Cross-reactive carbohydrate determinants

What are CCDs and where are they found?

CCDs are cross-reactive carbohydrate determinants, which are the carbohydrate chains found in glycoproteins. They are part of the structure of many allergy-causing proteins, especially plant-based allergens like pollen.

How are CCDs involved in allergy?

During an allergic reaction, IgE is produced against the carbohydrate chains as well as the allergen’s proteins. Studies have confirmed that this occurs in 30% of humans, dogs and cats. The IgE against CCD chains does not seem to be clinically relevant.

Why is it important to block CCDs?

Blocking CCDs means that the specificity of the in vitro test is enhanced. Evidence shows that the correlation with intradermal testing is also improved.

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