Evidence map›Paper›PMID 30275944›Full record

ArticleClinical and translational allergy2018

Deep analysis of immune response and metabolic signature in children with food protein induced enterocolitis to cow's milk.

Karine Adel-Patient, Guillaume Lezmi, Florence Anne Castelli, Sibylle Blanc, Hervé Bernard, Pascale Soulaines, Pascale Dumond, Sandrine Ah-Leung, Florence Lageix, Delphine de Boissieu and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical and translational allergy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03776474 (Determine Immunoglobulin G4), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.7field-weighted citation impact, top 9% 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.

NCT03776474 completednot on this mapstarted 2020, after this paper: background citation

Determine Immunoglobulin G4 (IgG4) Standards for Cow's Milk and Egg in Different Populations of Allergic and Non-allergic Children

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2020 to 2023Enrolled135ConditionsFood Allergy in ChildrenArmsBlood collection
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 50 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Update on Food Protein-Induced Enterocolitis Syndrome (FPIES).Current allergy and asthma reports · 2022
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Update on Food protein-induced enterocolitis syndrome (FPIES).Acta bio-medica : Atenei Parmensis · 2021
    Review
  15. Acute FPIES reactions are associated with an IL-17 inflammatory signature.The Journal of allergy and clinical immunology · 2021
    Article
  16. Pathophysiology of Non-IgE-Mediated Food Allergy.ImmunoTargets and therapy · 2021
    Review
  17. 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 4 institutions in 1 country.

Karine Adel-Patient1Service de Pharmacologie et Immunoanalyse (SPI), CEA, INRA, Université Paris-Saclay, 91191 Gif-sur-Yvette, France.
Guillaume Lezmi2APHP, Hôpital Universitaire Necker-Enfants Malades, Service de Pneumologie et Allergologie Pédiatriques, Université Paris Descartes, 75015 Paris, France.
Florence Anne Castelli1Service de Pharmacologie et Immunoanalyse (SPI), CEA, INRA, Université Paris-Saclay, 91191 Gif-sur-Yvette, France.
Sibylle Blanc2APHP, Hôpital Universitaire Necker-Enfants Malades, Service de Pneumologie et Allergologie Pédiatriques, Université Paris Descartes, 75015 Paris, France.
Hervé Bernard1Service de Pharmacologie et Immunoanalyse (SPI), CEA, INRA, Université Paris-Saclay, 91191 Gif-sur-Yvette, France.
Pascale Soulaines2APHP, Hôpital Universitaire Necker-Enfants Malades, Service de Pneumologie et Allergologie Pédiatriques, Université Paris Descartes, 75015 Paris, France.
Pascale Dumond3Pediatric Allergology Service, Hôpital d'Enfants, 54511 Vandoeuvre les Nancy, France.
Sandrine Ah-Leung1Service de Pharmacologie et Immunoanalyse (SPI), CEA, INRA, Université Paris-Saclay, 91191 Gif-sur-Yvette, France.
Florence Lageix2APHP, Hôpital Universitaire Necker-Enfants Malades, Service de Pneumologie et Allergologie Pédiatriques, Université Paris Descartes, 75015 Paris, France.
Delphine de Boissieu2APHP, Hôpital Universitaire Necker-Enfants Malades, Service de Pneumologie et Allergologie Pédiatriques, Université Paris Descartes, 75015 Paris, France.
Naima Cortes-Perez1Service de Pharmacologie et Immunoanalyse (SPI), CEA, INRA, Université Paris-Saclay, 91191 Gif-sur-Yvette, France.
Stéphane Hazebrouck1Service de Pharmacologie et Immunoanalyse (SPI), CEA, INRA, Université Paris-Saclay, 91191 Gif-sur-Yvette, France.
François Fenaille1Service de Pharmacologie et Immunoanalyse (SPI), CEA, INRA, Université Paris-Saclay, 91191 Gif-sur-Yvette, France.
Christophe Junot1Service de Pharmacologie et Immunoanalyse (SPI), CEA, INRA, Université Paris-Saclay, 91191 Gif-sur-Yvette, France.
Christophe Dupont2APHP, Hôpital Universitaire Necker-Enfants Malades, Service de Pneumologie et Allergologie Pédiatriques, Université Paris Descartes, 75015 Paris, France.
Centre Hospitalier Universitaire de Grenoble · FRCentre Hospitalier Universitaire de Toulouse · FRInstitut de Biologie et Technologies · FRTechnologies pour la Santé · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFood Protein-Induced Enterocolitis Syndrome (FPIES) is considered to be a non-IgE mediated food allergy. However, its pathogenesis remains poorly understood and biomarkers are lacking. We aimed to perform in-depth characterization of humoral and cellular immune responses in children with cow's milk (CM)-FPIES and investigated whether there is a FPIES metabolomic signature.

methodsChildren with CM-FPIES and control subjects with an IgE-mediated CM allergy (IgE-CMA), both avoiding CM, were recruited on the day of an oral food challenge. Blood samples were collected before the challenge. Total and specific levels of IgE, IgG1-4, IgA, IgM and IgD to various whey and casein allergens and to their gastroduodenal digestion products were measured in plasma, using plasma from CM-tolerant peanut allergic patients (IgE-PA, not avoiding CM) as additional controls. Cytokine secretion and cellular proliferation were analyzed after stimulation of PBMC with different CM allergens. Metabolomic profiles were obtained for plasma samples using liquid chromatography coupled to high-resolution mass spectrometry.

resultsNine children with CM-FPIES and 12 control subjects (6 IgE-CMA and 6 IgE-PA) were included. In children with CM-FPIES, total Ig concentrations were lower than in control subjects, specific Ig against CM components were weak to undetectable, and no specific IgE against CM digestion products were detected. Moreover, in CM-FPIES patients, we did not find any Th cell proliferation or associated cytokine secretion after allergen reactivation, whereas such responses were clearly found in children with IgE-CMA. Plasma metabolic profiles were different between CM allergic patients, with significantly lower concentrations of various fatty acids and higher concentrations of primary metabolites such as amino acids in CM-FPIES compared to IgE-CMA patients.

conclusionsIn CM-FPIES, both humoral and cellular specific immune responses are weak or absent, and this is not related to CM avoidance. A metabolomic signature was identified in patients with CM-FPIES that may be useful for the diagnosis and management of this disease.

Indexed as

Cellular immunityCow’s milkFood allergyFPIESHumoral immunityMechanismsMetabolomicsNon-IgE

Identifiers

PMID30275944
PMCPMC6161449
OpenAlexW2891818456

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Registered trials

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.