Evidence map›Paper›PMID 39930311›Full record

ReviewDermatology and therapy2025

Interleukin-4 and Atopic Dermatitis: Why Does it Matter? A Narrative Review.

Tiago Torres, Pedro Mendes-Bastos, Maria J Cruz, Bruno Duarte, Paulo Filipe, Maria J P Lopes, Margarida Gonçalo

Abstract readReview
In one paragraph

Review in Dermatology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Revisiting Atopy: The IgE-Dependent Amplification Loop as a Forgotten Driver of Atopic Dermatitis.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Review
  9. Review
  10. Review
  11. Article
  12. Chaga Mushroom (Journal of microbiology and biotechnology · 2026
    Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Six degrees of TGFβ.Nature immunology · 2025
    Article
  19. Review
  20. 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

7 authors.

Tiago TorresDepartment of Dermatology, Unidade Local de Saúde de Santo António, Porto, Portugal. torres.tiago@outlook.com.ORCID http://orcid.org/0000-0003-0404-0870
Pedro Mendes-BastosDermatology Center, Hospital CUF Descobertas, Lisboa, Portugal.
Maria J CruzDermatology Department, Unidade Local de Saúde de São João, Porto, Portugal.
Bruno DuarteDermatology Department, Unidade Local de Saúde de São José, Lisboa, Portugal.
Paulo FilipeDermatology Department, Unidade Local de Saúde de Santa Maria, Lisboa, Portugal.
Maria J P LopesDermatology Department, Unidade Local de Saúde de São José, Lisboa, Portugal.
Margarida GonçaloDermatology Clinic, University Hospital, Unidade Local de Saúde de Coimbra, Coimbra, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atopic dermatitis (AD) is a common chronic inflammatory skin condition that significantly impairs patients' quality of life as a result of intense itching and persistent eczematous lesions. Although AD has a multifaceted etiology-including genetic predisposition, environmental triggers, barrier dysfunction, and dysregulated immune responses-interleukin-4 (IL-4) has a recognized central role in its pathogenesis. This narrative review explores the role of IL-4 in the pathophysiology of AD, its contribution to the atopic march, and the therapeutic impact of IL-4 inhibition. IL-4 plays a critical role in skin barrier dysfunction, dysbiosis, pruritus, and inflammation, all of which contribute to the debilitating symptoms of AD. Moreover, IL-4 is implicated in other atopic conditions, such as asthma, allergic rhinitis, and food allergies, underscoring its role beyond AD and its importance in the atopic march. Recent advances in targeted therapies, particularly IL-4/IL-13 signaling inhibitors, have changed AD management. Dupilumab, an IL-4 receptor antagonist, has demonstrated significant efficacy in reducing AD symptoms and enhancing patient outcomes in both children and adults. In addition to symptomatic relief, suppressing IL-4 signaling may also offer potential for disease modification, altering AD's progression and possibly preventing the onset of other atopic conditions. This review highlights the crucial role of IL-4 as a therapeutic target in AD. By understanding the role of IL-4 in AD pathogenesis and exploring the therapeutic implications of targeting IL-4 pathways, this work can contribute to guide future research concerning treatment approaches and also emphasize the need for early and targeted interventions to mitigate disease impact and ultimately improve patient quality of life.

Indexed as

Atopic dermatitisAtopic marchDisease modificationDysbiosisInflammationInterleukin-4PruritusSkin barrier dysfunctionTargeted therapiesTh2 inflammation

Identifiers

PMID39930311
PMCPMC11909353

What OpenQuestion holds

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LicenceCC BY-NC
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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.