Evidence map›Paper›PMID 24636474›Full record

ArticleThe Journal of allergy and clinical immunology2014

Peanut oral immunotherapy results in increased antigen-induced regulatory T-cell function and hypomethylation of forkhead box protein 3 (FOXP3).

Aleena Syed, Marco A Garcia, Shu-Chen Lyu, Robert Bucayu, Arunima Kohli, Satoru Ishida, Jelena P Berglund, Mindy Tsai, Holden Maecker, Gerri O'Riordan and 2 more

Open access · greenAbstract readClinical Trial, Phase IControlled Clinical Trial
In one paragraph

Article 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 244 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
244citing papers in PubMed, 1 pooled it
32.5field-weighted citation impact, top 1% 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

244 citing papers in PubMed, 1 synthesis or guideline pooled it, 479 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. HLA-DRAllergy · 2025
    Trial
  4. CD8Nature communications · 2022
    Trial
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  14. High- and low-dose oral immunotherapy similarly suppress pro-allergic cytokines and basophil activation in young children.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2019
    Trial
  15. Trial
  16. Trial
  17. Omalizumab facilitates rapid oral desensitization for peanut allergy.The Journal of allergy and clinical immunology · 2017
    Trial
  18. Trial
  19. Article
  20. Review

184 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

12 authors at 1 institution in 1 country.

Aleena SyedDivision of Allergy, Immunology and Rheumatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, Calif.
Marco A GarciaDivision of Allergy, Immunology and Rheumatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, Calif.
Shu-Chen LyuDivision of Allergy, Immunology and Rheumatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, Calif.
Robert BucayuDivision of Allergy, Immunology and Rheumatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, Calif.
Arunima KohliDivision of Allergy, Immunology and Rheumatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, Calif.
Satoru IshidaDivision of Allergy, Immunology and Rheumatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, Calif.
Jelena P BerglundDuke Translational Medicine Institute, Regulatory Affairs, Durham, NC.
Mindy TsaiDepartment of Pathology, Stanford University School of Medicine, Stanford, Calif.
Holden MaeckerDepartment of Microbiology & Immunology, Stanford University School of Medicine, Stanford, Calif.
Gerri O'RiordanDivision of Allergy, Immunology and Rheumatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, Calif.
Stephen J GalliDepartment of Pathology, Stanford University School of Medicine, Stanford, Calif; Department of Microbiology & Immunology, Stanford University School of Medicine, Stanford, Calif.
Kari C NadeauDivision of Allergy, Immunology and Rheumatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, Calif. Electronic address: knadeau@stanford.edu.
Stanford University · US

Funding

Pilot Project for the DTMI CRA ProgramUL1RR024128 · NCRR · DUKE UNIVERSITY · PI CALIFF, ROBERT M · 2006 to 2010
$48.1M
Tracking allergen specific T cells in multi-food allergyU19AI104209 · NIAID · STANFORD UNIVERSITY · PI GALLI, STEPHEN JOSEPH · 2013 to 2025
$17.3M
SEAL (Stopping Atopic dermatitis and ALlergy) Study: Prevent allergy by enhancing the skin barrierU01AI147462 · NIAID · STANFORD UNIVERSITY · PI Mary Johnson, GIDEON LACK · 2020 to 2026
$14.0M
Stanford Center for Clinical and Translational Education and Research (SCCTER)UL1UL1TR000093 · NCATS · STANFORD UNIVERSITY · PI GREENBERG, HARRY BERNARD · 2012 to 2013
$6.5M
Project 3: Ambient Pollutants/Bioaerosol Effects on Treg FunctionP20ES018173 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI TAGER, IRA B · 2010 to 2012
$895k
NCATS NIH HHS TR000093NCATS NIH HHS UL1 TR000093NCRR NIH HHS UL1 RR024128NCRR NIH HHS UL1RR024128NIAID NIH HHS R21 1R21AI09583801NIAID NIH HHS U01 AI147462NIAID NIH HHS U19 AI104209NIEHS NIH HHS P20 ES018173
6 · The paper itself

Abstract

backgroundThe mechanisms contributing to clinical immune tolerance remain incompletely understood. This study provides evidence for specific immune mechanisms that are associated with a model of operationally defined clinical tolerance.

objectiveOur overall objective was to study laboratory changes associated with clinical immune tolerance in antigen-induced T cells, basophils, and antibodies in subjects undergoing oral immunotherapy (OIT) for peanut allergy.

methodsIn a phase 1 single-site study, we studied participants (n = 23) undergoing peanut OIT and compared them with age-matched allergic control subjects (n = 20) undergoing standard of care (abstaining from peanut) for 24 months. Participants were operationally defined as clinically immune tolerant (IT) if they had no detectable allergic reactions to a peanut oral food challenge after 3 months of therapy withdrawal (IT, n = 7), whereas those who had an allergic reaction were categorized as nontolerant (NT; n = 13).

resultsAntibody and basophil activation measurements did not statistically differentiate between NT versus IT participants. However, T-cell function and demethylation of forkhead box protein 3 (FOXP3) CpG sites in antigen-induced regulatory T cells were significantly different between IT versus NT participants. When IT participants were withdrawn from peanut therapy for an additional 3 months (total of 6 months), only 3 participants remained classified as IT participants, and 4 participants regained sensitivity along with increased methylation of FOXP3 CpG sites in antigen-induced regulatory T cells.

conclusionIn summary, modifications at the DNA level of antigen-induced T-cell subsets might be predictive of a state of operationally defined clinical immune tolerance during peanut OIT.

Indexed as

Desensitization, ImmunologicAdministration, OralAdolescentAdultAntigensArachisChildChild, PreschoolDendritic CellsDouble-Blind MethodFemaleForkhead Transcription FactorsHumansImmune ToleranceImmunoglobulin EImmunoglobulin GAntigensForkhead Transcription FactorsFOXP3 protein, humanImmunoglobulin EImmunoglobulin Gai-TregallergyAntigen-induced regulatory TAntigen-presenting cellAPCCarboxyfluorescein succinimidyl esterCD40LCD40 ligandCFSEDBPCFCDCDendritic celldesensitizationDouble-blind, placebo-controlled food challengeEffector CD4(+) TepigeneticsFood allergyforkhead box protein 3Forkhead box protein 3FOXP3Immune tolerantInduced regulatory TITiTregLAG3Lymphocyte activation gene 3Mean fluorescence intensityMFINatural regulatory TNonspecific regulatory TNontolerantns-TregNTnTregOFCOITOral food challengeoral immunotherapyOral immunotherapypeanutRegulatory TSkin prick testSPTTefftoleranceT(R)1TregT regulatory cellsType 1 regulatory T

Identifiers

PMID24636474
PMCPMC4121175
OpenAlexW1969953062

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.