Izawa Jun, Niitsuma Tomoyuki, Morita Sonoko, Nukaga Masae, Odawara Masato
3rd Department of Internal Medicine, Tokyo Medical University.
Arerugi. 2005 Nov;54(11):1285-93.
Hamster-specific IgE antibodies as measured by currently available CAP-RAST tests are used to diagnose allergies associated with exposure to pet hamsters. Among patients with asthma attributed to hamsters, only about 60% are positive for hamster-specific IgE antibodies. We examined whether the results of CAP-RAST tests are related to differences in species-related antigens.
Currently available mixed specific IgE antibodies against European hamster and Golden hamster antigens (e84) were combined with Djungarian hamster epidermis to produce 3-species mixed specific antibodies. Correlations between results obtained with these mixed antibodies, those obtained with e84 and Djungarian hamster specific IgE antibody were examined in 20 patients with asthma who kept hamsters as pets. In addition, immunoblotting was used to analyze antigens in 9 patients.
There was no correlation between results obtained with e84 and those obtained with Djungarian hamster antibody. Results obtained with 3-species mixed specific IgE antibodies positively correlated with those obtained with Djungarian hamster antibody. A specific binding protein for 67-kDa protein were found in patients who tested positive for e84 and Djungarian hamster antibody. A specific binding protein for 20-kDa protein were found in patients positive for only Djungarian hamster antibody.
The main allergens differ among Golden hamsters, European hamsters, and dwarf Djungarian hamsters.
目前可用的CAP-RAST检测所测定的仓鼠特异性IgE抗体用于诊断与接触宠物仓鼠相关的过敏症。在归因于仓鼠的哮喘患者中,只有约60%的患者仓鼠特异性IgE抗体呈阳性。我们研究了CAP-RAST检测结果是否与物种相关抗原的差异有关。
将目前可用的针对欧洲仓鼠和金黄仓鼠抗原的混合特异性IgE抗体(e84)与黑线仓鼠表皮结合,以产生三种物种的混合特异性抗体。在20名养仓鼠作为宠物的哮喘患者中,检测了这些混合抗体的结果与e84和黑线仓鼠特异性IgE抗体的结果之间的相关性。此外,采用免疫印迹法分析了9名患者的抗原。
e84的检测结果与黑线仓鼠抗体的检测结果之间无相关性。三种物种混合特异性IgE抗体的检测结果与黑线仓鼠抗体的检测结果呈正相关。在e84和黑线仓鼠抗体检测呈阳性的患者中发现了一种针对67-kDa蛋白的特异性结合蛋白。在仅黑线仓鼠抗体呈阳性的患者中发现了一种针对20-kDa蛋白的特异性结合蛋白。
金黄仓鼠、欧洲仓鼠和侏儒黑线仓鼠的主要过敏原不同。