Evidence map›Paper›PMID 26436865›Full record

ArticleClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2016

Distinct modulation of allergic T cell responses by subcutaneous vs. sublingual allergen-specific immunotherapy.

V Schulten, V Tripple, K Aasbjerg, V Backer, G Lund, P A Würtzen, A Sette, B Peters

Open access · greenAbstract read
In one paragraph

Article in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. EAACI Allergen Immunotherapy User's Guide.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2020
    Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Immunodominance in allergic T-cell reactivity to Japanese cedar in different geographic cohorts.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2016
    Article
  14. Sequence conservation predicts T cell reactivity against ragweed allergens.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2016
    Article
  15. 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
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 2 countries.

V SchultenLa Jolla Institute for Allergy & Immunology, La Jolla, CA, USA.
V TrippleLa Jolla Institute for Allergy & Immunology, La Jolla, CA, USA.
K AasbjergDepartment of Cardiology and Center for Cardiovascular Research, Aalborg University Hospital, Aalborg, Denmark.
V BackerRespiratory Research Unit, Department of Lung Medicine, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark.
G LundGlobal Research, ALK, Hoersholm, Denmark.
P A WürtzenGlobal Research, ALK, Hoersholm, Denmark.
A SetteLa Jolla Institute for Allergy & Immunology, La Jolla, CA, USA.
B PetersLa Jolla Institute for Allergy & Immunology, La Jolla, CA, USA.
La Jolla Institute for Immunology · USALK-Abelló (Denmark) · DKAalborg University Hospital · DKBispebjerg Hospital · DK

Funding

Understanding mechanisms in specific immunotherapy (SIT)U19AI100275 · NIAID · LA JOLLA INSTITUTE FOR IMMUNOLOGY · PI SETTE, ALESSANDRO · 2012 to 2017
$8.1M
NIAID NIH HHS HHSN272200700048CNIAID NIH HHS U19 AI100275PHS HHS HHSN272200700048C
6 · The paper itself

Abstract

backgroundAllergen-specific immunotherapy is the only curative treatment for type I allergy. It can be administered subcutaneously (SCIT) or sublingually (SLIT). The clinical efficacy of these two treatment modalities appears to be similar, but potential differences in the immunological mechanisms involved have not been fully explored.

objectiveTo compare changes in the allergen-specific T cell response induced by subcutaneous vs. sublingual administration of allergen-specific immunotherapy (AIT).

methodsGrass pollen-allergic patients were randomized into groups receiving either SCIT injections or SLIT tablets or neither. PBMCs were tested for Timothy grass (TG)-specific cytokine production by ELISPOT after in vitro expansion with TG-peptide pools. Phenotypic characterization of cytokine-producing cells was performed by FACS.

resultsIn the SCIT group, decreased IL-5 production was observed starting 10 months after treatment commenced. At 24 months, T cell responses showed IL-5 levels significantly below the before-treatment baseline. No significant reduction of IL-5 was observed in the SLIT or untreated group. However, a significant transient increase in IL-10 production after 10 months of treatment compared to baseline was detected in both treatment groups. FACS analysis revealed that IL-10 production was associated with CD4(+) T cells that also produced IFNγ and therefore may be associated with an IL-10-secreting type 1 cell phenotype. CONCLUSION AND CLINICAL RELEVANCE: The most dominant immunological changes on a cellular level were a decrease in IL-5 in the SCIT group and a significant, transient increase of IL-10 observed after 10 months of treatment in both treated groups. The distinct routes of AIT administration may induce different immunomodulatory mechanisms at the cellular level.

Indexed as

Sublingual ImmunotherapyAdultAllergensCase-Control StudiesCytokinesDesensitization, ImmunologicFemaleHumansHypersensitivityImmunoglobulin EMaleMiddle AgedPoaceaePollenT-LymphocytesYoung AdultAllergensCytokinesImmunoglobulin ESCITSLITT celltimothy grass allergy

Identifiers

PMID26436865
PMCPMC4767546
OpenAlexW1938860205

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.