Department of Inorganic and Analytical Chemistry, Poznan University of Medical Sciences, 60-780 Poznan, Poland.
Faculty of Health Sciences, Calisia University, 62-800 Kalisz, Poland.
Int J Environ Res Public Health. 2021 Apr 11;18(8):4011. doi: 10.3390/ijerph18084011.
venom allergy significantly affects the quality of life. Due to the divergences in the results of the available test and clinical symptoms of patients, the current widely applied diagnostic methods are often insufficient to classify patients for venom immunotherapy (VIT). Therefore it is still needed to search for new, more precise, and accurate diagnostic methods. Hence, this research aimed to discover new biomarkers of venom allergy in a group of inflammation factors using set of multi-marker Bioplex panel. The adoption of a novel methodology based on Luminex/xMAP enabled simultaneous determination of serum levels of 37 different inflammatory proteins in one experiment. The study involved 21 patients allergic to wasp and/or honey bee venom and 42 healthy participants. According to univariate and multivariate statistics, soluble CD30/tumor necrosis factor receptor superfamily, member 8 (sCD30/TNFRSF8), and the soluble tumor necrosis factor receptor 1 (sTNF-R1) may be considered as effective prognostic factors, their circulating levels were significantly decreased in the allergy group (-value < 0.05; the Area Under the Curve (AUC) ~0.7; Variable Importance in Projection (VIP) scores >1.2). The obtained results shed new light on the allergic inflammatory response and may contribute to modification and improvement of the diagnostic and monitoring methods. Further, large-scale studies are still needed to explain mechanisms of action of studied compounds and to definitively prove their usefulness in clinical practice.
毒液过敏显著影响生活质量。由于现有测试结果和患者临床症状的差异,当前广泛应用的诊断方法通常不足以对毒液免疫疗法 (VIT) 患者进行分类。因此,仍然需要寻找新的、更精确、更准确的诊断方法。因此,本研究旨在使用多标志物 Bioplex 面板的一组炎症因子中发现毒液过敏的新生物标志物。采用基于 Luminex/xMAP 的新方法能够在一次实验中同时测定 37 种不同炎症蛋白的血清水平。该研究涉及 21 名对黄蜂和/或蜜蜂毒液过敏的患者和 42 名健康参与者。根据单变量和多变量统计分析,可溶性 CD30/肿瘤坏死因子受体超家族成员 8 (sCD30/TNFRSF8) 和可溶性肿瘤坏死因子受体 1 (sTNF-R1) 可被视为有效的预后因素,其在过敏组中的循环水平显著降低(-值 < 0.05;曲线下面积 (AUC) ~0.7;重要性变量投影 (VIP) 得分 >1.2)。获得的结果为过敏炎症反应提供了新的认识,并可能有助于修改和改进诊断和监测方法。此外,仍需要进行大规模研究来解释研究化合物的作用机制,并最终证明它们在临床实践中的有用性。