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Related Experiment Videos

Developments in laboratory diagnostics for isocyanate asthma.

Adam V Wisnewski1

  • 1Yale University School of Medicine, Department of Internal Medicine, New Haven, Connecticut 06520-8057, USA. adam.wisnewski@Yale.edu

Current Opinion in Allergy and Clinical Immunology
|March 14, 2007
PubMed
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Laboratory tests can help diagnose isocyanate asthma and identify workplace exposure. Measuring isocyanate-specific IgE and IgG aids in diagnosing asthma in some workers and serves as a biomarker for exposure.

Area of Science:

  • Occupational Health
  • Immunology
  • Toxicology

Background:

  • Isocyanates are widely used in polyurethane production and are a major cause of occupational asthma.
  • Workplace exposure is a key risk factor, but monitoring and diagnosis are challenging.
  • Current diagnostic methods like specific inhalation challenge are demanding and not widely available.

Purpose of the Study:

  • To review recent advances in laboratory diagnostics for isocyanate-induced asthma.
  • To address the urgent need for efficient tests due to increasing isocyanate use.
  • To improve the diagnosis and exposure assessment of isocyanate asthma.

Main Methods:

  • Literature search of PubMed for articles published in 2005-2006.
  • Screening over 150 articles using keywords related to common isocyanates and asthma.

Related Experiment Videos

  • Focus on advances in understanding pathogenesis and immunoassay development.
  • Main Results:

    • New insights into isocyanate asthma pathogenesis improve existing radioallergosorbent and enzyme-linked immunosorbent assays for IgE and IgG.
    • Development of newer immunoassays based on cellular responses and discovery science readouts.
    • Conventional assays show utility in diagnosing a subset of isocyanate asthma cases.

    Conclusions:

    • Laboratory tests measuring isocyanate-specific IgE and IgG are valuable for diagnosing isocyanate asthma in some workers.
    • These tests can serve as biomarkers of exposure for a larger group of occupationally exposed individuals.
    • Further development of immunoassays is ongoing.