Evidence map›Paper›PMID 29518421›Full record

ArticleThe Journal of allergy and clinical immunology2018

Mast cell activation test in the diagnosis of allergic disease and anaphylaxis.

Rajia Bahri, Adnan Custovic, Peter Korosec, Marina Tsoumani, Martin Barron, Jiakai Wu, Rebekah Sayers, Alf Weimann, Monica Ruiz-Garcia, Nandinee Patel and 8 more

Open access · hybridAbstract readValidation Study
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 84 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 1 pooled it
11.8field-weighted citation impact, top 1% 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

84 citing papers in PubMed, 1 synthesis or guideline pooled it, 190 citations in OpenAlex.

  1. Pooled it
  2. Progenitor cell-derived basophils: A novel barcoded passive degranulation assay in allergic diseases.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2023
    Trial
  3. Article
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  7. Review
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  10. AllergoOncology in Review: Harnessing Allergy in the Field of Oncology to Improve Patient Outcomes.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Modulation of Mast Cell Activation via MRGPRX2 by Natural Oat Extract.International journal of molecular sciences · 2025
    Article
  17. Article
  18. Review
  19. Article
  20. Article

24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 3 countries.

Rajia BahriDivision of Musculoskeletal and Dermatological Sciences & Manchester Collaborative Centre for Inflammation Research (MCCIR), School of Biological Sciences, University of Manchester, Manchester, United Kingdom.
Adnan CustovicSection of Paediatrics, Department of Medicine, Imperial College London, London, United Kingdom.
Peter KorosecLaboratory for Clinical Immunology & Molecular Genetics, University Hospital for Respiratory and Allergic Diseases, Golnik, Slovenia.
Marina TsoumaniDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, University of Manchester, and NIHR Manchester Biomedical Research Centre, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom.
Martin BarronDivision of Musculoskeletal and Dermatological Sciences & Manchester Collaborative Centre for Inflammation Research (MCCIR), School of Biological Sciences, University of Manchester, Manchester, United Kingdom.
Jiakai WuDivision of Musculoskeletal and Dermatological Sciences & Manchester Collaborative Centre for Inflammation Research (MCCIR), School of Biological Sciences, University of Manchester, Manchester, United Kingdom.
Rebekah SayersDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, University of Manchester, and NIHR Manchester Biomedical Research Centre, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom.
Alf WeimannEUROIMMUN AG, Lübeck, Germany.
Monica Ruiz-GarciaSection of Paediatrics, Department of Medicine, Imperial College London, London, United Kingdom.
Nandinee PatelSection of Paediatrics, Department of Medicine, Imperial College London, London, United Kingdom.
Abigail RobbDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, University of Manchester, and NIHR Manchester Biomedical Research Centre, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom.
Mohamed H ShamjiSection of Allergy and Clinical Immunology, National Heart and Lung Institute, Imperial College London, London, United Kingdom.
Sara FontanellaSection of Paediatrics, Department of Medicine, Imperial College London, London, United Kingdom.
Mira SilarLaboratory for Clinical Immunology & Molecular Genetics, University Hospital for Respiratory and Allergic Diseases, Golnik, Slovenia.
E N Clare MillsDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, University of Manchester, and NIHR Manchester Biomedical Research Centre, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom.
Angela SimpsonDivision of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, University of Manchester, and NIHR Manchester Biomedical Research Centre, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom.
Paul J TurnerSection of Paediatrics, Department of Medicine, Imperial College London, London, United Kingdom. Electronic address: p.turner@imperial.ac.uk.
Silvia Bulfone-PausDivision of Musculoskeletal and Dermatological Sciences & Manchester Collaborative Centre for Inflammation Research (MCCIR), School of Biological Sciences, University of Manchester, Manchester, United Kingdom. Electronic address: silvia.bulfone-paus@manchester.ac.uk.
Imperial College London · GBUniversity of Manchester · GBManchester Academic Health Science Centre · GBUniversity Clinic of Pulmonary and Allergic Diseases Golnik · SICentre for Inflammation Research · GBEuroimmun Medizinische Labordiagnostika (Germany) · DE

Funding

Biotechnology and Biological Sciences Research CouncilDepartment of HealthMedical Research Council G1000758Medical Research Council MC_PC_15038Medical Research Council MC_PC_16053Medical Research Council MR/K010468/1
6 · The paper itself

Abstract

backgroundFood allergy is an increasing public health issue and the most common cause of life-threatening anaphylactic reactions. Conventional allergy tests assess for the presence of allergen-specific IgE, significantly overestimating the rate of true clinical allergy and resulting in overdiagnosis and adverse effect on health-related quality of life.

objectiveTo undertake initial validation and assessment of a novel diagnostic tool, we used the mast cell activation test (MAT).

methodsPrimary human blood-derived mast cells (MCs) were generated from peripheral blood precursors, sensitized with patients' sera, and then incubated with allergen. MC degranulation was assessed by means of flow cytometry and mediator release. We compared the diagnostic performance of MATs with that of existing diagnostic tools to assess in a cohort of peanut-sensitized subjects undergoing double-blind, placebo-controlled challenge.

resultsHuman blood-derived MCs sensitized with sera from patients with peanut, grass pollen, and Hymenoptera (wasp venom) allergy demonstrated allergen-specific and dose-dependent degranulation, as determined based on both expression of surface activation markers (CD63 and CD107a) and functional assays (prostaglandin D

conclusionThe MAT is a robust tool that can confer superior diagnostic performance compared with existing allergy diagnostics and might be useful to explore differences in effector cell function between basophils and MCs during allergic reactions.

Indexed as

AdolescentAdultAllergensAnaphylaxisArachisBasophil Degranulation TestCell DegranulationCells, CulturedChildCohort StudiesFemaleHumansImmunoglobulin EImmunologic TestsMaleMast CellsAllergensImmunoglobulin EAnaphylaxisbasophil activation testdiagnosisfood allergymast cell activation testmast cellspeanut allergy

Identifiers

PMID29518421
PMCPMC6075471
OpenAlexW2783384773

What OpenQuestion holds

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LicenceCC BY
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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.