Association of neutrophil-to-lymphocyte ratio and natural killer cell activity revealed by measurement of interferon-gamma levels in a healthy population

J Clin Lab Anal. 2019 Jan;33(1):e22640. doi: 10.1002/jcla.22640. Epub 2018 Aug 13.

Abstract

Background: While a method of assaying natural killer (NK) cell activity by measuring the amount of interferon (IFN)-γ released from NK cells has been proposed, no data are available about the factors that influence IFN-γ levels related to NK cell activity. NLR has recently been reported to be a predictor of several diseases. In the present study, we investigated the pre-analytical variables for NK cell activity using measurements of IFN-γ and the relationship between NLR and NK cell activity.

Methods: The NK cell activity was assessed with the measurement of IFN-γ after stimulation with an NK cell-specific stimulant (NK Vue , ATgen, Sungnam, Korea). One hundred and six adult volunteers were recruited and analysis of their complete blood count data and serum C-reactive protein was done. Blood sample from 59 of the participants was also used for analysis of lymphocyte subpopulations.

Result: Natural killer cell activity varied widely (range, 44.2-1775.6 pg/mL). NK cell activity was higher in females than in males (P = 0.014). NK cell activity decreased with increasing NLR (P = 0.004, r = -0.32) but NK cell activity showed no significant association with NK cell count or other lymphocyte subpopulations. NK cell activity levels according to CRP quartile were significantly different (P = 0.025).

Conclusion: We have observed that NK cell activity when assessed by IFN-γ level measurement was negatively correlating with NLR. This result can be helpful in interpreting or predicting NK cell activity in the clinical environment.

Keywords: NK cell; NK cell activity; immunoregulation; interferon gamma; neutrophil-to-lymphocyte ratio.

MeSH terms

  • Adult
  • Biomarkers / blood
  • Blood Chemical Analysis / standards
  • Blood Chemical Analysis / statistics & numerical data
  • Female
  • Humans
  • Interferon-gamma / blood*
  • Interferon-gamma / immunology
  • Killer Cells, Natural / cytology*
  • Killer Cells, Natural / immunology
  • Leukocyte Count / standards
  • Leukocyte Count / statistics & numerical data
  • Lymphocytes / cytology*
  • Lymphocytes / immunology
  • Male
  • Neutrophils / cytology*
  • Neutrophils / immunology
  • Reference Standards
  • Young Adult

Substances

  • Biomarkers
  • Interferon-gamma