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Multiplex Assays in Allergy Diagnosis: Allergy Explorer 2 versus ImmunoCAP ISAC E112i

Nösslinger, Hannes, Mair, Ewald, Oostingh, Gertie J., Ahlgrimm-Siess, Verena, Ringauf, Anna, Lang, Roland·2024·Diagnostics

Abstract

ImmunoCAP ISAC E112i (ISAC) and Allergy Explorer 2 (ALEX2) detect specific immunoglobulin E (IgE) reactivity. Both multiplex assays contain molecular allergens and ALEX2 additionally includes allergen extracts and inhibitors that block the binding of IgE to cross-reacting carbohydrate determinants (CCDs). This study aimed to compare the performance of ISAC and ALEX2 by determining the IgE reactivity against allergen extracts and/or allergen components and by using qualitative, semiquantitative, and quantitative analyses of all comparable allergen components in sera from 216 participants recruited in South Tyrol/Italy. For extract sensitization in ALEX2, the analysis revealed negative corresponding allergen components in 18.4% and at least one positive corresponding allergen component in 81.6% of all cases. For ISAC, the corresponding results were 23.5% and 76.5% of cases, respectively. The ALEX2 CCD inhibitor eliminated CCD-positive signals detected by ISAC in 88.5% of cases. Based on sensitization values of 0.3–14.9 ISU or kUA/L, there was good agreement between ALEX2 and ISAC, although ALEX2 showed higher values than ISAC. The addition of allergen-extract tests in ALEX2 resulted in the detection of more sensitizations than with corresponding allergen components alone. In the range of <15 ISU or kUA/L, ALEX2 may be more effective in detecting sensitizations.

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Crossref · 10.3390/diagnostics14100976

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Figures

Figure 1 Frequency of detection of animal and plant pan-allergens by ISAC (blue) and ALEX2 (green) and their concordance.
Figure 1 Frequency of detection of animal and plant pan-allergens by ISAC (blue) and ALEX2 (green) and their concordance.CC BY · PubMed Central
Figure 2 Heatmap and class agreement between ISAC and ALEX2.
Figure 2 Heatmap and class agreement between ISAC and ALEX2.CC BY · PubMed Central
Figure 3 Bland–Altman and Mountain plots of quantitative class comparison of all allergen components.
Figure 3 Bland–Altman and Mountain plots of quantitative class comparison of all allergen components.CC BY · PubMed Central

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Cites

Research works printed but not linked: 17

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Metadata

Authors
Nösslinger, H., Mair, E., Oostingh, G. J., Ahlgrimm-Siess, V., Ringauf, A., & Lang, R.
Venue
Diagnostics
Publisher
MDPI AG
Published
2024-05-08
Volume
14
Issue
10
Pages
976
ISSN
2075-4418
Cited by
21
References
1
Language
en
Funders
South Tyrolean Fund for the Promotion of Scientific Research (SFPR) at the South Tyrolean Health Care Service (SABES)

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