Cross-Reactive Carbohydrate Determinants (CCDs) Causing Interference in Allergen-Specific IgE Antibody Analysis.

IF 0.7 4区 医学 Q4 MEDICAL LABORATORY TECHNOLOGY
Jian-Qing Zhang, Hong-Gang Sun, Hong Chen, Li-Fang Wu
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引用次数: 0

Abstract

Background: The use of CCD antibody adsorbents specifically adsorb CCDs, reducing non-specific IgE interference in chemiluminescence assays, thereby making the detection results of true allergen-specific IgE more accurate.

Methods: Chemiluminescence assays were used to quantitatively detect allergens (total IgE and specific IgE) in patient serum, with heterophile antibody removers to exclude the interference of heterophile antibodies, and anti-CCD IgE adsorbents to exclude the interference of CCDs.

Results: The detection results after using allergen heterophile antibody removers showed no difference from the original results, while the specific IgE returned to normal after using CCD-specific IgE adsorbents, with no significant change in total IgE.

Conclusions: When multiple allergen sIgE are positive simultaneously, or when the allergen detection results do not match the patient's clinical symptoms, history of allergen exposure, or skin test results, it is necessary to perform anti-CCD IgE adsorption tests to improve the accuracy of allergen diagnosis.

交叉反应性碳水化合物决定因子(CCDs)对过敏原特异性IgE抗体分析的干扰。
背景:利用CCD抗体吸附剂特异性吸附CCD,减少化学发光试验中非特异性IgE的干扰,从而使真过敏原特异性IgE的检测结果更加准确。方法:采用化学发光法定量检测患者血清中的过敏原(总IgE和特异性IgE),用异源抗体去除剂排除异源抗体的干扰,用抗ccd IgE吸附剂排除ccd的干扰。结果:使用过敏原异源抗体去除剂后的检测结果与原始结果无差异,而使用ccd特异性IgE吸附剂后的特异性IgE恢复正常,总IgE无明显变化。结论:当多个过敏原sIgE同时呈阳性,或过敏原检测结果与患者临床症状、过敏原暴露史、皮肤试验结果不匹配时,应进行抗ccd IgE吸附试验,以提高过敏原诊断的准确性。
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来源期刊
Clinical laboratory
Clinical laboratory 医学-医学实验技术
CiteScore
1.50
自引率
0.00%
发文量
494
审稿时长
3 months
期刊介绍: Clinical Laboratory is an international fully peer-reviewed journal covering all aspects of laboratory medicine and transfusion medicine. In addition to transfusion medicine topics Clinical Laboratory represents submissions concerning tissue transplantation and hematopoietic, cellular and gene therapies. The journal publishes original articles, review articles, posters, short reports, case studies and letters to the editor dealing with 1) the scientific background, implementation and diagnostic significance of laboratory methods employed in hospitals, blood banks and physicians'' offices and with 2) scientific, administrative and clinical aspects of transfusion medicine and 3) in addition to transfusion medicine topics Clinical Laboratory represents submissions concerning tissue transplantation and hematopoietic, cellular and gene therapies.
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