Key result
Lone star ticks fed on human blood produced significantly higher levels of alpha-gal in their salivary glands (492 pmol/tick) compared to those fed on bovine blood (129 pmol/tick).
Observational
Absolute Event Rate: 492% vs 129%
p-value: p=0.0005
Lone star ticks fed on human blood produce significantly higher levels of alpha-gal, suggesting host-specific genetic components may explain the variable sensitization to alpha-gal syndrome.
Tick bites, associated with the secretion of tick saliva containing the xenoglycan galactose-alpha-1, 3-galactose (alpha-gal or aGal), are recognized as the causal factors of alpha-Gal syndrome (AGS; or red meat allergy) in humans. AGS occurs after the increased production of IgE antibodies against aGal, which is found in most mammalian cells, except for the Old World monkey and humans. The aGal sensitization event has been linked to an initial tick bite, followed by consumption of red meat containing the aGal glycan, which triggers the onset of the allergic response resulting in urticaria, anaphylaxis, or even death. In North America, the lone star tick, Amblyomma americanum, has been identified as the main culprit for AGS. However, only a subset of the human population exposed to lone star tick bites develops AGS. This suggests the presence of unidentified variables associated with the sensitization event. To evaluate the quantitative variations of the aGal in ticks, we evaluated the differences in aGal levels in different strains of A. americanum ticks partially fed on different blood sources using an artificial feeding system and animal hosts. We found significantly higher aGal levels in the female ticks fed on human blood than those fed on the blood of other mammals with large variations among different tick populations and individuals. We propose that host-specific genetic components in the A. americanum ticks are involved in the production of high aGal epitope in the tick saliva, which provides a part of the explanation for the variables associated with the AGS sensitization event of the tick bite.
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Maldonado-Ruiz et al. (2023) conducted an observational in Alpha-gal syndrome (tick vector). Feeding on human blood vs. Feeding on bovine, dog, or rabbit blood was evaluated on Alpha-gal levels in tick salivary glands (pmol/tick) (p=0.0005). Lone star ticks fed on human blood produced significantly higher levels of alpha-gal in their salivary glands (492 pmol/tick) compared to those fed on bovine blood (129 pmol/tick).
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