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1.
Toxicon ; 60(5): 752-9, 2012 Oct.
Article in English | MEDLINE | ID: mdl-22683679

ABSTRACT

We report on two low-molecular weight proteins that are stored in the venom of queen red imported fire ants (Solenopsis invicta). Translated amino acid sequences identified one protein to have 74.8% identity with the Sol i 2w worker allergen, and the other protein was found to have 96/97% identity with Sol i 4.01w/4.02w worker allergens. Both Sol i 2 and Sol i 4 queen and worker proteins were expressed using pEXP1-DEST vector in SHuffle™ T7 Express lysY Escherichia coli. Proteins were expressed at significant concentrations, as opposed to the µg/ml amounts by our previous expression methods, enabling further study of these proteins. Sol i 2q protein bound weakly to human IgE, sera pooled from allergic patients, whereas Sol i 2w, Sol i 4.01w, and Sol i 4q proteins bound strongly. Despite Sol i 2w and Sol i 2q proteins having 74.8% identity, the queen protein is less immuno-reactive than the worker allergen. This finding is consistent with allergic individuals being less sensitive to queen than worker venom.


Subject(s)
Ant Venoms/genetics , Ant Venoms/metabolism , Ants/chemistry , Insect Proteins/genetics , Insect Proteins/metabolism , Amino Acid Sequence , Animals , Ant Venoms/immunology , Base Sequence , Escherichia coli , Genetic Vectors/genetics , Immune Sera/metabolism , Immunoglobulin E/metabolism , Insect Proteins/immunology , Molecular Sequence Data , Sequence Analysis, DNA , Sequence Homology , Texas
2.
J Mol Biol ; 415(4): 635-48, 2012 Jan 27.
Article in English | MEDLINE | ID: mdl-22100449

ABSTRACT

Sol i 2 is a potent allergen from the venom of red imported fire ant, which contains allergens Sol i 1, Sol i 2, Sol i 3, and Sol i 4 that are known to be powerful triggers of anaphylaxis. Sol i 2 causes IgE antibody production in about one-third of individuals stung by fire ants. Baculovirus recombinant dimeric Sol i 2 was crystallized as a native and selenomethionyl-derivatized protein, and its structure has been determined by single-wavelength anomalous dispersion at 2.6 Å resolution. The overall fold of each subunit consists of five helices that enclose a central hydrophobic cavity. The structure is stabilized by three intramolecular disulfide bridges and one intermolecular disulfide bridge. The nearest structural homologue is the sequence-unrelated odorant binding protein and pheromone binding protein LUSH of the fruit fly Drosophila, which may suggest a similar biological function. To test this hypothesis, we measured the reversible binding of various pheromones, plant odorants, and other ligands to Sol i 2 by the changes in N-phenyl-1-naphthylamine fluorescence emission upon binding of ligands that compete with N-phenyl-1-naphthylamine. The highest binding affinity was observed for hydrophobic ligands such as aphid alarm pheromone (E)-ß-farnesene, analogs of ant alarm pheromones, and plant volatiles decane, undecane, and ß-caryophyllene. Conceivably, Sol i 2 may play a role in capturing and/or transporting small hydrophobic ligands such as pheromones, odors, fatty acids, or short-living hydrophobic primers. Molecular surface analysis, in combination with sequence alignment, can explain the serological cross-reactivity observed between some ant species.


Subject(s)
Allergens/chemistry , Ant Venoms/chemistry , Insect Proteins/chemistry , Allergens/metabolism , Amino Acid Sequence , Animals , Ant Venoms/immunology , Ant Venoms/metabolism , Binding Sites , Binding, Competitive , Crystallography, X-Ray , Insect Proteins/metabolism , Ligands , Models, Biological , Models, Molecular , Molecular Sequence Data , Protein Binding , Protein Structure, Secondary , Sequence Homology, Amino Acid
3.
Curr Opin Allergy Clin Immunol ; 10(4): 342-6, 2010 Aug.
Article in English | MEDLINE | ID: mdl-20445444

ABSTRACT

PURPOSE OF REVIEW: The review summarizes knowledge about ants that are known to sting humans and their venoms. RECENT FINDINGS: Fire ants and Chinese needle ants are showing additional spread of range. Fire ants are now important in much of Asia. Venom allergens have been characterized and studied for fire ants and jack jumper ants. The first studies of Pachycondyla venoms have been reported, and a major allergen is Pac c 3, related to Sol i 3 from fire ants. There are very limited data available for other ant groups. SUMMARY: Ants share some common proteins in venoms, but each group appears to have a number of possibly unique components. Further proteomic studies should expand and clarify our knowledge of these fascinating animals.


Subject(s)
Ant Venoms , Ants/immunology , Hypersensitivity/etiology , Insect Bites and Stings/immunology , Allergens/adverse effects , Allergens/chemistry , Allergens/immunology , Animals , Ant Venoms/adverse effects , Ant Venoms/chemistry , Ant Venoms/immunology , Ants/classification , Asia , Humans , Hypersensitivity/immunology , Insect Proteins/adverse effects , Insect Proteins/chemistry , Insect Proteins/immunology , North America
4.
Glycobiology ; 19(5): 518-26, 2009 May.
Article in English | MEDLINE | ID: mdl-19179460

ABSTRACT

Intelectin is an extracellular animal lectin found in chordata. Although human and mouse intelectin-1 recognize galactofuranosyl residues included in cell walls of various microorganisms, the physiological function of mammalian intelectin had been unclear. In this study, we found that human intelectin-1 was a serum protein and bound to Mycobacterium bovis bacillus Calmette-Guérin (BCG). Human intelectin-1-binding to BCG was inhibited by Ca(2+)-depletion, galactofuranosyl disaccharide, ribose, or xylose, and was dependent on the trimeric structure of human intelectin-1. Although monomeric, mouse intelectin-1 bound to BCG, with its C-terminal region contributing to efficient binding. Human intelectin-1-transfected cells not only secreted intelectin-1 into culture supernatant but also expressed intelectin-1 on the cell surface. The cell surface intelectin-1 was not a glycosylphosphatidylinositol-anchored membrane protein. Intelectin-1-transfected cells captured BCG more than untransfected cells, and the BCG adherence was inhibited by an inhibitory saccharide of intelectin-1. Intelectin-1-preincubated cells took up BCG more than untreated cells, but the adhesion of intelectin-1-bound BCG was the same as that of untreated BCG. Mouse macrophages phagocytosed BCG more efficiently in medium containing mouse intelectin-1 than in control medium. These results indicate that intelectin is a host defense lectin that assists phagocytic clearance of microorganisms.


Subject(s)
BCG Vaccine/immunology , Cell Membrane/immunology , Cytokines/immunology , Lectins/immunology , Mycobacterium bovis/metabolism , Phagocytosis/immunology , Amino Acid Sequence , Animals , Cells, Cultured , GPI-Linked Proteins , Humans , Macrophages, Alveolar/immunology , Mice , Mice, Inbred C57BL , Molecular Sequence Data , Protein Structure, Quaternary , Rabbits
6.
J Mol Biol ; 383(1): 178-85, 2008 Oct 31.
Article in English | MEDLINE | ID: mdl-18761353

ABSTRACT

Fire ant venom is an extremely potent allergy-inducing agent containing four major allergens, Sol i 1 to Sol i 4, which are the most frequent cause of hypersensitivity reactions to hymenoptera in the southern USA. The crystal structure of recombinant (Baculovirus) major fire ant allergen Sol i 3 has been determined to a resolution of 3.1 A by the method of molecular replacement. The secondary-structure elements of Sol i 3 are arranged in an alpha-beta-alpha sandwich fold consisting of a central antiparallel beta-sheet surrounded on both sides by alpha helices. The overall structure is very similar to that of the homologous wasp venom allergen Ves v 5 with major differences occurring in the solvent-exposed loop regions that contain amino acid insertions. Consequently, the limited conservation of surface chemical properties and topology between Sol i 3 and Ves v 5 may explain the observed lack of relevant cross-reactivity. It is concluded that Sol i 3 recognizes immunoglobulin E antibodies with a distinct set of its own epitopes, which are different from those of Ves v 5. Indeed, the molecular area in Sol i 3 covered by non-conserved residues is large enough to accommodate four unique Sol i 3 epitopes.


Subject(s)
Allergens/chemistry , Ant Venoms/chemistry , Insect Proteins/chemistry , Allergens/genetics , Amino Acid Sequence , Animals , Ant Venoms/genetics , Ant Venoms/immunology , Ants/chemistry , Ants/genetics , Ants/immunology , Cross Reactions , Crystallography, X-Ray , Insect Proteins/genetics , Insect Proteins/immunology , Models, Molecular , Molecular Sequence Data , Protein Conformation , Protein Structure, Secondary , Recombinant Proteins/chemistry , Recombinant Proteins/genetics , Sequence Homology, Amino Acid
7.
Curr Opin Allergy Clin Immunol ; 8(4): 338-42, 2008 Aug.
Article in English | MEDLINE | ID: mdl-18596591

ABSTRACT

PURPOSE OF REVIEW: Modern techniques in genomic and protein research are applied to the study of stinging and biting insect allergens. RECENT FINDINGS: Three-dimensional structures of additional insect venom and salivary allergens have been determined. An approach to determining B-cell epitopes has been used for hyaluronidase. A number of new venom and salivary allergens have been characterized. The structures and significance of several insect allergens have been updated. Investigations continue into distinguishing venom crossreactivity from multiple sensitization. Further studies are clarifying the significance of carbohydrate epitopes. Genomic and proteomic techniques are being used in the investigation of proteins and peptides in insect venom and saliva. SUMMARY: The nature of venom crossreactivity and the B-cell and T-cell epitope structures of insect venom and salivary allergens are beginning to be elucidated.


Subject(s)
Allergens/chemistry , Anaphylaxis/immunology , Arthropod Venoms/chemistry , Carbohydrates/chemistry , Epitopes/immunology , Insect Proteins/chemistry , Allergens/adverse effects , Allergens/immunology , Anaphylaxis/chemically induced , Animals , Arthropod Venoms/adverse effects , Arthropod Venoms/classification , Arthropod Venoms/immunology , Carbohydrates/adverse effects , Carbohydrates/immunology , Crystallography, X-Ray , Epitopes/chemistry , Humans , Insect Bites and Stings/immunology , Insect Proteins/adverse effects , Insect Proteins/immunology , Molecular Mimicry , Protein Conformation , Proteomics , Salivary Proteins and Peptides/adverse effects , Salivary Proteins and Peptides/chemistry , Salivary Proteins and Peptides/immunology
8.
Am J Forensic Med Pathol ; 29(1): 62-3, 2008 Mar.
Article in English | MEDLINE | ID: mdl-19749619

ABSTRACT

The red (Solenopsis invicta) and black (Solenopsis richteri) imported fire ants (IFA) are a common cause of venom allergy in the southeastern United States. Hypersensitivity to stings of native fire ants is less common, although anaphylaxis has been reported to various native Solenopsis species. There have been numerous reports of indoor stings caused by IFA, including in nursing homes and private residences. The following is a report of fatal anaphylaxis to a native fire ant sting in an infant that occurred indoors at a daycare facility. A 3-month-old female was left unattended on a bed. The caregiver had heard the child crying, but attributed this to colic. A short time later, the caregiver found the child apneic and covered with ants. Emergency medical services were summoned, and resuscitation attempts were unsuccessful. Postmortem examination revealed approximately 40 erythematous lesions without pustules. Examination of the respiratory system was notable for congested parenchyma and mild laryngeal edema. Laboratory studies revealed an elevated tryptase of 23.9 ng/mL and radioallergosorbent test (RAST) of 1.4% specific IgE antibody binding to Solenopsis richteri venom. RAST for specific IgE antibody binding to Solenopsis invicta venom was negative. Ants recovered from the scene were identified by an entomologist as Solenopsis xyloni, a native fire ant endemic to the southwestern United States. Native fire ants have features that distinguish them from IFA. Some native species do not build mounds, and stings may not result in pustules characteristic of IFA. There is significant cross-reactivity among the venoms of Solenopsis species, although some species' specificity exists for the Sol 2 allergen. Testing and treatment with IFA whole-body extract is likely to be to be effective for native fire ant allergy. A mixture of S. invicta and S. richteri extracts should be considered when native fire ant species are presumed to cause the primary sensitization to reduce the chance that species-specific reactivity is missed.


Subject(s)
Anaphylaxis/etiology , Ants , Insect Bites and Stings/complications , Animals , Ant Venoms/immunology , Antibodies/analysis , Child Day Care Centers , Edema/pathology , Erythema/pathology , Fatal Outcome , Female , Forensic Pathology , Humans , Immunoglobulin E/immunology , Infant , Larynx/pathology , Tryptases/analysis
9.
Glycobiology ; 17(10): 1045-51, 2007 Oct.
Article in English | MEDLINE | ID: mdl-17621593

ABSTRACT

Human intelectin-1 (hITLN-1) is a 120-kDa lectin recognizing galactofuranosyl residues found in cell walls of various microorganisms but not in mammalian tissues. Although mouse intelectin-1 (mITLN-1) has been identified previously, its biochemical properties and functional characteristics have not been studied. Therefore, we have compared structures and saccharide-binding specificities of hITLN-1 and mITLN-1 using recombinant proteins produced by mammalian cells. Recombinant hITLN-1 is a trimer, disulfide-linked through Cys-31 and Cys-48, and N-glycosylated at Asn-163. Despite 84.9% amino acid identity to hITLN-1, recombinant and intestinal mITLN-1 are unglycosylated 30-kDa monomers. Recombinant hITLN-1, as well as recombinant and intestinal mITLN-1 were purified by Ca(2+)-dependent adsorption to galactose-Sepharose. In competitive binding studies, hITLN-1 was eluted from galactose-Sepharose by 100 mM 2-deoxygalactose, a galactofuranosyl disaccharide, d-xylose, and both d- and l-ribose. In contrast, mITLN-1 was partially eluted by the galactofuranosyl disaccharide, and only minimally by the other saccharides indicating that the two intelectins have different saccharide-binding specificities. When the N- and C-terminal regions of hITLN-1 were replaced, respectively, with those of mITLN-1, galactose-Sepharose binding was associated with the C-terminal regions. Finally, hITLN-1 binding to galactose-Sepharose was not affected by the substitution of the Cys residues in the N-terminal region that are necessary for oligomer formation, nor was it affected by the removal of the N-linked oligosaccharide at Asn-163. Although both hITLN-1 and mITLN-1 recognize galactofuranosyl residues, our comparative studies, taken together, demonstrate that these intelectins have different quaternary structures and saccharide-binding specificities.


Subject(s)
Cytokines/chemistry , Disulfides/chemistry , Lectins/chemistry , Amino Acid Sequence , Animals , Blotting, Western , Female , GPI-Linked Proteins , Galactose/metabolism , Glycosylation , Humans , Immunoglobulin G/immunology , Intestinal Mucosa/metabolism , Mice , Mice, Inbred C57BL , Molecular Sequence Data , Rabbits , Recombinant Proteins/metabolism , Sepharose/metabolism , Sequence Homology, Amino Acid , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
10.
Clin Rev Allergy Immunol ; 30(2): 109-28, 2006 Apr.
Article in English | MEDLINE | ID: mdl-16645223

ABSTRACT

Hymenoptera venoms each contain a variety of protein allergens. The major components have all been characterized, and most of the amino acid sequences are known. This article concentrates on the use of contemporary techniques including cloning, mass spectrometry and genomics in the characterization of venom allergens, and newer separation techniques for protein isolation. Examples of the use of these techniques with venom proteins are presented.


Subject(s)
Allergens/immunology , Arthropod Venoms/immunology , Hymenoptera/immunology , Allergens/chemistry , Allergens/genetics , Amino Acid Sequence , Animals , Ant Venoms/chemistry , Ant Venoms/genetics , Ant Venoms/immunology , Arthropod Venoms/chemistry , Arthropod Venoms/genetics , Base Sequence , Bee Venoms/chemistry , Bee Venoms/genetics , Bee Venoms/immunology , Humans , Hymenoptera/chemistry , Hymenoptera/genetics , Molecular Sequence Data , Phylogeny , Terminology as Topic , Wasp Venoms/chemistry , Wasp Venoms/genetics , Wasp Venoms/immunology
11.
J Allergy Clin Immunol ; 115(3): 611-6, 2005 Mar.
Article in English | MEDLINE | ID: mdl-15753912

ABSTRACT

BACKGROUND: Sol i 1, the venom phospholipase of imported fire ant venom is an important allergen and exhibits some cross-reactivity with IgE antibodies from patients sensitized to other Hymenoptera venoms. OBJECTIVE: To determine the primary structure of Sol i 1 and evaluate the roles of protein and carbohydrate epitopes in its cross-reactivity. METHODS: Sol i 1 was purified from venom, proteolytic peptides prepared and amino acid sequences obtained. The cDNA for Sol i 1 was cloned, sequenced, and compared with sequences of other wasp venom phospholipases. The role of carbohydrate epitopes in the cross-reactivity with other Hymenoptera venoms was studied by RAST inhibition. RESULTS: The sequence identified Sol i 1 as a lipase of the GX class, lipoprotein lipase superfamily, pancreatic lipase homologous family and RP2 subgroup phospholipases as are the vespid venom phospholipases. The 148 residues identified by amino acid sequencing represent about 48% of the translated cDNA sequence. Sol i 1 was 31-32% identical to yellow jacket phospholipases. The identical regions of sequence were clustered in the domain which forms the serine hydrolase active site. Mannosylated N-glycans could completely inhibit binding of IgE from honeybee venom sensitized patients to Sol i 1. Inhibition by glycan of IgE binding from yellow jacket venom sensitized patients was low or absent for three of eight sera and substantial, but not complete for five sera. CONCLUSIONS: Sol i 1 is related to wasp venom phospholipases. Cross-reactivity with honeybee venom is caused by carbohydrate, whereas cross-reactivity with yellow jacket venom involves reactivity with both carbohydrate determinants of hyaluronidase and high molecular weight proteins and phospholipase protein determinants.


Subject(s)
Allergens/chemistry , Ant Venoms/chemistry , Insect Proteins/chemistry , Phospholipases/chemistry , Allergens/immunology , Amino Acid Sequence , Animals , Cloning, Molecular , Electrophoresis, Polyacrylamide Gel , Humans , Insect Proteins/immunology , Molecular Sequence Data , Phospholipases/immunology , Polymerase Chain Reaction , Radioallergosorbent Test , Sequence Homology, Amino Acid , Wasp Venoms/chemistry
12.
J Allergy Clin Immunol ; 114(5): 1189-94, 2004 Nov.
Article in English | MEDLINE | ID: mdl-15536430

ABSTRACT

BACKGROUND: Mosquito bite-induced acute systemic allergic reactions are an increasing clinical concern and have not been optimally characterized immunologically. OBJECTIVE: We wanted to study the immunologic basis of these reactions. METHODS: Sera were received from 14 individuals with a history of acute systemic allergic reactions to mosquito bites, defined as the presence of one or more of the following: urticaria, angioedema, wheezing, dyspnea, hypotension, and decrease or loss of consciousness. Ten individuals were from the United States and one each was from Canada, Germany, Japan, and Switzerland. An indirect ELISA was developed to measure specific IgE and IgG antibodies to saliva from 5 common mosquito species with different geographic distributions: Aedes aegypti, Aedes vexans, Aedes albopictus, Anopheles sinensis, and Culex quinquefasciatus. Twenty-nine individuals with negative bite test results from laboratory-reared mosquitoes served as control subjects. RESULTS: Mosquito saliva-specific IgE levels to all 5 species were significantly increased in the individuals with systemic allergic reactions compared with the control subjects ( P < .061 for Aedes vexans and P < .008 for the remaining 4 species). By using the mean of the control subjects plus 1 SD as a cut-off level, 11 individuals had positive results to Aedes albopictus and up to 4 additional species; 3 individuals had positive results to only one species. Saliva-specific IgG levels were not significantly increased in the individuals with systemic allergic reactions compared with levels seen in the control subjects ( P > .05). CONCLUSION: Acute systemic allergic reactions to mosquito bites involve mosquito saliva-specific IgE and can be characterized immunologically. Aedes albopictus is the most common species associated with systemic allergic reactions to mosquito bites.


Subject(s)
Culicidae/immunology , Hypersensitivity/etiology , Insect Bites and Stings/immunology , Saliva/immunology , Acute Disease , Adolescent , Adult , Animals , Child , Child, Preschool , Female , Humans , Immunoglobulin E/analysis , Immunoglobulin G/analysis , Male
13.
J Allergy Clin Immunol ; 114(4): 928-33, 2004 Oct.
Article in English | MEDLINE | ID: mdl-15480337

ABSTRACT

BACKGROUND: Recent studies have shown the presence of additional allergenic proteins in honeybee and paper wasp venoms. Both venoms contain serine protease enzymes. OBJECTIVE: We isolated and obtained complete sequences of honeybee and Mediterranean paper wasp venom proteases, both of which have significant IgE binding activity. The structures are compared with bumblebee venom protease. METHODS: Venom proteases were chromatographically isolated from venoms and partial amino acid sequences determined. RT-PCR and rapid amplification of cDNA ends methods were used to clone cDNA, and complete sequences were determined for honeybee and a paper wasp venom protease. RESULTS: The venom proteases are all serine proteases of the trypsin type. The honeybee protease contains a complement, embryonic sea urchin protein, bone morphogenetic protein interaction domain as well as a linker and propeptide sequence, and a unique methionine residue near the active site. It has IgE binding activity. The paper wasp protease is a single trypsin domain and is an important allergen. The framework residues are poorly conserved among honeybee, bumblebee, and paper wasp enzymes. CONCLUSIONS: The 3 venom serine proteases have significant IgE binding activities. The structures are poorly conserved even among the Apidae , suggesting little cross-reactivity among the protein portions. The paper wasp venom proteases are important allergens.


Subject(s)
Allergens/isolation & purification , Hymenoptera/immunology , Serine Endopeptidases/isolation & purification , Venoms/isolation & purification , Animals , Oligonucleotide Array Sequence Analysis/methods
15.
Biochim Biophys Acta ; 1623(2-3): 72-81, 2003 Oct 13.
Article in English | MEDLINE | ID: mdl-14572904

ABSTRACT

Allergic reactions to vespid stings are one of the major causes of IgE-mediated anaphylaxis. Vespa and Vespula venoms are closely related; Polistes venom is more distantly related and its allergens are less well studied. There is limited cross-reactivity between Polistes and the other vespid venoms because of differences in the epitopes on the allergen molecules. In this study, the major allergens of Polistes gallicus are isolated and characterized. P. gallicus venom contains four major allergens: phospholipase, antigen 5 (Ag5), hyaluronidase and protease that were characterized by mass spectrometry and specific binding to IgE. The complete amino acid sequence of Ag5 and the sequence of the N-terminal region of phospholipase were also determined. The alignment of Ag5 from P. gallicus (European species) and Polistes annularis (American species) shows an 85% identity that increases to 98% within the same subgenus. This could suggest the presence of specific epitopes on Ag5 molecule being the variations on the superficial loops. The features of the P. gallicus allergens could explain the partial cross-reactivity found between the American and European Polistes venoms, and suggest that the use of European Polistes venoms would improve the diagnostic specificity and the therapy of European patients and of North American patients sensitized by European Polistes.


Subject(s)
Allergens/chemistry , Wasp Venoms/immunology , Allergens/genetics , Allergens/isolation & purification , Amino Acid Sequence , Anaphylaxis/etiology , Animals , Cross Reactions , Humans , Hypersensitivity, Immediate/diagnosis , Hypersensitivity, Immediate/etiology , Models, Molecular , Molecular Sequence Data , Phylogeny , Protein Conformation , Species Specificity , Wasp Venoms/genetics , Wasp Venoms/isolation & purification , Wasps/genetics , Wasps/immunology
16.
J Allergy Clin Immunol ; 112(3): 495-8, 2003 Sep.
Article in English | MEDLINE | ID: mdl-13679806

ABSTRACT

For more than 20 years venom immunotherapy has been the preferred treatment for Hymenoptera allergy and venom skin testing the preferred diagnostic test. Most allergists consider venom skin tests to be highly accurate and interpret a negative venom skin test result to indicate the absence of insect allergy. Furthermore, current practice guidelines do not adequately address the question of how best to manage the patient with a convincing history of insect allergy but negative skin test results. Recent case reports and published studies have forced us to reexamine this important management issue and to consider what role in vitro venom testing might have in the management of insect allergy. We reviewed the current status of what is known about the management of individuals with a history of insect allergy but negative venom skin test results and suggested modifications of current working guidelines.


Subject(s)
Anaphylaxis/diagnosis , Bee Venoms , Insect Bites and Stings/immunology , Skin Tests , Anaphylaxis/immunology , Anaphylaxis/therapy , Animals , Bees , Desensitization, Immunologic , False Negative Reactions , Humans , In Vitro Techniques , Practice Guidelines as Topic , Radioallergosorbent Test/statistics & numerical data , Sensitivity and Specificity , Skin Tests/statistics & numerical data
17.
Allergy Asthma Proc ; 24(2): 123-7, 2003.
Article in English | MEDLINE | ID: mdl-12776446

ABSTRACT

Previous studies measuring immunoglobulin E (IgE) antibodies in postmortem sera for determining the cause of fatal anaphylaxis have reported only single cases or small groups. Recently, more attention has been paid to reports of patients with venom allergies who are negative by venom skin testing, by in vitro testing or by both tests. The aim of this study was to determine the reliability of postmortem-specific IgE antibody testing in venom anaphylactic death and the range of antibody levels found. Radioallergosorbent testing was performed on sera from three groups: 51 anaphylactic deaths from insect stings, 20 anaphylactic/anaphylactoid deaths from food and drugs, and 31 control subjects. Results were analyzed by descriptive statistics, chi-squared test, and receiver operating characteristic curve. The sera in the sting death group were significantly different from the other two groups, which were not statistically different from each other. The maximal sensitivity of the radioallergosorbent test was 90% at 0.35 ng/mL, and the optimal sensitivity was 73% with a specificity of 86% at 0.54 ng/mL. IgE antibody could not be detected in 10% of the sting death sera and levels from 0.35 to 0.65 ng/mL were found in 24%. The level of specific IgE antibodies against venoms is not predictive of the severity of anaphylactic reaction.


Subject(s)
Anaphylaxis/etiology , Anaphylaxis/mortality , Hymenoptera , Insect Bites and Stings/complications , Insect Bites and Stings/mortality , Adolescent , Adult , Aged , Anaphylaxis/immunology , Animals , Antibody Specificity/immunology , Child , Drug Hypersensitivity/etiology , Drug Hypersensitivity/mortality , Female , Food Hypersensitivity/etiology , Food Hypersensitivity/mortality , Humans , Immunoglobulin E/immunology , Immunoglobulin E/metabolism , Insect Bites and Stings/immunology , Male , Middle Aged , Radioallergosorbent Test , Sensitivity and Specificity , United States , Venoms/adverse effects , Venoms/blood , Venoms/immunology
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