Evidence map›Paper›PMID 42142274›Full record

SynthesisCurrent allergy and asthma reports2026

Impact of IL-4/IL-13 Blockade with Dupilumab on the Microbiome in Type 2 Inflammatory Diseases: A Systematic Review.

Pier-Valerio Mari, Lorenzo Carriera, Angela Saviano, Alberto Ricci, Angelo Coppola, Simone Ielo, Roberto Lipsi, Meridiana Dodaj, Francesco Gennari, Mario Gullà and 5 more

Abstract readSystematic Review
In one paragraph

Synthesis in Current allergy and asthma reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Lysophosphatidic Acid Receptor 5 (LPAInternational journal of molecular sciences · 2026
    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

15 authors.

Pier-Valerio Mari *Internal Medicine, San Carlo di Nancy Hospital, Rome, 00165, Italy.
Lorenzo Carriera *Facoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, Largo F. Vito 1, Roma, 00168, Italy. lorenzo.carriera01@icatt.it.
Angela SavianoEmergency Department, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, 00168, Italy.
Alberto RicciDepartment of Clinical and Molecular Medicine, Division of Pneumology, Sapienza University of Rome, AOU Sant'Andrea, Rome, 00189, Italy.
Angelo CoppolaUOC Pneumologia, Ospedale San Filippo Neri-ASL Roma 1, Rome, 00135, Italy.
Simone IeloPulmonology and Respiratory Intensive Care Unit, Ospedale San Donato, USL Toscana Sud-Est, Arezzo, 52100, Italy.
Roberto LipsiDepartment of Pulmonology and Sub-Intensive Respiratory Unit, Santa Maria della Misericordia Hospital, Piazzale Giorgio Menghini 3, Perugia, 06156, Italy.
Meridiana DodajDepartment of Pulmonology and Sub-Intensive Respiratory Unit, Santa Maria della Misericordia Hospital, Piazzale Giorgio Menghini 3, Perugia, 06156, Italy.
Francesco GennariDepartment of Medicine and Surgery, Section of Otorhinolaryngology, Santa Maria della Misericordia Hospital, Perugia, 06156, Italy.
Mario GullàDepartment of Medicine and Surgery, Section of Otorhinolaryngology, Santa Maria della Misericordia Hospital, Perugia, 06156, Italy.
Davide StivaliniDepartment of Medicine and Surgery, Section of Otorhinolaryngology, Santa Maria della Misericordia Hospital, Perugia, 06156, Italy.
Maria Gabriella PellegrinoInternal Medicine, San Carlo di Nancy Hospital, Rome, 00165, Italy.
Alessio MignecoFacoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, Largo F. Vito 1, Roma, 00168, Italy.
Eugenio De CorsoDepartment of Medicine and Surgery, Section of Otorhinolaryngology, Santa Maria della Misericordia Hospital, Perugia, 06156, Italy.
Veronica OjettiInternal Medicine, San Carlo di Nancy Hospital, Rome, 00165, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTo systematically review current evidence on microbiota changes associated with dupilumab treatment across different anatomical sites in type 2 inflammatory diseases. RECENT

findingsFifteen studies were included, comprising two randomized trials and thirteen observational studies, mostly in atopic dermatitis, with fewer data in chronic rhinosinusitis with nasal polyps and NSAID-exacerbated respiratory disease. The skin was the most frequently investigated site, followed by the sinonasal tract and gut. Across skin studies, dupilumab was consistently associated with reduced Staphylococcus aureus, increased microbial diversity, and enrichment of commensal taxa. Sinonasal studies suggested shifts toward more eubiotic microbial communities. Gut evidence was limited, although one study suggested modulation of tryptophan metabolism-related pathways.  Dupilumab appears to exert compartment-specific and disease-dependent effects on the microbiome. The strongest evidence concerns the skin and sinonasal compartments, whereas gut microbiota changes remain poorly defined. Further prospective studies are needed to assess microbiota signatures as potential biomarkers of response.

Indexed as

Antibodies, Monoclonal, HumanizedDermatitis, AtopicInflammationMicrobiotaAnimalsGastrointestinal MicrobiomeHumansInterleukin-13Interleukin-4RhinosinusitisSkin MicrobiomeAntibodies, Monoclonal, HumanizeddupilumabInterleukin-13Interleukin-4DupilumabGut-lung axisMicrobiomeMicrobiotaType 2 inflammation

Identifiers

PMID42142274
PMCPMC13179912

What OpenQuestion holds

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LicenceCC BY
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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.