IgE binding to peanut components by four different techniques: Ara h 2 is the most relevant in peanut allergic children and adults

RJB Klemans, Nana Liu, AC (André) Knulst, MJ Knol, F Gmelig-Meyling, E Borst, Suzanne Pasmans, EF Knol

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Background Several studies have analysed the diagnostic value of specific IgE (sIgE) for individual peanut allergens. However, little is known about the concordance between different techniques available in both children and adults. Objective To evaluate the value of individual peanut allergens by different techniques, i.e. multi-plexed microarray, single-plexed IgE assay, skin prick test (SPT) and immunoblot in both peanut allergic adults and children. Methods Sensitization patterns to peanut allergens Ara h 1, 2, 3, and 8 were evaluated using four different techniques: multi-plexed microarray immunoassay, single-plexed IgE assay, SPT and immunoblot. Twenty-two peanut allergic adults and 15 children scored on clinical severity according to double-blind, placebo-controlled food challenges and 27 atopic control patients were included. Results Comparable sensitivity values were found between all four techniques in adults, with the highest sensitivity for Ara h 2 (76.2-95.5%, compared to 100% with all techniques in children). The multi-plexed assay to Ara h 1 (93.3%) demonstrated a higher sensitivity compared with the other three techniques (P = 0.04) in children, but absolute values were perfectly correlated. There were no differences between adults and children. The area under the receiver operating characteristic curve (AUC) Conclusion and Clinical Relevance In conclusion, the single-and multi-plexed assay, SPT and immunoblot perform equally in both peanut allergic adults and children, with Ara h 2 being most often recognized with all techniques. Specific IgE to Ara h 1, 2, and 3 in adults was correlated with severity.
Original languageUndefined/Unknown
Pages (from-to)967-974
Number of pages8
JournalClinical & Experimental Allergy
Issue number8
Publication statusPublished - 2013

Research programs

  • EMC MM-03-61-05-A

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