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Clinical and Diagnostic Laboratory Immunology logoLink to Clinical and Diagnostic Laboratory Immunology
. 1994 Mar;1(2):197–201. doi: 10.1128/cdli.1.2.197-201.1994

Flow cytometric measurement of immunoglobulin E to natural latex proteins.

P L Kwittken 1, N A Pawlowski 1, S K Sweinberg 1, S D Douglas 1, D E Campbell 1
PMCID: PMC368227  PMID: 7496945

Abstract

Immediate hypersensitivity to natural latex (NL) occurs in sensitized individuals after repeated exposure to products or devices containing NL components. Since allergic reactions to NL proteins are quite frequent and may be quite serious, diagnostic assays are needed to identify individuals at risk. A number of latex proteins have been considered the major antigens, but they have been incompletely characterized. There is no standard material available for skin testing. In vitro diagnostic tests, such as the radioallergosorbent test (RAST), are time consuming and their sensitivity and specificity remain to be proven. We have developed a rapid microsphere-based, fluorescence-activated flow cytometry assay for the measurement of NL protein-specific human immunoglobulin E and have compared it with both the enzyme-linked immunosorbent assay and radioallergosorbent test methods. By using the total purified NL protein fraction isolated from raw ammoniated NL sap as the antigen, the flow cytometry assay was both sensitive and specific for the detection of NL protein-specific human immunoglobulin E in the sera of sensitized pediatric patients.

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Selected References

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  1. Alenius H., Reunala T., Turjanmaa K., Palosuo T. Detection of IgG4 and IgE antibodies to rubber proteins by immunoblotting in latex allergy. Allergy Proc. 1992 Mar-Apr;13(2):75–77. doi: 10.2500/108854192778878863. [DOI] [PubMed] [Google Scholar]
  2. Campbell D. E., Ngamphaiboon J., Clark M. M., Harris M. C., Kolski G. B., Douglas S. D. Indirect enzyme-linked immunosorbent assay for measurement of human immunoglobulins E and G to purified cow's milk proteins: application in diagnosis of cow's milk allergy. J Clin Microbiol. 1987 Nov;25(11):2114–2119. doi: 10.1128/jcm.25.11.2114-2119.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Carrillo T., Cuevas M., Muñoz T., Hinojosa M., Moneo I. Contact urticaria and rhinitis from latex surgical gloves. Contact Dermatitis. 1986 Aug;15(2):69–72. doi: 10.1111/j.1600-0536.1986.tb01279.x. [DOI] [PubMed] [Google Scholar]
  4. Estlander T., Jolanki R., Kanerva L. Dermatitis and urticaria from rubber and plastic gloves. Contact Dermatitis. 1986 Jan;14(1):20–25. doi: 10.1111/j.1600-0536.1986.tb01147.x. [DOI] [PubMed] [Google Scholar]
  5. Gold M., Swartz J. S., Braude B. M., Dolovich J., Shandling B., Gilmour R. F. Intraoperative anaphylaxis: an association with latex sensitivity. J Allergy Clin Immunol. 1991 Mar;87(3):662–666. doi: 10.1016/0091-6749(91)90385-2. [DOI] [PubMed] [Google Scholar]
  6. Kwittken P. L., Becker J., Oyefara B., Danziger R., Pawlowski N. A., Sweinberg S. Latex hypersensitivity reactions despite prophylaxis. Allergy Proc. 1992 May-Jun;13(3):123–127. doi: 10.2500/108854192778878782. [DOI] [PubMed] [Google Scholar]
  7. LOWRY O. H., ROSEBROUGH N. J., FARR A. L., RANDALL R. J. Protein measurement with the Folin phenol reagent. J Biol Chem. 1951 Nov;193(1):265–275. [PubMed] [Google Scholar]
  8. Lisi P. J., Huang C. W., Hoffman R. A., Teipel J. W. A fluorescence immunoassay for soluble antigens employing flow cytometric detection. Clin Chim Acta. 1982 Apr 8;120(2):171–179. doi: 10.1016/0009-8981(82)90153-x. [DOI] [PubMed] [Google Scholar]
  9. McHugh T. M., Miner R. C., Logan L. H., Stites D. P. Simultaneous detection of antibodies to cytomegalovirus and herpes simplex virus by using flow cytometry and a microsphere-based fluorescence immunoassay. J Clin Microbiol. 1988 Oct;26(10):1957–1961. doi: 10.1128/jcm.26.10.1957-1961.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. McHugh T. M., Stites D. P., Casavant C. H., Fulwyler M. J. Flow cytometric detection and quantitation of immune complexes using human C1q-coated microspheres. J Immunol Methods. 1986 Dec 4;95(1):57–61. doi: 10.1016/0022-1759(86)90317-0. [DOI] [PubMed] [Google Scholar]
  11. Morales C., Basomba A., Carreira J., Sastre A. Anaphylaxis produced by rubber glove contact. Case reports and immunological identification of the antigens involved. Clin Exp Allergy. 1989 Jul;19(4):425–430. doi: 10.1111/j.1365-2222.1989.tb02409.x. [DOI] [PubMed] [Google Scholar]
  12. Pecquet C., Leynadier F., Dry J. Contact urticaria and anaphylaxis to natural latex. J Am Acad Dermatol. 1990 Apr;22(4):631–633. doi: 10.1016/0190-9622(90)70086-w. [DOI] [PubMed] [Google Scholar]
  13. Rademaker M., Forsyth A. Allergic reactions to rubber condoms. Genitourin Med. 1989 Jun;65(3):194–195. doi: 10.1136/sti.65.3.194. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Rothmann J., Hassan N. F., Campbell D. E., Kamani N., Douglas S. D. Synthetic peptide homologous to the envelope proteins of retroviruses shares a cross-reacting epitope with the CD4 receptor. J Clin Microbiol. 1990 Jan;28(1):112–115. doi: 10.1128/jcm.28.1.112-115.1990. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Slater J. E. Allergic reactions to natural rubber. Ann Allergy. 1992 Mar;68(3):203–209. [PubMed] [Google Scholar]
  16. Slater J. E., Chhabra S. K. Latex antigens. J Allergy Clin Immunol. 1992 Mar;89(3):673–678. doi: 10.1016/0091-6749(92)90373-a. [DOI] [PubMed] [Google Scholar]
  17. Slater J. E., Mostello L. A., Shaer C., Honsinger R. W. Type I hypersensitivity to rubber. Ann Allergy. 1990 Nov;65(5):411–414. [PubMed] [Google Scholar]
  18. Slater J. E. Rubber anaphylaxis. N Engl J Med. 1989 Apr 27;320(17):1126–1130. doi: 10.1056/NEJM198904273201707. [DOI] [PubMed] [Google Scholar]
  19. Spaner D., Dolovich J., Tarlo S., Sussman G., Buttoo K. Hypersensitivity to natural latex. J Allergy Clin Immunol. 1989 Jun;83(6):1135–1137. doi: 10.1016/0091-6749(89)90457-0. [DOI] [PubMed] [Google Scholar]
  20. Turjanmaa K., Laurila K., Mäkinen-Kiljunen S., Reunala T. Rubber contact urticaria. Allergenic properties of 19 brands of latex gloves. Contact Dermatitis. 1988 Nov;19(5):362–367. doi: 10.1111/j.1600-0536.1988.tb02953.x. [DOI] [PubMed] [Google Scholar]
  21. Turjanmaa K., Reunala T., Alenius H., Brummer-Korvenkontio H., Palosuo T. Allergens in latex surgical gloves and glove powder. Lancet. 1990 Dec 22;336(8730):1588–1588. doi: 10.1016/0140-6736(90)93372-v. [DOI] [PubMed] [Google Scholar]
  22. Turjanmaa K., Reunala T. Contact urticaria from rubber gloves. Dermatol Clin. 1988 Jan;6(1):47–51. [PubMed] [Google Scholar]
  23. Turjanmaa K., Reunala T., Räsänen L. Comparison of diagnostic methods in latex surgical glove contact urticaria. Contact Dermatitis. 1988 Oct;19(4):241–247. doi: 10.1111/j.1600-0536.1988.tb02920.x. [DOI] [PubMed] [Google Scholar]
  24. Wilson M. R., Wotherspoon J. S. A new microsphere-based immunofluorescence assay using flow cytometry. J Immunol Methods. 1988 Mar 16;107(2):225–230. doi: 10.1016/0022-1759(88)90222-0. [DOI] [PubMed] [Google Scholar]

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