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In vitro analysis of birch-pollen-associated food allergy by use of recombinant allergens in the basophil activation test.
Int Arch Allergy Immunol. 2005 Mar; 136(3):230-8.IA

Abstract

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.

Authors+Show Affiliations

Department of Dermatology and Allergology, University Hospital of Aachen, Aachen, Germany. serdmann@ukaachen.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15713985

Citation

Erdmann, S M., et al. "In Vitro Analysis of Birch-pollen-associated Food Allergy By Use of Recombinant Allergens in the Basophil Activation Test." International Archives of Allergy and Immunology, vol. 136, no. 3, 2005, pp. 230-8.
Erdmann SM, Sachs B, Schmidt A, et al. In vitro analysis of birch-pollen-associated food allergy by use of recombinant allergens in the basophil activation test. Int Arch Allergy Immunol. 2005;136(3):230-8.
Erdmann, S. M., Sachs, B., Schmidt, A., Merk, H. F., Scheiner, O., Moll-Slodowy, S., Sauer, I., Kwiecien, R., Maderegger, B., & Hoffmann-Sommergruber, K. (2005). In vitro analysis of birch-pollen-associated food allergy by use of recombinant allergens in the basophil activation test. International Archives of Allergy and Immunology, 136(3), 230-8.
Erdmann SM, et al. In Vitro Analysis of Birch-pollen-associated Food Allergy By Use of Recombinant Allergens in the Basophil Activation Test. Int Arch Allergy Immunol. 2005;136(3):230-8. PubMed PMID: 15713985.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - In vitro analysis of birch-pollen-associated food allergy by use of recombinant allergens in the basophil activation test. AU - Erdmann,S M, AU - Sachs,B, AU - Schmidt,A, AU - Merk,H F, AU - Scheiner,O, AU - Moll-Slodowy,S, AU - Sauer,I, AU - Kwiecien,R, AU - Maderegger,B, AU - Hoffmann-Sommergruber,K, Y1 - 2005/02/15/ PY - 2004/07/13/received PY - 2004/09/22/accepted PY - 2005/2/17/pubmed PY - 2005/4/19/medline PY - 2005/2/17/entrez SP - 230 EP - 8 JF - International archives of allergy and immunology JO - Int Arch Allergy Immunol VL - 136 IS - 3 N2 - 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. SN - 1018-2438 UR - https://www.unboundmedicine.com/medline/citation/15713985/In_vitro_analysis_of_birch_pollen_associated_food_allergy_by_use_of_recombinant_allergens_in_the_basophil_activation_test_ L2 - https://www.karger.com?DOI=10.1159/000083949 DB - PRIME DP - Unbound Medicine ER -