Evidence map›Paper›PMID 23331558›Full record

ReviewClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2013

Mechanisms of tolerance induction in allergic disease: integrating current and emerging concepts.

J Wisniewski, R Agrawal, J A Woodfolk

Open access · greenAbstract readReview
In one paragraph

Review in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.0field-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

24 citing papers in PubMed, 74 citations in OpenAlex.

  1. Neuronal-Immune Cell Units in Allergic Inflammation in the Nose.International journal of molecular sciences · 2022
    Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Atopic dermatitis and atopic march: which link?Acta bio-medica : Atenei Parmensis · 2021
    Article
  7. Increases in plasma IgG4/IgE with trilipid vs paraffin/petrolatum-based emollients for dry skin/eczema.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2020
    Article
  8. Review
  9. Article
  10. Article
  11. Why Don't We Have a Vaccine Against Autoimmune Diseases? - A Review.Journal of clinical & cellular immunology · 2019
    Article
  12. Review
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  15. Review
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  19. Analysis of cytokine production by peanut-reactive T cells identifies residual Th2 effectors in highly allergic children who received peanut oral immunotherapy.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2015
    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

3 authors at 1 institution in 1 country.

J WisniewskiDepartment of Medicine, University of Virginia Health System, Charlottesville, VA 22908-1355, USA.
R Agrawal
J A Woodfolk
University of Virginia Health System · US

Funding

Immune Response to Cat: Regulatory and Effector T CellsR01AI052196 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI WOODFOLK, JUDITH A · 2004 to 2013
$2.9M
Regulation of TSLP receptor expression and function in eczema in mice and manR01AR059058 · NIAMS · UNIVERSITY OF VIRGINIA · PI WOODFOLK, JUDITH A, ZIEGLER, STEVEN F · 2011 to 2015
$2.7M
NIAID NIH HHS R01 AI052196NIAMS NIH HHS R01 AR059058
6 · The paper itself

Abstract

The prevalence of atopy and allergic disease continues to escalate worldwide. Defining immune mechanisms that suppress the underlying Th2-driven inflammatory process is critical for the rational design of new treatments to prevent or attenuate disease. Allergen immunotherapy has provided a useful framework for evaluating changes in the immune response that occur during the development of tolerance. Despite this, elucidating the phenotypic and functional properties of regulatory cells, has proven challenging in humans with allergic disease. This article provides an overview of our current understanding of the immune pathways that orchestrate allergen tolerance, with an emphasis on emerging concepts related to human disease. A variety of regulatory cell types, including IL-10-secreting T and B cells, play a pivotal role in suppressing allergic responses to inhaled, ingested and injected allergens. These cells may inhibit Th2 effectors directly, or else indirectly, through other cell types and mediators. Protective antibodies, including IgG4, Fc sialylated IgG, and IgA, have the capacity to modulate the response by preventing allergen binding to surface-bound IgE, or inhibiting dendritic cell maturation. Immune cell plasticity may augment suppression of Th2 cells by T regulatory cells, through mechanisms that involve T cell conversion, or else unconventional roles of classical effector cells. These actions depend upon external cues provided by the in vivo milieu. As such, specific anatomical sites may preferentially favour tolerance induction. Recent scientific advances now allow a global analysis of immune parameters that capture novel markers of tolerance induction in allergic patients. Such markers could provide new molecular targets for assessing tolerance, and for designing treatments that confer long-lasting protection in a safe and efficacious fashion.

Indexed as

Desensitization, ImmunologicAllergensAnimalsAntibodiesB-LymphocytesGastrointestinal TractHumansHypersensitivityImmune ToleranceInterleukin-10T-Lymphocytes, RegulatoryAllergensAntibodiesInterleukin-10

Identifiers

PMID23331558
PMCPMC4547464
OpenAlexW1977169979

What OpenQuestion holds

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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.