Fischer J, Reepschläger T, Schricker T, Raap U
Universitätsklinik für Dermatologie und Allergologie, Klinikum Oldenburg AöR und Abteilung für experimentelle Allergologie und Immundermatologie, Carl von Ossietzky Universität Oldenburg, Rahel-Straus-Str. 10, 26133, Oldenburg, Deutschland.
Universitäts-Hautklinik, Universitätsklinik Tübingen, Eberhard Karls Universität Tübingen, Tübingen, Deutschland.
Hautarzt. 2022 Mar;73(3):195-200. doi: 10.1007/s00105-022-04943-4. Epub 2022 Feb 4.
In the world of allergology, alpha-gal syndrome remains one of the most fascinating discoveries over the last 15 years as it is triggered by specific IgE directed against the immunogenic sugar galactose-α‑1,3‑galactose (alpha-gal), found foremost in mammalian meat, milk and products derived thereof, potentially resulting in anaphylaxis. Also, mammalian-derived drugs and medical products have been identified as possible culprits. Nonetheless, tick bites remain the major cause of specific alpha-gal-sIgE. Herein, we summarize the current clinical knowledge and pathophysiology of alpha-gal syndrome in order to better understand this disease.
在过敏反应学领域,α-半乳糖综合征仍然是过去15年中最引人入胜的发现之一,因为它是由针对免疫原性糖半乳糖-α-1,3-半乳糖(α-半乳糖)的特异性IgE引发的,这种糖主要存在于哺乳动物的肉、奶及其衍生产品中,可能导致过敏反应。此外,源自哺乳动物的药物和医疗产品也被确定为可能的罪魁祸首。尽管如此,蜱虫叮咬仍然是特异性α-半乳糖-sIgE的主要原因。在此,我们总结了α-半乳糖综合征的当前临床知识和病理生理学,以便更好地了解这种疾病。