Neutrophil oxidative burst as a diagnostic indicator of IgG-mediated anaphylaxis
Blood Research
;
: 299-306, 2018.
Artigo
em Inglês
| WPRIM
| ID: wpr-718480
ABSTRACT
BACKGROUND:
IgG-mediated anaphylaxis occurs after infusion of certain monoclonal antibody-based therapeutics. New in vitro tests are urgently needed to diagnose such reactions. We investigated whether allergens trigger neutrophil oxidative burst (OB) and if neutrophil OB occurs due to allergen-specific IgG (sIgG).METHODS:
Neutrophil OB was measured by dihydrorhodamine 123 flow cytometry using a leukocyte suspension spiked with a very small patch of the allergen crude extract, Dermatophagoides farinae (Der f). The mean fluorescence intensity ratio of stimulated to unstimulated samples was calculated as the neutrophil oxidative index (NOI).RESULTS:
The Der f-specific NOI (Der f-sNOI) showed a time-dependent increase after Der f extract addition. At 15 min activation, higher Der f-sIgG levels were associated with lower Der f-sNOI values in 31 subjects (P < 0.05). This inverse relationship occurs due to the initial blocking effect of free Der f-sIgG. Additionally, neutrophil OB was nearly absent (Der f-sNOI of −1) in two cases a subject with undetectable Der f-sIgG levels and washed leukocyte suspensions deprived of Der f-sIgG.CONCLUSION:
Allergens can trigger neutrophil OB via preexisting allergen-sIgG. Neutrophil OB can be easily measured in a leukocyte suspension spiked with the allergen. This assay can be used to diagnose IgG-mediated anaphylaxis.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Suspensões
/
Técnicas In Vitro
/
Imunoglobulina G
/
Alérgenos
/
Explosão Respiratória
/
Dermatophagoides farinae
/
Citometria de Fluxo
/
Fluorescência
/
Anafilaxia
/
Leucócitos
Tipo de estudo:
Estudo diagnóstico
Idioma:
Inglês
Revista:
Blood Research
Ano de publicação:
2018
Tipo de documento:
Artigo
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