Evidence map›Paper›PMID 41137193›Full record

ArticleAllergy2026

Protective Role for Itaconate During Inhaled Allergen Challenge.

Gesa J Albers, Patricia P Ogger, Christina Michalaki, Helen Stölting, Simone A Walker, Anna Caldwell, John M Halket, Kathryn Duvall, Atia Batool, Lisha Joshi and 7 more

Abstract read
In one paragraph

Article in Allergy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

17 authors.

Gesa J AlbersNational Heart and Lung Institute, Imperial College London, London, UK.ORCID https://orcid.org/0000-0002-8249-6956
Patricia P OggerNational Heart and Lung Institute, Imperial College London, London, UK.
Christina MichalakiNational Heart and Lung Institute, Imperial College London, London, UK.
Helen StöltingNational Heart and Lung Institute, Imperial College London, London, UK.ORCID https://orcid.org/0000-0002-7830-2776
Simone A WalkerNational Heart and Lung Institute, Imperial College London, London, UK.
Anna CaldwellDepartment of Nutritional Sciences, School of Life Course & Population Health Sciences, King's College London, London, UK.
John M HalketDepartment of Nutritional Sciences, School of Life Course & Population Health Sciences, King's College London, London, UK.
Kathryn DuvallConway Institute and School of Medicine, University College Dublin, Dublin, Ireland.
Atia BatoolConway Institute and School of Medicine, University College Dublin, Dublin, Ireland.
Lisha JoshiConway Institute and School of Medicine, University College Dublin, Dublin, Ireland.
Helen O'BrienConway Institute and School of Medicine, University College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0002-6406-1860
Cormac McCarthyConway Institute and School of Medicine, University College Dublin, Dublin, Ireland.
Timothy HinksRespiratory Medicine Unit, Nuffield Department of Medicine and National Institute for Health Research Oxford Biomedical Research Centre, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0003-0699-2373
Gail M GauvreauDepartment of Medicine, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-6187-2385
Paul M O'ByrneDepartment of Medicine, McMaster University, Hamilton, Ontario, Canada.
Clare M LloydNational Heart and Lung Institute, Imperial College London, London, UK.
Adam J ByrneNational Heart and Lung Institute, Imperial College London, London, UK.ORCID https://orcid.org/0000-0003-2736-8174

Funding

Asthma and Lung UKWellcome Trust 088365/z/09/zWellcome Trust 211050/Z/18/ZWellcome Trust 225242/Z/22/Z
6 · The paper itself

Abstract

backgroundAsthma is a chronic, heterogeneous disease characterised by airway remodelling, inflammation, and mucus production. Airway macrophages' functions are underpinned by changes in cellular metabolism. The TCA cycle-derived metabolite itaconic acid (whose synthesis is mediated by aconitate decarboxylase) is a master regulator of macrophage function; however, its role during inhaled allergen challenge is not clear. The objective of this study was to define the role of itaconate during inhaled allergen challenge.

methodsSputum metabolite levels were measured in participants with mild allergic asthma undergoing allergen inhalation challenge, and in a second cohort, baseline levels in mild, moderate, and severe asthmatics. Airway inflammation, lung function, and bronchoalveolar lavage metabolite levels were assessed in wild-type and aconitate decarboxylase-deficient mice, or in mice treated with inhaled itaconate.

resultsAllergen inhalation in mild asthmatics led to a significant reduction in sputum itaconate. We found no difference in baseline sputum itaconate levels when comparing healthy controls to mild, moderate, or severe asthmatics. Continuous exposure to aeroallergen in wild type and aconitate decarboxylase-deficient mice showed no change in disease phenotype after 48 h, 1, 3, or 5 weeks of allergen exposure. Treatment of house dust mite-exposed mice with inhaled itaconate reduced airway inflammation.

conclusionLevels of itaconate are altered after allergen challenge in mild asthmatics and in murine models of disease. Itaconate deficiency did not alter house dust mite-induced pathology at any of the timepoints tested; however, inhaled itaconate ameliorated inflammatory responses to inhaled allergen.

Indexed as

AllergensAsthmaSuccinatesAdministration, InhalationAdultAnimalsDisease Models, AnimalFemaleHumansMaleMiceMiddle AgedSputumYoung AdultAllergensitaconic acidSuccinatesairway inflammationallergen exposureasthmaitaconatemacrophage metabolism

Identifiers

PMID41137193
PMCPMC13040632

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.