- Title: Laboratory licensing opportunities
- Subtitle: Melisa
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Background, List text:
The medical device market is growing rapidly each year and is expected to reach $30.4 billion by 2025; the dental implant market is predicted to grow to $8 billion during this period. Growth is driven by an ageing population and increasing cardiovascular and neurological diseases. There are international calls for stricter regulations and for more research into device failure. One of the factors contributing to device failure is metal hypersensitivity.
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The opportunity, List text:
MELISA is seeking to expand its network of laboratories to make the testing more accessible to healthcare practitioners worldwide. As the number of medical devices implanted grows there is concomitant growth in demand for metal hypersensitivity testing. We are looking for laboratory partners, particularly in North America, where demand is highest for testing.
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The MELISA® test, List text:
MELISA® (MEmory Lymphocyte Immuno-Stimulation Assay) is a modified, optimised and clinically validated version of lymphocyte transformation testing (LTT). The MELISA test provides important information for patients suffering from unexplained symptoms after surgery and is also used prior to surgery in patients reporting previous metal sensitivity. Details can be found in our published articles.
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Considerations, List text:
Blood must arrive at the laboratory within 48 hours after the blood draw. Lymphocytes are isolated and put into cultures with against metal allergens, blood is incubated for five days and the lymphocyte reaction is measured by two separate technologies: the uptake of radioisotope by dividing lymphocytes and by microscopy.
A license is needed to handle low-level radioactivity and in the US, the laboratory must be CLIA registered to perform high complexity testing, the test is offered as a Lab Developed Test (LDT) in the US.
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Lyme disease, List text:
MELISA has also been developed to diagnose active infections of Lyme Borreliosis, which appears to be a more accurate test for diagnosing active Lyme disease than standard tests (Western Blot, PCR) particularly in symptomatic patients with serologically ambiguous results.
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Future applications, List text:
MELISA is mainly used to determine metal allergy, but the test is also developed for other substances. Some laboratories routinely test for allergy to gluten, candida and moulds. We are extremely interested in developing the test for other substances such as gadolinium, PEEK, pesticides and food allergens.
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Background, List text:
- Additional info bottom: Interested? Please email us at info@melisa.org and we can arrange a time to talk further and give you more detail.
Melisa
Team
Linda Nelson
Olaf Beckord
Olaf Beckord trained as an Analytical Chemist and has headed up several German laboratories. For 12 years, Olaf was the Technical Director of InVitaLab, Neuss, working with MELISA testing. Together with Prof Vera Stejskal, he has developed testing for new substances using the MELISA protocol.
Olaf continues to provide medical and scientific support as well as participating in conferences and training new laboratories to perform MELISA testing under license.
Dr Birgitta Brunes
MD
Mrs Rebecca Dutton
Dr Jose Mendonça Caridad
Prof. Vera Stejskal
(1944-2017)
Melisa
Background
The MELISA organisation is dedicated to the science of metal hypersensitivity and improving its diagnosis when treating chronic diseases such as chronic fatigue syndrome, multiple sclerosis or other autoimmune and allergic diseases.
The MELISA test was developed to aid clinicians and patients in the diagnosis of metal hypersensitivity. It is a clinically validated blood test which measures metal hypersensitivity to multiple metals from a single sample. It was originally developed for the diagnosis of occupational allergies at Astra Pharmaceuticals (now AstraZeneca).
The MELISA test, a modification of the LTT test, started to take shape when Dr Vera Stejskal, a toxicologist at Astra Pharmaceuticals in Södertälje, Sweden, was asked to develop a test for the diagnosis of drug allergy among workers in their pharmaceutical factories. In 1990, a colleague of Dr Stejskal, dermatologist Dr Margit Forsbeck, expressed a wish to try the test on patients who claimed that their symptoms were caused by their amalgam fillings. At that time, many patients came to Dr Forsbeck with oral problems – burning, itching and lichenoid reactions – and claimed that they suffered from “oral galvanism” or “amalgam poisoning”.
The problem was that patch testing was not very reliable for testing metals on the skin, as some metals are toxic substances. If a metal causes irritation on the skin, it is difficult to differentiate between a toxic and an allergic reaction. The dermatologist was concerned to know if mercury allergy really existed and wanted to prove or disprove this. Perhaps MELISA could do the job?
Astra, a pharmaceutical rather than a diagnostic company, had no interest in developing the MELISA test and so, shortly afterwards, the MELISA organisation was founded to promote research into metal hypersensitivity and its implications in contributing to the development of chronic diseases such as multiple sclerosis and chronic fatigue syndrome.
The MELISA test was then optimised and standardised and finally validated for testing multiple metals. Today, MELISA is performed under license by certified laboratories worldwide. To date, the MELISA test has helped hundreds of patients to lead healthier lives.
- Title: Research projects
- Subtitle: Melisa
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MELISA conducts its own research into metal hypersensitivity and has most recently published articles on cardiac disease, fibrolmyalgia and connective tissue disease.
We maintain a library of articles and research on the effects of metal allergy and the diseases with which it may be associated.We are particularly interested in cooperation with studies involving allergy to orthopaedic devices and dental implants and would welcome approaches from researchers and clinicians alike. Please contact us at
This email address is being protected from spambots. You need JavaScript enabled to view it. . - Section title: MELISA in current studies and projects
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Cardiology and metal hypersensitivity, List text:
Department of Internal Medicine and Cardiology, University Hospital Brno, Brno, Czech Republic
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Lung disease and sarcoidosis, List text:
Department of Environmental and Occupational Medicine, Sackler School of Medicine, Tel Aviv University
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Validation of Lyme disease testing, List text:
Validation of cellular tests for Lyme borreliosis (VICTORY) study. 150 patient and 225 healthy controls tested in four different cellular tests to determine sensitivity and specificity. More info HERE
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Metal hypersensitivity in patients with orthopaedic and dental implants, List text:
Institute of Dental Medicine, First Faculty of Medicine and General University Hospital, Charles University, Prague, Czech Republic. Data presented at International Conference on Metal Detoxification, Berlin, 10 June 2019
Titanium and Other Metal Hypersensitivity Diagnosed by MELISA Test: Follow up Study
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Management of Systemic Effects of Metal Implants and Galvanic Corrosion, List text:
Foot and Ankle Center Wenatchee. Data was presented by Dr Scott Schroeder at FDA Committee Meeting on immune responses to metals in medical devices on 13th November, 2019. See presentation HERE
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Metals and Scoliosis, List text:
Rebecca Dutton is conducting research into the possible connection between metal exposure (particularly to mercury) and the development of idiopathic scoliosis. Read more about the research HERE.
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Cardiology and metal hypersensitivity, List text: