Evidence map›Paper›PMID 34065166›Full record

ReviewChildren (Basel, Switzerland)2021

An Overview of the Relevance of IgG4 Antibodies in Allergic Disease with a Focus on Food Allergens.

Thomas A E Platts-Mills, Behnam Keshavarz, Jeffrey M Wilson, Rung-Chi Li, Peter W Heymann, Diane R Gold, Emily C McGowan, Elizabeth A Erwin

Open access · goldAbstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.7field-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.

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

9 citing papers in PubMed, 19 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Thomas A E Platts-MillsDivision of Allergy & Clinical Immunology, Department of Medicine, University of Virginia, Charlottesville, VA 22908, USA.
Behnam KeshavarzDivision of Allergy & Clinical Immunology, Department of Medicine, University of Virginia, Charlottesville, VA 22908, USA.ORCID 0000-0001-5121-6950
Jeffrey M WilsonDivision of Allergy & Clinical Immunology, Department of Medicine, University of Virginia, Charlottesville, VA 22908, USA.
Rung-Chi LiDivision of Allergy & Clinical Immunology, Department of Medicine, University of Virginia, Charlottesville, VA 22908, USA.
Peter W HeymannDivision of Allergy & Clinical Immunology, Department of Medicine, University of Virginia, Charlottesville, VA 22908, USA.
Diane R GoldDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA.
Emily C McGowanDivision of Allergy & Clinical Immunology, Department of Medicine, University of Virginia, Charlottesville, VA 22908, USA.
Elizabeth A ErwinDivision of Allergy and Immunology, Nationwide Children's Hospital, Columbus, OH 43205, USA.
University of Virginia · USBrigham and Women's Hospital · USNationwide Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibodies of the IgG4 isotype are strongly associated with allergic disease but have several properties such as not precipitating with allergens, not activating complement and poor binding to Fcγ receptors that argue against a pro-inflammatory role. In keeping with that, IgG4 antibodies are a striking feature of the response to immunotherapy. In two naturally occurring situations IgG4 antibodies are common with low or absent IgE antibodies. The first example is children raised in a house with a cat and the second is eosinophilic esophagitis (EoE). In many population-based cohorts, the ownership of a cat in early childhood is associated with a decreased prevalence of a cat allergy at age 10. The second example (i.e., EoE) is a novel form of food allergy that is not mediated by IgE and is related to consuming cow's milk or wheat. In EoE, patients have IgG4 to milk proteins in high > 10 µg/mL or very high > 100 µg/mL titers. Enigmatically these patients are found to have deposits of IgG4 in the wall of their inflamed esophagus. The factors that have given rise to EoE remain unclear; however, changes in food processing over the past 50 years, particularly ultra-heat treatment and the high pressure homogenization of milk, represent a logical hypothesis.

Indexed as

eosinophilic esophagitisFab-arm exchangefood allergyfood processingIgG4 antibodymilkwheat

Identifiers

PMID34065166
PMCPMC8160978
OpenAlexW3164739331

What OpenQuestion holds

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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.