Evidence map›Paper›PMID 27235977›Full record

ArticleJournal of controlled release : official journal of the Controlled Release Society2016

Laser-facilitated epicutaneous immunotherapy to IgE-mediated allergy.

Mudnakudu Nagaraju Kiran Kumar, Chang Zhou, Mei X Wu

Open access · greenAbstract read
In one paragraph

Article in Journal of controlled release : official journal of the Controlled Release Society, 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
3.1field-weighted citation impact, top 9% 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, 36 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Laser adjuvant for vaccination.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2020
    Review
  10. Delivery of allergen powder for safe and effective epicutaneous immunotherapy.The Journal of allergy and clinical immunology · 2020
    Article
  11. Article
  12. Article
  13. Article
  14. BCG vaccine powder-laden and dissolvable microneedle arrays for lesion-free vaccination.Journal of controlled release : official journal of the Controlled Release Society · 2017
    Article
  15. 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

3 authors at 2 institutions in 1 country.

Mudnakudu Nagaraju Kiran KumarWellman Center for Photomedicine, Massachusetts General Hospital, Department of Dermatology, Harvard Medical School, Boston, MA, USA.
Chang ZhouWellman Center for Photomedicine, Massachusetts General Hospital, Department of Dermatology, Harvard Medical School, Boston, MA, USA.
Mei X WuWellman Center for Photomedicine, Massachusetts General Hospital, Department of Dermatology, Harvard Medical School, Boston, MA, USA. Electronic address: mwu5@mgh.harvard.edu.
Harvard University · USMassachusetts General Hospital · US

Funding

Boosting Flu Vaccination without Adjuvant InjectionR01AI089779 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI WU, MEI X · 2011 to 2015
$2.8M
Laser-facilitated powder-allergen delivery for epicutaneous immunotherapyR21AI113458 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI WU, MEI X · 2014 to 2015
$465k
NIAID NIH HHS R01 AI089779NIAID NIH HHS R21 AI113458
6 · The paper itself

Abstract

Allergen specific immunotherapy has been shown to be the only effective treatment for long-lasting clinical benefit to IgE-mediated allergic diseases, but a fewer than 5% of patients choose the treatment because of inconvenience and a high risk of anaphylaxis. Recently, epicutaneous allergen-specific immunotherapy (EPIT) has proven effective, yet with limitations owing to strong skin reactions. We demonstrate here safer and faster EPIT, named μEPIT, by delivering powdered allergen and adjuvants into many micropores in the epidermis. We fabricated a microarray patch fractionally coated with a powder mixture of ovalbumin (OVA) model allergen, CpG, and 1,25-dihydroxyvitamin D3 (VD3). Topical application of the patch onto laser-microperforated skin resulted in a high level of epidermal delivery while greatly minimizing allergen leakage into circulation system as compared to current subcutaneous immunotherapy (SCIT). Moreover, only three times of μEPIT over two weeks could sufficiently inhibit allergen-specific IgE responses in mice suffering OVA-induced airway hyperresponsivness (AHR), which was unattainable by eight times of SCIT over three weeks. Mechanistically, μEPIT preferably enhanced IgG2a production suggesting TH1-biased immune responses and induced a high level of T-regulatory (Treg) cells against repeated allergen sensitization. The immune tolerance was confirmed by marked reduction in airway wall thickness as well as eosinophil and neutrophil infiltration into the respiratory airway. The μEPIT represents a novel and painless technology to treat IgE-mediated allergic diseases with little local skin reaction and a minimal risk of anaphylaxis.

Indexed as

LasersTransdermal PatchAdministration, CutaneousAllergensAnimalsCalcitriolCytokinesDesensitization, ImmunologicFemaleImmunoglobulin EImmunoglobulin GLungMice, Inbred BALB COligodeoxyribonucleotidesOvalbuminPowdersAllergensCalcitriolCPG-oligonucleotideCytokinesImmunoglobulin EImmunoglobulin GOligodeoxyribonucleotidesOvalbuminPowdersSirolimusAdjuvantAllergic asthmaEpicutaneous immunotherapy (EPIT)Immunoglobulin E (IgE)Laser and micro-fractional epicutaneous (μEP) delivery

Identifiers

PMID27235977
PMCPMC6081746
OpenAlexW2405906166

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.