PMID- 23921375 OWN - NLM STAT- MEDLINE DCOM- 20131202 LR - 20220310 IS - 1423-0097 (Electronic) IS - 1018-2438 (Linking) VI - 162 IP - 2 DP - 2013 TI - Comparison of immunoglobulin E measurements on IMMULITE and ImmunoCAP in samples consisting of allergen-specific mouse-human chimeric monoclonal antibodies towards allergen extracts and four recombinant allergens. PG - 131-4 LID - 10.1159/000353276 [doi] AB - BACKGROUND: Specific immunoglobulin E (IgE) antibody in vitro tests are performed on enzyme immunoassay systems. Poor agreement among systems has been reported and comparisons have been made exclusively with allergen extracts - not with recombinant allergens. Here we compare the ImmunoCAP and the IMMULITE systems. METHODS: Ten patient samples with positive IgE toward egg white, birch pollen or cat or dog dander were compared using allergen extracts or the recombinant allergens Gal d 1, Bet v 1, Fel d 1 and Can f 1 with the two assay systems. Comparisons were also performed using four monoclonal mouse-human chimeric IgE antibodies specific for the same allergenic components. RESULTS: IMMULITE estimated a higher allergen-specific IgE concentration in sera than ImmunoCAP when testing with allergen extracts as well as recombinant allergens. The chimeric antibodies gave an equivalent response in the total IgE and specific IgE (sIgE) with an average ratio of 1.08 (range 0.9-1.3) on ImmunoCAP. In contrast, IMMULITE exhibited sIgE signals that were substantially higher than the summed level of IgE for all four chimeric antibodies (average ratio 2.96 and range 1.7-4.3). CONCLUSION: Comparison using chimeric antibodies allowed the evaluation of the true performance of the systems. ImmunoCAP measured total IgE and sIgE equally, whereas IMMULITE displayed higher sIgE signals when compared to the summed level of total IgE for all four chimeric antibodies. Results obtained with the two assay systems are not interchangeable by means of mathematical conversion. CI - Copyright (c) 2013 S. Karger AG, Basel. FAU - Szecsi, Pal B AU - Szecsi PB AD - Department of Clinical Biochemistry, Copenhagen University Hospital Gentofte, Hellerup, Denmark. FAU - Stender, Steen AU - Stender S LA - eng PT - Comparative Study PT - Journal Article DEP - 20130731 PL - Switzerland TA - Int Arch Allergy Immunol JT - International archives of allergy and immunology JID - 9211652 RN - 0 (Allergens) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antigens, Plant) RN - 0 (Glycoproteins) RN - 0 (Recombinant Fusion Proteins) RN - 0 (allergen Can f I) RN - 126161-14-6 (Bet v 1 allergen, Betula) RN - 37341-29-0 (Immunoglobulin E) RN - G408EE88II (Fel d 1 protein, Felis domesticus) SB - IM MH - Allergens/immunology MH - Animals MH - *Antibodies, Monoclonal/immunology MH - Antigens, Plant/immunology MH - Cats MH - Dogs MH - Egg Hypersensitivity/immunology MH - Egg White MH - Glycoproteins/immunology MH - Humans MH - Immunoassay/*methods MH - Immunoglobulin E/*blood/immunology MH - Mice MH - Pollen/immunology MH - Recombinant Fusion Proteins/immunology EDAT- 2013/08/08 06:00 MHDA- 2013/12/16 06:00 CRDT- 2013/08/08 06:00 PHST- 2013/02/18 00:00 [received] PHST- 2013/05/22 00:00 [accepted] PHST- 2013/08/08 06:00 [entrez] PHST- 2013/08/08 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] AID - 000353276 [pii] AID - 10.1159/000353276 [doi] PST - ppublish SO - Int Arch Allergy Immunol. 2013;162(2):131-4. doi: 10.1159/000353276. Epub 2013 Jul 31.