T-Cell Xtend Technical Information

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T-Cell Xtend ™

Technical information

References:
1. Oxford Immunotec. Data on File, 2008.
 chmielau J, Finn OJ. Activated granulocytes and granulocyte-derived H202 are the underlying mechanism of
2. S
suppression of T-cell function in advanced cancer patients. Cancer Research 2001; 61 4756-4760.
3. M
 almberg KJ, Arulampalam V, Ishihara F, et al. Inhibition of activated/memory (CD45RO+) T cells by oxidative
stress associated with block of NF-KB activation. J Immunol. 2001.167; 2595-2601.

Contact Oxford Immunotec for further information.


T-SPOT, T-Cell Xtend and the Oxford Immunotec logo are trademarks of Oxford Immunotec Ltd.
© Oxford Immunotec Ltd. 2009. “All rights reserved”.
Oxford Immunotec Limited, 94C Milton Park, Abingdon, Oxon OX14 4RY, UK
Tel: +44 (0)1235 442780 Fax: +44 (0)1235 442781 Email: [email protected]
www.oxfordimmunotec.com
*FICOLL and FICOLL-PAQUE are trademarks of GE Healthcare companies.

TI-TTK.610-UK-VI 030609
The T-SPOT®.TB assay functions optimally with whole
blood stored for up to 8 hours, but what happens if
blood is stored for longer?
result in a decrease in spot counts and an increase in non-specific background in
– Performing the T-SPOT.TB assay on blood stored for more than 8 hours may

assay wells

FICOLL-PAQUE*, the majority of the red blood cells and granulocytes are pelleted
– When peripheral blood mononuclear cells (PBMCs) are separated using

on the basis of density

– When blood is stored for longer than 8 hours, granulocytes can become activated
causing a decrease in their density1. As a result, the granulocytes can contaminate
the enriched PBMC layer

Effect of blood storage on T-SPOT.TB performance


55 12
50 11
45 10
40 9
35 8

Spot Counts

Spot Counts
7
30
6
25
5
20
4
15 3
10 2
5 1
0 0
<8 HOURS 16-18 HOURS <8 HOURS 24 HOURS


– Granulocytes are known to become activated in some disease states (e.g. cancer)2,3

– Activated granulocytes can release PBMCs


pre-stored granules2, which may cause
oxidative stress to lymphocytes in the
PBMC layer. This may reduce cell
Granulocytes
viability and, more specifically, the
ability of cells to release interferon-
gamma FICOLL

– The presence of granulocytes may


also result in non-specific background,
affecting results with stored blood Erythrocytes

With stored blood granulocytes can appear


in the PBMC layer
The T-Cell Xtend reagent allows the T-SPOT.TB assay The T-Cell Xtend reagent removes unwanted
to be performed on blood samples stored for up to granulocytes from the sample
32 hours without compromising accuracy
Use of the T-Cell Xtend reagent has been demonstrated to reduce the presence of
granulocytes in the PBMC layer, thus allowing prolonged storage of blood samples for
up to 32 hours before performing the T-SPOT.TB assay

60

50

40

30

%CD66b
20

The T-Cell Xtend reagent is an antibody complex which recognises CD66b, a specific 10
cell surface marker of granulocytes, and cross-links the granulocytes to red blood cells

PBMCs 0-8 24 32 48 72 0-8 24 32 48 72


-10
Time (Hrs)

FICOLL
Granulocyte contamination of Granulocyte contamination
PBMC layer increases with of PBMC layer is minimal
blood storage time with increased blood storage
time and addition of the
T-Cell Xtend reagent
Granulocytes

Erythrocytes

This cross-linking increases the density of granulocytes so they pellet when applied to
a density gradient
The T-Cell Xtend reagent is added to blood samples Benefits of using the T-Cell Xtend reagent
in the laboratory, immediately before commencing the
T-SPOT.TB assay
Equivalent accuracy to standard T-SPOT.TB results but with added
T-Cell Xtend may also be used with flexibility
Leucosep tubes to simplify the FICOLL
separation procedure – Samples can be collected at a distance from the testing laboratory

– Samples can be collected throughout the day or stored overnight

– Laboratory can perform T-SPOT.TB on blood samples received on


2 consecutive days at the same time

– Enables the use of cost-effective, overnight delivery service

– Removal of activated granulocytes may improve performance of


the T-SPOT.TB assay in certain disease states (e.g. cancer)

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