PMID- 16918504 OWN - NLM STAT- MEDLINE DCOM- 20070110 LR - 20220408 IS - 0105-4538 (Print) IS - 0105-4538 (Linking) VI - 61 IP - 9 DP - 2006 Sep TI - Flow-assisted allergy diagnosis: current applications and future perspectives. PG - 1028-39 AB - Physicians predominantly rely upon quantification of serum-specific immunoglobulin E (IgE) and/or skin test to confirm clinically suspected IgE-mediated allergy. However, for various reasons, identification of the offending allergen(s) and potentially cross-reactive structures is not always straightforward. Flow-assisted allergy diagnosis relies upon quantification of alterations in the expression of particular basophilic activation markers. Actually, upon challenge with a specific allergen, basophils not only secrete quantifiable bioactive mediators but also upregulate the expression of different markers which can be detected efficiently by flow cytometry using specific monoclonal antibodies. Currently, the technique has been applied in the investigation of IgE-mediated allergy caused by classical inhalant allergens, food, Hevea latex, hymenoptera venoms and drugs. It is also appreciated; the technique proves valuable in the diagnosis of non-IgE-mediated (anaphylactoid) reactions such drug hypersensitivity and the detection of autoantibodies in certain forms of chronic urticaria. This review will not address immunologic features, characteristics and general pitfalls of flow-assisted analysis of in vitro-activated basophils as summarized elsewhere. After a recapitulation of the principles and some specific technical issues of flow-assisted analysis of in vitro-activated basophils, we principally focus on the current clinical and research applications of the basophil activation tests. Personal experience of both research groups is provided, where appropriate. Finally, a viewpoint on how the field might evolve in the following years is provided. FAU - Ebo, D G AU - Ebo DG AD - Department of Immunology, Allergology, Rheumatology, University Antwerp (UA), Antwerpen, Belgium. FAU - Sainte-Laudy, J AU - Sainte-Laudy J FAU - Bridts, C H AU - Bridts CH FAU - Mertens, C H AU - Mertens CH FAU - Hagendorens, M M AU - Hagendorens MM FAU - Schuerwegh, A J AU - Schuerwegh AJ FAU - De Clerck, L S AU - De Clerck LS FAU - Stevens, W J AU - Stevens WJ LA - eng PT - Journal Article PT - Review PL - Denmark TA - Allergy JT - Allergy JID - 7804028 SB - IM CIN - Allergy. 2006 Sep;61(9):1025-7. PMID: 16918503 MH - *Cell Separation MH - *Flow Cytometry/trends MH - Forecasting MH - Humans MH - Hypersensitivity/*diagnosis RF - 104 EDAT- 2006/08/22 09:00 MHDA- 2007/01/11 09:00 CRDT- 2006/08/22 09:00 PHST- 2006/08/22 09:00 [pubmed] PHST- 2007/01/11 09:00 [medline] PHST- 2006/08/22 09:00 [entrez] AID - ALL1039 [pii] AID - 10.1111/j.1398-9995.2006.01039.x [doi] PST - ppublish SO - Allergy. 2006 Sep;61(9):1028-39. doi: 10.1111/j.1398-9995.2006.01039.x.