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J Sainte-Laudy

Publications and source records attributed to J Sainte-Laudy.

At least 55 records · Page 3Linked to original sources

[Allergy to mosquitoes and use of new immunobiological parameters].

With regard to an observation of anaphylaxis after a mosquito bite, we have shown by new immunobiological parameters and clinical investigations: Skin tests, specific IgE, Tests of Activation of basophils by flow cytometry (on basophils and total blood) and measurement of Leucotriene LTC4, the objective reality of the mechanism of IgE-dependent hypersensitivity (HS). This observation is correlated with rare work in support of true IgE-mediated allergy to mosquito 9 authors having used skin tests, PK in 1984 and immunoblot.

Adult↗

[Bioclinical interest in the assay of leukotrienes in four cases of sensitization to trophallergens].

New cellular tests as flow cytometry and leukotriene release having been set up for allergy diagnosis, we checked the reliability of the LTC4 release test for 4 patients sensitized to wheat flour, oyster and lobster and to anise. Food allergy diagnosis was based on the clinical history, skin tests (pricks and IDR) and specific IgE. After allergen stimulation, LTC4 released was determined by an RIA method using a monoclonal antibody. The allergen extracts used for skin tests and LTC4 release having the same origin, LTC4 release test showed a good correlation with the clinical history whereas specific IgE determinations were less sensitive. Skin tests were negative in the cases.

Adult↗

[Diagnosis of delayed type hypersensitivity to Candida albicans. Evaluation of lymphocyte activation by flow cytometry (171 observations)].

Abnormal delayed-type hypersensitivy to Candida albicans, since it results in an excessive reaction of the immune system, is very difficult to diagnose. This study shows that the syndromic reaction observed after intradermal injection of an extract of Candida albicans, in patients suspected of abnormal delayed-type hypersensitivy to this antigen, is associated with the presence of specific circulating T cells, detectable through cell culture in the presence of Candida albicans. There is a very significant correlation between the clinical symptoms, the cutaneous tests, and the lymphocyte activation tests. This abnormal reactivity essentially involves the CD8 cells.

Antigens, CD↗

[Immuno-biological diagnosis of food allergy].

Food allergy is becoming more frequent, with 6% of asthmatics reporting an isolated food allergy, and 5 to 6% of atopic dermatitis patients also have either a single or multiple true food allergy. There is value in immuno-biological diagnosis by: Measurement of total serum IgE. Measurement of mono-allergen-specific IgE, following a measurement by a multi-allergen of the Trophatope type. A study of elimination of foods for 2 or 3 months followed by their re-introduction. Oral provocation tests in a hospital environment under clinical control and subsequent measurement of the mediators:-Plasma histamine, tryptase, and urinary methylhistamine to give proof of responsibility of the food allergen. Nowadays, it is perfectly possible to include in diagnosis the new technologies of the test of activation of basophils/or lymphocytes by means of flow cytometry.

Adolescent↗

[Diagnostic contribution of abnormal delayed-type hypersensitivity to Candida albicans. Characterization test by activation of cells sensitized to successive dilutions of Candida].

By measuring the activation of different cell models (lymphocytes and lymphocytic subsets) in the presence of Candida albicans with flow cytometry reading, it is possible to show that successive dilutions of Candida albicans can lead to lymphocyte activation in abnormally-sensitized subjects. In a first trial, 10 subjects were tested in duplicate. The decrease of activity of the dilutions does not appear to be regular in relation to the progression of the dilutions. The activity of the dilutions wanes relatively rapidly with the first dilutions, then recurs later very distinctly, at the 6th dilution, then ebbs, then reappears in similar manner at the 9th, the 14th, and finally, the 19th dilution. Cell reactivity appears to differ depending on the subject. It can be represented through the calculated slope of the regression line, for each series of data. It therefore appears feasible to determine a threshold of reactivity and a scale of sensitivity, to make it possible to specify the degree of abnormal reactivity existing at a given time for a given subject. The constancy of the activity of the different dilutions tested, on 10 cultures of a single cell suspension, is especially well demonstrated in the second trial, showing unusually small standard deviations. Thus, the question arises as to the exact nature of the observed phenomenon and of its analysis from a physical-chemical point of view, with regard to the pharmacological effect of successive dilutions of Candida albicans.

Adolescent↗

[Importance of the leukotriene C4 liberation test for the diagnosis of drug allergy (preliminary results)].

Pharmacological or immunological activation of human basophil induces the expression of membrane markers such as CD63 and the release of histamine and leukotriene C4 (LTC4). LTC4 release test has the advantages of a cellular test which is obviously closer to the physio-pathological reaction than the direct determination of circulating antibodies. Moreover, the determination of a newly formed mediator eliminates the spontaneous release of mediator by simple cellular damage. We present here, after having controlled the reliability of the method for aero-allergens, preliminary results of LTC4 release obtained for haptens (ampicillin, methylprednisolone and acetylsalicylic acid) which are in favour of the use of this method in the complex field of drug allergy diagnosis.

Adult↗

[Overview on RAST inhibition].

The technique of RAST inhibition is always useful in two cases: to study cross-reactions between the allergens; for more specific use of allergen indicated for desensitization. The comparison made in this article concerns dog allergens. As can be seen in the tables, diagrams and graphs, RAST inhibition by the dog allergen from the laboratories of DHS-Bayer-Pharma was clearer than that from the Laboratoire Stallergènes.

Allergens↗

[Evaluation of the reproducibility of the MAST technique for pneumoallergens and food allergens. Biological study].

MAST-Cla reagent is used in France for now 10 years for the specific IgE determinations. Due to the different modifications of the manufactoring process we checked here the actual sensitivity of this test as compared to the results obtained by the CAP RAST RIA. The mean sensitivities related to the class 1 limit obtained by successive dilutions of the tested sera were respectively for the major aero-allergens and food allergens 0.40 kUI/l and 0.49 kUI/l. Four major allergens (grass pollen, house dust mite, egg yolk and milk) we observed a low background for 10 control subjects, the mean values (n = 6) related to a low concentration of grass pollen specific IgE (0.5 kUl/l) being significant (p < 0.01).

Allergens↗

[Allergy and professional exposure to sulfur compounds: questions posed].

We present here four cases of respiratory diseases which may be due to the exposition or to the handling of sulfur derivatives due to their professional activity. The responsibility of these compounds stands on the clinical history, biological cellular tests and for one of them on the evolution under a metabisulfite-free diet and a positive oral provocation test at 5 mg. The present economical crisis makes the patient-clinician relationship difficult, due to patients' wishing to hide their pathologies or their professional activities.

Adult↗

A discrete mathematical model applied to human basophil activation.

In this paper we present a model for the histamine negative feedback on the human basophil degranulation and another one for the feed-forward of these basophils on the extra-cellular histamine. These two models allow us to suggest a characterisation of the incubation time.

Algorithms↗

A non-linear compartmental model of human basophil activation.

In this paper human basophil activation is modelled by means of a system of differential equations. The resolution of this system allows the justification of the incubation period and the unwedging period existing between the human basophil degranulation and the liberation of histamine.

Algorithms↗

[Demonstration of sulfite-group-specific IgE in patients with intolerance to preservatives].

On the basis of the selection of a population of patients intolerant to sulfites by the clinical history, a simple blind oral provocation test and a basophil activation test, we explored the basophil activation reaction induced by sulfites after passive sensitisation of blood donors basophils. We demonstrated that the percentages of activation obtained with a non covalent reagent (MBS-HSA), a covalent reagent (sulfonyl-HSA) and the optimal concentration of an anti-IgE were not significantly different. Human basophil activation was negativated by heating the transferred sera and by competition with a monoclonal human IgE. We also observed mediator release (histamine and LTC4) with a low frequency, histamine release being strictly related to the carrier protein concentration. In two cases, sulfite specific IgE were detected by ELISA. These results are in favour of the specificity and the IgE dependent nature of basophil activation induced by sulfites.

Antibody Specificity↗

[Analysis of membrane expression of the CD63 human basophil activation marker. Applications to allergologic diagnosis].

On the basis of the CD 63 bi-modal expression on the membrane of activated basophils, we set up a flow cytometric method for the analysis of human basophils activation by an anti-IgE and anti-CD 63 double labelling. We demonstrated that the statistical characteristics of the percentages of activation obtained by an anti-IgE stimulation allowed the use of this method for pharmacological studies. The percentages of activation were of the same order of magnitude than those obtained by histamine release. CD 63 expression was also observed for a low affinity allergen such as the sulfonyl-HSA conjugate used for sulfites hypersensibility diagnosis, healthy donors being negative. This method, which can be automatized may represent an interesting candidate in the field of hapten hypersensitivity which lacks of reliable diagnostical methods.

Alcian Blue↗

[A case of coconut oil allergy in an infant: responsibility of "maternalized" infant formulas].

The case is presented here of a baby of 8 months fed from her birth with maternal milks. The first milk induced a severe gastro-intestinal disorder which disappeared when a second milk was used. A third milk caused a relapse. The only common allergen was coconut, which was physico-chemically modified in the second milk. Demonstration of the responsibility of coconut oil was based on positive re-introduction tests, positive skin tests for coconut and maternal milk that were negative for cow's milk and peanut and by specific IgE tests which were positive in comparison with negative controls.

Allergens↗