Evidence map›Paper›PMID 30383313›Full record

ArticleClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2019

Blocking antibodies induced by peanut oral and sublingual immunotherapy suppress basophil activation and are associated with sustained unresponsiveness.

Kelly Orgel, Caitlin Burk, Johanna Smeekens, Jada Suber, Lakeya Hardy, Rishu Guo, A Wesley Burks, Michael Kulis

Open access · bronzeAbstract read
In one paragraph

Article in Clinical and experimental allergy : journal of the British Society for 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 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.0field-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.

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

22 citing papers in PubMed, 41 citations in OpenAlex.

  1. Peanut-Specific IgG4 and IgA in Saliva Are Modulated by Peanut Oral Immunotherapy.The journal of allergy and clinical immunology. In practice · 2022
    Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Pathogenesis of IgE-mediated food allergy and implications for future immunotherapeutics.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2021
    Review
  15. Mechanisms of oral immunotherapy.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2021
    Review
  16. Article
  17. Review
  18. Evolution of Immune Responses in Food Immunotherapy.Immunology and allergy clinics of North America · 2020
    Review
  19. Review
  20. 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

8 authors at 1 institution in 1 country.

Kelly OrgelDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina.
Caitlin BurkDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina.
Johanna SmeekensDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina.ORCID 0000-0001-9651-3852
Jada SuberDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina.
Lakeya HardyDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina.
Rishu GuoDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina.
A Wesley BurksDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina.
Michael KulisDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina.ORCID 0000-0001-8092-7444
University of North Carolina Health Care · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM008719 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DARVILLE, TONI, DESHMUKH, MOHANISH P · 1999 to 2023
$15.1M
RESEARCH TRAINING IN ALLERGY AND CLINICAL IMMUNOLOGYT32AI007062 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David B. Peden, John W. Sleasman · 1985 to 2026
$6.1M
Understanding the Mechanism of Mucosal ImmunotherapyR01AI068074 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BURKS, A. WESLEY · 2007 to 2016
$3.8M
Sublingual Immunotherapy for Peanut AllergyR01AT004435 · NCCIH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BURKS, A. WESLEY · 2008 to 2018
$3.6M
NCCIH NIH HHS R01 AT004435NCI NIH HHS P30 CA016086NIAID NIH HHS R01 AI068074NIGMS NIH HHS T32 GM008719
6 · The paper itself

Abstract

backgroundOral and sublingual immunotherapies for peanut allergy have demonstrated efficacy in small clinical trials; however, mechanisms and biomarkers correlating with clinical outcomes remain elusive. Previous studies have demonstrated a role for IgG in post-OIT plasma in the suppression of IgE-mediated mast cell reactions.

objectiveThe aim of this study was to characterize the role that peanut oral and sublingual immunotherapy-induced plasma factors play in the inhibition of ex vivo basophil activation and whether inhibitory activity is associated with clinical outcomes.

methodsPlasma samples from subjects on placebo, peanut oral immunotherapy (OIT) or peanut sublingual immunotherapy (SLIT), and IgG-depleted plasma or the IgG fraction were incubated with sensitized basophils, and the inhibition of basophil activation following stimulation with peanut extract was measured. Basophil inhibition results were compared between the two routes of immunotherapy, time on treatment and clinical outcomes.

resultsPlasma from subjects after 12 months of active peanut OIT, but not placebo, inhibits basophil activation ex vivo. Depletion of IgG abrogated the blocking effect of OIT plasma, while the IgG fraction substantially blocked basophil activation. Basophils are inhibited to a similar extent by undiluted OIT and SLIT plasma; however, diluted OIT plasma from the time of desensitization challenge inhibited basophils more than diluted SLIT plasma from time of desensitization challenge. Plasma from subjects who experienced sustained unresponsiveness following OIT inhibited basophils to a greater extent than plasma from subjects who were desensitized, but this was not true for SLIT. CONCLUSIONS AND CLINICAL RELEVANCE: Peanut immunotherapy induces IgG-dependent functional changes in plasma that are associated with OIT but not SLIT clinical outcomes. Understanding the mechanisms of peanut OIT and SLIT may help derive informative biomarkers.

Indexed as

Desensitization, ImmunologicAdministration, OralAllergensAntibodies, BlockingArachisBasophilsFemaleHumansImmunoglobulin EImmunoglobulin GImmunosuppression TherapyMalePeanut HypersensitivitySublingual ImmunotherapyTreatment FailureAllergensAntibodies, BlockingImmunoglobulin EImmunoglobulin Gbasophil activationfood allergyIgGimmunoglobulinimmunotherapypeanut allergy

Identifiers

PMID30383313
PMCPMC6438743
OpenAlexW2899329002

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.