Department of Dermatology, Shimane University Faculty of Medicine, Shimane, Japan.
Department of Tropical Medicine, Jikei University School of Medicine, Tokyo, Japan.
Allergy. 2016 Mar;71(3):421-5. doi: 10.1111/all.12804. Epub 2015 Dec 29.
Recent studies revealed that Amblyomma or Ixodes tick bites may cause red meat allergy, in which galactose-α-1,3-galactose (α-Gal) is a major IgE-binding epitope. The incidence of red meat allergy is high in Shimane Prefecture, as is tick-transmitted Japanese spotted fever. Therefore, we speculated that tick bites may cause these meat allergies. The carbohydrate α-Gal was detected in the salivary gland protein of Haemaphysalis longicornis (H. longicornis), the vector for Japanese spotted fever, by immunoblotting using anti-α-Gal antibody. H. longicornis salivary gland protein-specific IgE was detected in the sera of 24 of 30 patients with red meat allergies. Sensitization to tick salivary gland protein containing α-Gal is possibly a major etiology of red meat allergy; the carbohydrate plays a crucial role in its allergenicity. These results further indicate that the α-Gal epitope is present not only in Amblyomma or Ixodes, but also in Haemaphysalis.
最近的研究表明,软蜱或硬蜱叮咬可能会导致红肉过敏,其中半乳糖-α-1,3-半乳糖(α-Gal)是主要的 IgE 结合表位。在岛根县,红肉过敏的发病率很高,同时也是蜱传斑疹伤寒的高发地区。因此,我们推测蜱叮咬可能会导致这些肉类过敏。通过使用抗-α-Gal 抗体进行免疫印迹,在日本斑疹热的载体长角血蜱(Haemaphysalis longicornis,H. longicornis)的唾液腺蛋白中检测到碳水化合物α-Gal。在 30 名红肉过敏患者的血清中检测到 24 名患者存在针对 H. longicornis 唾液腺蛋白的特异性 IgE。对含有α-Gal 的蜱唾液腺蛋白的致敏可能是红肉过敏的主要病因;碳水化合物在其变应原性中起关键作用。这些结果进一步表明,α-Gal 表位不仅存在于软蜱或硬蜱中,也存在于长角血蜱中。
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