Evidence map›Paper›PMID 33655520›Full record

ReviewAllergy2021

Carbohydrate epitopes currently recognized as targets for IgE antibodies.

Thomas A Platts-Mills, Christiane Hilger, Uta Jappe, Marianne van Hage, Gabriele Gadermaier, Edzard Spillner, Jonas Lidholm, Behnam Keshavarz, Rob C Aalberse, Ronald van Ree and 2 more

Open access · greenAbstract readReview
In one paragraph

Review in Allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
7.4field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 69 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Alpha-Gal Syndrome-A Series of Cases with Different Clinical Pictures.International journal of molecular sciences · 2025
    Article
  6. Article
  7. Review
  8. Pre-clinical strategies and emerging technologies driving advances in the alpha-gal syndrome.Allergology international : official journal of the Japanese Society of Allergology · 2025
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. New developments in biotechnology applied to microorganisms.EFSA journal. European Food Safety Authority · 2024
    Article
  17. Review
  18. Review
  19. Article
  20. Review
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

12 authors at 9 institutions in 7 countries.

Thomas A Platts-MillsWHO/IUIS Allergen Nomenclature Sub-Committee.ORCID 0000-0002-1263-329X
Christiane HilgerWHO/IUIS Allergen Nomenclature Sub-Committee.ORCID 0000-0001-9455-5442
Uta JappeWHO/IUIS Allergen Nomenclature Sub-Committee.
Marianne van HageWHO/IUIS Allergen Nomenclature Sub-Committee.
Gabriele GadermaierWHO/IUIS Allergen Nomenclature Sub-Committee.ORCID 0000-0002-4886-417X
Edzard SpillnerWHO/IUIS Allergen Nomenclature Sub-Committee.ORCID 0000-0003-0999-5254
Jonas LidholmWHO/IUIS Allergen Nomenclature Sub-Committee.ORCID 0000-0002-7779-3411
Behnam KeshavarzDivision of Allergy and Immunology, University of Virginia, Charlottesville, Virginia, USA.ORCID 0000-0001-5121-6950
Rob C AalberseDepartment of Immunopathology, Sanquin, Amsterdam, The Netherlands.ORCID 0000-0002-3902-6596
Ronald van ReeWHO/IUIS Allergen Nomenclature Sub-Committee.
Richard E GoodmanWHO/IUIS Allergen Nomenclature Sub-Committee.
Anna PomésWHO/IUIS Allergen Nomenclature Sub-Committee.ORCID 0000-0002-8729-1829
Allensbach University · DEAarhus University · DKAmsterdam UMC Location University of Amsterdam · NLKarolinska University Hospital · SESanquin · NLThermo Fisher Scientific (Sweden) · SEUniversity of Nebraska–Lincoln · USUniversity of Salzburg · ATUniversity of Virginia · US

Funding

IgE antibodies to the mammalian oligosaccharide galactose-alpha-1, 3-galactose (alpha-gal): immunology, epidemiology and relevance to allergic and inflammatory diseaseR37AI020565 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI THOMAS A. PLATTS-MILLS · 1992 to 2026
$8.4M
NIAID NIH HHS R37 AI020565
6 · The paper itself

Abstract

Until recently, glycan epitopes have not been documented by the WHO/IUIS Allergen Nomenclature Sub-Committee. This was in part due to scarce or incomplete information on these oligosaccharides, but also due to the widely held opinion that IgE to these epitopes had little or no relevance to allergic symptoms. Most IgE-binding glycans recognized up to 2008 were considered to be "classical" cross-reactive carbohydrate determinants (CCD) that occur in insects, some helminths and throughout the plant kingdom. Since 2008, the prevailing opinion on lack of clinical relevance of IgE-binding glycans has been subject to a reevaluation. This was because IgE specific for the mammalian disaccharide galactose-alpha-1,3-galactose (alpha-gal) was identified as a cause of delayed anaphylaxis to mammalian meat in the United States, an observation that has been confirmed by allergists in many parts of the world. Several experimental studies have shown that oligosaccharides with one or more terminal alpha-gal epitopes can be attached as a hapten to many different mammalian proteins or lipids. The classical CCDs also behave like haptens since they can be expressed on proteins from multiple species. This is the explanation for extensive in vitro cross-reactivity related to CCDs. Because of these developments, the Allergen Nomenclature Sub-Committee recently decided to include glycans as potentially allergenic epitopes in an adjunct section of its website (www.allergen.org). In this article, the features of the main glycan groups known to be involved in IgE recognition are revisited, and their characteristic structural, functional, and clinical features are discussed.

Indexed as

AllergensImmunoglobulin EAnimalsCarbohydratesCross ReactionsEpitopesHumansAllergensCarbohydratesEpitopesImmunoglobulin Ealpha-galclinical relevancecross-reactive carbohydrate determinantshaptenMMXFMUXF3O-glycans

Identifiers

PMID33655520
PMCPMC8489568
OpenAlexW3134346798

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.