Key result
Venom-induced anaphylaxis is linked to ~48% lower leukocyte ANG II, reversed by successful immunotherapy.
Why the study?
The presence and characterization of angiotensin I, angiotensin II, and their metabolites in human leukocytes and their relation to anaphylactic reactions and immunotherapy were not well defined.
Observational (n=62)
ANG I/II detection in leukocytes is hypothesis-generating; leaves open local RAS contributions to immune-cardiovascular signaling.
Angiotensin I (ANG I) and angiotensin II (ANG II) were measured radioimmunologically in human leukocytes extracted with a mixture of acetone, 1N HCl and water (40:1:10 vol). The analytical recoveries of 125I-ANG I and 125I-ANGII, which were added prior to extraction, were 92.00 ± 3.I0 and 99.19 ± 0.91% (mean ± SEM; n = 12). The concentration of ANG I- and ANG II-like material in leukocytes from healthy volunteers was 32.04 ± 3.64 and 13.05 ± 1.26 fmol/mg protein (n = 24). The immunoreactive material could be characterized on HPLC as Ile5-ANG I, Ile3-ANG II and angiotensin metabolites such as Ile4-ANG III, Ile3-ANG II hexapeptide, Ile2-ANG II pentapeptide and Ile1-ANG II tetrapeptide. From the ANG I-immunoreactive material determined in the extracts, 26% could be characterized on HPLC as Ile5-ANG I. The ANG II-immunoreactive material present in the extracts could be separated on HPLC into 44% Ile5-ANG II, 14% Ile4-ANG III, 7% Ile3-ANG II hexapeptide, 4% Ile2-ANG II pentapeptide and 8% Ile1-ANG II tetrapeptide. Patients with a history of anaphylactic reactions to bee or wasp venom showed significantly reduced ANG II concentrations in their leukocytes as compared to controls (6.76 ± 0.76 fmol ANG II/mg protein, n = 22, vs. 13.05 ± 1.26 fmol ANG II/mg protein, n = 24; p < 0.05). A significant correlation between the severity of clinical symptoms and the ANG II levels was found for grade I and II reactions (p < 0.05). Successful immunotherapy induced a 5-fold increase in ANG II as compared to controls (61.85 ± 9.73 fmol ANG II/mg protein, n = 16, vs. 13.05 ± 1.26 fmol ANG II/mg protein, n = 24; p < 0.05) and a 9-fold increase as compared to patients without immunotherapy (61.85 ± 9.73 fmol ANG II/ mg protein, n = 16, vs. 6.76 ± 0.76 fmol ANG II/mg protein, n = 22; p < 0.05).
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Hermann et al. (2009) conducted an observational in Anaphylactic reactions to bee or wasp venom (n=62). History of anaphylactic reactions to bee or wasp venom / Immunotherapy vs. Healthy controls was evaluated on Leukocyte Angiotensin II concentration (fmol/mg protein) (p=< 0.05). Patients with anaphylactic reactions to venom had reduced leukocyte ANG II compared to controls (6.76 vs 13.05 fmol/mg protein; p<0.05), while successful immunotherapy induced a 5-fold increase.
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