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Detection of PD-1 and CD28 Expression in Lymphocytes by Flow Cytometry.

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The journal of applied laboratory medicine 2026 Vol.11(2) p. 330-344
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Chen S, Wu X, Tang Y, Jiang W, Dong L, Cao R, Chen J, Zhang H, Hu L, Zhu J, Zhou Q, Zhou J, Qian K, Huang R, Lu C, Chen Q, Lin Y, Guan M

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[BACKGROUND] Cancer immunotherapy research, immune microenvironment exploration, and biomarker discovery are key application areas of immune checkpoint analysis.

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APA Chen S, Wu X, et al. (2026). Detection of PD-1 and CD28 Expression in Lymphocytes by Flow Cytometry.. The journal of applied laboratory medicine, 11(2), 330-344. https://doi.org/10.1093/jalm/jfaf202
MLA Chen S, et al.. "Detection of PD-1 and CD28 Expression in Lymphocytes by Flow Cytometry.." The journal of applied laboratory medicine, vol. 11, no. 2, 2026, pp. 330-344.
PMID 41543012

Abstract

[BACKGROUND] Cancer immunotherapy research, immune microenvironment exploration, and biomarker discovery are key application areas of immune checkpoint analysis. PD-1 and CD28 are crucial receptors expressed on the surface of T cells, playing vital roles in regulating T cell activation and immune response. Accurate detection of these immune checkpoints, such as PD-1 and CD28 on lymphocytes, is essential for understanding immune responses, particularly in clinical contexts such as cancer immunotherapy. Flow cytometry offers a precise approach to detect these markers in whole blood samples.

[METHODS] This study developed and optimized a flow cytometry-based detection method utilizing the CYTEK NL-CLC flow cytometer to quantitatively assess the expression of PD-1 and CD28 on lymphocytes. A detailed protocol was established and validated, focusing on key performance parameters.

[RESULTS] Our method showed high sensitivity and specificity, providing a powerful tool for immune monitoring and treatment decision-making. Validation results, including precision, dilution linearity, fluorescence stability, reference interval, and accuracy, all met acceptable criteria and have been reviewed and approved for clinical testing.

[CONCLUSIONS] The CYTEK NL-CLC flow cytometer is positioned as a reliable and effective platform for immune checkpoint analysis in both clinical and research settings, supporting its integration into cancer immunotherapy workflows and personalized medicine strategies.

MeSH Terms

Flow Cytometry; Humans; CD28 Antigens; Programmed Cell Death 1 Receptor; Neoplasms; Immunotherapy; Reproducibility of Results; Sensitivity and Specificity; Lymphocytes

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