Evidence map›Paper›PMID 40966311›Full record

ArticleClinical and translational allergy2025

Food Sensitization Is Associated With Atopic Dermatitis Severity, Gut-Derived Metabolites and Leaky Gut in Adults.

Leszek Blicharz, Emilia Samborowska, Radosław Zagożdżon, Joanna Czuwara, Michał Zych, Aleksander Roszczyk, Michał Zaremba, Michał Dadlez, Zbigniew Samochocki, Małgorzata Olszewska and 1 more

Abstract read
In one paragraph

Article in Clinical and translational 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.

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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

11 authors.

Leszek BlicharzDepartment of Dermatology, Medical University of Warsaw, Warsaw, Poland.ORCID https://orcid.org/0000-0002-7633-4168
Emilia SamborowskaMass Spectrometry Laboratory, Institute of Biochemistry and Biophysics, Polish Academy of Sciences, Warsaw, Poland.
Radosław ZagożdżonLaboratory of Cellular and Genetic Therapies, Medical University of Warsaw, Warsaw, Poland.
Joanna CzuwaraDepartment of Dermatology, Medical University of Warsaw, Warsaw, Poland.
Michał ZychDepartment of Clinical Immunology, Medical University of Warsaw, Warsaw, Poland.
Aleksander RoszczykDepartment of Clinical Immunology, Medical University of Warsaw, Warsaw, Poland.
Michał ZarembaDepartment of Dermatology, Medical University of Warsaw, Warsaw, Poland.
Michał DadlezMass Spectrometry Laboratory, Institute of Biochemistry and Biophysics, Polish Academy of Sciences, Warsaw, Poland.
Zbigniew SamochockiDepartment of Dermatology, Medical University of Warsaw, Warsaw, Poland.
Małgorzata OlszewskaDepartment of Dermatology, Medical University of Warsaw, Warsaw, Poland.
Lidia RudnickaDepartment of Dermatology, Medical University of Warsaw, Warsaw, Poland.

Funding

Warszawski Uniwersytet Medyczny 1M4/1/M/MB/N/20/20Warszawski Uniwersytet Medyczny 1M4/1/M/MG/N/21Warszawski Uniwersytet Medyczny 1M4/2/M/MG/N/21
6 · The paper itself

Abstract

backgroundGut microbiome dysbiosis may cause metabolic dysregulation and intestinal barrier impairment. The latter are hypothesized to provoke food allergy and aggravate cutaneous inflammation. Our objective was to determine the prevalence of food sensitization in adult patients with atopic dermatitis and relate it to the disease severity and the biomarkers of the gut-skin axis.

methods50 adult patients with atopic dermatitis and 25 controls were enrolled in this cross-sectional study. Disease severity was determined by using SCORAD and EASI scores. Liquid chromatography-mass spectrometry, Luminex, and Polycheck immunoassays were performed to detect serum concentrations of total IgE, food-specific IgEs, gut-derived metabolites, and leaky gut-related biomarkers.

resultsFood sensitization was significantly more prevalent in patients with atopic dermatitis than in the controls. The severity of atopic dermatitis (EASI, SCORAD) was higher in patients with food sensitization and correlated with the number of positive food-specific IgEs. Higher concentrations of total IgE and higher numbers of positive food-specific IgEs were associated with lower concentrations of short-chain fatty acids and higher concentrations of indoxyl and leaky gut-related biomarkers (LBP, syndecan-4, IL-10, IL-22).

conclusionThe results suggest a relationship between food sensitization and the severity of atopic dermatitis. This could be partly associated with gut-derived metabolites and intestinal barrier impairment. Fiber-rich diet and restriction of protein could hold potential for upregulating short-chain fatty acids and downregulating indoxyl, which may translate to decreasing the likelihood of food sensitization in atopic dermatitis. Notably, the cross-sectional nature of this exploratory study limits the ability to draw causal inferences, which should be further examined in future prospective research.

Indexed as

allergen‐specific IgEatopic dermatitisbiomarkerfood hypersensitivityintestinal microbiota

Identifiers

PMID40966311
PMCPMC12445428

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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.