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ABSTRACTS – ORAL PRESENTATIONS - AMCA, spol. s r.o.

ABSTRACTS – ORAL PRESENTATIONS - AMCA, spol. s r.o.

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P43. HIERARCHICAL CLUSTER ANALYSIS OF 14-PARAMETER FLOW CYTOMETRY<br />

IMMUNOPHENOTYPING IDENTIFIES SHIFTS IN THE CIRCULATING T-CELL<br />

COMPARTMENT FOLLOWING REPERFUSION IN PATIENTS WITH ACUTE MYOCARDIAL<br />

INFARCTION.<br />

Karel Fišer 1 , Jedrzej Hoffmann 2 , Jolanta Weaver 4 , Ian Dimmick 2 , Monika Loeher 2 ,<br />

Hanspeter Pircher 5 , Carmen Martin-Ruiz 3 , Murugapathy Veerasamy 2 , Bernard Keavney 2 ,<br />

Thomas von Zglinicki 3 , Ioakim Spyridopoulos 2<br />

1<br />

CLIP – Childhood Leukaemia Investigation Prague, Department of Paediatric<br />

Haematology and Oncology, 2 nd Faculty of Medicine, Charles University and University<br />

Hospital Motol, Prague, Czech Republic, karel.fiser@lfmotol.cuni.cz<br />

2<br />

Institute of Genetic Medicine, Newcastle University, Newcastle, United Kingdom,<br />

3<br />

Institute of Ageing and Health, Newcastle University, Newcastle, United Kingdom,<br />

4<br />

Institute of Cellular Medicine, Newcastle University, Newcastle, United Kingdom,<br />

5<br />

Department of Immunology, Institute of Medical Microbiology and Hygiene, Freiburg<br />

University, Freiburg, Germany<br />

In patients with acute ST-elevation myocardial infarction (STEMI) reopening of the infarct<br />

related coronary vessel by primary percutaneous coronary intervention (PPCI) is the<br />

most effective treatment strategy. However it bears its risks as the following myocardial<br />

reperfusion can induce myocardial injury and cell death. Therefore, future therapies<br />

for STEMI have to target causes of post-infarction heart failure, including myocardial<br />

reperfusion injury.<br />

We used 14-parameter flow cytometry immunophenotyping to investigate the<br />

involvement of T cell subtypes in reperfusion after PPCI. Using hierarchical cluster<br />

analysis (HCA) we identified a unique CD4(+)CD57(+) T-cell population in PPCI patients<br />

that reflected acute proliferation in the CD4(+) T-cell compartment. We also marked<br />

contraction of effector T cells in STEMI patients with CMV positivity, possibly contributing<br />

to development of immunosenescence in these patients.<br />

In summary, high-throughput polychromatic flow cytometry and HCA are capable of<br />

objective, time and cost efficient assessment of the individual T-cell immune profile in<br />

different stages of coronary heart disease and have broad applications in clinical trials.<br />

Acknowledgements<br />

This work was supported by University research centre (UNCE) grant, UNCE 204012.<br />

Analytical Cytometry VII 139

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