Immunoglobulin E and Indigenous Susceptibility to Infectious Diseases

Many authors have written about the social and economic risk factors such as poverty, low educational attainment, and discrimination that contribute to global indigenous-nonindigenous disparity. In this work, we consider an additional immunological risk factor — T-helper 2 dominance — that appears to exacerbate the effects of social and economic factors on infectious disease outcomes in tropical zones. To this end, a critical review approach was used to extract published data on total serum IgE — an indicator of T-helper 2 dominance. We found a three-orders-of-magnitude differences in total serum IgE across climate zones (tropical vs. temperate), ecologies within the tropics (forests vs. urban/rural), and clinical conditions (HIGE, TPE, ABAP vs. atopy, and helminthiasis). Additionally, that the highest ever reported total serum IgE levels are reported for tropical regions - mainly, healthy members of forest-dwelling indigenous groups of South America, and patients diagnosed with clinical conditions such as onchocerciasis, tropical pulmonary eosinophilia, and hyper-IgE.