Evidence map›Paper›PMID 41770229›Full record

ArticleCurrent medical science2026

Using Immune Clusters for Classifying Heterogeneity of Immunity in Healthy Adults.

Xiao-Hui Wu, Yi Huang, Si-Yu Zou, Kai-Shan Jiang, Shi-Ji Wu, Hong-Yan Hou, Feng Wang

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Article in Current medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Xiao-Hui Wu *Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Yi Huang *Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Si-Yu ZouDepartment of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Kai-Shan JiangDepartment of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Shi-Ji WuDepartment of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Hong-Yan HouDepartment of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Feng WangDepartment of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. fengwang@tjh.tjmu.edu.cn.ORCID http://orcid.org/0000-0001-6324-9135

Funding

National Key R&D Program of China 2022YFA1303500National Natural Science Foundation of China 82372324
6 · The paper itself

Abstract

objectiveQuantification of immunity is a challenge in clinical practice due to the complexity and heterogeneity of immune cells. This study aimed to establish comprehensive reference ranges for immune indicators and characterize immune heterogeneity in healthy adults.

methodsA total of 115 healthy adults aged 18-65 years were enrolled. Sixty immune indicators encompassing natural immunity (NK cells, monocytes, dendritic cells, myeloid-derived suppressor cells), cellular immunity (T cells, regulatory T cells, T follicular helper cells, T helper cells), and humoral immunity (B cells), along with nutritional and metabolic indicators, were simultaneously detected. Flow cytometry was used to measure the number, phenotype, and functional subsets of immune cells. Unsupervised k-means clustering was performed to identify immune subtypes. RNA-sequencing was conducted on representative individuals from each cluster for transcriptomic validation.

resultsThe reference ranges for 60 immune indicators were established, with over half (38/60) exhibiting coefficient of variation > 30%, indicating substantial heterogeneity. Gender differences were minimal, whereas age-related changes were pronounced in adaptive immune cells. Specifically, human leukocyte antigen DR-positive (HLA-DR

conclusionThis study provides a systematic framework for immunity quantification by establishing reference ranges and classifying healthy adults into three immune subtypes with distinct metabolic and transcriptomic features. These findings could enhance understanding of immune heterogeneity in healthy individuals and guide personalized immune monitoring and intervention strategies in clinical practice.

Indexed as

Immunity, CellularAdolescentAdultAgedCluster AnalysisClustering AlgorithmsDendritic CellsFemaleFlow CytometryHumansImmunity, HumoralKiller Cells, NaturalMaleMiddle AgedReference ValuesYoung AdultClustering analysisHealthy adultsImmune characteristicsImmune heterogeneityLymphocytesNutritional indicatorsPrediction model

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.