Abstract
Interferon-γ (IFN-γ) is an important cytokine produced by natural killer (NK) cells and T cells in response to various stimuli. The levels of IFN-γ secreted after stimulation of NK cells using a recombinant cytokine is represented as one of functions of NK cells. Recently, a method for evaluating NK cell activity in whole blood samples was developed. The levels of IFN-γ secreted after NK cell stimulation with PROMOCATM (ATGen, Korea) and T cell stimulation with phytohemagglutinin (PHA) were compared using two different commercial kits: NK Vue Gold (ATGen, Korea) and QuantiFER-ON-TB Gold In-Tube (Cellestis, Australia). Participants included 43 healthy individuals. Whole blood samples were incubated with either PROMOCA, a recombinant cytokine that specifically activates NK cells, or with PHA. IFN-γ levels in the supernatants were measured by ELISA. The level of IFN-γ by PROMOCA stimulation (PROMOCA IFN-γ) was more varied than that by stimulation with PHA (PHA IFN-γ) (median 1,544.4 pg/mL [range 193.7–2,530.9] vs. median 2,470.1 pg/mL [2,250.1–2,874.4] P=0.0001). The median of PHA IFN-γ/PROMOCA IFN-γ ratio was 1.9 (1.1–12.4). There was a significant difference in levels of IFN-γ secreted after stimulation with PROMOCA or PHA in the healthy population.
REFERENCES
1.Vivier E., Raulet DH., Moretta A., Caligiuri MA., Zitvogel L., Lanier LL, et al. Innate or adaptive immunity? The example of natural killer cells. Science. 2011. 331:44–9.
2.Brunner KT., Mauel J., Cerottini JC., Chapuis B. Quantitative assay of the lytic action of immune lymphoid cells on 51-Cr-labelled allogeneic target cells in vitro; inhibition by isoantibody and by drugs. Immunology. 1968. 4:181–96.
3.Jang YY., Cho D., Kim SK., Shin DJ., Park MH., Lee JJ, et al. An improved fow cytometry-based natural killer cytotoxicity assay involving cal-cein AM staining of effector cells. Ann Clin Lab Sci. 2012. 42:42–9.
4.Yamashita M., Kitano S., Aikawa H., Kuchiba A., Hayashi M., Yamamoto N, et al. A novel method for evaluating antibody-dependent cell-mediated cytotoxicity by fowcytometry using cryopreserved human peripheral blood mononuclear cells. Sci Rep. 2016. 6:19772.
5.Alter G., Malenfant JM., Altfeld M. CD107a as a functional marker for the identifcation of natural killer cell activity. J Immunol Methods. 2004. 294:15–22.
6.Lee SB., Cha J., Kim IK., Yoon JC., Lee HJ., Park SW, et al. A high-throughput assay of NK cell activity in whole blood and its clinical application. Biochem Biophys Res Commun. 2014. 445:584–90.
7.Nowell PC. Phytohemagglutinin: an initiator of mitosis in cultures of normal human leukocytes. Cancer Res. 1960. 20:462–6.
8.Wheelock EF. Interferon-like virus inhibitor induced in human leukocytes by phytohemagglutinin. Science. 1965. 149:310–1.
9.Chilson OP., Boylston AW., Crumpton MJ. Phaseolus vulgaris phytohaemagglutinin (PHA) binds to the human T lymphocyte antigen receptor. EMBO J. 1984. 3:3239–45.
10.Billiau A., Matthys P. Interferon-gamma: a historical perspective. Cytokine Growth Factor Rev. 2009. 20:97–113.
11.Woo KS., Choi JL., Kim BR., Kim JE., Kim BG., Lee H, et al. Signifcance of interferon-gamma response to mitogen in serial QuantiFERON-TB Gold In-Tube assay of routine laboratory practice. Clin Chim Acta. 2014. 430:79–83.
12.Lange B., Vavra M., Kern WV., Wagner D. Indeterminate results of a tuberculosis-specifc interferon gamma release assay in immunocompromised patients. Eur Respir J. 2010. 35:1179–82.
13.Fabre V., Shoham S., Page KR., Shah M. High proportion of indeterminate QuantiFERON-TB Gold In-Tube results in an inpatient population is related to host factors and preanalytical steps. Open Forum In-fect Dis. 2014. 1:ofu088.
14.Aichelburg MC., Tittes J., Breitenecker F., Reiberger T., Kohrgruber N., Rieger A. Prognostic value of indeterminate IFN-γ release assay results in HIV-1 infection. J Clin Microbiol. 2012. 50:2767–9.
15.Banaei N., Gaur RL., Pai M. Interferon gamma release assays for latent tuberculosis: What are the sources of variability? J Clin Microbiol. 2016. 54:845–50.
16.De Maria A., Bozzano F., Cantoni C., Moretta L. Revisiting human natural killer cell subset function revealed cytolytic CD56(dim)CD16+ NK cells as rapid producers of abundant IFN-gamma on activation. Proc Natl Acad Sci USA. 2011. 108:728–32.
17.Imai K., Matsuyama S., Miyake S., Suga K., Nakachi K. Natural cytotoxic activity of peripheral-blood lymphocytes and cancer incidence: an 11-year follow-up study of a general population. Lancet. 2000. 356:1795–9. 18. Lim YA, Kim SS, Cho SW, Cheong JY. Evaluation of the effectiveness of NK Vue Gold kit in patients with chronic hepatitis B. J Lab Med Qual Assur 2016;38: 151-8.
18.Lim YA., Kim SS., Cho SW., Cheong JY. Evaluation of the effectiveness of NK Vue Gold kit in patients with chronic hepatitis B. J Lab Med Qual Assur. 2016. 38:151–8.
19.Hou H., Mao L., Wang J., Liu W., Lu Y., Yu J, et al. Establishing the reference intervals of NK cell functions in healthy adults. Hum Immunol. 2016. 77:637–42.
20.Koo KC., Shim DH., Yang CM., Lee SB., Kim SM., Shin TY, et al. Reduction of the CD16(-)CD56bright NK cell subset precedes NK cell dysfunction in prostate cancer. PLoS One. 2013. 8:e78049.