Evidence map›Paper›PMID 29459738›Full record

ArticleScientific reports2018

Epistasis between FLG and IL4R Genes on the Risk of Allergic Sensitization: Results from Two Population-Based Birth Cohort Studies.

Ali H Ziyab, Jenny Hankinson, Susan Ewart, Eric Schauberger, Kamilla Kopec-Harding, Hongmei Zhang, Adnan Custovic, Hasan Arshad, Angela Simpson, Wilfried J Karmaus

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Skin barrier-related genes in childhood atopic dermatitis, asthma, and allergy: A systematic review and meta-analysis.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Pooled it
  2. Review
  3. Skin-lung axis in the atopic march: The immune link from skin to lungs.Chinese medical journal pulmonary and critical care medicine · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Blood Biomarkers of Sensitization and Asthma.Frontiers in pediatrics · 2019
    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

10 authors at 8 institutions in 3 countries.

Ali H ZiyabDepartment of Community Medicine and Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait. aziyab@hsc.edu.kw.ORCID 0000-0003-3099-4424
Jenny HankinsonDivision of Infection, Immunity and Respiratory Medicine, Manchester Academic Health Science Centre, The University of Manchester, Manchester University NHS Foundation Trust, Manchester, UK.
Susan EwartCollege of Veterinary Medicine, Michigan State University, East Lansing, Michigan, USA.
Eric SchaubergerDivision of Allergy and Immunology, Cincinnati Children's Hospital, Cincinnati, OH, USA.ORCID 0000-0001-5069-7190
Kamilla Kopec-HardingCentre for Respiratory Medicine and Allergy, Institute of Inflammation and Repair, University of Manchester, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK.
Hongmei ZhangDivision of Epidemiology, Biostatistics and Environmental Health, School of Public Health, University of Memphis, Memphis, TN, USA.
Adnan CustovicDepartment of Paediatrics, Imperial College London, London, UK.
Hasan ArshadDavid Hide Asthma and Allergy Research Centre, St Mary's Hospital, Isle of Wight, UK.
Angela SimpsonDivision of Infection, Immunity and Respiratory Medicine, Manchester Academic Health Science Centre, The University of Manchester, Manchester University NHS Foundation Trust, Manchester, UK.
Wilfried J KarmausDivision of Epidemiology, Biostatistics and Environmental Health, School of Public Health, University of Memphis, Memphis, TN, USA.
Manchester Academic Health Science Centre · GBUniversity of Memphis · USCincinnati Children's Hospital Medical Center · USImperial College London · GBKuwait University · KWManchester University NHS Foundation Trust · GBMichigan State University · USSt Mary's Hospital · GB

Funding

Immunology/Allergy Fellowship Training GrantT32AI060515 · NIAID · UNIVERSITY OF CINCINNATI · PI BERNSTEIN, DAVID I., ROTHENBERG, MARC E. · 2004 to 2018
$2.8M
Transgenerational epigenetic inheritance of allergy in a multigenerational cohortR01AI091905 · NIAID · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI KARMAUS, WILFRIED JJ · 2011 to 2015
$2.7M
Epidemiology of asthma: risk and prognosis in a cohort from birth to adolescenceR01HL082925 · NHLBI · ST. MARY'S HOSPITAL NEWPORT · PI ARSHAD, SYED HASAN · 2007 to 2010
$1.7M
Medical Research Council G0601361Medical Research Council MR/K002449/1Medical Research Council MR/K002449/2Medical Research Council MR/L012693/1NHLBI NIH HHS R01 HL082925NIAID NIH HHS R01 AI091905NIAID NIH HHS T32 AI060515
6 · The paper itself

Abstract

Immune-specific genes as well as genes responsible for the formation and integrity of the epidermal barrier have been implicated in the pathogeneses of allergic sensitization. This study sought to determine whether an epistatic effect (gene-gene interaction) between genetic variants within interleukin 4 receptor (IL4R) and filaggrin (FLG) genes predispose to the development of allergic sensitization. Data from two birth cohort studies were analyzed, namely the Isle of Wight (IOW; n = 1,456) and the Manchester Asthma and Allergy Study (MAAS; n = 1,058). In the IOW study, one interaction term (IL4R rs3024676 × FLG variants) showed statistical significance (interaction term: P = 0.003). To illustrate the observed epistasis, stratified analyses were performed, which showed that FLG variants were associated with allergic sensitization only among IL4R rs3024676 homozygotes (OR, 1.97; 95% CI, 1.27-3.05; P = 0.003). In contrast, FLG variants effect was masked among IL4R rs3024676 heterozygotes (OR, 0.53; 95% CI, 0.22-1.32; P = 0.175). Similar results were demonstrated in the MAAS study. Epistasis between immune (IL4R) and skin (FLG) regulatory genes exist in the pathogenesis of allergic sensitization. Hence, genetic susceptibility towards defective epidermal barrier and deviated immune responses could work together in the development of allergic sensitization.

Indexed as

Epistasis, GeneticGenetic Predisposition to DiseaseImmunizationAdolescentChildChild, PreschoolFilaggrin ProteinsGene FrequencyGenotyping TechniquesHumansHypersensitivityInfantInterleukin-4 Receptor alpha SubunitIntermediate Filament ProteinsLongitudinal StudiesFilaggrin ProteinsFLG protein, humanIL4R protein, humanInterleukin-4 Receptor alpha SubunitIntermediate Filament Proteins

Identifiers

PMID29459738
PMCPMC5818621
OpenAlexW2796607295

What OpenQuestion holds

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LicenceCC BY
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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.