{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T04:34:44Z","timestamp":1773290084035,"version":"3.50.1"},"reference-count":27,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Allergy Immunol"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>&lt;i&gt;Background:&lt;\/i&gt; Insect venom allergy (IVA) is present in 1\u20133% of the population. A group of patients with high specific IgE do not react to stings. In contrast, a proportion of patients with IVA have low specific IgE levels. These findings indicate that factors other than specific IgE may also be involved in IVA. Dysfunction of the renin-angiotensin system (RAS) has been described as a potential factor in IVA. The objective of this study was to determine the prevalence of angiotensin &lt;i&gt;AGT&lt;\/i&gt; p.M235T and angiotensin-converting enzyme &lt;i&gt;ACE&lt;\/i&gt; I\/D, I\/I, D\/D gene polymorphisms in patients with IVA and to relate the presence of these gene variants to the course of IVA and the safety of treatment. &lt;i&gt;Methods:&lt;\/i&gt; A total of 107 patients with IVA and 113 controls were studied. &lt;i&gt;AGT&lt;\/i&gt; p.M235T and &lt;i&gt;ACE&lt;\/i&gt; (ID, I\/I, D\/D) gene polymorphisms were examined, and angiotensin I levels were measured by immunoassay. &lt;i&gt;Results:&lt;\/i&gt; The frequency of the &lt;i&gt;AGT&lt;\/i&gt; MM M235T variant was significantly higher in IVA patients (29.9%) than in controls (17%, p = 0.02). The presence of the MM M235T genotype increased the risk of grade IV reactions (odds ratio = 2.5 and 95% confidence interval 1.04\u20136.08). There were no differences in the prevalence of the &lt;i&gt;ACE&lt;\/i&gt; I\/D polymorphism and angiotensin I levels between control groups and patients with different grades of anaphylactic reactions or patients with side effects of venom immunotherapy. &lt;i&gt;Conclusion:&lt;\/i&gt; The &lt;i&gt;AGT&lt;\/i&gt; M235T MM variant may be responsible for severe anaphylactic reactions to insect venom allergens in some patients.<\/jats:p>","DOI":"10.1159\/000312634","type":"journal-article","created":{"date-parts":[[2010,4,26]],"date-time":"2010-04-26T06:56:19Z","timestamp":1272264979000},"page":"166-172","source":"Crossref","is-referenced-by-count":10,"title":["The Angiotensinogen &lt;i&gt;AGT&lt;\/i&gt; p.M235T Gene Polymorphism May Be Responsible for the Development of Severe Anaphylactic Reactions to Insect Venom 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