Evidence map›Paper›PMID 23273971›Full record

ArticleVaccine2013

Transcutaneous delivery of CpG-adjuvanted allergen via laser-generated micropores.

Michael Hessenberger, Richard Weiss, Esther E Weinberger, Christof Boehler, Josef Thalhamer, Sandra Scheiblhofer

Abstract read
In one paragraph

Article in Vaccine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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

20 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Laser-assisted skin delivery of immunocontraceptive rabies nanoparticulate vaccine in poloxamer gel.European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences · 2020
    Article
  9. Laser adjuvant for vaccination.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2020
    Review
  10. Delivery of allergen powder for safe and effective epicutaneous immunotherapy.The Journal of allergy and clinical immunology · 2020
    Article
  11. Article
  12. Cutaneous vaccination with coated microneedles prevents development of airway allergy.Journal of controlled release : official journal of the Controlled Release Society · 2017
    Article
  13. Laser-facilitated epicutaneous immunotherapy to IgE-mediated allergy.Journal of controlled release : official journal of the Controlled Release Society · 2016
    Article
  14. Nucleic acid delivery into skin for the treatment of skin disease: Proofs-of-concept, potential impact, and remaining challenges.Journal of controlled release : official journal of the Controlled Release Society · 2015
    Review
  15. Micro-fractional epidermal powder delivery for improved skin vaccination.Journal of controlled release : official journal of the Controlled Release Society · 2014
    Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. 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

6 authors.

Michael HessenbergerDepartment of Molecular Biology, Division of Allergy & Immunology, University of Salzburg, Hellbrunnerstrasse 34, 5020 Salzburg, Austria.
Richard Weiss
Esther E Weinberger
Christof Boehler
Josef Thalhamer
Sandra Scheiblhofer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTwo main shortcomings of classical allergen-specific immunotherapy are long treatment duration and low patient compliance. Utilizing the unique immunological features of the skin by transcutaneous application of antigen opens new approaches not only for painless vaccine delivery, but also for allergen-specific immunotherapy. Under certain conditions, however, barrier disruption of the skin favors T helper 2-biased immune responses, which may lead to new sensitizations.

methodsIn a prophylactic approach, an infra-red laser device was employed, producing an array of micropores of user-defined number, density, and depth on dorsal mouse skin. The grass pollen allergen Phl p 5 was administered by patch with or without the T helper 1-promoting CpG oligodeoxynucleotide 1826 as adjuvant, or was subcutaneously injected. Protection from allergic immune responses was tested by sensitization via injection of allergen adjuvanted with alum, followed by intranasal instillation. In a therapeutic setting, pre-sensitized mice were treated either by the standard method using subcutaneous injection or via laser-generated micropores. Sera were analyzed for IgG antibody subclass distribution by ELISA and for IgE antibodies by a basophil mediator release assay. Cytokine profiles from supernatants of re-stimulated lymphocytes and from bronchoalveolar lavage fluids were assessed by flow cytometry using a bead-based assay. The cellular composition of lavage fluids was determined by flow cytometry.

resultsApplication of antigen via micropores induced T helper 2-biased immune responses. Addition of CpG balanced the response and prevented from allergic sensitization, i.e. IgE induction, airway inflammation, and expression of T helper 2 cytokines. Therapeutic efficacy of transcutaneous immunotherapy was equal compared to subcutaneous injection, but was superior with respect to suppression of already established IgE responses.

conclusionsTranscutaneous immunotherapy via laser-generated micropores provides an efficient novel platform for treatment of type I allergic diseases. Furthermore, immunomodulation with T helper 1-promoting adjuvants can prevent the risk for new sensitization.

Indexed as

Administration, CutaneousLasersAdjuvants, ImmunologicAllergensAnimalsBronchoalveolar Lavage FluidCytokinesDesensitization, ImmunologicEnzyme-Linked Immunosorbent AssayEosinophilsFemaleImmunizationImmunoglobulin EImmunoglobulin GInflammationLymphocytesAdjuvants, ImmunologicAllergensCpG ODN 1826CytokinesImmunoglobulin EImmunoglobulin GOligodeoxyribonucleotidesAllergen-specific immunotherapyBALBALFBronchoalveolar lavageBronchoalveolar lavage fluidCpG oligodeoxynucleotidesImmunotherapyLaser microporationP.L.E.A.S.E.(®)Precise laser epidermal systemSCITSITSkin immunizationSLITSubcutaneous allergen-specific immunotherapySublingual allergen-specific immunotherapyTCITCITThT helperTranscutaneousTranscutaneous allergen-specific immunotherapyTranscutaneous immunizationType I allergy

Identifiers

PMID23273971
PMCPMC3724055

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.