Evidence map›Paper›PMID 34684400›Full record

ReviewNutrients2021

The Role of Carrageenan in Inflammatory Bowel Diseases and Allergic Reactions: Where Do We Stand?

Barbara Borsani, Raffaella De Santis, Veronica Perico, Francesca Penagini, Erica Pendezza, Dario Dilillo, Alessandra Bosetti, Gian Vincenzo Zuccotti, Enza D'Auria

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
9.0field-weighted citation impact, top 2% 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

39 citing papers in PubMed, 88 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
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  5. Review
  6. Effects of Common Food Additives Kappa-, Iota- and Lambda-Carrageenans on Intestinal Epithelial Cell Activation and Barrier Disruption.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Edible Scaffolds for Cultivated Meat Production.Advances in biochemical engineering/biotechnology · 2026
    Review
  12. Review
  13. Review
  14. Food Additives: Emerging Detrimental Roles on Gut Health.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. 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

9 authors at 1 institution in 1 country.

Barbara BorsaniDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20122 Milan, Italy.ORCID 0000-0003-0750-9451
Raffaella De SantisDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20122 Milan, Italy.
Veronica PericoDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20122 Milan, Italy.
Francesca PenaginiDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20122 Milan, Italy.
Erica PendezzaDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20122 Milan, Italy.ORCID 0000-0002-4966-7389
Dario DililloDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20122 Milan, Italy.
Alessandra BosettiDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20122 Milan, Italy.
Gian Vincenzo ZuccottiDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20122 Milan, Italy.ORCID 0000-0002-2795-9874
Enza D'AuriaDepartment of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, 20122 Milan, Italy.ORCID 0000-0003-2750-5810
University of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Carrageenan (CGN) is a high molecular weight polysaccharide extracted from red seaweeds, composed of D-galactose residues linked in β-1,4 and α-1,3 galactose-galactose bond, widely used as a food additive in processed foods for its properties as a thickener, gelling agent, emulsifier, and stabilizer. In recent years, with the spread of the Western diet (WD), its consumption has increased. Nonetheless, there is a debate on its safety. CGN is extensively used as an inflammatory and adjuvant agent in vitro and in animal experimental models for the investigation of immune processes or to assess the activity of anti-inflammatory drugs. CGN can activate the innate immune pathways of inflammation, alter the gut microbiota composition and the thickness of the mucus barrier. Clinical evidence suggests that CGN is involved in the pathogenesis and clinical management of inflammatory bowel diseases (IBD), indeed food-exclusion diets can be an effective therapy for disease remission. Moreover, specific IgE to the oligosaccharide α-Gal has been associated with allergic reactions commonly referred to as the "α-Gal syndrome". This review aims to discuss the role of carrageenan in inflammatory bowel diseases and allergic reactions following the current evidence. Furthermore, as no definitive data are available on the safety and the effects of CGN, we suggest gaps to be filled and advise to limit the human exposure to CGN by reducing the consumption of ultra-processed foods.

Indexed as

DietAnimalsCarrageenanFood AdditivesGastrointestinal MicrobiomeHumansHypersensitivityInflammationInflammatory Bowel DiseasesCarrageenanFood Additivesallergic reactionscarrageenandietary patterngut microbiotainflammationinflammatory bowel diseasesprocessed foods

Identifiers

PMID34684400
PMCPMC8539934
OpenAlexW3202661720

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.