RAST-detection of specific IgE in diphenylmethane diisocyanate exposed workers: considerations in performance of the test

Allergy. 1991 Apr;46(3):166-72. doi: 10.1111/j.1398-9995.1991.tb00565.x.

Abstract

Some parameters which might affect RAST results, i.e. incubation length, degree of ligand substitution, and total IgE levels, were examined in a RAST system employing diphenylmethane diisocyanate--human serum albumin (MDI-HSA) conjugates as antigens, both in exposed symptomatic and in non-exposed subjects. The reaction equilibrium was reached after 9 and 18 h. respectively, in the first and the second step of the test. A marked correlation with the degree of ligand substitution was observed, the highest sensitivity being achieved with the lowest (2.9) MDI/HSA molar ratio examined. Higher (up to 50) degrees of substitution resulted in progressively lower levels of radioactivity bound and in a loss of specificity, as confirmed by RAST inhibition experiments. At high levels of ligand substitution, high titers of total serum IgE affected RAST results.

MeSH terms

  • Asthma / chemically induced
  • Asthma / diagnosis*
  • Asthma / immunology
  • Cyanates / adverse effects*
  • Humans
  • Immunoglobulin E / analysis*
  • Isocyanates*
  • Ligands
  • Occupational Diseases / chemically induced
  • Occupational Diseases / diagnosis*
  • Occupational Diseases / immunology
  • Radioallergosorbent Test / methods*
  • Sensitivity and Specificity
  • Serum Albumin / immunology
  • Time Factors

Substances

  • Cyanates
  • Isocyanates
  • Ligands
  • Serum Albumin
  • Immunoglobulin E
  • 4,4'-diphenylmethane diisocyanate