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Alpha-1,3-galactosyltransferase (α1,3GT) modifies surface glycoproteins and glycolipids by adding galactose in an α-1,3 linkage, creating the α-Gal epitope. This epitope is absent in humans due to a nonfunctional GGTA1 gene, leading to the production of natural anti-Gal antibodies. These antibodies recognize α-Gal as foreign, causing hyperacute rejection in xenotransplantation and IgE-mediated allergic reactions to red meat (alpha-gal syndrome) following tick bites.
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