Source:http://linkedlifedata.com/resource/pubmed/id/17414933
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2007-6-26
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pubmed:abstractText |
Simple affordable CD4 cell counting is urgently needed to stage and monitor HIV-infected patients in resource-limited settings. To address the limitations of current approaches, we designed a simple, label-free, and cost-effective CD4 cell counting device using microfluidic technology. We previously described the fabrication of a microfluidic system for high-efficiency isolation of pure populations of CD4+ T cells based on cell affinity chromatography operated under controlled flow. Here, we compare the performance of a microfluidic CD4 cell counting device against standard flow cytometry in 49 HIV-positive subjects over a wide range of absolute CD4 cell counts. We observed a close correlation between CD4 cell counts from the microchip device and measurements by flow cytometry, using unprocessed whole blood from HIV-positive adult subjects. Sensitivities for distinguishing clinically relevant thresholds of 200, 350, and 500 cells/microL are 0.86, 0.90, and 0.97, respectively. Specificity is 0.94 or higher at all thresholds. This device can serve as a functional cartridge for fast, accurate, affordable, and simple CD4 cell counting in resource-limited settings.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
1525-4135
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
45
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
257-61
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pubmed:meshHeading |
pubmed-meshheading:17414933-Adult,
pubmed-meshheading:17414933-Antibodies, Monoclonal,
pubmed-meshheading:17414933-CD4 Lymphocyte Count,
pubmed-meshheading:17414933-Female,
pubmed-meshheading:17414933-Flow Cytometry,
pubmed-meshheading:17414933-HIV,
pubmed-meshheading:17414933-HIV Antibodies,
pubmed-meshheading:17414933-HIV Seropositivity,
pubmed-meshheading:17414933-Humans,
pubmed-meshheading:17414933-Male,
pubmed-meshheading:17414933-Microfluidic Analytical Techniques,
pubmed-meshheading:17414933-Middle Aged,
pubmed-meshheading:17414933-Monitoring, Immunologic,
pubmed-meshheading:17414933-Sensitivity and Specificity
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pubmed:year |
2007
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pubmed:articleTitle |
A microchip approach for practical label-free CD4+ T-cell counting of HIV-infected subjects in resource-poor settings.
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pubmed:affiliation |
Surgical Services and Center for Engineering in Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
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pubmed:publicationType |
Journal Article,
Comparative Study
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