Evidence map›Paper›PMID 36690254›Full record

ArticleThe Journal of allergy and clinical immunology2023

The IL-4Rα Q576R polymorphism is associated with increased severity of atopic dermatitis and exaggerates allergic skin inflammation in mice.

Barbara Yang, Hazel Wilkie, Mrinmoy Das, Maheshwor Timilshina, Wayne Bainter, Brian Woods, Michelle Daya, Meher P Boorgula, Rasika A Mathias, Peggy Lai and 12 more

Open access · bronzeAbstract 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.1field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Basophils in atopic dermatitis: Immunologic roles and clinical implications.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Review
  5. Review
  6. Article
  7. The Mechanisms of Immunoglobulin E Sensitizations in Atopic Dermatitis.Immunology and allergy clinics of North America · 2025
    Review
  8. Article
  9. Review
  10. IL-4 acts on skin-derived dendritic cells to promote the TThe Journal of allergy and clinical immunology · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. 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

22 authors at 9 institutions in 1 country.

Barbara YangDivision of Immunology and Allergy, Department of Medicine, Brigham and Women's Hospital, Boston, Mass.
Hazel WilkieDivision of Immunology, Boston Children's Hospital, Boston, Mass.
Mrinmoy DasDivision of Immunology, Boston Children's Hospital, Boston, Mass.
Maheshwor TimilshinaDivision of Immunology, Boston Children's Hospital, Boston, Mass.
Wayne BainterDivision of Immunology, Boston Children's Hospital, Boston, Mass.
Brian WoodsDivision of Immunology, Boston Children's Hospital, Boston, Mass.
Michelle DayaUniversity of Colorado Anschutz Medical Campus, Aurora, Colo.
Meher P BoorgulaUniversity of Colorado Anschutz Medical Campus, Aurora, Colo.
Rasika A MathiasJohns Hopkins Asthma and Allergy Center, Baltimore, Md.
Peggy LaiDivision of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Boston, Mass.
Carter R PettyICCTR Biostatistics and Research Design Center, Boston Children's Hospital, Boston, Mass.
Edie WellerICCTR Biostatistics and Research Design Center, Boston Children's Hospital, Boston, Mass.
Hani HarbDivision of Immunology, Boston Children's Hospital, Boston, Mass.
Talal A ChatilaDivision of Immunology, Boston Children's Hospital, Boston, Mass.
Donald Y M LeungDepartment of Pediatrics, National Jewish Health, Denver, Colo.
Lisa A BeckDepartments of Dermatology, Medicine, and Pathology, University of Rochester School of Medicine, Rochester, NY.
Eric L SimpsonDepartment of Dermatology, Oregon Health & Science University, Portland, Ore.
Tissa R HataDepartment of Dermatology, University of California, San Diego, Calif.
Kathleen C BarnesUniversity of Colorado Anschutz Medical Campus, Aurora, Colo.
Wanda PhipatanakulDivision of Immunology, Boston Children's Hospital, Boston, Mass.
Juan-Manuel Leyva-CastilloDivision of Immunology, Boston Children's Hospital, Boston, Mass.
Raif S GehaDivision of Immunology, Boston Children's Hospital, Boston, Mass. Electronic address: raif.geha@childrens.harvard.edu.
Boston Children's Hospital · USUniversity of Colorado Anschutz Medical Campus · USBrigham and Women's Hospital · USJohns Hopkins University · USMassachusetts General Hospital · USNational Jewish Health · USOregon Health & Science University · USUniversity of California San Diego · USUniversity of Rochester · US

Funding

VectorP30CA006516 · NCI · DANA-FARBER CANCER INSTITUTE · PI Irene M. Ghobrial · 1985 to 2026
$330.6M
The Harvard Clinical and Translational Science CenterUL1TR002541 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2018 to 2022
$93.0M
Experimental and Computational Analysis of the Human Epidemiology and Response to SARS-CoV-2 (HEROS) CohortUM1AI151958 · NIAID · NATIONAL JEWISH HEALTH · PI Donald YM Leung · 2020 to 2026
$38.3M
MOLECULAR BASIS OF ALLERGIC AND IMMUNOLOGIC DISEASET32AI007512 · NIAID · CHILDREN'S HOSPITAL BOSTON · PI Janet Chou, Peter A Nigrovic · 1996 to 2026
$13.1M
IMMUNOLOGIC BASIS OF RESISTANCE AND HYPERSENSITIVITYT32AI007306 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Nora Amanda Barrett, Joshua A Boyce · 1985 to 2026
$12.2M
Molecular Basis of Hyper lgE ImmunodeficiencyR01AI065617 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Talal Amine Chatila · 2006 to 2026
$10.9M
Effect of IL-4RαR576 variant on response to Dupilumab in children with AsthmaU01AI143514 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI CHATILA, TALAL AMINE, PHIPATANAKUL, WANDA · 2019 to 2023
$8.4M
Genetic and microbial modifiers of Atopic Dermatitis (AD): Mechanisms of increased AD severity in patients with the R576 polymorphism in IL-4Ra and impact of S aureus skin decolonization on ADU01AI152033 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI RAIF SALIM GEHA, WANDA PHIPATANAKUL · 2020 to 2026
$3.7M
Midcareer Investigator Award: Urban School Allergen Exposures and Childhood AsthmK24AI106822 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI PHIPATANAKUL, WANDA · 2013 to 2022
$1.9M
NCATS NIH HHS UL1 TR002541NCI NIH HHS P30 CA006516NIAID NIH HHS K24 AI106822NIAID NIH HHS R01 AI065617NIAID NIH HHS T32 AI007306NIAID NIH HHS T32 AI007512NIAID NIH HHS U01 AI143514NIAID NIH HHS U01 AI152033NIAID NIH HHS UM1 AI151958
6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD) is characterized by T

objectiveWe sought to investigate whether the IL-4Rα R576 polymorphism is associated with AD severity and exaggerates allergic skin inflammation in mice.

methodsNighttime itching interfering with sleep, Rajka-Langeland, and Eczema Area and Severity Index scores were used to assess AD severity. Allergic skin inflammation following epicutaneous sensitization of mice 1 or 2 IL-4Rα R576 alleles (QR and RR) and IL-4Rα Q576 (QQ) controls was assessed by flow cytometric analysis of cells and quantitative RT-PCR analysis of cytokines in skin.

resultsThe frequency of nighttime itching in 190 asthmatic inner-city children with AD, as well as Rajka-Langeland and Eczema Area and Severity Index scores in 1116 White patients with AD enrolled in the Atopic Dermatitis Research Network, was higher in subjects with the IL-4Rα R576 polymorphism compared with those without, with statistical significance for the Rajka-Langeland score. Following epicutaneous sensitization of mice with ovalbumin or house dust mite, skin infiltration by CD4

conclusionsThe IL-4Rα R576 polymorphism predisposes to more severe AD and increases allergic skin inflammation in mice.

Indexed as

Dermatitis, AtopicEczemaAnimalsCytokinesInflammationInterleukin-13Interleukin-4MicePruritusSkinTh2 CellsCytokinesInterleukin-13Interleukin-4allergic skin inflammationAtopic dermatitisIL-4Rα R576 polymorphism

Identifiers

PMID36690254
PMCPMC10164706
OpenAlexW4317568882

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.