Sheryl van Nunen

Last updated

Associate Professor

Sheryl van Nunen
Nationality Australian
Alma mater University of Sydney
Scientific career
Fields Immunologist
Institutions University of Sydney

Sheryl van Nunen OAM MBBS FRACP, is an Australian allergy researcher and Senior Staff Specialist in the Department of Clinical Immunology and Allergy at Royal North Shore Hospital in Sydney, Australia, and Clinical Associate Professor at the Sydney Medical School - Northern, University of Sydney.

Van Nunen, a specialist in allergies, [1] is widely recognized for her work in 2007 identifying tick-induced mammalian meat allergy, [2] [3] [4] which has increased in prevalence worldwide since then. [5] In 2007 she was the first immunologist in the world to describe in a published paper the link between ticks and meat allergy. [6] [7] [8] According to van Nunen, Australia has the highest rate of mammalian meat allergy and tick anaphylaxis in the world. [9]

In 2018, after four years in development, van Nunen, in collaboration with a pharmaceuticals company and northern Sydney hospital Emergency Department, released a world-first freeze spray designed to be topically applied to ticks that have attached to humans. The spray kills ticks by freezing, rather than by the traditional method of removal using tweezers. Removing ticks by tweezers was found to have a significantly detrimental effect because tweezers squeeze toxins from the tick into the host and thereby significantly increase the allergen injected. [10] [11] A study released last year [12] by van Nunen supports the growing consensus in Australia to kill the tick in situ rather than pull the tick out. [13] [14]

In August 2020 van Nunen urged sufferers of hay fever to get tested for COVID-19. [15]

In 2021 van Nunen was awarded the Order of Australia Medal for service to medicine, particularly to clinical immunology and allergy. [16] [17]

Related Research Articles

<span class="mw-page-title-main">Tick</span> Order of arachnids in the arthropod phylum

Ticks are parasitic arachnids that are part of the mite superorder Parasitiformes. Adult ticks are approximately 3 to 5 mm in length depending on age, sex, species, and "fullness". Ticks are external parasites, living by feeding on the blood of mammals, birds, and sometimes reptiles and amphibians. The timing of the origin of ticks is uncertain, though the oldest known tick fossils are from the Cretaceous period, around 100 million years old. Ticks are widely distributed around the world, especially in warm, humid climates.

<span class="mw-page-title-main">Basophil</span> Type of white blood cell

Basophils are a type of white blood cell. Basophils are the least common type of granulocyte, representing about 0.5% to 1% of circulating white blood cells. However, they are the largest type of granulocyte. They are responsible for inflammatory reactions during immune response, as well as in the formation of acute and chronic allergic diseases, including anaphylaxis, asthma, atopic dermatitis and hay fever. They also produce compounds that coordinate immune responses, including histamine and serotonin that induce inflammation, and Heparin that prevents blood clotting, although there are less than that found in mast cell granules. Mast cells were once thought to be basophils that migrated from the blood into their resident tissues, but they are now known to be different types of cells.

<span class="mw-page-title-main">Allergic rhinitis</span> Nasal inflammation due to allergens in the air

Allergic rhinitis, of which the seasonal type is called hay fever, is a type of inflammation in the nose that occurs when the immune system overreacts to allergens in the air. Signs and symptoms include a runny or stuffy nose, sneezing, red, itchy, and watery eyes, and swelling around the eyes. The fluid from the nose is usually clear. Symptom onset is often within minutes following allergen exposure, and can affect sleep and the ability to work or study. Some people may develop symptoms only during specific times of the year, often as a result of pollen exposure. Many people with allergic rhinitis also have asthma, allergic conjunctivitis, or atopic dermatitis.

<span class="mw-page-title-main">Food allergy</span> Hypersensitivity reaction to a food

A food allergy is an abnormal immune response to food. The symptoms of the allergic reaction may range from mild to severe. They may include itchiness, swelling of the tongue, vomiting, diarrhea, hives, trouble breathing, or low blood pressure. This typically occurs within minutes to several hours of exposure. When the symptoms are severe, it is known as anaphylaxis. A food intolerance and food poisoning are separate conditions, not due to an immune response.

Tick-borne diseases, which afflict humans and other animals, are caused by infectious agents transmitted by tick bites. They are caused by infection with a variety of pathogens, including rickettsia and other types of bacteria, viruses, and protozoa. The economic impact of tick-borne diseases is considered to be substantial in humans, and tick-borne diseases are estimated to affect ~80 % of cattle worldwide.

<span class="mw-page-title-main">Jack jumper ant</span> Species of ant

The jack jumper ant, also known as the jack jumper, jumping jack, hopper ant, or jumper ant, is a species of venomous ant native to Australia. Most frequently found in Tasmania and southeast mainland Australia, it is a member of the genus Myrmecia, subfamily Myrmeciinae, and was formally described and named by British entomologist Frederick Smith in 1858. This species is known for its ability to jump long distances. These ants are large; workers and males are about the same size: 12 to 14 mm for workers, and 11 to 12 mm for males. The queen measures roughly 14 to 16 mm long and is similar in appearance to workers, whereas males are identifiable by their perceptibly smaller mandibles.

<span class="mw-page-title-main">Peanut allergy</span> Type of food allergy caused by peanuts

Peanut allergy is a type of food allergy to peanuts. It is different from tree nut allergies, because peanuts are legumes and not true nuts. Physical symptoms of allergic reaction can include itchiness, hives, swelling, eczema, sneezing, asthma attack, abdominal pain, drop in blood pressure, diarrhea, and cardiac arrest. Anaphylaxis may occur. Those with a history of asthma are more likely to be severely affected.

<i>Ixodes holocyclus</i> Species of tick

Ixodes holocyclus, commonly known as the Australian paralysis tick, is one of about 75 species in the Australian tick fauna and is considered the most medically important. It can cause paralysis by injecting neurotoxins into its host. It is usually found in a 20-kilometre wide band following the eastern coastline of Australia. Within this range Ixodes holocyclus is the tick most frequently encountered by humans and their pets. As this area also contains Australia's most densely populated regions, bites on people, pets and livestock are relatively common.

<span class="mw-page-title-main">Azelastine</span> Chemical compound

Azelastine, sold under the brand name Optivar among others, is a H1 receptor-blocking medication primarily used as a nasal spray to treat allergic rhinitis (hay fever) and as eye drops for allergic conjunctivitis. Other uses may include asthma and skin rashes for which it is taken by mouth. Onset of effects is within minutes when used in the eyes and within an hour when used in the nose. Effects last for up to 12 hours.

<span class="mw-page-title-main">Milk allergy</span> Type of food allergy caused by milk

Milk allergy is an adverse immune reaction to one or more proteins in cow's milk. Symptoms may take hours to days to manifest, with symptoms including atopic dermatitis, inflammation of the esophagus, enteropathy involving the small intestine and proctocolitis involving the rectum and colon. However, rapid anaphylaxis is possible, a potentially life-threatening condition that requires treatment with epinephrine, among other measures.

Insect sting allergy is the term commonly given to the allergic response of an animal in response to the bite or sting of an insect. Typically, insects which generate allergic responses are either stinging insects or biting insects. Stinging insects inject venom into their victims, whilst biting insects normally introduce anti-coagulants into their victims.

<span class="mw-page-title-main">Thomas Platts-Mills</span>

Thomas Alexander Evelyn Platts-Mills, FRS son of British member of parliament and barrister John Platts-Mills, is a British allergy researcher and director of the Division of Allergy and Clinical Immunology at the University of Virginia School of Medicine.

<i>Amblyomma americanum</i> Species of tick

Amblyomma americanum, also known as the lone star tick, the northeastern water tick, or the turkey tick, is a type of tick indigenous to much of the eastern United States and Mexico, that bites painlessly and commonly goes unnoticed, remaining attached to its host for as long as seven days until it is fully engorged with blood. It is a member of the phylum Arthropoda, class Arachnida. The adult lone star tick is sexually dimorphic, named for a silvery-white, star-shaped spot or "lone star" present near the center of the posterior portion of the adult female shield (scutum); adult males conversely have varied white streaks or spots around the margins of their shields.

Laboratory animal allergy (LAA) is an occupational disease of laboratory animal technicians and scientists. It manifests as an allergic response to animal urine, specifically the major urinary proteins (Mups) of rodents, and can lead to the development of asthma. A study of 5641 workers in Japan who were exposed to laboratory animals found 23.1% had one or more allergic symptoms; globally the prevalence among at risk workers is estimated between 11 and 30% According to the National Institutes of Health, prevention of animal allergy depends on the control of allergens in the work environment. This involves a combination of measures to eliminate or control allergen exposure, including engineering controls, administrative controls, and personal protective equipment.

<span class="mw-page-title-main">Arthropod bites and stings</span> Medical condition

Many species of arthropods can bite or sting human beings. These bites and stings generally occur as a defense mechanism or during normal arthropod feeding. While most cases cause self-limited irritation, medically relevant complications include envenomation, allergic reactions, and transmission of vector-borne diseases.

Galactose-<i>alpha</i>-1,3-galactose Chemical compound

Galactose-α-1,3-galactose, commonly known as alpha gal and the Galili antigen, is a carbohydrate found in most mammalian cell membranes. It is not found in catarrhines, including humans, who have lost the GGTA1 gene. Their immune systems recognize it as a foreign body and produce xenoreactive immunoglobulin M (IgM) antibodies, leading to organ rejection after transplantation.

Alpha-gal syndrome (AGS), also known as alpha-gal allergy or mammalian meat allergy (MMA), is a type of meat allergy characterized by a delayed onset of symptoms after ingesting mammalian meat. The condition results from past exposure to certain tick bites. It was first reported in 2002. Symptoms of the allergy include rash, hives, nausea or vomiting, difficulty breathing, drop in blood pressure, dizziness or faintness, and severe stomach pain.

<span class="mw-page-title-main">Dust mite allergy</span> Medical condition

Dust mite allergy, also known as house dust allergy, is a sensitization and allergic reaction to the droppings of house dust mites. The allergy is common and can trigger allergic reactions such as asthma, eczema or itching. The mite's gut contains potent digestive enzymes that persist in their feces and are major inducers of allergic reactions such as wheezing. The mite's exoskeleton can also contribute to allergic reactions. Unlike scabies mites or skin follicle mites, house dust mites do not burrow under the skin and are not parasitic.

Anthony Barrington "Barry" Kay was a British immunologist known for his research in asthma and allergy. He was a professor at Imperial College London and a consultant immunologist to Royal Brompton Hospital.

References

  1. "The rare allergy that turned me into a vegetarian". www.abc.net.au. 25 December 2020. Retrieved 11 March 2021.
  2. McMahon, Alle (18 January 2019). "How tick bites can make some people allergic to meat and milk". ABC News. Retrieved 18 March 2019.
  3. Velasquez-Manoff, Moises (24 July 2018). "What the Mystery of the Tick-Borne Meat Allergy Could Reveal". The New York Times. ISSN   0362-4331 . Retrieved 18 March 2019.
  4. Van Nunen, Sheryl (27 September 2017). "Tick bites and Mammalian Meat Allergy: Spring Seminar on Emergency Medicine" (PDF). Peripheral Hospitals Emergency Medicine Conference.
  5. "How a tick bite could make you allergic to meat". Food. 27 July 2017. Retrieved 18 March 2019.
  6. Barrowclough, Anne (16 July 2016). "The unusual suspects". The Weekend Australian Magazine. Retrieved 8 September 2019.
  7. Van Nunen, Sheryl A; O’Connor, Kate S; Clarke, Lesley R; Boyle, Richard X; Fernando, Suran L (4 May 2009). "An association between tick bite reactions and red meat allergy in humans" (PDF). The Medical Journal of Australia. 190 (9): 510–511. doi:10.5694/j.1326-5377.2009.tb02533.x. PMID   19413526. S2CID   22184609.
  8. van Nunen, Sheryl; O'Connor, K.; Fernando, S.; Clarke, L.; Boyle, R. (November 2007). "THE ASSOCIATION BETWEEN IXODES HOLOCYCLUS TICK BITE REACTIONS AND RED MEAT ALLERGY". Internal Medicine Journal. 37: 17.
  9. Lawson, Kirsten (20 November 2019). "Gluten 'lifestylers' undermine efforts on coeliac disease". The Canberra Times. p. 4.
  10. Cross, Julie (27 October 2018). "Giving ticks the flick with world-first freezing spray". The Manly Daily.
  11. Webb, Cameron. "Tackling the tricky task of tick removal". The Conversation. Retrieved 15 February 2020.
  12. Taylor, Benjamin William Phillips; Ratchford, Andrew; van Nunen, Sheryl; Burns, Brian (3 April 2019). "Tick killing in situ before removal to prevent allergic and anaphylactic reactions in humans: a cross-sectional study". Asia Pacific Allergy. 9 (2): e15. doi:10.5415/apallergy.2019.9.e15. ISSN   2233-8268. PMC   6494660 . PMID   31089457.
  13. Salleh, Anna (1 January 2020). "Tweeze vs freeze: Here's the lowdown on how to get rid of a tick". ABC News. Retrieved 15 February 2020.
  14. "Tick? Freeze it. Don't Squeeze it!". ABC Radio. 27 September 2020. Retrieved 28 October 2020.
  15. Cross, Julie (18 August 2020). "Hayfever sufferers urged to get COVID-19 tests". Manly Daily.
  16. "Australia Day 2021 Honours List" (PDF). Gazette. 26 January 2021.
  17. Dow, Aisha (25 January 2021). "Hidden depth to extraordinary medical achievements of Australia Day award winners". The Sydney Morning Herald. Retrieved 21 July 2021.