Evidence map›Paper›PMID 40566935›Full record

ArticleAllergy2025

High-Dimensional Analysis of Type 2 Lymphocyte Dynamics During Mepolizumab or Dupilumab Treatment in Severe Asthma.

Lorenz Wirth, Whitney Weigel, Christopher T Stamper, Johan Kolmert, Sabrina de Souza Ferreira, Quirin Hammer, Maria Sparreman Mikus, Jakob Theorell, Lars Andersson, Ann-Sofie Lantz and 13 more

Abstract read
In one paragraph

Article in Allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Group 2 innate lymphoid cells: Where are we 15 years out?The Journal of allergy and clinical immunology · 2026
    Review
  5. Review
  6. Asthma endotypes and theratypes.Chinese medical journal pulmonary and critical care medicine · 2026
    Review
  7. Article
  8. Review
  9. Review
  10. Article
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

23 authors.

Lorenz WirthDepartment of Medicine Huddinge, Center for Infectious Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-4795-7814
Whitney WeigelDepartment of Medicine Huddinge, Center for Infectious Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
Christopher T StamperDepartment of Medicine Huddinge, Center for Infectious Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
Johan KolmertUnit of Integrative Metabolomics, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-7116-6583
Sabrina de Souza FerreiraDepartment of Medicine Huddinge, Center for Infectious Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
Quirin HammerDepartment of Medicine Huddinge, Center for Infectious Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
Maria Sparreman MikusDepartment of Medicine Huddinge, Clinical Lung- and Allergy Research Unit (CLARU), Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-6560-6124
Jakob TheorellDepartment of Medicine Huddinge, Center for Infectious Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
Lars AnderssonDepartment of Medicine Huddinge, Clinical Lung- and Allergy Research Unit (CLARU), Karolinska Institutet, Stockholm, Sweden.
Ann-Sofie LantzDepartment of Medicine Huddinge, Clinical Lung- and Allergy Research Unit (CLARU), Karolinska Institutet, Stockholm, Sweden.
Eva Wallén-NielsenDepartment of Medicine Huddinge, Clinical Lung- and Allergy Research Unit (CLARU), Karolinska Institutet, Stockholm, Sweden.
Anne PetrénDepartment of Medicine Huddinge, Clinical Lung- and Allergy Research Unit (CLARU), Karolinska Institutet, Stockholm, Sweden.
Craig E WheelockUnit of Integrative Metabolomics, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Apostolos BossiosDepartment of Respiratory Medicine and Allergy, Karolinska University Hospital Huddinge, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-0494-2690
Nikolaos LazarinisDepartment of Respiratory Medicine and Allergy, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Andrei MalinovschiDepartment of Medical Sciences, Clinical Physiology, Uppsala University, Uppsala, Sweden.
Christer JansonDepartment of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0001-5093-6980
Barbro DahlénDepartment of Medicine Huddinge, Clinical Lung- and Allergy Research Unit (CLARU), Karolinska Institutet, Stockholm, Sweden.
Thomas HochdörferMechanistic Biology and Profiling, Discovery Sciences, R&D, AstraZeneca, Gothenburg, Sweden.
Christopher Andrew TibbittDepartment of Medicine Huddinge, Center for Infectious Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-7730-7700
Sven-Erik DahlénDepartment of Medicine Huddinge, Clinical Lung- and Allergy Research Unit (CLARU), Karolinska Institutet, Stockholm, Sweden.
Valentyna YasinskaDepartment of Medicine Huddinge, Clinical Lung- and Allergy Research Unit (CLARU), Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-1379-1265
Jenny MjösbergDepartment of Medicine Huddinge, Center for Infectious Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-1119-0976

Funding

This project has received funding from the European UnionCloseCurlyQuote;s Horizon 2020 research and innovation programme under the Marie Sklstrok;odowska-Curie grant agreement No 813343. The study was further supported by funds from the Swedish Heart-Lung Foundation (to JM, BD, AB (2020-0619 and 2022-0478), CEW and SED), the Center for Innovative Medicine (CIMED, to JM and BD), the Swedish state under the agreement between the Swedish government and the county councils, the ALF-agreement (to JM, BD and SED), Torst
6 · The paper itself

Abstract

backgroundAlthough the type 2 biologics mepolizumab and dupilumab show clinical efficacy in severe asthma, their influence on circulating lymphocytes is largely unknown. Here, we studied their impact on type 2 lymphocytes in severe asthma.

methodsWe performed high-parameter flow cytometry analysis of peripheral blood mononuclear cells from 40 patients with severe asthma before, and after 4 and 12 months of mepolizumab (n = 33) or dupilumab (n = 7) treatment, focusing on type 2 lymphocytes. Additionally, we performed single-cell RNA sequencing (scRNA-seq) (n = 3) and stimulation experiments of type 2 lymphocytes (n = 3) to explore transcriptional and functional changes associated with mepolizumab treatment.

resultsMepolizumab treatment increased circulating type 2 innate lymphoid cell (ILC2), type 2 T helper (Th2) and type 2 cytotoxic (Tc2) cell frequencies, skewing ILC2 towards a CD117

conclusionMepolizumab increases the frequencies of circulating ILC2, Th2, and Tc2 cells, with reduced tissue homing receptor expression but increased type 2 cytokine production potential. This reveals a potentially new mechanism for how mepolizumab reduces airway inflammation by re-directing trafficking of inflammatory type 2 lymphocytes away from airway-homing, with implications for the possibility of achieving biologics-free remission in asthma.

Indexed as

Anti-Asthmatic AgentsAntibodies, Monoclonal, HumanizedAsthmaLymphocytesTh2 CellsAdultAgedFemaleHumansImmunophenotypingMaleMiddle AgedSeverity of Illness IndexAnti-Asthmatic AgentsAntibodies, Monoclonal, HumanizeddupilumabmepolizumabbiologicsILC2severe asthmaTc2Th2

Identifiers

PMID40566935
PMCPMC12444942

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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.