Evidence map›Paper›PMID 24647473›Full record

Trial reportPloS one2014

In vivo and in vitro studies of Th17 response to specific immunotherapy in house dust mite-induced allergic rhinitis patients.

Chun Wei Li, Han Gui Lu, De Hua Chen, Zhi Bin Lin, De Yun Wang, Tian Ying Li

Abstract readClinical Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. The role of regulatory T cells in allergic rhinitis and their correlation with IL-10, IL-17 and neopterin levels in serum and nasal lavage fluid.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2020
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Basic science for the clinician: Mechanisms of sublingual and subcutaneous immunotherapy.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2016
    Review
  11. ThAllergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2016
    Article
  12. 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

6 authors.

Chun Wei LiDepartment of Otolaryngology, National University of Singapore, National University Health System, Singapore, Singapore.
Han Gui LuDepartment of Otorhinolaryngology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China; Department of Otolaryngology-Head and Neck Surgery, Shantou Central Hospital of Sun Yat-sen University, Shantou, China.
De Hua ChenDepartment of Otorhinolaryngology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China; Department of Allergy, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Zhi Bin LinDepartment of Otorhinolaryngology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China; Department of Allergy, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
De Yun WangDepartment of Otolaryngology, National University of Singapore, National University Health System, Singapore, Singapore.
Tian Ying LiDepartment of Otorhinolaryngology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China; Department of Allergy, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledT helper (Th)17 cells have been implicated in the development of allergic rhinitis (AR), but their response to specific immunotherapy (SIT) remains unclear. We investigated the impact of SIT on Th17 response and Th1/Th2 changes in AR patients. Blood samples from AR patients (n = 20) who were monosensitized to house dust mite (HDM) were collected before the initiation of SIT (SIT-untreated) and after the end of 2-year SIT (SIT-treated) treatment. Twenty healthy volunteers were recruited as controls. In vitro HDM stimulation in peripheral blood mononuclear cells (PBMCs) was also performed. Expression levels of Th17 associated genes were determined in both PBMCs and plasma by PCR and ELISA, while Th17/Th1/Th2/IL10 producing cell proportions were evaluated in PBMCs by flow cytometry. The SIT effect was evaluated by assessing clinical symptoms. mRNA levels of Th17 specific genes (IL17 and RORC) were increased in SIT-untreated AR versus controls, and decreased following SIT treatment. SIT can change the production of Th17 associated genes (reduction of IL17, IL6, and IL23, but increase of IL27) in plasma from AR patients. Th2/Th1 ratio and proportions of Th17 cells were suppressed while IL10 producing CD4+ T cells were elevated after SIT. In vitro HDM challenge presents concordant patterns with in vivo findings: 1) increase of Th2 and Th17 response in AR patients; 2) suppression of IL10 producing CD4+ T cells in SIT-untreated AR but elevation in SIT-treated AR patients. Most importantly, a positive correlation between IL17 mRNA/protein levels and clinical symptom scores was observed. SIT significantly inhibits Th17 mediated inflammation in AR and IL17 may be a useful biomarker for both AR severity and SIT therapeutic effect.

trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12613000445774.

Indexed as

ImmunityImmunotherapyAdultAnimalsCytokinesFemaleGene Expression RegulationHumansLymphocyte SubsetsMalePyroglyphidaeReal-Time Polymerase Chain ReactionRhinitis, AllergicRNA, MessengerTh17 CellsVisual Analog ScaleCytokinesRNA, Messenger

Identifiers

PMID24647473
PMCPMC3960160

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.