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On the cause and consequences of IgE to galactose-?-1,3-galactose: A report from the National Institute of Allergy and Infectious Diseases Workshop on Understanding IgE-Mediated Mammalian Meat Allergy - 06/04/20

Doi : 10.1016/j.jaci.2020.01.047 
Thomas A.E. Platts-Mills, MD, PhD, FRS a, , Scott P. Commins, MD, PhD b, Tilo Biedermann, MD c, Marianne van Hage, MD, PhD d, Michael Levin, MD, PhD e, Lisa A. Beck, MD f, Maria Diuk-Wasser, PhD g, Uta Jappe, MD, MSc h, i, , Danijela Apostolovic, PhD d, Michael Minnicozzi, PhD j, Marshall Plaut, MD j, Jeffrey M. Wilson, MD, PhD a
a Division of Allergy & Clinical Immunology, University of Virginia, Charlottesville, Va 
b Departments of Medicine & Pediatrics, University of North Carolina, Chapel Hill, NC 
c Department of Dermatology and Allergy, Technical University of Munich and Unit Clinical Allergology (EKA), Helmholtz Zentrum München, Munich, Germany 
d Division of Immunology and Allergy, Department of Medicine Solna, Karolinska Institutet and University Hospital, Stockholm, Sweden 
e Division of Paediatric Allergy, University of Cape Town, Cape Town, South Africa 
f Department of Dermatology, University of Rochester Medical Center, Rochester, NY 
g Department of Ecology, Evolution, and Environmental Biology, Columbia University, New York, NY 
h Division of Clinical and Molecular Allergology, Research Center Borstel, Airway Research, Center North (ARCN), Member of the German Center for Lung Research, Borstel, Germany 
i Interdisciplinary Allergy Outpatient Clinic, Department of Pneumology, University of Lübeck, Lübeck, Germany 
j Division of Allergy, Immunology and Transplantation, Allergy, Asthma and Airway Biology Branch, National Institute of Allergy and Infectious Diseases, NIH, Rockville, Md 

Corresponding author: Thomas A. E. Platts-Mills, MD, PhD, FRS, Division of Allergy & Clinical Immunology, University of Virginia, PO Box 801355, Charlottesville, VA 22908.Division of Allergy & Clinical ImmunologyUniversity of VirginiaPO Box 801355CharlottesvilleVA22908

Abstract

The mammalian meat allergy known as the “α-Gal syndrome” relates to IgE specific for galactose-α-1,3-galactose (α-Gal), an oligosaccharide that is present in cells and tissues of nonprimate mammals. The recognition of delayed reactions to food derived from mammals in patients with IgE to α-Gal and also the association with tick bites have been increasing worldwide. In 2018, the National Institute of Allergy and Infectious Diseases, Division of Allergy, Immunology and Transplantation, sponsored a workshop on this emerging tick-related disease. International experts from the fields of tick biology, allergy, immunology, infectious disease, and dermatology discussed the current state of our understanding of this emerging medical condition. The participants provided suggestions for specific research priorities and for the development of resources to advance our knowledge of the mechanisms, diagnosis, management, and prevention of this allergic disease. This publication is a summary of the workshop and the panel’s recommendations are presented herein.

El texto completo de este artículo está disponible en PDF.

Key words : α-Gal, anaphylaxis, IgE, oligosaccharide allergen, glycolipids, mammalian meat allergy, ticks

Abbreviations used : AGS, α-Gal, CDC, RMSF


Esquema


 Disclosure of potential conflict of interest: T. A. E. Platts-Mills was supported by the National Institutes of Health (NIH) (grant no. R37-AI-20565); has received assay support from Thermo Fisher/Phadia; and has a patent on an IgE assay to α-Gal. S. P. Commins was supported by the NIH (grant nos. R01AI135049, R56AI113095, and K08AI85190) and the Centers for Disease Control and Prevention (grant no. IPA1908943); has been on the speaker’s bureau at Genentech; and has received author royalties from Up-to-Date. M. van Hage reports grants from H2020 FoodEnTwin GA (no. 810752), the Swedish Research Council, the Stockholm County Council (ALF project), the Swedish Asthma and Allergy Association’s Research Foundation, the King Gustaf V 80th Birthday Foundation, the Swedish Heart-Lung Foundation, the Hesselman Foundation, the Swedish Cancer and Allergy Foundation, and the Swedish Association for Allergology; personal fees from Biomay AG, Vienna, Austria, and Hycor Biomedical LLC, Calif; and personal fees from Thermo Fisher Scientific and ALK, outside the submitted work; L. A. Beck is a consultant or Advisory Board Member for Abbvie, Allakos, Arena Pharma, Astra-Zeneca, Connect Biopharma, LEO Pharma, Lilly, Novan, Novartis, Pfizer, Regeneron, Sanofi, UCB, and Vimalan; is or has recently been an investigator for an Abbvie, LEO Pharma, Pfizer, and/or Regeneron clinical trial; and owns stock in Pfizer and Medtronics. D. Apostolovic reports grants from H2020 FoodEnTwin GA (no. 810752) and from Konsul Th C Berg Foundation, outside the submitted work. The rest of the authors declare that they have no relevant conflicts of interest.


© 2020  American Academy of Allergy, Asthma & Immunology. Reservados todos los derechos.
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Vol 145 - N° 4

P. 1061-1071 - avril 2020 Regresar al número
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