CD58 (Leukocyte Common Antigen-Related Protein) in Blood Cells
This test measures the presence of CD58, a protein found on the surface of certain white blood cells, which plays a role in immune function and cell adhesion.
["CD58 helps regulate immune responses and cell interactions; levels may be assessed in certain blood disorders or immune evaluations."]
Key facts at a glance
- LOINC
- 17176-9
- Short code
- CD58
- Synonyms
- CD58 Cells NFr Bld
- Category
- chemistry
- Sample
- whole-blood
- Container
- EDTA (purple-top) anticoagulant tube; ACD (yellow-top) tube is also acceptable for flow cytometry immunophenotyping. Heparinized tubes may be used but are not preferred for lymphocyte subset analysis.
- Units
- N/A
- Ref low
- 95
- Ref high
- 100
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 0–120 years
- Method
- Flow cytometry (immunofluorescence) using fluorescently labeled monoclonal antibodies directed against CD58 (LFA-3) surface antigen, analyzed on whole blood leukocyte populations.
- CPT
- 88184 (Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker); additional markers billed with 88185.
- SNOMED
- 395126002 | Leukocyte surface marker finding (finding) |; CD58 antigen = 117449002
- Specimen volume
- 3-5 mL of whole blood for adults; 1-2 mL for pediatric patients collected in microtainer tubes.
- Stability
- Specimen should be processed within 24-48 hours of collection when stored at room temperature (18-25°C). Do not refrigerate or freeze whole blood specimens intended for flow cytometry, as this may cause cell clumping and loss of surface antigen expression. If processing is delayed beyond 48 hours, viability and antigen expression may be compromised.
- Hemolysis max
- 0
- Lipemia max
- 0
- Icterus max
- 0
- TAT
- 24–72 hours
- Order
- routine
Why This Test Might Be Ordered
Your healthcare provider may recommend this test if you have symptoms or conditions linked to immune system dysfunction, such as chronic infections, autoimmune diseases, or certain blood disorders. It may also be part of a broader evaluation for conditions affecting white blood cell function or immune checkpoint modulation.
What to Expect Before the Test
No special preparation is typically needed. You may have a simple blood draw from a vein in your arm. If you’re taking blood-thinning medications, let your provider know before the test.
What the Test Results Mean
CD58 levels can vary depending on immune activity, health status, and other factors. Abnormal results may suggest immune dysregulation, but they are not standalone diagnoses. Your provider will interpret results in the context of your medical history and symptoms.
Common Conditions Monitored
This test is less commonly used for routine screening but may be part of investigations for conditions like severe combined immunodeficiency (SCID), certain lymphoproliferative disorders, or immune checkpoint inhibitor-related adverse effects.
Reference range
CD58 expression is normally present on most nucleated cells of hematopoietic origin including lymphocytes, monocytes, granulocytes, and erythroid precursors. Results are reported as percentage of CD58-positive cells within the gated leukocyte population and/or as absolute count per microliter. Reference ranges vary by laboratory and age; typical adult reference range is approximately 95-100% expression on lymphocytes and monocytes.N/A
No special patient preparation is required. Fasting is not necessary. Patients should be well-hydrated. Inform the laboratory of any recent immunosuppressive therapy, chemotherapy, or monoclonal antibody treatment, as these may alter lymphocyte subset distribution.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Short name
CD58 Level
Frequently asked questions
What might cause abnormal CD58 levels?
How often is this test repeated?
Does this test require fasting?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy