BÜHLMANN CAST® Assays Technical Presentation

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Presentation transcript:

BÜHLMANN CAST® Assays Technical Presentation 03/06/2016

Type 1 Allergy Mechanism APC Sentinel Cells Allergens ‘Insults’ sIgE antibodies T Lymphocytes B Lymphocytes/Plsma Cells Specific Immune Response Activated & Degranulated Mast Cells Basophils Effector Cells Mediator Release: Histamin, Leukotriens Lab Training 16 - MR

BÜHLMANN CAST®: Functional IVD Cell Based Assays in Allergy Diagnosis The CAST® assay is the diagnostic support of the allergologist to predict the patient allergic reaction to a substance in a safe blood test. With CAST® assay we have standardized an in vitro functional assay to evaluate and quantify the potential of an allergen to activate the patient specific basophils, the circulating effector immune cells in allergy. Activated & Degranulated Basophils CAST® Allergens Basophil Activation Test (BAT) Flow CAST® Mediator Release: Leukotrienes Immunoassays CAST® ELISA Lab Training 16 - MR

Flow CAST® Principle: CCR3 / CD63 a) BÜHLMANN Allergen a) Selection Marker anti-CCR3-PE: Detects all basophils whithin the blood samples Activation Marker anti-CD63-FITC: Detects only basophils which have been activated by the allergen b) Lab Training 16 - MR

Flow CAST® Principle: CCR3 / CD63 Stimulation Control anti-FcεRI mAb: Immunological activation of the basophils: Mimics the cross-linking of two bound IgE with the allergen directly via FcεRI receptor Stimulation Control fMLP (tripeptide): Non-immunological activation of the basophils: The mechanism is not known. Detects the viability of the basophils. e) Lab Training 16 - MR

Flow CAST® Samples per Patient PB Patient Background (PB) Stimulation Buffer Blood Staining Reagent PC1 PC2 Patient Controls (PCs) Stimulation control (PC1: anti-FcεRI mAb; PC2: fMLP) Blood Staining Reagent Ax Allergen Allergen x Blood Staining Reagent Lab Training 16 - MR

Flow CAST® Analysis Basophils Eosinophils Neutrophils Lymphocytes FSC (rel. volume) Lymphocytes Monocytes SSC (rel. granularity) Lab Training 16 - MR

Flow CAST® Analysis Basophils Eosinophils Neutrophils Lymphocytes FL2+; SSClow FL2+; SSChigh Basophils Eosinophils CCR3-PE (FL2) Neutrophils Lymphocytes Monocytes SSC (rel. granularity) Lab Training 16 - MR

Flow CAST® Analysis Activated & degranulated basophils FL1+FL2- CD63 CD203c Activated & degranulated basophils CD63-FITC (FL1) FL1- FL2- FL1-FL2+ Not activated basophils CCR3-PE (FL2) Lab Training 16 - MR

Flow CAST® Analysis Patient Background (PB) ~ 2% Patient Control (PC) FSC (rel. volume) CCR3-PE (FL2) CCR3-PE (FL2) CD63-FITC (FL1) Patient Control (PC) (a-FceRI) SSC (rel. granularity) SSC (rel. granularity) CCR3-PE (FL2) Lab Training 16 - MR

Flow CAST® Analysis Patient Background (PB) ~ 2% Patient Control (PC) FSC (rel. volume) CCR3-PE (FL2) CCR3-PE (FL2) CD63-FITC (FL1) Patient Control (PC) (a-FceRI) >10% sample is evaluable SSC (rel. granularity) SSC (rel. granularity) CCR3-PE (FL2) Lab Training 16 - MR