Blood samples with IgG/IgE measurement were collected during the pre-transplant work-up prior to listing for transplant, and at every annual post-transplant check-up, taking place between September 2017 and January 2021. In these samples total protein level, specific IgG’s, total IgE, and specific IgE’s were measured using ImmunoCAP fluoroenzyme immunoassay, with a
Phadia™ 250 instrument for IgG measurements and a
Phadia™ 1000 instrument for IgE measurements (ThermoFisher, Waltham, Massachusetts, United States), as per institutional standard operating procedures.
Specific IgG’s against
Aspergillus fumigatus (Gm3) and
Aspergillus flavus (Gm228) were determined. For the specific IgE’s, the following were assessed:
Aspergillus fumigatus (m3),
Aspergillus flavus (m228) and
Aspergillus niger (m207).
For specific IgG’s the lower limit of detection was 2.0 mg/L, values >50.0 mg/L for
Aspergillus fumigatus and
Aspergillus flavus were considered positive per assay protocol. The lower limit of detection for the specific IgE’s was 0.10 kU/L, and every detectable value was considered positive.
Beeckmans H., Van Roy E., Kaes J., Sacreas A., Geudens V., Vermaut A., Willems L., Jin X., Bos S., Vanstapel A., Van Slambrouck J., Orlitova M., Vanaudenaerde B., Ceulemans L.J., Van Raemdonck D., Neyrinck A.P., Godinas L., Dupont L.J., Verleden G.M, & Vos R. (2023). Aspergillus-Specific IgG Antibodies are Associated With Fungal-Related Complications and Chronic Lung Allograft Dysfunction After Lung Transplantation. Transplant International, 36, 10768.