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Galactose-α-1,3-Galactose-Specific IgE Is Associated with Anaphylaxis but Not Asthma
被引:60
作者:

Cornmins, Scott P.
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Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

Kelly, Libby A.
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Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

Ronmark, Eva
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机构:
Umea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

James, Hayley R.
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机构:
Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

Pochan, Shawna L.
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机构:
Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

Peters, Edward J.
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机构:
Allergy & Asthma Consultants, Austin, TX USA Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

Lundback, Bo
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机构:
Univ Gothenburg, Sahlgrenska Acad, Krefting Res Ctr, Dept Med, Gothenburg, Sweden Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

Nganga, Lucy W.
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机构:
Kenya Govt Med Res Ctr, Ctr Resp Dis, Nairobi, Kenya Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

Cooper, Philip J.
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机构:
Univ San Francisco Quito, Cumbaya, Quito, Ecuador
Univ Liverpool, Liverpool Sch Trop Med, Liverpool L3 5QA, Merseyside, England Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

Hoskins, Janelle M.
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Univ N Carolina, Chapel Hill, NC USA Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

Eapen, Saju S.
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Asthma & Allergy Ctr Lynchburg, Lynchburg, VA USA Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

Matos, Luis A.
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Asthma & Allergy Ctr Lynchburg, Lynchburg, VA USA Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

McBride, Dane C.
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Asthma & Allergy Ctr Lynchburg, Lynchburg, VA USA Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

Heymann, Peter W.
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Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

Woodfolk, Judith A.
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Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

Perzanowski, Matthew S.
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机构:
Columbia Univ, Mailman Sch Publ Hlth, New York, NY USA Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA

Platts-Mills, Thomas A. E.
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机构:
Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA
机构:
[1] Univ Virginia, Div Allergy & Immunol, Charlottesville, VA USA
[2] Umea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden
[3] Allergy & Asthma Consultants, Austin, TX USA
[4] Univ Gothenburg, Sahlgrenska Acad, Krefting Res Ctr, Dept Med, Gothenburg, Sweden
[5] Kenya Govt Med Res Ctr, Ctr Resp Dis, Nairobi, Kenya
[6] Univ San Francisco Quito, Cumbaya, Quito, Ecuador
[7] Univ Liverpool, Liverpool Sch Trop Med, Liverpool L3 5QA, Merseyside, England
[8] Univ N Carolina, Chapel Hill, NC USA
[9] Asthma & Allergy Ctr Lynchburg, Lynchburg, VA USA
[10] Columbia Univ, Mailman Sch Publ Hlth, New York, NY USA
基金:
瑞典研究理事会;
关键词:
alpha-gal;
red meat allergy;
ticks;
total serum IgE;
ectoparasite;
HOUSE-DUST MITE;
SKIN-TEST REACTIVITY;
IMMUNOGLOBULIN-E;
SERUM IGE;
QUANTITATIVE MEASUREMENT;
ALLERGEN EXPOSURE;
POLLEN ALLERGENS;
MAMMALIAN MEAT;
CAT;
SENSITIZATION;
D O I:
10.1164/rccm.201111-2017OC
中图分类号:
R4 [临床医学];
学科分类号:
1002 ;
100602 ;
摘要:
Rationale: IgE antibodies to the mammalian oligosaccharide galactose-alpha-1,3-galactose (alpha-gal) are common in the southeastern United States. These antibodies, which are induced by ectoparasitic ticks, can give rise to positive skin tests or serum assays with cat extract. Objectives: To evaluate the relationship between IgE antibodies to alpha-gal and asthma, and compare this with the relationship between asthma and IgE antibodies to Fel d 1 and other protein allergens. Methods: Patients being investigated for recurrent anaphylaxis, angioedema, or acute urticaria underwent spirometry, exhaled nitric oxide, questionnaires, and serum IgE antibody assays. The results were compared with control subjects and cohorts from the emergency department in Virginia (n = 130), northern Sweden (n = 963), and rural Kenya (n = 131). Measurements and Main Results: Patients in Virginia with high-titer IgE antibodies to a-gal had normal lung function, low levels of exhaled nitric oxide, and low prevalence of asthma symptoms. Among patients in the emergency department and children in Kenya, there was no association between IgE antibodies to a-gal and asthma (odds ratios, 1.04 and 0.75, respectively). In Sweden, IgE antibodies to cat were closely correlated with IgE antibodies to Fel d 1 (r = 0.83) and to asthma (P < 0.001). Conclusions: These results provide a model of an ectoparasite-induced specific IgE response that can increase total serum IgE without creating a risk for asthma, and further evidence that the main allergens that are causally related to asthma are those that are inhaled.
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页码:723 / 730
页数:8
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Univ Virginia, Sch Med, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA Univ Virginia, Sch Med, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA
[9]
The relevance of tick bites to the production of IgE antibodies to the mammalian oligosaccharide galactose-α-1,3-galactose
[J].
Commins, Scott P.
;
James, Hayley R.
;
Kelly, Libby A.
;
Pochan, Shawna L.
;
Workman, Lisa J.
;
Perzanowski, Matthew S.
;
Kocan, Katherine M.
;
Fahy, John V.
;
Nganga, Lucy W.
;
Ronmark, Eva
;
Cooper, Philip J.
;
Platts-Mills, Thomas A. E.
.
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY,
2011, 127 (05)
:1286-U310

Commins, Scott P.
论文数: 0 引用数: 0
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机构:
Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA

James, Hayley R.
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Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA

Kelly, Libby A.
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Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA

Pochan, Shawna L.
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Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA

Workman, Lisa J.
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Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA

Perzanowski, Matthew S.
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机构:
Columbia Univ, Mailman Sch Publ Hlth, New York, NY USA Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA

Kocan, Katherine M.
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Oklahoma State Univ, Ctr Vet Hlth Sci, Stillwater, OK 74078 USA Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA

Fahy, John V.
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Univ Calif San Francisco, Dept Med, San Francisco, CA USA Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA

Nganga, Lucy W.
论文数: 0 引用数: 0
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机构:
Kenya Med Res Inst KEMRI, Ctr Resp Dis, Nairobi, Kenya Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA

Ronmark, Eva
论文数: 0 引用数: 0
h-index: 0
机构:
Umea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA

Cooper, Philip J.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ San Francisco Quito, Cumbaya, Quito, Ecuador
Univ Liverpool Liverpool Sch Trop Med, Liverpool, Merseyside, England Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA

Platts-Mills, Thomas A. E.
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Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA Univ Virginia Hlth Syst, Asthma & Allerg Dis Ctr, Charlottesville, VA 22908 USA
[10]
Anaphylaxis syndromes related to a new mammalian cross-reactive carbohydrate determinant
[J].
Commins, Scott P.
;
Platts-Mills, Thomas A. E.
.
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY,
2009, 124 (04)
:652-657

Commins, Scott P.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Virginia Hlth Syst, Div Allergy, Asthma & Allerg Dis Ctr, Charlottesville, VA USA Univ Virginia Hlth Syst, Div Allergy, Asthma & Allerg Dis Ctr, Charlottesville, VA USA

Platts-Mills, Thomas A. E.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Virginia Hlth Syst, Div Allergy, Asthma & Allerg Dis Ctr, Charlottesville, VA USA Univ Virginia Hlth Syst, Div Allergy, Asthma & Allerg Dis Ctr, Charlottesville, VA USA