Evidence map›Paper›PMID 18313126›Full record

ArticleThe Journal of allergy and clinical immunology2008

Filaggrin null mutations and childhood atopic eczema: a population-based case-control study.

Sara J Brown, Caroline L Relton, Haihui Liao, Yiwei Zhao, Aileen Sandilands, Ian J Wilson, John Burn, Nick J Reynolds, W H Irwin McLean, Heather J Cordell

Abstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
14.7field-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

49 citing papers in PubMed, 3 syntheses or guidelines pooled it, 161 citations in OpenAlex.

  1. Skin barrier-related genes in childhood atopic dermatitis, asthma, and allergy: A systematic review and meta-analysis.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Pooled it
  2. Pooled it
  3. Classifying atopic dermatitis: a systematic review of phenotypes and associated characteristics.Journal of the European Academy of Dermatology and Venereology : JEADV · 2022
    Pooled it
  4. Trial
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  7. Article
  8. Article
  9. Atopic dermatitis and tobacco smoke exposure during childhood and adolescence.The journal of allergy and clinical immunology. Global · 2025
    Article
  10. Review
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  12. Article
  13. FRA1:c-JUN:HDAC1 complex down-regulates filaggrin expression upon TNFα and IFNγ stimulation in keratinocytes.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  14. Type 2 Inflammation Contributes to Skin Barrier Dysfunction in Atopic Dermatitis.JID innovations : skin science from molecules to population health · 2022
    Review
  15. Article
  16. Establishing subclasses of childhood eczema, their risk factors and prognosis.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2022
    Review
  17. Revisiting the Roles of Filaggrin in Atopic Dermatitis.International journal of molecular sciences · 2022
    Review
  18. Article
  19. Article
  20. Filaggrin sequencing and bioinformatics tools.Archives of dermatological research · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Sara J BrownDepartment of Dermatology, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom. sara.brown@ncl.ac.uk
Caroline L Relton
Haihui Liao
Yiwei Zhao
Aileen Sandilands
Ian J Wilson
John Burn
Nick J Reynolds
W H Irwin McLean
Heather J Cordell
Newcastle University · GBUniversity of Dundee · GBNinewells Hospital · GBRoyal Victoria Infirmary · GB

Funding

Medical Research Council G0700314Wellcome Trust 074524
6 · The paper itself

Abstract

backgroundNull mutations within the filaggrin gene (FLG) are associated with moderate-to-severe atopic eczema; their role in mild-to-moderate eczema in the general population is unknown.

objectiveWe sought to investigate the significance of 5 common FLG null mutations in childhood atopic eczema in an unselected population cohort.

methodsEight hundred eleven English children aged 7 to 9 years were screened for FLG mutations. Eczema cases were defined by using United Kingdom diagnostic criteria and skin examination. Asthma and seasonal rhinitis cases were defined by parental questionnaire. Association between phenotype and genotype was investigated using Fisher exact test and logistic regression analysis.

resultsThe 12-month period prevalence of atopic eczema was 24.2% (95% CI, 21.2% to 27.2%), with 96% (115/120) of cases having mild-to-moderate disease. The combined null genotype (carriage of > or = 1 FLG mutations) was significantly associated with atopic eczema (P = 1.2 x 10(-4)). The odds ratio (OR) for individuals carrying 2 null mutations was 26.9 (95% CI, 3.3-217.1), but heterozygote carriers showed no significant increase in risk (OR, 1.2; 95% CI, 0.7-1.9). Eight of 190 eczema cases (4.2%) carried 2 FLG null mutations and thus might be attributed to filaggrin deficiency. Asthma in the context of eczema showed significant association with the FLG null mutations (P = 7.1 x 10(-4)). There was no association of FLG with asthma independent of eczema (P = .15) and no association with seasonal rhinitis (P = .66).

conclusionFLG null mutations are significantly associated with mild-to-moderate atopic eczema in childhood, with a recessive pattern of inheritance.

Indexed as

MutationAsthmaCase-Control StudiesChildCohort StudiesEczemaFemaleFilaggrin ProteinsGenes, RecessiveGenetic Carrier ScreeningHumansHypersensitivity, ImmediateIntermediate Filament ProteinsMaleRhinitis, Allergic, SeasonalSurveys and QuestionnairesFilaggrin ProteinsFLG protein, humanIntermediate Filament Proteins

Identifiers

PMID18313126
PMCPMC6978152
OpenAlexW2046339224

What OpenQuestion holds

Textmetadata
LicenceTDM
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.