University researchers find new way of reducing the symptoms of anaphylactic shock |
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A method of reducing the impact or symptoms of anaphylactic shock has been identified by university researchers. |
The team from Glasgow are the first in the world
to pinpoint a molecule which amplifies the allergic reaction and have
successfully developed a biological agent to reduce the symptoms. The breakthrough could lead to a huge reduction
in the number of fatal cases of anaphylactic shock across the world. Anaphylaxis is a severe allergic reaction - the
extreme end of the allergic spectrum. Symptoms may include generalised flushing,
difficulty in breathing and can result in cardiac arrest and death. |
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Common causes of anaphylaxis include foods such
as peanuts, tree nuts, sesame, fish, shellfish, dairy products and eggs.
Non-food causes include wasp or bee stings, natural latex (rubber), penicillin
or any other drug or injection. Led by Dr Alirio Melendez and Prof Eddy Liew,
both of the University of Glasgow, the team found that the novel cytokine
(immune hormone) – IL-33 – plays a key role in the development of
anaphylaxis. Dr Melendez said: “We looked at a number of
patients who had experienced anaphylaxis during surgery and found that they had
very high levels of the molecule IL-33. “IL-33 is a relatively new discovery and its
part in anaphylaxis (or any pathology) has not been greatly understood. “Our study showed that IL-33 plays a pivotal
role in hugely increasing the inflammation experienced during a period of
anaphylactic shock and led us to understand how to intervene to reduce its
impact. “An anaphylactic shock prompts a massive
inflammatory reaction which often is so severe that it constricts breathing. In
our study we found that the severity of the shock is linked to the IL-33
molecule, which acts as an amplifier to the inflammatory reaction. This can lead
to a fatal constriction of the airway and, ultimately, death. “Our study suggests that patients with the
most severe anaphylactic reactions have very high levels of IL33 in their
system. “In basic terms, without the IL33 molecule,
the allergic reaction experienced would be far less severe, greatly reducing the
risk of death.” The findings have been published in the highly
respected international journal, Proceedings of the National Association of
Sciences of the USA (PNAS). The team successfully used a mouse model to show
that blocking the IL-33 molecule reduces the severity of the attack. Dr Melendez continued: “We used what is called
a soluble receptor to block the influence of the IL-33. Introducing the soluble
receptor – ST2 – blocked the inflammatory response normally prompted by
IL-33. “This approach does not stop the allergic
reaction altogether. It blocks the amplification of the reaction triggered by
IL-33, not the allergic response itself. “We are now further studying the role of IL-33
in anaphylaxis and similar disorders, and our plans are to further these studies
on food, venoms and drugs-mediated anaphylaxis. “Our current strategy is to utilise the
soluble receptor for IL-33 (sST2) to validate as a potential biological agent
that can potentially be used to target IL-33 during an anaphylactic shock. “It takes time to go complete all the
regulations to validate and start a clinical trial for such biological. “At the same time, we are looking at the
intracellular signalling mechanisms by which IL-33 stimulates cellular responses
in order to identify potential novel target. “However, this is an important finding on the
path to developing better treatments for this serious condition and we are
committed to generating a suitable therapeutic to treat anaphylaxis. The research team are based at the University of
Glasgow’s Biomedical Research Centre, within the Division of Infection
and Immunology of the Faculty of Medicine. Lynne Regent, Chief Executive of The Anaphylaxis
Campaign, said: "The results of the study, led by Dr Melendez and Prof.
Liew at The University of Glasgow, are encouraging. We would hope to see this
work developed further to a point where it could be of real benefit to people
living with Anaphylaxis or at risk of severe allergic reaction. “The Anaphylaxis Campaign is fully supportive
of this type of reputable research and it will be particularly interesting to
see how the findings can be delivered to the allergic population through the
provision of adequate allergy services”. Notes for editors Acute, severe food allergy is thought to affect
half a million people in the UK. The prevalence of food allergy is at its highest
in young children (about one in 17 children). In most cases the allergy is mild.
Around 80-90 per cent of children outgrow their sensitivity by the age of five.
Children are very likely to outgrow an allergy to milk, eggs, soy or wheat.
Allergies to peanuts, tree nuts, shellfish or fish are less frequently outgrown. Research suggests that around one in 70 children
across the UK are allergic to peanuts. A House of Commons report in 2004
suggests that the figure may now be as high as one in 50 – a quarter of a
million children. Anaphylaxis is treated with adrenaline (which is
also called epinephrine). Pre-loaded adrenaline injection kits – EpiPen or
Anapen – are available on prescription for those thought to be at risk of a
severe reaction. Allergic disorders affect all ages, both sexes
and all social and ethnic groups in the UK. International comparisons show that the UK
population has the highest prevalence of allergy in Europe and ranks among the
highest in the world. |
| Source: http://www.gla.ac.uk |
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