RecruitingNCT06156046

Tolerance in Beekeepers

Elucidation of the Mechanism of Immune Tolerance in Beekeepers


Sponsor

University Hospital Plymouth NHS Trust

Enrollment

120 participants

Start Date

Jan 22, 2024

Study Type

OBSERVATIONAL

Conditions

Summary

Beekeepers experience multiple bee stings each year. Many of these beekeepers (25-60%) become sensitized to bee venom through the production of specific antibodies that target the bee venom. Although these antibodies are important in the triggering of an allergic reaction only a small number of sensitised beekeepers go on to have an allergic reaction with symptoms away from the site of the sting. These reactions can be severe and are known as anaphylactic reactions. The study investigates why some beekeepers develop severe allergic symptoms after bee stings while others do not. This study will explore factors in the blood that protect sensitised individuals from having anaphylactic reactions - meaning that despite being sensitised they are tolerant and do not react to subsequent stings.


Eligibility

Min Age: 18 Years

Inclusion Criteria3

  • Individuals naive to beekeeping (<2 previous bee stings, none in the last 24 months)
  • Beekeepers with > approximately 10 stings/year who have been beekeeping for >3 years.
  • Beekeepers with diagnosis of anaphylaxis to bee venom in the last 12 months who are sensitised to bee venom (as evidenced by positive specific IgE and positive skin test to bee venom)

Exclusion Criteria5

  • Unable to understand protocol/consent.
  • Unable to commit to follow up visits.
  • Participants with a known history of mastocytosis or under investigation for suspected mastocytosis.
  • Participants undergoing desensitisation treatment to bee venom before the first visit.
  • Participants being treatment with immunosuppressive medications. being treatment with immunosuppressive medications.

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Interventions

DIAGNOSTIC_TESTskin prick test

Skin prick test for bee venom

DIAGNOSTIC_TESTBlood tests

IgE/G and T cell tolerance studies


Locations(1)

Derriford Hospital - University Hospitals Plymouth

Plymouth, Devon, United Kingdom

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NCT06156046