Our Tests

Tick-borne Diseases & Co-Infections

Tick-borne diseases are challenging to diagnose with the current testing available. Alianza Biohealth is bringing better solutions to overcome that challenge and help our patients get a proper diagnose that will help them have the right treatment and feel better.

Tickplex

TickPlex Basic tests for antibodies to different types of borrelia which helps in the diagnose of Lyme disease. It covers two different reactions of the immune system: IgM (recent) and IgG (long-term). Tickplex also includes the test of the immune reaction to the persistent forms of borrelia (round bodies), which makes it ideal to be used at different stages of the disease.

For the first time, a test for these persistent forms of borrelia is commercially available.

Tickplex is performed on the basis of the ELISA methodology. With its high sensitivity of approx. 95% and a specificity of 98%, TickPlex is superior to comparable IFA test methods that have been used so far.


TickPlex Plus allows the simultaneous determination of IgM and IgG antibodies of several bacterial and viral pathogens. It is the only test that has the ability to identify immune reactions to borrelia, persistent borrelia and several co-infections from a single blood sample. This makes the test very cost effective compared to other tests.

Tickplex Basic tests for:

  • Borrelia burgdorferi, Borrelia afzelii, Borrelia garinii IgG/IgM
  • Persistent forms of borrelia burgdorferi, Borrelia azfelii, Borrelia garinii IgG/IgM

Tickplex Plus tests for:

  • Borrelia burgdorferi, Borrelia afzelii, Borrelia garinii IgG/IgM
  • Persistent forms of borrelia burgdorferi, Borrelia afzelii, Borrelia garinii IgG/IgM
  • Babesia microti
  • Bartonella henselae
  • Ehrlichia chaffeensis
  • Rickettsia akari
  • Coxsackievirus
  • Epstein-Barr virus
  • Human parvovirus B19
  • Mycoplasma pneumoniae
  • Mycoplasma fermentans

    Chronic Bacterial, Fungal and Viral Infections

    We offer a wide variety of testing that covers several kinds of infections like bacterial, viral, and fungal infections and can identify the pathogens in the different stages of the disease: Current, acute, persistent or chronic.

    We use advanced technologies for the identification of pathogens responsible for infections. Below you will find a description of each test and its capabilities.

    EliSpot

    Borrelia infections do not only show humoral immune responses by antibodies, but can activate T-lymphocytes at the same time. Once Borrelia burgdorferi is not active anymore, the T-cellular immune response should vanish.

    It is not possible to control the treatment success by Borrelia antibodies because the “titer” of antibodies can persist in the blood over years. Recent Borrelia burgdorferi infections (e.g. ‘bull’s-eye rash’ or ‘summer flu’) develop antibodies after weeks and sometimes even do not show them at all.

    The Borrelia EliSpot can eliminate some problems:

    • The test reflects the current Borrelia burgdorferi activity of chronic and recent Borrelia burgdorferi infections.
    • The EliSpot is highly sensitive and can detect even one single Borrelia burgdorferi-reactive T-cell. With detection levels that can be as low as one cell in 100.000, the EliSpot is one of the most sensitive cellular assays available.
    • The EliSpot is between 20 and 200 times more sensitive than a conventional ELISA.
    • The EliSpot displays a similar sensitivity as a RT-PCR (Real Time PCR) analysis, but detects the secreted protein instead of the mRNA (messanger RNA).
    • The EliSpot can be helpful when monitoring therapies. The EliSpot should usually become negative about 4 to 8 weeks after the completion of an effective therapy.

    Positive reactions in the EliSpot demonstrate current active infections against:

    IFA, ELISA, Immunoblot

    In our laboratory we test for antibodies by the SeraSpot, IFA and ELISA techniques. In general, the SeraSpot has a higher sensitivity and specificity in detecting Borrelia antibodies compared to the ELISA and IFA test technique.
    However the development of Borrelia burgdorferi-specific antibodies can be avoided and suppressed by antibiotic therapies in recent infections. These cases can be detected by the
    EliSpot for tick-borne infections.

    i-Spot

    The primary function of T-cells is to stimulate B cells by providing specific and nonspecific cytokine like IFN-g and IL2.

    An antigen is a substance (usually foreign) that reacts with an antibody and may stimulate an immune response. A large structure such as a protein, virus, or bacterium contains many subregions that are the actual antigenic determinants or epitopes. These epitopes can consist of peptides, carbohydrates, or particular lipids of the correct size and three-dimensional configuration to fill the combining site of an antibody molecule or a T-cell receptor. So, when the antigen gets into the body it connects to the antibody molecule and a T-cell receptor (the viruses connect more strongly to antibody molecules and bacteria with T-cells receptors), T-cells stimulate B cells by providing specific and nonspecific cytokine.

    The i-Spot Assay (Enzyme-linked Immuno-Spot Assay) is able to detect T cell responses on single cell levels and thus characterizes the immune response of the tested individuals. The visualization of the secreted cytokines produced by T cells, stimulated with specific antigens, provides a differentiated picture of the immune response to monitor the disease progression and determine the cellular immunity after infection.

    The i-Spot test is based on the variability in correlation with the number of activated T-cells and respectively the secreted IFN-g and IL2.
    IL-2 is a 15.5 kDa cytokine secreted by antigen-activated T cells. Originally identified as a T cell growth factor IL-2 is now known to have a wide range of actions, including the ability to boost the cytolytic activity of NK or lymphokine-activated killer cells, increase the cytolytic activity of tumour-infiltrating lymphocytes (TILs), augment immunoglobulin production by activated B cells, maintain homeostatic proliferation of regulatory T cells, act on innate lymphoid cells, and modulate effector T cell differentiation, as well as having actions on memory T cells, effector T cells, and monocytes. Generally, the IL-2 represents the memory function of the immune system and thus a convalescence.

    IFN-γ has emerged as an extremely versatile cytokine that can carry out countless biological activities that are non-redundant with other interferons. IFN-γ has been associated with active acute infections. The literature is inundated with reports that emphasize its importance in disease pathologies. Consequently, any failure in the IFN-γ-IFN-γR system severely hampers host immune responses to infections. Thus, its relevance with regard to conferring protective immunity in infectious diseases and cancers is undisputable. Numerous evasive strategies have been devised by pathogens to overcome its curbing effects and circumvent the protection conferred by IFN-γ. IFN-γ is associated with an acute or active infection, whereas IL-2 represents memory Function of the immune system and thus represents convalescence.

    The relationship between the IFN-γ and IL-2 response allows a differentiated statement about the immune status during and after infection. Thus, the i-Spot 2-color EliSpot assay is a universal solution for determining the immune status of both active and as well as in the case of an infection that has been present for a longer period of time.

    The Enzyme-linked Immuno-Spot Assay technique promise to be the new gold standard for different applications in the field of infectious diseases, for questions in autoimmunology, for transplantation diagnostics, allergy (therapy monitoring) and for vaccination studies.

    There are many infections which can be detected with this test:

    • Borrelia burgdorferi+afzelii+garinii
    • Borrelia miyamotoi
    • Anaplasma spp./Ehrlichia spp.
    • Bartonella henselae
    • Babesia microti
    • Chlamydia pneumoniae
    • Chlamydia trachomatis
    • Mycoplasma pneumoniae
    • Yersinia spp.
    • Rickettsia spp.
    • Herpes Simplex Virus (HSV 1/2)
    • Varicella-Zoster-Virus (VZV)
    • Aspergillus spp. 1+2
    • Candida spp.
    • HHV 6 spp.
    • HHV 7 spp.
    • SARS-CoV-2 spp.

    Toxic Pollutants & Mycotoxins

    Environmental Pollutants Profile

    Long-term exposure to many common chemicals in our environment is known or suspected to have serious health consequences. Our Environmental Pollutants Profile provides quantitative measurement of 14 select metabolites that can help define an individual’s toxic burden and provide valuable information for a targeted nutritional and detoxification intervention.

    ToxiPlex – Mycotoxins

    Mycotoxins are a big group of compounds, with a range of chemical structures and toxicological characteristics.

    Fungi, and their metabolites, contaminate raw materials that are usually used in the preparation of human food and animal feed. The main crops affected are grains (rice, wheat, rye, barley, corn, soybeans), dried fruits, nuts, coffee and spices. Contamination may occur naturally during the growth of the crop or may be a result of improper transport and storage processes.

    Fungal contamination control measures, some prevention strategies and improved processing technologies can help limit mycotoxin contamination. However, despite these efforts, up to 60%–80% of food crops are still contaminated by mycotoxins.

    Exposure to mycotoxins does not always have to be related to food consumption. There are studies that explored the occurrence of mycotoxins in working or living environments and the results showed that exposure to mycotoxins can be related to these places, too. Mycotoxicosis can cause acute and chronic health effects to humans and livestock via ingestion, inhalation and contact with the skin, as well as through entering the lymphatic system and blood stream. While acute effects manifest within 72 h of exposure, chronic effects take more than 72 h and may increase to months, years, or even decades. They harm the macrophage system, impair protein synthesis, intensify the response to bacterial endotoxin, and inhibit particle clearance of the lungs. Symptoms of mycotoxicosis are based on the type of mycotoxin, the age, sex, and health of victims, the mycotoxin concentration, and the length of exposure. The impact of mycotoxins on human health depends on the type of toxin, its metabolism, pharmacokinetics and the accumulation of the mycotoxin, exposure conditions and the age, gender, immune system and health status of the exposed individual.

    For this purpose, Toxiplex has been developed as an enzyme-linked immunosorbent assay (ELISA) for the determination of 5 types of mycotoxins simultaneously from a one blood serum sample:

    • Aflatoxin B1: they are produced by several species of Aspergillus, especially Aspergillus parasiticus and Aspergillus flavus but also by Penicillium species. The Aflatoxin are mostly found in cereals (wheat, sorghum, rice, millet, guinea corn, corn, etc.), tree nuts (almond, pistachio, coconut, walnut, etc.), oilseeds (peanut, sunflower, cotton seeds, soybean, and sesame), spices (garlic, black pepper, coriander, turmeric, ginger, and chili peppers), also in different environments such in the air of Apartments and basements and in filters from air-conditioning systems by passenger vehicles. Most aflatoxins are genotoxic, hepatotoxic, mutagenic, etc. and can hinder growth in children. AFB1 is most toxic of all and also a very carcinogenic toxin which has been linked directly to many health problems, including liver cancer, in several animals. The understanding of induction of mutations, DNA damage, and metabolism in individuals with dietary exposure to aflatoxins contributes to the general evaluation of their adverse effects on human and animal health.
    • Deoxynivalenol: they are produced by Fusarium graminearum and Fusarium culmorum. The Deoxynivalenol are mostly found in Grains (such as wheat and beans), spices, etc. This toxin has been shown to cause acute toxicities in humans, with the main symptom being severe gastrointestinal toxicity also increased central serotoninergic activity and immunosuppressive effect.
    • Fumonisin (B1&B2): they are mycotoxins produced by Fusarium species. This are mostly found in Grains (such as maize, wheat, and beans), spices, etc. Both fumonisin and F. verticillioides contamination in maize positively correlates with cancer of the esophagus in rats, as indicated by studies. Exposure to fumonisins can result in neural tube defects, most likely via disrupting the biosynthesis of sphingolipids and subsequent sphingolipid depletion, which are important for the functions of lipid rafts, particularly folate processing through folate transporters with high affinity.
    • Ochratoxin A: is a toxic mycotoxin produced by Aspergillus niger, Aspergillus ochraceus, Penicillium verrucosum, and Aspergillus carbonarius. This are mostly found in cereals (especially wheat and barley) and their products, dry vine fruits, spices, licorice, coffee beans, wine, grape juice, roots, meat, (particularly pork, from animals that consumed infected grains), etc. This toxin has been found in different environments such in the air of apartments and basements and in filters from air-conditioning systems by passenger vehicles and houses. Ochratoxin is a nephrotoxin and a carcinogen, and it has been directly linked to tumors in the human urinary tract, although the International Agency for Research on Cancer still considers it a possible carcinogen to humans.
    • Zearalenone: It is a nonsteroidal estrogenic metabolite produced by some Fusarium and Gibberella species, such as Fusarium graminearum. Are mostly found in Grains (especially maize, rice, millet, sorghum, rye, oats, barley, wheat, etc.), spices, etc. Zearalenone can cause an increase in the incidence of pituitary tumors and liver cell in mice, in line with the hormonal mode of carcinogenic actions. Elevated serum levels of zearalenol and ZEA are associated with early puberty. ZEA’s ability to induce hyperkeratotic papilloma in the rat esophageal squamous epithelium forestomach suggests its involvement in tumor development in the gastrointestinal tract. ZEA has been shown to be genotoxic and also has the ability to cause hepatocellular adenomas in mice.

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    Food Sensitivity & Metabolic Function

    Organic Acids Profile

    Vitamin deficiencies and metabolic imbalances may produce a range of health issues, including fatigue, mood changes, digestive problems, and more. Our Organic Acids Profile measures 36 organic acids markers to create a unique patient biochemistry profile that reflects how well the body is obtaining and utilizing nutrients. A customized diet and lifestyle plan can then be established to address specific nutritional needs.

    Additionally, the OAP test has an Interpretive Guide designed to assist clinicians in their interpretation of dried urine, first-morning void organic acids results. The guide aids clinicians in preparing personalized nutrition and lifestyle recommendations for the general population. 

    Advantages of the Organic Acids Profile

    Dried Urine Collection

    US BioTek utilizes dried urine cards taken at a first-morning void to make collection simple and convenient for patients.

    Streamlined Markers

    The Organic Acids Panel utilizes a streamlined list of makers to provide a solid functional overview of general health and mitochondrial function.

    Evidence-Based

    The interpretation guide breaks down each panel marker into actionable sets based on 3rd party peer-reviewed research.

    Methodology

    Liquid Chromatography/ Triple Quadrupole Mass Spectrometry (LC-MS/MS) instrumentation is used to quantitatively evaluate patient urine specimens for metabolically-derived organic acids and evidence of exposure to environmental pollutants.

    Our Urinary Metabolic Profile is run on this comprehensive testing platform, which offers superb separation, resolution, and identification of compounds from a complex biological mixture such as urine, yielding precise and repeatable results.

    Food Sensitivities

    Food sensitivities are recognized to be correlated with many chronic health conditions, such as IBS, eczema, fatigue, and others- but with proper identification and elimination of offending foods, many experience relief from their symptoms.

    What are food sensitivities?

    Food sensitivities are inflammatory responses of the immune system triggered by food allergens. Unlike food allergies, the symptoms of a food sensitivity often occur hours or even days after exposure, making it difficult to pinpoint the specific offending food(s). This delayed reaction is what causes the majority of the 12 million people estimated to suffer from food sensitivities unaware and blame things like aging for their chronic symptoms. 

    Testing for food sensitivities streamlines the process of identifying triggering foods, providing clear evidence and guidance to begin the healing process and start improving symptoms. 

    Tests for food sensitivities come in panels of 96 and 240 foods.

    Importance of Testing Options

    When testing for food sensitivities, US BioTek uses three main immunoglobins, IgG (1,2,3), IgA, and IgG4. We test these antibodies separately to establish a clear picture of what food triggers may be the root cause of patients’ symptoms. 

    Immunoglobulin G1-3 or IgG 

    IgG is an antibody that can activate the pro-inflammatory complement system (complement cascade) associated with chronic inflammatory conditions. High levels of IgG (class II or higher) overload receptors and drive the inflammatory reaction while low levels of IgG (class 0/I) indicate tolerance.  

    IgG testing is the most commonly performed food sensitivity testing and foods that are only high in IgG can often be safely re-introduced after a period of abstinence. 

    Immunoglobulin G4 or IgG4 

    IgG4 is an antibody which in most people does not activate the complement system, but instead is a “blocking antibody” for IgE. The presence of IgG4 is protective, not inflammatory, as IgG4/IgE binding tends to decrease IgE hypersensitivity (true allergy). If IgG4 is high, testing for IgE reactivity is advised and it may be best to remove the food from the diet permanently.  

     Independent increases in IgG4 only can be associated with certain autoimmune conditions such as eosinophilic esophagitis. 

    Immunoglobulin A or IgA 

    IgA is an antibody that can activate the pro-inflammatory complement system. Unlike Secretory IgA (sIgA) in stool, which is two IgA molecules bound together and secreted into the gut, serum IgA levels are associated with allergies and asthma. A Serum IgA reaction to food triggers can indicate foods that are irritating the lining of the gut.