
7 Modelling Lymphocyte Dynamics In Vivo 153
and
l D
pc
ı
.1 e
ı
/e
ı.t/
after label administration .t /: (7.12)
where represents the time point at which label administration is stopped.
If labelling is performed with deuterated water then, as mentioned above, the
availability of deuterium needs to be explicitly taken into account. To this end, the
heavy water enrichment in the serum of mice or the urine of humans can be mea-
sured and fitted to a simple exponential accrual and loss function:
D.t/ D f.1 e
t
/ C ˇe
t
during label administration .t < /
(7.13)
and
D.t/ D .f .1 e
/ C ˇe
/ e
.t/
after label administration .t /;
where f represents the fraction of deuterated water in the drinking water, t denotes
time in days, represents the turnover rate of body water per day, and ˇ is the
body water enrichment that is attained after a boost of label by the end of day 0.
These equations can be substituted into (7.11) (and solved) to obtain a model for
label enrichment in deuterated water experiments [36], which is an extension of the
deuterated glucose model [37].
Equation (7.11) shows that in the absence of label, i.e. when D D 0, the decay of
labelled DNA directly reflects the loss of labelled cells ı, and not – as in the case of
BrdU – the difference between cell loss and proliferation. Typically, the loss rate of
labelled cells ı appears to be several-fold higher than the estimated rate p at which
cells proliferate. Although at first sight this may seem surprising for a population
at steady state, the kinetics of cells that have recently divided (and hence picked up
label) may be intrinsically different from those that have not [37,39,40]. It has been
shown that cells that have recently divided are more likely to undergo activation-
induced cell death than cells that have not. Even in the absence of such differences,
the loss of label may exceed the accrual of label, because the uplabelling phase is
representative of the cell population as a whole, including cells that will and cells
that will not go into division during the labelling period. Loss rates, on the other
hand, are based on the loss of cells that have picked up the label, and hence only
involve the part of the lymphocyte pool that has recently divided. As a consequence,
especially in short-term labelling experiments, rapidly turning over cells are over-
represented during the downlabelling phase. Long labelling periods will give rise
to lower rates of T cell loss, because the population that has picked up the label
becomes more representative of the T cell population as a whole. Indeed, meta-
analysis of stable isotope labelling studies with different labelling periods showed
a negative correlation between the length of the labelling period and the estimated
death rate [37]. Importantly, however, the average proliferation rate – which is esti-
mated from the uplabelling phase – should in principle not be affected by the length
of the labelling period.