[26] The RAST principle and the use of mixed-allergen RAST as a screening test for IgE-mediated allergies

Autor: T.G. Merrett, J. Merrett
Rok vydání: 1980
Předmět:
Zdroj: Methods in Enzymology ISBN: 9780121819705
DOI: 10.1016/s0076-6879(80)70065-4
Popis: Publisher Summary This chapter describes the radioallergosorbent test (RAST) principle and the preparation of RAST reagents. The chapter discusses how a variant of this test— the mixed RAST technique— can be used as a valuable screening test for atopic allergy. RAST is a solid-phase sandwich RIA. It is a direct assay, eliminates nonspecific serum effects, and measures biologically active allergen-specific IgE sandwiched between allergen and Fc-specific anti-IgE antibodies. In principle, the RAST is similar to the red-cell-linked antigen-antiglobulin reaction (RCLAAR). In RAST test, an excess of insolubilized allergen is incubated with the test serum and binds allergen-specific antibodies, including those of the IgE class. The presence of specific IgE antibodies complexed with allergen is tested, by incubating 125I-labeled, immunosorbent-purified anti-IgE, with the washed complex. The radioactivity associated with the complex is determined after a further washing step and is compared with the results obtained, using reference data. An excess of allergen and labeled anti-IgE is used in the test in order to minimize interference by non-IgE antibodies. The test is semiquantitative because the composition of allergen extracts can vary from batch to batch and test sera can contain IgE antibodies with a range of titers and avidities.
Databáze: OpenAIRE