Evidence map›Paper›PMID 11809997›Full record

ReviewThorax2002

Does environmental endotoxin exposure prevent asthma?

J Douwes, N Pearce, D Heederik

Open access · bronzeAbstract readReview
In one paragraph

Review in Thorax, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
19.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 153 citations in OpenAlex.

  1. Lung CD4Cell reports · 2025
    Article
  2. Radiation-Detoxified Form of Endotoxin Effectively Activates ThInternational journal of molecular sciences · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Indoor Endotoxin Exposure and Ambient Air Pollutants Interact on Asthma Outcomes.American journal of respiratory and critical care medicine · 2019
    Article
  7. Review
  8. Occupational Animal Allergy.Current allergy and asthma reports · 2018
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Environmental epigenetics of asthma: an update.The Journal of allergy and clinical immunology · 2010
    Review
  15. Article
  16. Article
  17. Specific fungal exposures, allergic sensitization, and rhinitis in infants.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2006
    Article
  18. Article
  19. Article
  20. Too clean, or not too clean: the hygiene hypothesis and home hygiene.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2006
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

J DouwesInstitute for Risk Assessment Sciences, Division of Environmental and Occupational Health, Utrecht University, The Netherlands. j.douwes@iras.uu.nl
N Pearce
D Heederik
Utrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The evidence as to whether exposure to environmental airborne endotoxin plays a protective or an inducing role in the development of asthma is reviewed. Studies of endotoxin and atopy, endotoxin and asthma, and farming and asthma are considered and, in each instance, a distinction is made between evidence of primary causation and evidence of secondary causation. It is concluded that, although it is plausible that bacterial endotoxin may protect against the development of asthma, there is considerable reason for caution regarding this hypothesis.

Indexed as

EndotoxinsEnvironmental ExposureAdultAgricultural Workers' DiseasesAsthmaChildHumansHypersensitivity, ImmediateEndotoxins

Identifiers

PMID11809997
PMCPMC1746164
OpenAlexW2146468044

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.