Evidence map›Paper›PMID 24983946›Full record

Trial reportPloS one2014

Genomic responses during acute human anaphylaxis are characterized by upregulation of innate inflammatory gene networks.

Shelley F Stone, Anthony Bosco, Anya Jones, Claire L Cotterell, Pauline E van Eeden, Glenn Arendts, Daniel M Fatovich, Simon G A Brown

Open access · goldAbstract 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. The role of neutrophils in allergic disease.Clinical and experimental immunology · 2025
    Review
  3. Acute systemic myeloid inflammatory and stress response in severe food allergic reactions.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2023
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Systemic innate immune activation in food protein-induced enterocolitis syndrome.The Journal of allergy and clinical immunology · 2017
    Article
  9. Article
  10. 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

8 authors at 4 institutions in 1 country.

Shelley F StoneCentre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research and the University of Western Australia, Perth, Australia; Department of Emergency Medicine, Royal Perth Hospital, Perth, Australia.
Anthony BoscoTelethon Kids Institute and the Centre for Child Health Research, University of Western Australia, Perth, Australia.
Anya JonesTelethon Kids Institute and the Centre for Child Health Research, University of Western Australia, Perth, Australia.
Claire L CotterellCentre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research and the University of Western Australia, Perth, Australia; Department of Emergency Medicine, Royal Perth Hospital, Perth, Australia.
Pauline E van EedenCentre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research and the University of Western Australia, Perth, Australia; Department of Emergency Medicine, Royal Perth Hospital, Perth, Australia.
Glenn ArendtsCentre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research and the University of Western Australia, Perth, Australia; Department of Emergency Medicine, Royal Perth Hospital, Perth, Australia.
Daniel M FatovichCentre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research and the University of Western Australia, Perth, Australia; Department of Emergency Medicine, Royal Perth Hospital, Perth, Australia.
Simon G A BrownCentre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research and the University of Western Australia, Perth, Australia; Department of Emergency Medicine, Royal Perth Hospital, Perth, Australia.
University of Western Australia · AUHarry Perkins Institute of Medical Research · AURoyal Perth Hospital · AUThe Kids Research Institute Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystemic spread of immune activation and mediator release is required for the development of anaphylaxis in humans. We hypothesized that peripheral blood leukocyte (PBL) activation plays a key role.

objectiveTo characterize PBL genomic responses during acute anaphylaxis.

methodsPBL samples were collected at three timepoints from six patients presenting to the Emergency Department (ED) with acute anaphylaxis and six healthy controls. Gene expression patterns were profiled on microarrays, differentially expressed genes were identified, and network analysis was employed to explore underlying mechanisms.

resultsPatients presented with moderately severe anaphylaxis after oral aspirin (2), peanut (2), bee sting (1) and unknown cause (1). Two genes were differentially expressed in patients compared to controls at ED arrival, 67 genes at 1 hour post-arrival and 2,801 genes at 3 hours post-arrival. Network analysis demonstrated that three inflammatory modules were upregulated during anaphylaxis. Notably, these modules contained multiple hub genes, which are known to play a central role in the regulation of innate inflammatory responses. Bioinformatics analyses showed that the data were enriched for LPS-like and TNF activation signatures.

conclusionPBL genomic responses during human anaphylaxis are characterized by dynamic expression of innate inflammatory modules. Upregulation of these modules was observed in patients with different reaction triggers. Our findings indicate a role for innate immune pathways in the pathogenesis of human anaphylaxis, and the hub genes identified in this study represent logical candidates for follow-up studies.

Indexed as

Gene Regulatory NetworksGenome, HumanImmunity, InnateUp-RegulationAcute DiseaseAdolescentAdultAnaphylaxisFemaleHumansMaleMiddle AgedTime Factors

Identifiers

PMID24983946
PMCPMC4077795
OpenAlexW2051633469

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.