The present disclosure relates to methods for testing the health of a subject's
immune system and treating the subject based on the condition of the
immune system. In particular, disclosed herein is a method comprising the steps of obtaining a sample of blood from the subject, reverse transcribing
DNA from
RNA in the sample; amplifying all seven chains of T and
B cell receptors in the
DNA sample using
multiplex PCR to form amplicons; sequencing the amplicons to generate a sequencing
library; identifying nodetypes, clonotypes, v genes, d genes, and j genes and corresponding read counts in the sequencing
library; performing the foregoing steps using two or more healthy samples to form a
consensus reference
pool; identifying the number of nodetypes associated with each V
gene sequence in the
consensus reference
pool and in the subject's sequencing
library; comparing the number of nodetypes for each V
gene in the
consensus reference
pool and the subject's sequencing library; and treating the subject if the number of nodetypes is significantly less than the number of nodetypes for V genes in the consensus reference pool. The disclosed method is able to identify gaps in an individual's
immune system and treat that individual to improve the diversity of the individual's immune response.