P134 Sensitisation To Cross-reactive Carbohydrate Determinants In Britain's Bakers: The Implications For Health Surveillance

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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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Reduction of Cross-Reactive Carbohydrate Determinants in Plant Foodstuff: Elucidation of Clinical Relevance and Implications for Allergy Diagnosis

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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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Wheat flour sensitisation and airways disease in urban bakers.

A total of 176 bakers and 24 subjects employed as bread slicers and wrappers were studied to examine the effect of occupational category on respiratory symptoms, ventilatory capacity, non-specific bronchial reactivity, and prick skin test responses to wheat and common allergens. Bakers had a greater prevalence of attacks of wheeze and dyspnoea and more frequently considered that work affected t...

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ژورنال

عنوان ژورنال: Thorax

سال: 2014

ISSN: 0040-6376

DOI: 10.1136/thoraxjnl-2014-206260.275