Evidence map›Paper›PMID 22281828›Full record

ArticleAmerican journal of respiratory and critical care medicine2012

Galactose-α-1,3-galactose-specific IgE is associated with anaphylaxis but not asthma.

Scott P Commins, Libby A Kelly, Eva Rönmark, Hayley R James, Shawna L Pochan, Edward J Peters, Bo Lundbäck, Lucy W Nganga, Philip J Cooper, Janelle M Hoskins and 7 more

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

43 citing papers in PubMed, 79 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Diagnostic testing for galactose-alpha-1,3-galactose, United States, 2010 to 2018.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2021
    Article
  10. Review
  11. Review
  12. Tick Saliva and the Alpha-Gal Syndrome: Finding a Needle in a Haystack.Frontiers in cellular and infection microbiology · 2021
    Review
  13. Review
  14. Infection withVaccines · 2020
    Article
  15. Diagnosis and Management of Patients with the α-Gal Syndrome.The journal of allergy and clinical immunology. In practice · 2020
    Review
  16. Review
  17. Article
  18. Ingestion of mammalian meat and alpha-gal allergy: Clinical relevance in primary care.African journal of primary health care & family medicine · 2019
    Review
  19. Review
  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

17 authors at 9 institutions in 6 countries.

Scott P ComminsDivision of Allergy and Immunology, University of Virginia, Charlottesville, Virginia, USA.
Libby A Kelly
Eva Rönmark
Hayley R James
Shawna L Pochan
Edward J Peters
Bo Lundbäck
Lucy W Nganga
Philip J Cooper
Janelle M Hoskins
Saju S Eapen
Luis A Matos
Dane C McBride
Peter W Heymann
Judith A Woodfolk
Matthew S Perzanowski
Thomas A E Platts-Mills
University of Virginia · USAllergy Partners of Lynchburg · USAsthma Association · BGColumbia University · USKenya Medical Research Institute · KELiverpool School of Tropical Medicine · GBUmeå University · SEUniversity of Gothenburg · SEUniversity of North Carolina at Chapel Hill · US

Funding

True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Ami R Zota · 1998 to 2026
$44.7M
IgE antibodies to the mammalian oligosaccharide galactose-alpha-1, 3-galactose (alpha-gal): immunology, epidemiology and relevance to allergic and inflammatory diseaseR37AI020565 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI THOMAS A. PLATTS-MILLS · 1992 to 2026
$8.4M
DUST MITE, COCKROACH AND CAT ALLERGENS IN HOUSES/ASTHMAR01AI020565 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI PLATTS-MILLS, THOMAS A. · 1985 to 2017
$7.1M
Mechanisms of airways pH deviation in asthma and chronic coughU19AI070364 · NIAID · UNIVERSITY OF VIRGINIA · PI PLATTS-MILLS, THOMAS A. · 2006 to 2010
$6.0M
IgE to carbohydrates causes delayed anaphylaxisK08AI085190 · NIAID · UNIVERSITY OF VIRGINIA · PI COMMINS, SCOTT PALMER · 2010 to 2014
$651k
Delayed anaphylaxis to beef and pork: mechanisms and causes of a new food allergyR21AI087985 · NIAID · UNIVERSITY OF VIRGINIA · PI COMMINS, SCOTT PALMER, PLATTS-MILLS, THOMAS A. · 2010 to 2011
$422k
NIAID NIH HHS AI-20565NIAID NIH HHS K08 AI085190NIAID NIH HHS K08-AI-1085190NIAID NIH HHS L30 AI080151NIAID NIH HHS R01 AI020565NIAID NIH HHS R21 AI087985NIAID NIH HHS R21-AI-087985NIAID NIH HHS R37 AI020565NIAID NIH HHS U19 AI070364NIAID NIH HHS U19-AI-070364NIEHS NIH HHS P30 ES009089NIEHS NIH HHS P30-ES09089Wellcome Trust 072,405/Z/03/ZWellcome Trust 088862
6 · The paper itself

Abstract

rationaleIgE antibodies to the mammalian oligosaccharide galactose-α-1,3-galactose (α-gal) are common in the southeastern United States. These antibodies, which are induced by ectoparasitic ticks, can give rise to positive skin tests or serum assays with cat extract.

objectivesTo evaluate the relationship between IgE antibodies to α-gal and asthma, and compare this with the relationship between asthma and IgE antibodies to Fel d 1 and other protein allergens.

methodsPatients being investigated for recurrent anaphylaxis, angioedema, or acute urticaria underwent spirometry, exhaled nitric oxide, questionnaires, and serum IgE antibody assays. The results were compared with control subjects and cohorts from the emergency department in Virginia (n = 130), northern Sweden (n = 963), and rural Kenya (n = 131). MEASUREMENTS AND MAIN

resultsPatients in Virginia with high-titer IgE antibodies to α-gal had normal lung function, low levels of exhaled nitric oxide, and low prevalence of asthma symptoms. Among patients in the emergency department and children in Kenya, there was no association between IgE antibodies to α-gal and asthma (odds ratios, 1.04 and 0.75, respectively). In Sweden, IgE antibodies to cat were closely correlated with IgE antibodies to Fel d 1 (r = 0.83) and to asthma (P < 0.001).

conclusionsThese results provide a model of an ectoparasite-induced specific IgE response that can increase total serum IgE without creating a risk for asthma, and further evidence that the main allergens that are causally related to asthma are those that are inhaled.

Indexed as

AdolescentAdultAgedAged, 80 and overAnaphylaxisAnimalsAsthmaCase-Control StudiesChildDisaccharidesEmergency Service, HospitalFemaleHumansImmunoglobulin EMaleMiddle AgedDisaccharidesgalactosyl-(1-3)galactoseImmunoglobulin ENitric Oxide

Identifiers

PMID22281828
PMCPMC3326422
OpenAlexW2148630992

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.