Microarray Immunoassay (MIA) for the Parallel IgE and IgG4 Epitope Mapping of Milk Allergens
W. G. Shreffler, L. Bardina, D. Lencer, K. Beyer, H. A. Sampson; Jaffe Food Allergy Institute, Department of Pediatrics, Division of Allergy & Immunology, Mount Sinai Medical Center, New York, NY. RATIONALE: The natural history of young patients with milk allergy is variable. Characteristics such as IgE/IgG4 ratio and specific epitope recognition patterns are being investigated for prognostic utility. Prospective, comprehensive analysis of patient epitope-specific antibody response is impractical with commonly used assays. We sought to develop a microarray-based immunoassay for parallel detection of whole allergen and peptide specific IgE and IgG4. METHODS: Sets of 15-residue peptides, each with biotin-SGSG linkers, were designed corresponding to milk allergen sequences. These were printed together with biotinylated beta- and kappa-caseins to avidinderivatized glass slides. Diluted human sera from milk-allergic patients and non-allergic controls were incubated over the arrayed peptides in a humidified chamber. Specific IgE and IgG4 were simultaneously detected by incubation with a cocktail of monoclonal secondary antibodies labeled with distinct fluorochromes. Slides were read with a microarray fluorescence scanner. RESULTS: Compared to normal sera, IgE signal [binding] with patient sera was 1.5-2 log higher to beta- and kappa-caseins respectively (p<0.01). IgG4 signal was also greater with patient sera (beta-casein, 1.5 log; kappa-casein 1 log; p<0.05), although IgG4 signal was clearly detectable in normals. Inter-assay CVs were less than 10%. For 80% of patients, kappa-casein was the dominant allergen with higher absolute IgE and IgG4 signals and higher IgE/IgG4 ratios. Individual and pooled patient sera bound specific peptides. CONCLUSION: MIA is a reproducible and specific assay for the investigation of allergen-specific antibody. Funding: NIH, FAAI, Mount Sinai Medical Center