α-gal特异性人IgE抗体促进α-gal诱导及抗原非依赖性过敏效应细胞活化

Alpha-gal-specific human IgE promotes both alpha-gal-induced and antigen-independent allergic effector cell activation

作者信息Yinghui Wang, Yugen Zhang, Christa Dudley, Katherine Fitzgerald, Audrey S Carson, Camille M Kapita, Daaniya Rana, Kim Kluckman, Donna Bortner, Dale O Cowley, Christopher R Travis, Julia Vorobiov, Shailesh Choudhary, Christopher L Kepley, Scott P Commins, Scott A Smith, Onyinye I Iweala
PMID41534718
期刊J Allergy Clin Immunol
发布时间2026-01-12
DOI10.1016/j.jaci.2025.12.1007

摘要

Background: In alpha-gal syndrome (AGS), immunoglobulin (Ig)E antibodies form against the glycan galactose-alpha-1,3-galactose (alpha-gal) in mammal products rather than food proteins. Alpha-gal glycolipids and glycoproteins activate human basophils sensitized with AGS plasma in an IgE-dependent fashion. However, it is unknown whether alpha-gal-specific IgE, independent of other blood proteins, is sufficient for mediating basophil and mast cell activation. Objective: We determined whether alpha-gal antigens could activate passively-sensitized rat basophil leukemia (RBL) SX-38 cells, which express human IgE receptors and are commonly used to model allergen / IgE-mediated mast cell activation in food-protein allergy. Methods: Using CRISPR, we created a novel, alpha-gal-deficient RBL cell line, AGKO RBL SX-38, passively sensitizing cells with sera from AGS donors or with novel alpha-gal-specific IgE clones, then stimulating with alpha-gal glycoproteins. To assess effector cell activation, we measured cell surface expression of activation marker CD63 by flow cytometry and mediator release through β-hexosaminidase release assays. Results: After alpha-gal-antigen stimulation, percentages of CD63+ AGKO RBL SX-38 cells sensitized with AGS sera increased 3-fold compared to cells sensitized with control serum. Select human AGS IgE clones facilitated alpha-gal-antigen-dependent and antigen-independent CD63 upregulation. Cells sensitized with pooled AGS sera released β-hexosaminidase in an alpha-gal-independent fashion. We saw no β-hexosaminidase release above background in cells sensitized with alpha-gal-specific IgE clones. Conclusion: Certain alpha-gal-specific human IgE clones may partially activate allergic effector cells independent of antigen, potentially lowering thresholds for subsequent alpha-gal-induced or antigen-independent allergic effector cell degranulation. This may affect duration and severity of allergic symptoms in patients with AGS.

实验方法

产品清单