Evidence map›Paper›PMID 31444814›Full record

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

Indoor dust acts as an adjuvant to promote sensitization to peanut through the airway.

Johanna M Smeekens, Robert M Immormino, Peter A Balogh, Scott H Randell, Michael D Kulis, Timothy P Moran

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 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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.

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

28 citing papers in PubMed, 46 citations in OpenAlex.

  1. The Role of the Indoor Exposome in Food Allergy Development.Current allergy and asthma reports · 2026
    Review
  2. Review
  3. Article
  4. Allergens in Atopic Dermatitis.Clinical reviews in allergy & immunology · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. A single priming event prevents oral tolerance to peanut.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2023
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. An Overview of Environmental Risk Factors for Food Allergy.International journal of environmental research and public health · 2022
    Review
  18. Article
  19. Review
  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

6 authors at 1 institution in 1 country.

Johanna M SmeekensDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, NC.ORCID 0000-0001-9651-3852
Robert M ImmorminoDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, NC.
Peter A BaloghDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, NC.
Scott H RandellDepartment of Cell Biology and Physiology, UNC School of Medicine, Chapel Hill, NC.
Michael D KulisDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, NC.ORCID 0000-0001-8092-7444
Timothy P MoranDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, NC.
University of North Carolina Health Care · US

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
Vector CoreP30DK065988 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Martina Gentzsch · 2004 to 2026
$26.5M
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
The role of neuropilin-2 in regulating environmental airways injuryK08ES029118 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORAN, TIMOTHY · 2019 to 2021
$635k
NIAID NIH HHS T32 AI007062NIDDK NIH HHS P30 DK065988NIEHS NIH HHS K08 ES029118NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

backgroundThere is growing evidence that environmental peanut exposure through non-oral routes, including the skin and respiratory tract, can result in peanut sensitization. Environmental adjuvants in indoor dust can promote sensitization to inhaled antigens, but whether they contribute to peanut allergy development is unclear.

objectiveWe investigated whether indoor dust promotes airway sensitization to peanut and peanut allergy development in mice.

methodsFemale and male C57BL/6J mice were exposed via the airways to peanut, indoor dust extract, or both for 2 weeks. Mice were then challenged with peanut and assessed for anaphylaxis. Peanut-specific immunoglobulins, peanut uptake by lung conventional dendritic cells (cDCs), lung innate cytokines, and T cell differentiation in lung-draining lymph nodes were quantified. Innate cytokine production by primary human bronchial epithelial cells exposed to indoor dust was also determined.

resultsInhalational exposure to low levels of peanut in combination with indoor dust, but neither alone, resulted in production of peanut-specific IgE and development of anaphylaxis upon peanut challenge. Indoor dust triggered production of innate cytokines in murine lungs and in primary human bronchial epithelial cells. Additionally, inhaled indoor dust stimulated maturation and migration of peanut-laden lung type 1 cDCs to draining lymph nodes. Inhalational exposure to peanut and indoor dust induced peanut-specific T helper 2 cell differentiation and accumulation of T follicular helper cells in draining lymph nodes, which were associated with increased B cell numbers and peanut-specific immunoglobulin production. CONCLUSIONS & CLINICAL RELEVANCE: Indoor dust promotes airway sensitization to peanut and development of peanut allergy in mice. Our findings suggest that environmental adjuvants in indoor dust may be determinants of peanut allergy development in children.

Indexed as

DustLungPeanut HypersensitivityAdjuvants, ImmunologicAir Pollution, IndoorAnimalsArachisCytokinesDendritic CellsFemaleMaleMiceT-LymphocytesAdjuvants, ImmunologicCytokinesDustairway sensitizationanaphylaxisdendritic cellsindoor dustpeanut allergyT follicular helper cells

Identifiers

PMID31444814
PMCPMC7171466
OpenAlexW2969844301

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.