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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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TGAB<br />

84382<br />

36-55 years: 142-844 cells/mcL<br />

56-70 years: 58-680 cells/mcL<br />

Reference values have not been established for patients that are 70 years of age.<br />

CD8 RTE %<br />

1 month-17 years: 0.1-1.7%<br />

18-45 years: 0.0-0.6%<br />

>46-70 years: 0.0-0.3%<br />

Reference values have not been established for patients that are 70 years of age.<br />

CD8 RTE Absolute<br />

1 month-17 years: 0.2-4.3 cells/mcL<br />

18-25 years: 0.0-3.4 cells/mcL<br />

26-50 years: 0.0-2.5 cells/mcL<br />

51-70 years: 0.0-0.7 cells/mcL<br />

Reference values have not been established for patients that are 70 years of age.<br />

Clinical References: 1. Douek DC, McFarland RD, Keiser PH, et al: Changes in thymic function<br />

with age and during the treatment of HIV infection. Nature 1998;396:690-694 2. Hazenberg MD,<br />

Verschuren MC, Hamann D, et al: T cell receptor excision circles as markers for recent thymic emigrants:<br />

basic aspects, technical approach, and guidelines for interpretation. J Mol Med 2001;79:631-640 3.<br />

Hassan J, Reen DJ: Human recent thymic emigrants-identification, expansion, and survival<br />

characteristics. J Immunol 2001;167:1970-1976 4. Kimmig S, Przybylski GK, Schmidt CA, et al: Two<br />

subsets of naïve T-helper cells with distinct T-cell receptor excision circle content in human adult<br />

peripheral blood. J Exp Med 2002;195(6):789-794 5. McFarland RD, Douek DC, Koup RA, et al:<br />

Identification of human recent thymic emigrant phenotype. Proc Natl Acad Sci 2000;97(8):4215-4220 6.<br />

Junge S, Kloeckener-Gruissem B, Zufferey R, et al: Correlation between recent thymic emigrants and<br />

CD31+ (PECAM-1) CD4 T-cells in normal individuals during aging and in lymphopenic children. Eur J<br />

Immunol 2007;37:3270-3280 7. Dong X, Hoeltzle MV, Abraham RS: Evaluation of CD4 and CD8 recent<br />

thymic emigrants in healthy adults and children. Unpublished data 2008 8. Duszczyszyn DA, Beck JD,<br />

Antel J, et al: Altered naive CD4 and CD8 T-cell homeostasis in patients with relapsing-remitting<br />

multiple sclerosis: thymic versus peripheral (non-thymic) mechanisms. Clin Exp Immunol<br />

2005;143:305-313<br />

Thyroglobulin Antibody, Serum<br />

Clinical Information: Thyroglobulin autoantibodies bind thyroglobulin (Tg), a major<br />

thyroid-specific protein. Tg plays a crucial role in thyroid hormone synthesis, storage, and release.<br />

Noniodinated Tg is actively transported from thyrocyte cytosol to the thyroid follicular lumen. At the<br />

extracellular apical villae-follicular luminal interface, thyroid peroxidase (TPO) catalyzes the iodination<br />

of tyrosine and thyronine residues of Tg. This is followed by intramolecular coupling of pairs of monoand<br />

diiodotyrosines to form thyroid hormones, predominately thyroxine (T4) or, to lesser degree,<br />

triiodothyronine (T3). The iodinated Tg is stored in the follicular lumen, forming the colloid. For thyroid<br />

hormone release, colloid is reabsorbed at the apical membrane and proteolyzed. Iodinated tyrosine<br />

residues are deiodinated and recycled for synthesis of new Tg molecules, while the bulk of T3 and T4<br />

residues are secreted from the basal membrane into the systemic circulation. Tg is not secreted into the<br />

systemic circulation under normal circumstances. However, follicular destruction through inflammation<br />

(thyroiditis and autoimmune hypothyroidism), hemorrhage (nodular goiter), or rapid disordered growth of<br />

thyroid tissue, as may be observed in Graves disease or follicular cell-derived thyroid neoplasms, can<br />

result in leakage of Tg into the blood stream. This results in the formation of autoantibodies to Tg in some<br />

individuals. The same processes also may result in exposure of other "hidden" thyroid antigens to the<br />

immune system, resulting in the formation of autoantibodies to other thyroid antigens, in particular TPO.<br />

Since anti-Tg and anti-TPO autoantibodies are observed most frequently in autoimmune thyroiditis<br />

(Hashimoto's disease), they were originally considered to be of possible pathogenic significance in this<br />

Current as of January 3, 2013 2:22 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong>Laboratories.com Page 1750

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