Evidence map›Paper›PMID 21762973›Full record

ArticleThe Journal of allergy and clinical immunology2011

Allergic sensitization can be induced via multiple physiologic routes in an adjuvant-dependent manner.

David Dunkin, M Cecilia Berin, Lloyd Mayer

Abstract 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 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

50 citing papers in PubMed, 91 citations in OpenAlex.

  1. Intestinal uptake regulates T cell responses to dietary antigens.bioRxiv : the preprint server for biology · 2026
    Article
  2. The Role of the Indoor Exposome in Food Allergy Development.Current allergy and asthma reports · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Dendritic cells in food allergy, treatment, and tolerance.The Journal of allergy and clinical immunology · 2024
    Review
  9. A single priming event prevents oral tolerance to peanut.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2023
    Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Thymic stromal lymphopoietin, skin barrier dysfunction, and the atopic march.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2021
    Review
  17. Article
  18. Review
  19. Statement onEFSA journal. European Food Safety Authority · 2021
    Article
  20. The External Exposome and Food Allergy.Current allergy and asthma reports · 2020
    Review
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

3 authors at 1 institution in 1 country.

David DunkinDivision of Pediatric Gastroenterology, Mount Sinai School of Medicine, New York, NY 10029, USA. David.dunkin@mssm.edu
M Cecilia Berin
Lloyd Mayer
Icahn School of Medicine at Mount Sinai · US

Funding

ORAL TOLERANCE AND COW MILK ALLERGYP01AI044236 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI SAMPSON, HUGH · 1999 to 2007
$7.5M
Molecular & Developmental Biology in Pediatric ResearchK12HD052890 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SATLIN, LISA M. · 2006 to 2010
$2.1M
NIAID NIH HHS P01 AI044236NICHD NIH HHS K12 HD052890
6 · The paper itself

Abstract

backgroundOral exposure to food allergens may be limited in infancy, and the initial site of antigen exposure likely plays an important role in food allergy induction.

objectiveTo examine the impact of different routes of exposure by using milk allergens, with and without adjuvant, on sensitization.

methodsC3H/HeJ mice were repeatedly exposed to the milk allergen α-lactalbumin (ALA), with or without cholera toxin (CT). Sensitization routes used were intragastric, cutaneous, intranasal, and sublingual. Anaphylaxis severity was assessed by symptoms and body temperature in response to oral challenge. Antigen-specific serum antibodies were measured by ELISA. The mechanism of adjuvant activity of cutaneous CT was also determined.

resultsSensitization to ALA as measured by allergen-specific IgE occurred by all routes of sensitization and was maximal in response to cutaneous exposure. Sensitization was dependent on CT and did not occur to antigen alone by any route. Mucosal, but not cutaneous, exposure resulted in a robust allergen-specific IgA response. Anaphylaxis occurred in all sensitized groups when orally challenged with ALA. Topical CT induced migration of langerin(neg) dermal dendritic cells to the lymph node, resulting in enhanced proliferation and T(H)2 cytokine production from responder T cells.

conclusionsSensitization can occur via all physiologic routes when adjuvant is present. The skin is a potent and likely important physiologic route of sensitization whereby adjuvant induces an efflux of antigen-bearing dermal dendritic cells to the lymph node that generate a proallergic T(H)2 response.

Indexed as

Adjuvants, ImmunologicAllergensAnimalsEnzyme-Linked Immunosorbent AssayFemaleHypersensitivityImmunoglobulin ELactalbuminLymphocyte ActivationMiceMice, Inbred BALB CMice, Inbred C3HT-LymphocytesAdjuvants, ImmunologicAllergensImmunoglobulin ELactalbumin

Identifiers

PMID21762973
PMCPMC3197891
OpenAlexW1973710108

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.