RT Journal Article SR Electronic T1 No cell is an island: circulating T cell:monocyte complexes are markers of immune perturbations JF bioRxiv FD Cold Spring Harbor Laboratory SP 411553 DO 10.1101/411553 A1 Julie G. Burel A1 Mikhail Pomaznoy A1 Cecilia S. Lindestam Arlehamn A1 Daniela Weiskopf A1 Ricardo da Silva Antunes A1 Yunmin Jung A1 Mariana Babor A1 Veronique Schulten A1 Grégory Seumois A1 Jason A. Greenbaum A1 Sunil Premawansa A1 Gayani Premawansa A1 Ananda Wijewickrama A1 Dhammika Vidanagama A1 Bandu Gunasena A1 Rashmi Tippalagama A1 Aruna D. deSilva A1 Robert H. Gilman A1 Mayuko Saito A1 Randy Taplitz A1 Klaus Ley A1 Pandurangan Vijayanand A1 Alessandro Sette A1 Bjoern Peters YR 2019 UL http://biorxiv.org/content/early/2019/02/21/411553.abstract AB Our results highlight for the first time that a significant proportion of cell doublets in flow cytometry, previously believed to be the result of technical artefacts and thus ignored in data acquisition and analysis, are the result of true biological interaction between immune cells. In particular, we show that cell:cell doublets pairing a T cell and a monocyte can be directly isolated from human blood, and high resolution microscopy shows polarized distribution of LFA1/ICAM1 in many doublets, suggesting in vivo formation. Intriguingly, T cell:monocyte complex frequency and phenotype fluctuate with the onset of immune perturbations such as infection or immunization, reflecting expected polarization of immune responses. Overall these data suggest that cell doublets reflecting T cell-monocyte in vivo immune interactions can be detected in human blood and that the common approach in flow cytometry to avoid studying cell:cell complexes should be revisited.