Evidence map›Paper›PMID 39859393›Full record

ArticleInternational journal of molecular sciences2025

Genetic and Immunological Insights into Tick-Bite Hypersensitivity and Alpha-Gal Syndrome: A Case Study Approach.

Pavle Banović, Dejan Jakimovski, Dragana Mijatović, Ivana Bogdan, Verica Simin, Jasmina Grujić, Svetlana Vojvodić, Nada Vučković, Kinga Lis, Eleftherios Meletis and 6 more

Abstract readCase Reports
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

16 authors.

Pavle BanovićClinic for Lyme Borreliosis and Other Tick-Borne Diseases, Department of Prevention of Rabies and Other Infectious Diseases, Pasteur Institute Novi Sad, 21000 Novi Sad, Serbia.ORCID 0000-0001-7902-6606
Dejan JakimovskiFaculty of Medicine, Ss. Cyril and Methodius University in Skopje, 1000 Skopje, North Macedonia.ORCID 0000-0002-2178-7223
Dragana MijatovićDiagnostics and Laboratory Research Task Force, Balkan Association for Vector-Borne Diseases, 21000 Novi Sad, Serbia.ORCID 0000-0003-4970-0748
Ivana BogdanDiagnostics and Laboratory Research Task Force, Balkan Association for Vector-Borne Diseases, 21000 Novi Sad, Serbia.ORCID 0000-0002-3830-1947
Verica SiminDiagnostics and Laboratory Research Task Force, Balkan Association for Vector-Borne Diseases, 21000 Novi Sad, Serbia.
Jasmina GrujićDiagnostics and Laboratory Research Task Force, Balkan Association for Vector-Borne Diseases, 21000 Novi Sad, Serbia.ORCID 0000-0003-3092-4768
Svetlana VojvodićDepartment of Transfusiology, Faculty of Medicine in Novi Sad, University of Novi Sad, 21000 Novi Sad, Serbia.
Nada VučkovićPathology and Histology Centre, Clinical Centre of Vojvodina, Novi Sad, Department of Pathology, Faculty of Medicine in Novi Sad, University of Novi Sad, 21000 Novi Sad, Serbia.ORCID 0000-0002-8869-4806
Kinga LisDepartment of Allergology, Clinical Immunology and Internal Diseases, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Ujejskiego 75, 85-168 Bydgoszcz, Poland.ORCID 0000-0003-2651-8468
Eleftherios MeletisFaculty of Public and One Health, University of Thessaly, 43100 Karditsa, Greece.ORCID 0000-0003-2862-7182
Polychronis KostoulasFaculty of Public and One Health, University of Thessaly, 43100 Karditsa, Greece.ORCID 0000-0001-7051-1541
Marija Cvetkova MladenovskaOrthopedic Surgery, Anesthesiology and Intensive Care and Emergency Center, University Clinic for Traumatology, 1000 Skopje, North Macedonia.ORCID 0009-0008-4221-0301
Angélique Foucault-SimoninAgence Nationale de Sécurité Sanitaire de l'alimentation, de l'environnement et du Travail, l'Institut National de Recherche Pour l'agriculture, l'alimentation et l'environnement, Ecole Nationale Vétérinaire d'Alfort, UMR Biologie Moléculaire et Immunologie Parasitaires, Laboratoire de Santé Animale, F-94700 Maisons-Alfort, France.ORCID 0000-0002-3712-9946
Sara MoutaillerAgence Nationale de Sécurité Sanitaire de l'alimentation, de l'environnement et du Travail, l'Institut National de Recherche Pour l'agriculture, l'alimentation et l'environnement, Ecole Nationale Vétérinaire d'Alfort, UMR Biologie Moléculaire et Immunologie Parasitaires, Laboratoire de Santé Animale, F-94700 Maisons-Alfort, France.ORCID 0000-0003-3010-6968
Lourdes Mateos-HernándezAgence Nationale de Sécurité Sanitaire de l'alimentation, de l'environnement et du Travail, l'Institut National de Recherche Pour l'agriculture, l'alimentation et l'environnement, Ecole Nationale Vétérinaire d'Alfort, UMR Biologie Moléculaire et Immunologie Parasitaires, Laboratoire de Santé Animale, F-94700 Maisons-Alfort, France.ORCID 0000-0001-9566-7710
Alejandro Cabezas-CruzAgence Nationale de Sécurité Sanitaire de l'alimentation, de l'environnement et du Travail, l'Institut National de Recherche Pour l'agriculture, l'alimentation et l'environnement, Ecole Nationale Vétérinaire d'Alfort, UMR Biologie Moléculaire et Immunologie Parasitaires, Laboratoire de Santé Animale, F-94700 Maisons-Alfort, France.ORCID 0000-0002-8660-730X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tick-bite hypersensitivity encompasses a range of clinical manifestations, from localized allergic reactions to systemic conditions like alpha-gal syndrome (AGS), an IgE-mediated allergy to galactose-α-1,3-galactose (α-Gal). This study investigated the clinical, molecular, immunological, and genetic features of two hypersensitivity cases. Two cases were analyzed: a 30-year-old woman with fixed drug reaction (FDR)-like hypersensitivity and a 10-year-old girl with AGS exhibiting borderline α-Gal-specific IgE. Diagnostic methods included allergen-specific IgE quantification, HLA genotyping, histopathological examination, and the molecular detection of tick-borne pathogens using microfluidic PCR. Case I demonstrated histopathological features of chronic lymphocytic inflammation and eosinophilic infiltrates, with HLA-B13 and DRB113 alleles indicating genetic susceptibility to hypersensitivity, while histological findings suggested a localized FDR-like reaction. Case II exhibited borderline α-Gal-specific IgE, resolving completely with a mammalian-free diet. The presence of HLA-DRB101 and DQB1*05 in the second patient indicated a genetic predisposition to AGS and other atopic conditions. No infectious etiology was identified in either case. These findings emphasize the heterogeneity of tick-related hypersensitivity and the importance of HLA genotypes in susceptibility. Comprehensive molecular, immunological, and genetic profiling offers valuable insights into the mechanisms of hypersensitivity, supporting personalized approaches for the diagnosis and management of tick-induced allergic conditions.

Indexed as

Immunoglobulin ETick BitesAdultChildFemaleFood HypersensitivityGenetic Predisposition to DiseaseHumansHypersensitivityImmunoglobulin Ealpha-gal syndromefixed drug reactiongenetic predispositionHLA polymorphismstick-bite hypersensitivityticks

Identifiers

PMID39859393
PMCPMC11765669

What Socratic holds

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Registered trials

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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 Socratic graph.