Evidence map›Paper›PMID 24433703›Full record

ReviewThe Journal of allergy and clinical immunology2014

Mechanisms underlying the neuronal-based symptoms of allergy.

Bradley J Undem, Thomas Taylor-Clark

Abstract readReview
In one paragraph

Review in The Journal of allergy and clinical immunology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed
7.5field-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

97 citing papers in PubMed, 197 citations in OpenAlex.

  1. Trial
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  9. Review
  10. Neuroplasticity and neuroimmune interactions with type 2 inflammation in asthma.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Recent Studies and Prospects of Biologics in Allergic Rhinitis Treatment.International journal of molecular sciences · 2025
    Review
  17. Article
  18. Review
  19. Article
  20. Review

37 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

2 authors at 2 institutions in 1 country.

Bradley J UndemDivision of Allergy & Clinical Immunology, Johns Hopkins School of Medicine, Baltimore, Md. Electronic address: bundem@jhmi.edu.
Thomas Taylor-ClarkDepartment of Molecular Pharmacology & Physiology, Morsani College of Medicine, University of South Florida, Tampa, Fla.
Johns Hopkins Medicine · USUniversity of South Florida · US

Funding

Mitochondrial reactive oxygen species induce airway sensory nerve activityR01HL119802 · NHLBI · UNIVERSITY OF SOUTH FLORIDA · PI TAYLOR-CLARK, THOMAS EDWARD · 2013 to 2017
$2.0M
NHLBI NIH HHS R01 HL119802
6 · The paper itself

Abstract

Persons with allergies present with symptoms that often are the result of alterations in the nervous system. Neuronally based symptoms depend on the organ in which the allergic reaction occurs but can include red itchy eyes, sneezing, nasal congestion, rhinorrhea, coughing, bronchoconstriction, airway mucus secretion, dysphagia, altered gastrointestinal motility, and itchy swollen skin. These symptoms occur because mediators released during an allergic reaction can interact with sensory nerves, change processing in the central nervous system, and alter transmission in sympathetic, parasympathetic, and enteric autonomic nerves. In addition, evidence supports the idea that in some subjects this neuromodulation is, for reasons poorly understood, upregulated such that the same degree of nerve stimulus causes a larger effect than seen in healthy subjects. There are distinctions in the mechanisms and nerve types involved in allergen-induced neuromodulation among different organ systems, but general principles have emerged. The products of activated mast cells, other inflammatory cells, and resident cells can overtly stimulate nerve endings, cause long-lasting changes in neuronal excitability, increase synaptic efficacy, and also change gene expression in nerves, resulting in phenotypically altered neurons. A better understanding of these processes might lead to novel therapeutic strategies aimed at limiting the suffering of those with allergies.

Indexed as

NeuroimmunomodulationAfferent PathwaysAllergensAnimalsAutonomic PathwaysCentral Nervous SystemEnteric Nervous SystemGanglia, SensoryHumansHypersensitivityNeuronsPhenotypeAllergensaction potentialafferentairwaysallergenAllergyanti-inflammatoryautonomicbronchospasmC-fibercoughcritical periodscytokinedegranulationdepolarizationdorsal rootdysfunctionefferententericeyegangliaguthistaminehypersecretionIgEinflammationinnervationion channelirritantitchjugularleukotrienelungsmast cellmast cell mediatorsmast cell-nerve interactionsmotilitymyentericnervenociceptornodosenucleus tractus solitariouspainparasympatheticphenotypic switchplasticityprostaglandinreceptorreflexsensoryskinsteroidssympatheticsymptomstransient receptor potential channelstrigeminalvagal

Identifiers

PMID24433703
PMCPMC6483074
OpenAlexW2064481223

What OpenQuestion holds

Textmetadata
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.