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B and T cell screen

Updated: 9/27/2023
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Definition

A B and T cell screen is a laboratory test to determine the amount of T and B cells (lymphocytes) in the blood.

Alternative Names

Direct immunofluorescence; E-rosetting; T and B lymphocyte assays; B and T lymphocyte assays

How the test is performed

Blood is drawn from a vein, usually from the inside of the elbow or the back of the hand. The site is cleaned with germ-killing medicine (antiseptic). The health care provider wraps an elastic band around the upper arm to apply pressure to the area and make the vein swell with blood.

Next, the health care provider gently inserts a needle into the vein. The blood collects into an airtight vial or tube attached to the needle. The elastic band is removed from your arm.

Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.

Blood could also be obtained by capillary sample(fingerstick, or heelstick in infants).

After the blood is drawn it goes through a two-step process. First, the lymphocytes are separated from other blood parts. Once the cells are separated, identifiers are added to distinguish between T and B cells. The E-rosetting test identifies T cells and direct immunofluorescence is used to identify B cells.

How to prepare for the test

Tell your health care provider if you have had any of the following, which might affect your T and B cell count:

How the test will feel

When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.

Why the test is performed

Your doctor may order this test if you have signs of certain diseases that weaken the immune system. It may also be used to distinguish between cancerous and noncancerous disease, especially cancers that involve the blood and bone marrow.

The test may also be used to determine how well treatment for certain conditions is working.

Normal Values

Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.

What abnormal results mean

Abnormal T and B cell counts suggest possible diseases. Further testing is needed to confirm a diagnosis.

An increased T cell count may be due to:

An increased B cell count may be due to:

A decreased T cell count may be due to:

  • Congenital T-cell deficiency disease
    • Nezelof syndrome
    • DiGeorge syndrome
    • Wiskott-Aldrich syndrome
  • Acquired T-cell deficiency states
  • B cell proliferative disorders

A decreased B cell count may be due to:

  • Acute lymphoblastic leukemia
  • Congenital immunoglobulin deficiency disorders
  • Acquired immunoglobulin deficiency disorders
What the risks are

Veins and arteries vary in size from one patient to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.

Other risks associated with having blood drawn are slight but may include:

  • Excessive bleeding
  • Fainting or feeling light-headed
  • Hematoma (blood accumulating under the skin)
  • Infection (a slight risk any time the skin is broken)
References

Bagby GC. Leukopenia and leukocytosis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 173.

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13y ago
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User Avatar

Wiki User

12y ago
Definition

A B and T cell screen is a laboratory test to determine the amount of T and B cells (lymphocytes) in the blood.

Alternative Names

Direct immunofluorescence; E-rosetting; T and B lymphocyte assays; B and T lymphocyte assays

How the test is performed

A blood sample is needed. For information on how this is done, see: Venipuncture

Blood could also be obtained by capillary sample(fingerstick, or heelstick in infants).

After the blood is drawn it goes through a two-step process. First, the lymphocytes are separated from other blood parts. Once the cells are separated, identifiers are added to distinguish between T and B cells. The E-rosetting test identifies T cells and direct immunofluorescence is used to identify B cells.

How to prepare for the test

Tell your health care provider if you have had any of the following, which might affect your T and B cell count:

How the test will feel

When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.

Why the test is performed

Your doctor may order this test if you have signs of certain diseases that weaken the immune system. It may also be used to distinguish between cancerous and noncancerous disease, especially cancers that involve the blood and bone marrow.

The test may also be used to determine how well treatment for certain conditions is working.

Normal Values

Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your doctor about the meaning of your specific test results.

What abnormal results mean

Abnormal T and B cell counts suggest a possible disease. Further testing is needed to confirm a diagnosis.

An increased T cell count may be due to:

An increased B cell count may be due to:

A decreased T cell count may be due to:

  • Congenital T-cell deficiency disease
    • Nezelof syndrome
    • DiGeorge syndrome
    • Wiskott-Aldrich syndrome
  • Acquired T-cell deficiency states
  • B cell proliferative disorders
    • Chronic lymphocytic leukemia
    • Waldenstrom's macroglobulinemia

A decreased B cell count may be due to:

What the risks are

Veins and arteries vary in size from one patient to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.

Other risks associated with having blood drawn are slight but may include:

  • Excessive bleeding
  • Fainting or feeling light-headed
  • Hematoma (blood accumulating under the skin)
  • Infection (a slight risk any time the skin is broken)
References

Marks PW, Rosenthal DS. Hematologic manifestations of systemic disease: infection, chronic inflammation, and cancer. In: Hoffman R, Benz EJ Jr, Shattil SJ, et al, eds. Hoffman Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa: Churchill Livingstone Elsevier; 2008:chap 157.

Reviewed By

Review Date: 08/24/2011

David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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Continue Learning about Biology

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B lymphocyte (B Cell)


What is meant by T cell priming?

The first contact of a T or B cell with its specific antigen is called priming. It causes differentiation into effector T or B cells.


What are the differences between Bcell receptors and Tcell receptors?

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What is the difference between a B cell and a memory B cell?

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Related questions

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Which two mature blood cell types descend from myeloblasts?

B lymphocyte (B Cell)


What disease has a b cell and t cell deficiency?

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What binds with and releases chemicals that activate B cell and T cell and and macrophages?

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What is meant by T cell priming?

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What determines if a lymphocyte becomes a B cell or a T cell?

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Chemical messages called cytokines that are released by the t cell. These cytokines activate transcription factors that induce B cell proliferation.


A white blood cell necessary for B cells to develop normal levels of antibodies?

Well firstly an antigen presenting cell like dendritic cell or macrophage is needed. Secondly you also need a T cell that is complementary to the B cell. B cell will only become plasma cell when it receives the full signal 1. Stimuli: CD4 from T cell interacting with BcR/antigen complex on B cell 2. Co-stimuli: CD40L (CD154) on T cell interacting with CD40 on B cell This interaction allows T cell to secrete IL4, this binds to IL4R on B cell thus receive signal for proliferating and differentiating.


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