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  1. Article ; Online: Risk subgroups and intervention effects among infants at high risk for peanut allergy: A model for clinical decision making.

    Li, Yuxiang / Devonshire, Ashley / Huang, Bin / Andorf, Sandra

    Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology

    2024  Volume 54, Issue 3, Page(s) 185–194

    Abstract: Background: The Learning Early About Peanut Allergy (LEAP) trial showed that early dietary introduction of peanut reduced the risk of developing peanut allergy by age 60 months in infants at high risk for peanut allergy. In this secondary analysis of ... ...

    Abstract Background: The Learning Early About Peanut Allergy (LEAP) trial showed that early dietary introduction of peanut reduced the risk of developing peanut allergy by age 60 months in infants at high risk for peanut allergy. In this secondary analysis of LEAP data, we aimed to determine risk subgroups within these infants and estimate their respective intervention effects of early peanut introduction.
    Methods: LEAP raw data were retrieved from ITNTrialShare.org. Conditional random forest was applied to participants in the peanut avoidance arm to select statistically important features for the classification and regression tree (CART) analysis to group infants based on their risk of peanut allergy at 60 months of age. Intervention effects were estimated for each derived risk subgroup using data from both arms. Our main model was generated based on baseline data when the participants were 4-11 months old. Specific IgE measurements were truncated to account for the limit of detection commonly used by laboratories in clinical practice.
    Results: The model found infants with higher predicted probability of peanut allergy at 60 months of age had a similar relative risk reduction, but a greater absolute risk reduction in peanut allergy with early introduction of peanut, than those with lower probability. The intervention effects were significant across all risk subgroups. Participants with baseline peanut sIgE ≥0.22 kU/L (n = 78) had an absolute risk reduction of 40.4% (95% CI 27.3, 51.9) whereas participants with baseline peanut sIgE<0.22 kU/L and baseline Ara h 2 sIgE <0.10 kU/L (n = 226) had an absolute risk reduction of 6.5% (95% CI 2.6, 11.0). These findings were consistent in sensitivity analyses using alternative models.
    Conclusion: In this study, risk subgroups were determined among infants from the LEAP trial based on the probability of developing peanut allergy and the intervention effects of early peanut introduction were estimated. This may be relevant for further risk assessment and personalized clinical decision-making.
    MeSH term(s) Infant ; Humans ; Child, Preschool ; Peanut Hypersensitivity/diagnosis ; Peanut Hypersensitivity/epidemiology ; Peanut Hypersensitivity/prevention & control ; Diet ; Probability ; Arachis ; Risk Assessment ; Allergens
    Chemical Substances Allergens
    Language English
    Publishing date 2024-01-19
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 645204-8
    ISSN 1365-2222 ; 0954-7894 ; 0960-2178
    ISSN (online) 1365-2222
    ISSN 0954-7894 ; 0960-2178
    DOI 10.1111/cea.14452
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Food Allergy Characteristics Associated With Coexisting Eosinophilic Esophagitis in FARE Registry Participants.

    Guarnieri, Katharine M / Saba, Nicholas K / Schwartz, Justin T / Devonshire, Ashley L / Bufford, Jennifer / Casale, Thomas B / Rothenberg, Marc E / Andorf, Sandra

    The journal of allergy and clinical immunology. In practice

    2023  Volume 11, Issue 5, Page(s) 1509–1521.e6

    Abstract: Background: Eosinophilic esophagitis (EoE) can coexist in individuals with food allergy.: Objective: To evaluate the characteristics of food-allergic patients with and without coexisting EoE using a large food allergy patient registry.: Methods: ... ...

    Abstract Background: Eosinophilic esophagitis (EoE) can coexist in individuals with food allergy.
    Objective: To evaluate the characteristics of food-allergic patients with and without coexisting EoE using a large food allergy patient registry.
    Methods: Data were derived from 2 Food Allergy Research & Education, Inc, Patient Registry surveys. A series of multivariable regression models were used to evaluate associations between demographic, comorbidity, and food allergy characteristics and the likelihood of reporting EoE.
    Results: Five percent (n = 309) of registry participants (n = 6074; ages <1 year->80 years, mean, 20.20 ± 15.37 years) reported having EoE. The odds of having EoE were significantly greater in male participants (adjusted odds ratio [aOR], 1.3; 95% CI, 1.04-1.72) and those with comorbid asthma (aOR, 2.0; 95% CI, 1.55-2.49), allergic rhinitis (aOR, 1.8; 95% CI, 1.37-2.22), oral allergy syndrome (aOR, 2.8; 95% CI, 2.09-3.70), food protein-induced enterocolitis syndrome (aOR, 2.5; 95% CI, 1.34-4.84), and hyper-IgE syndrome (aOR, 7.6; 95% CI, 2.93-19.92), though not atopic dermatitis (aOR, 1.3; 95% CI, 0.99-1.59), when adjusting for demographics (sex, age, race, ethnicity, and geographic location). Those with a greater number of food allergies (aOR, 1.3; 95% CI, 1.23-1.32), more frequent food-related allergic reactions (aOR, 1.2; 95% CI, 1.11-1.24), previous anaphylaxis (aOR, 1.5; 95% CI, 1.15-1.83), and health care utilization for food-related allergic reactions (aOR, 1.3; 95% CI, 1.01-1.67)-specifically intensive care unit admission (aOR, 1.2; 95% CI, 1.07-1.33)-were more likely to have EoE after controlling for demographics. However, no significant difference in ever using epinephrine for food-related allergic reactions was detected.
    Conclusions: These self-reported data showed that coexisting EoE is associated with an increased number of food allergies, food-related allergic reactions per year, and measures of reaction severity, calling attention to the likely increased health care needs of food-allergic patients with EoE.
    MeSH term(s) Humans ; Male ; Infant ; Female ; Eosinophilic Esophagitis/epidemiology ; Food Hypersensitivity/epidemiology ; Food Hypersensitivity/complications ; Rhinitis, Allergic ; Asthma/complications ; Allergens ; Registries
    Chemical Substances Allergens
    Language English
    Publishing date 2023-02-18
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2843237-X
    ISSN 2213-2201 ; 2213-2198
    ISSN (online) 2213-2201
    ISSN 2213-2198
    DOI 10.1016/j.jaip.2023.02.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Progressive accumulation of hyperinflammatory NKG2D

    Ochayon, David E / DeVore, Stanley B / Chang, Wan-Chi / Krishnamurthy, Durga / Seelamneni, Harsha / Grashel, Brittany / Spagna, Daniel / Andorf, Sandra / Martin, Lisa J / Biagini, Jocelyn M / Waggoner, Stephen N / Khurana Hershey, Gurjit K

    Science immunology

    2024  Volume 9, Issue 92, Page(s) eadd3085

    Abstract: Atopic dermatitis (AD) is a chronic inflammatory skin disease that often precedes the development of food allergy, asthma, and allergic rhinitis. The prevailing paradigm holds that a reduced frequency and function of natural killer (NK) cell contributes ... ...

    Abstract Atopic dermatitis (AD) is a chronic inflammatory skin disease that often precedes the development of food allergy, asthma, and allergic rhinitis. The prevailing paradigm holds that a reduced frequency and function of natural killer (NK) cell contributes to AD pathogenesis, yet the underlying mechanisms and contributions of NK cells to allergic comorbidities remain ill-defined. Here, analysis of circulating NK cells in a longitudinal early life cohort of children with AD revealed a progressive accumulation of NK cells with low expression of the activating receptor NKG2D, which was linked to more severe AD and sensitivity to allergens. This was most notable in children co-sensitized to food and aeroallergens, a risk factor for development of asthma. Individual-level longitudinal analysis in a subset of children revealed coincident reduction of NKG2D on NK cells with acquired or persistent sensitization, and this was associated with impaired skin barrier function assessed by transepidermal water loss. Low expression of NKG2D on NK cells was paradoxically associated with depressed cytolytic function but exaggerated release of the proinflammatory cytokine tumor necrosis factor-α. These observations provide important insights into a potential mechanism underlying the development of allergic comorbidity in early life in children with AD, which involves altered NK cell functional responses, and define an endotype of severe AD.
    MeSH term(s) Child ; Child, Preschool ; Humans ; Allergens ; Asthma ; Dermatitis, Atopic/immunology ; Dermatitis, Atopic/metabolism ; Food Hypersensitivity/complications ; Killer Cells, Natural ; NK Cell Lectin-Like Receptor Subfamily K
    Chemical Substances Allergens ; NK Cell Lectin-Like Receptor Subfamily K
    Language English
    Publishing date 2024-02-09
    Publishing country United States
    Document type Journal Article
    ISSN 2470-9468
    ISSN (online) 2470-9468
    DOI 10.1126/sciimmunol.add3085
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Novel application of a discrete time-to-event model for randomized oral immunotherapy clinical trials with repeat food challenges.

    Purington, Natasha / Andorf, Sandra / Bunning, Bryan / Chinthrajah, Sharon / Nadeau, Kari / Desai, Manisha

    Statistics in medicine

    2021  Volume 40, Issue 18, Page(s) 4136–4149

    Abstract: The evaluation of double-blind, placebo-controlled food challenges (DBPCFC) generally focuses on a participant passing a challenge at a predetermined dose, and does not consider the dose of reaction for those who fail or are censored due to study ... ...

    Abstract The evaluation of double-blind, placebo-controlled food challenges (DBPCFC) generally focuses on a participant passing a challenge at a predetermined dose, and does not consider the dose of reaction for those who fail or are censored due to study discontinuation. Further, a number of food allergy trials have incorporated multiple DBPCFCs throughout the duration of the study in order to evaluate changes in reaction over time including sustained unresponsiveness from treatment. Outcomes arising from these trials are commonly modeled using Chi-squared or Fisher's exact tests at each time point. We propose applying time-to-event methodology to food allergy trials in order to exploit the inherent granularity of challenge outcomes that additionally accommodates repeated DBPCFCs. Specifically, we consider dose-to-failure for each study challenge and extend the cumulative tolerated dose across challenges to result in a dose-time axis. A discrete time-to-event framework is applied to the dose-time outcome to assess the efficacy of treatment across the entire study period. We illustrate ideas with data from the Peanut Oral Immunotherapy Study: Safety, Efficacy and Discovery (POISED) trial, conducted at Stanford University, which evaluated the efficacy of oral immunotherapy on desensitization and sustained unresponsiveness in peanut allergic children and adults. We demonstrate the advantages of time-to-event approaches for assessing the efficacy of treatment over time and incorporating information for those who failed or were lost to follow up. Further, we introduce a dose-time outcome that is interpretable to clinicians and allows for examination of such outcomes over time.
    MeSH term(s) Administration, Oral ; Adult ; Allergens ; Child ; Desensitization, Immunologic ; Double-Blind Method ; Humans ; Peanut Hypersensitivity ; Randomized Controlled Trials as Topic ; Treatment Outcome
    Chemical Substances Allergens
    Language English
    Publishing date 2021-05-06
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 843037-8
    ISSN 1097-0258 ; 0277-6715
    ISSN (online) 1097-0258
    ISSN 0277-6715
    DOI 10.1002/sim.9019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Progressive accumulation of hyperinflammatory NKG2D

    Ochayon, David E / DeVore, Stanley B / Chang, Wan-Chi / Krishnamurthy, Durga / Seelamneni, Harsha / Grashel, Brittany / Spagna, Daniel / Andorf, Sandra / Martin, Lisa J / Biagini, Jocelyn M / Waggoner, Stephen / Hershey, Gurjit K Khurana

    medRxiv : the preprint server for health sciences

    2023  

    Abstract: Atopic dermatitis (AD) is a chronic inflammatory skin disease that often precedes the development of food allergy, asthma, and allergic rhinitis. The prevailing paradigm holds that a reduced frequency and function of natural killer (NK) cell contributes ... ...

    Abstract Atopic dermatitis (AD) is a chronic inflammatory skin disease that often precedes the development of food allergy, asthma, and allergic rhinitis. The prevailing paradigm holds that a reduced frequency and function of natural killer (NK) cell contributes to AD pathogenesis, yet the underlying mechanisms and contributions of NK cells to allergic co-morbidities remain ill-defined. Herein, analysis of circulating NK cells in a longitudinal early life cohort of children with AD revealed a progressive accumulation of NK cells with low expression of the activating receptor NKG2D, which was linked to more severe AD and sensitivity to allergens. This was most notable in children co-sensitized to food and aero allergens, a risk factor for development of asthma. Individual-level longitudinal analysis in a subset of children revealed co-incident reduction of NKG2D on NK cells with acquired or persistent sensitization, and this was associated with impaired skin barrier function assessed by transepidermal water loss. Low expression of NKG2D on NK cells was paradoxically associated with depressed cytolytic function but exaggerated release of the proinflammatory cytokine TNF-α. These observations provide important insights into a potential mechanism underlying the development of allergic co-morbidity in early life in children with AD which involves altered NK-cell functional responses, and define an endotype of severe AD.
    Language English
    Publishing date 2023-09-05
    Publishing country United States
    Document type Preprint
    DOI 10.1101/2023.06.02.23290884
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Antigen-specific decidual CD8+ T cells include distinct effector memory and tissue-resident memory cells.

    Mahajan, Shweta / Alexander, Aria / Koenig, Zachary / Saba, Nicholas / Prasanphanich, Nina / Hildeman, David A / Chougnet, Claire A / DeFranco, Emily / Andorf, Sandra / Tilburgs, Tamara

    JCI insight

    2023  Volume 8, Issue 17

    Abstract: Maternal decidual CD8+ T cells must integrate the antithetical demands of providing immunity to infection while maintaining immune tolerance for fetal and placental antigens. Human decidual CD8+ T cells were shown to be highly differentiated memory T ... ...

    Abstract Maternal decidual CD8+ T cells must integrate the antithetical demands of providing immunity to infection while maintaining immune tolerance for fetal and placental antigens. Human decidual CD8+ T cells were shown to be highly differentiated memory T cells with mixed signatures of dysfunction, activation, and effector function. However, no information is present on how specificity for microbial or fetal antigens relates to their function or dysfunction. In addition, a key question, whether decidual CD8+ T cells include unique tissue-resident memory T cells (Trm) or also effector memory T cell (Tem) types shared with peripheral blood populations, is unknown. Here, high-dimensional flow cytometry of decidual and blood CD8+ T cells identified 2 Tem populations shared in blood and decidua and 9 functionally distinct Trm clusters uniquely found in decidua. Interestingly, fetus- and virus-specific decidual CD8+ Trm cells had similar features of inhibition and cytotoxicity, with no significant differences in their expression of activation, inhibitory, and cytotoxic molecules, suggesting that not all fetus-specific CD8+ T cell responses are suppressed at the maternal-fetal interface. Understanding how decidual CD8+ T cell specificity relates to their function and tissue residency is crucial in advancing understanding of their contribution to placental inflammation and control of congenital infections.
    MeSH term(s) Pregnancy ; Humans ; Female ; Placenta ; CD8-Positive T-Lymphocytes ; Immune Tolerance ; Cell Differentiation ; Fetus
    Language English
    Publishing date 2023-09-08
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ISSN 2379-3708
    ISSN (online) 2379-3708
    DOI 10.1172/jci.insight.171806
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Peanut oral immunotherapy in a pediatric allergy clinic: Patient factors associated with clinical outcomes.

    Guarnieri, Katharine M / Slack, Ian F / Gadoury-Lévesque, Vanessa / Eapen, Amy A / Andorf, Sandra / Lierl, Michelle B

    Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology

    2021  Volume 127, Issue 2, Page(s) 214–222.e4

    Abstract: Background: Additional information is needed to inform optimal patient selection, expected outcomes, and treatment end points for clinical peanut oral immunotherapy (OIT).: Objective: To provide insight into the optimal patient selection, expected ... ...

    Abstract Background: Additional information is needed to inform optimal patient selection, expected outcomes, and treatment end points for clinical peanut oral immunotherapy (OIT).
    Objective: To provide insight into the optimal patient selection, expected outcomes, and treatment end points for clinical peanut oral immunotherapy by analyzing a real-world peanut OIT cohort.
    Methods: Records were reviewed for 174 children undergoing peanut OIT at a pediatric allergy clinic. Patient age, peanut skin prick test results, and peanut-specific immunoglobulin E (sIgE) results, with inclusion of additional foods in OIT, were analyzed for correlations with OIT outcomes.
    Results: To date, 144 patients have achieved maintenance dosing, 50 of whom transitioned to ad lib twice-weekly peanut ingestion. A total of 30 discontinued OIT. In addition, 47 patients who underwent multifood OIT had no significant difference in reactions (FDR-adjusted P = .48) or time-to-reach maintenance (FDR-adjusted P = .48) compared with those on peanut OIT alone. Age at initiation inversely correlated with achievement of maintenance: 92% of patients 0.5 to less than 5 years, 81% of those 5 to less than 11 years, and 70% of those 11 to less than 18 years reached and continued maintenance (P = .01). Baseline peanut-sIgE level positively correlated with number of reactions during updosing (P < .001) and maintenance (P = .005), though it was not significantly different in patients achieving successful maintenance vs those who discontinued OIT (P = .09). Furthermore, 66% of patients experienced greater than or equal to 1 adverse reaction during OIT. Of those on ad lib peanut ingestion, 2 reported mild reactions after lapses in peanut consumption.
    Conclusion: Clinical peanut OIT has similar outcomes to research protocols. OIT can be successful in older children and those with high peanut-sIgE levels, though these factors affect outcomes. Clinical and laboratory criteria can guide successful transition to intermittent ad lib peanut consumption.
    MeSH term(s) Administration, Oral ; Adolescent ; Antigens, Plant/administration & dosage ; Antigens, Plant/immunology ; Arachis/immunology ; Child ; Child, Preschool ; Desensitization, Immunologic/methods ; Female ; Humans ; Immunoglobulin E/immunology ; Male ; Patient Compliance/statistics & numerical data ; Peanut Hypersensitivity/immunology ; Peanut Hypersensitivity/therapy
    Chemical Substances Antigens, Plant ; Immunoglobulin E (37341-29-0)
    Language English
    Publishing date 2021-04-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1228189-x
    ISSN 1534-4436 ; 0003-4738 ; 1081-1206
    ISSN (online) 1534-4436
    ISSN 0003-4738 ; 1081-1206
    DOI 10.1016/j.anai.2021.04.003
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  8. Article: Aging and CMV discordance are associated with increased immune diversity between monozygotic twins.

    Yan, Zheng / Maecker, Holden T / Brodin, Petter / Nygaard, Unni C / Lyu, Shu Chen / Davis, Mark M / Nadeau, Kari C / Andorf, Sandra

    Immunity & ageing : I & A

    2021  Volume 18, Issue 1, Page(s) 5

    Abstract: Background: Broadly, much of variance in immune system phenotype has been linked to the influence of non-heritable factors rather than genetics. In particular, two non-heritable factors: aging and human cytolomegavirus (CMV) infection, have been known ... ...

    Abstract Background: Broadly, much of variance in immune system phenotype has been linked to the influence of non-heritable factors rather than genetics. In particular, two non-heritable factors: aging and human cytolomegavirus (CMV) infection, have been known to account for significant inter-individual immune variance. However, many specific relationships between them and immune composition remain unclear, especially between individuals over narrower age ranges. Further exploration of these relationships may be useful for informing personalized intervention development.
    Results: To address this need, we evaluated 41 different cell type frequencies by mass cytometry and identified their relationships with aging and CMV seropositivity. Analyses were done using 60 healthy individuals, including 23 monozygotic twin pairs, categorized into young (12-31 years) and middle-aged (42-59 years). Aging and CMV discordance were associated with increased immune diversity between monozygotic twins overall, and particularly strongly in various T cell populations. Notably, we identified 17 and 11 cell subset frequencies as relatively influenced and uninfluenced by non-heritable factors, respectively, with results that largely matched those from studies on older-aged cohorts. Next, CD4+ T cell frequency was shown to diverge with age in twins, but with lower slope than in demographically similar non-twins, suggesting that much inter-individual variance in this cell type can be attributed to interactions between genetic and environmental factors. Several cell frequencies previously associated with memory inflation, such as CD27- CD8+ T cells and CD161+ CD4+ T cells, were positively correlated with CMV seropositivity, supporting findings that CMV infection may incur rapid aging of the immune system.
    Conclusions: Our study confirms previous findings that aging, even within a relatively small age range and by mid-adulthood, and CMV seropositivity, both contribute significantly to inter-individual immune diversity. Notably, we identify several key immune cell subsets that vary considerably with aging, as well as others associated with memory inflation which correlate with CMV seropositivity.
    Language English
    Publishing date 2021-01-18
    Publishing country England
    Document type Journal Article
    ISSN 1742-4933
    ISSN 1742-4933
    DOI 10.1186/s12979-021-00216-1
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  9. Article ; Online: Altered immune cell profiles and impaired CD4 T-cell activation in single and multi-food allergic adolescents.

    Neeland, Melanie R / Andorf, Sandra / Dang, Thanh D / McWilliam, Vicki L / Perrett, Kirsten P / Koplin, Jennifer J / Saffery, Richard

    Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology

    2021  Volume 51, Issue 5, Page(s) 674–684

    Abstract: Background: Approximately 5% of adolescents have a food allergy, with peanut and tree nut allergies the most common. Having two or more food allergies in adolescence also doubles the risk of any adverse food reaction, and is associated with increased ... ...

    Abstract Background: Approximately 5% of adolescents have a food allergy, with peanut and tree nut allergies the most common. Having two or more food allergies in adolescence also doubles the risk of any adverse food reaction, and is associated with increased dietary and social burden. Investigations of immune function in persistently food allergic children are rare.
    Objective: In the present study, we aimed to investigate the immune mechanisms that underlie food allergy in adolescence.
    Methods: We used high-dimensional flow cytometry, unsupervised computational analysis and functional studies to comprehensively phenotype a range of non-antigen-specific immune parameters in a group of well-characterized adolescents with clinically defined single peanut allergy, multi-food allergy and aged-matched non-food allergic controls.
    Results: We show that food allergic adolescents have higher circulating proportions of dendritic cells (p = .0084, FDR-adjusted p = .087, median in no FA: 0.63% live cells, in FA: 0.93%), and higher frequency of activated, memory-like Tregs relative to non-food allergic adolescents (p = .011, FDR-adjusted p = .087, median in no FA: 0.49% live cells, in FA: 0.65%). Cytokine profiling revealed that CD3/CD28 stimulated naïve CD4 T cells from food allergic adolescents produced less IL-6 (p = .0020, FDR-adjusted p = .018, median log2 fold change [stimulated/unstimulated] in no FA: 3.03, in FA: 1.92) and TNFα (p = .0044, FDR-adjusted p = .020, median in no FA: 9.16, in FA: 8.64) and may secrete less IFNγ (p = .035, FDR-adjusted p = .11, median in no FA: 6.29, in FA: 5.67) than naïve CD4 T cells from non-food allergic controls. No differences between clinical groups were observed for LPS-stimulated monocyte secretion of cytokines.
    Conclusions: These results have important implications for understanding the evolution of the immune response in food allergy throughout childhood, revealing that dendritic cell and T-cell signatures previously identified in early life may persist through to adolescence.
    MeSH term(s) Adolescent ; CD4-Positive T-Lymphocytes/immunology ; Case-Control Studies ; Child ; Cluster Analysis ; Cytokines/immunology ; Egg Hypersensitivity/complications ; Egg Hypersensitivity/immunology ; Female ; Food Hypersensitivity/classification ; Food Hypersensitivity/immunology ; Humans ; Immunophenotyping ; Interferon-gamma/immunology ; Interleukin-6/immunology ; Leukocytes, Mononuclear/immunology ; Male ; Nut Hypersensitivity/complications ; Nut Hypersensitivity/immunology ; Peanut Hypersensitivity/complications ; Peanut Hypersensitivity/immunology ; Tumor Necrosis Factor-alpha/immunology
    Chemical Substances Cytokines ; IFNG protein, human ; IL6 protein, human ; Interleukin-6 ; TNF protein, human ; Tumor Necrosis Factor-alpha ; Interferon-gamma (82115-62-6)
    Language English
    Publishing date 2021-03-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 645204-8
    ISSN 1365-2222 ; 0954-7894 ; 0960-2178
    ISSN (online) 1365-2222
    ISSN 0954-7894 ; 0960-2178
    DOI 10.1111/cea.13857
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Vitamin D insufficiency is associated with reduced regulatory T cell frequency in food-allergic infants.

    Neeland, Melanie R / Tursi, Amanda R / Perrett, Kirsten P / Saffery, Richard / Koplin, Jennifer J / Nadeau, Kari C / Andorf, Sandra

    Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology

    2021  Volume 32, Issue 4, Page(s) 771–775

    MeSH term(s) Humans ; Hypersensitivity ; Infant ; Infant Food ; T-Lymphocytes, Regulatory ; Vitamin D ; Vitamin D Deficiency/epidemiology
    Chemical Substances Vitamin D (1406-16-2)
    Language English
    Publishing date 2021-01-13
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 1057059-7
    ISSN 1399-3038 ; 0905-6157 ; 0906-5784
    ISSN (online) 1399-3038
    ISSN 0905-6157 ; 0906-5784
    DOI 10.1111/pai.13439
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