Evidence map›Paper›PMID 27221135›Full record

ArticleThe Journal of allergy and clinical immunology2017

β-Glucan exacerbates allergic asthma independent of fungal sensitization and promotes steroid-resistant T

Zhonghua Zhang, Jocelyn M Biagini Myers, Eric B Brandt, Patrick H Ryan, Mark Lindsey, Rachael A Mintz-Cole, Tiina Reponen, Stephen J Vesper, Frank Forde, Brandy Ruff and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 3% 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

60 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Indoor and Outdoor Fungal Allergens and Impacts on Respiratory Allergic Disease.The journal of allergy and clinical immunology. In practice · 2025
    Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Gut Mycobiome and Asthma.Journal of fungi (Basel, Switzerland) · 2024
    Review
  14. Immunopathologic Role of Fungi in Chronic Rhinosinusitis.International journal of molecular sciences · 2023
    Review
  15. Review
  16. Article
  17. The role of the CBM complex in allergic inflammation and disease.The Journal of allergy and clinical immunology · 2022
    Review
  18. International journal of molecular sciences · 2022
    Article
  19. Article
  20. 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

16 authors at 4 institutions in 2 countries.

Zhonghua ZhangDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Jocelyn M Biagini MyersDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Eric B BrandtDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Patrick H RyanDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Mark LindseyDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Rachael A Mintz-ColeDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Tiina ReponenDepartment of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Stephen J VesperEnvironmental Protection Agency, Cincinnati, Ohio.
Frank FordeDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Brandy RuffDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Stacey A BassDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Grace K LeMastersDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio; Department of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio.
David I BernsteinDepartment of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio.
James LockeyDepartment of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Alison L BudelskyDepartment of Inflammation Research, Amgen, Seattle, Wash.
Gurjit K Khurana HersheyDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio. Electronic address: Gurjit.Hershey@cchmc.org.
University of Cincinnati Medical Center · USCincinnati Children's Hospital Medical Center · USAmgen (Germany) · DEOhio Environmental Protection Agency · US

Funding

REPRODUCTIVE AND DEVELOPMENTAL TOXICOLOGY RESEARCHP30ES006096 · NIEHS · UNIVERSITY OF CINCINNATI · PI YADAV, JAGJIT S · 1992 to 2022
$35.4M
TSLP, IL-9-producing mucosal mast cells, and allergic inflammationU19AI070235 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI Gurjit K. Khurana Hershey · 2006 to 2026
$31.3M
Molecular Epidemiology in Children's Environmental Health Training Program (MECEH)T32ES010957 · NIEHS · UNIVERSITY OF CINCINNATI · PI Kelly J Brunst · 2001 to 2026
$11.1M
Diesel, Allergens and Gene Interaction and Child AtopyR01ES011170 · NIEHS · UNIVERSITY OF CINCINNATI · PI LEMASTERS, GRACE · 2001 to 2009
$10.4M
Neurobehavioral and Neuroimaging Effects of Traffic Exposure in ChildrenR01ES019890 · NIEHS · CINCINNATI CHILDRENS HOSP MED CTR · PI RYAN, PATRICK H · 2012 to 2016
$3.1M
Ruth L. Kirschstein National Research Service Award Short-Term Institutional ReseT35HL113229 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI Raouf S. Amin, WILLIAM DAVID HARDIE · 2012 to 2026
$922k
NHLBI NIH HHS T35 HL113229NIAID NIH HHS U19 AI070235NIEHS NIH HHS P30 ES006096NIEHS NIH HHS R01 ES011170NIEHS NIH HHS R01 ES019890NIEHS NIH HHS T32 ES010957
6 · The paper itself

Abstract

backgroundAllergic sensitization to fungi has been associated with asthma severity. As a result, it has been largely assumed that the contribution of fungi to allergic disease is mediated through their potent antigenicity.

objectiveWe sought to determine the mechanism by which fungi affect asthma development and severity.

methodsWe integrated epidemiologic and experimental asthma models to explore the effect of fungal exposure on asthma development and severity.

resultsWe report that fungal exposure enhances allergen-driven T

conclusionOur data demonstrate that fungi are potent immunomodulators and have powerful effects on asthma independent of their potential to act as antigens. Furthermore, our results provide a strong rationale for combination treatment strategies targeting IL-17A for this subgroup of fungus-exposed patients with difficult-to-treat asthma.

Indexed as

Air PollutantsAllergensAnimalsAntigens, DermatophagoidesAnti-Inflammatory AgentsAsthmabeta-GlucansChildChild, PreschoolDectin-1DexamethasoneDrug ResistanceEnvironmental ExposureFemaleFungiGlucocorticoidsAir PollutantsAllergensAntigens, DermatophagoidesAnti-Inflammatory Agentsbeta-GlucansDectin-1DexamethasoneGlucocorticoidsIL17A protein, humanIl17rc protein, mouseInterleukin-17Lectins, C-TypeReceptors, InterleukinallergyChildhood asthmafungal exposurefungihouse dust miteIL-17Aβ-glucan

Identifiers

PMID27221135
PMCPMC5073040
OpenAlexW2337053677

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.