Evidence map›Paper›PMID 41711272›Full record

ArticleAllergy2026

Successful Application of the Mast Cell Activation Test in Immediate Hypersensitivity to Amoxicillin.

Jose A Céspedes, Clara Lebrón-Martín, Lucía Vallecillos-Azor, Pablo Torres, Amene Tesfaye Ayane, Gádor Bogas, María Salas, Adriana Ariza, María Isabel Montañez, María José Torres and 2 more

Abstract read
In one paragraph

Article in Allergy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Jose A CéspedesAllergy Research Group, IBIMA Plataforma BIONAND, Málaga, Spain.ORCID https://orcid.org/0000-0002-3318-3689
Clara Lebrón-MartínAllergy Research Group, IBIMA Plataforma BIONAND, Málaga, Spain.
Lucía Vallecillos-AzorAllergy Research Group, IBIMA Plataforma BIONAND, Málaga, Spain.
Pablo TorresAllergy Research Group, IBIMA Plataforma BIONAND, Málaga, Spain.
Amene Tesfaye AyaneAllergy Research Group, IBIMA Plataforma BIONAND, Málaga, Spain.
Gádor BogasAllergy Research Group, IBIMA Plataforma BIONAND, Málaga, Spain.ORCID https://orcid.org/0000-0003-1868-3471
María SalasAllergy Research Group, IBIMA Plataforma BIONAND, Málaga, Spain.ORCID https://orcid.org/0000-0002-0583-9492
Adriana ArizaAllergy Research Group, IBIMA Plataforma BIONAND, Málaga, Spain.
María Isabel MontañezAllergy Research Group, IBIMA Plataforma BIONAND, Málaga, Spain.
María José TorresAllergy Research Group, IBIMA Plataforma BIONAND, Málaga, Spain.ORCID https://orcid.org/0000-0001-5228-471X
Carlos José ArandaAllergy Research Group, IBIMA Plataforma BIONAND, Málaga, Spain.ORCID https://orcid.org/0000-0001-6224-9352
Cristobalina MayorgaAllergy Research Group, IBIMA Plataforma BIONAND, Málaga, Spain.ORCID https://orcid.org/0000-0001-8852-8077

Funding

Consejería de Conocimiento, Investigación y Universidad, Junta de AndalucíaInstituto de Salud Carlos III
6 · The paper itself

Abstract

backgroundImmediate drug allergic reactions (IDAR) to betalactams are frequent, yet mislabelling remains common and negatively impacts clinical decisions. Conventional diagnostics such as STs and drug provocation are effective but limited by time, risk, and contraindications in severe cases. In vitro alternatives-sIgEquantification and basophil activation tests (BAT)-offer safer options, although performance may be affected by biological variability and suboptimal sensitivity with an important drawback for the latter in patients with non-releaser basophils. This study aimed to evaluate a mast cell activation test (MAT) based on human CD34

methodsCD34

resultsMAT with free AX achieved 53.57% sensitivity, G4/G5-AXO reached 46.43%, and all methods maintained 100% specificity. Combining results with AX or dendrimeric stimuli increased sensitivity to 75% while preserving specificity. Importantly, MAT identified positive cases among BAT non-releasers and patients with undetectable sIgE.

conclusionsUnder optimized conditions, MAT using dMCs and different AX determinants reached 75% sensitivity and 100% specificity. The complementary use of free AX and dendrimeric conjugates expands detection across heterogeneous IgE reactivity profiles from AX-allergic patients, reinforcing the diagnostic value of advanced cellular models and engineered allergens.

Indexed as

AmoxicillinDrug HypersensitivityHypersensitivity, ImmediateMast CellsAdultAntigens, CD34FemaleHumansImmunoglobulin EMaleMiddle AgedSensitivity and SpecificityYoung AdultAmoxicillinAntigens, CD34Immunoglobulin Ebasophil activation testdrug allergyIgEin vitro testmast cell activation test

Identifiers

PMID41711272
PMCPMC13465986

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.