Evidence map›Paper›PMID 40654526›Full record

ArticleFrontiers in allergy2025

Tropomyosin-based cross-reactivity and asymptomatic shellfish sensitization in patients with perennial allergy.

Moritz Maximilian Hollstein, Marie Charlotte Schuppe, Katharina Klara Hahn, Prasad Dasari, Susann Forkel, Caroline Beutner, Timo Buhl

Abstract read
In one paragraph

Article in Frontiers in allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 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

7 authors.

Moritz Maximilian HollsteinDepartment of Dermatology, Venereology and Allergology, University Medical Centre Göttingen, Göttingen, Germany.
Marie Charlotte SchuppeDepartment of Dermatology, Venereology and Allergology, University Medical Centre Göttingen, Göttingen, Germany.
Katharina Klara HahnDepartment of Dermatology, Venereology and Allergology, University Medical Centre Göttingen, Göttingen, Germany.
Prasad DasariDepartment of Dermatology, Venereology and Allergology, University Medical Centre Göttingen, Göttingen, Germany.
Susann ForkelDepartment of Dermatology, Venereology and Allergology, University Medical Centre Göttingen, Göttingen, Germany.
Caroline BeutnerDepartment of Dermatology, Venereology and Allergology, University Medical Centre Göttingen, Göttingen, Germany.
Timo BuhlDepartment of Dermatology, Venereology and Allergology, University Medical Centre Göttingen, Göttingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mite, cockroach, and shellfish (crab, clam, and shrimp) proteins share allergenic epitopes. The determination of specific IgE (sIgE) against cockroach ( Objective: This study aimed to evaluate whether cross-reactivity between aeroallergens and food allergens is clinically relevant and whether subjects with mite and/or cockroach sensitization are at risk of false-positive results in shellfish food allergy diagnostics. Methods: In this cross-sectional, single-center study, we recruited 200 patients with elevated sIgE against ≥1 allergen at random from our outpatient clinic and assessed allergic comorbidity. We analyzed sIgE against mites ( Results: During allergologic assessment, two participants reported previous anaphylaxis to fish and/or seafood and were excluded from further analysis. The final study population comprised 150 female and 48 male participants. Of these, 93 presented with positive sIgE against mites. As expected, participants with mite sensitization displayed an elevated prevalence of perennial asthma or allergic rhinitis ( Conclusion: Patients with mite sensitization have higher asymptomatic sIgE levels to shellfish. Even in patients with anti-tropomyosin sIgE levels below the cutoff level, anti-tropomyosin sIgE correlates strongly with sIgE against German cockroach, crab, clam, and shrimp. Our findings suggest large-scale false-positive results for sIgE to shellfish when analyzing patients with mite- or cockroach sensitization.

Indexed as

food allergyIgE cross-reactivityperennial allergyshellfishtropomyosin

Identifiers

PMID40654526
PMCPMC12245884

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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.