Notes

This test is New York DOH approved.

Collect

If you have the patient’s absolute lymphocyte count (ALC), call 513-636-4685 or use the "Customized Volumes by ALC" sheet to obtain the precise amount of blood required for this assay. If you do not have an ALC available, 5-10mL blood in Sodium Heparin (Dark Green) is the general requirement and should be sufficient for patients who are not lymphopenic.

Minimum Collection Volume

Minimum volume dependent on ALC

Unacceptable Conditions

Frozen, clotted, hemolyzed or centrifuged specimens. Specimens collected in anticoagulants other than Sodium Heparin. Specimens received greater than 24 hours after collection.

Storage/Transport Temperature

CRITICAL AMBIENT

Specimen Preparation

Transport whole blood in original collection tubes. Do not refrigerate or freeze. Specimen must be received by our laboratory within 24 hours of collection and before 1500 M-Th and before 1400 on Fri. LIVE LYMPHOCYTES REQUIRED.

Stability (from collection to initiation)

Ambient: 24 hours / Frozen: Unacceptable / Refrigerated: Unacceptable.

Performed

Collect only Mon- Fri. Must be received to Burnet by 1400 if collected on Fri.

Performing Lab

CBDI DIL 513-636-4685

Methodology

Tritiated thymidine incorporation

Reported

7 days

Tests Included

PHA stimulation, Con A stimulation, PWM stimulation

Synonyms

  • Mitogen Proliferation
  • PHA
  • Con A
  • ConA
  • PWM

Interpretive Data

The complex cascade of events that comprise the cellular portion of the immune response include the proliferation of lymphocytes in response to upstream events (activation, Ca++ flux, etc.).

This assay tests the capacity of lymphocytes to proliferate in response to exposure to mitosis-inducing agents (mitogens). Specifically, peripheral blood mononuclear cells are exposed to phytohemagglutinin (PHA), concanavalin A (ConA), and pokeweed mitogen (PWM), and cultured for several days. An excess of radio-labeled thymidine is made available to the cells during the later part of the culture period.

As the stimulated cells enter the S phase of the cell cycle, they synthesize DNA, incorporating the radio-labeled thymidine which is then quantitated using a microplate scintillation counter. Results are expressed as counts per minute (cpm).

CPT Codes

86353x3
Collection

Notes

This test is New York DOH approved.

Collect

If you have the patient’s absolute lymphocyte count (ALC), call 513-636-4685 or use the "Customized Volumes by ALC" sheet to obtain the precise amount of blood required for this assay. If you do not have an ALC available, 5-10mL blood in Sodium Heparin (Dark Green) is the general requirement and should be sufficient for patients who are not lymphopenic.

Minimum Collection Volume

Minimum volume dependent on ALC

Unacceptable Conditions

Frozen, clotted, hemolyzed or centrifuged specimens. Specimens collected in anticoagulants other than Sodium Heparin. Specimens received greater than 24 hours after collection.

Storage/Transport Temperature

CRITICAL AMBIENT

Specimen Preparation

Transport whole blood in original collection tubes. Do not refrigerate or freeze. Specimen must be received by our laboratory within 24 hours of collection and before 1500 M-Th and before 1400 on Fri. LIVE LYMPHOCYTES REQUIRED.

Stability (from collection to initiation)

Ambient: 24 hours / Frozen: Unacceptable / Refrigerated: Unacceptable.

Performed

Collect only Mon- Fri. Must be received to Burnet by 1400 if collected on Fri.

Performing Lab

CBDI DIL 513-636-4685
Ordering

Methodology

Tritiated thymidine incorporation

Reported

7 days

Tests Included

PHA stimulation, Con A stimulation, PWM stimulation

Synonyms

  • Mitogen Proliferation
  • PHA
  • Con A
  • ConA
  • PWM
Result Interpretation

Interpretive Data

The complex cascade of events that comprise the cellular portion of the immune response include the proliferation of lymphocytes in response to upstream events (activation, Ca++ flux, etc.).

This assay tests the capacity of lymphocytes to proliferate in response to exposure to mitosis-inducing agents (mitogens). Specifically, peripheral blood mononuclear cells are exposed to phytohemagglutinin (PHA), concanavalin A (ConA), and pokeweed mitogen (PWM), and cultured for several days. An excess of radio-labeled thymidine is made available to the cells during the later part of the culture period.

As the stimulated cells enter the S phase of the cell cycle, they synthesize DNA, incorporating the radio-labeled thymidine which is then quantitated using a microplate scintillation counter. Results are expressed as counts per minute (cpm).
Laboratory Personnel Use

CPT Codes

86353x3