The presence or amount of inflammation of a patient is determined by comparing the extent of opsonin receptor expression on phagocytes of a patient with the maximum opsonin receptor expression inducible on phagocytes of the patient in vitro after stimulation with a receptor expression priming agent. Preferably, the state of inflammation of a patient is determined by contacting a first portion of a phagocyte containing biological sample from the patient with an opsonified oxidative metabolism stimulating agent capable of eliciting metabolic activation and with a chemiluminigenic substrate, contacting a second portion of the biological sample from the patient with an opsonin receptor expression priming agent, an opsonified oxidative metabolism stimulating agent capable of eliciting metabolic activation and a chemiluminigenic substrate, and then comparing the chemiluminescence response of the first and second portions of the sample as a measure of the immune response potential or state of inflammation of the patient. Phagocyte function is additionally quantitatively evaluated by measuring the phagocyte oxygenation capacity of a maximally opsonin receptor primed and stimulated biological sample of a patient, determining the specific oxygenation capacity to a set of controls representing the normal distribution of specific oxygenation capacity established from testing a large population. The phagocyte-specific oxygenation capacity is determined by contacting the sample with an opsonin receptor expression priming agent, an opsonified oxidative metabolism stimulating agent and a chemiluminigenic substrate, measuring the chemiluminescence response of the sample, determining the chemiluminescence response per phagocyte of the sample and comparing the response per phagocyte with that of the normal range of values. Kits and reagents are provided for use in the practice of the disclosed methods.
患者是否存在炎症或炎症的程度,可通过比较患者吞噬细胞上蛋白溶解素受体的表达程度与患者吞噬细胞在体外受受体表达启动剂刺激后可诱导的最大蛋白溶解素受体表达量来确定。患者的炎症状态最好是通过以下方式确定:将患者含有吞噬细胞的
生物样本的第一部分与能够引起代谢活化的蛋白氧化代谢刺激剂和
化学发光底物接触,再将患者
生物样本的第二部分与蛋白吸附素受体表达启动剂接触、然后比较样本第一部分和第二部分的
化学发光反应,以此衡量患者的免疫反应潜力或炎症状态。此外,还可通过测量患者最大程度的蛋白溶素受体引物和刺激
生物样本的吞噬细胞氧合能力来定量评估吞噬细胞功能,确定与一组对照组相比的特异性氧合能力,这组对照组代表了通过测试大量人群而确定的特异性氧合能力的正常分布。确定吞噬细胞特异性氧合能力的方法是:将样本与一种鸦片素受体表达引物、一种鸦片氧化代谢刺激物和一种
化学发光底物接触,测量样本的
化学发光反应,确定样本中每个吞噬细胞的
化学发光反应,并将每个吞噬细胞的反应与正常值范围的反应进行比较。提供的试剂盒和试剂可用于所公开方法的实践。