Evidence map›Paper›PMID 40632077›Full record

ArticleAllergy2025

Transcriptomic Analysis of Allergic Patch Test Reactions in Non-Atopic Patients: A Comparative Study Across Multiple Allergens.

David Pesqué, Evelyn Andrades, Pau Berenguer-Molins, Júlia Perera-Bel, Miquel Clarós, Marta Bódalo-Torruella, Mònica González-Farré, Fernando Gallardo, Ramon M Pujol, Ana M Giménez-Arnau

Abstract readComparative Study
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
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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

10 authors.

David PesquéDepartment of Medicine, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain.ORCID https://orcid.org/0000-0002-5821-9780
Evelyn AndradesDepartment of Dermatology, Hospital del Mar Research Institute, Barcelona, Spain.ORCID https://orcid.org/0000-0003-2166-6760
Pau Berenguer-MolinsMARData, Hospital del Mar Research Institute (HMRIB), Barcelona, Spain.ORCID https://orcid.org/0000-0002-0170-2931
Júlia Perera-BelMARData, Hospital del Mar Research Institute (HMRIB), Barcelona, Spain.
Miquel ClarósMARGenomics, Hospital del Mar Research Institute (HMRIB), Barcelona, Spain.ORCID https://orcid.org/0000-0002-0312-7870
Marta Bódalo-TorruellaMARGenomics, Hospital del Mar Research Institute (HMRIB), Barcelona, Spain.ORCID https://orcid.org/0000-0002-5950-4700
Mònica González-FarréDepartment of Pathology, Hospital del Mar Research Institute, Barcelona, Spain.
Fernando GallardoDepartment of Dermatology, Hospital del Mar Research Institute, Barcelona, Spain.ORCID https://orcid.org/0000-0002-8996-3828
Ramon M PujolDepartment of Dermatology, Hospital del Mar Research Institute, Barcelona, Spain.ORCID https://orcid.org/0000-0002-5622-6055
Ana M Giménez-ArnauDepartment of Dermatology, Hospital del Mar Research Institute, Barcelona, Spain.ORCID https://orcid.org/0000-0001-5434-7753

Funding

LEO Fondet
6 · The paper itself

Abstract

backgroundImmune mechanisms underlying elicitation in allergic contact dermatitis (ACD) have yet to be fully elucidated. Previous studies have shown a double-faceted nature of ACD with both common biomarkers among different allergens and allergen-specific imprinting, albeit with discordance in terms of relevant pathways involved. Several factors, including co-existing atopic dermatitis, may influence immune reactions. We aim to characterize molecular signatures and their immune mechanisms of different relevant allergens (nickel, 2-hydroxyethylmethacrylate [2-HEMA], methylisothiazolinone [MIT], formaldehyde) in strong and extreme positive (2/3+) patch test reactions of patients without atopic dermatitis.

methodsA transcriptomic analysis of 40 skin biopsies of ACD reactions (11 nickel, 10 MIT, 10 2-HEMA, 9 formaldehyde) and 19 controls (petrolatum-occluded skin) was performed using RNA sequencing. Differentially expressed genes (DEG) were assessed, and enriched functional pathways were obtained with an over-representation analysis for allergens.

resultsACD molecular profiling revealed a strong, common imprinting of DEG among allergens versus controls (n = 814), with further partially shared DEG among allergens (n = 664) and allergen-specific DEG (n = 430). The most relevant shared pathways were associated with immune adaptive and innate responses. All allergens exhibited mixed effector immune responses, mainly type 1 and 3 immunity, and, to a lesser extent, type 2 immunity. Furthermore, partially shared and unique DEG were associated with further inflammatory pathways, particularly for nickel and 2-HEMA.

conclusionsThis study confirms shared ACD imprinting among different allergens and shared pathways' predominant role in ACD elicitation in patients without atopic dermatitis, alongside allergen-specific immune processes and mixed effector responses (type 1, 3 and 2).

Indexed as

AllergensDermatitis, Allergic ContactGene Expression ProfilingTranscriptomeAdultFemaleHumansMaleMiddle AgedPatch TestsYoung AdultAllergensallergiccontact dermatitisimmunepatch testtranscriptomic

Identifiers

PMID40632077
PMCPMC12590323

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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.