Case-control study2018

Immunoprofile of α-Gal- and B-antigen-specific responses differentiates red meat-allergic patients from healthy individuals

Apostolovic D, Rodrigues R, Thomas P, Starkhammar M, Hamsten C, van Hage M

Allergy · 47 citations

Review labels

No stated lifestyle adjustment

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-control study (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Independent funding
Nonprofit
Hjärt-Lungfonden
University or hospital
Karolinska Institutet
Government
Vetenskapsrådet
Nonprofit
Stiftelsen Lars Hiertas Minne
Nonprofit
Magnus Bergvalls Stiftelse
Nonprofit
Stiftelsen Konung Gustaf V:s 80-årsfond
Nonprofit
Astma- och Allergiförbundet

Based on 7 listed funder(s).

Publication

Published
2018-01-10 · Allergy · vol. 73 · issue 7 · pp. 1525–1531
Publisher
Wiley
Cited
61 citations · more than 90% of similar papers · 2.9× the field average
Impact
Top 10% most cited in its field
References
22 works
Access
Paywalled
Research areas
Food Allergy and Anaphylaxis Research · Xenotransplantation and immune response · Allergic Rhinitis and Sensitization
Keywords
Immunology, Medicine, Antigen, Red meat, Pathology
MeSH
basophils, th2 cells, humans, food hypersensitivity, galactose, immunoglobulin e, immunoglobulin g, allergens, abo blood-group system, epitopes, case-control studies, antibody specificity, cross reactions, red meat

6 authors

From SE

  • Danijela ApostolovićKarolinska University Hospital; Karolinska Institutet
  • Rui Da Silva RodriguesKarolinska University Hospital
  • Pierre M. ThomasKarolinska University Hospital; Karolinska Institutet
  • Maria StarkhammarStockholm South General Hospital
  • Carl HamstenKarolinska University Hospital; Karolinska Institutet
  • Marianne van Hage · correspondingKarolinska University Hospital; Karolinska Institutet

Abstract

Background

The galactose-α-1,3-galactose (α-Gal) epitope is involved in red meat allergy. As α-Gal is structurally similar to the blood group B-antigen, we explored the relationship between the immune responses to α-Gal- and the B-antigen in red meat-allergic patients compared to healthy A/O or B blood donors.

Methods

Sera from 51 red meat-allergic patients IgE-positive to α-Gal and 102 healthy blood donors (51 blood group A/O; 51 blood group B) were included. α-Gal- and B-antigen-specific IgE (ImmunoCAP) and IgG/IgG1-4 (ELISA) responses were determined. Basophil activation tests were performed.

Results

Fifteen healthy donors were IgE positive to α-Gal, of which 3 had blood group B. The allergic patients had significantly higher α-Gal IgE levels compared to the healthy donors. The majority of the allergic patients, but none of the healthy donors, had IgE against the B-antigen. Inhibition studies revealed cross-reactivity between α-Gal and the B-antigen. The biological activity of the B-antigen was confirmed by basophil activation tests. Anti-α-Gal IgG1 and IgG4 levels were significantly higher in the patients compared to the healthy donors. Moreover, the IgG response to the B-antigen was comparable between the allergic patients and healthy A/O donors.

Conclusion

Red meat-allergic patients showed significantly higher α-Gal IgE, IgG1 , and IgG4 levels, reflecting a Th2 response, compared to healthy blood donors. Blood group B donors had significantly reduced antibody responses to α-Gal, due to similarities with the B-antigen, resulting in a lower risk of sensitization to α-Gal and development of red meat allergy.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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