Monitoring of basophil activation using CD63 and CCR3 in allergy to muscle relaxant drugs

Copyright 2001 Elsevier Science (USA).

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 102(2002), 2 vom: 22. Feb., Seite 192-9
1. Verfasser: Monneret, Guillaume (VerfasserIn)
Weitere Verfasser: Benoit, Yves, Debard, Anne Lise, Gutowski, Marie C, Topenot, Ingrid, Bienvenu, Jacques
Format: Aufsatz
Sprache:English
Veröffentlicht: 2002
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Journal Article Antigens, CD CCR3 protein, human CD63 protein, human Platelet Membrane Glycoproteins Receptors, CCR3 Receptors, Chemokine Tetraspanin 30
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520 |a Allergic or pseudoallergic reactions that occur during anesthesia have been increasing for the last few years. To date, the diagnosis of allergy to muscle relaxants remains difficult. In this respect, we developed a flow cytometric method for the study of drug-induced basophil degranulation using CD63 and CCR3. Fifty patients who developed clinical features evocative of allergic reactions immediately after induction of anesthesia were included and classified into two groups. Group 1 (n = 39) comprised true allergic patients, who developed typical signs of shock associated to positive skin testing. Group 2 (n = 11) consisted of patients whose clinical history was not typical and skin testing was negative or nonconclusive. Seventeen control subjects were also studied in this report. We compared data from flow cytometry to skin tests, specific IgE, and histamine release results. Flow cytometry showed a sensitivity of 54%, while that of specific IgE was similar, at 62%. Interestingly, when considering the sensitivity of IgE + CD63 for diagnosis, we reached a sensitivity value of 80%. Of 15 negative results for specific IgE, we found 7 positive CD63 tests, while histamine release gave positive results in only 2 cases. Furthermore, the CD63 protocol showed good specificity (100%). We conclude that our flow cytometry protocol is a promising tool in allergy diagnosis since it is specific and complementary to specific IgE detection 
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650 7 |a Antigens, CD  |2 NLM 
650 7 |a CCR3 protein, human  |2 NLM 
650 7 |a CD63 protein, human  |2 NLM 
650 7 |a Platelet Membrane Glycoproteins  |2 NLM 
650 7 |a Receptors, CCR3  |2 NLM 
650 7 |a Receptors, Chemokine  |2 NLM 
650 7 |a Tetraspanin 30  |2 NLM 
700 1 |a Benoit, Yves  |e verfasserin  |4 aut 
700 1 |a Debard, Anne Lise  |e verfasserin  |4 aut 
700 1 |a Gutowski, Marie C  |e verfasserin  |4 aut 
700 1 |a Topenot, Ingrid  |e verfasserin  |4 aut 
700 1 |a Bienvenu, Jacques  |e verfasserin  |4 aut 
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