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Equine veterinary journal2015; 48(1); 109-113; doi: 10.1111/evj.12369

A commercially available immunoglobulin E-based test for food allergy gives inconsistent results in healthy ponies.

Abstract: Commercial immunoglobulin E (IgE)-based tests are available for diagnosis of food allergies and are commonly used in equine practice. However, these tests have been proven unreliable as a screening method in man and other species, but not critically evaluated in equids. Therefore, a commercially available IgE-based test for horses was evaluated. Objective: To evaluate the consistency of the results obtained with a commercially available IgE-based test for food allergy diagnosis in ponies (Phase I) and to subject ponies to a provocation trial with the presumed allergens (Phase II). Methods: Allergen screening followed by experimental food provocation trials in healthy ponies. Methods: Blood samples of 17 healthy Shetland ponies were taken at 2 different time points, sent blinded to a commercial laboratory for screening of common food allergens and the results were evaluated for consistency (Phase I). Ponies that were positive for food allergens were consecutively challenged orally with each allergen separately for 14 days (Phase II). A washout period of one week was applied in ponies with multiple positive results. Clinical parameters and serum amyloid A were monitored during the provocation trial. Results: Only 7/17 ponies were negative on the IgE-based test at the 2 time points, 3 had positive results twice but only one tested positive twice for the same food allergen. No abnormalities were noted during the provocation trials. Conclusions: This study demonstrated that this IgE-based test is not a reliable screening tool for food allergy in healthy equids.
Publication Date: 2015-01-28 PubMed ID: 25290573DOI: 10.1111/evj.12369Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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This research study examined the reliability of commercial tests used to diagnose food allergies in ponies, finding them to be inconsistent and therefore unreliable.

Objective and Methodology

The study aimed to determine the reliability of commercially available IgE-based tests used in diagnosing food allergies among horses and ponies. The procedures involved two primary stages:

  • Phase I: It was viability testing for the IgE-based allergy test. Blood samples from 17 healthy Shetland ponies were collected at two different time points and sent to a professional laboratory to test for common food allergies. The results were assessed for consistency.
  • Phase II: This phase involved experimentation with food allergens. Ponies that returned positive results were orally fed each of their respective allergens over a two-week period. This was done in sequence for ponies with multiple positive results, with a one-week ‘washout period’ in between.

The ponies’ clinical parameters and serum amyloid A, a marker for inflammation in the body, were monitored during the provocation trial.

Results and Conclusion

The research disclosed significant inconsistency in the test results. Out of the 17 ponies, only seven were negative at both test points. Additionally, three ponies had positive results twice, but only one pony tested positive twice for the same food allergen. There were no abnormalities noted during the provocation trials, further questioning the reliability of this IgE-based test.

Ultimately, the study concluded that the current commercially available IgE-based test for food allergies in horses and ponies doesn’t provide reliable results. This conclusion is vital for veterinarians and horse owners looking for reliable diagnostic methods to detect food allergies in equids.

Cite This Article

APA
Dupont S, De Spiegeleer A, Liu DJ, Lefère L, van Doorn DA, Hesta M. (2015). A commercially available immunoglobulin E-based test for food allergy gives inconsistent results in healthy ponies. Equine Vet J, 48(1), 109-113. https://doi.org/10.1111/evj.12369

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 48
Issue: 1
Pages: 109-113

Researcher Affiliations

Dupont, S
  • Laboratory of Animal Nutrition, Ghent University, Belgium.
De Spiegeleer, A
  • Laboratory of Animal Nutrition, Ghent University, Belgium.
Liu, D J X
  • Laboratory of Animal Nutrition, Ghent University, Belgium.
Lefère, L
  • Department of Large Animal Internal Medicine, Ghent University, Belgium.
van Doorn, D A
  • Cavalor Equine Nutrition Research, Drongen, Belgium.
  • Department of Nutrition, Faculty of Veterinary Medicine, Utrecht, The Netherlands.
Hesta, M
  • Laboratory of Animal Nutrition, Ghent University, Belgium.

MeSH Terms

  • Allergens / immunology
  • Animal Feed
  • Animals
  • Food Hypersensitivity / diagnosis
  • Food Hypersensitivity / veterinary
  • Horse Diseases / diagnosis
  • Horses
  • Immunoassay
  • Immunoglobulin E / immunology
  • Male
  • Reproducibility of Results
  • Sensitivity and Specificity

Citations

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