Evidence map›Paper›PMID 25747720›Full record

ReviewThe Journal of allergy and clinical immunology2015

The alpha-gal story: lessons learned from connecting the dots.

John W Steinke, Thomas A E Platts-Mills, Scott P Commins

Abstract readReview
In one paragraph

Review in The Journal of allergy and clinical immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 134 papers.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

134 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Differential alpha-gal expression duringThe journal of allergy and clinical immunology. Global · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Application of collagen in bone regeneration.Journal of orthopaedic translation · 2025
    Review
  19. Immunoglobulin E (IgE)-mediated food allergy.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
    Review
  20. Review

74 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

John W SteinkeAsthma and Allergic Diseases Center, Carter Immunology Center, Department of Medicine, University of Virginia Health System, Charlottesville, Va.
Thomas A E Platts-MillsAsthma and Allergic Diseases Center, Carter Immunology Center, Department of Medicine, University of Virginia Health System, Charlottesville, Va. Electronic address: tap2z@virginia.edu.
Scott P ComminsAsthma and Allergic Diseases Center, Carter Immunology Center, Department of Medicine, University of Virginia Health System, Charlottesville, Va.

Funding

INTERDISCIPLINARY TRAINING PROGRAM IN IMMUNOLOGYT32AI007496 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Michael G. Brown, Coleen A McNamara · 1995 to 2026
$10.2M
DUST MITE, COCKROACH AND CAT ALLERGENS IN HOUSES/ASTHMAR01AI020565 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI PLATTS-MILLS, THOMAS A. · 1985 to 2017
$7.1M
Viruses and IgE in relation to mechanisms of asthmaP01AI050989 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI PLATTS-MILLS, THOMAS A. · 2001 to 2005
$4.9M
IgE to carbohydrates causes delayed anaphylaxisK08AI085190 · NIAID · UNIVERSITY OF VIRGINIA · PI COMMINS, SCOTT PALMER · 2010 to 2014
$651k
Delayed anaphylaxis to beef and pork: mechanisms and causes of a new food allergyR21AI087985 · NIAID · UNIVERSITY OF VIRGINIA · PI COMMINS, SCOTT PALMER, PLATTS-MILLS, THOMAS A. · 2010 to 2011
$422k
Delayed Anaphylaxis to Mammalian Meat caused by IgE Ab to alpha-galR56AI113095 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COMMINS, SCOTT PALMER · 2014 to 2014
$390k
NIAID NIH HHS K08 AI085190NIAID NIH HHS P01 AI050989NIAID NIH HHS R01 AI020565NIAID NIH HHS R21 AI087985NIAID NIH HHS R56 AI113095NIAID NIH HHS T32 AI007496
6 · The paper itself

Abstract

Anaphylaxis is a severe allergic reaction that can be rapidly progressing and fatal, and therefore establishing its cause is pivotal to long-term risk management. Our recent work has identified a novel IgE antibody response to a mammalian oligosaccharide epitope, galactose-alpha-1,3-galactose (alpha-gal). IgE to alpha-gal has been associated with 2 distinct forms of anaphylaxis: (1) immediate-onset anaphylaxis during first exposure to intravenous cetuximab and (2) delayed-onset anaphylaxis 3 to 6 hours after ingestion of mammalian food products (eg, beef and pork). Results of our studies and those of others strongly suggest that tick bites are a cause, if not the only significant cause, of IgE antibody responses to alpha-gal in the southern, eastern, and central United States; Europe; Australia; and parts of Asia. Typical immune responses to carbohydrates are considered to be T-cell independent, whereas IgE antibody production is thought to involve sequential class-switching that requires input from T cells. Therefore, establishing the mechanism of the specific IgE antibody response to alpha-gal will be an important aspect to address as this area of research continues.

Indexed as

MeatAllergensAnaphylaxisAnimalsAntibodies, Monoclonal, HumanizedAntineoplastic AgentsCattleCetuximabDisaccharidesEpitopesFood HypersensitivityHumansHypersensitivity, DelayedImmunoglobulin ESwineTick BitesAllergensAntibodies, Monoclonal, HumanizedAntineoplastic AgentsCetuximabDisaccharidesEpitopesgalactosyl-(1-3)galactoseImmunoglobulin EAnaphylaxisdelayed reaction to red meatgalactose-alpha-1,3-galactose

Identifiers

PMID25747720
PMCPMC4600073

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.