Controls |
1. Perform CDR3 spectratyping on the CD4+-T-cell subsets of ≥10 healthy controls. Fetal thymocytes or cord blood also make excellent controls but frequently are more difficult to obtain. Spectratyping on a capillary-based instrument such as the ABI model 310 Genetic Analyzer yields reproducible fluorescence intensity and fragment length data. |
|
2. Import the spectratyping data into a database application such as Microsoft Access. |
|
3. For each Vβ family, identify the discrete nucleotide ranges that comprise each CDR3 length. |
|
4. Compute the mean and standard deviation for each CDR3 length. |
Test samples |
1. Perform CDR3 spectratyping on the samples. |
|
2. Import the spectratyping data into a database application such as Microsoft Access. |
|
3. For each CDR3 length in a sample, compute a sample-to-control ratio by dividing the sample value by the control mean. |
|
4. Next, for each Vβ family, calculate the median sample-to-control ratio. |
|
5. Multiply each CDR3 length proportion in each Vβ family by its respective median sample-to-control ratio. This achieves a standardization of sample values based on a common control set. |
|
6. Establish and apply a criterion that defines clonal expansions. Values that exceed the control means by more than 3 standard deviations are statistically significant (P < 0.05). Biological significance may vary depending on the context, thus necessitating adjustment of the expansion definition in some instances. |