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. 2020 Jul 16;21(14):5010. doi: 10.3390/ijms21145010

Table 3.

Immune solid-phase allergen chip (ISAC), ImmunoCAP and skin-prick testing (SPT): The advantages and disadvantages (table adapted from the World Allergy Organization GA2 LEN consensus document [76]).

Advantages Disadvantages
ISAC
  • No interference due to high total IgE

  • Less allergen needed per assay

  • 112 allergens can be analysed in parallel

  • Natural and recombinant proteins are compatible

  • 30 μL of serum or plasma

  • Manual method

  • Less sensitive

  • Not recommended for monitoring sensitization

  • May cause interference between IgE and IgG

  • Semi-quantitative assay

ImmunoCAP
  • Appropriate for monitoring sensitization

  • High sensitivity

  • Quantitative analysis

  • Natural and recombinant proteins, as well as crude extracts, can be applied

  • 40 μL of serum needed per allergen

  • One allergen per assay

  • Detects low-affinity antibodies which may not be clinically relevant

Skin Prick Test (SPT)
  • Prompt readings

  • Extract-dependent high sensitivity

  • One allergen per prick

  • Only crude extracts used

  • Manual

  • Cannot be used for monitoring sensitization