Evidence map›Paper›PMID 40542457›Full record

ReviewImmunological reviews2025

Epitope-Specific Antibodies in Allergic Disease and Clinical Tolerance.

Orlee Marini-Rapoport, Moumita Bhowmik, Tarun Keswani, Sarita U Patil

Abstract readReview
In one paragraph

Review in Immunological reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Orlee Marini-RapoportCenter for Immunology and Inflammatory Diseases, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Moumita BhowmikCenter for Immunology and Inflammatory Diseases, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Tarun KeswaniCenter for Immunology and Inflammatory Diseases, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Sarita U PatilCenter for Immunology and Inflammatory Diseases, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-2172-2286

Funding

Structural and functional characterization of protective antibodies induced in peanut oral immunotherapyR01AI155630 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Sarita U Patil · 2021 to 2026
$3.1M
Convergent allergen-specific antibodies in food allergyR01AI182001 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Sarita U Patil · 2024 to 2026
$2.5M
Food Allergy Science InitiativeNational Institute of Allergy and Infectious Diseases R01AI155630National Institute of Allergy and Infectious Diseases R01AI182001NIAID NIH HHS R01 AI155630NIAID NIH HHS R01 AI182001
6 · The paper itself

Abstract

B-cell epitope specificity on food allergens is highly relevant to understanding both the pathogenesis of IgE and IgG-mediated clinical tolerance after immunotherapy. The molecular binding interactions between the paratopes of antibodies and the epitopes of food allergens drive IgE-crosslinking, the subsequent activation of allergen effector cells, and the symptoms of systemic and life-threatening anaphylaxis. Various characteristics of allergen-specific IgE, such as high affinity and clonal diversity, can contribute to the persistence of food allergy and the severity of anaphylaxis upon allergen exposure. On the other hand, the induction of epitope-specific IgG antibodies in allergic individuals can inhibit IgE binding to food allergens. A subset of these can be neutralizing antibodies that effectively disrupt multiple allergen-IgE interactions to suppress effector responses. This review details the crucial role of epitope specificity and antibody clonality in both the pathogenesis of food allergy and in the development of clinical tolerance.

Indexed as

AllergensEpitopes, B-LymphocyteFood HypersensitivityHypersensitivityImmune ToleranceAnimalsAntibody SpecificityDesensitization, ImmunologicEpitopesHumansImmunoglobulin EImmunoglobulin GAllergensEpitopesEpitopes, B-LymphocyteImmunoglobulin EImmunoglobulin Gallergyfood allergyIgEIgGneutralizing antibodiesoral immunotherapy

Identifiers

PMID40542457
PMCPMC12281784

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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.