Evidence map›Paper›PMID 26810716›Full record

ArticleThe Journal of allergy and clinical immunology2016

Epicutaneous immunization with ovalbumin and CpG induces TH1/TH17 cytokines, which regulate IgE and IgG2a production.

Monika Majewska-Szczepanik, Philip W Askenase, Francis M Lobo, Katarzyna Marcińska, Li Wen, Marian Szczepanik

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.0field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 24 citations in OpenAlex.

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  10. Delivery of allergen powder for safe and effective epicutaneous immunotherapy.The Journal of allergy and clinical immunology · 2020
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Monika Majewska-SzczepanikDepartment of Medical Biology, Health Science Faculty, Jagiellonian University Medical College, Krakow, Poland.
Philip W AskenaseSection of Allergy and Clinical Immunology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Conn.
Francis M LoboSection of Allergy and Clinical Immunology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Conn.
Katarzyna MarcińskaDepartment of Medical Biology, Health Science Faculty, Jagiellonian University Medical College, Krakow, Poland.
Li WenDepartment of Internal Medicine, Section of Endocrinology, Yale University School of Medicine, New Haven, Conn.
Marian SzczepanikDepartment of Medical Biology, Health Science Faculty, Jagiellonian University Medical College, Krakow, Poland. Electronic address: mmszczep@cyf-kr.edu.pl.
Jagiellonian University · PLYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI Kevan C Herold, GERALD I SHULMAN · 1993 to 2026
$44.0M
Role of TLR9 in Beta Cell Function and DiabetesR01DK092882 · NIDDK · YALE UNIVERSITY · PI WEN, LI · 2012 to 2016
$1.8M
Dendritic cells in immuno-metabolic disorder in mouse and manR01DK100500 · NIDDK · YALE UNIVERSITY · PI WEN, LI · 2014 to 2017
$1.4M
Environment, innate immunity and type 1 diabetesR01DK088181 · NIDDK · YALE UNIVERSITY · PI WEN, LI · 2010 to 2013
$1.4M
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS P30 DK045735NIDDK NIH HHS R01 DK088181NIDDK NIH HHS R01 DK092882NIDDK NIH HHS R01 DK100500
6 · The paper itself

Abstract

backgroundSubcutaneous allergen-specific immunotherapy is a standard route for the immunotherapy of allergic diseases. It modulates the course of allergy and can generate long-term remission. However, subcutaneous allergen-specific immunotherapy can also induce anaphylaxis in some patients, and therefore additional routes of administration should be investigated to improve the safety and tolerability of immunotherapy.

objectiveWe sought to determine whether epicutaneous treatment with antigen in the presence of a Toll-like receptor 9 agonist can suppress TH2-mediated responses in an antigen-specific manner.

methodsEpicutaneous immunization was performed by applying a skin patch soaked with ovalbumin (OVA) plus CpG, and its suppressor activity was determined by using the mouse model of atopic dermatitis. Finally, adoptive cell transfers were implemented to characterize the regulatory cells that are induced by epicutaneous immunization.

resultsEpicutaneous immunization with OVA and CpG reduces the production of OVA-specific IgE and increases the synthesis of OVA-specific IgG2a antibodies in an antigen-specific manner. Moreover, eosinophil peroxidase activity in the skin and production of IL-4, IL-5, IL-10, and IL-13 are suppressed. The observed reduction of IgE synthesis is transferable with T-cell receptor (TCR) αβ(+)CD4(+)CD25(-) cells, whereas IgG2a production is dependent on both TCRαβ(+) and TCRγδ(+) T cells. Further experiments show that the described phenomenon is myeloid differentiation primary response 88, IFN-γ, and IL-17A dependent. Finally, the results suggest that epicutaneous immunization with OVA and CpG decreases the synthesis of OVA-specific IgE and skin eosinophil peroxidase activity in mice with ongoing skin allergy.

conclusionEpicutaneous application of protein antigen in the presence of adjuvant could be an attractive needle-free and self-administered immunotherapy for allergic diseases.

Indexed as

OligodeoxyribonucleotidesCytokinesImmunizationImmunoglobulin EImmunoglobulin GLigandsLymphocyte ActivationMyeloid Differentiation Factor 88OvalbuminReceptors, Antigen, T-Cell, alpha-betaSkinTh17 CellsTh1 CellsT-Lymphocyte SubsetsToll-Like Receptor 9CytokinesImmunoglobulin EImmunoglobulin GLigandsMyeloid Differentiation Factor 88OligodeoxyribonucleotidesOvalbuminReceptors, Antigen, T-Cell, alpha-betaToll-Like Receptor 9atopic dermatitiseosinophil peroxidaseEpicutaneous immunizationIgEIgG(2a)T(H)1T(H)17Toll-like receptor 9

Identifiers

PMID26810716
PMCPMC5278675
OpenAlexW2279860583

What OpenQuestion holds

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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.