1. Evaluation of the luciferase assay-based in vitro elicitation test for serum IgE.
- Author
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Nakamura R, Ishiwatari A, Higuchi M, Uchida Y, Nakamura R, Kawakami H, Urisu A, and Teshima R
- Subjects
- Adolescent, Adult, Animals, Antibody Specificity immunology, Cell Degranulation, Cell Line, Child, Child, Preschool, Female, Humans, Immunoenzyme Techniques, Immunoglobulin E immunology, Luminescent Measurements, Male, Mast Cells immunology, Mast Cells metabolism, ROC Curve, Rats, Sensitivity and Specificity, Young Adult, Allergens immunology, Egg Hypersensitivity diagnosis, Egg Hypersensitivity immunology, Egg White adverse effects, Immunoglobulin E blood, Luciferases
- Abstract
Background: An in vitro elicitation test employing human high-affinity IgE receptor-expressing rat mast cell lines appears to be a useful method for measuring mast cell activation using a patient's IgE and an allergen; however, such cell lines are sensitive to human complements in the serum. We have recently developed a new luciferase-reporting mast cell line (RS-ATL8) to detect IgE crosslinking-induced luciferase expression (EXiLE) with relatively low quantities of serum IgE., Methods: A total of 30 patients suspected of having egg white (EW) allergy were subjected to an oral food challenge (OFC) test; then, the performances of EW-specific serum IgE (CAP-FEIA), EW-induced degranulation, and EXiLE responses in RS-ATL8 cells were compared using receiver-operating characteristic (ROC) curve analysis. The patients' sera were diluted to 1 : 100, which causes no cytotoxicity when sensitizing the RS-ATL8 cells for the degranulation and EXiLE tests., Results: The area under the ROC curves was highest in the EXiLE test (0.977), followed by CAP-FEIA (0.926) and degranulation (0.810). At an optimal cutoff range (1.648-1.876) calculated from the ROC curve of the EXiLE test, sensitivity and specificity were 0.944 and 0.917, respectively. A 95% positive predictive value was given at a cutoff level of 2.054 (fold increase in luciferase expression) by logistic regression analysis., Conclusions: In contrast to in vivo tests, the EXiLE test appears to be a useful tool in diagnosing patients suspected of having IgE-dependent EW allergy without the risk of severe systemic reactions.
- Published
- 2012
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