基于 IgE 抗体测定的过敏原数据库(CLSI-IL/A-37)

Robert G. Hamilton, Tabitha Kern, Carina Magnusson, Debra Hovanec Burns, Eric Whitters, Elisabeth Young Abrahamsen, Rebecca Ceder, Gunnar Nordin, T. Dasu, Morten Hansen, Fabien Re-beaud, I. U. Njerve
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摘要

目前已有 8 个成熟的过敏原数据库(IUIS/WHO ANDB、Allergome、AllFam、AllergenOnline、SDAP、COMPARE、IEDB 和 AllerBase),但这些数据库都没有全面列出诊断性单复式和多复式 IgE 抗体检测中使用的全球约 1000 种提取物和分子过敏原的国际公认命名代码和林奈系统描述符。新的诊断过敏原数据库(DADB)是由临床和实验室标准协会的一个国际科学委员会编制的,专门在一个可随时搜索的 Excel 数据库中提供这些数据。以花生为例,DADB 列出了过敏原的唯一检测工作代码 (F13)、一般类别(食物)、可提供过敏原特异性的主要 IgE 抗体检测方法、通用名称(花生)、分类名称(Arachis hypogaea)以及过敏原及其检测方法的 NCBI、NPU、LOINC、Allergome 和 IUIS/WHO 描述代码。DADB 通过提供明确的特异性描述符,使过敏原特异性 IgE 检测方法的制造商受益匪浅。有了 DADB,过敏原提取物生产商在开发过敏原产品时就有了明确的特异性目标。政府监管机构将明确提交审批的新过敏原试剂的特异性。IgE 抗体能力测试计划(如 CAP)将能够明确界定在其挑战血清中测量的 IgE 抗体特异性。临床医生将准确了解参考实验室所测得的 IgE 抗体的过敏原特异性。最后,过敏症患者也可以放心,他们的过敏致敏性是通过一种特性明确的过敏原试剂进行评估的。
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IgE Antibody Assay-Based Allergen Database(CLSI-IL/A-37)
There are 8 established allergen databases (IUIS/WHO ANDB, Allergome, AllFam, AllergenOnline, SDAP, COMPARE, IEDB and AllerBase).None of these provide a comprehensive listing of the internationally-accepted nomenclature codes and Linnean system descriptors of the~1000 extract and molecular allergens used world-wide in diagnostic single-and multi-plex IgE antibody assays. The new Diagnostic Allergen DataBase (DADB) has been prepared by an international scientific committee of the Clinical and Laboratory Standards Institute to specifically provide these data together in a readily-searchable Excel database. Using peanut as an example, the DADB lists the allergens’ unique assay working codes (F13), general category (food), principal IgE antibody assay method(s) where the allergen specificity is available, common name (peanut), taxonomical name (Arachis hypogaea), and the NCBI, NPU, LOINC, Allergome and IUIS/WHO descriptor codes for allergens and their assays. The DADB benefits manufacturers of allergen-specific IgE assays by providing unambiguous specificity descriptors. With the DADB, allergen extract manufacturers will have clearly defined specificity targets for allergenic product development. Government regulators will have clarity on the specificity of new allergen reagents that are being submitted for clearance. IgE antibody proficiency testing programs (e.g. CAP) will be able to clearly define the IgE antibody specificities being measured in their challenge sera. The clinician will precisely know the allergen specificity of IgE antibody that is measured in their reference laboratory. Finally, the allergic patient will be assured that their allergic sensitization is being assessed in an assay with a well-characterized allergen reagent.
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