Inhibition of IgE binding to cross-reactive carbohydrate determinants enhances diagnostic selectivity

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Inhibition of IgE binding to cross-reactive carbohydrate determinants enhances diagnostic selectivity

BACKGROUND Allergy diagnosis by determination of allergen-specific IgE is complicated by clinically irrelevant IgE, of which the most prominent example is IgE against cross-reactive carbohydrate determinants (CCDs) that occur on allergens from plants and insects. Therefore, CCDs cause numerous false-positive results. Inhibition of CCDs has been proposed as a remedy, but has not yet found its wa...

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Involvement of cross-reactive carbohydrate determinants-specific IgE in pollen allergy testing

BACKGROUND Specific IgE antibodies against the low-molecular-weight carbohydrate antigen that does not bridge IgE molecules on mast cells are not associated with clinical symptoms. Cross reactivity can be determined in allergen-specific IgE detection assays when the carbohydrate structures between pollen allergens and plant derived food allergens are similar; in such cases, false positive resul...

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Coping with cross-reactive carbohydrate determinants in allergy diagnosis

A relevant proportion of allergy diagnosis is accomplished by in vitro determination of specific immunglobulin E (sIgE) to extracts from suspected allergens. Such extracts inevitably contain glycoproteins, which may react with patients' IgE. In the case of plant and insect allergens, the relevant epitope structure is an α-1,3-fucose on the Asn-linked sugar residue of so-called N-glycans. Due to...

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Cross-reactive Carbohydrate Determinant Contributes to the False Positive IgE Antibody to Peanut

Background: The importance of peanut allergy has not been well recognized in Japanese society. IgE antibody to peanut can be, however, detected in patients without clinical peanut allergy. Methods: Clinical characteristics of 14 patients (aged 1―8 years) with peanut allergy were evaluated. IgE antibodies to peanut from patients with and without clinical peanut allergy were compared with those t...

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Identification of cross-reactive carbohydrate determinants in subjects reporting work-related respiratory symptoms.

INTRODUCTION The role of cross-reactive carbohydrate determinants (CCDs) in diagnostics of occupational allergy remains unclarified and its clinical relevance is still questioned. The aim of the study was to assess the frequency of positive response to CCDs in the subjects with suspected occupational allergy and the relationship between other diagnostic test results and final diagnosis. MATER...

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ژورنال

عنوان ژورنال: Allergy

سال: 2013

ISSN: 0105-4538

DOI: 10.1111/all.12229