Evidence map›Paper›PMID 35899466›Full record

ArticleAllergy2023

Detergent exposure induces epithelial barrier dysfunction and eosinophilic inflammation in the esophagus.

Alfred D Doyle, Mia Y Masuda, Grace C Pyon, Huijun Luo, Arina Putikova, William E LeSuer, Samuel Flashner, Matthew A Rank, Hiroshi Nakagawa, Hirohito Kita and 1 more

Open access · greenAbstract read
In one paragraph

Article in Allergy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
19.0field-weighted citation impact, top 1% 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

59 citing papers in PubMed, 91 citations in OpenAlex.

  1. Article
  2. Article
  3. Update on environmental determinants of allergic diseases.The Journal of allergy and clinical immunology · 2026
    Review
  4. Eosinophilic gastrointestinal diseases.Nature reviews. Disease primers · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. The Role of the Indoor Exposome in Food Allergy Development.Current allergy and asthma reports · 2026
    Review
  10. Review
  11. Immune functions of the esophagus.The Journal of allergy and clinical immunology · 2026
    Review
  12. Oesophageal Epithelial Cell-Intrinsic MHCII Regulates Food Antigen-Dependent Eosinophilic Esophagitis in an IFNγ-Dependent Manner.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Article
  13. PSMB8 stratifies therapy response in eosinophilic esophagitis.Clinical and experimental immunology · 2026
    Article
  14. Review
  15. Review
  16. Article
  17. OMIT detergent?Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025
    Article
  18. Mouse models of eosinophilic esophagitis: molecular and translational insights.American journal of physiology. Gastrointestinal and liver physiology · 2025
    Review
  19. Review
  20. Type 2 immunity in allergic diseases.Cellular & molecular immunology · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Alfred D DoyleDivision of Allergy, Asthma, and Clinical Immunology, Mayo Clinic Arizona, Scottsdale, Arizona, USA.ORCID 0000-0001-9909-0445
Mia Y MasudaDivision of Allergy, Asthma, and Clinical Immunology, Mayo Clinic Arizona, Scottsdale, Arizona, USA.
Grace C PyonDivision of Allergy, Asthma, and Clinical Immunology, Mayo Clinic Arizona, Scottsdale, Arizona, USA.
Huijun LuoDivision of Allergy, Asthma, and Clinical Immunology, Mayo Clinic Arizona, Scottsdale, Arizona, USA.
Arina PutikovaDivision of Allergy, Asthma, and Clinical Immunology, Mayo Clinic Arizona, Scottsdale, Arizona, USA.
William E LeSuerDivision of Allergy, Asthma, and Clinical Immunology, Mayo Clinic Arizona, Scottsdale, Arizona, USA.
Samuel FlashnerHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, New York, USA.ORCID 0000-0001-9796-0515
Matthew A RankDivision of Allergy, Asthma, and Clinical Immunology, Mayo Clinic Arizona, Scottsdale, Arizona, USA.
Hiroshi NakagawaHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, New York, USA.
Hirohito KitaDivision of Allergy, Asthma, and Clinical Immunology, Mayo Clinic Arizona, Scottsdale, Arizona, USA.ORCID 0000-0002-6854-2936
Benjamin L WrightDivision of Allergy, Asthma, and Clinical Immunology, Mayo Clinic Arizona, Scottsdale, Arizona, USA.ORCID 0000-0002-7586-4722
Mayo Clinic in Arizona · USColumbia University Irving Medical Center · USPhoenix Children's Hospital · US

Funding

The Impact of COVID-19 on People Living with Rare Diseases and Their FamiliesU2CTR002818 · NCATS · CINCINNATI CHILDRENS HOSP MED CTR · PI Maurizio Macaluso, Michael Wagner · 2019 to 2026
$51.2M
TRAINING (CAREER DEVELOPMENT) COMPONENTU54AI117804 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI GLENN T FURUTA · 2014 to 2026
$18.5M
The Organoid and Cell Culture CoreP30DK132710 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Robert F. Schwabe · 2022 to 2026
$7.2M
Mechanisms of IL-33 secretion in allergic diseasesR01AI128729 · NIAID · MAYO CLINIC ROCHESTER · PI Hirohito Kita, SCOTT M. O'GRADY · 2017 to 2026
$5.6M
Mechanisms of Allergen-induced Type 2 ImmunityR37AI071106 · NIAID · MAYO CLINIC ROCHESTER · PI Hirohito Kita · 2018 to 2026
$5.2M
Type 2 Innate Lymphoid Cells and AsthmaR01HL117823 · NHLBI · MAYO CLINIC ROCHESTER · PI KITA, HIROHITO · 2014 to 2021
$3.5M
Autophagy and esophageal tissue remodeling in EoER01DK114436 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI NAKAGAWA, HIROSHI · 2017 to 2024
$3.1M
Aldh2 and mitochondrial homeostasis in esophageal pathobiologyR01AA026297 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI Hiroshi Nakagawa · 2018 to 2026
$2.9M
NCATS NIH HHS U2C TR002818NCI NIH HHS L30 CA264714NHLBI NIH HHS R01 HL117823NIAAA NIH HHS R01 AA026297NIAID NIH HHS R01 AI128729NIAID NIH HHS R37 AI071106NIAID NIH HHS U54 AI117804NIDDK NIH HHS P30 DK132710NIDDK NIH HHS R01 DK114436
6 · The paper itself

Abstract

backgroundEosinophilic esophagitis (EoE) is a chronic allergic disease associated with type 2 inflammation and epithelial barrier dysfunction. The etiology is unknown, however, genetic heritability studies suggest environmental factors play a key role in pathogenesis. Detergents, such as sodium dodecyl sulfate (SDS), are common ingredients in household products such as dish soap and toothpaste. We hypothesized detergent exposure decreases epithelial barrier function and induces esophageal inflammation.

methodsImmortalized esophageal epithelial cells (EPC2) were cultured in air-liquid interface (ALI) and exposed to SDS. Barrier function/activity was assessed by transepithelial electrical resistance (TEER), FITC-dextran flux, and RT-PCR. Additionally, SDS-treated mouse esophageal organoids were evaluated for morphology. To investigate the effects of SDS in vivo, mice were treated with 0.5% SDS in drinking water for 14 days. Esophagi were assessed by gross morphology, histopathology, protein expression, and bulk RNA sequencing.

resultsWhen EPC2 cells were exposed to SDS (5 μg/ml) for 96 h, TEER decreased (p = 0.03), and FITC-dextran flux increased (p = 0.0002). mRNA expression of IL-33 increased 4.5-fold (p = 0.02) at 6 h and DSG1 decreased (p < 0.0001) by 72 h. Disrupted epithelial integrity was noted in SDS-treated esophageal organoids. When mice were exposed to SDS, they showed increased esophageal width, chemokine, and metalloprotease levels. Mice treated with SDS also showed increased IL-33 protein expression, basal zone hyperplasia, CD4

conclusionExposure to SDS decreases esophageal barrier integrity, stimulates IL-33 production, and promotes epithelial hyperplasia and tissue eosinophilia. Detergents may be a key environmental trigger in EoE pathogenesis.

Indexed as

DetergentsEosinophilic EsophagitisAnimalsDextransEnteritisEosinophiliaEpithelial CellsFluorescein-5-isothiocyanateGastritisHyperplasiaInflammationInterleukin-33MiceDetergentsDextransFluorescein-5-isothiocyanatefluorescein isothiocyanate dextranInterleukin-33detergenteosinophilic esophagitisepitheliumIL-33

Identifiers

PMID35899466
PMCPMC9797443
OpenAlexW4288080565

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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.