In vitro analysis of birch-pollen-associated food allergy by use of recombinant allergens in the basophil activation test
| Autor: | I. Sauer, Stephan Erdmann, R. Kwiecien, B. Sachs, S. Moll-Slodowy, H.F. Merk, Karin Hoffmann-Sommergruber, Bernhard Maderegger, A. Schmidt, Otto Scheiner |
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| Rok vydání: | 2004 |
| Předmět: |
Immunology
Platelet Membrane Glycoproteins Basophil Biology In Vitro Techniques Sensitivity and Specificity law.invention In vitro analysis Food allergy law Antigens CD medicine Immunology and Allergy Humans Betula Plant Proteins Skin Tests CD63 Tetraspanin 30 Antibodies Monoclonal General Medicine Allergens Antigens Plant Immunoglobulin E medicine.disease Flow Cytometry In vitro Recombinant Proteins Basophils Europe Basophil activation Birch pollen medicine.anatomical_structure Recombinant DNA Pollen Food Hypersensitivity |
| Zdroj: | International archives of allergy and immunology. 136(3) |
| ISSN: | 1018-2438 |
| Popis: | Background: Basophil activation is associated with the expression of CD63. In birch-pollen-associated food allergy to celery, carrot and apple, Bet v 1, Api g 1, Dau c 1 and Mal d 1 are major allergens. Recombinant allergens have not yet been used in the CD63-based basophil activation test (BAT). Objective: To evaluate the feasibility of using recombinant allergens in the BAT in the diagnosis of allergy to apple, carrot and celery and to compare results with routine tests, i.e. skin prick tests (SPTs) and specific IgE. Methods: Thirty-two patients with an oral allergy syndrome induced by apple, carrot or celery and 22 controls were studied. SPTs were performed with native foods. Specific IgE was determined by the CAP method and basophil activation by flowcytometry upon double staining with anti-IgE/anti-CD63 monoclonal antibodies after incubating with purified recombinant Bet v 1, Bet v 2, Api g 1, Dau c 1 and Mal d 1. Results: By the combined use of the BAT and the CAP method, sensitization to Bet v 1 and Bet v 2 was detected in 100 and 25% of all subjects, respectively. Sensitivity of specific IgE for apple, carrot and celery was 60, 70 and 75% with corresponding specificities of 64, 86 and 82%. Sensitivity of the BAT for Mal d 1, Dau c 1 and Api g 1 was 75, 65 and 75% with corresponding specificities of 68, 100 and 77%. Conclusions: The BAT using recombinant allergens provides a valuable new in vitro method for the detection of sensitization to foods. Although double-blind placebo-controlled food challenges remain the gold standard to confirm food allergy, the CD63-based BAT with recombinant allergens may supplement routine tests for allergy diagnosis. |
| Databáze: | OpenAIRE |
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