Penicillin G (benzylpenicillin) is a naturally derived antibiotic produced by industrial fermentation of Penicillium chrysogenum. Small penicillin molecules alone do not induce an immune response; however, the beta-lactam ring of penicillin forms covalent bonds with proteins, creating hapten-protein conjugates. These conjugates trigger allergic reactions, and Penicilloyl G (c1) is the major allergenic determinant of penicillin G with potential cross-reactivity with other penicillins.
Penicillin allergy can manifest as immediate reactions (urticaria, angioedema, bronchospasm, anaphylaxis) and delayed reactions (maculopapular rash, delayed urticaria). Immediate reactions are associated with IgE-mediated mechanisms, while delayed reactions involve T-cell sensitization. The Penicilloyl G (c1) IgE test has high clinical specificity but limited sensitivity, so a negative result does not exclude penicillin allergy. Additional skin tests are recommended for comprehensive diagnosis.
FEIA (Fluorescence Enzyme Immunoassay) – quantitative determination of specific IgE antibodies to penicillin.
Please note that the research method and reference values may vary depending on the equipment and test systems used.