RT Journal Article T1 Dendrimeric Antigens for Drug Allergy Diagnosis: A New Approach for Basophil Activation Tests A1 Molina, Noemi A1 Martin-Serrano, Angela A1 Fernandez, Tahia D. A1 Tesfaye, Amene A1 Najera, Francisco A1 Torres, María J. A1 Mayorga, Cristobalina A1 Vida, Yolanda A1 Montañez, Maria I. A1 Perez-Inestrosa, Ezequiel K1 PAMAM K1 Dendrimeric antigens K1 Penicillin K1 Drug allergy K1 Basophil activation tests K1 Penicilinas K1 Hipersensibilidad a las drogas K1 Prueba de desgranulación de los Basófilos AB Dendrimeric Antigens (DeAns) consist of dendrimers decorated with multiple units of drug antigenic determinants. These conjugates have been shown to be a powerful tool for diagnosing penicillin allergy using in vitro immunoassays, in which they are recognized by specific IgE from allergic patients. Here we propose a new diagnostic approach using DeAns in cellular tests, in which recognition occurs through IgE bound to the basophil surface. Both IgE molecular recognition and subsequent cell activation may be influenced by the tridimensional architecture and size of the immunogens. Structural features of benzylpenicilloyl-DeAn and amoxicilloyl-DeAn (G2 and G4 PAMAM) were studied by diffusion Nuclear Magnetic Resonance (NMR) experiments and are discussed in relation to molecular dynamics simulation (MDS) observations. IgE recognition was clinically evaluated using the basophil activation test (BAT) for allergic patients and tolerant subjects. Diffusion NMR experiments, MDS and cellular studies provide evidence that the size of the DeAn, its antigen composition and tridimensional distribution play key roles in IgE-antigen recognition at the effector cell surface. These results indicate that the fourth generation DeAns induce a higher level of basophil activation in allergic patients. This approach can be considered as a potential complementary diagnostic method for evaluating penicillin allergy. PB MDPI YR 2018 FD 2018-04-24 LK http://hdl.handle.net/10668/3344 UL http://hdl.handle.net/10668/3344 LA en NO Molina N, Martin-Serrano A, Fernandez TD, Tesfaye A, Najera F, Torres MJ, et al. Dendrimeric Antigens for Drug Allergy Diagnosis: A New Approach for Basophil Activation Tests. Molecules. 2018 Apr 24;23(5):997. DS RISalud RD Apr 5, 2025