Sunday 11 September 2022

Genetic and molecular insights into dangerous tick bite-related meat allergy revealed

 Scientists have revealed the genetic and molecular structure of key molecules linked to the sometimes life-threatening mammalian-meat allergy brought on by tick bites.

The study, led by researchers at the Garvan Institute of Medical Research, details how antibodies interact with the sugar molecule galactose-α-1,3-galactose (alpha-gal/α-gal), which is produced by all mammals, except humans and higher primates. It further confirms the role of α-gal as the key molecule for this unique allergy.

When humans are exposed to α-gal, through bites of certain tick species -- such as the paralysis tick Ixodes holocyclus endemic to Eastern Australia -- the immune system can flag it as harmful and instigate an allergic response, sometimes with near-fatal consequences.

Lead author Professor Daniel Christ, Head of Antibody Therapeutics and Director of the Centre for Targeted Therapy at Garvan, says the molecular analysis showed that a particular antibody type (3-7) has a natural pocket into which α-gal snugly fits.

"We have more than 70 types of antibodies and this one is significantly overrepresented with α-gal recognition. We seem to be genetically predisposed to being sensitive to this sugar," Professor Christ says.

The new study, published this week in the journal Proceedings of the National Academy of Sciences (PNAS), paves the way for potential therapeutic candidates for treating the rare allergic response.

Evolutionary benefit to immune reaction to α-gal

Scientists analysed the blood of patients with mammalian-meat allergy to determine which antibodies were produced: the 3-7 type was found frequently in response to α-gal.

The data points to an evolutionary benefit of having an antibody response that can mobilise against α-gal.

"Humans lost the capacity to produce α-gal throughout evolution, but we don't know why," says Associate Professor Joanne Reed, co-senior author of this study, from the Westmead Institute. "The suspicion is that it has to do with protection against infectious disease."

Professor Christ points to recent research on malaria, which shows the Plasmodium parasite has an α-gal coating on its surface. A rapid immune response to α-gal could destroy the parasite before it takes hold, protecting a person from malaria.

NSW is a global hotspot for tick-induced mammalian-meat allergy

Sydney's northern region is a global hot spot for mammalian-meat allergy, with more than 1800 cases reported and the highest prevalence in the world. The Sunshine Coast hinterland around Maleny in Queensland is also another hot spot. The paralysis tick

sources: science daily

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