Evidence map›Paper›PMID 37780076›Full record

ArticleThe journal of allergy and clinical immunology. Global2022

Blister fluid as a cellular input for

Andrew Awad, Effie Mouhtouris, Catriona Vi Nguyen-Robertson, Natasha Holmes, Kyra Y L Chua, Ana Copaescu, Fiona James, Michelle S Goh, Ar Kar Aung, Dale I Godfrey and 5 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. Global, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Cephalosporin Allergy: Updates on Diagnostic Testing.Current allergy and asthma reports · 2024
    Review
  4. Review
  5. Sutton's law and severe cutaneous adverse drug reactions: Is the money in the blister?The journal of allergy and clinical immunology. Global · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Andrew AwadCentre for Antibiotic Allergy and Research, Department of Infectious Diseases, Austin Hospital, Heidelberg, Australia.
Effie MouhtourisCentre for Antibiotic Allergy and Research, Department of Infectious Diseases, Austin Hospital, Heidelberg, Australia.
Catriona Vi Nguyen-RobertsonDepartment of Microbiology and Immunology, The University of Melbourne, at the Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Natasha HolmesCentre for Antibiotic Allergy and Research, Department of Infectious Diseases, Austin Hospital, Heidelberg, Australia.
Kyra Y L ChuaCentre for Antibiotic Allergy and Research, Department of Infectious Diseases, Austin Hospital, Heidelberg, Australia.
Ana CopaescuCentre for Antibiotic Allergy and Research, Department of Infectious Diseases, Austin Hospital, Heidelberg, Australia.
Fiona JamesCentre for Antibiotic Allergy and Research, Department of Infectious Diseases, Austin Hospital, Heidelberg, Australia.
Michelle S GohDepartment of Dermatology, Alfred Health, Melbourne, Australia.
Ar Kar AungDepartment of General Medicine, Alfred Health, Melbourne, Australia.
Dale I GodfreyDepartment of Microbiology and Immunology, The University of Melbourne, at the Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Elizabeth J PhilipsThe Institute for Immunology and Infectious Diseases, Murdoch University, Murdoch, Australia.
Andrew GibsonThe Institute for Immunology and Infectious Diseases, Murdoch University, Murdoch, Australia.
Catarina F AlmeidaDepartment of Microbiology and Immunology, The University of Melbourne, at the Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Jason A TrubianoCentre for Antibiotic Allergy and Research, Department of Infectious Diseases, Austin Hospital, Heidelberg, Australia.
Australian Registry of Severe Cutaneous Adverse Reactions (AUS-SCAR)
Austin Hospital · AUThe University of Melbourne · AUAlfred Health · AUMurdoch University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Drug-induced severe cutaneous adverse reactions (SCARs) are presumed T-cell-mediated hypersensitivities associated with significant morbidity and mortality. Traditional Objective: We sought to improve Methods: ELISpot and flow cytometry analyses of IFN-γ release were performed on donor-matched PBMC and BFC samples from 4 patients with SCARs with distinct drug hypersensitivity. Results: Immune responses to suspected drugs were detected in both the PBMC and BFC samples of 2 donors (donor patient 1 in response to ceftriaxone and case patient 4 in response to oxypurinol), with BFCs eliciting stronger responses. For the other 2 donors, only BFC samples showed a response to meloxicam (case patient 2) or sulfamethoxazole and its 4-nitro metabolite (case patient 3). Consistently, flow cytometry revealed a greater proportion of IFN-γ-secreting cells in the BFCs than in the PBMCs. The BFCs from case patient 3 were also enriched for memory, activation, and/or tissue recruitment markers over the PBMCs. Conclusion: Analysis of BFC samples for drug hypersensitivity diagnostics offers a higher sensitivity for detecting positive responses than does analysis of PBMC samples. This is consistent with recruitment (and enrichment) of cytokine-secreting cells with a memory/activated phenotype into blisters.

Indexed as

BFCex vivo assaysPBMCSevere cutaneous drug reactions

Identifiers

PMID37780076
PMCPMC10509900
OpenAlexW4200444449

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.