Evidence map›Paper›PMID 26371841›Full record

ArticleThe Journal of allergy and clinical immunology2015

Chronic cat allergen exposure induces a TH2 cell-dependent IgG4 response related to low sensitization.

Amedee Renand, Luis D Archila, John McGinty, Erik Wambre, David Robinson, Belinda J Hales, Wayne R Thomas, William W Kwok

Open access · greenAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 48 citations in OpenAlex.

  1. Allergy to Cats: Current Perspectives and Therapeutic Options.Clinical and translational allergy · 2026
    Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Clinical and immunological evaluation of cat-allergic asthmatics living with or without a cat.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2021
    Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Immunotherapy for pet allergies.Human vaccines & immunotherapeutics · 2018
    Review
  14. Article
  15. Article
  16. Pathogenic CD4The Journal of allergy and clinical immunology · 2017
    Review
  17. Article
  18. Review
  19. Effect of allergen-specific immunotherapy on CD4+ T cells.Current opinion in allergy and clinical immunology · 2015
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Amedee RenandBenaroya Research Institute at Virginia Mason, Seattle, Wash.
Luis D ArchilaBenaroya Research Institute at Virginia Mason, Seattle, Wash.
John McGintyBenaroya Research Institute at Virginia Mason, Seattle, Wash.
Erik WambreBenaroya Research Institute at Virginia Mason, Seattle, Wash.
David Robinsonthe Asthma and Allergy Department, Virginia Mason Medical Center, Seattle, Wash.
Belinda J HalesTelethon Kids Institute, University of Western Australia, Subiaco, Australia.
Wayne R ThomasTelethon Kids Institute, University of Western Australia, Subiaco, Australia.
William W KwokBenaroya Research Institute at Virginia Mason, Seattle, Wash; Department of Medicine, University of Washington, Seattle, Wash. Electronic address: bkwok@benaroyaresearch.org.
Virginia Mason Medical Center · USThe Kids Research Institute Australia · AUBenaroya Research InstituteUniversity of Washington · US

Funding

NIAID NIH HHS HHSN272200700046CPHS HHS HHSN272200700046C
6 · The paper itself

Abstract

backgroundIn human subjects, allergen tolerance has been observed after high-dose allergen exposure or after completed allergen immunotherapy, which is related to the accumulation of anti-inflammatory IgG4. However, the specific T-cell response that leads to IgG4 induction during chronic allergen exposure remains poorly understood.

objectiveWe sought to evaluate the relationship between cat allergen-specific T-cell frequency, cat allergen-specific IgE and IgG4 titers, and clinical status in adults with cat allergy with and without cat ownership and the cellular mechanism by which IgG4 is produced.

methodsFel d 1-, Fel d 4-, Fel d 7-, and Fel d 8-specific T-cell responses were characterized by CD154 expression after antigen stimulation.

resultsIn allergic subjects without cat ownership, the frequency of cat allergen (Fel d 1 and Fel d 4)-specific TH2 (sTH2) cells correlates with higher IgE levels and is linked to asthma. Paradoxically, we observed that subjects with cat allergy and chronic cat exposure maintain a high frequency of sTH2 cells, which correlates with higher IgG4 levels and low sensitization. B cells from allergic, but not nonallergic subjects, are able to produce IgG4 after cognate interactions with sTH2 clones and Fel d 1 peptide or the Fel d 1 recombinant protein.

conclusionThese experiments suggest that (1) allergen-experienced B cells with the capacity to produce IgG4 are present in allergic subjects and (2) cat allergen exposure induces an IgG4 response in a TH2 cell-dependent manner. Thus IgG4 accumulation could be mediated by chronic activation of the TH2 response, which in turn drives desensitization.

Indexed as

AdultAgedAllergensAnimalsB-LymphocytesCatsHumansHypersensitivityImmunoglobulin EImmunoglobulin GMiddle AgedSkin TestsT-LymphocytesAllergensImmunoglobulin EImmunoglobulin Gallergen exposureallergen toleranceasthmaCat allergyCD154class II tetramerFel d 1Fel d 4IgG(4)T(H)2 cells

Identifiers

PMID26371841
PMCPMC4679456
OpenAlexW1655559647

What OpenQuestion holds

Textmetadata
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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.