Evidence map›Paper›PMID 33300157›Full record

ArticleAllergy2021

Basophil activation test shows high accuracy in the diagnosis of peanut and tree nut allergy: The Markers of Nut Allergy Study.

Lucy Duan, Alper Celik, Jennifer A Hoang, Klara Schmidthaler, Delvin So, Xiaojun Yin, Christina M Ditlof, Marta Ponce, Julia E M Upton, Jean-Soo Lee and 19 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06559319 (Evaluation Of the Basophil Activation Test in Child Egg Allergy Diagnosis), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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.

NCT06559319 active not recruitingnot on this mapstarted 2024, after this paper: background citation

Evaluation Of the Basophil Activation Test in Child Egg Allergy Diagnosis

TypeobservationalSponsorXia PengRan2024 to 2027Enrolled174ConditionsFood AllergyArmsblood sampling
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Review
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  6. Article
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  9. Article
  10. Article
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  12. Anaphylaxis to a blood feeding leech.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Article
  13. Article
  14. Review
  15. Omalizumab Implementation in Practice: Lessons Learned From the OUtMATCH Study.The journal of allergy and clinical immunology. In practice · 2024
    Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Basophil activation test has high reproducibility and is feasible in the clinical setting.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2022
    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

29 authors at 4 institutions in 3 countries.

Lucy DuanTranslational Medicine, Research Institute, Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0002-0560-583X
Alper CelikCentre for Computational Medicine, Hospital for Sick Children, Toronto, ON, Canada.
Jennifer A HoangTranslational Medicine, Research Institute, Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0001-9264-1881
Klara SchmidthalerDivision of Pediatric Pulmonology, Allergology and Endocrinology, Department of Pediatric and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.
Delvin SoCentre for Computational Medicine, Hospital for Sick Children, Toronto, ON, Canada.
Xiaojun YinTranslational Medicine, Research Institute, Hospital for Sick Children, Toronto, ON, Canada.
Christina M DitlofTranslational Medicine, Research Institute, Hospital for Sick Children, Toronto, ON, Canada.
Marta PonceDivision of Pediatric Pulmonology, Allergology and Endocrinology, Department of Pediatric and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.
Julia E M UptonDivision of Immunology and Allergy, Department of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0001-5320-4232
Jean-Soo LeeTranslational Medicine, Research Institute, Hospital for Sick Children, Toronto, ON, Canada.
Lisa HungTranslational Medicine, Research Institute, Hospital for Sick Children, Toronto, ON, Canada.
Heimo BreitenederDivision of Medical Biotechnology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-2022-8689
Chiara PalladinoDivision of Medical Biotechnology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-9620-0303
Adelle R AtkinsonDivision of Immunology and Allergy, Department of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Vy H D KimDivision of Immunology and Allergy, Department of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Alireza BerenjyTranslational Medicine, Research Institute, Hospital for Sick Children, Toronto, ON, Canada.
Maria AsperDivision of Immunology and Allergy, Department of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
David HummelDivision of Immunology and Allergy, Department of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Samantha WongDivision of Immunology and Allergy, Department of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Mara Alexanian-FarrDivision of Immunology and Allergy, Department of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Ahuva MagderDivision of Immunology and Allergy, Department of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Sharon R ChinthrajahSean N. Parker Center for Allergy and Asthma Research, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0003-2467-4256
Kaori MukaiSean N. Parker Center for Allergy and Asthma Research, Stanford University School of Medicine, Stanford, CA, USA.
Mindy TsaiDepartments of Pathology and of Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA.
Kari NadeauSean N. Parker Center for Allergy and Asthma Research, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0002-2146-2955
Stephen J GalliSean N. Parker Center for Allergy and Asthma Research, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0001-5736-5340
Arun K RamaniDivision of Immunology and Allergy, Department of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Zsolt SzepfalusiCentre for Computational Medicine, Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0003-4852-3102
Thomas EiweggerTranslational Medicine, Research Institute, Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0002-2914-7829
Hospital for Sick Children · CAStanford University · USMedical University of Vienna · ATUniversity of Toronto · CA

Funding

Tracking allergen specific T cells in multi-food allergyU19AI104209 · NIAID · STANFORD UNIVERSITY · PI CHINTHRAJAH, R. SHARON · 2013 to 2025
$17.3M
SEAL (Stopping Atopic dermatitis and ALlergy) Study: Prevent allergy by enhancing the skin barrierU01AI147462 · NIAID · STANFORD UNIVERSITY · PI Mary Johnson, GIDEON LACK · 2020 to 2026
$14.0M
T Cell Reagent Research for Monitoring T Cell in Food AllergyU01AI140498 · NIAID · STANFORD UNIVERSITY · PI NADEAU, KARI C. · 2018 to 2022
$1.8M
Effects of IgE Blockade on T Cells in Food AllergyR01AI140134 · NIAID · STANFORD UNIVERSITY · PI NADEAU, KARI C. · 2018 to 2021
$1.6M
Integrated Genomic and Functional Studies of Immunotherapy for Multi-Food Allergy 5U19 AI104209-07NIAID NIH HHS R01 AI140134NIAID NIH HHS U01 AI140498NIAID NIH HHS U01 AI147462NIAID NIH HHS U19 AI104209T cell Reagents for Allergy 5U01 AI140498-03
6 · The paper itself

Abstract

backgroundPeanut and tree nut allergies are the most important causes of anaphylaxis. Co-reactivity to more than one nut is frequent, and co-sensitization in the absence of clinical data is often obtained. Confirmatory oral food challenges (OFCs) are inconsistently performed.

objectiveTo investigate the utility of the basophil activation test (BAT) in diagnosing peanut and tree nut allergies.

methodsThe Markers Of Nut Allergy Study (MONAS) prospectively enrolled patients aged 0.5-17 years with confirmed peanut and/or tree nut (almond, cashew, hazelnut, pistachio, walnut) allergy or sensitization from Canadian (n = 150) and Austrian (n = 50) tertiary pediatric centers. BAT using %CD63

resultsA mixed effect model integrating BAT results for 10 and 100 ng/mL of peanut and individual tree nut extracts was optimal. The area under the ROC curve (AUROC) was 0.98 for peanut, 0.97 for cashew, 0.92 for hazelnut, 0.95 for pistachio, and 0.97 for walnut. The BAT outperformed sIgE testing for peanut or hazelnut and was comparable for walnut (AUROC 0.95, 0.94, 0.92) in a sub-analysis in sensitized patients undergoing OFC.

conclusionsBasophil activation test can predict allergic clinical status to peanut and tree nuts in multi-nut-sensitized children and may reduce the need for high-risk OFCs in patients.

Indexed as

Nut HypersensitivityPeanut HypersensitivityAllergensArachisAustriaBasophilsCanadaChildHumansNutsSkin TestsAllergensallergy diagnosisbasophilchallenge testsfood allergymolecular allergologymultiple nut allergypediatrics

Identifiers

PMID33300157
PMCPMC8608143
OpenAlexW3112609006

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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.