Evidence map›Paper›PMID 21354602›Full record

ArticleThe Journal of allergy and clinical immunology2011

Ingested allergens must be absorbed systemically to induce systemic anaphylaxis.

Richard T Strait, Ashley Mahler, Simon Hogan, Marat Khodoun, Akira Shibuya, Fred D Finkelman

Open access · greenAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

48 citing papers in PubMed, 91 citations in OpenAlex.

  1. Trial
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  7. Importance of mast cell histamine secretion in IgG-mediated systemic anaphylaxis.The Journal of allergy and clinical immunology · 2025
    Article
  8. Review
  9. Whence and wherefore IgE?Immunological reviews · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Enhancement of prostaglandin DFrontiers in immunology · 2023
    Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. 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

6 authors at 3 institutions in 2 countries.

Richard T StraitDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Ashley Mahler
Simon Hogan
Marat Khodoun
Akira Shibuya
Fred D Finkelman
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · USUniversity of Tsukuba · JP

Funding

Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Kathryn Ann Wikenheiser-Brokamp · 2007 to 2026
$24.4M
IgG Isotype Regulation of Antibody-Mediated DisordersR01AI072040 · NIAID · UNIVERSITY OF CINCINNATI · PI FINKELMAN, FRED DOUGLASS · 2007 to 2011
$1.9M
Identification Of Proteins Responsible For Peanut AllergenicityR21AI079947 · NIAID · UNIVERSITY OF CINCINNATI · PI FINKELMAN, FRED DOUGLASS · 2008 to 2009
$429k
NIAID NIH HHS R01 AI072040NIAID NIH HHS R21 AI079947NIDDK NIH HHS P30 DK078392NIDDK NIH HHS P30DK078392
6 · The paper itself

Abstract

backgroundIgE-mediated food allergy is a common cause of enteric disease and is responsible for approximately 100 systemic anaphylaxis deaths in the United States each year. IgG antibodies can protect against IgE-mediated systemic anaphylaxis induced by injected antigens by neutralizing antigens before they can bind to mast cell-associated IgE.

objectiveWe have investigated whether IgA and IgG antibodies can similarly protect against systemic, IgE-mediated anaphylaxis induced by ingested antigens and, if so, whether IgA and IgG antibodies protect by neutralizing antigens before or after their systemic absorption.

methodsMurine passive and active anaphylaxis models were used to study the abilities of serum versus gut lumenal IgA antibodies and serum IgG antibodies to inhibit systemic anaphylaxis induced by ingested allergens in normal mice, mice deficient in the ability to secrete IgA into the intestines, and mice in which intestinal IL-9 overexpression has induced intestinal mastocytosis and increased intestinal permeability.

resultsIgE-mediated systemic anaphylaxis and mast cell degranulation induced by antigen ingestion are suppressed by both serum antigen-specific IgA and IgG, but not by IgA within the gut lumen.

conclusionSystemic rather than enteric antibodies protect against systemic anaphylaxis induced by ingested antigen. This implies that ingested antigens must be absorbed systemically to induce anaphylaxis and suggests that immunization protocols that increase serum levels of antigen-specific, non-IgE antibodies should protect against severe food allergy.

Indexed as

AllergensAnaphylaxisAnimalsFood HypersensitivityImmunity, MucosalImmunoglobulin AImmunoglobulin EImmunoglobulin GInterleukin-9Intestinal MucosaMast CellsMiceMice, Inbred BALB CMice, TransgenicAllergensImmunoglobulin AImmunoglobulin EImmunoglobulin GInterleukin-9

Identifiers

PMID21354602
PMCPMC3095843
OpenAlexW2018297739

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.