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High-risk groups for alpha-gal sensitization.

Marie Benders-Guedj1, Martin Köberle1, Heidelore Hofmann1

  • 1Department of Dermatology and Allergy Biederstein, Faculty of Medicine, Technical University of Munich, Munich, Germany.

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|September 14, 2023
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Summary
This summary is machine-generated.

Frequent tick bites increase the risk of galactose α-1,3-galactose (alpha-gal) sensitization, particularly in hunters and forest workers. This sensitization, linked to IgE antibodies, may have existed for decades.

Keywords:
alpha-gal sensitizationborreliosistick contact

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Area of Science:

  • Immunology
  • Allergology
  • Epidemiology

Background:

  • Tick bite-induced IgE-mediated reactions to galactose α-1,3-galactose (alpha-gal) are a growing concern.
  • This study investigated alpha-gal sensitization across different tick bite exposure levels.

Purpose of the Study:

  • To assess alpha-gal sensitization prevalence in patients with Lyme borreliosis and compare it to controls.
  • To evaluate alpha-gal sensitization in individuals with high tick exposure, such as hunters and forest workers.

Main Methods:

  • Specific IgE (sIgE) antibodies to alpha-gal and total IgE were measured in 485 Lyme borreliosis patients and 200 controls.
  • A cohort of 232 hunters and forest workers with presumed frequent tick bites was also analyzed.

Main Results:

  • Alpha-gal sIgE was found in 12.6% of borreliosis patients versus 9% in controls (not significant).
  • Hunters and forest workers exhibited a significantly higher prevalence of alpha-gal sIgE (22.8%, p < 0.001).
  • Higher age and elevated total IgE correlated with alpha-gal sensitization.

Conclusions:

  • Tick-exposed individuals, especially those with borreliosis, show a trend towards higher alpha-gal sensitization.
  • Frequent tick contact is a likely driver of alpha-gal sensitization.
  • Prevalence in Munich appears lower than in other regions, possibly due to tick species or exposure frequency; alpha-gal sensitization is not a new phenomenon.