PMID- 30144948 OWN - NLM STAT- MEDLINE DCOM- 20190611 LR - 20220408 IS - 1878-3279 (Electronic) IS - 0171-2985 (Linking) VI - 223 IP - 12 DP - 2018 Dec TI - Assessment of circulating FCepsilonRIa in Chronic Spontaneous Urticaria patients and its correlation with clinical and immunological variables. PG - 807-811 LID - S0171-2985(18)30094-9 [pii] LID - 10.1016/j.imbio.2018.08.009 [doi] AB - Chronic spontaneous urticaria (CSU) is a chronic type characterized by episodes of wheals with or without angioedema. Autoantibody against the alpha subunit of Fc epsilon receptor (FcepsilonRIa) was detected in CSU patients' sera. The study aims to evaluate the clinical utility of skin tests in CSU patients. In addition, it assesses the presence of circulating FcepsilonRIa in CSU patients and their correlation with other clinical and immunological variables. The study includes 40 healthy controls and 40 CSU patients who had urticaria symptoms for at least 8 weeks. All subjects underwent the following tests: autologous serum skin test (ASST), autologous plasma skin test (APST), immunoglobulin E (IgE), antinuclear antibodies (ANA), antithyroid antibodies (ATA). An in-house enzyme-linked immunosorbent assay was used for FcepsilonRIa detection. The prevalence of ANA and ATA in CSU was 7.5% and 20% respectively. Total IgE was significantly higher in CSU than in controls (p < 0.0001). The study detected circulating antibody to FcepsilonRIalpha in 2.5% of controls and 52.5% of CSU patients (p < 0.0001). The prevalence of antibody to FcepsilonRIa was 27.3% and 83.3% of ASST negative and positive patients respectively (p = 0.0004). But the prevalence was 17.6% and 78.3% of APST negative and positive patients respectively (p = 0.0002). In conclusion, Circulating antibody to FcepsilonRIa has a role in the pathogenic mechanisms of CSU. CI - Copyright (c) 2018 Elsevier GmbH. All rights reserved. FAU - Baioumy, Shereen A AU - Baioumy SA AD - Department of Microbiology and Immunology, Faculty of Human Medicine, Zagazig University, Egypt. FAU - Esawy, Marwa M AU - Esawy MM AD - Department of Clinical Pathology, Faculty of Human Medicine, Zagazig University, Egypt. Electronic address: MMAtya@medicine.zu.edu.eg. FAU - Shabana, Marwa A AU - Shabana MA AD - Department of Clinical Pathology, Faculty of Human Medicine, Zagazig University, Egypt. LA - eng PT - Journal Article DEP - 20180820 PL - Netherlands TA - Immunobiology JT - Immunobiology JID - 8002742 RN - 0 (Autoantibodies) RN - 0 (Biomarkers) RN - 0 (FcepsilonRI alpha-chain, human) RN - 0 (Immunoglobulin G) RN - 0 (Receptors, IgE) SB - IM MH - Adult MH - Autoantibodies/blood/pharmacology MH - Biomarkers MH - Case-Control Studies MH - Chronic Disease MH - Female MH - Humans MH - *Immunity MH - Immunoglobulin G/blood/pharmacology MH - Male MH - Middle Aged MH - Receptors, IgE/*blood MH - Urticaria/*blood/diagnosis/*immunology OTO - NOTNLM OT - APST OT - ASST OT - Autoantibody OT - Fc receptor OT - Urticaria EDAT- 2018/08/27 06:00 MHDA- 2019/06/14 06:00 CRDT- 2018/08/27 06:00 PHST- 2018/05/16 00:00 [received] PHST- 2018/08/14 00:00 [revised] PHST- 2018/08/19 00:00 [accepted] PHST- 2018/08/27 06:00 [pubmed] PHST- 2019/06/14 06:00 [medline] PHST- 2018/08/27 06:00 [entrez] AID - S0171-2985(18)30094-9 [pii] AID - 10.1016/j.imbio.2018.08.009 [doi] PST - ppublish SO - Immunobiology. 2018 Dec;223(12):807-811. doi: 10.1016/j.imbio.2018.08.009. Epub 2018 Aug 20.