Specific Immunoglobulin Research Articles

Mucosal antibody response and SARS-CoV-2 shedding in patients with COVID-19 related olfactory dysfunction.

Olfactory dysfunction (OD) was one of the most common symptom of infection with the Wuhan strain of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and could persist for several months after symptom onset. The pathogenesis of prolonged OD remains poorly understood but probably involves sustained viral replication associated with limited mucosal immune response to the virus. This prospective study was conducted to investigate the potential relationship between nasal SARS-CoV-2 viral load and antibody levels in patients with loss of smell. One hundred and five patients were recruited 2 weeks after presenting with confirmed coronavirus disease 2019 associated OD. Based on the identification sniffing test performed at enrollment, 52 patients were still anosmic or hyposmic and 53 were normosmic. SARS-CoV-2 was detectable in nasal wash of about 50% of anosmic and normosmic patients. Higher viral load was detected in anosmic patients with lower levels of SARS-CoV-2 specific nasal immunoglobulins (Ig) IgG and IgA. This association was not observed in normosmic patients. No relationship between nasal viral load and antibodies to endemic coronaviruses was observed. SARS-CoV-2 replication in the nasal cavity may be promoted by defective mucosal antibody responses in patients with OD. Boosting mucosal immunity may limit nasal SARS-CoV-2 replication and thereby help in the control of persistent OD.

Exploring the Interplay: Obesity, Lipid Metabolism, and Clinical Manifestations in Atopic Dermatitis.

The interest toward the association between atopic dermatitis (AD) and obesity is increasing, yet the possibility of abnormal lipid metabolism has never been investigated before. To identify the characteristics of patients with AD who are obese and analyze the serum lipid profiles of these patients. This observational study included 167 patients diagnosed with AD and underwent evaluations for serum lipid panels between July 2017 and October 2017. The patients' body mass index was used to determine obesity and the serum lipid panels were analyzed between patients who are obese and non-obese. Also, the disease severity and subjective symptoms were evaluated and serum total immunoglobulin E (IgE) and specific IgE levels were assessed. Of the 167 patients with AD, there were 36 obese and 131 non-obese subjects. Obese patients were found to have a significantly higher disease severity, as well as higher serum triglyceride and low-density lipoprotein-cholesterol levels and lower high-density lipoprotein-cholesterol levels, which was most pronounced in adult males. Obesity AD patients also had a significantly higher serum total IgE, itch intensity score, and number of allergens sensitized. Patients with AD who are obese should be monitored for possible abnormalities in lipid metabolism. Obesity may be a factor that contributes to a higher disease severity of AD.

The age and residence impact on IgE serum level in patients with allergic asthma

Abstract Background: Immunoglobulin E (IgE) has a role in mediating allergic reactions and their powerful effector functions, but numerous factors influence its value. Objective: To find any difference in total and specific IgE serum levels at the different age groups and residences. Materials and Methods: Eighty-seven asthmatic children, including 57 males and 30 females with asthma aged between 1 and 16 years old, 32.2% living in rural and 67.8% living in urban, were collected at Kerbala Teaching Hospital for Children. All asthmatic children in this study were subjected to measuring total IgE level using AccuBind IgE ELISA kit, Human Chlamydia pneumoniae IgG using Cpn IgG ELISA kit, and Human C. pneumoniae IgE using Cpn IgE ELISA kit. Results: There was a significant positive linear correlation between age and total IgE level and a significant negative correlation between age and C. pneumoniae IgE in asthmatic children (0.255, P = 0.017, -0.233, P = 0.03, respectively). Further, there was a significant positive linear correlation between total IgE and C. pneumoniae IgE under age controlling (0.225, P = 0.019). In urban residents, the asthmatic children more than eleven years old had a low C. pneumonia IgE serum level (5.845 ± 1.821 ng/L) compared with asthmatic children who lived in rural areas (8.206 ± 2.793 ng/L). Depending on age groups, there was a significant difference (P = 0.047) in C. pneumonia IgE serum levels in asthmatic children who lived in urban areas. Conclusion: C. pneumonia-specific IgE decreased in early adulthood urban asthmatic children.

Clinical outcome and component-specific antibody levels in egg allergic children after lightened oral immunotherapy.

To evaluate the clinical outcome of lightened version of egg oral immunotherapy (OIT) and to analyze egg allergen component-specific antibody levels during short up-dosing with egg white powder and maintenance by egg in daily diet. Eighteen egg-allergic children received egg powder with short up--dosing and they maintained tolerance using egg in daily diet. Seventeen egg-allergic children served as a control group. Component-resolved analysis of serum immunoglobulin E (IgE), IgA1, IgA2, and IgG4 levels were determined at inclusion, after up-dosing and after 1 year of immunotherapy. Skin-prick tests were performed at inclusion and after 1 year of therapy. All 18 patients in the egg OIT group were successfully desensitized. Desensitization was achieved on average in 4.5 months. In the control group, only two children tolerated egg in oral food challenge after 1 year. Of the measured immune markers, smaller wheal diameters in skin-prick testing, reduction in component-specific IgE levels, and increase in component-specific IgA1, IgA2, and IgG4 levels were associated with desensitization. A lightened egg OIT is effective and safe in children with egg allergy. Increase in all egg component-specific IgA1, IgA2 and IgG4 levels and decrease in all egg component--specific IgE levels were observed after 12 months of OIT.

Variation in the Allergenicity of Scrambled, Boiled, Short-Baked and Long-Baked Egg White Proteins.

Hen's egg white (HEW) is the most common cause of food allergy in children which induces mild to fatal reactions. The consultation for a proper restriction is important in HEW allergy. We aimed to identify the changes in HEW allergenicity using diverse cooking methods commonly used in Korean dishes. Crude extract of raw and 4 types of cooked HEW extracts were produced and used for sodium dodecyl-sulfate polyacrylamide gel electrophoresis (SDS-PAGE), enzyme-linked immunosorbent assay (ELISA), and ELISA inhibition assays using 45 serum samples from HEW allergic and tolerant children. Extracts were prepared; scrambled without oil for 20-30 seconds in frying pan without oil, boiled at 100°C for 15 minutes, short-baked at 180°C for 20 minutes, and long-baked at 45°C for 12 hours with a gradual increase in temperature up to 110°C for additional 12 hours, respectively. In SDS-PAGE, the intensity of bands of 50-54 kDa decreased by boiling and baking. All bands almost disappeared in long-baked eggs. The intensity of the ovalbumin (OVA) immunoglobulin E (IgE) bands did not change after scrambling; however, an evident decrease was observed in boiled egg white (EW). In contrast, ovomucoid (OM) IgE bands were darker and wider after scrambling and boiling. The IgE binding reactivity to all EW allergens were weakened in short-baked EW and considerably diminished in long-baked EW. In individual ELISA analysis using OVA+OM+ serum samples, the median of specific IgE optical density values was 0.435 in raw EW, 0.476 in scrambled EW, and 0.487 in boiled EW. Conversely, it was significantly decreased in short-baked (0.406) and long-baked EW (0.012). Significant inhibition was observed by four inhibitors such as raw, scrambled, boiled and short-baked HEW, but there was no significant inhibition by long-baked HEW (IC50 > 100 mg/mL). We identified minimally reduced allergenicity in scrambled EW and extensively decreased allergenicity in long-baked EW comparing to boiled and short-baked EW as well as raw EW. By applying the results of this study, we would be able to provide safer dietary guidence with higher quality to egg allergic children.

Associations of Host Characteristics, Immunisation History and Rash Onset with Measles-Rubella Specific Immunoglobulin M (IgM) Status in South Sulawesi

Associations of Host Characteristics, Immunisation History and Rash Onset with Measles-Rubella Specific Immunoglobulin M (IgM) Status in South Sulawesi

Understanding hypergammaglobulinemia in experimental or natural visceral leishmaniasis.

Nonspecific hypergammaglobulinemia (HGG) occurs in symptomatic human visceral leishmaniasis (VL) caused by L. L. infantum. This study assessed this finding in experimental infection in hamsters and natural infection in dogs. The serum concentration of proteins, albumin and globulins was determined through the biuret and bromocresol green reaction, where the HGG was better expressed through the albumin/globulin (A/G) ratio. HGG was associated with a higher concentration of specific anti-glycan antibodies (BSA-G)/promastigote soluble extract (PSE) and the presence of circulating immune complexes (IC) by dissociative enzyme-linked immunoassay (ELISA). The study found monovalent IC in 37.9% (PSE) and 50% (BSA-G) of sera from infected hamsters, with increased frequency as the disease progressed. HGG was found in >60% of the samples in dogs with VL, associated with higher levels of specific immunoglobulin (Ig)A and IgM, but not IgG, determined using the PSE and BSA-G ELISA. HGG was associated with the presence of monovalent IC in 58.9% (PSE) and 63.4% (BSA-G) positive dog samples. HGG may result not only from the nonspecific activation of B cells, with greater production of specific and nonspecific antibodies, but also due to lower IgG excretion due to the presence of soluble monovalent IC. HGG correlates to the progression of VL and may be a marker for manifested disease.

Adaptation of epizootic brucella strains to the conditions of artificial nutrient media and the body of experimentally infected animals

Brucellosis remains an urgent problem to date. The preservation of brucellosis infection foci in regions with traditionally developed animal husbandry poses a danger of introducing the pathogen into safe territories, spreading among susceptible livestock and the risk of human infection. When fresh foci of brucellosis occur in an area with long-term well-being, objective data on the causative agent of infection are of great importance. The purpose of the research is to obtain an objective result of laboratory studies when diagnosing brucellosis in cattle in a fresh outbreak of infection and to evaluate the effectiveness of a set of diagnostic methods used in the work. The research was carried out in production veterinary and scientific laboratories. It was found that brucella, forming a fresh source of infection in cattle herds against the background of long-term well-being, had active antigenic properties. In 42% of infected animals (5 out of 12 animals), brucella of the epizootic strain caused the synthesis of specific immunoglobulins. Isolated brucella cultures were characterized by a weakly expressed ability to adapt to the conditions of an artificial nutrient medium and the body of laboratory animals. In the conducted studies, the probability of isolating the causative agent of brucellosis from animals that respond positively to serological examination was 20%. The objective data obtained on the properties of brucellosis pathogens circulating among susceptible animals in a fresh outbreak of infection made it possible to determine its species differences; establish factors and ways of introducing brucella, predict the course of infectious and epizootic processes, make a timely decision on carrying out health and preventive measures using effective methods and means.

Особенности течения COVID-19 у больных с хроническими вирусными гепатитами

Objective. To study the features of clinical picture and levels of proinflammatory cytokines (interleukin-1 and -6) and tumor necrosis factor-alpha in COVID-19 patients with CVH. Patients and Methods. A prospective case-control study included 222 patients admitted between 2020 and 2024 with a diagnosis of COVID-19 presenting with CVH at Zangiota Multidisciplinary Infectious Disease Clinic No. 1. The diagnosis of COVID-19 in all patients was verified either by polymerase chain reaction revealing SARS-CoV-2 ribonucleic acid (nasopharyngeal swabs) or by specific immunoglobulins of class M to coronavirus detected by enzyme immunoassay. The severity of the course of the disease was determined in accordance with the temporary methodological recommendations of the Republic of Uzbekistan “Prevention, diagnosis and treatment of new coronavirus infection (COVID-19 Group I included 103 (46.39%) patients with chronic viral hepatitis C (CVHC), Group II included 104 (46.85%) patients with chronic viral hepatitis B (CVHB), and Group III included 15(6.76%) patients with mixt-hepatitis. The examination included: history taking; clinical examination of patients; standard clinical and biochemical blood tests; multispiral computed tomography and/or lung radiography. Serum levels of TNF-alpha and interleukins (hereinafter referred to as IL) -1, and -6 were determined using diagnostic test systems manufactured by VECTOR-BEST LLC (Novosibirsk, Russia) according to the attached instructions. Statistical processing of the obtained results was performed using Statstica.12 program. Methods of descriptive and variation statistics were used; Fisher's criterion and Pearson's linear correlation coefficient were calculated. Differences were considered reliable at p < 0.05. Results. In groups I and II, the moderately severe form of COVID-19 was significantly (p < 0.05) redominant; in the whole sample, as well as in the moderately severe course of the disease, women were significantly (p < 0.05) predominant; 9 out of 10 patients who died were men. The later a patient was admitted to the hospital, the more often severe COVID-19 was diagnosed. In all groups, men were hospitalized significantly (p < 0.05) later than women. In 12(5,41%) patients the diagnosis of “CVH” was detected for the first time in hospital by ELISA method: in 11 cases – CVHC, in another 1 – CVHB. Thirtysix(16.21%) patients had diabetes mellitus, 17 of them had moderate COVID-19, and 19 had severe COVID-19. There was a significant (p < 0.05) predominance of type 2 diabetes mellitus in patients from group I (25.2% vs. 3.6:% in group II, and 13.3% in group III, respectively). In 26 patients with diabetes mellitus from group I, the level of IL-6 was significantly (p < 0.05) higher (59.45 ± 18.15 pg/mL, versus 30.61 ± 4.24 and 31.0 pg/mL for groups II and III, respectively). The level of C-reactive protein in the general group amounted to 41.21 ± 1.68 IU/mL; the dynamics of this index had a wave-like character, increasing with aggravation of the condition and decreasing with increasing saturation and decreasing intoxication syndrome. In 78 (35.13%) patients at hospital discharge the level of CRP remained elevated (24.03 ± 1.47 mg/L). Conclusion. Timely detection of disorders in the systems of cytokine regulation and hemostasis in patients with the combination of COVID-19 and CVH will allow increasing the effectiveness of treatment (hepatoprotectors, anticoagulants) both in hospital and in the rehabilitation period. Key words: COVID-19, diagnosis, proinflammatory cytokines, tumor necrosis factor-alpha, chronic viral hepatitis

Determination of Brucellosis Seroprevalence and Associated Risk Factors in Amasya Province

Objective: It is important to determine the current seroprevalence by investigating Brucellosis disease, which is an important cause of morbidity, in the general population. In this study, it was aimed to determine brucellosis seroprevalence and associated risk factors in the population residing in the city center of Amasya.
 Materiels and Methods: The population of this study consisted of the population aged fifteen and over living in the city center of Amasya. For the cross-sectional study, it was aimed to reach 464 people with the multi-stage sampling method. As a cluster unit, villages representing rural areas and family health centers representing neighborhoods in urban areas were taken. The data of the study were collected between 16/05/2022-22/02/2023. After the individuals included in the sample were informed about the purpose of the study and the procedures to be applied, a questionnaire form prepared by the researchers was applied to those who agreed to participate. Following the application of the questionnaire, venous blood sample was taken and specific immunoglobulins were investigated by Brucellacapt test in serum sample. Statistical significance level was accepted as p

Accuracy of Nasal House Dust Mite-Specific Immunoglobulin E in Diagnosis of Local Allergic Rhinitis

Background: Local allergic rhinitis (LAR) is the symptom of allergic rhinitis in which nasal allergen-specific immunoglobulin E(IgE) is detected but has no sensitivity to systemic allergens. The gold standard test is the nasal allergen provocation test (NAPT) which requires a complicated procedure. Specific IgE in nasal mucosa test is the less invasive and easier diagnostic alternative for LAR. Aims: This review aimed to determine the validity of the nasal house dust mite - specific IgE test for LAR patients. Study designs: A meta-analysis was conducted in chronic rhinitis patients with negative skin prick test (SPT) and serum IgE. Methods: The research was using PubMed Central, Cochrane library, SAGE journals, and Science Direct were searched until July 29th, 2022. The validity of the nasal HDM - specific IgE test was compared to NAPT. Results: A total of 413 research articles were selected and five articles were included. The QUADAS-2 assessment showed minimum publication bias. The total sample was 236 patients. Pooled sensitivity 90.00%, I2= 28.95% and p=0.01. Pooled specificity 96.00%, I2= 30.28% and p=0.00. The value of the area under the curve in the SROC curve = 0.9710, statistically significant. Conclusion: The nasal HDM- specific IgE test is valid for diagnosing patients with LAR.

Using a solid-phase variant of enzyme immunoassay for the etiological diagnosis of endogenous uveitis

Enzyme-linked immunosorbent assay (ELISA) has traditionally been used to diagnose infectious diseases, including ophthalmic ones. As a rule, however, investigators are only focused on differentiated detection of specific immunoglobulins (Ig) of varied classes, despite the fact that ELISA is able to register a wider range of emerging immune responses.Our purpose is to assess the effectiveness of the solid-phase version of ELISA for the etiological diagnosis of endogenous uveitis.Material and methods. 107 patients (114 eyes) aged 19 to 83 (ave. 45.2 ± 2.8 yrs) with various clinical forms of endogenous uveitis were examined by the traditional ELISA method. Along with the detection of specific Ig, the avidity of IgG and “paired” sera were studied.Results. In the primary serological examination, specific IgG were found in almost all patients (to herpes simplex viruses in 100 %, and to cytomegaloviruses in 96,3 %). Specific IgM were revealed in 3.7 % of cases. Specific IgG to T. gondii were found in 44.9 % of the patients and in 2 people, IgM. Specific IgG to C. trachomatis were found in 23 patients, and in two cases, IgM. By studying the avidity of antibodies, etiology was additionally deciphered in 1.9 % of patients. The study of “paired” sera helped determine the etiology of the disease in another 16 people.Conclusion. An integral approach using all diagnostic capabilities of ELISA, in particular the differentiated definition of specific Ig of various classes and the avidity of specific IgG, as well as the study of “paired” sera, made it possible to significantly increase the diagnostic capabilities of ELISA. As a result, the etiology was deciphered in 26 patients (24,3 %).

Оцінка сироваткового загального та специфічного імуноглобуліну Е в дітей з персистуючим алергічним ринітом і поєднаним із бронхіальною астмою при сенсибілізації до алергенів кліщів

Allergic rhinitis (AR) is a common immunoglobulin E (IgE) dependent disease among allergic patients worldwide. At the same time, the determination of specific IgE in the blood serum allows characterizing the relevant sensitizing allergens. Despite the existence of conditional thresholds for normal and elevated levels of total and specific IgE, there is no consensus in the literature on which IgE value unequivocally confirms the presence of atopy and what is the relationship between these levels and the severity of clinical manifestations. Purpose - to evaluate the levels of serum total and specific IgE and their relationship with severity and age in children with persistent AR and combined with bronchial asthma (BA) during sensitization to house dust mite (HDM) allergens. Materials and methods. A clinical, anamnestic and laboratory examination of 259 children aged 5 to 17 years with AR and combined AR with BA, who were sensitized to HDM allergens, was conducted. Results. In AR in children with sensitization to HDM, there is a dependence of serum total IgE level on the severity of AR and age of children. With increasing severity of AR manifestations, a significant (p<0.05) increase in total IgE levels was noted. It was found that the content of sIgE also increased with increasing severity of AR. Thus, statistically significantly (p<0.05) higher levels of sIgE were determined in sensitization to the major HDM molecules Der f 1, Der p 1, Der p 2, Der p 23 in children with severe AR. Sensitization to the tropomyosin Der p10 molecule, which usually has no effect on the clinical manifestations of respiratory allergy but indicates cross-reactivity to seafood, was significantly more common (p<0.05) in children aged 3-7 years compared to children aged 13-17 years. Conclusions. The data obtained partially define the pathogenetic features in the formation of sensitization to HDM and their individual molecules, confirming that this process begins at an early age, which may indicate the need to start allergen-specific immunotherapy in such children if clinically necessary. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.

Omega-5-gliadin-specific immunoglobulin E-positive, but wheat-specific immunoglobulin E-negative wheat allergy dependent on augmentation factors—a frequent presentation

Aim: Most patients with wheat allergy dependent on augmentation factors (WALDA) show specific immunoglobulin E (sIgE) to ω5-gliadin. However, some WALDA patients may show negative results when testing for sIgE to total wheat extract. This is the first study to investigate potential clinical and serological differences in patients with ω5-gliadin-positive, challenge-confirmed WALDA dependent on their sensitization to total wheat extract. Methods: Clinical and serological characteristics of patients with challenge-confirmed, ω5-gliadin-positive WALDA were analyzed based on the absence or presence of sIgE to wheat (cut-off 0.35 kUA/L). Results: Thirty-six patients with challenge-confirmed WALDA were included (19 female; median age 50.5 years; median sIgE to ω5-gliadin 6.5 kUA/L). SIgE levels to grass pollen were related to the presence of any atopic comorbidity (P < 0.001) and showed a correlation with sIgE to wheat (P = 0.003), but not to the gluten-related allergens [all not significant (ns)]. Thirty-nine percent of patients (n = 14) showed sIgE levels to wheat lower than 0.35 kUA/L; in 19.4% (n = 7) levels were even below the detection limit of 0.01 kUA/L. WALDA patients without sIgE to wheat showed lower levels of total immunoglobulin E (IgE) and sIgE to wheat gluten, gliadins, and ω5-gliadin (all P < 0.001) as well as to grass pollen (P = 0.03). No significant differences in clinical characteristics like delay until diagnosis, the presence of an atopic condition, reaction severity, or threshold in the oral challenge test were observed. Conclusions: SIgE to wheat extract was associated not only with sensitization against gluten allergens but also reflected total IgE production and concomitant grass pollen allergy, making it an insensitive and unspecific biomarker for WALDA. There were no clinical divergences between WALDA patients without or with sIgE to wheat. SIgE to total wheat extract does not appear to be clinically relevant and remains negative in a significant proportion of WALDA patients.

Comparison of Diagnostic Efficacy of Lancet, Multi-Head Applicator, and Specific Immunoglobulin E in Allergy Testing

Comparison of Diagnostic Efficacy of Lancet, Multi-Head Applicator, and Specific Immunoglobulin E in Allergy Testing

Exposure to air pollution concentrations of various intensities in early life and allergic sensitisation later in childhood

BackgroundEvidence on the relationship between air pollution and allergic sensitisation in childhood is inconsistent, and this relationship has not been investigated in the context of smoke events that are predicted to increase with climate change. Thus, we aimed to evaluate associations between exposure in two early life periods to severe levels of particulate matter with an aerodynamic diameter < 2.5 μm (PM2.5) from a mine fire, background PM2.5, and allergic sensitisation later in childhood.MethodsWe measured specific immunoglobulin E (IgE) levels for seven common aeroallergens as well as total IgE levels in a cohort of children who had been exposed to the Hazelwood coal mine fire, either in utero or during their first two years of life, in a regional area of Australia where ambient levels of PM2.5 are generally low. We estimated personal exposure to fire-specific emissions of PM2.5 based on a high-resolution meteorological and pollutant dispersion model and detailed reported movements of pregnant mothers and young children during the fire. We also estimated the usual background exposure to PM2.5 at the residential address at birth using a national satellite-based land-use regression model. Associations between both sources of PM2.5 and sensitisation to dust, cat, fungi, and grass seven years after the fire were estimated with logistic regression, while associations with total IgE levels were estimated with linear regression.ResultsNo association was found between the levels of exposure at either developmental stage to fire-related PM2.5 and allergic sensitisation seven years after the event. However, levels of background exposure were positively associated with sensitisation to dust (OR = 1.90, 95%CI = 1.12,3.21 per 1 μg/m3).ConclusionsChronic but low exposure to PM2.5 in early life could be more strongly associated with allergic sensitisation in childhood than time-limited high exposure levels, such as the ones experienced during landscape fires.

Prevalence and Risk Factors for IgE and IgG Cow's Milk Protein Allergies in Saudi Arabia.

Cow's milk protein allergies (CMPAs) particularly occur in infancy and early childhood due to an immunological allergic reaction to milk proteins. This issue is increasing in Saudi Arabia and requires research to improve health status and provide alternatives. Our study aims to investigate the important aspects of immunoglobulin E(IgE) and IgG CMPA in Saudi Arabia regarding its prevalence and association with demographic and health-related factors in both adult and pediatric populations. A descriptive retrospective cross-sectional study was conducted on 376 patients, comprising 314 adults aged between 19 and 86 years, and 62 pediatric patients aged between one and 12 years. The study focused on individuals who attended a private medical center in Jeddah city over the past five years. Laboratory results for food allergy of IgE and IgG tests, including cow's milk proteins (CMPs), serum 25-hydroxyvitamin D (25OHD), specific IgE inhalant allergy results, and other health-related factors were collected from an electronic record system. Results have shown that casein was the most common sensitizing allergen of CMPs in adults, whereas α-lactalbumin was the most common sensitizing allergen in pediatrics. The most frequent sensitizing allergen in IgG CMP was cow's milk in 54/92 (58.7%) adults, followed by cow's sour milk products 41 (44.6%). Cow's milk was the most common sensitizing allergen in 20/20 (100%) children. The rate of CMPA was significantly higher in children younger than five years old (P =0.003), while children who interacted with pets had a marginal significantly reduced rate (P = 0.054). Thus, cow's milk is the most sensitizing allergen in IgG CMPs in adults and pediatrics.

Organization for laboratory diagnosis of SARS-COV-2 in the conditions of an anti-tuberculosis institution

Introduction. In connection with the spread of a new coronavirus infection COVID-19 since 2020, measures have been taken in the city of Moscow to widely diagnose the causative agent of COVID-19. A laboratory PCR department was opened in the State Budgetary Healthcare Institution «MNPC for the fight against tuberculosis of the DZM», taking into account the available material and human resources. Purpose of the study: To generalize the experience of organizing the laboratory service of an anti-tuberculosis institution in the city of Moscow during the spread of a new coronavirus infection. Results. Human and material resources have made it possible to maintain the quality and availability of laboratory diagnostics of biological material from patients receiving treatment at the Moscow Regional Research and Practical Center for Combating Tuberculosis, DZM, during the COVID-19 pandemic. In the period 2020-2022 in total, 90,102 studies of biological material (smears) were carried out by RT-PCR in order to detect COVID-19 RNA. Starting from June 2020 to the present, the PCR department of the KDL Clinic 2 has been studying the direct detection of Covid-19 RNA in biological material using molecular genetic methods based on reverse transcription and polymerase chain reaction (RT-PCR) and the identification of specific immunoglobulin classes IgM and IgG to coronavirus antigens in blood serum (plasma) by the method of immunochemiluminescent analysis (ICLA) of both persons receiving treatment at the State Budgetary Institution of Healthcare Center for Combating Tuberculosis Moscow, and employees.

Comparative study of the ELISA use with milk and blood serum for bovine brucellosis diagnosis

Enzyme immunoassay, being a more sensitive method, makes it possible to identify specific antibodies in samples of combined milk. The ELISA study of harvested milk in farms can become an important element in the system of anti-brucellosis measures regarding the control of the epizootic state in farms taking into account the availability and ease of implementation of this method. For screening express-diagnostics of bovine brucellosis the method of enzyme immunoassay with milk of cows has been developed. ELISA with milk serum is specific, sensitive, easy to formulate, account for and interpret the results. It has been found that the conditions of storage and transportation of milk samples corresponding to room temperature values and leading to fermentation do not affect the level of specific anti-viral immunoglobulins for eight days, and the question of the use of a cold chain during transportation of milk samples to be examined to the place of analysis can be withdrawn from the agenda. When working out the optimal sample preparation, the difference in the specific signal when setting the ELISA between the milk serum obtained by high-speed centrifugation and the milk serum obtained by fermentation for 24 hours was less than 10%. Therefore, high-speed centrifugation was chosen for the preparation of milk serum samples during the ELISA study. The possibilities of using ELISA with milk serum on vaccinated and non-vaccinated cattle against brucellosis have been studied. Milk and blood for testing in the ELISA should be taken 6 months or more after vaccination (within the instructional time frame). A high level of correlation was established between ELISA data with milk and ELISA data with blood serum, regardless of epizootic or immune status (satisfactory and unfavorable herds, vaccinated and unvaccinated animals), which amounted to 86.8–92.0%.

Nasal instillation of povidone-iodine ameliorates ongoing mucosal inflammation in a pre-sensitized murine model of Der p1-induced allergic rhinitis.

Interleukin(IL)-33, when cleaved into smaller fragments by proteases, becomes hyperactive, contributing to allergic inflammation. Povidone-iodine (PVP-I) is an iodine-based compound that exhibits antimicrobial properties and inhibits proteases. This study aimed to investigate whether PVP-I treatment inhibits IL-33 cleavage, improves allergic rhinitis (AR) symptoms, and suppresses allergic inflammation in a mouse model. In vitro experiments using full-length recombinant human IL-33 and allergens, including house dust mites or Dermatophagoides pteronyssinus 1, were conducted using western blotting. Fifty BALB/c mice were divided into five groups: control (CON), AR with phosphate-buffered saline treatment (AR), PVP-I treatment (AR+PVP), trans-epoxysuccinyl-L-leucylamido(4-guanidino)butane (E64) treatment (AR+E64), and dexamethasone treatment (AR+Dexa). Nasal symptom scores, including rubbing and sneezing, were measured. The cytokine levels in the nasal lavage fluid (NLF) and the concentration of immunoglobulins in the blood serum were assessed. Nasal mucosa from each group was used for reverse transcriptase-polymerase chain reaction (RT-PCR) and histological analyses were conducted. PVP-I treatment reduced nasal symptoms, suppressed allergic inflammation, and decreased the levels of IL-33, IL-5, and IL-13 in the NLF and total immunoglobulin E (IgE) and specific IgE in the serum. Histopathological analysis revealed a reduction in the number of eosinophils and goblet cells in the nasal mucosa of the AR+PVP group when compared to the AR group. RT-PCR and immunofluorescence staining confirmed the downregulation of genes and proteins associated with allergic inflammation. These findings suggest that nasal irrigation with PVP-I may be a promising therapeutic option for managing AR by inhibiting IL-33 activation and suppressing allergic inflammation.