Evidence map›Paper›PMID 28089873›Full record

Observational studyThe Journal of allergy and clinical immunology2017

Patterns of immune development in urban preschoolers with recurrent wheeze and/or atopy.

James E Gern, Agustin Calatroni, Katy F Jaffee, Henry Lynn, Amy Dresen, William W Cruikshank, Howard M Lederman, Hugh A Sampson, Wayne Shreffler, Leonard B Bacharier and 7 more

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study 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. It is linked to trial NCT00114881 (Urban Environment and Childhood Asthma), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
6.1field-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.

NCT00114881 completednot on this map

Urban Environment and Childhood Asthma (URECA)

TypeobservationalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2005 to 2024Enrolled560ConditionsAsthma, Allergy
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 27 citations in OpenAlex.

  1. Early-Life Allergen Exposure and Its Influence on Risk of Atopic Disease.The journal of allergy and clinical immunology. In practice · 2025
    Review
  2. Farm animal exposure, respiratory illnesses, and nasal cell gene expression.The Journal of allergy and clinical immunology · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The Role of the Microbiome in Food Allergy: A Review.Children (Basel, Switzerland) · 2020
    Review
  9. Article
  10. Article
  11. Article
  12. Lessons learned from birth cohort studies conducted in diverse environments.The Journal of allergy and clinical immunology · 2017
    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

17 authors at 10 institutions in 1 country.

James E GernUniversity of Wisconsin School of Medicine and Public Health, Madison, Wis. Electronic address: gern@medicine.wisc.edu.
Agustin CalatroniRho Inc, Chapel Hill, NC.
Katy F JaffeeRho Inc, Chapel Hill, NC.
Henry LynnRho Inc, Chapel Hill, NC.
Amy DresenUniversity of Wisconsin School of Medicine and Public Health, Madison, Wis.
William W CruikshankBoston University School of Medicine, Boston, Mass.
Howard M LedermanJohns Hopkins University School of Medicine, Baltimore, Md.
Hugh A SampsonIcahn School of Medicine at Mount Sinai, New York, NY.
Wayne ShrefflerCenter for Immunology and Inflammatory Diseases, Massachusetts General Hospital, Boston, Mass.
Leonard B BacharierWashington University School of Medicine and St Louis Children's Hospital, St Louis, Mo.
Peter J GergenNational Institute of Allergy and Infectious Diseases, Bethesda, Md.
Diane R GoldThe Channing Laboratory, Department of Medicine, Brigham and Women's Hospital, Harvard Medicine School, Boston, Mass.
Meyer KattanColumbia University Medical Center, New York, NY.
George T O'ConnorBoston University School of Medicine, Boston, Mass.
Megan T SandelBoston University School of Medicine, Boston, Mass.
Robert A WoodJohns Hopkins University School of Medicine, Baltimore, Md.
Gordon R BloombergWashington University School of Medicine and St Louis Children's Hospital, St Louis, Mo.
Boston University · USRho (United States) · USJohns Hopkins University · USSt. Louis Children's Hospital · USUniversity of Wisconsin–Madison · USBrigham and Women's Hospital · USColumbia University Irving Medical Center · USIcahn School of Medicine at Mount Sinai · USMassachusetts General Hospital · USNational Institute of Allergy and Infectious Diseases · US

Funding

Transplantation GroupUM2AI117870 · NIAID · RHO FEDERAL SYSTEMS DIVISION, INC. · PI DAVID, GLORIA · 2015 to 2023
$208.1M
Inner City Asthma consortium 3 (ICAC3)UM1AI114271 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI GERN, JAMES E., JACKSON, DANIEL J · 2014 to 2021
$79.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
ZIPRASIDONE (GEODON) AUGMENTATION IN SEROTONIN REUPTAKE INHIBITOR-RESISTANT OBM01RR000071 · NCRR · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI NEWCORN, JEFFREY H · 1985 to 2009
$41.5M
ZINC AND CA EDTA THERAPY OF PLUMBISMM01RR000052 · NCRR · JOHNS HOPKINS UNIVERSITY · PI BELCHER, HAROLYN MILLICENT EDITH · 1985 to 2007
$37.3M
YOGA INDUCED CHANGES IN BRAIN GABA LEVELSM01RR000533 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI HOLICK, MICHAEL F. · 1985 to 2008
$19.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025771 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CENTER, DAVID M. · 2008 to 2011
$17.6M
Inner-City Asthma Consortium-266025496-266025496N01AI025496 · NIAID · UNIVERSITY OF WISCONSIN · PI BUSSE, WILLIAM · 2002 to 2006
–
NCRR NIH HHS M01 RR000052NCRR NIH HHS M01 RR000071NCRR NIH HHS M01 RR000533NCRR NIH HHS UL1 RR024156NCRR NIH HHS UL1 RR024992NCRR NIH HHS UL1 RR025771NIAID NIH HHS HHSN272200900052CNIAID NIH HHS HHSN272201000052INIAID NIH HHS N01 AI025482NIAID NIH HHS N01 AI025496NIAID NIH HHS UM1 AI114271NIAID NIH HHS UM2 AI117870
6 · The paper itself

Abstract

backgroundDisadvantaged urban children have high rates of allergic diseases and wheezing, which are diseases associated with type 2-biased immunity.

objectiveWe sought to determine whether environmental exposures in early life influence cytokine responses that affect the development of recurrent wheezing illnesses and allergic sensitization.

methodsA birth cohort of 560 urban families was recruited from neighborhoods with high rates of poverty, and 467 (83%) children were followed until 3 years of age. Cytokine responses were measured in blood cell samples obtained at birth (cord blood) and ages 1 and 3 years. Cytokine responses were examined in relation to personal characteristics and environmental exposures to allergens and endotoxin and to the development of allergic sensitization and recurrent wheeze assessed at age 3 years.

resultsCytokine responses generally increased with age, but responses at birth were poorly predictive for those at ages 1 and 3 years. Exposure to certain allergens (cockroach, mouse, dust mite) was significantly associated with enhanced cytokine responses at age 3 years, including IFN-α and IL-10 responses to certain stimulants and responses to phytohemagglutinin. Regarding the clinical outcomes, reduced LPS-induced IL-10 responses at birth were associated with recurrent wheeze. In contrast, reduced respiratory syncytial virus-induced IL-8 responses and increased 5'-cytosine-phosphate-guanine-3' (CpG)-induced IL-12p40 and allergen-induced IL-4 responses were associated with atopy.

conclusionsThese findings suggest that diverse biologic exposures, including allergens and endotoxin, in urban homes stimulate the development of cytokine responses in early life, and that cytokine responses to specific microbial and viral stimuli are associated with the development of allergic sensitization and recurrent wheeze.

Indexed as

AllergensChild, PreschoolCitiesCytokinesDustEndotoxinsEnvironmental ExposureFemaleHousingHumansHypersensitivity, ImmediateImmunoglobulin EInfantLipopolysaccharidesMaleOdds RatioAllergensCytokinesDustEndotoxinsImmunoglobulin ELipopolysaccharidesallergychildrencord bloodCytokinesimmune developmentmononuclear cellswheezing

Identifiers

PMID28089873
PMCPMC5509531
OpenAlexW2575891784

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

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.