Evidence map›Paper›PMID 34386193›Full record

ArticleClinical and translational allergy2021

The basophil activation test differentiates between patients with wheat-dependent exercise-induced anaphylaxis and control subjects using gluten and isolated gluten protein types.

Angelika Miriam Gabler, Julia Gebhard, Bernadette Eberlein, Tilo Biedermann, Katharina Anne Scherf, Knut Brockow

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

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

18 citing papers in PubMed, 25 citations in OpenAlex.

  1. Unusual Causes of Food-Induced Anaphylaxis - A Review.Indian dermatology online journal · 2026
    Article
  2. Steady steps to desensitization: Low-increment OIT for pediatric wheat allergy.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  3. Article
  4. Wheat allergy, a new and emerging threat of food allergy for children.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Getting in Shape: Updates in Exercise Anaphylaxis.Current allergy and asthma reports · 2024
    Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
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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

6 authors at 3 institutions in 1 country.

Angelika Miriam GablerLeibniz-Institute for Food Systems Biology at the Technical University of Munich Freising Germany.
Julia GebhardDepartment of Dermatology and Allergy Biederstein TUM School of Medicine Technical University of Munich Munich Germany.
Bernadette EberleinDepartment of Dermatology and Allergy Biederstein TUM School of Medicine Technical University of Munich Munich Germany.
Tilo BiedermannDepartment of Dermatology and Allergy Biederstein TUM School of Medicine Technical University of Munich Munich Germany.
Katharina Anne ScherfLeibniz-Institute for Food Systems Biology at the Technical University of Munich Freising Germany.ORCID https://orcid.org/0000-0001-8315-5400
Knut BrockowDepartment of Dermatology and Allergy Biederstein TUM School of Medicine Technical University of Munich Munich Germany.ORCID https://orcid.org/0000-0002-2775-3681
Technical University of Munich · DEKarlsruhe Institute of Technology · DELeibniz-Institute for Food Systems Biology at the Technical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral food challenge using gluten and cofactors is the gold standard to diagnose wheat-dependent exercise-induced anaphylaxis (WDEIA), but this procedure puts patients at risk of an anaphylactic reaction. Specific IgE to ω5-gliadins as major allergens and skin prick tests to wheat may yield negative results. Thus, we designed a proof-of-principle study to investigate the utility of the basophil activation test (BAT) for WDEIA diagnosis.

methodsDifferent gluten protein types (GPT; α-, γ-, ω1,2- and ω5-gliadins, high-molecular-weight glutenin subunits [HMW-GS] and low-molecular-weight glutenin subunits [LMW-GS]) and gluten were used in different concentrations to measure basophil activation in 12 challenge-confirmed WDEIA patients and 10 control subjects. The results were compared to routine allergy diagnostics. Parameters analyzed include the percentage of CD63

resultsGPT and gluten induced strong basophil activation for %CD63

conclusionThis study shows the alternative role of BAT in better defining WDEIA and the causative wheat allergens. The best BAT parameters to distinguish WDEIA patients from controls were %CD63

Indexed as

basophil activation testglutenwheat allergywheat‐dependent exercise‐induced anaphylaxis (WDEIA)ω5‐gliadin

Identifiers

PMID34386193
PMCPMC8340350
OpenAlexW3189573073

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.