An Alternative Route to Anesthesia-Induced Anaphylaxis

A study in patients identifies a nontraditional immune pathway that can cause a severe reaction to anesthetic drugs.

Written byRuth Williams
| 3 min read

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Immunoglobulin G (IgG) has been pinpointed as the likely culprit in hitherto unexplained cases of dangerous immune reactions known as anaphylaxis in response to anesthetic drugs, according to a report in Science Translational Medicine today (July 10). It turns out that in addition to IgE, the classical antibody type that mediates anaphylaxis, IgG can drive such life-threatening conditions.

“It’s an extremely interesting paper,” says University of Toronto clinical immunologist Peter Vadas, who was not involved in the research. “It explains a mechanism of anaphylaxis that we’ve seen demonstrated in animals but never before in humans, but we’ve long-suspected exists.”

“It provides the strongest evidence to date that IgG can be involved in the anaphylactic response in humans,” adds Fred Finkelman, a rheumatologist and immunologist at Cincinnati Children's Hospital who also did not participate in the study.

Anaphylaxis is a systemic hypersensitivity response that occurs rapidly upon ...

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Meet the Author

  • ruth williams

    Ruth is a freelance journalist. Before freelancing, Ruth was a news editor for the Journal of Cell Biology in New York and an assistant editor for Nature Reviews Neuroscience in London. Prior to that, she was a bona fide pipette-wielding, test tube–shaking, lab coat–shirking research scientist. She has a PhD in genetics from King’s College London, and was a postdoc in stem cell biology at Imperial College London. Today she lives and writes in Connecticut.

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