Department of Veterinary Microbiology, Faculty of Veterinary Science, Chulalongkorn University, 39 Henri-Dunant Road, Pathumwan, Bangkok, 10330, Thailand.
Dermatology unit, Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Kasetsart University, 50 Paholyothin Road, Ladyao, Chatuchuk, Bangkok, 10900, Thailand.
BMC Vet Res. 2021 Feb 5;17(1):71. doi: 10.1186/s12917-021-02768-2.
In dogs with atopic dermatitis, intradermal testing (IDT) or allergen specific IgE serological testing are routinely employed to identify causative allergens. These allergens can then be used for allergen-specific immunotherapy and allergy management. The clinical relevance of this testing is affected by the source of allergen, and other biomarkers that are more related to specific allergens still need to be identified. The aim of this study was to investigate levels of specific IgE, total IgG, and IgG1 and IgG2 subclasses against the local house dust mites (HDM) Dermatophagoides farinae (DF) and D. pteronyssinus (DP) as biomarkers by using in-house ELISAs in healthy (n = 33) and atopic dogs (AD) (n = 44) that were either positive or negative by IDT to HDM.
Being over 3 years of age was a risk factor for AD (Odds Ratio (OD) = 4.10, 95% Confidence interval (CI) 1.57-10.75, p = 0.0049), but there was no relation to IDT outcomes (OR = 0.9091, 95% CI 0.22-3.74, p = 1.00). High levels of all antibody isotypes (IgE, IgG, IgG1 and IgG2) against HDM were found in aged healthy dogs (> 3 years old). In AD, HDM-IgE and IgG1 levels were higher in dogs that were IDT positive to HDM than in IDT negative animals. Levels of IgE and IgG1 could be used to distinguish the specific allergens, whereas total IgG and IgG2 levels were not different between IDT-positive and IDT-negative AD. By the receiver operating characteristic curve at a false-positive rate = 0.10, both IgE and IgG1 showed better sensitivity than IgG and IgG2. Similar to IgE, serum IgG1 concentration was also relevant to IDT outcomes.
Our in-house ELISAs coated with local HDM were useful for evaluating antibody levels, and we propose use of the HDM-specific IgG1 subclass as a biomarker to detect HDM specific allergens in AD, potentially together with an IgE based platform.
在患有特应性皮炎的犬中,通常采用皮内试验(IDT)或过敏原特异性 IgE 血清学检测来鉴定致病过敏原。然后可以使用这些过敏原进行过敏原特异性免疫治疗和过敏管理。该检测的临床相关性受过敏原来源的影响,仍需要确定与特定过敏原更相关的其他生物标志物。本研究旨在通过使用内部 ELISA 检测健康犬(n=33)和特应性犬(AD)(n=44)中针对本地屋尘螨(DF)和 D. pteronyssinus(DP)的特异性 IgE、总 IgG、IgG1 和 IgG2 亚类的水平,这些犬通过 IDT 对 HDM 呈阳性或阴性。
年龄超过 3 岁是 AD 的危险因素(优势比(OR)=4.10,95%置信区间(CI)1.57-10.75,p=0.0049),但与 IDT 结果无关(OR=0.9091,95%CI 0.22-3.74,p=1.00)。在年龄较大的健康犬(>3 岁)中发现针对 HDM 的所有抗体同种型(IgE、IgG、IgG1 和 IgG2)水平较高。在 AD 中,IDT 对 HDM 阳性的犬的 HDM-IgE 和 IgG1 水平高于 IDT 阴性动物。IgE 和 IgG1 水平可用于区分特定过敏原,而 IDT 阳性和 IDT 阴性 AD 之间总 IgG 和 IgG2 水平没有差异。在假阳性率=0.10 时,接受者操作特征曲线显示,IgE 和 IgG1 的敏感性均优于 IgG 和 IgG2。与 IgE 类似,血清 IgG1 浓度也与 IDT 结果相关。
我们用本地 HDM 包被的内部 ELISA 可用于评估抗体水平,我们建议使用 HDM 特异性 IgG1 亚类作为 AD 中检测 HDM 特异性过敏原的生物标志物,可能与基于 IgE 的平台一起使用。