Evidence map›Paper›PMID 36403663›Full record

ArticleThe Journal of allergy and clinical immunology2023

Epidermal differentiation complex genetic variation in atopic dermatitis and peanut allergy.

Michelle F Huffaker, Kanika Kanchan, Henry T Bahnson, Ingo Ruczinski, Gautam Shankar, Donald Y M Leung, Carolyn Baloh, George Du Toit, Gideon Lack, Gerald T Nepom and 1 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. The oesophagus as an immune organ.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  6. Article
  7. Review
  8. Genetic and Immunological Pathogenesis of Atopic Dermatitis.The Journal of investigative dermatology · 2024
    Review
  9. Article
  10. Review
  11. Review
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

11 authors at 6 institutions in 2 countries.

Michelle F HuffakerImmune Tolerance Network, San Francisco, Calif. Electronic address: mhuffaker@immunetolerance.org.
Kanika KanchanDivision of Allergy and Clinical Immunology, Department of Medicine, School of Medicine, Baltimore, Md.
Henry T BahnsonImmune Tolerance Network, Seattle, Wash; Benaroya Research Institute at Virginia Mason, Seattle, Wash.
Ingo RuczinskiDepartment of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md.
Gautam ShankarDivision of Allergy and Clinical Immunology, Department of Medicine, School of Medicine, Baltimore, Md.
Donald Y M LeungDivision of Pediatric Allergy and Immunology, National Jewish Health, Denver, Colo.
Carolyn BalohImmune Tolerance Network, San Francisco, Calif; Division of Allergy and Clinical Immunology, Brigham and Women's Hospital, Boston, Mass.
George Du ToitDepartment of Pediatric Allergy, Division of Asthma, Allergy and Lung Biology, King's College London, and Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Gideon LackDepartment of Pediatric Allergy, Division of Asthma, Allergy and Lung Biology, King's College London, and Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Gerald T NepomImmune Tolerance Network, Seattle, Wash; Benaroya Research Institute at Virginia Mason, Seattle, Wash.
Rasika A MathiasImmune Tolerance Network, San Francisco, Calif.
Immune Tolerance Network · USKing's College London · GBVirginia Mason Medical Center · USBrigham and Women's Hospital · USJohns Hopkins University · USNational Jewish Health · US

Funding

Immune Tolerance Network UM1 2023 SupplementUM1AI109565 · NIAID · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI Mark S Anderson, Jane Hoyt Buckner · 2014 to 2026
$451.6M
NIAID NIH HHS UM1 AI109565
6 · The paper itself

Abstract

backgroundDeleterious variation in the epidermal differentiation complex (EDC) on chromosome 1 is a well-known genetic determinant of atopic dermatitis (AD) and has been associated with risk of peanut allergy (PA) in population-based studies.

objectiveOur aim was to determine the effect of genetic variation in the EDC on AD trajectory and risk of PA in early life.

methodsGenome sequencing was used to measure genetic variation in the EDC in the Learning Early about Peanut Allergy (LEAP) study participants. Association tests were done to identify gene- and variant-level predicted deleterious variation associated with AD severity by using the Scoring Atopic Dermatitis (SCORAD) tool (n = 559) at baseline and each follow-up visit, as well as PA and food allergy in peanut avoiders (n = 275). Predicted deleterious variants included missense variants that were frameshift insertions, frameshift deletions, stop-gain mutations, or stop-loss mutations. Associations between variant load, SCORAD score, and PA were tested by using linear and generalized linear regression models.

resultsThe genes FLG, FLG2, HRNR, and TCHH1 harbored the most predicted deleterious variation (30, 6, 3, and 1 variant, respectively). FLG variants were associated with SCORAD score at all time points; 4 variants (R1798X, R501X, S126X, and S761fs) drove the association with SCORAD score at each time point, and higher variant load was associated with greater AD severity over time. There was an association between these variants and PA, which remained significant independent of baseline AD severity (odds ratio = 2.63 [95% CI = 1.11-6.01] [P = .02]).

conclusionsVariation in FLG predicted to be deleterious is associated with AD severity at baseline and longitudinally and has an association with PA independent of baseline severity.

Indexed as

Dermatitis, AtopicPeanut HypersensitivityArachisFrameshift MutationHumansMutationAtopic dermatitiseczemaepidermal differentiation complexfilaggringeneticspeanut allergy

Identifiers

PMID36403663
PMCPMC12369244
OpenAlexW4309517254

What OpenQuestion holds

Textmetadata
LicenceTDM
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.