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Bringing the Next Generation of Food Allergy Diagnostics Into the Clinic
Abstract
Food allergy diagnosis has a massive impact on the lives of patients and their families. Despite recent developments with specific IgE to component allergens, a significant proportion of patients assessed for possible food allergy require oral food challenge to ensure an accurate diagnosis. More precise diagnostic methods are required to reduce the need for oral food challenges. Bead-based epitope assays and cellular tests, such as basophil activation and mast cell tests are the most novel and promising tests on the horizon. There is a pathway to pursue to enable their incorporation in clinical practice, including standardization, technical validation, clinical validation, external validation, overcoming practical and logistical issues, and regulatory approval. Valuable clinical application of these tests goes beyond diagnosis and includes risk assessment to identify allergic patients who are most sensitive and at risk for severe allergic reactions, and to define prognosis and assess clinical response to immunomodulatory treatments.
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“Combining BBEA with cellular assays and clinical history may enhance its utility [208,229].”
From Pollen–Food Allergy Syndrome: Allergens, Clinical Insights, Diagnostic and Therapeutic Challenges (2024) · cites this paper as [208]
In the citing paper
“Another significant limitation is the lack of full standardization across laboratories, with varying protocols and thresholds, which can lead to inconsistent results and complicate interpretation [208].”
From Pollen–Food Allergy Syndrome: Allergens, Clinical Insights, Diagnostic and Therapeutic Challenges (2024) · cites this paper as [208]
In the citing paper
“For example, machine learning algorithms have been applied to beadbased epitope assays to analyze allergen epitopes and predict severity of reactions [208].”
From Pollen–Food Allergy Syndrome: Allergens, Clinical Insights, Diagnostic and Therapeutic Challenges (2024) · cites this paper as [208]
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Cited by
Sorted by citations
Pollen–Food Allergy Syndrome: Allergens, Clinical Insights, Diagnostic and Therapeutic Challenges
Haidar, L., Bănărescu, C. F., Uța, C., Moldovan, S. I., Zimbru, E.-L., Zimbru, R.-I., Ciurariu, E., Georgescu, M., & Panaitescu, C. (2024) · Applied Sciences · doi:10.3390/app15010066 · Cited by 21
Metadata
- Authors
- Santos, A. F., Kulis, M. D., & Sampson, H. A.
- Venue
- The Journal of Allergy and Clinical Immunology: In Practice
- Publisher
- Elsevier BV
- Published
- 2022-01
- Volume
- 10
- Issue
- 1
- Pages
- 1-9
- ISSN
- 2213-2198
- Cited by
- 60
- References
- 1
- Language
- en
- Licence
- Funders
- Immune Tolerance Network
- Allergy Therapeutics
- National Institutes of Health
- Medical Research Council (MR/M008517/1, MR/T032081/1)
- U.S. Department of Defense
- National Institute for Health Research
- Novartis
- National Institute of Allergy and Infectious Diseases
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- Santos, A. F., Kulis, M. D., & Sampson, H. A. (2022). Bringing the Next Generation of Food Allergy Diagnostics Into the Clinic. The Journal of Allergy and Clinical Immunology: In Practice. https://doi.org/10.1016/j.jaip.2021.09.009