Determination of lymphocyte subgroups and activation status of them with
flow cytometry at the time of diagnosis in COVID-19 patients
Abstract
Background: Although changes of the main lymphocyte subsets (T cells, T
helper, T cytotoxic, B cells, NK cells) and lymhocyte activation status
in COVID-19 patients have been reported, the results of the studies
differ each other. Therefore, we aimed to determine lymphocyte subgroups
and activation status of them with flow cytometry at the time of
diagnosis in COVID-19 patients and examine the relation of them with
disease stage and length of hospital stay. Methods: Fourty patients
included in the study were compared with the age and sex matched 40
healthy controls. COVID-19 patients were divided into 2 groups as mild
and severe stage disease. Flow cytometry assay was performed to examine
the numbers of lymphocyte subsets and activation status of them. Total
lymphocyte count was calculated and CD45, CD3, CD4, CD8, CD19, CD27,
CD38, CD56, CD57, IgD were studied on lymphocyte gate. T helper / T
cytotoxic rates and length of hospital stay were recorded. Results: The
patients’ CD3(+)CD4(+) ( T helper) count and CD27 expression on T cells
counts were significantly lower, and CD57 expression on CD3(+)CD8(+) T
cytotoxic cells were significantly higher (p<0.05) than
control gruop. When the patients were divided into mild and severe
stages, it was observed that CD38 expression on T cells were
significantly lower in severe stage patients (p< 0.05) Total
lymphocyte count and CD3(+) T lymphocyte count were negatively
correlated with the lengt of hospital stay as statistically significant
(p <0.05). Conclusion: Our data showed that the SARS-CoV-2
primarly effects on T lymphocytes. It was thought that this effect
occured by impairment of development and activation of T lymphocytes.
There are some discordances among the studies on T lympocytes in the
literature. Studies with more patients are needed to make this
information more reliable.