Disrupted barriers, evolved risks: toward precision One Health in arthropod allergy.

Abstract

Arthropod-induced allergic diseases are increasingly recognized as a major global health challenge in the Anthropocene. Climate change, urbanization, and ecological disruption are expanding human exposure to allergenic arthropods, including hematophagous ticks and synanthropic mites, thereby intensifying allergic sensitization and disease burden. In this review, we examine how arthropod-derived molecules disrupt epithelial barrier integrity, activate innate immune pathways, and promote type 2 immune polarization and IgE-mediated sensitization, exemplified by alpha-gal syndrome. We further integrate the epithelial barrier hypothesis with advances in component-resolved diagnostics, AI-assisted precision medicine, and One Health surveillance approaches to provide a systems-level perspective on arthropod allergy. Finally, we highlight emerging translational challenges and future directions for prediction, prevention, and personalized management of arthropod-associated allergic diseases in a rapidly changing environment.