Study2015Open access

Delayed Anaphylaxis to Red Meat Associated With Specific IgE Antibodies to Galactose

Wen L, Zhou J, Yin J, Sun JL, Sun Y, Wu K, Katial R

Allergy, asthma & immunology research · 10 citations

Review labels

Lumps processed with unprocessed meat

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Case report (classified by our AI screen)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Not stated

Who paid for it

Funding
Independent funding
University or hospital
Emory University
Government
Foundation of National Epidemiology Study of Asthma and Allergies in China, sector fund of Ministry of Health of China

Based on 2 listed funder(s).

Publication

Published
2014-12-19 · Allergy Asthma Immunol Res · vol. 7 · issue 1 · p. 92
Cited
15 citations · more than 69% of similar papers · 0.7× the field average
References
9 works
Access
Open access (hybrid journal) · CC-BY-NC
Research areas
Food Allergy and Anaphylaxis Research · Allergic Rhinitis and Sensitization · Contact Dermatitis and Allergies
Keywords
Immunoglobulin E, Anaphylaxis, Tick, Saliva, Immunology, Antibody, Biology, Primate, Medicine, Allergy, Virology, Biochemistry, Ecology

7 authors

From CN, BY, US

  • Liping WenChinese Academy of Medical Sciences & Peking Union Medical College; Peking Union Medical College Hospital
  • Junxiong ZhouChinese Academy of Medical Sciences & Peking Union Medical College; Peking Union Medical College Hospital
  • Jia YinChinese Academy of Medical Sciences & Peking Union Medical College; Peking Union Medical College Hospital
  • Jin‐Lu SunChinese Academy of Medical Sciences & Peking Union Medical College; Peking Union Medical College Hospital
  • Yi Eve SunInstitute of Microbiology; Beijing Institute of Microbiology and Epidemiology
  • Kai WuChinese Academy of Medical Sciences & Peking Union Medical College; Peking Union Medical College Hospital

Abstract

A novel delayed anaphylactic reaction to red meat, associated with tick bites and IgE antibodies against galactose-α-1, 3-galactose (α-gal), was reported in 2009 in the US, Australia and Europe. In this case, serum specific IgE to galactose-α-1, 3-galactose (>100 kU/L) and IgE to multiple non-primate mammalian proteins were positive. However, the pathogenesis of this disease remains unclear. We report the first case in Asia of delayed anaphylactic reaction to red meat, which was induced by bites from the hard tick, Hematophagous ixodidae. We confirmed the increased concentration of IgE reactive epitopes in non-primate mammalian organs, which may be rich in α-gal proteins in lymphatic and endothelial tissues. All confirmed ticks associated with this disorder in the literature and in our case belonged to the hard tick family. We hypothesize that hard tick saliva is enriched with blood-type substances, such as oligosaccharides, from the non-primate mammal victim's blood after days to weeks of blood sucking, which sensitizes humans through the injection route while blood sucking.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC).

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