Evidence map›Paper›PMID 30240703›Full record

ArticleThe Journal of allergy and clinical immunology2019

Transmaternal Helicobacter pylori exposure reduces allergic airway inflammation in offspring through regulatory T cells.

Andreas Kyburz, Angela Fallegger, Xiaozhou Zhang, Aleksandra Altobelli, Mariela Artola-Boran, Timothy Borbet, Sabine Urban, Petra Paul, Christian Münz, Stefan Floess and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Effects of Neutrophil-Activating Protein ofAdvanced biomedical research · 2025
    Article
  6. Frontiers in immunology · 2025
    Article
  7. Taurine modulates host cell responses toInfection and immunity · 2024
    Article
  8. Review
  9. Article
  10. Update on the association between Helicobacter pylori infection and asthma in terms of microbiota and immunity.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
    Review
  11. Review
  12. Helicobacter pylori infection attenuates 2,4-dinitrochlorobenzene-induced atopic dermatitis-like skin lesions in C57/BL6 mice.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
    Article
  13. Review
  14. Helicobacter pylori infection.Nature reviews. Disease primers · 2023
    Review
  15. Treatment withFrontiers in immunology · 2023
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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

15 authors at 5 institutions in 3 countries.

Andreas KyburzInstitute of Molecular Cancer Research, University of Zürich, Zurich, Switzerland.
Angela FalleggerInstitute of Molecular Cancer Research, University of Zürich, Zurich, Switzerland.
Xiaozhou ZhangInstitute of Molecular Cancer Research, University of Zürich, Zurich, Switzerland.
Aleksandra AltobelliInstitute of Molecular Cancer Research, University of Zürich, Zurich, Switzerland.
Mariela Artola-BoranInstitute of Molecular Cancer Research, University of Zürich, Zurich, Switzerland.
Timothy BorbetHuman Microbiome Program, New York University Langone Medical Center, New York, NY.
Sabine UrbanInstitute of Molecular Cancer Research, University of Zürich, Zurich, Switzerland.
Petra PaulInstitute of Experimental Immunology, University of Zürich, Zurich, Switzerland.
Christian MünzInstitute of Experimental Immunology, University of Zürich, Zurich, Switzerland.
Stefan FloessDepartment Experimental Immunology, Helmholtz Centre for Infection Research, Braunschweig, Germany.
Jochen HuehnDepartment Experimental Immunology, Helmholtz Centre for Infection Research, Braunschweig, Germany.
Timothy L CoverVanderbilt University Medical Center and Veterans Affairs Tennessee Valley Healthcare System, Nashville, Tenn.
Martin J BlaserHuman Microbiome Program, New York University Langone Medical Center, New York, NY.
Christian TaubeDepartment of Pulmonary Medicine, University Hospital Essen-Ruhrlandklinik, Essen, Germany.
Anne MüllerInstitute of Molecular Cancer Research, University of Zürich, Zurich, Switzerland. Electronic address: mueller@imcr.uzh.ch.
University of Zurich · CHHelmholtz Centre for Infection Research · DENYU Langone Health · USRuhrlandklinik · DEVA Tennessee Valley Healthcare System · US

Funding

Project-005UL1TR001445 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BREDELLA, MIRIAM ANTOINETTE, HOCHMAN, JUDITH S · 2015 to 2025
$103.5M
Vaccine FacilityP30CA016087 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ANIRBAN MAITRA · 1985 to 2026
$83.1M
Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
Role of Iron and B-Catenin Activation in Gastric CarcinogenesisP01CA116087 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2009 to 2026
$27.5M
Structure-function analysis of H. pylori VacAR01AI039657 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI TIMOTHY L COVER · 1996 to 2026
$8.3M
NRSA Training CoreTL1TR001447 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MICOLI, KEITH J. · 2015 to 2025
$5.9M
Pathogenesis of Helicobacter pylori infectionI01BX000627 · VA · VETERANS HEALTH ADMINISTRATION · PI COVER, TIMOTHY L · 2011 to 2018
–
BLRD VA I01 BX000627NCATS NIH HHS TL1 TR001447NCATS NIH HHS UL1 TR001445NCI NIH HHS P01 CA116087NCI NIH HHS P30 CA016087NIAID NIH HHS R01 AI039657NIDDK NIH HHS P30 DK058404
6 · The paper itself

Abstract

backgroundTransmaternal exposure to tobacco, microbes, nutrients, and other environmental factors shapes the fetal immune system through epigenetic processes. The gastric microbe Helicobacter pylori represents an ancestral constituent of the human microbiota that causes gastric disorders on the one hand and is inversely associated with allergies and chronic inflammatory conditions on the other.

objectiveHere we investigate the consequences of transmaternal exposure to H pylori in utero and/or during lactation for susceptibility to viral and bacterial infection, predisposition to allergic airway inflammation, and development of immune cell populations in the lungs and lymphoid organs.

methodsWe use experimental models of house dust mite- or ovalbumin-induced airway inflammation and influenza A virus or Citrobacter rodentium infection along with metagenomics analyses, multicolor flow cytometry, and bisulfite pyrosequencing, to study the effects of H pylori on allergy severity and immunologic and microbiome correlates thereof.

resultsPerinatal exposure to H pylori extract or its immunomodulator vacuolating cytotoxin confers robust protective effects against allergic airway inflammation not only in first- but also second-generation offspring but does not increase susceptibility to viral or bacterial infection. Immune correlates of allergy protection include skewing of regulatory over effector T cells, expansion of regulatory T-cell subsets expressing CXCR3 or retinoic acid-related orphan receptor γt, and demethylation of the forkhead box P3 (FOXP3) locus. The composition and diversity of the gastrointestinal microbiota is measurably affected by perinatal H pylori exposure.

conclusionWe conclude that exposure to H pylori has consequences not only for the carrier but also for subsequent generations that can be exploited for interventional purposes.

Indexed as

AnimalsFemaleHelicobacter InfectionsImmune ToleranceMice, Inbred C57BLPregnancyPrenatal Exposure Delayed EffectsRespiratory HypersensitivityT-Lymphocytes, RegulatoryAllergic airway inflammationepigenetic regulation of allergy and asthmaimmune regulationimmune tolerancemetagenomicsmicrobial interventions during pregnancy

Identifiers

PMID30240703
PMCPMC6592617
OpenAlexW2889952009

What OpenQuestion holds

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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.