Evidence map›Paper›PMID 33891982›Full record

ArticleThe Journal of allergy and clinical immunology2021

Acute FPIES reactions are associated with an IL-17 inflammatory signature.

M Cecilia Berin, Daniel Lozano-Ojalvo, Charuta Agashe, Mary Grace Baker, J Andrew Bird, Anna Nowak-Wegrzyn

Open access · greenAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
5.9field-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.

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

29 citing papers in PubMed, 63 citations in OpenAlex.

  1. Review
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  12. Association of myeloid cell reactivity patterns with safe food predictions in FPIES patients.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2025
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  13. Article
  14. Review
  15. Serum biomarkers REG1A and REG3A combined with the traditional CEA represent a novel nomogram for the screening and risk stratification of colorectal cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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  18. Review
  19. Review
  20. Mass Cytometry in Food Allergy Research.Methods in molecular biology (Clifton, N.J.) · 2024
    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

6 authors at 3 institutions in 2 countries.

M Cecilia BerinJaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: cecilia.berin@mssm.edu.
Daniel Lozano-OjalvoJaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Charuta AgasheJaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Mary Grace BakerJaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
J Andrew BirdDepartment of Pediatrics, Division of Allergy and Immunology, University of Texas Southwestern Medical Center, Dallas, Tex.
Anna Nowak-WegrzynDepartment of Pediatrics, New York University Grossman School of Medicine, Hassenfeld Children's Hospital, New York, NY; Department of Pediatrics, Gastroenterology and Nutrition, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland.
Icahn School of Medicine at Mount Sinai · USThe University of Texas Southwestern Medical Center · USUniversity of Warmia and Mazury in Olsztyn · PL

Funding

Threshold, Severity, and Immunotherapy of Peanut AllergyU19AI136053 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BUNYAVANICH, SUPINDA · 2018 to 2023
$9.1M
Heterogeneity of T cell phenotype and function in food allergyR01AI151707 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BERIN, CECILIA, CUROTTO DE LAFAILLE, MARIA A · 2020 to 2024
$3.7M
NIAID NIH HHS R01 AI151707NIAID NIH HHS U19 AI136053
6 · The paper itself

Abstract

backgroundFood protein-induced enterocolitis syndrome (FPIES) is a non-IgE-mediated food allergy characterized by profuse vomiting within hours of ingestion of the causative food. We have previously reported that FPIES is associated with systemic innate immune activation in the absence of a detectable antigen-specific antibody or T-cell response. The mechanism of specific food recognition by the immune system remains unclear.

objectiveOur aim was to identify immune mechanisms underlying FPIES reactions by proteomic and flow cytometric analysis of peripheral blood.

methodsChildren with a history of FPIES underwent supervised oral food challenge. Blood samples were taken at baseline, at symptom onset, and 4 hours after symptom onset. We analyzed samples from 23 children (11 reactors and 12 outgrown). A total of 184 protein markers were analyzed by proximity ligation assay and verified by multiplex immunoassay. Analysis of cell subset activation was performed by mass cytometry and spectral cytometry.

resultsSymptomatic FPIES challenge results were associated with significant elevation of levels of cytokines and chemokines, including IL-17 family markers (IL-17A, IL-22, IL-17C, and CCL20) and T-cell activation (IL-2), and innate inflammatory markers (IL-8, oncostatin M, leukemia inhibitory factor, TNF-α, IL-10, and IL-6). The level of the mucosal damage marker regenerating family member 1 alpha (REG1A) was also significantly increased. These biomarkers were not increased in asymptomatic challenges or IgE-mediated allergy. The level of phospho-STAT3 was significantly elevated in myeloid and T cells after challenge in individuals with symptoms. Mass cytometry indicated preferential activation of nonconventional T-cell populations, including γδ T cells and CD3

conclusionsThese results demonstrate a unique IL-17 signature and activation of innate lymphocytes in FPIES.

Indexed as

AdolescentBiomarkersChildChild, PreschoolCytokinesDouble-Blind MethodFemaleFood HypersensitivityHumansImmunologic TestsInflammationMaleMyeloid CellsProteomicsT-LymphocytesBiomarkersCytokinesFood protein–induced enterocolitis syndromeFPIESinflammationinnate immunitymucosal barrieroral food challengeproteomicsSTAT3T(H)17 cells

Identifiers

PMID33891982
PMCPMC8675150
OpenAlexW3152593546

What OpenQuestion holds

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LicenceTDM
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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.