Briefly, peripheral elbow venous blood (5 ml) was obtained from all patients within 24 h after admission. The samples were collected in tubes with heparin and added with 5 ml phosphate buffer (PBS) and then centrifuged at 1500 g for 10 min. The cell layer was then collected, added with 5 ml PBS, following with centrifugation at 1200 g for 5 min. After removing the supernatant and washing with PBS, the samples were further centrifuged at 1000 g for 2 min to obtain the peripheral blood mononuclear cells. The cells with density of 1 × 106/ml were maintained in RPMI-1640 Medium (Sigma-Aldrich, St. Louis, MO, USA).
For measurement of PD-1+ and LAG-3+ T cells, flow cytometry was performed as described elsewhere [17 (link), 18 (link)]. Antibodies used in this study included anti-CD4, anti-CD8, anti-PD-1 and anti-LAG-3 (all purchased from Abcam, USA). The measurement was conducted on a FACS Calibur flow cytometry analyzer (BD Biosciences) using Diva software (version 6.1, BD Pharmingen).
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