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affect primary antibody immunoreactivity and strengthens the
fl uorescent signal. A disadvantage of the indirect method is that
the secondary antibodies may produce nonspecifi c staining and
result in cross-reactivity which is avoided by labeling with primary
antibodies. However, labeled primary antibodies are more expen-
sive and are not as readily available compared to the variety of
labeled secondary antibodies. Typically, two methods, both quan-
titative and qualitative, should to be used to ensure assessment of
the fi nal results.
Fluorescent phenotyping allows monitoring of the local cellu-
lar immune response by visualizing lymphocytes: their abundance,
morphology and types, as well as the dynamics of spatial and tem-
poral distribution. The number of T-lymphocytes and their subsets
in the brain can be used to evaluate the progress of immune
response to ICH. T-cell subsets can be defi ned by recognition of
cluster of differentiation (CD) molecule proteins on the lympho-
cyte surface (
15, 17
) (Table
2
). There are three CD molecules
which are commonly used as markers to identify T-lympocyte sub-
populations. CD3 is specifi c for all T-lymphocytes and is the basis
of its segregation from B-lymphocytes. CD3 is a multisubunit
complex of proteins that associates directly with the T-cell antigen
receptor (TCR, heterodimer composed of either alpha, beta or
gamma and delta chains) (
18, 19
). CD3 is composed of fi ve invari-
ant polypeptide chains that associate to form three dimers: a het-
erodimer of gamma and epsilon chains, a heterodimer of delta and
epsilon chains, and a heterodimer of two zeta chains or zeta and eta
chains. CD8, a cell-surface glycoprotein, is a two-chain complex
(alpha-alpha or alpha-beta) receptor that binds class I major histo-
compatibility complex (MHC) molecules presented by the anti-
gen-presenting cells (
15, 18
). A primary function of CD8 is to
facilitate antigen recognition by TCR and to strengthen the affi nity
of TCR-antigen interactions. CD4 is a membrane glycoprotein
that contains four extracellular immunoglobulin-like domains.
CD4 increases the avidity of interaction between the TCR and
antigen II MHC molecules presented by APC (
20
). A combination
Table 2
Characterization of lymphocyte cell types by CD surface
molecules
Leukocyte cell types
CD3
CD 4
CD8
References
Monocytes
−
+
+
(
15
)
Natural Killer cells
−
−
+
(
21
)
T-cytotoxic cells
+
−
+
(
22
)
T-helper cells
+
+
−
(
20
)
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