Evidence map›Paper›PMID 34531562›Full record

ArticleNature immunology2021

Environmental allergens trigger type 2 inflammation through ripoptosome activation.

Michael Brusilovsky, Mark Rochman, Yrina Rochman, Julie M Caldwell, Lydia E Mack, Jennifer M Felton, Jeff E Habel, Aleksey Porollo, Chandrashekhar Pasare, Marc E Rothenberg

Open access · greenAbstract read
In one paragraph

Article in Nature immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

53 citing papers in PubMed, 76 citations in OpenAlex.

  1. Review
  2. Review
  3. Immune functions of the esophagus.The Journal of allergy and clinical immunology · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. The oesophagus as an immune organ.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  11. The immunology of asthma.Nature immunology · 2025
    Review
  12. Review
  13. Frequent exacerbator-a novel endotype of pediatric asthma.The Journal of allergy and clinical immunology · 2025
    Review
  14. Type 2 immunity in allergic diseases.Cellular & molecular immunology · 2025
    Review
  15. Innovation through imitation: IL-33 decoys show promise in pulmonary fibrosis.The Journal of pharmacology and experimental therapeutics · 2025
    Article
  16. Epithelial sensing in allergic disease.Current opinion in immunology · 2024
    Review
  17. Review
  18. Neuroimmune recognition of allergens.Current opinion in immunology · 2024
    Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Michael BrusilovskyDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Mark RochmanDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0002-0818-927X
Yrina RochmanDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0002-1129-5946
Julie M CaldwellDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0002-3855-299X
Lydia E MackDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Jennifer M FeltonDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Jeff E HabelDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Aleksey PorolloCenter for Autoimmune Genomics and Etiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Chandrashekhar PasareDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0002-8142-2488
Marc E RothenbergDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. marc.rothenberg@cchmc.org.ORCID http://orcid.org/0000-0001-9790-6332
Cincinnati Children's Hospital Medical Center · US

Funding

Innate mechanisms of regulation of Th17 responsesR01AI123176 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI Chandrashekhar Pasare · 2017 to 2026
$4.4M
Regulation of Gastrointestinal EosinophilsR37AI045898 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI ROTHENBERG, MARC E. · 2010 to 2019
$3.6M
Role of Gut Microbiota in Modulating Immune Checkpoint Inhibitory Therapy for CancerR01CA231303 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI HOMSI, JADE, KOH, ANDREW · 2019 to 2023
$3.1M
ROLE OF BCAP IN REGULATING INFLAMMATION AND ADAPTIVE IMMUNITYR01AI113125 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI PASARE, CHANDRASHEKHAR · 2015 to 2019
$1.8M
NCI NIH HHS R01 CA231303NIAID NIH HHS R01 AI113125NIAID NIH HHS R01 AI123176NIAID NIH HHS R37 AI045898
6 · The paper itself

Abstract

Environmental allergens, including fungi, insects and mites, trigger type 2 immunity; however, the innate sensing mechanisms and initial signaling events remain unclear. Herein, we demonstrate that allergens trigger RIPK1-caspase 8 ripoptosome activation in epithelial cells. The active caspase 8 subsequently engages caspases 3 and 7, which directly mediate intracellular maturation and release of IL-33, a pro-atopy, innate immunity, alarmin cytokine. Mature IL-33 maintained functional interaction with the cognate ST2 receptor and elicited potent pro-atopy inflammatory activity in vitro and in vivo. Inhibiting caspase 8 pharmacologically and deleting murine Il33 and Casp8 each attenuated allergic inflammation in vivo. Clinical data substantiated ripoptosome activation and IL-33 maturation as likely contributors to human allergic inflammation. Our findings reveal an epithelial barrier, allergen-sensing mechanism that converges on the ripoptosome as an intracellular molecular signaling platform, triggering type 2 innate immune responses. These findings have significant implications for understanding and treating human allergic diseases.

Indexed as

AdolescentAllergensAnimalsCaspase 8Cell LineCell Line, TumorChildChild, PreschoolCytokinesEpithelial CellsFemaleHEK293 CellsHumansHypersensitivityImmunity, InnateInflammationAllergensCaspase 8CytokinesInterleukin-33

Identifiers

PMID34531562
PMCPMC8487942
OpenAlexW3200108504

What OpenQuestion holds

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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.