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Related Experiment Videos

Anisakis simplex: sensitization and clinical allergy.

Alvaro Daschner1, Cristina-Yolanda Pascual

  • 1Department of Allergy, La Princesa University Hospital, Madrid, Spain. adaschmer@meditex.es

Current Opinion in Allergy and Clinical Immunology
|May 3, 2005
PubMed
Summary
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Anisakis simplex (a parasitic nematode) can cause allergic disorders, including gastroallergic anisakiasis and chronic urticaria. Research is exploring non-IgE mediated immune responses and non-immunological events in these conditions.

Area of Science:

  • Allergy and Immunology
  • Parasitology
  • Gastroenterology

Background:

  • Gastric anisakiasis has been recognized for decades.
  • Allergic disorders linked to Anisakis simplex were understudied until the late 1990s.

Purpose of the Study:

  • To review current knowledge on allergic disorders associated with Anisakis simplex (A. simplex) infection or exposure.

Main Methods:

  • Literature review of recent studies on A. simplex-related allergic conditions.
  • Analysis of immunologic and non-immunological mechanisms.

Main Results:

  • Gastroallergic anisakiasis is an acute hypersensitivity reaction to A. simplex parasitism.
  • Chronic urticaria and other allergic disorders are being investigated for links to A. simplex.

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  • Non-IgE mediated mechanisms, including IgG4 and non-immunological events, are under consideration.

    • Conclusions:

    • Allergic hypersensitivity in gastroallergic anisakiasis involves diverse immunologic responses to A. simplex.
    • Allergists should consider A. simplex in differential diagnoses.
    • This food-related disorder offers insights for future allergy research.