Our immune response against a foreign molecule present in animal products may play a role in some allergic, autoimmune, and inflammatory disorders. This reaction is thought to underlie tick bite-triggered meat allergies.
Alpha-Gal and the Lone Star Tick
Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.
In the beginning, Aristotle defined two forms of life on planet earth: plants and animals. Two thousand years later, the light microscope was invented, and we discovered tiny, one-celled organisms, like amoebas. Then, the electron microscope was invented, and we were better able to characterize bacteria. Finally, in 1969, biologists recognized fungi as a separate category, and we’ve had at least five kingdoms of life ever since.
In my video Higher Quality May Mean Higher Risk, I talk about the potential downsides of consuming proteins from within our own kingdom, because of the impact our fellow animal proteins can have on boosting our liver’s production of a cancer-promoting hormone called IGF-1.
In Eating Outside Our Kingdom, I talked about other potential advantages of preferably dipping into the plant and mushroom kingdoms for dinner, not only from a food safety perspective—we’re more likely to get infected by animal pathogens than Dutch elm disease, but because of the potential for cross-reactivity between animal and human proteins. Our immune system is more likely to get confused between this and this, rather than this and that. And so, there may be less potential to trigger an autoimmune reaction—like the degenerative brain diseases I talked about in that other video. Same concept with animal proteins triggering inflammatory arthritis. In attacking some foreign animal meat protein, some of our own similarly composed tissues may get caught in the crossfire.
And, it’s not just proteins. If you remember the Neu5Gc story, there’s this sialic acid in other animals that may cause inflammation in our arteries, and help breast tumors and other human cancers grow.
Well, now, there’s a new twist has been added to the story. The reason NeuGc triggers inflammation is because humans lost the ability to make it two million years ago. And so, when our body is exposed to it through animal products, it’s treated as a foreign invader. Well, there’s another oligosaccharide, called alpha-gal, that we, chimps, and apes lost the ability to make twenty million years ago—but it’s still made by a variety of animals, including many animals we eat.
Anti-gal antibodies may be “involved in a number of detrimental processes [which] may result in allergic, autoimmune, and ‘autoimmune like’ [diseases]”—such as autoimmune thyroid disorders. You can see higher levels in Crohn’s disease victims. They react against about half of human breast tumors. And, you can even find antibodies to this stuff in atherosclerotic plaques in people’s necks. But, those are all mostly speculative risks. We do know alpha-gal is “a major obstacle” to transplanting pig organs into people—like kidneys—because our bodies reject alpha-gal as foreign. It’s considered “the major target for human anti-pig antibodies.”
It’s interesting; if you look at those who abstain from pork (for whatever reason), they have “fewer swine-specific” white cells in their bloodstream—speculating that “oral intake of pork” could ferry swine molecules into the bloodstream via “gut-infiltrating lymphocytes…to prime [the] immune response.”
So, we can have an allergic reaction to eating the kidneys too, but such severe meat allergies were considered rare—until an unusual report surfaced. “[F]irst described in 2009, the report included details on 24 cases of meat allergies triggered by tick bites. Within a year, it was obvious that the cases should be counted in [the] hundreds rather than dozens. By 2012, it was clear that there [were] thousands of cases across a large area of the southern and eastern US,” and now “present in several countries” around the world.
The lone star tick, so called because females have a white spot on their back. They’re famous for causing Masters’ disease, a Lyme-disease like syndrome, also known as STARI, southern tick-associated rash illness. But, thanks to the lone star tick “steadily expanding its range,” it’s not necessarily just so southern anymore.
Okay, but what is “the relevance of tick bites to the production” of anti-meat antibodies to alpha-gal—these allergic antibodies? Good question. What we know is you get bit by one of these ticks, and you can develop an allergy to meat. This appears to be “the first example of a response to an [external parasite] giving rise to an important form of food allergy”—either because there’s something in the tick saliva that’s cross-reacting with the alpha-gal, or, because the tick is, like, injecting you with animal allergens from its last meal.
Please consider volunteering to help out on the site.
- DH Lachance, VA Lennon, SJ Pittock, JA Tracy, KN Krecke, KK Amrami, EM Poeschla, R Orenstein, BW Scheithauer, JJ Sejvar, S Holzbauer, AS Devries, PJB. Dyck. An outbreak of neurological autoimmunity with polyradiculoneuropathy in workers exposed to aerosolised porcine neural tissue: A descriptive study. Lancet Neurol. 2010 9(1):55 – 66.
- A Kutlu, S Oztürk, O Taşkapan, Y Onem, MZ Kiralp, L Ozcakar. Meat-induced joint attacks, or meat attacks the joint: Rheumatism versus allergy. Nutr Clin Pract. 2010 25(1):90 – 91.
- U Galili, EA Rachmilewitz, A Peleg, I Flechner. A unique natural human IgG antibody with anti-alpha-galactosyl specificity. J Exp Med. 1984 160(5):1519 – 1531.
- A Thall, U Galili. Distribution of Gal alpha 1----3Gal beta 1----4GlcNAc residues on secreted mammalian glycoproteins (thyroglobulin, fibrinogen, and immunoglobulin G) as measured by a sensitive solid-phase radioimmunoassay. Biochemistry. 1990 29(16):3959 – 3965.
- U Galili. Interaction of the natural anti-Gal antibody with alpha-galactosyl epitopes: A major obstacle for xenotransplantation in humans. Immunol Today. 1993 14(10):480 – 482.
- DKC Cooper. Identification of alpha Gal as the major target for human anti-pig antibodies. Xenotransplantation. 2009 16(1):47 – 49.
- M Morisset, C Richard, C Astier, S Jacquenet, A Croizier, E Beaudouin, V Cordebar, F Morel-Codreanu, N Petit, DA Moneret-Vautrin, G Kanny. Anaphylaxis to pork kidney is related to IgE antibodies specific for galactose-alpha-1,3-galactose. Allergy. 2012 67(5):699 – 704.
- SP Commins, HR James, LA Kelly, SL Pochan, LJ Workman, MS Perzanowski, KM Kocan, JV Fahy, LW Nganga, E Ronmark, PJ Cooper, TAE. Platts-Mills. The relevance of tick bites to the production of IgE antibodies to the mammalian oligosaccharide galactose-alpha-1,3-galactose. J Allergy Clin Immunol. 2011 127(5):1286– 93.
- SP Commins, TAE Platts-Mills. Delayed anaphylaxis to red meat in patients with IgE specific for galactose alpha-1,3-galactose (alpha-gal). Curr Allergy Asthma Rep. 2013 13(1):72 – 77.
- National Center for Emerging and Zoonotic Infectious Diseases. Amblyomma americanum tick. 2010.
- HM Feder Jr, DM Hoss, L Zemel, SR Telford 3rd, F. Dias, G. P. Wormser. Southern Tick-Associated Rash Illness (STARI) in the North: STARI following a tick bite in Long Island, New York. Clin Infect Dis. 2011 53(10):e142 – 6.
- SP Commins, SM Satinover, J Hosen, J Mozena, L Borish, BD Lewis, JA Woodfolk, TAE Platts-Mills. Delayed anaphylaxis, angioedema, or urticaria after consumption of red meat in patients with IgE antibodies specific for galactose-a-1,3-galactose. J Allergy Clin Immunol. 2009 123(2):426-33.
- SA Van Nunen, KS O'Connor, LR Clarke, RX Boyle, SL Fernando. An association between tick bite reactions and red meat allergy in humans. Med J Aust. 2009 190(9):510 – 511.
- CV Hartig, GW Haller, DH Sachs, S Kuhlenschmidt, PS Heeger. Naturally developing memory T cell xenoreactivity to swine antigens in human peripheral blood lymphocytes. J Immunol. 2000 164(5):2790 – 2796.
- DE Mosedale, A Chauhan, PM Schofield, DJ Grainger. A pattern of anti-carbohydrate antibody responses present in patients with advanced atherosclerosis. J Immunol Methods. 2006 309(1 - 2):182 – 191.
- A Mangold, D Lebherz, P Papay, J Liepert, G Hlavin, C Lichtenberger, A Adami, M Zimmermann, D Klaus, W Reinisch, HJ Ankersmit. Anti-Gal titers in healthy adults and inflammatory bowel disease patients. Transplant Proc. 2011 43(10):3964 – 3968.
- MS Sandrin, HA Vaughan, PX Xing, IF McKenzie. Natural human anti-Gal alpha(1,3)Gal antibodies react with human mucin peptides. Glycoconj J. 1997 14(1):97 – 105.
- L Gollogly, V Castronovo. A possible role for the alpha 1-->3 galactosyl epitope and the natural anti-gal antibody in oncogenesis. Neoplasma. 1996 43(5):285 – 289.
- M Mayr, D Grainger, U Mayr, AS Leroyer, G Leseche, A Sidibe, O Herbin, X Yin, A Gomes, B Madhu, JR Griffiths, Q Xu, A Tedgui, CM Boulanger. Proteomics, metabolomics, and immunomics on microparticles derived from human atherosclerotic plaques. Circ Cardiovasc Genet. 2009 2(4):379 – 388.
- RJ Winand, JW Devigne, M Meurisse, U Galili. Specific Stimulation of Graves’ Disease thyrocytes by the natural anti-Gal Antibody from normal and autologous serum. J Immun. 1994 153(3):1386-1395.
- EJ Masters, CN Grigery, RW Masters. STARI, or Masters Disease: Lone Star tick-vectored Lyme-like Illness. Infect Dis Clin N Am. 2008 22(2):361–376.
- M Hedlund, V Padler-Karavani, NM Varki, A Varki. Evidence for a human-specific mechanism for diet and antibody-mediated inflammation in carcinoma progression. Proc Natl Acad Sci U S A. 2008 Dec 2;105(48):18936-41.
- U Galili. Anti-Gal: an abundant human natural antibody of multiple pathogeneses and clinical benefits. Immunology. 2013 Sep;140(1):1-11. doi: 10.1111/imm.12110. Review.
- R Ramasamy. Is malaria linked to the absence of alpha-galactosyl epitopes in Old World primates? Immunol Today. 1994 Mar;15(3):140.
Images thanks to braker, Vicki & Chuck Rogers, DixieDolphin, Andrew St. Clair, PROYECTO AGUA** /** WATER PROJECT, ZEISS Microscopy, reinajaponesa, Armed Forces Pest Management Board, DailyM: ferrie=differentieel & Jöran Maaswinkel, and gregory.ackland via flickr; Rezowan and Evan-Amos via Wikimedia; and Centers for Disease Control and Prevention’s Public Health Image Library (PHIL) via Wikimedia
Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.
In the beginning, Aristotle defined two forms of life on planet earth: plants and animals. Two thousand years later, the light microscope was invented, and we discovered tiny, one-celled organisms, like amoebas. Then, the electron microscope was invented, and we were better able to characterize bacteria. Finally, in 1969, biologists recognized fungi as a separate category, and we’ve had at least five kingdoms of life ever since.
In my video Higher Quality May Mean Higher Risk, I talk about the potential downsides of consuming proteins from within our own kingdom, because of the impact our fellow animal proteins can have on boosting our liver’s production of a cancer-promoting hormone called IGF-1.
In Eating Outside Our Kingdom, I talked about other potential advantages of preferably dipping into the plant and mushroom kingdoms for dinner, not only from a food safety perspective—we’re more likely to get infected by animal pathogens than Dutch elm disease, but because of the potential for cross-reactivity between animal and human proteins. Our immune system is more likely to get confused between this and this, rather than this and that. And so, there may be less potential to trigger an autoimmune reaction—like the degenerative brain diseases I talked about in that other video. Same concept with animal proteins triggering inflammatory arthritis. In attacking some foreign animal meat protein, some of our own similarly composed tissues may get caught in the crossfire.
And, it’s not just proteins. If you remember the Neu5Gc story, there’s this sialic acid in other animals that may cause inflammation in our arteries, and help breast tumors and other human cancers grow.
Well, now, there’s a new twist has been added to the story. The reason NeuGc triggers inflammation is because humans lost the ability to make it two million years ago. And so, when our body is exposed to it through animal products, it’s treated as a foreign invader. Well, there’s another oligosaccharide, called alpha-gal, that we, chimps, and apes lost the ability to make twenty million years ago—but it’s still made by a variety of animals, including many animals we eat.
Anti-gal antibodies may be “involved in a number of detrimental processes [which] may result in allergic, autoimmune, and ‘autoimmune like’ [diseases]”—such as autoimmune thyroid disorders. You can see higher levels in Crohn’s disease victims. They react against about half of human breast tumors. And, you can even find antibodies to this stuff in atherosclerotic plaques in people’s necks. But, those are all mostly speculative risks. We do know alpha-gal is “a major obstacle” to transplanting pig organs into people—like kidneys—because our bodies reject alpha-gal as foreign. It’s considered “the major target for human anti-pig antibodies.”
It’s interesting; if you look at those who abstain from pork (for whatever reason), they have “fewer swine-specific” white cells in their bloodstream—speculating that “oral intake of pork” could ferry swine molecules into the bloodstream via “gut-infiltrating lymphocytes…to prime [the] immune response.”
So, we can have an allergic reaction to eating the kidneys too, but such severe meat allergies were considered rare—until an unusual report surfaced. “[F]irst described in 2009, the report included details on 24 cases of meat allergies triggered by tick bites. Within a year, it was obvious that the cases should be counted in [the] hundreds rather than dozens. By 2012, it was clear that there [were] thousands of cases across a large area of the southern and eastern US,” and now “present in several countries” around the world.
The lone star tick, so called because females have a white spot on their back. They’re famous for causing Masters’ disease, a Lyme-disease like syndrome, also known as STARI, southern tick-associated rash illness. But, thanks to the lone star tick “steadily expanding its range,” it’s not necessarily just so southern anymore.
Okay, but what is “the relevance of tick bites to the production” of anti-meat antibodies to alpha-gal—these allergic antibodies? Good question. What we know is you get bit by one of these ticks, and you can develop an allergy to meat. This appears to be “the first example of a response to an [external parasite] giving rise to an important form of food allergy”—either because there’s something in the tick saliva that’s cross-reacting with the alpha-gal, or, because the tick is, like, injecting you with animal allergens from its last meal.
Please consider volunteering to help out on the site.
- DH Lachance, VA Lennon, SJ Pittock, JA Tracy, KN Krecke, KK Amrami, EM Poeschla, R Orenstein, BW Scheithauer, JJ Sejvar, S Holzbauer, AS Devries, PJB. Dyck. An outbreak of neurological autoimmunity with polyradiculoneuropathy in workers exposed to aerosolised porcine neural tissue: A descriptive study. Lancet Neurol. 2010 9(1):55 – 66.
- A Kutlu, S Oztürk, O Taşkapan, Y Onem, MZ Kiralp, L Ozcakar. Meat-induced joint attacks, or meat attacks the joint: Rheumatism versus allergy. Nutr Clin Pract. 2010 25(1):90 – 91.
- U Galili, EA Rachmilewitz, A Peleg, I Flechner. A unique natural human IgG antibody with anti-alpha-galactosyl specificity. J Exp Med. 1984 160(5):1519 – 1531.
- A Thall, U Galili. Distribution of Gal alpha 1----3Gal beta 1----4GlcNAc residues on secreted mammalian glycoproteins (thyroglobulin, fibrinogen, and immunoglobulin G) as measured by a sensitive solid-phase radioimmunoassay. Biochemistry. 1990 29(16):3959 – 3965.
- U Galili. Interaction of the natural anti-Gal antibody with alpha-galactosyl epitopes: A major obstacle for xenotransplantation in humans. Immunol Today. 1993 14(10):480 – 482.
- DKC Cooper. Identification of alpha Gal as the major target for human anti-pig antibodies. Xenotransplantation. 2009 16(1):47 – 49.
- M Morisset, C Richard, C Astier, S Jacquenet, A Croizier, E Beaudouin, V Cordebar, F Morel-Codreanu, N Petit, DA Moneret-Vautrin, G Kanny. Anaphylaxis to pork kidney is related to IgE antibodies specific for galactose-alpha-1,3-galactose. Allergy. 2012 67(5):699 – 704.
- SP Commins, HR James, LA Kelly, SL Pochan, LJ Workman, MS Perzanowski, KM Kocan, JV Fahy, LW Nganga, E Ronmark, PJ Cooper, TAE. Platts-Mills. The relevance of tick bites to the production of IgE antibodies to the mammalian oligosaccharide galactose-alpha-1,3-galactose. J Allergy Clin Immunol. 2011 127(5):1286– 93.
- SP Commins, TAE Platts-Mills. Delayed anaphylaxis to red meat in patients with IgE specific for galactose alpha-1,3-galactose (alpha-gal). Curr Allergy Asthma Rep. 2013 13(1):72 – 77.
- National Center for Emerging and Zoonotic Infectious Diseases. Amblyomma americanum tick. 2010.
- HM Feder Jr, DM Hoss, L Zemel, SR Telford 3rd, F. Dias, G. P. Wormser. Southern Tick-Associated Rash Illness (STARI) in the North: STARI following a tick bite in Long Island, New York. Clin Infect Dis. 2011 53(10):e142 – 6.
- SP Commins, SM Satinover, J Hosen, J Mozena, L Borish, BD Lewis, JA Woodfolk, TAE Platts-Mills. Delayed anaphylaxis, angioedema, or urticaria after consumption of red meat in patients with IgE antibodies specific for galactose-a-1,3-galactose. J Allergy Clin Immunol. 2009 123(2):426-33.
- SA Van Nunen, KS O'Connor, LR Clarke, RX Boyle, SL Fernando. An association between tick bite reactions and red meat allergy in humans. Med J Aust. 2009 190(9):510 – 511.
- CV Hartig, GW Haller, DH Sachs, S Kuhlenschmidt, PS Heeger. Naturally developing memory T cell xenoreactivity to swine antigens in human peripheral blood lymphocytes. J Immunol. 2000 164(5):2790 – 2796.
- DE Mosedale, A Chauhan, PM Schofield, DJ Grainger. A pattern of anti-carbohydrate antibody responses present in patients with advanced atherosclerosis. J Immunol Methods. 2006 309(1 - 2):182 – 191.
- A Mangold, D Lebherz, P Papay, J Liepert, G Hlavin, C Lichtenberger, A Adami, M Zimmermann, D Klaus, W Reinisch, HJ Ankersmit. Anti-Gal titers in healthy adults and inflammatory bowel disease patients. Transplant Proc. 2011 43(10):3964 – 3968.
- MS Sandrin, HA Vaughan, PX Xing, IF McKenzie. Natural human anti-Gal alpha(1,3)Gal antibodies react with human mucin peptides. Glycoconj J. 1997 14(1):97 – 105.
- L Gollogly, V Castronovo. A possible role for the alpha 1-->3 galactosyl epitope and the natural anti-gal antibody in oncogenesis. Neoplasma. 1996 43(5):285 – 289.
- M Mayr, D Grainger, U Mayr, AS Leroyer, G Leseche, A Sidibe, O Herbin, X Yin, A Gomes, B Madhu, JR Griffiths, Q Xu, A Tedgui, CM Boulanger. Proteomics, metabolomics, and immunomics on microparticles derived from human atherosclerotic plaques. Circ Cardiovasc Genet. 2009 2(4):379 – 388.
- RJ Winand, JW Devigne, M Meurisse, U Galili. Specific Stimulation of Graves’ Disease thyrocytes by the natural anti-Gal Antibody from normal and autologous serum. J Immun. 1994 153(3):1386-1395.
- EJ Masters, CN Grigery, RW Masters. STARI, or Masters Disease: Lone Star tick-vectored Lyme-like Illness. Infect Dis Clin N Am. 2008 22(2):361–376.
- M Hedlund, V Padler-Karavani, NM Varki, A Varki. Evidence for a human-specific mechanism for diet and antibody-mediated inflammation in carcinoma progression. Proc Natl Acad Sci U S A. 2008 Dec 2;105(48):18936-41.
- U Galili. Anti-Gal: an abundant human natural antibody of multiple pathogeneses and clinical benefits. Immunology. 2013 Sep;140(1):1-11. doi: 10.1111/imm.12110. Review.
- R Ramasamy. Is malaria linked to the absence of alpha-galactosyl epitopes in Old World primates? Immunol Today. 1994 Mar;15(3):140.
Images thanks to braker, Vicki & Chuck Rogers, DixieDolphin, Andrew St. Clair, PROYECTO AGUA** /** WATER PROJECT, ZEISS Microscopy, reinajaponesa, Armed Forces Pest Management Board, DailyM: ferrie=differentieel & Jöran Maaswinkel, and gregory.ackland via flickr; Rezowan and Evan-Amos via Wikimedia; and Centers for Disease Control and Prevention’s Public Health Image Library (PHIL) via Wikimedia
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Alpha-Gal and the Lone Star Tick
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Content URLDoctor's Note
Here are links to some of the videos I mentioned:
Here are some videos unearthing the IGF-1 story:
NeuGc is what opened up this whole can of worms:
- Cancer as an Autoimmune Disease
- Clonal Selection Theory of Immunity
- Clonal Deletion Theory of immunity
- The Inflammatory Meat Molecule Neu5Gc
- How Tumors Use Meat to Grow: Xeno-Autoantibodies
- Nonhuman Molecules Lining our Arteries
- Meat May Exceed Daily Allowance of Irony
I wonder if alpha-gal plays a role in the improvements seen with arthritis and Crohn’s from plant-based diets: Dietary Treatment of Crohn’s Disease.
In Tick Bites, Meat Allergies, & Chronic Urticaria, I explore the role these tick-bite-induced allergies may play in the development of chronic hives and other allergic skin reactions in children.
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