Burg, G.; Przybilla, B.; Bogner, Johannes R.
In: Ring, J.; Burg, G. (eds.) :
New trends in allergy. Vol. 2. Berlin: Springer pp. 230-238
The most commonly used techniques for the in vivo evaluation of the cellular
immune response include intracutaneous testing with microbial recall antigens
or sensitization with neoantigens. The reliability of these tests for the individual
patient usually is low due to the lack of standardization and quantification.
Moreover only the efferent branch of the immune response can be judged.
The dinitrochlorobenzene-contact allergy time (DNCB-CAT) is a quantitative
approach for the assessment of the cellular immune response. 2% DNCBointment
is applied on the upper arm in a 1 cm2 area. On the following days
patch-testing with 0.05% DNCB-ointment is done on the homolateral forearm
in alternating localizations till an allergic contact dermatitis reaction appears.
As assessed in patients with malignant melanoma (MM, n=\\5) and with
lymphoproliferative disorders (LD, η = 25), the DNCB-CAT correlates with
the age of the patients and can be expressed by a formula given by the age
(years) χ factor (MM = 0.16; LD = 0.17) + constant figure (MM = 5.5;
LD = 4.3). There was no significant difference between the two groups or subgroups
By DNCB-CAT quantitative analysis of the cellular immune response in
vivo is possible. It is an appropriate model for further investigations of the
cellular immunity under different clinical, histological, prognostic, and therapeutic