Atopic disease in man is distinguished by the presence of a special type of antibody, variously termed reaginic, skin sensitizing, or Prausnitz-Kustner antibody. While universal agreement niay not exist on the exact relationship of the atopic reagin to symptoms in atopic disease, it is nonetheless the most reliable indicator of the naturally occurring sensitized state that is peculiar to atopy in man, and appears unrelated to levels of blocking, hemagglutinating, or precipitating antibodies, which at times may be detected in the sera of atopic individuals. It is also known that the level of reaginic antibody is influenced by repeated injections of antigen, being initially increased, and later dirninishing to the point of disappearance following continuous, long term hyposcnsit1zation.l This influence on reaginic antibody appears to bear a closer relationship to improvement in the clinical state than do the increascs in blocking and hemagglutinating antibodies developed during hyposensitization. The basic method for the detection and study of the rcaginic antibody for more than 40 years has been the passive local sensitization of normal human skin by atopic serum, the Prausnitz-Kustner phcnomenon.2 Since the first recognition of reagin, investigators have atteinptcd to characterize the antibody by methods which would eliminate thc technical and biologic problems involved in using human skin as an indicator of its presence. Among the earliest characteristics of reagin recognized were its inability to form precipitins, fix complement, or passively sensitize the guinea pig to While the usual laboratory animals are also not susceptible to passive sensitization of skin with human sera, the typical P-K phenomenon can be demonstrated in the skin of the macaca irus monkey when intravenous injection of Evans blue dyc is used to stain the lesions as in passive cutaneous anaphylaxis. Intravenous injection of antigen simultaneously with the dye is more successful in visualizing lesions, and is recommended over direct intradermal injection of antigen into the tcst site.4 Other properties of reagin which have been helpful in defining its character and in separating it from other antibodies are its therniolability anti inability to pass the placental barrier.j Since it is destroyed by heating at 56 for periods of approximately 4 hours, it may be readily separated from blocking antibody.6 Its failure to cross the placental harrier has been useful in relating it to certain of the immunoglobulins.7 Among the in-vitro tests for the demonstration of antibodies in allergic sera,
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