1.Research progress on mast cells and basophils lines in allergic diseases
Qingmei LIU ; Yongshi YANG ; Yan LIU ; Guangming LIU ; Jinlyu SUN
Chinese Journal of Immunology 2023;39(12):2631-2637
The incidence of allergic diseases has been increasing year by year worldwide.The research of allergen detection,diagnosis of allergic diseases,as well as its prevention and treatment are inseparable from suitable effector cell lines.The current arti-cle highlights the basic characteristics of main effector cell lines for allergic diseases(mast cells and basophils),and focuses on the applications of effector cell lines in allergic diseases.The present review aimed to lay the foundation for the research on diagnosis and treatment for allergic diseases.
2.Diagnosis progress in component-resolved diagnostics of food allergy
Zixi WANG ; Jinlyu SUN ; Lianglu WANG
Chinese Journal of Applied Clinical Pediatrics 2021;36(12):897-901
IgE-mediated food allergy is a common health problem worldwide, and the incidence of food allergy in China is also increasing gradually in the past decades.However, the traditional diagnostic measurements for food allergen specific IgE (sIgE) are based on the in- vivo or in- vitro tests of the intact allergen extracts, with low specificity and sensitivity, as well as limited diagnostic information.Therefore, the clinical diagnosis of food allergies often requires an oral food challenge test, which increases the suffering and risk of patients.Along with the development of component-resolved diagnostics (CRD) of food allergy, the sIgE against a single allergenic component can be measured quantitatively, thus generating the concept of " CRD" , which makes food allergy diagnosis more accurate and helps people distinguish cross allergens, determine the severity of the disease and the risk of severe allergic reactions, and predict the efficacy of immunotherapy.Besides, the diagnostic accuracy would be enhanced significantly and the reliance on oral food challenge tests would be reduced.In this review, the new progress in the diagnosis of common food allergen components would be summarized, and the advantages of CRD would be discussed.
3.Diagnostic accuracy and safety of Dermatophagoides pteronyssinus extracts used for skin prick test
Rui TANG ; Xiaohong LYU ; Yuxi LIU ; Ruiqi WANG ; Lianglu WANG ; Hong LI ; Jinlyu SUN ; Yuxiang ZHI ; Jianqing GU ; Kai GUAN ; Liping WEN ; Zixi WANG ; Lisha LI ; Le CUI ; Yingyang XU ; Junxiong ZHOU ; Tao XU ; Jia YIN
Chinese Medical Journal 2022;135(21):2563-2569
Background::Dermatophagoides pteronyssinus is a common allergen causing allergic diseases in China. The aim of this study was to evaluate the efficacy and safety of D. pteronyssinus extracts produced by Peking Union Medical College Hospital (PUMCH) for the skin prick test (SPT) in the diagnosis of D. pteronyssinus allergy. Methods::A total of 910 subjects with allergic diseases were prescribed D. pteronyssinus SPT and specific sIgE (sIgE) test among the Outpatients of Department of Allergy, PUMCH from August 10, 2015 to August 30, 2017. Receiver operating characteristic curve (ROC) analysis was performed according to the results of D. pteronyssinus-sIgE detection. The accuracy of D. pteronyssinus extracts used for SPT in the diagnosis of D. pteronyssinus allergy was evaluated under different cutoff values. Adverse events after SPT were recorded to evaluate safety. Results::There were 796 and 618 subjects in the full analysis set (FAS) and the per protocol set (PPS), respectively. The areas under the curve of FAS and PPS were 0.871 and 0.873, respectively. According to the ROC of PPS, the optimal and 95% specificity diagnostic cutoff values of D. pteronyssinus SPT mean wheal diameter were 3.25 and 3.75 mm, respectively. No adverse events occurred. Conclusion::The extracts of D. pteronyssinus for SPT were simple, highly accurate, and safe and should be considered for recommendation in the clinical diagnosis of D. pteronyssinus allergy.