Background: Measurement of the soybean aeroallergen in Barcelona and other
cities where soybean is unloaded is of increasing importance in controlling
population exposure and evaluating the influence of such exposure on the p
ersistence of asthma symtpoms. Objective: The aims of the study were: (1) t
o standardize an amplified ELISA inhibition method for the quantification o
f soybean aeroallergen and (2) to compare this method to a previously descr
ibed RAST inhibition method. Methods and Results: An amplified competitive
ELISA inhibition method with a biotin-streptavidin system was carried out u
sing a pool of sera from soybean-sensitized patients. The results were expr
essed as U/ml using a low-molecular-mass soybean allergen as reference stan
dard. Reproducibility was calculated by statistically comparing the slope o
f the regression lines of the standard curve of 4 consecutive assays and by
determining the coefficient of variation (CV) of the percent inhibition da
ta for each point of several independent sta nda rd curves, each from the s
ame assay (intra-assay) and also from a separate assay (inter-assay). No si
gnificant differences in the slopes were obtained by analysis of covariance
(ANCOVA) F = 1.04. The CV between assays varied between 4 and 22% (for the
assay range used in the reference standard) and was greater than the CV wi
thin assays (5-10%), Only values with a CV(%) smaller than 20% were conside
red acceptable. 78.5% of the samples satisfied this criterion. The RAST inh
ibition and ELISA inhibition methods were compared by difference plots from
the values of 338 air filter eluates. The intraclass correlation coefficie
nt was 0.456 (p < 0.001). After the results of both methods were classified
as lower and higher than 165 U/m(3), the kappa index was 0.46 (p < 0.001).
Conclusions: The data obtained in the present study are comparable to thos
e reported from other similar immunoassays. Moreover, despite the difficult
y in comparing air-sampling values from different laboratories, the kappa i
ndex may be taken to represent fairly good agreement beyond chance between
both methods. All these data demonstrate that the present immunoassay is us
eful for measuring airborne soybean aeroallergens and can also be applied t
o evaluate the relationship between exposure and the development of asthma
symptoms.
Copyright (C) 2000 S. Karger AG, Basel.