Galactose α-1,3-galactose phenotypes: Lessons from various patient populations.
Journal
Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
ISSN: 1534-4436
Titre abrégé: Ann Allergy Asthma Immunol
Pays: United States
ID NLM: 9503580
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
06
02
2019
revised:
13
03
2019
accepted:
15
03
2019
pubmed:
30
3
2019
medline:
7
1
2020
entrez:
30
3
2019
Statut:
ppublish
Résumé
To review published studies on galactose α-1,3-galactose (α-gal), a carbohydrate epitope found on proteins and lipids in nonprimate mammals and present in foods (particularly organ or fat-rich red meat) and medications, where it causes delayed-onset and immediate-onset anaphylaxis. A literature search for the terms galactose α-1,3-galactose and α-gal using PubMed and Embase was performed. Studies on α-gal were included in this review. Several species of ticks contain α-gal epitopes and possibly salivary adjuvants that promote high titer sensitization and clinical reactivity. Risk factors for α-gal syndrome include exposure to ticks of particular species. Age and sex differences seen in various cohorts possibly reflect the prevalence of these exposures that vary according to setting. The reason and mechanisms for delayed onset of food-related anaphylaxis and the preponderance of abdominal reactions are not clear but may involve the kinetics of allergen digestion and processing or immunologic presentation via a different mechanism from usual immediate-type food allergy.
Identifiants
pubmed: 30922956
pii: S1081-1206(19)30200-5
doi: 10.1016/j.anai.2019.03.021
pmc: PMC6839685
mid: NIHMS1041013
pii:
doi:
Substances chimiques
Allergens
0
Insect Proteins
0
Galactose
X2RN3Q8DNE
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
598-602Subventions
Organisme : NIAID NIH HHS
ID : R21 AI087985
Pays : United States
Organisme : NIAID NIH HHS
ID : R01 AI135049
Pays : United States
Organisme : NIAID NIH HHS
ID : K08 AI085190
Pays : United States
Organisme : NIAID NIH HHS
ID : R56 AI113095
Pays : United States
Organisme : NIAID NIH HHS
ID : R37 AI020565
Pays : United States
Informations de copyright
Copyright © 2019 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.
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