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Research Article Open Access
Volume 2 | Issue 3 | DOI: https://doi.org/10.33696/immunology.2.031

Basophil Activation Tests BAT: Degranulation, Cytometry and Chemotaxis in Drug Allergy

  • 1Laboratorio Servicios, Alergia, Reumatología y Trasplante Hospital Especialidades IMSS Cd.de México, México (1982-2000), Laboratorios Clínicos Especializados Integrales Lindavista. Cd de México, México
  • 2Secretaría de Salud, Hospital Juárez de México, Servicio de Alergia e Inmunología y División de Medicina Cd. de México, México
  • 3Laboratorios Clínicos Especializados Integrales Lindavista. Cd de México, México
  • 4Hospital Ángeles del Pedregal. Cd. de México. México
  • 5Instituto de Seguridad y Servicio Sociales de los Trabajadores del Estado (ISSSTE) Hospital Regional 1ode Octubre Cd. de México
  • 6Secretaría de Salud, Hospital Juárez de México, Servicio de Alergia e Inmunología y Departamento de Enseñanza Cd. de México, México
  • 7Secretaría de Salud, Hospital Juárez de México, Servicio de Alergia e Inmunología Cd. de México, México
  • 8Laboratorios Clínicos Especializados Integrales Lindavista Cd de México, México
+ Affiliations - Affiliations

Corresponding Author

María de Lourdes Irigoyen Coria, luluirigoyen@yahoo.es

Received Date: February 25, 2020

Accepted Date: April 22, 2020

Abstract

Objective: To Increase the knowledge on Drugs Hypersensitivity Reactions (DHRs); activation, development of reliable diagnostic tests for better: selection of studies, diagnosis, identification of risk groups, prevention, cross-reactions, severs skin drug reactions and alternative therapeutics.

Methods: Review longitudinal and transversal studies about: immune mechanisms, hypersensitivity responses, parameters of methods and diagnostic consistency.

Results: The basophils are the most accessible cells for the study (peripheral blood 0.5%-1%); when they get activated release histamine as a response to allergens; the most used tests are the BAT (IgE- dependent); FcεRI-mediated signaling, the binding to the antigen (bivalent dimers); depends on the concentration (bell curve - ideal form); and more complex antigens present non-ideal dose-response curves (several forms). There are 4 types of evaluating BAT: 1) Secretion of granules 2) Membrane expression of activation markers: CD63, CD69, and CD203c by cytometry 3) the old technique of modified degranulation of basophils (MDB) and 4) Modified Leukocyte Migration Inhibitor Factor (MLIF). Currently there is an increase in the prevalence of DHRs: 7% in older adults, 18% in children (15% -24%) and 5%-15% in hospitalizations. The main cause of allergy are antibiotics: penicillin and β-lactams (50%); more frequently in women (40-60 years).

Conclusions: The BAT and alternative complementary tests with dilutions confirm the diagnosis and suggest the degree of sensitivity of the patient, predicting the response to treatment and reducing the risks in patients with reactions to drugs. These tests are simple, inexpensive and give great support in the diagnosis of drug reactions with coverage of several types of hypersensitivity.

Keywords

Hypersensitivity, Allergy, Adverse reactions to drugs, Antibiotics, NSAID, Anesthetic, BAT, DHRs

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