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Immunocap 100

Manufactured by Thermo Fisher Scientific
Sourced in Sweden

The ImmunoCAP 100 is an automated instrument used for in vitro diagnostic testing. It is designed to perform quantitative and qualitative analysis of specific IgE antibodies in human serum or plasma samples.

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26 protocols using immunocap 100

1

Peanut-Specific IgE and IgG4 Quantification

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Peanut- and peanut component-specific IgE and IgG4 were measured via ImmunoCAP 100 (Thermo Fisher, Uppsala, Sweden) according to the manufacturer’s specifications.
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2

Serum and Plasma Biomarker Extraction

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Collection: Fresh blood (2–3 mL) and serum were collected in EDTA-coated anticoagulant tube and pro-coagulant tube respectively, before being transported to the laboratory at low temperature.
Processing: (I) the pro-coagulant tubes were centrifuged at 1,000 g at 4 °C for 5 min. The top 500 µL of serum was sent for measurement of total immunoglobulin E (tIgE) and dust mite specific IgE (sIgE; ImmunoCAP-100®, Thermo Fisher Scientific, Sweden), and the remainder was stored at –80 °C. (II) The anticoagulant tubes were centrifuged at 800 g at 4 °C for 5 min, and the plasma was stored at –80 °C. The remaining cells were centrifuged in a Ficoll-Paque density gradient, and the layer of peripheral blood mononuclear cells (PBMC) was collected and stored at –80 °C.
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3

Peanut Allergy Immunology Protocol

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Blood for mechanistic studies was collected at baseline, annually, and at desensitization and SU food challenges. Serum pn-sIgE and pn-sIgG4 levels were assessed by using the ImmunoCAP 100 (Thermo Scientific, Waltham, Mass), as previously described.17 (link),18 (link) Ratios of pn-sIgG4 to pn-sIgE were calculated by first converting both IgG4 and IgE levels into micrograms per liter and then dividing pn-sIgG4 quantities by pn-sIgE quantities. A conversion factor of 2.42 µg/L = 1 kU/L was used for pn-sIgE. Basophil activation was assessed by using whole blood in the presence of IL-3 with several dilutions of crude peanut extract (103, 102, 101, and 100 ng/mL), anti-IgE (103 ng/mL), and media alone. Basophils were identified as CD123+CD203c+Lin (CD3, CD14, CD19, and CD41) events, with CD63 as the primary marker of activation. Results were analyzed as a ratio of peanut-specific to nonspecific (anti-IgE) activation, as previously described.19 (link)
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4

Peanut-Specific IgE and IgG4 Measurement

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Total IgE was measured by immunoassay, and peanut-specific-IgE (PN-IgE) and peanut-specific IgG4 (PN-IgG4) were measured using the ImmunoCAP 100 (Thermo Fisher Scientific, Waltham, MA) at baseline and at weeks 29, 44, 68 and annually at the time of OFC, as previously reported.11 (link)
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5

Comprehensive Blood Evaluation Protocol

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Blood tests for most patients also included complete blood count with differential analysis, C-reactive protein (CRP), basal serum tryptase (ImmunoCAP 100 Thermo Fisher Scientific, Uppsala, Sweden), and total IgE (Table 2).
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6

Quantifying Allergen-Specific IgE Levels

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Total IgE (kU/L), allergen serum sIgE (kUA/L) and component sIgE were measured with the ImmunoCAP assay (ImmunoCAP-100®, Thermo Fisher Scientific, Sweden), following the manufacturer’s instructions. The sIgE tests included Der p, Der f, Blomia tropicalis (Blo t), cat dander, dog dander, egg white, milk, cockroach, shrimp, and crab, along with the Der p allergen components, Der p1 and Der p2. A sIgE level over 0.35 kUA/L was defined as positive. Positive IgE tests were categorized into 6 classes: class 1 (≥0.35 to <0.70 kUA/L), class 2 (≥0.70 to <3.50 kUA/L), class 3 (≥3.50 to <17.50 kUA/L), class 4 (≥17.50 to <50.00 kUA/L), class 5 (≥50.00 to <100.00 kUA/L), and class 6 (≥100.00 kUA/L).
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7

Basophil Activation and Enumeration

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Detailed methodology is described in the Methods section in this article's Online Repository. Briefly, expression of CD63 and CD203c (markers of basophil activation) and enumeration of basophils (CD123+HLA-DR cells), lymphocytes, and polymorphonuclear leukocytes (PMNs) were determined by means of flow cytometry, as previously described.20 (link), 21 (link), 22 (link) In samples from patients with peanut allergy, we determined the absolute basophil count using a similar methodology, with basophils identified as chemoattractant receptor–homologous molecule expressed on TH2 lymphocytes (CRTH2)–positive CD303CD123+ cells.23 (link)
FCER1A, CPA3, and HDC gene expression was analyzed in whole-blood samples (PAXgene; PreAnalytiX, Hombrechtikon, Switzerland), as previously described.22 (link)
We measured serum concentrations of CCL2, CCL5, CCL11, IL-3, and TSLP by using ELISA, according to the manufacturers' instructions (Quantikine; R&D Systems, Minneapolis, Minn and Abcam, Cambridge, United Kingdom). For IL-3 measurements, we also performed spiking experiments (see the Methods section in this article's Online Repository). We measured serum total tryptase (α+β) levels with the ImmunoCAP 100 (Thermo Fisher, Uppsala, Sweden); tryptase concentrations that exceeded 11.4 μg/L were considered increased.
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8

Peanut SLIT Immunoassay Protocol

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Blood for immune studies was collected at baseline; after 6, 12, 24, 36, 48 months of peanut SLIT; and after SLIT avoidance. Serum Pn-sIgE and peanut-specific IgG4 (Pn-sIgG4) levels were measured using the ImmunoCAP 100 (Thermo Scientific, Waltham, MA), as previously described.15 (link), 23 (link) Ratios of Pn-sIgG4 to Pn-sIgE were calculated using a conversion factor of 2.42 mcg/L = 1 kU/L for Pn-sIgE.
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9

Skin Prick and IgE Testing for Allergen Sensitivity

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Sensitization was assessed at baseline by skin prick testing, and for those unable to be skin tested because of wheezing at the time of the visit or because they could not discontinue antihistamines, IgE testing was performed to the major indoor allergens (cockroach, mouse urine, dust mite, cat, and dog) using the ImmunoCAP100 (ThermoFisher, Uppsala, Sweden). Skin prick testing was performed with a multitester device to 14 allergens (Multitest II, Lincoln Diagnostics, Decatur, Illinois). A positive skin test was defined as a net orthogonal wheal size ≥ 2mm.
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10

IgE Antibody Measurement for D. pteronyssinus

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Specific IgE antibodies to D. pteronyssinus (d1) (cut-off > 0.35 kU/L) were measured according to the manufacturer’s instructions on an ImmunoCAP 100 instrument (Thermo Fisher Scientific, Uppsala, Sweden).
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