Evidence map›Paper›PMID 33944900›Full record

ArticleThe Journal of experimental medicine2021

A positive feedback loop reinforces the allergic immune response in human peanut allergy.

Xiaoying Zhou, Wong Yu, Shu-Chen Lyu, Claudia Macaubas, Bryan Bunning, Ziyuan He, Elizabeth D Mellins, Kari C Nadeau

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06554691 (Exploring the Immunological Basis in the Evolution of Tree Nut and Peanut Allergy During Treatment Care for Understanding Markers and Treatment Targets), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT06554691 active not recruitingnot on this mapstarted 2023, after this paper: background citation

Exploring the Immunological Basis in the Evolution of Tree Nut and Peanut Allergy During Treatment Care for Understanding Markers and Treatment Targets

Typeobservational_patient_registrySponsorLuxembourg Institute of HealthRan2023 to 2026Enrolled90ConditionsFood Allergy, Food Allergy in Children, Food Allergy Peanut, Tree Nut Allergies
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 26 citations in OpenAlex.

  1. HLA-DRAllergy · 2025
    Trial
  2. CD8Nature communications · 2022
    Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. New insights into the mechanisms of childhood food allergies.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. An allergenic plant calmodulin fromFrontiers in immunology · 2022
    Article
  16. Article
  17. 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

8 authors at 1 institution in 1 country.

Xiaoying Zhou *Sean N. Parker Center for Allergy & Asthma Research at Stanford University and Division of Pulmonary, Allergy, and Critical Care Medicine, Stanford, CA.ORCID 0000-0002-3177-3271
Wong Yu *Sean N. Parker Center for Allergy & Asthma Research at Stanford University and Division of Pulmonary, Allergy, and Critical Care Medicine, Stanford, CA.ORCID 0000-0001-5050-5224
Shu-Chen LyuSean N. Parker Center for Allergy & Asthma Research at Stanford University and Division of Pulmonary, Allergy, and Critical Care Medicine, Stanford, CA.ORCID 0000-0002-0563-362X
Claudia MacaubasDepartment of Pediatrics, Program in Immunology, Stanford University, Stanford, CA.ORCID 0000-0002-5472-8086
Bryan BunningSean N. Parker Center for Allergy & Asthma Research at Stanford University and Division of Pulmonary, Allergy, and Critical Care Medicine, Stanford, CA.ORCID 0000-0003-3092-0038
Ziyuan HeSean N. Parker Center for Allergy & Asthma Research at Stanford University and Division of Pulmonary, Allergy, and Critical Care Medicine, Stanford, CA.ORCID 0000-0003-3556-8248
Elizabeth D Mellins *Department of Pediatrics, Program in Immunology, Stanford University, Stanford, CA.ORCID 0000-0003-2577-139X
Kari C Nadeau *Sean N. Parker Center for Allergy & Asthma Research at Stanford University and Division of Pulmonary, Allergy, and Critical Care Medicine, Stanford, CA.ORCID 0000-0002-2146-2955
Stanford University · US

Funding

Secondhand smoke and asthma: Mechanistic outcomes of DNA methylation in T cellsR01HL118612 · NHLBI · STANFORD UNIVERSITY · PI MILLER, RACHEL L, NADEAU, KARI C. · 2014 to 2017
$2.3M
Effects of IgE Blockade on T Cells in Food AllergyR01AI140134 · NIAID · STANFORD UNIVERSITY · PI NADEAU, KARI C. · 2018 to 2021
$1.6M
NHLBI NIH HHS R01 HL118612NIAID NIH HHS R01 AI140134
6 · The paper itself

Abstract

Food allergies are a leading cause of anaphylaxis, and cellular mechanisms involving antigen presentation likely play key roles in their pathogenesis. However, little is known about the response of specific antigen-presenting cell (APC) subsets to food allergens in the setting of food allergies. Here, we show that in peanut-allergic humans, peanut allergen drives the differentiation of CD209+ monocyte-derived dendritic cells (DCs) and CD23+ (FcєRII) myeloid dendritic cells through the action of allergen-specific CD4+ T cells. CD209+ DCs act reciprocally on the same peanut-specific CD4+ T cell population to reinforce Th2 cytokine expression in a positive feedback loop, which may explain the persistence of established food allergy. In support of this novel model, we show clinically that the initiation of oral immunotherapy (OIT) in peanut-allergic patients is associated with a decrease in CD209+ DCs, suggesting that breaking the cycle of positive feedback is associated with therapeutic effect.

Indexed as

AllergensAnimalsAntigen-Presenting CellsArachisCell Adhesion MoleculesCytokinesDC-Specific ICAM-3 Grabbing NonintegrinDendritic CellsFeedbackHumansImmunityImmunotherapyLectins, C-TypeMiceMonocytesPeanut HypersensitivityAllergensCell Adhesion MoleculesCytokinesDC-Specific ICAM-3 Grabbing NonintegrinLectins, C-TypeReceptors, Cell SurfaceReceptors, IgE

Identifiers

PMID33944900
PMCPMC8103542
OpenAlexW3158485661

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.