Jian-Qing Zhang, Hong-Gang Sun, Hong Chen, Li-Fang Wu
{"title":"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。","authors":"Jian-Qing Zhang, Hong-Gang Sun, Hong Chen, Li-Fang Wu","doi":"10.7754/Clin.Lab.2024.241223","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":10384,"journal":{"name":"Clinical laboratory","volume":"71 6","pages":""},"PeriodicalIF":0.7000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Cross-Reactive Carbohydrate Determinants (CCDs) Causing Interference in Allergen-Specific IgE Antibody Analysis.\",\"authors\":\"Jian-Qing Zhang, Hong-Gang Sun, Hong Chen, Li-Fang Wu\",\"doi\":\"10.7754/Clin.Lab.2024.241223\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":10384,\"journal\":{\"name\":\"Clinical laboratory\",\"volume\":\"71 6\",\"pages\":\"\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical laboratory\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.7754/Clin.Lab.2024.241223\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"MEDICAL LABORATORY TECHNOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical laboratory","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.7754/Clin.Lab.2024.241223","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"MEDICAL LABORATORY TECHNOLOGY","Score":null,"Total":0}
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.
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.