactive mediators (serotonin and TNF-α), thereby ultimately enabling local recruitment of primed T cells into the tissues [12–23]. It is an open question of how iNKT cells respond so rapidly to sensitization. The rapidity may be explained by the finding that at baseline, iNKT cells are already partially activated, constitutively expressing IL-4 and IFN-γ [4], likely the result of prior TCR interactions with complexes of self-glycolipids bound within CD1d molecules of APCs. Whether the hepatic lipids that stimulate iNKT cells change in character following sensitization is unknown.

We found that colonic epithelial cells from pIgR KO mice differentially expressed (more than twofold change) more than 200 genes compared with cells from WT mice, and Mitomycin C cost upregulated the expression of antimicrobial peptides in a commensal-dependent manner. Detailed profiling of microbial communities based on 16S rRNA genes revealed differences in the commensal microbiota between pIgR KO and WT mice. Furthermore, we found that pIgR KO mice showed increased susceptibility to dextran sulfate sodium-induced

colitis, and that this was driven by their conventional intestinal microbiota. Thus, in the absence of pIgR, the stability of the commensal microbiota is disturbed, gut homeostasis is compromised, and the outcome of colitis is significantly worsened. Mucus membranes lining the gastrointestinal tract are constantly bombarded by an enormous number of foreign antigens derived from dietary products HM781-36B cell line and the commensal microbiota. The microbial load of the human colon (about 1014 bacteria) is estimated to be more than ten times the number of eukaryotic cells in the body [1, 2]. The commensal microbiota lives in a mutualistic relationship with their host and provides several benefits. These include the digestion of insoluble fibers and increased energy usage of foods, synthesis of vitamin K [3, 4], and niche occupation that could otherwise

be exploited by pathogens [5]. The aggregate gene pool of the microbiota, a.k.a. the metagenome, contains 150 times more genes than the

human genome [6, 7]. Although the human microbiome varies considerably between hosts, our core microbiome has been classified into only three types of communities termed enterotypes [8]. A first line of immune defense mediated by nonspecific innate immune effector components has evolved to protect the epithelial barrier without causing inflammatory immune responses [9]. The primary effector component of the adaptive immune system at mucosal sites is secretory IgA (SIgA) [10]. These antibodies are generated by cooperation between dimeric IgA (dIgA)-producing plasma cells and mucosal epithelial crotamiton cells (ECs), which actively transport dIgA antibodies to the lumen by polymeric Ig receptor (pIgR)-mediated transfer. During transcytosis, the extracellular domain of the pIgR, known as secretory component, becomes covalently coupled to the IgA molecule and final release of receptor–cargo complex occurs by endoproteolytic cleavage of the pIgR [11]. Normally, 80% of the body’s plasma cells are located in the gut and most of these produce dIgA [10]. Germ-free mice, however, have an immature immune system with a greatly reduced number of IgA-producing plasma cells and T cells in the intestinal lamina propria [4]. Upon colonization of germ-free mice with conventional nonpathogenic intestinal bacteria, both T-cell responses and IgA production is activated in the gut.

S6b–e). In addition, B cell subsets developing in the NSG–BLT mice were compared to the populations in human blood. As described previously, there are higher PXD101 levels of immature and transitional B cells in the blood of NSG–BLT mice compared

to humans [37]. Together, these results suggest that irradiation is not necessary for B cell development but is required to obtain optimal number of B cells and for Ig production. We next evaluated the development of human innate immune cells in the BLT model established with or without irradiation conditioning (Supporting information, Fig. S7). The gating strategy used to define the human innate immune subsets is shown in Supporting information, Fig. S7a. At 16 weeks post-implant the development of human monocyte/macrophage (CD14+/CD33+), myeloid dendritic cells (mDC, CD11c+/CD33+) and plasmacytoid DC (pDC, CD123+/CD33+)

was assessed in the blood, spleen and bone marrow (Supporting information, Fig. S7b–d). Significantly higher percentages of human monocyte/macrophage were detected in the blood of NSG–BLT mice that had received irradiation compared to non-irradiated NSG–BLT mice, and there was a trend towards increased levels in the spleen and bone marrow, although these differences Talazoparib in vivo were not significant (Supporting information, Fig. S7b). The levels of mDC (Supporting information, Fig. S7c) and pDC (Supporting information, Fig. S7d) were similar in irradiated and

non-irradiated NSG–BLT mice. In addition, innate cell subsets developing in the NSG–BLT mice were comparable to the populations in human blood. Together, these results suggest that Neratinib ic50 irradiation conditioning of the recipient slightly enhances human macrophage development in NSG–BLT mice but is not necessary for mDC or pDC development. The standard implantation site for thymic and liver fragments in the BLT model is within the subcapsular space of the kidney. However, this procedure is considered survival surgery for the mice and is labour-intensive. As an alternative to the renal capsule, we tested whether implantation of thymic and liver fragments subcutaneously would support high levels of T cell development. NSG mice were irradiated with 200 cGy, implanted with 1 mm3 fragments of human fetal thymus and liver either in the renal subcapsular space or subcutaneously, and then injected i.v. with human HSC derived from the fetal liver. At 18 weeks post-implant the mice were evaluated for total human cell chimerism (CD45+ cells), for human T cell development (CD3+ cells) and for human B cell development (CD20+) in the blood and spleen (Fig. 4a–c). No significant differences were detected for the percentage of CD45+ cells in the blood and spleen (Fig.

These tumors are typically slow growing, with an indolent but progressive clinical course. We present a case of a highly proliferative chordoma arising in a 73-year-old woman with unusually rapid clinical growth and aggressive histologic and immunohistochemical features. This patient had an unusually brief preclinical course and within 1 month of developing headaches presented to medical attention with diplopia.

The resected chordoma showed uncommonly elevated mitotic activity, without the histologic hallmarks of de-differentiation. This proliferative activity correlated with elevated Ki67 staining (60%), B-cell leukemia/lymphoma1 (BCL1) expression Protein Tyrosine Kinase inhibitor (100%), and topoisomerase

IIα staining (>95%). E-cadherin expression was also lost throughout the majority of the tumor. Other markers of epithelial mesenchymal transition (EMT) including vimentin, N-cadherin, Slug and Twist, were also strongly expressed in this aggressive tumor. The sellar component of the tumor recurred within a 2-month interval. The evaluation of the additional biomarkers, including makers of EMT studied in this, case may allow for identification of aggressive chordomas in which the tempo of disease is significantly more rapid than in typical cases of chordoma. “
“Balamuthia mandrillaris is an amoeba found in fresh water and soil that causes granulomatous Adenosine triphosphate amoebic encephalitis. We report herein an autopsy case of B. mandrillaris Y-27632 amoebic encephalitis, which was definitely diagnosed by PCR. An 81-year-old man, who had Sjögren’s syndrome, manifested drowsiness 2 months before his death with progressive deterioration.

Neuroimaging demonstrated foci of T2- and fluid-attenuated inversion recovery high and T1 low-intensity with irregular post-contrast ring enhancement in the cerebral hemisphere, thalamus and midbrain. Pathologically, multiple hemorrhagic and necrotic lesions were found in the cerebrum, thalamus, midbrain, pons, medulla and cerebellum, which were characterized by liquefactive necrosis, marked edema, hemorrhage and necrotizing vasculitis associated with the perivascular accumulation of amoebic trophozoites, a few cysts, and the infiltration of numerous neutrophils and microglia/macrophages. The trophozoites were ovoid or round, 10–60 μm in diameter, and they showed foamy cytoplasm and a round nucleus with small karyosome in the center. The PCR and immunohistochemistry from paraffin-embedded brain specimens revealed angioinvasive encephalitis due to B. mandrillaris. Human cases of B. mandrillaris brain infection are rare in Japan, with only a few brief reports in the literature. “
“C. Troakes, T. Hortobágyi, C. Vance, S. Al-Sarraj, B. Rogelj and C. E.

40 Recombinant antibodies Kinase Inhibitor Library for clinical therapeutic use in humans are expressed in low yields in mammalian cells, which accounts for their high cost. To cut costs, cPIPP was expressed as a periplasmic protein in tobacco leaves at a high yield of 20 mg of purified protein per Kg fresh tobacco leaves.41 Being given that it was expressed in endoplasmic reticulum of the leaves, plant-specific fucose and xylose residues were not loaded on the antibody.42 cPiPP had an affinity of 1.9 × 1010 m−1 for hCG. It was totally devoid of cross-reaction with hFSH and hTSH and had <5% cross-reaction with hLH. The antibody was fully competent to block hCG-induced gain

of uterine weight of immature mice in vivo and hCG-induced testosterone production by Leydig cells in vitro.40,41 Its efficacy was also tested in a human cell system. Placental villi cytotrophoblasts, isolated from placental villi of MTP cases, on culture in a medium containing anti-hCG antibodies failed to fuse into syncytium. Furthermore, the production of progesterone by the placental cells was fully blocked by cPiPP.26 These observations vouch for the suitability of cPiPP for use as a vacation contraceptive and for non-surgical termination of pregnancy. Choriocarcinoma trophoblast cells are known to make and secrete hCG.43,44 The cells carry receptors for hCG, by virtue of selleck monoclonal humanized antibody inhibitor which hCG

acts as an autocrine growth factor for these cells. Radio-iodinated PiPP bound to these cells in vitro. JEG cells administered to Nude mice form a cancerous implant. Injection of 131I-PiPP to such mice led to selective localization of radioactivity

at 3-mercaptopyruvate sulfurtransferase the tumor site, whereas the radioactivity of a similarly radio-iodinated non-relevant antibody is distributed randomly all over the body45 (Fig. 1a,b). The binding of the radio-iodinated PiPP to tumor cells is further confirmed by histioradiography (Fig. 1c). These studies clearly demonstrate the utility of the recombinant antibody for imaging and selective delivery of radiations to the tumor cells. It could be of particular utility for tracing of metastasis of such cancers. The curious phenomenon of cancer cells expressing hCG or its subunits has been discussed elsewhere in this article. We carried out studies on T-lymphoblastic leukemia MOLT-4 and lymphocytic leukemia U-937 cells, both available from ATCC. Both MOLT-4 and U-937 cells were bound with cPiPP. The binding as studied by flow cytometry was on the membranes and was specifically competed by authentic purified hCG.46 hCG was not picked up from other cells but was indeed synthesized by the cancer cells, as permeabilized MOLT-4 cells enabled the detection of the presence of hCG within the cells, to which the antibody permeating in the cells could bind. Incubation of MOLT-4 cells with anti-hCG antibodies did not however impair the viability and multiplication of these cells. Nor were the cells lysed by cPiPP in the presence of complement.

An accurate genetic diagnosis of AS is very important

for genetic counselling and even prenatal diagnosis. Methods:  We detected mutation of COL4An by amplifying the entire coding sequence mRNA buy Navitoclax of peripheral blood lymphocytes using polymerase chain reaction (PCR) in five Chinese AS families who asked for genetic counselling and prenatal diagnosis, then performed prenatal genetic diagnosis for four families. Mutation analysis of the foetus was made using DNA extracted from amniocytes. Foetus sex was determined by PCR amplification of SRY as well as karyotype analysis. Maternal cell contamination was excluded by linkage analysis. Results:  Four different COL4A5 gene variants and two COL4A3 gene variants were detected in the five families. Because there was a de novo mutation in family 2, prenatal diagnosis was performed for the other four families. Results showed a normal male foetus for family 1 and family Selisistat molecular weight 4, respectively. Results showed

an affected male foetus for families 3 and 5, and the pregnancies were terminated. Conclusion:  An easier, faster and efficacious method for COL4An gene mutation screening based on mRNA analysis from peripheral blood lymphocytes was established. Prenatal genetic diagnosis was performed in four AS families in China. “
“Aim:  Cardiovascular disease (CVD) is the leading cause of death among chronic

kidney disease (CKD) patients. The role of vitamin D remains controversial in this process. We evaluated the relationship between Epothilone B (EPO906, Patupilone) 25-hydroxyvitamin D, abnormal T helper cells (CD4+CD28null cells), systemic inflammation and atherosclerosis in CKD patients. Methods:  A total of 101 stage 4–5 non-dialysis CKD patients and 40 healthy controls were studied. Common carotid artery intima media thickness (CCA-IMT) was measured with an ultrasound system. 25(OH) vitamin D and highly sensitive C-reactive protein (hsCRP) were measured in serum by enzyme linked immunosorbent assay. The frequency of circulating CD4+CD28null cells was evaluated by flowcytometry. Results:  CKD subjects exhibited higher CCA-IMT (0.71 ± 0.01 vs 0.56 ± 0.01 mm, P < 0.0001), hsCRP (90.7 ± 5.8 vs 50.1 ± 8.6 µg/mL, P < 0.0001), CD4+CD28null cell frequency (9.1 ± 0.9 vs 3.6 ± 0.5%, P < 0.0001) and lower 25(OH) vitamin D levels (17.9 ± 1.9 vs 26.9 ± 3.5 ng/mL, P < 0.0001). In CKD subjects, serum 25 (OH) vitamin D level showed a strong inverse correlation with CCA-IMT (r = −0.729, P < 0.0001) and correlated with CD4+CD28null cell frequency (r = −0.249, P = 0.01) and hsCRP (r = −0.2, P = 0.047). We also noted correlation of IMT with patient age (r = 0.291, P = 0.

Hypertension and proteinuria may relate to the anti-angiotensin-11 receptor-1 agonist antibodies (AT1-AA) found in women with preeclampsia.40 Their exact role has not yet been fully elucidated41 but it is difficult to impune a direct hypertensive effect given the known decrease (rather than increase) in endogenous human angiotensin II and aldosterone activity.42 These autoantibodies may be another marker of widespread endothelial dysfunction and result from placental

ischaemia.43 While in experimental animals sFLT-1 can be induced by Small molecule library high throughput AT1-AA,44 the induction of both is possible from reduced uterine perfusion pressure and low dose cytokines infusion (tumour necrosis factor-α). It remains to be seen how these compounds indicate a causal sequence in human preeclampsia. However, an agonistic AII effect may partly explain the increases in angiotensin-11 sensitivity and even the decrease in K(f) seen in preeclampsia. This is yet to be determined. Preeclamptic nephropathy is widely considered to be a predominantly glomerular endothelial cell disorder.11 The term Selleckchem Sirolimus endotheliosis was first termed in 1959

by Spargo et al. who took advantage of the then, new technology of ultra thin sections and electron microscopy to identify the specific nature of these changes.45 They, and others have gone on to demonstrate that at the light microscopic level the glomeruli may appear normal at one extreme, to swollen and ischaemic with apparently thickened capillary walls PTK6 and reduction in capillary lumina at the other.46 The electron microscopic examination of the glomeruli typically reveals ‘endotheliosis’. Endotheliosis refers to the endothelial cell swelling resultant from the cytoplasmic expansion due to cytoplasmic vacuolation, droplet formation, cytoplasmic strands and membrane condensation.45

There is loss of the endothelial fenestrae as well as widening of the subendothelial space with deposition of hyaline material. Concordantly, the swollen endothelial cell encroaches on the capillary lumen and obliteration may occur.47 Given these changes, as well as the reduction in plasma volume and vasoconstriction, the oliguria associated with preeclampsia is not surprising12 Paramesangial deposition of fibrinoid material and mesangial expansion has also been noted.48 Although these renal histological changes have been considered pathognomonic for preeclampsia, this may not be the case. Several groups have performed antenatal renal biopsies in normal pregnant women and women with gestational hypertension.49–51 Strevenset al. demonstrated that five of 12 normal pregnant women had, albeit very mild, evidence of glomerular endotheliosis. These lesions resolve at variable rates post partum.

1 biotin (PK136), T-cell receptor (TCR) γδ (UC7-13D5), TCR-β (H57-597), CD127 Alexa Fluor 647/phycoerythrin (PE) (A7R34), CD25 FITC/APC (PC61.5), Streptavidin efluor 450, CD16/32 PE-Cy7 (93), CD4 PE-Cy7 (GK1.5), CD44 PE-Cy7 (IM7), CD23 (B3B4), CD21 (8D9), CD80 (16-10A1), MHC II

(M5/114.15.2), IgM (11/41), IgD (11-26), CD93 (AA4.1) and CD43 (R2/60). Immature, DN thymocytes were stained with a pool of antibodies recognizing lineage (Lin) markers. The lineage mix contained antibodies to B220, CD3ε, CD8β, CD8α, CD11b, Gr-1, CD11c, NK1.1, TCR-β, and TCR-γ as previously described.[21] The DN thymocytes, after lineage gating, were further characterized into DN1 (CD44+ CD25−), DN2 (CD44+ CD25+). DN3 (CD44− CD25+),

and DN4 (CD44− CD25−) populations.[22] Early T-lineage progenitors (ETPs) after lineage gating, were defined as CD44+ CD25− c-Kithi IL-7R−/lo.[21] KU-57788 concentration Effector/effector memory splenic T cells were defined as CD44hi CD62Llo, and central memory T cells were defined as CD44hi CD62Lhi.[23] Bone marrow B cells were defined based upon previously reported markers.[24, 25] Pre-pro B cells were defined as Erlotinib research buy B220+ CD19− CD43+ IgM−, pro-B cells were defined as B220+ CD19+ CD43+ IgM−, pre-B cells were defined as B220+ CD19+ CD43− IgM−, immature B cells were defined as B220+ CD19+ CD43− IgM+, and mature B cells were defined as B220+ IgM+ IgD+. In the spleen, B-cell subsets were defined as find more described by Allman and Pillai.[26] CD19+ B cells were defined as transitional (T) B-cell subsets; T1: B220+ AA4+ IgMhi CD23−; T2: B220+ AA4+ IgMhi CD23+; T3: B220+ AA4+ IgMlo CD23+ or marginal zone (MZ) B-cell subsets; MZ: B220+ AA4− IgMhi CD21hi CD23−; or marginal zone precursor (MZP): B220+ AA4− IgMhi CD21hi CD23+, or follicular (Fol) B-cell subsets were defined as Fol I: B220+ AA4− IgMlo CD21lo IgD+; or Fol II: B220+ AA4− IgMhi CD21lo IgD+. Compensation settings and lineage gates were based upon

single colour controls. Analysis was performed with FlowJo (Tree Star, Inc., Ashland, OR) Intracellular reactive oxygen species were analysed in selected subsets by using the oxidation sensitive dye dichlorodihydrofluorescein diacetate (DCFDA) as previously described.[6] Cells were incubated ex vivo with 2 μm DCFDA at 37° for 15 min, washed and surface stained. As a loading control, parallel samples were incubated with the oxidized control dye fluorescein diacetate (FDA) (0·01 μm) at 37° for 15 min, washed, and surface stained as described above. FACS analysis was performed immediately. DCFDA mean channel fluorescence was normalized to FDA uptake, and the data are shown as the per cent increase in DCFDA fluorescence in cells from Ts65Dn mice over euploid controls ± SEM. Intracellular glutathione levels were measured in progenitor subsets by flow cytometry using monochlorobimane (MCB) essentially as previously described.

Cellular immunoblotting has been validated multiple times to be able to distinguish type 1 diabetes patients from controls in blinded trials with excellent sensitivity and specificity [35,40]. PBMC find more reactivity to the islet cell proteins has also been demonstrated to have clinical relevance in identifying autoimmune diabetes patients with more severe loss of beta-cell function [41]. PBMCs from patients with T1D respond to between four and 18 molecular weight regions containing islet proteins, whereas normal control subjects respond to between zero and three molecular weight regions [42]. Disadvantages. Human islets are

needed to prepare the islet antigens. Twenty ml of blood is needed per patient. The antigen specificity of the T cell responses is not defined. 1 Normal human islet cells are placed into sodium dodecyl sulphate (SDS) sample buffer, boiled and then subjected to preparative one-dimensional 10% SDS-PAGE [43]. Background.  CFSE is a non-toxic fluorescent dye that is distributed evenly between daughter cells when a cell divides [44]. This dye can be used to determine the number of cells that have proliferated, in the presence or absence Pexidartinib nmr of antigen, by flow cytometry (see Fig. 2). Advantages.  This assay is more sensitive than [3H]-thymidine incorporation and the proliferation of different lineages of cells

can be determined directly by flow cytometry, making it well suited to measuring islet antigen-specific T cell responses to autoantigens [27]. Multi-colour flow cytometry can be used to gain further information on the phenotype of the cells that have proliferated,

such as their capacity to produce cytokines after a brief stimulation with anti-CD3 mAb. Alternatively, the proliferation of different cell lineages [B cells and natural killer (NK) cells, for example] can be measured in the same sample. Finally, the CFSE-based proliferation assay can be used to isolate T cell clones [45], allowing their specificity to be determined in detail [30,31]. Disadvantages.  Each sample must be analysed individually by flow cytometry. Because of the low precursor frequency of peptide and recombinant islet protein-specific T cells their responses can be variable between replicates. Dichloromethane dehalogenase This assay measures only cells capable of proliferating in vitro. 1 Draw blood into a heparin-containing tube (note: heparin is the recommended anti-coagulant because it does not interfere with immune function). Background.  Individual HLA–T cell receptor (TCR) contacts are low-affinity interactions [46]. However, cross-linking of multiple HLA/peptide complexes increases the avidity of the interaction allowing HLA/peptide multimers, such as tetramers and pentamers, to be used to stain antigen-specific T cells [47]. HLA class I tetramers were the first to be developed [22].