Galactose Alpha 1,3 Galactose, IgE (Sendout)

General Information

Lab Name
Galactose Alpha 1,3 Galactose, IgE (Sendout)
Lab Code
RALGAL
Epic Name
Galactose-Alpha-1,3-Galactose, IgE (Sendout)
External Test Id
ALGAL
Description

Useful For:

  • As an aid in diagnosis of an IgE mediated hypersensitivity allergy to red meat or meat-derived products such as beef, pork, venison, and gelatin
  • This test is not useful in patients previously treated with immunotherapy to determine if residual clinical sensitivity exists.
  • This test is not useful for patients in whom the medical management does not depend upon identification of allergen specificity.

Highlights:

  • The presence of IgE antibodies against galactose-alpha-1,3-galactose (alpha-gal) is associated with red meat allergy.
  • Individuals with IgE antibodies against alpha-gal might develop anaphylactic reactions to the drug cetuximab.
  • Other meat allergen IgE antibody tests may be considered in addition to galactose-alpha-1,3-galactose IgE antibody testing in cases of suspected red meat allergy.

Ordering Note: Non-orderable Sendout battery included in package Galactose Alpha 1,3 Galactose, IgE (Sendout) [RALGAG].

Synonyms
ALGAL, alpha gal, Alpha Gal IgE, Alpha-Gal, alphagal, Galactose IgE, Galactose-alpha-1 3
Components

Interpretation

Method

Fluorescence Enzyme Immunoassay (FEIA)

Reference Range
See individual components
Interferences and Limitations

Cautions:

Some individuals with clinically insignificant sensitivity to allergens may have measurable levels of IgE antibodies in serum, and results must be interpreted in the clinical context.

False-positive results for IgE antibodies may occur in patients with markedly elevated serum IgE (>2500 kU/L) due to nonspecific binding to allergen solid phases.

Ordering & Collection

Specimen Type
Blood
Collection

3 mL blood in RED TOP tube or GOLD SST

Quantity
Requested: 0.5 mL serum + 0.5 mL serum for UW438
Minimum: 0.3 mL serum

Processing

Receiving Instructions

Centrifuge sample and transfer serum to two separate plastic vials. If sample volume is low, prioritize the sendout test.

  • RALGAL: Store serum refrigerated in the Mayo Sendouts rack (95).
  • UW438: Store serum frozen in Immunology -70°C rack (44).

Sendouts:

  • Order Mayo Test: ALGAL.
  • Interfaced: Yes.

Stability: Refrigerated (preferred): 14 days; Frozen: 90 days; Ambient: Unacceptable.

Misc Sendout

Performance

Lab Department
Sendouts Mayo Lab (RF)(MARF)
Frequency
Performed: Monday - Friday. Report Available: 1-3 days.
Available STAT?
No
Performing Location(s)
Sendout Mayo Clinic Laboratories (Superior Drive)
800-533-1710

3050 Superior Drive NW
Rochester, MN 55901

Billing & Coding

CPT Codes
86008
LOINC
73837-7