Molecular allergology: a clinical laboratory tool for precision diagnosis, stratification and follow-up of allergic patients

Identification of the molecular culprits of allergic reactions leveraged molecular allergology applications in clinical laboratory medicine. Molecular allergology shifted the focus from complex, heterogeneous allergenic extracts, e.g. pollen, food, or insect venom, towards genetically and immunologi...

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Veröffentlicht in:Clinical chemistry and laboratory medicine 2024-11, Vol.62 (12), p.2339-2355
Hauptverfasser: Giusti, Delphine, Guemari, Amir, Perotin, Jeanne-Marie, Fontaine, Jean-François, Tonye Libyh, Marcelle, Gatouillat, Gregory, Tabary, Thierry, Pham, Bach-Nga, Vitte, Joana
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container_issue 12
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container_title Clinical chemistry and laboratory medicine
container_volume 62
creator Giusti, Delphine
Guemari, Amir
Perotin, Jeanne-Marie
Fontaine, Jean-François
Tonye Libyh, Marcelle
Gatouillat, Gregory
Tabary, Thierry
Pham, Bach-Nga
Vitte, Joana
description Identification of the molecular culprits of allergic reactions leveraged molecular allergology applications in clinical laboratory medicine. Molecular allergology shifted the focus from complex, heterogeneous allergenic extracts, e.g. pollen, food, or insect venom, towards genetically and immunologically defined proteins available for diagnosis. Molecular allergology is a precision medicine approach for the diagnosis, stratification, therapeutic management, follow-up and prognostic evaluation of patients within a large range of allergic diseases. Exclusively available for diagnosis, molecular allergology is nonredundant with any of the current clinical tools for allergy investigation. As an example of a major application, discrimination of genuine sensitization from allergen cross-reactivity at the molecular level allows the proper targeting of the culprit allergen and thus dramatically improves patient management. This review aims at introducing clinical laboratory specialists to molecular allergology, from the biochemical and genetic bases, through immunological concepts, to daily use in the diagnosis and management of allergic diseases.
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source De Gruyter journals
subjects Allergens
Allergic diseases
Allergic reactions
Allergies
allergy diagnosis
Cross-reactivity
Diagnosis
Disease management
Food allergies
Food availability
hypersensitivity
immunoglobulin E
Immunology
Insects
Life Sciences
Medical laboratories
molecular allergen
Pollen
Precision medicine
Venom
title Molecular allergology: a clinical laboratory tool for precision diagnosis, stratification and follow-up of allergic patients
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