Evidence map›Paper›PMID 23374269›Full record

ArticleThe Journal of allergy and clinical immunology2013

Epicutaneous sensitization results in IgE-dependent intestinal mast cell expansion and food-induced anaphylaxis.

Lisa M Bartnikas, Michael F Gurish, Oliver T Burton, Sabine Leisten, Erin Janssen, Hans C Oettgen, Jacqueline Beaupré, Christopher N Lewis, K Frank Austen, Stephanie Schulte and 3 more

Abstract read
In one paragraph

Article in The Journal of 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 93 papers.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed
7.8field-weighted citation impact, top 2% 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

93 citing papers in PubMed, 188 citations in OpenAlex.

  1. Context-dependent regulation of mast cell-mediated food allergy in C57BL/6J mice.The Journal of allergy and clinical immunology · 2026
    Article
  2. Hidden immune memory niches in inflammatory skin diseases.bioRxiv : the preprint server for biology · 2026
    Article
  3. Article
  4. Hyaluronic Acid ProfhiloMedicina (Kaunas, Lithuania) · 2026
    Article
  5. Dietary Antigen Interaction with Intestinal Epithelial Cells.Current allergy and asthma reports · 2026
    Review
  6. Article
  7. Article
  8. Constitutively high levels of endogenous soluble ST2 inhibit food allergic responses in mice.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Early-Life Allergen Exposure and Its Influence on Risk of Atopic Disease.The journal of allergy and clinical immunology. In practice · 2025
    Review
  18. Article
  19. Article
  20. Review

33 more citing papers are in PubMed but not listed here.

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

13 authors at 2 institutions in 1 country.

Lisa M BartnikasDivision of Immunology, Boston Children's Hospital, Boston, Mass 02115, USA.
Michael F Gurish
Oliver T Burton
Sabine Leisten
Erin Janssen
Hans C Oettgen
Jacqueline Beaupré
Christopher N Lewis
K Frank Austen
Stephanie Schulte
Jason L Hornick
Raif S Geha
Michiko K Oyoshi
Harvard University · USBoston Children's Hospital · US

Funding

MOLECULAR BASIS OF ALLERGIC AND IMMUNOLOGIC DISEASET32AI007512 · NIAID · CHILDREN'S HOSPITAL BOSTON · PI Janet Chou, Peter A Nigrovic · 1996 to 2026
$13.1M
IMMUNOLOGIC MECHANISMS OF ATOPIC DERMATITISR01AR047417 · NIAMS · CHILDREN'S HOSPITAL BOSTON · PI GEHA, RAIF SALIM · 2001 to 2011
$3.5M
Mechanisms of Pulmonary Mast Cell Recruitment and MaturationR01AI083516 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI GURISH, MICHAEL FAGERSTEN · 2009 to 2012
$1.6M
Role of IL-4R-alpha signaling in food allergen sensitization and anaphylaxisR56AI100889 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI OETTGEN, HANS C · 2012 to 2012
$290k
NIAID NIH HHS HHSN272201000020CNIAID NIH HHS HHSN272201000020INIAID NIH HHS R01 AI083516NIAID NIH HHS R01-AI083516NIAID NIH HHS R56 AI100889NIAID NIH HHS R56AI100889-01NIAID NIH HHS T32 AI007512NIAID NIH HHS T32-AI-007512NIAMS NIH HHS AR-047417NIAMS NIH HHS R01 AR047417NIDDK NIH HHS P30 DK34845
6 · The paper itself

Abstract

backgroundSensitization to food antigen can occur through cutaneous exposure.

objectiveWe sought to test the hypothesis that epicutaneous sensitization with food antigen predisposes to IgE-mediated anaphylaxis on oral allergen challenge.

methodsBALB/c mice were epicutaneously sensitized by repeated application of ovalbumin (OVA) to tape-stripped skin over 7 weeks or orally immunized with OVA and cholera toxin (CT) weekly for 8 weeks and then orally challenged with OVA. Body temperature was monitored, and serum mouse mast cell protease 1 levels were determined after challenge. Tissue mast cell (MC) counts were examined by using chloroacetate esterase staining. Levels of serum OVA-specific IgE and IgG(1) antibodies and cytokines in supernatants of OVA-stimulated splenocytes were measured by means of ELISA. Serum IL-4 levels were measured by using an in vivo cytokine capture assay.

resultsEpicutaneously sensitized mice exhibited expansion of connective tissue MCs in the jejunum, increased serum IL-4 levels, and systemic anaphylaxis after oral challenge, as evidenced by decreased body temperature and increased serum mouse mast cell protease 1 levels. Intestinal MC expansion and anaphylaxis were IgE dependent because they did not occur in epicutaneously sensitized IgE(-/-) mice. Mice orally immunized with OVA plus CT did not have increased serum IL-4 levels, expanded intestinal MCs, or anaphylaxis after oral challenge, despite OVA-specific IgE levels and splenocyte cytokine production in response to OVA stimulation, which were comparable with those of epicutaneously sensitized mice.

conclusionEpicutaneously sensitized mice, but not mice orally immunized with antigen plus CT, have expansion of intestinal MCs and IgE-mediated anaphylaxis after single oral antigen challenge. IgE is necessary but not sufficient for food anaphylaxis, and MC expansion in the gut can play an important role in the development of anaphylaxis.

Indexed as

Administration, CutaneousAllergensAnaphylaxisAnimalsAntibodiesAntigensBody TemperatureChemokine CCL2Cholera ToxinFood HypersensitivityImmunoglobulin EImmunoglobulin GInterleukin-4JejunumMast CellsMiceAllergensAntibodiesAntigensCcl2 protein, mouseChemokine CCL2Cholera ToxinImmunoglobulin EImmunoglobulin GInterleukin-4Ovalbumin

Identifiers

PMID23374269
PMCPMC3587010
OpenAlexW2107561848

What OpenQuestion holds

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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.