Evidence map›Paper›PMID 24184145›Full record

ArticleThe Journal of allergy and clinical immunology2013

Diminished allergic disease in patients with STAT3 mutations reveals a role for STAT3 signaling in mast cell degranulation.

Andrea M Siegel, Kelly D Stone, Glenn Cruse, Monica G Lawrence, Ana Olivera, Mi-yeon Jung, John S Barber, Alexandra F Freeman, Steven M Holland, Michelle O'Brien and 9 more

Erratum issuedOpen access · bronzeAbstract 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. An erratum has been issued. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
4.7field-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

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 125 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Understanding and Managing Hyper IgE Syndromes.ImmunoTargets and therapy · 2025
    Review
  8. The genetics of hyper IgE syndromes.Frontiers in immunology · 2025
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. TThe Journal of allergy and clinical immunology · 2024
    Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

  • Erratum issued
    Nelson, Celeste G [added]
5 · Who and what money

Authors and funding

19 authors at 3 institutions in 1 country.

Andrea M SiegelLaboratory of Allergic Diseases, National Institute of Allergy and Infectious Diseases, Bethesda, Md.
Kelly D Stone
Glenn Cruse
Monica G Lawrence
Ana Olivera
Mi-yeon Jung
John S Barber
Alexandra F Freeman
Steven M Holland
Michelle O'Brien
Nina Jones
Celeste G Nelson
Laura B Wisch
Heidi H Kong
Avanti Desai
Orly Farber
Alasdair M Gilfillan
Juan Rivera
Joshua D Milner
National Institute of Allergy and Infectious Diseases · USNational Institute of Arthritis and Musculoskeletal and Skin Diseases · USNational Institutes of Health · US

Funding

Transgenic Animal Models Of Human Immune DefectsZIAAI000646 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI HOLLAND, STEVEN · 2009 to 2025
$22.2M
Genetic and Pathophysiologic Study of Atopic DiseaseZIAAI001183 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI MILNER, JOSHUA · 2013 to 2019
$8.7M
Pathogenesis and Treatment of Atopic DermatitisZIAAI001098 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI MILNER, JOSHUA · 2009 to 2019
$6.5M
TRAINING IN IMMUNOLOGY AND MOLECULAR PATHOGENESIST32AI007610 · NIAID · EMORY UNIVERSITY · PI EVAVOLD, BRIAN D · 2000 to 2014
$4.4M
Intramural NIH HHS ZIA AI001183NIAID NIH HHS T32 AI007610
6 · The paper itself

Abstract

backgroundSevere atopic conditions associated with elevated serum IgE are heterogeneous with few known causes. Nearly every patient with autosomal-dominant hyper-IgE syndrome (AD-HIES) due to signal transducer and activator of transcription 3 (STAT3) mutations has a history of eczematous dermatitis and elevated IgE; however, clinical atopy has never been systematically studied.

objectiveUnderstanding of genetic determinants of allergic disease may lead to novel therapies in controlling allergic disease.

methodsWe conducted clinical evaluation of the rates of food allergies and anaphylaxis in patients with AD-HIES, a cohort of patients with no STAT3 mutation but with similar histories of elevated IgE and atopic dermatitis, and healthy volunteers with no history of atopy. Morphine skin prick testing, ImmunoCAP assays for allergen-specific IgE, and basophil activation were measured. A model of systemic anaphylaxis was studied in transgenic mice carrying an AD-HIES mutation. STAT3 was silenced in LAD2 and primary human mast cells to study the role of STAT3 in signaling and degranulation after IgE cross-linking.

resultsFood allergies and anaphylaxis were markedly diminished in patients with AD-HIES compared with a cohort of patients with no STAT3 mutation but with similar histories of elevated IgE and atopic dermatitis. Morphine skin prick testing and basophil activation were diminished in patients with AD-HIES, whereas mice carrying an AD-HIES mutation were hyporesponsive to systemic anaphylaxis models. Rapid mast cell STAT3 serine727 phosphorylation was noted after IgE cross-linking, and inhibition of STAT3 signaling in mast cells lead to impaired FcεRI-mediated proximal and distal signaling, as well as reduced degranulation.

conclusionThis study serves as an example for how mutations in specific atopic pathways can lead to discrete allergic phenotypes, encompassing increased risk of some phenotypes but a relative protection from others.

Indexed as

AdolescentAdultAgedAnimalsCell DegranulationCells, CulturedChildChild, PreschoolDermatitis, AtopicFemaleFood HypersensitivityHumansImmunoglobulin EIncidenceInfantJob SyndromeImmunoglobulin ESTAT3 Transcription Factor2,4-DinitrophenolAD-HIESAutosomal dominant hyper-IgE syndromeBasophile stimulation bufferBSBdegranulationDNPERKExtracellular signal-regulated kinaseJob syndromemast cellNational Institutes of HealthNIHPEPhycoerythrinShort hairpin RNAshRNAsignal transducer and activator of transcription 3Signal transducer and activator of transcription 3STAT3

Identifiers

PMID24184145
PMCPMC3881191
OpenAlexW2158823847

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

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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.