Classification of anti-FcϵRI and anti-IgE autoantibodies in chronic idiopathic urticaria and correlation with disease severity  Ruth A. Sabroe, MDa, Edda.

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Presentation transcript:

Classification of anti-FcϵRI and anti-IgE autoantibodies in chronic idiopathic urticaria and correlation with disease severity  Ruth A. Sabroe, MDa, Edda Fiebiger, PhDb, David M. Francis, BSca, Dieter Maurer, MDb, Paul T. Seed, MSc, C Statc, Clive E.H. Grattan, MA, MDd, Anne Kobza Black, MDa, Georg Stingl, MDb, Malcolm W. Greaves, MD, PhDa, Robert M. Barr, PhDa  Journal of Allergy and Clinical Immunology  Volume 110, Issue 3, Pages 492-499 (September 2002) DOI: 10.1067/mai.2002.126782 Copyright © 2002 Mosby, Inc. Terms and Conditions

Fig. 1 Patients can be subdivided into 5 categories depending on histamine release assays and Western blot analysis. Western blot analysis score (0-3) for anti-FcϵRI autoantibodies in sera from 78 patients with CIU is plotted against histamine release from IgE-stripped basophils (A) , IgE-sensitized basophils (B) , and mast cells in skin slices (C) . Histamine release was considered positive if 5% or more of the total histamine was released, as indicated by the dashed line . Filled circles, IgE-stripped basophils (FcϵRI histamine release positive); filled inverted triangles, IgE-sensitized basophils (anti-IgE); open squares, mast cell-specific histamine release; open triangles, no histamine-releasing activity, positive Western blot result (anti-FcϵRI histamine release negative); open circles, no histamine-releasing activity, negative Western blot result. Journal of Allergy and Clinical Immunology 2002 110, 492-499DOI: (10.1067/mai.2002.126782) Copyright © 2002 Mosby, Inc. Terms and Conditions

Fig. 2 Identification of patients with predominant anti-IgE autoantibodies. Variation in the log ratio of histamine release (HR) from IgE-stripped and IgE-sensitized basophils is plotted for 27 patients with CIU with serum histamine-releasing activity. The mean log ratio (±4 SDs) for mAb 22E7 used as a control secretagogue, which is not competitive with IgE for binding to FcϵRI, are shown by solid lines (mean) and dashed lines (±4 SDs; n = 4 experiments for IgE-stripped and IgE-sensitized basophils). Histamine release with mAb 22E7 from IgE-stripped and IgE-sensitized basophils was 23.1% ± 3.4% and 26.1% ± 3.0% (mean ± SD), respectively. As in Fig 1, filled circles, IgE-stripped basophils (FcϵRI histamine release positive); filled inverted triangles, IgE-sensitized basophils (anti-IgE). Journal of Allergy and Clinical Immunology 2002 110, 492-499DOI: (10.1067/mai.2002.126782) Copyright © 2002 Mosby, Inc. Terms and Conditions

Fig. 3 Relationship between CIU subset and the severity of clinical features. The CIU subset is plotted against urticaria activity score (A) , wheal distribution score (B) , number of associated systemic symptoms (C) , and worst episodes of itching (D) . Statistical analysis of data is given in Table IV. As in Fig 1, filled circles, IgE-stripped basophils (FcϵRI histamine release positive); filled inverted triangles, IgE-sensitized basophils (anti-IgE); open squares, mast cell-specific histamine release; open triangles, no histamine-releasing activity, positive Western blot result (anti-FcϵRI histamine release negative); open circles, no histamine-releasing activity, negative Western blot result. Journal of Allergy and Clinical Immunology 2002 110, 492-499DOI: (10.1067/mai.2002.126782) Copyright © 2002 Mosby, Inc. Terms and Conditions