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Gądarowska D, Kalka J, Daniel-Wójcik A, Mrzyk I. Alternative Methods for Skin-Sensitization Assessment. TOXICS 2022; 10:740. [PMID: 36548573 PMCID: PMC9783525 DOI: 10.3390/toxics10120740] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 11/23/2022] [Accepted: 11/24/2022] [Indexed: 06/17/2023]
Abstract
Skin sensitization is a term used to refer to the regulatory hazard known as allergic contact dermatitis (ACD) in humans or contact hypersensitivity in rodents, an important health endpoint considered in chemical hazard and risk assessments. Information on skin sensitization potential is required in various regulatory frameworks, such as the Directive of the European Parliament and the Council on Registration, Evaluation and Authorization of Chemicals (REACH). The identification of skin-sensitizing chemicals previously required the use of animal testing, which is now being replaced by alternative methods. Alternative methods in the field of skin sensitization are based on the measurement or prediction of key events (KE), i.e., (i) the molecular triggering event, i.e., the covalent binding of electrophilic substances to nucleophilic centers in skin proteins; (ii) the activation of keratinocytes; (iii) the activation of dendritic cells; (iv) the proliferation of T cells. This review article focuses on the current state of knowledge regarding the methods corresponding to each of the key events in skin sensitization and considers the latest trends in the development and modification of these methods.
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Affiliation(s)
- Dominika Gądarowska
- The Faculty of Energy and Environmental Engineering, Silesian University of Technology, Konarskiego 18, 44-100 Gliwice, Poland
- Łukasiewicz Research Network—Institute of Industrial Organic Chemistry Branch Pszczyna, Doświadczalna 27, 43-200 Pszczyna, Poland
| | - Joanna Kalka
- The Faculty of Energy and Environmental Engineering, Silesian University of Technology, Konarskiego 18, 44-100 Gliwice, Poland
| | - Anna Daniel-Wójcik
- Łukasiewicz Research Network—Institute of Industrial Organic Chemistry Branch Pszczyna, Doświadczalna 27, 43-200 Pszczyna, Poland
| | - Inga Mrzyk
- Łukasiewicz Research Network—Institute of Industrial Organic Chemistry Branch Pszczyna, Doświadczalna 27, 43-200 Pszczyna, Poland
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Mallabo MRB, Corpuz MJAT, Salonga RB, Vasquez RD. Inhibitory Effect of Sulfated Polysaccharide from Codium edule P.C. Silva Against 2,4-Dinitrofluorobenzene (DNFB)- Induced Allergic Contact Dermatitis on Female BALB/c Mice. Adv Pharm Bull 2022; 12:410-418. [PMID: 35620333 PMCID: PMC9106951 DOI: 10.34172/apb.2022.042] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 11/15/2020] [Accepted: 02/04/2021] [Indexed: 12/25/2022] Open
Abstract
Purpose: Sulfated polysaccharide from Codium species has been reported for its antiinflammatoryactivities. However, the effect of sulfated polysaccharide from Codium edule on allergic responses has not been studied. The study was conducted to determine the effect ofsulfated polysaccharide (F1) from C. edule on allergic contact dermatitis (ACD) induced by2,4-dinitrofluorobenzene (DNFB) in female BALB/c mice.
Methods: F1 was isolated using DEAE sepharose gel chromatography and chemically identifiedby LC-MS analyses. The effects of F1 on changes in ear thickness, allergic responses, andhistology were evaluated. The effects of F1 on the production of inflammatory cytokinesinterferon gamma (IFN-γ) and tumor necrosis factor-alpha (TNF-ɑ) in serum were also quantifiedand compared with standard prednisolone therapy.
Results:
F1 was identified as a heteropolysaccharide with β-D-galactans and β-L-arabinans units.F1 was non-toxic at 2000 mg/kg. Administration of F1 in DNFB-challenged mice significantlysuppressed the increase in ear thickness, erythema, desquamation, and proliferation ofinflammatory cells. F1 significantly decreased the production of inflammatory markers, IFN-γand TNF-α in a dose-dependent manner when compared to the untreated group (P < 0.05).
Conclusion:
Results suggest that F1 from C. edule is a bioactive sulfated heteropolysaccharidewith anti-inflammatory activity and might be a valuable candidate molecule for the treatmentof allergic diseases such as ACD.
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Affiliation(s)
- Martin Raemond Brondial Mallabo
- The Graduate School, University of Santo Tomas, Manila, Philippines.,Senior High School, University of Santo Tomas, Manila, Philippines
| | - Mary Jho-Anne T Corpuz
- The Graduate School, University of Santo Tomas, Manila, Philippines.,Department of Pharmacy,Faculty of Pharmacy, University of Santo Tomas, Manila, Philippines.,Research Center for Natural and Applied Sciences, University of Santo Tomas, Manila, Philippines
| | - Reginald B Salonga
- Institute for Advanced Education and Research, Nagoya City University, Nagoya City Aichi Prefecture, Japan
| | - Ross D Vasquez
- The Graduate School, University of Santo Tomas, Manila, Philippines.,Department of Pharmacy,Faculty of Pharmacy, University of Santo Tomas, Manila, Philippines.,Research Center for Natural and Applied Sciences, University of Santo Tomas, Manila, Philippines
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Kowalska J, Rok J, Rzepka Z, Wrześniok D. Drug-Induced Photosensitivity-From Light and Chemistry to Biological Reactions and Clinical Symptoms. Pharmaceuticals (Basel) 2021; 14:723. [PMID: 34451820 PMCID: PMC8401619 DOI: 10.3390/ph14080723] [Citation(s) in RCA: 31] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 07/23/2021] [Accepted: 07/24/2021] [Indexed: 02/07/2023] Open
Abstract
Photosensitivity is one of the most common cutaneous adverse drug reactions. There are two types of drug-induced photosensitivity: photoallergy and phototoxicity. Currently, the number of photosensitization cases is constantly increasing due to excessive exposure to sunlight, the aesthetic value of a tan, and the increasing number of photosensitizing substances in food, dietary supplements, and pharmaceutical and cosmetic products. The risk of photosensitivity reactions relates to several hundred externally and systemically administered drugs, including nonsteroidal anti-inflammatory, cardiovascular, psychotropic, antimicrobial, antihyperlipidemic, and antineoplastic drugs. Photosensitivity reactions often lead to hospitalization, additional treatment, medical management, decrease in patient's comfort, and the limitations of drug usage. Mechanisms of drug-induced photosensitivity are complex and are observed at a cellular, molecular, and biochemical level. Photoexcitation and photoconversion of drugs trigger multidirectional biological reactions, including oxidative stress, inflammation, and changes in melanin synthesis. These effects contribute to the appearance of the following symptoms: erythema, swelling, blisters, exudation, peeling, burning, itching, and hyperpigmentation of the skin. This article reviews in detail the chemical and biological basis of drug-induced photosensitivity. The following factors are considered: the chemical properties, the influence of individual ranges of sunlight, the presence of melanin biopolymers, and the defense mechanisms of particular types of tested cells.
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Affiliation(s)
| | | | | | - Dorota Wrześniok
- Department of Pharmaceutical Chemistry, Faculty of Pharmaceutical Sciences in Sosnowiec, Medical University of Silesia in Katowice, Jagiellońska 4, 41-200 Sosnowiec, Poland; (J.K.); (J.R.); (Z.R.)
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Abstract
A systematic review was conducted to identify the biological responses, allergic reaction, hypersensitivity, toxicity, and ion release profile associated with pediatric stainless steel crowns (SSCs) in the existing literature. A systematic search was undertaken according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. The inclusion criteria consisted of patients younger than 20 years of age with SSC placement on primary or permanent teeth and in vivo and in vitro exposure to SSCs. Outcomes measures included adverse oral/mucosal effects; removal/failure/replacement of the SSC; type of allergic reaction; nickel (Ni) or other ion levels in bodily fluids, cellular, genotoxic, cytotoxic, mutagenic or carcinogenic effects related to the SSC. After an initial search of 764 studies in the database, 17 articles were included in the analysis. Evidence of allergic reactions to SSCs in children is limited and obtained from mostly low-quality research. Some studies showed that the amount of Ni detected was less than the amount ingested in the daily diet. In contrast, other studies reported a significantly higher release of Ni occurred into the saliva in acidic environments. There is some concern about the leaching of metal ions such as Ni from SSCs in children at high risk for caries. Further long-term studies are required to investigate this phenomenon.
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Affiliation(s)
- Sobia Zafar
- Discipline Lead Paediatric Dentistry, School of Dentistry, The University of Queensland
| | - Allauddin Siddiqi
- School of Dentistry and Oral Health, Griffith Health Centre, Gold Coast campus, Griffith University
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Rudnicka L, Rokni GR, Lotti T, Wollina U, Fölster‐Holst R, Katsambas A, Goren A, Di Lernia VG, Rathod D, Mirabi A, Ghaffari A, Rajan A, Goldust M. Allergic contact dermatitis in patients with frontal fibrosing alopecia: An international multi‐center study. Dermatol Ther 2020; 33:e13560. [DOI: 10.1111/dth.13560] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Revised: 04/25/2020] [Accepted: 05/08/2020] [Indexed: 12/19/2022]
Affiliation(s)
- Lidia Rudnicka
- Department of Dermatology Medical University of Warsaw Warsaw Poland
| | - Ghasem R. Rokni
- Department of Dermatology Mazandaran University of Medical Sciences Sari Iran
| | | | - Uwe Wollina
- Department of Dermatology and Allergology Städtisches Klinikum Dresden, Academic Teaching Hospital of the Technical University of Dresden Dresden Germany
| | - Regina Fölster‐Holst
- Dermatologie, Venerologie und Allergologie Universitätsklinikum Schleswig‐Holstein Keil Germany
| | - Andreas Katsambas
- Department of Dermatology Andreas Syggros Hospital, University of Athens Athens Greece
| | - Andy Goren
- University of Studies Guglielmo Marconi Rome Italy
| | - Vito G. Di Lernia
- Dermatology Unit Department of Medical Specialties, Arcispedale Santa Maria Nuova, Azienda USL‐IRCCS di Reggio Emilia Reggio Emilia Italy
| | | | - Ali Mirabi
- Department of Dermatology Mazandaran University of Medical Sciences Sari Iran
| | - Anousheh Ghaffari
- Department of Dermatology Mazandaran University of Medical Sciences Sari Iran
| | - Aswath Rajan
- Department of Dermatology and Venereology Goa Medical College Goa India
| | - Mohamad Goldust
- Department of Dermatology University of Rome G. Marconi Rome Italy
- Department of Dermatology University Medical Center Mainz Mainz Germany
- Department of Dermatology University Hospital Basel Basel Switzerland
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6
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Implication of T Helper Cytokines in Contact Dermatitis and Atopic Dermatitis. CURRENT TREATMENT OPTIONS IN ALLERGY 2020. [DOI: 10.1007/s40521-020-00263-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Bevilaqua M, Cichelero MB, da Silva RKV, Bonamigo RR. The diagnosis of cosmetic contact dermatitis: a study using standard, cosmetic, and hair cosmetic batteries. An Bras Dermatol 2019; 94:366-368. [PMID: 31365674 PMCID: PMC6668941 DOI: 10.1590/abd1806-4841.20198003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2017] [Accepted: 08/05/2018] [Indexed: 11/22/2022] Open
Affiliation(s)
- Mariele Bevilaqua
- Postgraduate program in Pathology, Universidade Federal de
Ciências da Saúde de Porto Alegre, Porto Alegre (RS), Brazil
| | | | | | - Renan Rangel Bonamigo
- Postgraduate program in Pathology, Universidade Federal de
Ciências da Saúde de Porto Alegre, Porto Alegre (RS), Brazil
- Service of Dermatology, Hospital de Clínicas de Porto
Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre (RS), Brazil
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Corrêa-Fissmer M, Dalazen CC, Ferreira BP, Iser BPM. Assessment of patch test results carried out during ten years in a city in southern Brazil. An Bras Dermatol 2019; 93:807-812. [PMID: 30484523 PMCID: PMC6256204 DOI: 10.1590/abd1806-4841.20185023] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2015] [Accepted: 08/24/2017] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Contact dermatitis affects up to 20% of the population. Patch testing for contact allergy may be needed to confirm the diagnosis. OBJECTIVES To describe and discuss the results of patch tests performed in a city in southern Brazil. METHODS A cross-sectional analysis was performed on all skin test results over ten years. Variables such as gender, age at the time of testing, and test results were evaluated. Triggering factors, duration of complain, and previous medications used related to the clinical history were retrieved for some patients by reviewing their medical records. RESULTS The sample was composed of 539 patch tests, of which 411 (76.2%) were from women. The age of the tested subjects ranged from 5 to 87 years. The prevalence of positive reactions in the patch tests was 391 (72.5%). The most prevalent positive reaction was to nickel sulfate (196; 36.4%), which had statistical significance when associated with female gender (p<0,001). STUDY LIMITATIONS Database obtained through secondary sources (the reports of the exams and the medical records), occurring the incomplete registration of some information. CONCLUSIONS Data analysis at the local level is important to define preventive policies.
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Affiliation(s)
- Mariane Corrêa-Fissmer
- Outpatient Clinic of Medical Specialties, Universidade do Sul de
Santa Catarina, Tubarão (SC), Brazil
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Baeck M, Herman A, de Montjoye L, Hendrickx E, Chéou P, Cochez PM, Dumoutier L. Increased expression of interleukin-9 in patients with allergic contact dermatitis caused byp-phenylenediamine. Contact Dermatitis 2018; 79:346-355. [DOI: 10.1111/cod.13123] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Revised: 08/15/2018] [Accepted: 08/16/2018] [Indexed: 12/17/2022]
Affiliation(s)
- Marie Baeck
- Department of Dermatology; Cliniques universitaires Saint-Luc; Brussels Belgium
- Institut de Recherche Expérimentale et Clinique (IREC Pôle Pneumologie, ORL, Dermatologie), Université catholique de Louvain; Brussels Belgium
| | - Anne Herman
- Department of Dermatology; Cliniques universitaires Saint-Luc; Brussels Belgium
- Institut de Recherche Expérimentale et Clinique (IREC Pôle Pneumologie, ORL, Dermatologie), Université catholique de Louvain; Brussels Belgium
| | - Laurence de Montjoye
- Department of Dermatology; Cliniques universitaires Saint-Luc; Brussels Belgium
- Institut de Recherche Expérimentale et Clinique (IREC Pôle Pneumologie, ORL, Dermatologie), Université catholique de Louvain; Brussels Belgium
| | - Emilie Hendrickx
- de Duve Institute, MEXP Unit, Université catholique de Louvain; Brussels Belgium
| | - Paméla Chéou
- de Duve Institute, MEXP Unit, Université catholique de Louvain; Brussels Belgium
| | - Perrine M. Cochez
- de Duve Institute, MEXP Unit, Université catholique de Louvain; Brussels Belgium
| | - Laure Dumoutier
- de Duve Institute, MEXP Unit, Université catholique de Louvain; Brussels Belgium
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Otrofanowei E, Ayanlowo OO, Akinkugbe A, Oresanya FA. Clinico-etiologic profile of hand dermatitis and patch response of patients at a tertiary hospital in Lagos, Nigeria: results of a prospective observational study. Int J Dermatol 2018; 57:149-155. [PMID: 29318580 DOI: 10.1111/ijd.13845] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Revised: 10/20/2017] [Accepted: 10/23/2017] [Indexed: 01/09/2023]
Abstract
BACKGROUND Hand dermatitis is an acute or chronic inflammation of the skin of the hands from a multifactorial cause which may be endogenous, exogenous, or a combination of both. With a wide range in severity and recurrent periods of flares, it has significant impact on the quality of life of its sufferers. A history of atopy predisposes patients to hand dermatitis, but contact dermatitis, either allergic or irritant, is the more commonly implicated factor in the etiology of hand dermatitis. Patch testing is an important tool in identifying the allergen responsible for allergic hand dermatitis, and this knowledge will contribute to improved management. AIM AND OBJECTIVES This study was undertaken to evaluate the clinical and etiologic profile and review the patch responses of patients who presented with hand dermatitis at a foremost tertiary skin clinic in the most populous state of the most populous country in Africa. METHODS A prospective, observational study in which consecutive walk-in patients who fulfilled the inclusion criteria were enrolled. Ethical clearance was obtained. Study tools included self-administered questionnaires, physical examination, and patch tests (European Hermal series), amongst others. The patch tests were carried out. Results were documented, and treatment was individualized based on clinical and investigation findings. The results were collated and analyzed with SPSS® 17.0 edition (SPSS II). RESULTS Hand dermatitis was seen in 177 (13.3%) patients who presented during the study period. The mean age was 34.6 + 17.4 years. Almost two-thirds of patients (119; 67.2%) had chronic hand dermatitis, while 53 (32.8%) presented acutely. Patch responses were positive in 65 (36.7%) patients with paraphenylenediamine identified as the most frequent cause. Respondents had at least one (+) response to 20 of the 28 allergens, while there was no response to eight of the allergens in the European series. CONCLUSION The study reveals that hand dermatitis is present in a younger age group and a variety of subtypes coexist. Locally sourced allergens are needed to improve the yield of patch responses.
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Affiliation(s)
- Erere Otrofanowei
- Department of Medicine, Lagos University Teaching Hospital, Lagos, Nigeria
| | - Olusola O Ayanlowo
- Department of Medicine, College of Medicine, University of Lagos, Lagos, Nigeria
| | - Ayesha Akinkugbe
- Department of Medicine, College of Medicine, University of Lagos, Lagos, Nigeria
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Zheng Y, Ouyang WQ, Wei YP, Syed SF, Hao CS, Wang BZ, Shang YH. Effects of Carbopol ® 934 proportion on nanoemulsion gel for topical and transdermal drug delivery: a skin permeation study. Int J Nanomedicine 2016; 11:5971-5987. [PMID: 27877042 PMCID: PMC5108606 DOI: 10.2147/ijn.s119286] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Nanoemulsions (NEs) are used as transdermal drug delivery systems for systematic therapeutic purposes. We hypothesized that the skin permeation profile of an NE could be modulated by incorporating it into a hydrogel containing differing proportions of thickening agent. The objectives of this study were as follows: 1) to determine the stability and skin irritability of NE gels (NGs) containing 1%, 2%, and 3% (w/w) Carbopol® 934 (CP934) (termed NG1, NG2, and NG3, respectively); 2) to compare the skin permeation profiles and drug deposition patterns of the NGs; and 3) to visualize the drug delivery routes of the NGs. Terbinafine and citral were incorporated into the NGs as model drugs. Ex vivo skin permeation tests indicated that the percutaneous flux rates of terbinafine decreased in the order NE (215 μg/cm2) > NG1 (213 μg/cm2) > NG2 (123 μg/cm2) > NG3 (74.3 μg/cm2). The flux rates of citral decreased in the order NE (1,026 μg/cm2) > NG1 (1,021 μg/cm2) > NG2 (541 μg/cm2) > NG3 (353 μg/cm2). The NGs accumulated greater amounts of the drugs in the stratum corneum and less in the epidermis/dermis than did the NE (P<0.05) over a period of 12 h. Laser scanning confocal microscopy indicated that the NGs altered the main drug delivery routes from skin appendages to intercellular paths. Histological images suggested that perturbations to the skin structure, specifically the size of the epidermal intercellular spaces and the separation distance of dermal collagen bundles, could be significantly minimized by increasing the proportion of CP934. These results suggest that adjustments of the CP934 proportions can be used to modulate the skin permeation profiles of NGs for specific therapeutic purposes.
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Affiliation(s)
- Yin Zheng
- Department of Basic Veterinary Sciences, College of Veterinary Medicine
| | - Wu-Qing Ouyang
- Department of Basic Veterinary Sciences, College of Veterinary Medicine
| | - Yun-Peng Wei
- Department of Basic Veterinary Sciences, College of Veterinary Medicine
| | - Shahid Faraz Syed
- Department of Preventive Veterinary Medicine, College of Veterinary Medicine, Northwest A&F University, Yangling, Shaanxi; Faculty of Veterinary and Animal Sciences, Lasbella University of Agriculture Water and Marine Sciences, Uthal Baluchistan, Pakistan
| | - Chao-Shuang Hao
- Department of Basic Veterinary Sciences, College of Veterinary Medicine
| | - Bo-Zhen Wang
- College of Animal Science and Technology, Shihezi University, Shihezi, Xinjiang
| | - Yan-Hong Shang
- Department of Basic Veterinary Sciences, College of Veterinary Medicine; College of Animal Science and Veterinary Medicine, Henan Agricultural University, Zhengzhou, Henan, China
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Rodrigues DF, Goulart EMA. Patch-test results in children and adolescents: systematic review of a 15-year period. An Bras Dermatol 2016; 91:64-72. [PMID: 26982781 PMCID: PMC4782649 DOI: 10.1590/abd1806-4841.20163927] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2014] [Accepted: 09/01/2014] [Indexed: 12/31/2022] Open
Abstract
The number of studies on patch-test results in children and adolescents has
gradually increased in recent years, thus stimulating reviews. This paper is a
systematic review of a 15-year period devoted to studying the issue. Variations
pertaining to the number and age groups of tested children and/or adolescents,
the number of subjects with atopy/atopic dermatitis history, the quantity, type
and concentrations of the tested substances, the test technique and type of data
regarding clinical relevance, must all be considered in evaluating these
studies, as they make it harder to formulate conclusions. The most common
allergens in children were nickel, thimerosal, cobalt, fragrance, lanolin and
neomycin. In adolescents, they were nickel, thimerosal, cobalt, fragrance,
potassium dichromate, and Myroxylon pereirae. Knowledge of this matter aids
health professionals in planning preventive programs aimed at improving
children's quality of life and ensuring that their future prospects are not
undermined.
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Ho KK, Campbell KL, Lavergne SN. Contact dermatitis: a comparative and translational review of the literature. Vet Dermatol 2015; 26:314-27, e66-7. [DOI: 10.1111/vde.12229] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/08/2015] [Indexed: 12/31/2022]
Affiliation(s)
- Karen K. Ho
- Veterinary Clinical Medicine; College of Veterinary Medicine; University of Illinois; 1008 W Hazelwood Dr Urbana IL 61802 USA
| | - Karen L. Campbell
- Veterinary Clinical Medicine; College of Veterinary Medicine; University of Illinois; 1008 W Hazelwood Dr Urbana IL 61802 USA
| | - Sidonie N. Lavergne
- Comparative Biosciences; College of Veterinary Medicine; University of Illinois; 2001 South Lincoln Av Urbana IL 61802 USA
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Martins LEAM, dos Reis VMS. Cytokine detection for the diagnosis of chromium allergy. An Bras Dermatol 2013; 88:719-25. [PMID: 24173176 PMCID: PMC3798347 DOI: 10.1590/abd1806-4841.20132164] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2012] [Accepted: 11/18/2012] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Patch testing remains the gold standard method for the identification of the etiologic agent of allergic contact dermatitis. However, it is a subjective, time-consuming exam whose technique demands special care and which presents some contraindications, which hamper its use. In a recent study, we showed that the proliferation assay can suitably replace patch testing for the diagnosis of chromium allergy, which had been previously demonstrated only for nickel allergy. In this study, we try to refine the method by reducing the incubation period of cultures for lymphocyte proliferation assays in response to chromium. OBJECTIVE Develop an alternative or complementary diagnostic test for chromium allergic contact dermatitis. METHODS We compared the production of 9 cytokines (IFN-γ, IL-2, IL-4, IL-5, IL-10, IL-12, IL-13, IL-17 and RANTES) between 18 chromium-allergic patients and 19 controls. RESULTS Chromium increased the production of IFN-y, IL-5, IL-2 and IL-13 in allergic patients, but only IL-2 and especially IL-13 helped discriminate allergic patients from controls. The sensitivity, specificity and accuracy found with IL-13 were about 80%. CONCLUSIONS IL-13 and IL-2 detection may be used to diagnose chromium allergy in 2-day cultures. However, in general, the 6-day cultures seem to be superior for this purpose.
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Affiliation(s)
- Luis Eduardo Agner Machado Martins
- Professor of Dermatology at Hospital Universitário Evangélico de
Curitiba - Faculdade Evangélica do Paraná (HUEC-FEPAR) - Curitiba (PR), Brazil
| | - Vitor Manoel Silva dos Reis
- PhD in Dermatology - Professor of Dermatology, Departament of
Dermatology, Clinics Hospital, Faculty of Medicine of the University of São Paulo
(Hospital de Clínicas da Faculdade de Medicina da Universidade São Paulo - HC-FMUSP) -
São Paulo (SP), Brazil
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Baeck M, Soria A, Marot L, Theate I, Hendrickx E, Van Belle A, Goossens A, Tennstedt D, Dachelet C, Jaeger J, Pilette C, Renauld JC, Van Baren N, Rozières A, Nicolas JF, Dumoutier L. Characterization of the T cell response in allergic contact dermatitis caused by corticosteroids. Contact Dermatitis 2013; 68:357-68. [DOI: 10.1111/cod.12040] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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16
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Martins L, Reis V. IL-13: a marker of chromium contact allergy. J Eur Acad Dermatol Venereol 2012; 27:e390-3. [DOI: 10.1111/jdv.12005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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