Evidence map›Paper›PMID 38193233›Full record

ReviewAllergy2024

Tick bites, IgE to galactose-alpha-1,3-galactose and urticarial or anaphylactic reactions to mammalian meat: The alpha-gal syndrome.

Jeffrey M Wilson, Loren Erickson, Michael Levin, Samuel M Ailsworth, Scott P Commins, Thomas A E Platts-Mills

Open access · hybridAbstract readReview
In one paragraph

Review in Allergy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
18.8field-weighted citation impact, top 1% of its field
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

33 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
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  15. Review
  16. Pre-clinical strategies and emerging technologies driving advances in the alpha-gal syndrome.Allergology international : official journal of the Japanese Society of Allergology · 2025
    Review
  17. Article
  18. Article
  19. Is Zebrafish a Good Model for the Alpha-Gal Syndrome?FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Jeffrey M WilsonDivision of Allergy and Immunology, University of Virginia, Charlottesville, Virginia, USA.ORCID 0000-0002-5975-1760
Loren EricksonDepartment of Microbiology, Immunology, and Cancer Biology and Beirne Carter Center for Immunology Research, University of Virginia, Charlottesville, Virginia, USA.
Michael LevinUniversity of Cape Town, Rondebosch, South Africa.ORCID 0000-0003-2439-7981
Samuel M AilsworthDivision of Allergy and Immunology, University of Virginia, Charlottesville, Virginia, USA.
Scott P ComminsDivision of Rheumatology, Allergy and Immunology, University of North Carolina, Chapel Hill, North Carolina, USA.ORCID 0000-0003-1198-2428
Thomas A E Platts-MillsDivision of Allergy and Immunology, University of Virginia, Charlottesville, Virginia, USA.ORCID 0000-0002-1263-329X
University of Virginia · USCarter Center · USUniversity of Cape Town · ZAUniversity of North Carolina at Chapel Hill · US

Funding

IgE antibodies to the mammalian oligosaccharide galactose-alpha-1, 3-galactose (alpha-gal): immunology, epidemiology and relevance to allergic and inflammatory diseaseR37AI020565 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI THOMAS A. PLATTS-MILLS · 1992 to 2026
$8.4M
IgE antibody responses to the oligosaccharide galactose-alpha-1,3-galactose (alpha-gal) in murine and human atherosclerosisR01AI172112 · NIAID · UNIVERSITY OF VIRGINIA · PI Loren D Erickson, Coleen A McNamara · 2022 to 2026
$6.4M
Understanding alpha-gal red meat allergyR01AI135049 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Scott Palmer Commins · 2018 to 2026
$5.1M
Investigation of the prevalence, presentation and immunologic features of the α-Gal syndrome in a high-risk cohort not recruited on the basis of allergic diseaseR21AI166861 · NIAID · UNIVERSITY OF VIRGINIA · PI WILSON, JEFFREY M · 2022 to 2023
$444k
NIAID NIH HHS R01 AI135049NIAID NIH HHS R01 AI172112NIAID NIH HHS R21 AI166861NIAID NIH HHS R37 AI020565NIH HHS
6 · The paper itself

Abstract

The recent recognition of a syndrome of tick-acquired mammalian meat allergy has transformed the previously held view that mammalian meat is an uncommon allergen. The syndrome, mediated by IgE antibodies against the oligosaccharide galactose-alpha-1,3-galactose (alpha-gal), can also involve reactions to visceral organs, dairy, gelatin and other products, including medications sourced from non-primate mammals. Thus, fittingly, this allergic disorder is now called the alpha-gal syndrome (AGS). The syndrome is strikingly regional, reflecting the important role of tick bites in sensitization, and is more common in demographic groups at risk of tick exposure. Reactions in AGS are delayed, often by 2-6 h after ingestion of mammalian meat. In addition to classic allergic symptomatology such as urticaria and anaphylaxis, AGS is increasingly recognized as a cause of isolated gastrointestinal morbidity and alpha-gal sensitization has also been linked with cardiovascular disease. The unusual link with tick bites may be explained by the fact that allergic cells and mediators are mobilized to the site of tick bites and play a role in resistance against ticks and tick-borne infections. IgE directed to alpha-gal is likely an incidental consequence of what is otherwise an adaptive immune strategy for host defense against endo- and ectoparasites, including ticks.

Indexed as

AnaphylaxisFood HypersensitivityImmunoglobulin ETick BitesTick-Borne DiseasesUrticariaAllergensAnimalsDisaccharidesHumansMammalsMeatSyndromeTicksAllergensDisaccharidesgalactosyl-(1-3)galactoseImmunoglobulin Ealpha‐galanaphylaxisIgEmammalian meat allergyticks

Identifiers

PMID38193233
PMCPMC11142869
OpenAlexW4390768694

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.