Quantifying serum antibody in bird fanciers' hypersensitivity pneumonitis

<p>Abstract</p> <p>Background</p> <p>Detecting serum antibody against inhaled antigens is an important diagnostic adjunct for hypersensitivity pneumonitis (HP). We sought to validate a quantitative fluorimetric assay testing serum from bird fanciers.</p> <p>...

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Main Authors: Anderson Kenneth, Ismail Tengku, Dye George M, McSharry Charles, Spiers Elizabeth M, Boyd Gavin
Format: Article
Language:English
Published: BMC 2006-06-01
Series:BMC Pulmonary Medicine
Online Access:http://www.biomedcentral.com/1471-2466/6/16
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author Anderson Kenneth
Ismail Tengku
Dye George M
McSharry Charles
Spiers Elizabeth M
Boyd Gavin
author_facet Anderson Kenneth
Ismail Tengku
Dye George M
McSharry Charles
Spiers Elizabeth M
Boyd Gavin
author_sort Anderson Kenneth
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Detecting serum antibody against inhaled antigens is an important diagnostic adjunct for hypersensitivity pneumonitis (HP). We sought to validate a quantitative fluorimetric assay testing serum from bird fanciers.</p> <p>Methods</p> <p>Antibody activity was assessed in bird fanciers and control subjects using various avian antigens and serological methods, and the titer was compared with symptoms of HP.</p> <p>Results</p> <p>IgG antibody against pigeon serum antigens, quantified by fluorimetry, provided a good discriminator of disease. Levels below 10 mg/L were insignificant, and increasing titers were associated with disease. The assay was unaffected by total IgG, autoantibodies and antibody to dietary hen's egg antigens. Antigens from pigeon serum seem sufficient to recognize immune sensitivity to most common pet avian species. Decreasing antibody titers confirmed antigen avoidance.</p> <p>Conclusion</p> <p>Increasing antibody titer reflected the likelihood of HP, and decreasing titers confirmed antigen avoidance. Quantifying antibody was rapid and the increased sensitivity will improve the rate of false-negative reporting and obviate the need for invasive diagnostic procedures. Automated fluorimetry provides a method for the international standardization of HP serology thereby improving quality control and improving its suitability as a diagnostic adjunct.</p>
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spelling doaj.art-6c852b556d124f958b71515a46209bc02022-12-22T02:59:27ZengBMCBMC Pulmonary Medicine1471-24662006-06-01611610.1186/1471-2466-6-16Quantifying serum antibody in bird fanciers' hypersensitivity pneumonitisAnderson KennethIsmail TengkuDye George MMcSharry CharlesSpiers Elizabeth MBoyd Gavin<p>Abstract</p> <p>Background</p> <p>Detecting serum antibody against inhaled antigens is an important diagnostic adjunct for hypersensitivity pneumonitis (HP). We sought to validate a quantitative fluorimetric assay testing serum from bird fanciers.</p> <p>Methods</p> <p>Antibody activity was assessed in bird fanciers and control subjects using various avian antigens and serological methods, and the titer was compared with symptoms of HP.</p> <p>Results</p> <p>IgG antibody against pigeon serum antigens, quantified by fluorimetry, provided a good discriminator of disease. Levels below 10 mg/L were insignificant, and increasing titers were associated with disease. The assay was unaffected by total IgG, autoantibodies and antibody to dietary hen's egg antigens. Antigens from pigeon serum seem sufficient to recognize immune sensitivity to most common pet avian species. Decreasing antibody titers confirmed antigen avoidance.</p> <p>Conclusion</p> <p>Increasing antibody titer reflected the likelihood of HP, and decreasing titers confirmed antigen avoidance. Quantifying antibody was rapid and the increased sensitivity will improve the rate of false-negative reporting and obviate the need for invasive diagnostic procedures. Automated fluorimetry provides a method for the international standardization of HP serology thereby improving quality control and improving its suitability as a diagnostic adjunct.</p>http://www.biomedcentral.com/1471-2466/6/16
spellingShingle Anderson Kenneth
Ismail Tengku
Dye George M
McSharry Charles
Spiers Elizabeth M
Boyd Gavin
Quantifying serum antibody in bird fanciers' hypersensitivity pneumonitis
BMC Pulmonary Medicine
title Quantifying serum antibody in bird fanciers' hypersensitivity pneumonitis
title_full Quantifying serum antibody in bird fanciers' hypersensitivity pneumonitis
title_fullStr Quantifying serum antibody in bird fanciers' hypersensitivity pneumonitis
title_full_unstemmed Quantifying serum antibody in bird fanciers' hypersensitivity pneumonitis
title_short Quantifying serum antibody in bird fanciers' hypersensitivity pneumonitis
title_sort quantifying serum antibody in bird fanciers hypersensitivity pneumonitis
url http://www.biomedcentral.com/1471-2466/6/16
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