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Molecular and Extract-Based Diagnostics in Meat Allergy

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Molecular Allergy Diagnostics

Abstract

Allergy to meat has come into the focus of research during the last years. This chapter introduces the different types of meat allergy such as pork-cat and bird-egg syndrome, genuine poultry meat allergy, and type I reactions to galactose-α-1,3-galactose (α-Gal) in red meat allergy. pork-cat and bird-egg syndrome are triggered by sensitization to aeroallergens such as animal dander and bird feathers containing serum albumins, which are heat-sensitive allergens. In contrast, genuine poultry meat allergy is a consequence of sensitization to heat-resistant meat allergens, most likely via the intestinal mucosa. The α-Gal syndrome is characterized by the presence of IgE antibodies to α-Gal, a delayed onset of symptoms, and a possible acceleration or aggravation of symptoms by cofactors. Diagnosis using whole extracts cannot discriminate between these different types of allergy; however, molecular allergen diagnostic tools are available that allow an accurate diagnosis. Clinical practice and recommendations for the patients regarding allergen avoidance and dietary restriction are discussed.

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Authors and Affiliations

  1. Allergology – Immunology – Inflammation Research Unit, Department of Infection and Immunity, Luxembourg Institute of Health, Esch-sur-Alzette, Luxembourg

    C. Hilger PhD

  2. FAZ – Floridsdorf Allergy Center, Vienna, Austria

    W. Hemmer MD, Assoc Prof.

  3. Molecular Biotechnology Section, FH Campus Wien, University of Applied Sciences, Vienna, Austria

    I. Swoboda PhD, Prof.

  4. Immunology Allergology Unit, Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg

    M. Morisset MD

  5. Department of Dermatology, University Hospital Tübingen, Tübingen, Germany

    J. Fischer MD

  6. Division of Allergy, Asthma, & Immunology, Department of Medicine, University of Virginia Health System, Charlottesville, VA, USA

    A. Tripathi MD & T. Platts-Mills MD, Assoc Prof.

  7. Department of Dermatology and Allergology, Technical University of Munich, Munich, Germany

    T. Biedermann MD, Prof.

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  1. C. Hilger PhD
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  2. W. Hemmer MD, Assoc Prof.
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  4. M. Morisset MD
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  8. T. Biedermann MD, Prof.
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Correspondence to C. Hilger PhD .

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Editors and Affiliations

  1. Professor of Dermatology and Allergology, Allergy and Asthma Center Westend Outpatient Clinic Hanf, Ackermann and Kleine-Tebbe, Berlin, Germany

    Jörg Kleine-Tebbe

  2. Professor of Dermatology and Allergology Chairman of the Department of Dermatology and Allergology, University Medical Center Gießen and Marburg Campus Gießen Justus Liebig University Gießen, Gießen, Germany

    Thilo Jakob

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Hilger, C. et al. (2017). Molecular and Extract-Based Diagnostics in Meat Allergy. In: Kleine-Tebbe, J., Jakob, T. (eds) Molecular Allergy Diagnostics. Springer, Cham. https://doi.org/10.1007/978-3-319-42499-6_16

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