Evidence map›Paper›PMID 31474990›Full record

ArticleFrontiers in immunology2019

Effects of Omalizumab on FcεRI and IgE Expression in Lesional Skin of Bullous Pemphigoid.

S Morteza Seyed Jafari, Karolina Gadaldi, Laurence Feldmeyer, Nikhil Yawalkar, Luca Borradori, Christoph Schlapbach

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  12. Basophils in pruritic skin diseases.Frontiers in immunology · 2023
    Review
  13. Biological treatment for bullous pemphigoid.Frontiers in immunology · 2023
    Article
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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 2 institutions in 1 country.

S Morteza Seyed JafariDepartment of Dermatology, Inselspital-Bern University Hospital, University of Bern, Bern, Switzerland.
Karolina GadaldiDepartment of Dermatology, Inselspital-Bern University Hospital, University of Bern, Bern, Switzerland.
Laurence FeldmeyerDepartment of Dermatology, Inselspital-Bern University Hospital, University of Bern, Bern, Switzerland.
Nikhil YawalkarDepartment of Dermatology, Inselspital-Bern University Hospital, University of Bern, Bern, Switzerland.
Luca BorradoriDepartment of Dermatology, Inselspital-Bern University Hospital, University of Bern, Bern, Switzerland.
Christoph SchlapbachDepartment of Dermatology, Inselspital-Bern University Hospital, University of Bern, Bern, Switzerland.
University Hospital of Bern · CHUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent studies suggest an important role of immunoglobulin E (IgE) as an alternative pathogenic pathway in the development of bullous pemphigoid (BP), as the most frequent subepidermal blistering disease of the skin Use of IgE targeted therapies, such as omalizumab, has been shown promising in recent studies. The aim of this study was to assess the effect of omalizumab on FcεRI and IgE expression on circulating basophils and on lesional intradermal cells in BP to generate insight into the immunological effects of omalizumab in BP. We report two cases of BP patients treated with omalizumab. Efficacy of treatment was assessed clinically 4 months after initiation of the therapy. Lesional and non-lesional skin biopsies where taken before and 4 weeks after initiation of omalizumab therapy. In addition, FcεRI expression on circulating cells and IgE levels in serum and in the skin samples, as well as anti-BP180 and anti-BP230 in serum and eosinophils and basophils counts in blood were assessed before and during treatment. Both patients showed a marked improvement after 4 months, with no adverse effects. Down-regulation of FcεRI, IgE in lesional skin and on circulating basophils were observed in parallel with clinical improvement. The current case study supports the role of omalizumab in the treatment of a subset of BP patients. Our observations suggest that omalizumab represents a valuable therapeutic option in the management of BP patients. Its efficacy might be related to reduction in FcεRI+ and IgE+ basophils and intradermal cells.

Indexed as

AgedAnti-Allergic AgentsAutoantibodiesAutoantigensBasophilsCollagen Type XVIIDystoninEosinophilsHumansImmunoglobulin ELeukocyte CountMiddle AgedNon-Fibrillar CollagensOmalizumabPemphigoid, BullousReceptors, IgEAnti-Allergic AgentsAutoantibodiesAutoantigensCollagen Type XVIIDST protein, humanDystoninImmunoglobulin ENon-Fibrillar CollagensOmalizumabReceptors, IgEbullous pemphigoidFcεRIIgEomalizumabskin

Identifiers

PMID31474990
PMCPMC6702353
OpenAlexW2966099408

What OpenQuestion holds

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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.