Evidence map›Paper›PMID 33433798›Full record

ArticleDigestive diseases and sciences2021

Differential Cytokine Expression in the Duodenum and Rectum of Children with Non-Immunoglobulin E-Mediated Cow's Milk Protein Allergy.

Erick M Toro-Monjaraz, Gabriela Fonseca-Camarillo, Flora Zárate-Mondragón, Ericka Montijo-Barrios, José Cadena-León, David Avelar-Rodríguez, Jaime Ramírez-Mayans, Roberto Cervantes-Bustamante, Jesús K Yamamoto-Furusho

Abstract read
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In one paragraph

Article in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. [Effect of interleukinZhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Article
  3. Article
  4. Observational
  5. Review
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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

9 authors at 2 institutions in 1 country.

Erick M Toro-MonjarazDepartment of Pediatric Gastroenterology and Nutrition, Instituto Nacional de Pediatría, Distrito Federal, Mexico.
Gabriela Fonseca-CamarilloInflammatory Bowel Disease Clinic, Department of Gastroenterology, Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán, Vasco de Quiroga #15, Col. Sección XVI, 14000, Mexico City, D.F., Mexico.
Flora Zárate-MondragónDepartment of Pediatric Gastroenterology and Nutrition, Instituto Nacional de Pediatría, Distrito Federal, Mexico.
Ericka Montijo-BarriosDepartment of Pediatric Gastroenterology and Nutrition, Instituto Nacional de Pediatría, Distrito Federal, Mexico.
José Cadena-LeónDepartment of Pediatric Gastroenterology and Nutrition, Instituto Nacional de Pediatría, Distrito Federal, Mexico.
David Avelar-RodríguezDepartment of Pediatric Gastroenterology and Nutrition, Instituto Nacional de Pediatría, Distrito Federal, Mexico.
Jaime Ramírez-MayansDepartment of Pediatric Gastroenterology and Nutrition, Instituto Nacional de Pediatría, Distrito Federal, Mexico.
Roberto Cervantes-BustamanteDepartment of Pediatric Gastroenterology and Nutrition, Instituto Nacional de Pediatría, Distrito Federal, Mexico.
Jesús K Yamamoto-FurushoInflammatory Bowel Disease Clinic, Department of Gastroenterology, Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán, Vasco de Quiroga #15, Col. Sección XVI, 14000, Mexico City, D.F., Mexico. kazuofurusho@hotmail.com.ORCID 0000-0002-5247-5812
Instituto Nacional de Pediatria · MXInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCow's milk protein allergy (CMPA) is the most prevalent food allergy in children, and its pathogenesis remains poorly understood. It has been shown that the combination of genetic predisposition, perinatal factors, and intestinal imbalance of the immune response mediated by cytokines may play an essential role in CMPA pathogenesis.

aimTo characterize the gene expression of Th1, Th2, and Th17 cytokines in the duodenum and rectum in patients with CMPA.

methodsThis is an observational, descriptive, cross-sectional, prospective study. We used specific IgE (ImmunoCAP

resultsThirty children (13 male and 17 female) were evaluated. All patients had an open challenge for CMPA. IgE specific to casein, alfa-lactalbumin, and beta-lactoglobulin was negative in all patients. In terms of cytokine levels, the levels of TNFα, IL-6, IL-12 (Th1), IL-4, IL-10, IL-13 (Th2), and IL-17 were found to be higher in the rectum than in the duodenum (p < 0.05). IL-15 was found to be higher in the duodenum than in the rectum (p < 0.05).

conclusionsIn the present study we observed that the immune response in CMPA seems to be mediated by a Th1, Th2, and Th17 cytokine profile, with the rectum being the main affected site.

Indexed as

AnimalsCattleCross-Sectional StudiesCytokinesDuodenumGene Expression RegulationHumansInfantMaleMilk HypersensitivityMilk ProteinsRectumCytokinesMilk ProteinsCow's milk protein allergyNon-IgE-mediated cow′s milk protein allergyTh1Th2 and Th17 cytokines

Identifiers

PMID33433798
OpenAlexW3120009116

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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.