ISAC and Component-resolved Diagnosis

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Presentation transcript:

ISAC and Component-resolved Diagnosis April 23, 2013 ISAC and Component-resolved Diagnosis Douwe de Boer, Chris Nieuwhof, Judith Bons en Paul Menheere

Ebo et al., University of Antwerp CRD and ISAC | De Boer, Nieuwhof, Bons and Menheere | April 23, 2013 Allergy: clinical relevance  “in vitro” testing intra-allergenic heterogeneity allergen = mixture of allergen components Ebo et al., University of Antwerp Component-resolved Diagnosis (CRD) B A E C D

ISAC (Immuno Solid-phase Allergy Chip ) CRD and ISAC | De Boer, Nieuwhof, Bons and Menheere | April 23, 2013 RAST Single-analyte assay: single analysis of specific IgE directed against single allergens, single allergen components or mixtures of allergens classical ImmunoCAP assay RAST1 40 µL ISAC (Immuno Solid-phase Allergy Chip ) ImmunoCAP ISAC (16 spots per mm2) Multiplex assay: multiple analysis of specific IgE directed against allergen components in one single run ISAC112 30 µL

Component-resolved Diagnosis (CRD) CRD and ISAC | De Boer, Nieuwhof, Bons and Menheere | April 23, 2013 Storage protein Storage protein intra-allergenic heterogeneity Storage protein Storage protein Profilin Storage protein Storage protein Pathogenesis Related-10 protein non-specific Lipid Transfer Protein Component-resolved Diagnosis (CRD)

Complications Detecting specific IgEs - 1 CRD and ISAC | De Boer, Nieuwhof, Bons and Menheere | April 23, 2013 Complications Detecting specific IgEs - 1 intra-allergenic heterogeneity inter-allergenic homogeneity non-specific Lipid Transfer Proteins Ara h 9 Pathogenesis Related-10 proteins Ara h 8 Profilins Ara h 5 Pan-allergens

Component-resolved Diagnosis (CRD) CRD and ISAC | De Boer, Nieuwhof, Bons and Menheere | April 23, 2013 Complications Detecting specific IgEs - 2 Component-resolved Diagnosis (CRD) intra-allergenic heterogeneity inter-allergenic homogeneity

Pan-allergens – risks and severity CRD and ISAC | De Boer, Nieuwhof, Bons and Menheere | April 23, 2013 Pan-allergens – risks and severity initially CCD was considered to be important to explain cross-reactivity mainly “plant” derived pan-allergens Cross-reactive Carbohydrate Determinants specific glycan epitope

Profilins Cytoskeleton proteins Highly conserved proteins CRD and ISAC | De Boer, Nieuwhof, Bons and Menheere | April 23, 2013 Profilins Cytoskeleton proteins Highly conserved proteins True pan-allergen (high degree of cross-reactivity) rMal d 4 rHev b 8 rPhl p 12 rBet v 2 rMer a 1 rAra h 5 rPru p 4

Pathogenesis Related-10 Protein (PR-10) CRD and ISAC | De Boer, Nieuwhof, Bons and Menheere | April 23, 2013 Pathogenesis Related-10 Protein (PR-10) Large family and conserved proteins Heat and acid labile proteins Unknown function rMal d 1 rDau c 1 rPru p 1 rAra h 8 rCor a 1.01 rCor a 1.04 rApi g 1 rGly m 4 rBet v 1 rPru ar 1 rPyr c 1 rPru av 1

non-specific Lipid Transfer Protein (LTP) CRD and ISAC | De Boer, Nieuwhof, Bons and Menheere | April 23, 2013 non-specific Lipid Transfer Protein (LTP) Relatively conserved proteins Heat and acid stable protein Shuttle protein of lipids rCor a 8 rPru p 3 rAra h 9 rMal d 3 rZea m 4 rPru av 3

Storage Protein Proteins for storage of energy mainly in seeds CRD and ISAC | De Boer, Nieuwhof, Bons and Menheere | April 23, 2013 Storage Protein Proteins for storage of energy mainly in seeds Relatively less conserved proteins pseudo-Pan-allergen (low degree of cross-reactivity) “Voorraad of opslag eiwitten” rBer e 1 rAra h 1 rAra h 2 rAra h 3 rAra h 6 rCor a 9 rSes i 3 nGly m 5 nGly m 6

Pan-allergen sensitization in Europe CRD and ISAC | De Boer, Nieuwhof, Bons and Menheere | April 23, 2013 Pan-allergen sensitization in Europe

ISAC and Component-resolved Diagnosis CRD and ISAC | De Boer, Nieuwhof, Bons and Menheere | April 23, 2013 ISAC and Component-resolved Diagnosis Conclusions and remarks Component-resolved Diagnosis can give insights in sensibilisations for separate allergen components intra-allergenic heterogeneity Besides separate allergen components groups of pan- allergens can be distinguished inter-allergenic homogeneity  Components and pan-allergens are being associated with risks  ISAC is a multiplex assay (an extensive number of components)  RAST is a single analyte assay (limited number of components)