Evidence map›Paper›PMID 31783055›Full record

ArticleThe Journal of allergy and clinical immunology2020

Delivery of allergen powder for safe and effective epicutaneous immunotherapy.

Yang Yu, Mudnakudu Nagaraju Kiran Kumar, Mei X Wu

Open access · greenAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

17 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Next-Generation Allergen-Specific Immunotherapy for Food Allergy.Clinical reviews in allergy & immunology · 2025
    Review
  3. Microneedles in Allergy Immunotherapy: the Present and Future.Current allergy and asthma reports · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Microneedle-Mediated Immunization Promotes Lung CD8+ T-Cell Immunity.The Journal of investigative dermatology · 2023
    Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Immunology of allergen immunotherapy.Immunotherapy advances · 2022
    Review
  14. Review
  15. Review
  16. 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

3 authors at 2 institutions in 1 country.

Yang YuWellman Center for Photomedicine, Massachusetts General Hospital, Department of Dermatology, Harvard Medical School.
Mudnakudu Nagaraju Kiran KumarWellman Center for Photomedicine, Massachusetts General Hospital, Department of Dermatology, Harvard Medical School.
Mei X WuWellman Center for Photomedicine, Massachusetts General Hospital, Department of Dermatology, Harvard Medical School. Electronic address: mwu5@mgh.harvard.edu.
Harvard University · USMassachusetts General Hospital · US

Funding

Boosting Flu Vaccination without Adjuvant InjectionR01AI089779 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI WU, MEI X · 2011 to 2015
$2.8M
Laser-facilitated powder-allergen delivery for epicutaneous immunotherapyR21AI113458 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI WU, MEI X · 2014 to 2015
$465k
Delivery of Peanut Allergen Powder into Epidermis for Safe ImmunotherapyR21AI135233 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI WU, MEI X · 2018 to 2019
$454k
NIAID NIH HHS R01 AI089779NIAID NIH HHS R21 AI113458NIAID NIH HHS R21 AI135233
6 · The paper itself

Abstract

backgroundMore effective and safer immunotherapies to manage peanut allergy are in great demand despite extensive investigation of sublingual/oral immunotherapy and epicutaneous immunotherapy (EPIT) currently in the clinics.

objectiveWe sought to develop a powder-laden, dissolvable microneedle array (PLD-MNA) for epidermal delivery of powdered allergens and to evaluate the efficacy of this novel EPIT in peanut-sensitized mice.

methodsPLD-MNA was packaged with a mixture of powdered peanut allergen (PNA), 1,25-dihydroxyvitamin D

resultsPLD-MNA was successfully laden with PNA/VD3/CpG powder and capable of epidermal delivery of most of its content 1 hour after application onto intact mouse skin concomitant with no significant leakage into the circulation or skin irritation. PLD-MNA-mediated EPIT substantially reduced clinical allergy scores to 1 from 3.5 in sham control mice (P < .001) after 6 treatments accompanied by lower levels of PNA-specific IgE and intestinal mucosal mast cells and eosinophils over sham treatments. Moreover, in comparison with allergens administered intradermally, powdered allergens delivered by means of PLD-MNA preferentially attracted immunoregulatory macrophages and stimulated the cells to produce IL-10, TGF-β, or both at the immunization site, which might account for increased numbers of regulatory T-like cells in lymph tissues in association with systemic tolerance. PNA/VD3/CpG-laden PLD-MNA was safe and required only 6 treatments and one fifth of the PNA adjuvant dose, with improved outcomes when compared with 12 conventional intradermal immunotherapies.

conclusionsPLD-MNA holds great promise as a novel, safe, effective, and self-applicable modality to manage IgE-mediated allergies.

Indexed as

Drug Delivery SystemsAllergensAnimalsDesensitization, ImmunologicMicePeanut HypersensitivityPowdersSkinAllergensPowdersdissolvable microneedle arraysEpicutaneous immunotherapyimmunoregulatory macrophagespowdered peanut allergensregulatory T cellstolerogenic adjuvant

Identifiers

PMID31783055
PMCPMC7430154
OpenAlexW2990787265

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.