Evidence map›Paper›PMID 42505351›Full record

ReviewCells2026

The Basophil Activation Test in Allergy Diagnostics: Clinical Applications, Methodological Challenges, and Proposed Clinical Frameworks.

Marina Izmailovich, Aizhan Kabyldina, Zamira Seilkhan, Aruzhan Zhussip, Raushan Kozhanova, Tair Nurpeissov, Gulzada Uteubaeva, Olga Kazimirova, Alyona Lavrinenko, Lyubov Brizitskaya and 2 more

Abstract readReview
In one paragraph

Review in Cells, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Marina IzmailovichDepartment of Internal Medicine, Karaganda Medical University, Karaganda 100000, Kazakhstan.ORCID 0000-0001-8128-4356
Aizhan KabyldinaDepartment of Internal Medicine, Karaganda Medical University, Karaganda 100000, Kazakhstan.
Zamira SeilkhanDepartment of Internal Medicine, Karaganda Medical University, Karaganda 100000, Kazakhstan.
Aruzhan ZhussipDepartment of Internal Medicine, Karaganda Medical University, Karaganda 100000, Kazakhstan.
Raushan KozhanovaSchool of Dentistry, Karaganda Medical University, Karaganda 100000, Kazakhstan.ORCID 0000-0002-8374-8027
Tair NurpeissovGeneral Immunology, Asfendiyarov Kazakh National Medical University, Almaty 050000, Kazakhstan.
Gulzada UteubaevaInternal Diseases No. 3, Astana Medical University, Astana 010000, Kazakhstan.
Olga KazimirovaDepartment of Family Medicine, Karaganda Medical University, Karaganda 100000, Kazakhstan.
Alyona LavrinenkoScientific Research Laboratory, Institute of Life Sciences, Karaganda Medical University, Karaganda 100000, Kazakhstan.ORCID 0000-0001-9436-8778
Lyubov BrizitskayaDepartment of Oncology and Radiation Diagnostics, Karaganda Medical University, Karaganda 100000, Kazakhstan.
Elina SuleimanovaSchool of General Medicine, Karaganda Medical University, Karaganda 100000, Kazakhstan.ORCID 0000-0001-9614-4014
Zarina ShaikhinaSchool of General Medicine, Karaganda Medical University, Karaganda 100000, Kazakhstan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The basophil activation test (BAT) is a modern in vitro functional assay used for the diagnosis of immunoglobulin E-mediated allergic reactions. The method is based on flow cytometric assessment of activation marker expression on peripheral blood basophils after stimulation with specific allergens. BAT has gained increasing clinical relevance in allergology, particularly in patients with anaphylaxis risk, polysensitization, drug hypersensitivity, and inconclusive skin or serological test results. This narrative review summarizes current evidence on the diagnostic performance and clinical applications of BAT in food allergy, drug hypersensitivity, Hymenoptera venom allergy, latex sensitization, and allergen immunotherapy monitoring. The review discusses the immunological mechanisms of basophil activation, the role of CD63 and CD203c, methodological aspects of the assay, sensitivity and specificity data, and advantages and limitations compared with conventional diagnostic approaches. Particular attention is given to protocol standardization, interpretation criteria, and the problem of non-responder patients. Current evidence indicates that BAT demonstrates high specificity and provides functional assessment of clinically relevant allergic reactions. In addition, this review proposes practical clinical frameworks for integrating BAT into allergy diagnostic pathways and for managing inconclusive or non-responder BAT results. Further standardization, multiplex formats, and automated analytical approaches may expand its role in personalized allergy diagnostics.

Indexed as

Basophil Degranulation TestBasophilsHypersensitivityAllergensAnimalsFlow CytometryHumansImmunoglobulin EPhosphoric Diester HydrolasesPyrophosphatasesTetraspanin 30Venom HypersensitivityAllergensENPP3 protein, humanImmunoglobulin EPhosphoric Diester HydrolasesPyrophosphatasesTetraspanin 30allergyanaphylaxisbasophil activation testBATCD203cCD63drug hypersensitivityflow cytometryfood allergyIgE-mediated reactions

Identifiers

PMID42505351
PMCPMC13406334

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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.