定义最佳的基细胞被动敏感化参数
Santiago Alvarez-Arango1,2, Melanie C Dispenza1, Kristin L Chichester1
1Division of Allergy and Clinical Immunology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
概括
优化基细胞激活测试可以改善药物特异性IgE检测以诊断过敏症. 这项研究为基细胞敏感化提供了指导方针,提高了药物过敏的诊断准确性.
科学领域:
- 免疫学 免疫学 免疫学
- 过敏 诊断 过敏 诊断
- 细胞检测 细胞检测
背景情况:
- 药物引起的过敏反应的准确诊断依赖于检测药物特异性IgE (sIgE).
- 基细胞激活试验 (BAT) 对于识别药物-sIgE至关重要,需要对分析进行优化.
- 优化BAT涉及了解影响基细胞对sIgE反应的因素.
研究的目的:
- 调查影响基细胞响应值的复杂因素.
- 建立基细胞敏感化试验中预期结果的基本规则.
- 通过基细胞激活来完善检测药物特异性IgE的方法.
主要方法:
- 分析了使用流细胞计对基细胞的FcεRI受体表达.
- 用D2O和/或IL-3进行化,具有不同度的青素 (BPO) -sIgE的敏感化基细胞.
- 根据FcεRI密度,sIgE/总IgE比率以及对刺激的反应来评估基因细胞敏感性.
主要成果:
- 在优化条件下 (4小时在4°C以IL-3和70%D2O进行敏感化) 检测出低BPO-sIgE/tIgE比率 (0.02%-0.05%).
- 最大抗IgE反应的平均值为58%,FcεRI受体表达率为~155,000/细胞.
- 在优化条件下检测到的反应是0.33%的花生-sIgE和0.1%的猫-sIgE比率.
结论:
- 建立了一种评估基基细胞敏感性的方法,定义了响应性的最小sIgE/tIgE比率.
- 影响基基细胞激活的关键因素包括FcεRI受体状态,sIgE/tIgE比率和D2O/IL-3效应.
- 这些发现为推进和完善用于过敏诊断的基激活功能测试提供了基础.
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