Evidence map›Paper›PMID 29454836›Full record

ArticleThe Journal of allergy and clinical immunology2018

Mechanism for initiation of food allergy: Dependence on skin barrier mutations and environmental allergen costimulation.

Matthew T Walker, Jeremy E Green, Ryan P Ferrie, Ashley M Queener, Mark H Kaplan, Joan M Cook-Mills

Erratum issuedOpen access · bronzeAbstract 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. An erratum has been issued. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
7.1field-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

52 citing papers in PubMed, 93 citations in OpenAlex.

  1. Emollient application from birth to prevent eczema in high-risk children: the BEEP RCT.Health technology assessment (Winchester, England) · 2024
    Trial
  2. Trial
  3. The Role of the Indoor Exposome in Food Allergy Development.Current allergy and asthma reports · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Allergens in Atopic Dermatitis.Clinical reviews in allergy & immunology · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Dendritic cells in food allergy, treatment, and tolerance.The Journal of allergy and clinical immunology · 2024
    Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Matthew T WalkerAllergy-Immunology Division, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Jeremy E GreenAllergy-Immunology Division, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Ryan P FerrieAllergy-Immunology Division, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Ashley M QueenerAllergy-Immunology Division, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Mark H KaplanDepartment of Pediatrics, HB Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, Ind.
Joan M Cook-MillsAllergy-Immunology Division, Northwestern University Feinberg School of Medicine, Chicago, Ill. Electronic address: j-cook-mills@northwestern.edu.
Northwestern University · USIndiana University School of Medicine

Funding

CELLULAR &MOLECULAR BASIS OF DISEASE TRAINING PROGRAMT32GM008061 · NIGMS · NORTHWESTERN UNIVERSITY · PI CARTHEW, RICHARD W. · 1985 to 2022
$17.1M
Cytokine regulation of skin barrier functionR01AI095282 · NIAID · INDIANA UNIVERSITY INDIANAPOLIS · PI KAPLAN, MARK H · 2012 to 2022
$4.3M
Lipid Regulation of the Development of Responsiveness to Allergen in Neonates and InfantsU01AI131337 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI COOK-MILLS, JOAN M · 2017 to 2021
$2.5M
Exploiting Tie2 Activation for the Treatment of Vascular DiseasesR01HL124120 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI QUAGGIN, SUSAN E. · 2014 to 2017
$1.5M
5 -Hydroxytryptophan Regulation of Endothelial Cell Signals for Lung InflammationR01HL111624 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI COOK-MILLS, JOAN M · 2013 to 2016
$1.5M
NHLBI NIH HHS R01 HL111624NHLBI NIH HHS R01 HL124120NIAID NIH HHS R01 AI095282NIAID NIH HHS U01 AI131337NIGMS NIH HHS T32 GM008061
6 · The paper itself

Abstract

backgroundMechanisms for the development of food allergy in neonates are unknown but clearly linked in patient populations to a genetic predisposition to skin barrier defects. Whether skin barrier defects contribute functionally to development of food allergy is unknown.

objectiveThe purpose of the study was to determine whether skin barrier mutations, which are primarily heterozygous in patient populations, contribute to the development of food allergy.

methodsMice heterozygous for the filaggrin (Flg)

resultsWe define development of inflammation, inflammatory mediators, and food allergen-induced anaphylaxis in neonatal mice with skin barrier mutations after brief concurrent cutaneous exposure to food and environmental allergens. Moreover, neonates of allergic mothers have increased responses to suboptimal sensitization with food allergens. Importantly, responses to food allergens by these neonatal mice were dependent on genetic defects in skin barrier function and on exposure to environmental allergens. ST2 blockade during skin sensitization inhibited the development of anaphylaxis, antigen-specific IgE, and inflammatory mediators. Neonatal anaphylactic responses and antigen-specific IgE were also inhibited by oral pre-exposure to food allergen, but interestingly, this was blunted by concurrent pre-exposure of the skin to environmental allergen.

conclusionThese studies uncover mechanisms for food allergy sensitization and anaphylaxis in neonatal mice that are consistent with features of human early-life exposures and genetics in patients with clinical food allergy and demonstrate that changes in barrier function drive development of anaphylaxis to food allergen.

Indexed as

AllergensAnaphylaxisAnimalsAntigensFemaleFilaggrin ProteinsFood HypersensitivityImmunoglobulin EInflammationInflammation MediatorsIntermediate Filament ProteinsMaleMiceMice, Inbred C57BLMutationSkinAllergensAntigensFilaggrin ProteinsFLG protein, humanImmunoglobulin EInflammation MediatorsIntermediate Filament ProteinsAlternaria alternataanaphylaxischicken egg ovalbuminfilaggrinfood allergyhouse dust mitemattrinpeanutSensitizationskinST2

Identifiers

PMID29454836
PMCPMC5938139
OpenAlexW2787839024

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.