Patent No. EP4103946 (titled "In-Vitro Diagnosis Of Histamine Intolerance Syndrome") was filed by Immundiagnostik on Feb 10, 2021. The application was issued on Mar 13, 2024.
This method diagnoses histamine intolerance syndrome in subjects with suspected insufficient diamine oxidase (DAO) activity. The process involves orally administering a known quantity of stable isotopic labeled histamine, followed by collecting a bodily fluid sample (blood, serum, plasma, urine, or saliva) after a predefined interval. Proteins are optionally removed before chemical derivatization of histamine metabolites using an agent that reacts with imidazole acetic acid and N-methyl-imidazole acetic acid. These derivatized metabolites are measured via LC-MS/MS mass spectrometry. The subject's DAO activity and histamine degradation capacity are then calculated based on the detected amounts of isotopic labeled imidazole acetic acid and methyl imidazole acetic acid.

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