Reactivity to sodium tetrachloropalladate (Na2[PdCl4]) compared to PdCl2 and NiCl2 in lymphocyte proliferation tests

@article{Muris2009ReactivityTS,
  title={Reactivity to sodium tetrachloropalladate (Na2[PdCl4]) compared to PdCl2 and NiCl2 in lymphocyte proliferation tests},
  author={Joris Muris and Cees J. Kleverlaan and Albert Joseph Feilzer and Elizabeth Valentine-Thon},
  journal={Allergy},
  year={2009},
  volume={64}
}
Background:  For patch testing, replacement of the commonly used palladium dichloride (PdCl2) by sodium tetrachloropalladate (Na2[PdCl4]) was recently demonstrated to improve test accuracy and show a significant correlation with nickel (Ni), supporting the concept of cross‐reactivity between Pd and Ni. A promising alternative to metal allergy patch testing is the in vitro lymphocyte proliferation test (LTT). 
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TLDR
Flow cytometric LPT represents a reliable and useful method for the detection of nickel (Ni) and palladium (Pd) sensitization and, when used in combination with PT, increase test specificity.
Palladium‐induced Th2 cytokine responses reflect skin test reactivity
TLDR
Both palladium‐ and nickel‐mediated Th2 responses tightly correlate with ST reactivity, supporting recent findings on the crucial role of Th2 involvement in ACD and may have great potential as diagnostic tools for future in vitro sensitization testing.
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Known, newly identified and hypothesized mechanisms of metal-specific T cell activation and current knowledge on cross-reactivity are overviewed and discussed.
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The low sensitivity of PdCl2 was considered in two articles on an alternative palladium test allergen, namely sodium tetrachloropalladate (Na2[PdCl4]), for patch testing and for lymphocyte proliferation testing, which confirmed the theory of cross-reactivity between nickel and palladium.
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