IgE sensitisation to the fish parasite Anisakis simplex in a Norwegian population . A pilot study


Corresponding author: Aung Htun Lin
Institute of Medicine, University of Bergen, Norway
E-mail: aung.lin@med.uib.no
Telephone: +47 55973095
Fax: +47 55975890


The reports on fish parasite Anisakis simplex allergy have increased in countries with high fish consumption in the last decade. In Norway, a high consumption country, the prevalence of immunoglobulin E (IgE) sensitisation to A. simplex was still unknown. Thus, our objective was to investigate the sensitisation prevalence in this country. At the Haukeland University Hospital, Bergen, Norway, two main groups of surplus serum samples were collected; one from newly recruited blood donors, and one from the Allergy laboratory after analysing IgE and IgE antibodies. The latter was divided into three series, one containing unsorted sera, and two sorted either by Phadiatop®≥ 0.35 kUA/L or total IgE ≥ 1000 kU/L. The sera were analysed for total IgE and IgE antibodies against A. simplex, shrimp, house dust mite (HDM), cod and cross-reactive carbohydrates (CCDs). The prevalence of IgE sensitisation to A. simplex was 2.0%, 2.2% and 6.6% in blood donors, the unsorted and Phadiatop® positive serum groups respectively. A considerable degree of cross-sensitisation to shrimp and HDM is further suggested. Unspecific binding due to high total IgE or by binding to CCDs seemed to play a minor role. The prevalence of IgE sensitisation to A. simplex appears to be lower in a Norwegian population than in other high fish consuming countries, but might still be overestimated due to cross-sensitisation.