Evidence map›Paper›PMID 29128670›Full record

ArticleThe Journal of allergy and clinical immunology2018

Synchronous immune alterations mirror clinical response during allergen immunotherapy.

Amedee Renand, Mohamed H Shamji, Kristina M Harris, Tielin Qin, Erik Wambre, Guy W Scadding, Peter A Wurtzen, Stephen J Till, Alkis Togias, Gerald T Nepom and 2 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
6.9field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 91 citations in OpenAlex.

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  6. Recent advances in allergen immunotherapy.Chinese medical journal · 2026
    Review
  7. Review
  8. Review
  9. Article
  10. Sublingual immunotherapy in children with asthma: A population-based register study.The journal of allergy and clinical immunology. Global · 2026
    Article
  11. [Chinese expert consensus on the evaluation of allergen-specific immunotherapy outcomes(Wuhan, 2025)].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    Article
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  19. Distinct CRTH2+CD161+ (peTh2) memory CD4+ T-cell cytokine profiles in food allergy and eosinophilic gastrointestinal disorders.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2023
    Article
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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

12 authors at 7 institutions in 3 countries.

Amedee RenandBenaroya Research Institute at Virginia Mason, Seattle, Wash.
Mohamed H ShamjiImmunomodulation and Tolerance Group, Allergy and Clinical Immunology, Section of Inflammation Repair and Development, National Heart and Lung Institute, Imperial College London, London, United Kingdom; MRC and Asthma UK, Centre in Allergic Mechanisms of Asthma, London, United Kingdom.
Kristina M HarrisImmune Tolerance Network, Bethesda, Md.
Tielin QinImmune Tolerance Network, Bethesda, Md.
Erik WambreBenaroya Research Institute at Virginia Mason, Seattle, Wash.
Guy W ScaddingImmunomodulation and Tolerance Group, Allergy and Clinical Immunology, Section of Inflammation Repair and Development, National Heart and Lung Institute, Imperial College London, London, United Kingdom.
Peter A WurtzenImmunology, ALK-Abelló, Hørsholm, Denmark.
Stephen J TillAsthma, Allergy and Lung Biology, School of Immunology & Microbial Sciences, King's College London, London, United Kingdom; MRC and Asthma UK, Centre in Allergic Mechanisms of Asthma, London, United Kingdom.
Alkis TogiasNational Institute of Allergy and Infectious Diseases, Bethesda, Md.
Gerald T NepomBenaroya Research Institute at Virginia Mason, Seattle, Wash; Immune Tolerance Network, Bethesda, Md.
William W KwokBenaroya Research Institute at Virginia Mason, Seattle, Wash.
Stephen R DurhamImmunomodulation and Tolerance Group, Allergy and Clinical Immunology, Section of Inflammation Repair and Development, National Heart and Lung Institute, Imperial College London, London, United Kingdom; MRC and Asthma UK, Centre in Allergic Mechanisms of Asthma, London, United Kingdom. Electronic address: s.durham@imperial.ac.uk.
Virginia Mason Medical Center · USAsthma UK · GBImmune Tolerance Network · USImperial College London · GBALK-Abelló (Denmark) · DKBenaroya Research InstituteNational Institute of Allergy and Infectious Diseases · US

Funding

Immune Tolerance Network UM1 2023 SupplementUM1AI109565 · NIAID · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI Mark S Anderson, Jane Hoyt Buckner · 2014 to 2026
$451.6M
Induction and signature of pathogenic T cells in allergyR01AI108839 · NIAID · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI WAMBRE, ERIK · 2014 to 2018
$2.1M
Investigation of T cell responses to immunotherapy using class II tetramersR01AI095074 · NIAID · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI DURHAM, STEPHEN REGINALD, KWOK, WILLIAM W. · 2011 to 2014
$1.6M
Medical Research Council G0601303Medical Research Council G1000758Medical Research Council MR/R502170/1NIAID NIH HHS R01 AI095074NIAID NIH HHS R01 AI108839NIAID NIH HHS UM1 AI109565
6 · The paper itself

Abstract

backgroundThree years of treatment with either sublingual or subcutaneous allergen immunotherapy has been shown to be effective and to induce long-term tolerance. The Gauging Response in Allergic Rhinitis to Sublingual and Subcutaneous Immunotherapy (GRASS) trial demonstrated that 2 years of treatment through either route was effective in suppressing the response to nasal allergen challenge, although it was insufficient for inhibition 1 year after discontinuation.

objectiveWe sought to examine in the GRASS trial the time course of immunologic changes during 2 years of sublingual and subcutaneous immunotherapy and for 1 year after treatment discontinuation.

methodsWe performed multimodal immunomonitoring to assess allergen-specific CD4 T-cell properties in parallel with analysis of local mucosal cytokine responses induced by nasal allergen exposure and humoral immune responses that included IgE-dependent basophil activation and measurement of serum inhibitory activity for allergen-IgE binding to B cells (IgE-facilitated allergen binding).

resultsAll 3 of these distinct arms of the immune response displayed significant and coordinate alterations during 2 years of allergen desensitization, followed by reversal at 3 years, reflecting a lack of a durable immunologic effect. Although frequencies of antigen-specific T

conclusionTwo years of allergen immunotherapy were effective but insufficient for long-term tolerance. Allergen-specific T

Indexed as

Administration, CutaneousAdministration, SublingualAllergensAntibodiesB-LymphocytesCD4-Positive T-LymphocytesDesensitization, ImmunologicHumansImmune ToleranceImmunity, HumoralImmunoglobulin EPhleumPoaceaePollenRhinitis, Allergic, SeasonalTh2 CellsAllergensAntibodiesImmunoglobulin Eallergen desensitizationAllergyimmune toleranceimmunotherapyT(H)2 cells

Identifiers

PMID29128670
PMCPMC5938141
OpenAlexW2767225941

What OpenQuestion holds

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LicenceTDM
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Registered trials

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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.