Evidence map›Paper›PMID 8349803›Full record

Trial reportThe Journal of clinical investigation1993

Influence of grass pollen immunotherapy on cellular infiltration and cytokine mRNA expression during allergen-induced late-phase cutaneous responses.

V A Varney, Q A Hamid, M Gaga, S Ying, M Jacobson, A J Frew, A B Kay, S R Durham

Open access · bronzeAbstract readClinical TrialComparative StudyControlled Clinical Trial
In one paragraph

Trial report in The Journal of clinical investigation, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 4 pooled it
6.5field-weighted citation impact, top 2% of its field
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

58 citing papers in PubMed, 4 syntheses or guidelines pooled it, 472 citations in OpenAlex.

  1. Pooled it
  2. Allergen injection immunotherapy for seasonal allergic rhinitis.The Cochrane database of systematic reviews · 2007
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Intradermal grass pollen immunotherapy increases TThe Journal of allergy and clinical immunology · 2017
    Trial
  6. Immunological markers in allergic rhinitis patients treated with date palm immunotherapy.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2012
    Trial
  7. Trial
  8. Trial
  9. Review
  10. Review
  11. Article
  12. Article
  13. Postepy dermatologii i alergologii · 2021
    Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Oral immunotherapy with omalizumab reverses the Th2 cell-like programme of regulatory T cells and restores their function.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2018
    Article
  19. Review
  20. 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

8 authors at 1 institution in 1 country.

V A VarneyDepartment of Allergy and Clinical Immunology, National Heart & Lung Institute, London, United Kingdom.
Q A Hamid
M Gaga
S Ying
M Jacobson
A J Frew
A B Kay
S R Durham
Lung Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We have studied the influence of grass pollen immunotherapy on cellular infiltration and cytokine mRNA expression during allergen-induced late-phase cutaneous responses. In a double-blind, placebo-controlled trial of immunotherapy in 40 adult hay fever sufferers, clinical improvement was accompanied by a decrease in the size of the late-phase skin response. When the immunotherapy-treated group was compared with the placebo group, analysis of skin biopsies obtained 24 h after intradermal allergen revealed a significant reduction in the number of infiltrating CD3+ (P = 0.04) and CD4+ (P = 0.009) cells and a trend for a decrease in EG2+ eosinophils (P = 0.08). Treatment did not influence allergen-induced recruitment of CD8+ cells, neutrophils, or macrophages. Unexpected increases in expression of CD25 (P = 0.006) and HLA-DR (P = 0.007) were observed in the actively treated group. In situ hybridization using a panel of riboprobes demonstrated "TH2-type" (IL-4, IL-5) cytokine mRNA responses in both groups of patients. In contrast, significant hybridization for IL-2 (8/16 patients, P = 0.02) and for interferon-gamma (6/16 patients, P = 0.04) was observed only in the actively treated group. These findings indicate that immunotherapy is associated with suppression of allergen-induced CD4+ T lymphocyte infiltration, but among the cells that are recruited, there is upregulation of CD25 and HLA-DR. At least in this model, immunotherapy does not appear to affect expression of TH2-pattern cytokines in response to allergen exposure, but expression of mRNA for Th1-type cytokines was enhanced in half of the patients. The results support the view that immunotherapy may possibly be working through induction of T cell tolerance.

Indexed as

ImmunotherapyAdultAntibodies, MonoclonalAntigens, CDCytokinesDouble-Blind MethodFemaleGene ExpressionGranulocyte-Macrophage Colony-Stimulating FactorHumansInterferon-gammaInterleukinsMaleMiddle AgedPoaceaePollenAntibodies, MonoclonalAntigens, CDCytokinesGranulocyte-Macrophage Colony-Stimulating FactorInterferon-gammaInterleukinsRNA, Messenger

Identifiers

PMID8349803
PMCPMC294897
OpenAlexW2032260549

What OpenQuestion holds

Textmetadata
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.