Food allergies pose a global healthcare challenge, underscoring the need for effective interventions. This study evaluated the efficacy and safety of epicutaneous immunotherapy (EPIT) for food allergen desensitisation.
Methods
We conducted a systematic review of randomised controlled trials by searching Ovid EMBASE, PubMed and Scopus in April 2024. Using a random-effects meta-analysis, we evaluated the clinical effectiveness and harms of EPIT, reporting results as risk ratios with 95% confidence intervals (CI).
Results
After screening 460 abstracts and 35 full reports, 11 were included: nine on peanuts and two on cow's milk (CM). Peanut EPIT had a 51.2% treatment response versus 22.4% for placebo (RR 2.16, CI 1.49–3.12; four studies; moderate certainty). The RR for milk EPIT response rate was 1.78 (CI 1.06–3.00; one study). Five peanut studies (1396 patients) reported EPIT-related adverse events (RR 1.39, CI 0.94–2.05; low certainty).
Conclusions
EPIT offers a moderate treatment response with a favourable safety profile and significant improvements in quality of life. Current knowledge of EPIT remains limited, with evidence confined to peanut and CM allergies. There is a lack of research on sustained unresponsiveness achieved through food EPIT.
{"title":"Epicutaneous immunotherapy for food allergy: A systematic review and meta-analysis","authors":"Péter Csonka, Bohee Lee, Ilari Kuitunen","doi":"10.1002/clt2.70045","DOIUrl":"https://doi.org/10.1002/clt2.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Food allergies pose a global healthcare challenge, underscoring the need for effective interventions. This study evaluated the efficacy and safety of epicutaneous immunotherapy (EPIT) for food allergen desensitisation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a systematic review of randomised controlled trials by searching Ovid EMBASE, PubMed and Scopus in April 2024. Using a random-effects meta-analysis, we evaluated the clinical effectiveness and harms of EPIT, reporting results as risk ratios with 95% confidence intervals (CI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After screening 460 abstracts and 35 full reports, 11 were included: nine on peanuts and two on cow's milk (CM). Peanut EPIT had a 51.2% treatment response versus 22.4% for placebo (RR 2.16, CI 1.49–3.12; four studies; moderate certainty). The RR for milk EPIT response rate was 1.78 (CI 1.06–3.00; one study). Five peanut studies (1396 patients) reported EPIT-related adverse events (RR 1.39, CI 0.94–2.05; low certainty).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>EPIT offers a moderate treatment response with a favourable safety profile and significant improvements in quality of life. Current knowledge of EPIT remains limited, with evidence confined to peanut and CM allergies. There is a lack of research on sustained unresponsiveness achieved through food EPIT.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10334,"journal":{"name":"Clinical and Translational Allergy","volume":"15 3","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/clt2.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carina Malmhäll, Jenny Calvén, Julie Weidner, Kristina Johansson, Patricia Ramos-Ramírez, Emma Boberg, Linda Ekerljung, Roxana Mincheva, Bright Nwaru, Hannu Kankaanranta, Henric Olsson, Christopher McCrae, Madeleine Rådinger
Background
Sex differences have been reported in the incidence, prevalence and severity of asthma. Previous findings from animal models have revealed sex-related differences in inflammatory pathways that may contribute to asthma pathogenesis, but human studies are limited.
Methods
Airway and blood samples (n = 55 and n = 85 respectively) were collected from adult females and males with asthma and healthy subjects. Type 2 innate lymphoid cells (ILC2s), T helper (Th)2 cells and their expression of IL-33R/ST2 (ST2L) were evaluated by flow cytometry. IL-13, thymic stromal lymphopoietin (TSLP), IL-33 and soluble IL-33R/ST2 (sST2) were measured by ELISA. Let-7 miRNA expression in bronchial biopsies was determined by qPCR.
Results
Females with asthma reported more exacerbations and had a higher number of airway eosinophils compared with males with asthma. Bronchial biopsy expression of Let-7f, Let-7g and miR-98 tended to be higher in males with asthma compared with females and inversely correlated with asthma exacerbations. In contrast, increased levels of IL-13, TSLP and sST2 were found in females with asthma compared with males.
Conclusion
Our study demonstrates different inflammatory signatures between males and females with asthma. Let-7 miRNAs act as immune modulators by inhibiting the production of IL-13 and may be an important factor explaining the sex disparity seen in asthma.
{"title":"Sex disparity in adult asthma—A potential immunomodulatory role of let-7 family microRNAs","authors":"Carina Malmhäll, Jenny Calvén, Julie Weidner, Kristina Johansson, Patricia Ramos-Ramírez, Emma Boberg, Linda Ekerljung, Roxana Mincheva, Bright Nwaru, Hannu Kankaanranta, Henric Olsson, Christopher McCrae, Madeleine Rådinger","doi":"10.1002/clt2.70042","DOIUrl":"https://doi.org/10.1002/clt2.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Sex differences have been reported in the incidence, prevalence and severity of asthma. Previous findings from animal models have revealed sex-related differences in inflammatory pathways that may contribute to asthma pathogenesis, but human studies are limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Airway and blood samples (<i>n</i> = 55 and <i>n</i> = 85 respectively) were collected from adult females and males with asthma and healthy subjects. Type 2 innate lymphoid cells (ILC2s), T helper (Th)2 cells and their expression of IL-33R/ST2 (ST2L) were evaluated by flow cytometry. IL-13, thymic stromal lymphopoietin (TSLP), IL-33 and soluble IL-33R/ST2 (sST2) were measured by ELISA. Let-7 miRNA expression in bronchial biopsies was determined by qPCR.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Females with asthma reported more exacerbations and had a higher number of airway eosinophils compared with males with asthma. Bronchial biopsy expression of Let-7f, Let-7g and miR-98 tended to be higher in males with asthma compared with females and inversely correlated with asthma exacerbations. In contrast, increased levels of IL-13, TSLP and sST2 were found in females with asthma compared with males.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our study demonstrates different inflammatory signatures between males and females with asthma. Let-7 miRNAs act as immune modulators by inhibiting the production of IL-13 and may be an important factor explaining the sex disparity seen in asthma.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10334,"journal":{"name":"Clinical and Translational Allergy","volume":"15 3","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/clt2.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maruša Rihar, Rajia Bahri, Vida Forstnerič, Silvia Bulfone-Paus, Peter Korošec
Background
IL-33 is involved in allergic processes by promoting the release of various mast cell (MC) chemokines, including CCL2. However, it is yet unclear which specific cell type is primarily responsible for producing CCL2 during acute allergic reactions. This study aims to investigate the role of IL-33 in promoting CCL2 production in mast cells and assess the effect of MC-derived CCL2 on basophil migration and endothelial permeability.
Methods
Human blood-derived MCs (hMCs) were generated from peripheral blood precursors, passively sensitized with IgE, treated with IL-33, and stimulated with anti-IgE. The concentrations of nine cytokines known to influence immune cell chemotaxis (CCL2, CCL5, CCL11, MIP-1α, IL-8, IL-10, IL-13, granulocyte-macrophage colony-stimulating factor (GM-CSF), and vascular endothelial growth factor (VEGF) were assessed in the supernatants of hMCs. Subsequently, we investigated the impact of MC-derived CCL2 on basophil migration in vitro, as well as its effect on endothelial monolayer permeability using human umbilical vein endothelial cells (HUVECs).
Results
Stimulation with anti-IgE induced a significant release of CCL2, GM-CSF, IL-8 and VEGF from hMCs. Additionally, incubation with IL-33 overnight increased the production of several cytokines. Mast cell-derived CCL2 not only enhanced basophil migration in vitro but also increased endothelial monolayer permeability in HUVECs. The effect was reversed by a C–C chemokine receptor type 2 (CCR2) antagonist, indicating the involvement of CCL2 signaling through the CCR2 receptor.
Conclusions
IL-33 induces the production of chemotactic cytokines in hMCs. Mast cell-derived CCL2 plays an important role in basophil chemotaxis in vitro and affects endothelial monolayer permeability in the HUVEC model.
{"title":"CCL2/C–C chemokine receptor type 2-mediated interactions among mast cells, basophils, and endothelial cells","authors":"Maruša Rihar, Rajia Bahri, Vida Forstnerič, Silvia Bulfone-Paus, Peter Korošec","doi":"10.1002/clt2.70044","DOIUrl":"https://doi.org/10.1002/clt2.70044","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>IL-33 is involved in allergic processes by promoting the release of various mast cell (MC) chemokines, including CCL2. However, it is yet unclear which specific cell type is primarily responsible for producing CCL2 during acute allergic reactions. This study aims to investigate the role of IL-33 in promoting CCL2 production in mast cells and assess the effect of MC-derived CCL2 on basophil migration and endothelial permeability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Human blood-derived MCs (hMCs) were generated from peripheral blood precursors, passively sensitized with IgE, treated with IL-33, and stimulated with anti-IgE. The concentrations of nine cytokines known to influence immune cell chemotaxis (CCL2, CCL5, CCL11, MIP-1α, IL-8, IL-10, IL-13, granulocyte-macrophage colony-stimulating factor (GM-CSF), and vascular endothelial growth factor (VEGF) were assessed in the supernatants of hMCs. Subsequently, we investigated the impact of MC-derived CCL2 on basophil migration in vitro, as well as its effect on endothelial monolayer permeability using human umbilical vein endothelial cells (HUVECs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Stimulation with anti-IgE induced a significant release of CCL2, GM-CSF, IL-8 and VEGF from hMCs. Additionally, incubation with IL-33 overnight increased the production of several cytokines. Mast cell-derived CCL2 not only enhanced basophil migration in vitro but also increased endothelial monolayer permeability in HUVECs. The effect was reversed by a C–C chemokine receptor type 2 (CCR2) antagonist, indicating the involvement of CCL2 signaling through the CCR2 receptor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>IL-33 induces the production of chemotactic cytokines in hMCs. Mast cell-derived CCL2 plays an important role in basophil chemotaxis in vitro and affects endothelial monolayer permeability in the HUVEC model.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10334,"journal":{"name":"Clinical and Translational Allergy","volume":"15 2","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/clt2.70044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143475600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tahira Khurram, Ghalia Missous, Nicholas van Panhuys, Mohammed Yousuf Karim
Background
Successful management of allergic diseases necessitates accurate diagnosis, implementation of appropriate allergen avoidance techniques, and medical therapies. However, data availability regarding aeroallergens in the Gulf Cooperation Council (GCC) countries is limited.
Methods
We conducted a systematic review of studies conducted in Gulf countries on individuals diagnosed with or tested for aeroallergen sensitivities, focusing on prevalence and respiratory health impacts. The search strategy followed the PRISMA guidelines and was conducted across PubMed, Scopus, Web of Science, and Google Scholar from inception to November 12, 2023.
Results
A total of 27 studies, both adult and pediatric, were included in this systematic review. Aeroallergen sensitization was assessed using skin prick testing (SPT) in 15 studies; 5 used in vitro methods, 2 employed both, 4 relied on self-reports, and 1 on aerobiological monitoring. Sensitization rates varied considerably, influenced by factors such as age, demographics, and location. Sensitization was noted to allergens shared with Western populations, and to those native to the region for example, house dust mite sensitization ranged from 15% to 78%, Salsola from 13% to 78%. Up to 65.1% of allergen-positive individuals demonstrated polysensitization. Sensitization patterns differed between indigenous populations and expatriates, with local allergens being more prevalent among natives. Sensitization rates were lower in younger children but increased with age.
Conclusion
Our systematic review highlights the crucial importance of providing allergen-sensitivity information that is specifically tailored to the local environment. This tailored approach can improve clinical diagnosis, enable appropriate allergen avoidance and immunotherapy strategies, and result in potential cost savings.
{"title":"Aeroallergen sensitivity patterns in Gulf countries: A systematic review","authors":"Tahira Khurram, Ghalia Missous, Nicholas van Panhuys, Mohammed Yousuf Karim","doi":"10.1002/clt2.70033","DOIUrl":"https://doi.org/10.1002/clt2.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Successful management of allergic diseases necessitates accurate diagnosis, implementation of appropriate allergen avoidance techniques, and medical therapies. However, data availability regarding aeroallergens in the Gulf Cooperation Council (GCC) countries is limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a systematic review of studies conducted in Gulf countries on individuals diagnosed with or tested for aeroallergen sensitivities, focusing on prevalence and respiratory health impacts. The search strategy followed the PRISMA guidelines and was conducted across PubMed, Scopus, Web of Science, and Google Scholar from inception to November 12, 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 27 studies, both adult and pediatric, were included in this systematic review. Aeroallergen sensitization was assessed using skin prick testing (SPT) in 15 studies; 5 used in vitro methods, 2 employed both, 4 relied on self-reports, and 1 on aerobiological monitoring. Sensitization rates varied considerably, influenced by factors such as age, demographics, and location. Sensitization was noted to allergens shared with Western populations, and to those native to the region for example, house dust mite sensitization ranged from 15% to 78%, Salsola from 13% to 78%. Up to 65.1% of allergen-positive individuals demonstrated polysensitization. Sensitization patterns differed between indigenous populations and expatriates, with local allergens being more prevalent among natives. Sensitization rates were lower in younger children but increased with age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our systematic review highlights the crucial importance of providing allergen-sensitivity information that is specifically tailored to the local environment. This tailored approach can improve clinical diagnosis, enable appropriate allergen avoidance and immunotherapy strategies, and result in potential cost savings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10334,"journal":{"name":"Clinical and Translational Allergy","volume":"15 2","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/clt2.70033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143455883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Measurement of disease-specific quality of life (QOL) is crucial in evaluating the effects of disease and response to treatment. Patients' efforts to avoid the responsible medication can have a negative impact on the QOL of patients with drug hypersensitivity reactions (DHRs). The Drug Hypersensitivity QOL Questionnaire (DrHy-Q) is the only specific tool measuring disease specific QOL in patients with DHRs.
Objective
To evaluate the effect of repeated drug desensitisation on disease-specific QOL using the Turkish version of DrHy-Q in a prospective multicentre study.
Methods
Patients scheduled to undergo repeated desensitisations with the same drug were included in the study. Baseline DrHy-Q scores were recorded for each patient prior to the commencement of the desensitisation procedure. DrHy-Q scores were then calculated following each desensitisation procedure.
Results
The study included 111 patients with two or more desensitisations (age mean ± SD, years: 53.87 ± 11.36, F/M:94/17). The drugs most implicated in DHRs were chemotherapeutics (91 of 111 patients, 82%) followed by biologicals (16 of 111 patients, 14.4%). Before the desensitisation process, the median (min–max) pre-DrHy-Q score was 39 (16–74). The median (min–max) DrHy-Q scores after the first three desensitisation were 35 (19–69), 34 (15–68) and 35 (15–64), respectively. There was a statistically significant improvement in DrHy-Q scores after the first three desensitisation in comparison with baseline.
Conclusion
The health-related disease-specific QOL of patients with hypersensitivity to drugs significantly improved after the first three, but not after subsequent drug desensitisations, as compared to baseline.
{"title":"The impact of repeated drug desensitisation on quality of life in drug hypersensitivity","authors":"Begum Gorgulu Akin, Secil Kepil Ozdemir, Beyza Doganay Erdogan, Asli Gelincik, Ozlem Goksel, Adile Berna Dursun, Sacide Rana Isık, Semra Demir, Hatice Serpil Akten, Sevim Bavbek","doi":"10.1002/clt2.70029","DOIUrl":"https://doi.org/10.1002/clt2.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Measurement of disease-specific quality of life (QOL) is crucial in evaluating the effects of disease and response to treatment. Patients' efforts to avoid the responsible medication can have a negative impact on the QOL of patients with drug hypersensitivity reactions (DHRs). The Drug Hypersensitivity QOL Questionnaire (DrHy-Q) is the only specific tool measuring disease specific QOL in patients with DHRs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the effect of repeated drug desensitisation on disease-specific QOL using the Turkish version of DrHy-Q in a prospective multicentre study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patients scheduled to undergo repeated desensitisations with the same drug were included in the study. Baseline DrHy-Q scores were recorded for each patient prior to the commencement of the desensitisation procedure. DrHy-Q scores were then calculated following each desensitisation procedure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study included 111 patients with two or more desensitisations (age mean ± SD, years: 53.87 ± 11.36, F/M:94/17). The drugs most implicated in DHRs were chemotherapeutics (91 of 111 patients, 82%) followed by biologicals (16 of 111 patients, 14.4%). Before the desensitisation process, the median (min–max) pre-DrHy-Q score was 39 (16–74). The median (min–max) DrHy-Q scores after the first three desensitisation were 35 (19–69), 34 (15–68) and 35 (15–64), respectively. There was a statistically significant improvement in DrHy-Q scores after the first three desensitisation in comparison with baseline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The health-related disease-specific QOL of patients with hypersensitivity to drugs significantly improved after the first three, but not after subsequent drug desensitisations, as compared to baseline.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10334,"journal":{"name":"Clinical and Translational Allergy","volume":"15 2","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/clt2.70029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143431715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<p>We found the recent Allergy article titled “Extracellular vesicle miRNAs drive aberrant macrophage responses in NSAID-exacerbated respiratory disease” fascinating. We commend the authors for their exciting research into the role of extracellular vesicle (EV) miRNAs in mediating aberrant macrophage responses in NSAID-exacerbated respiratory disease (N-ERD).<span><sup>1</sup></span> The authors evaluated EVs from sputum and conditioned medium of the nasal polyp or turbinate tissues from patients with chronic rhinosinusitis with nasal polyps (CRSwNP), N-ERD, and healthy controls.<span><sup>1</sup></span> Small RNA sequencing revealed intriguing and contrasting miRNA profiles in sputum EVs from N-ERD patients compared to previous reports on BAL fluid EVs from asthmatics,<span><sup>2</sup></span> and nasal tissue from CRSwNP patients.<span><sup>3</sup></span> Specifically, let-7 family miRNAs were upregulated while miR-155 was downregulated in N-ERD sputum EVs.<span><sup>1</sup></span> These distinct miRNA signatures suggest the source of EVs dictates the enrichment of miRNAs in healthy versus N-ERD samples. Additionally, in vitro experiments supported a role for let-7 family miRNAs in promoting M2 macrophage polarization, which limits cytokine responses triggered by EVs in monocyte-derived macrophages (MDM). This implicates aberrant EV miRNA profiles contributing to N-ERD pathogenesis.</p><p>The results obtained from small RNA sequencing analysis are interesting, but the authors have not verified their findings through alternative methods or a replication cohort of samples. They have not provided sufficient details about the total EV concentration and EV protein abundance across the three groups (healthy, CRSwNP, and N-ERD) and the sample types analyzed (sputum vs. turbinate tissue/nasal polyp tissue). It is also unclear whether the EV miRNAs identified match previous findings in similar sample types from asthma and IPF.<span><sup>4, 5</sup></span> Moreover, the use of pooled samples and a relatively small sample size for the RNA-sequencing and interpretation is surprising. To support the RNA-seq data presented here, direct validation of the miRNA signature and associated mRNA targets in the N-ERD groups is necessary. We have pointed out the strengths and weaknesses of this study below. Overall, we advise caution in interpreting these findings until they are validated in a larger sample cohort by the authors and readers.</p><p>This study sheds light on the pathogenesis of N-ERD, which is a severe form of asthma. The study analyzed the RNA-seq data from MDM treated with sputum EVs from healthy, CRSwNP, and N-ERD patients, as well as small RNA-seq of sputum and tissue culture supernatant EVs from healthy turbinate or nasal polyp tissue (N-ERD). Although the authors performed a comprehensive analysis of EV miRNA profiling and in vitro experiments using MDM, the identified EV-specific miRNAs (upregulated miR-125a and let-7 family) enriched in N-ERD sp
{"title":"Extracellular vesicle as biomarkers in NSAID-exacerbated respiratory disease","authors":"Isaac Kirubakaran Sundar","doi":"10.1002/clt2.70028","DOIUrl":"https://doi.org/10.1002/clt2.70028","url":null,"abstract":"<p>We found the recent Allergy article titled “Extracellular vesicle miRNAs drive aberrant macrophage responses in NSAID-exacerbated respiratory disease” fascinating. We commend the authors for their exciting research into the role of extracellular vesicle (EV) miRNAs in mediating aberrant macrophage responses in NSAID-exacerbated respiratory disease (N-ERD).<span><sup>1</sup></span> The authors evaluated EVs from sputum and conditioned medium of the nasal polyp or turbinate tissues from patients with chronic rhinosinusitis with nasal polyps (CRSwNP), N-ERD, and healthy controls.<span><sup>1</sup></span> Small RNA sequencing revealed intriguing and contrasting miRNA profiles in sputum EVs from N-ERD patients compared to previous reports on BAL fluid EVs from asthmatics,<span><sup>2</sup></span> and nasal tissue from CRSwNP patients.<span><sup>3</sup></span> Specifically, let-7 family miRNAs were upregulated while miR-155 was downregulated in N-ERD sputum EVs.<span><sup>1</sup></span> These distinct miRNA signatures suggest the source of EVs dictates the enrichment of miRNAs in healthy versus N-ERD samples. Additionally, in vitro experiments supported a role for let-7 family miRNAs in promoting M2 macrophage polarization, which limits cytokine responses triggered by EVs in monocyte-derived macrophages (MDM). This implicates aberrant EV miRNA profiles contributing to N-ERD pathogenesis.</p><p>The results obtained from small RNA sequencing analysis are interesting, but the authors have not verified their findings through alternative methods or a replication cohort of samples. They have not provided sufficient details about the total EV concentration and EV protein abundance across the three groups (healthy, CRSwNP, and N-ERD) and the sample types analyzed (sputum vs. turbinate tissue/nasal polyp tissue). It is also unclear whether the EV miRNAs identified match previous findings in similar sample types from asthma and IPF.<span><sup>4, 5</sup></span> Moreover, the use of pooled samples and a relatively small sample size for the RNA-sequencing and interpretation is surprising. To support the RNA-seq data presented here, direct validation of the miRNA signature and associated mRNA targets in the N-ERD groups is necessary. We have pointed out the strengths and weaknesses of this study below. Overall, we advise caution in interpreting these findings until they are validated in a larger sample cohort by the authors and readers.</p><p>This study sheds light on the pathogenesis of N-ERD, which is a severe form of asthma. The study analyzed the RNA-seq data from MDM treated with sputum EVs from healthy, CRSwNP, and N-ERD patients, as well as small RNA-seq of sputum and tissue culture supernatant EVs from healthy turbinate or nasal polyp tissue (N-ERD). Although the authors performed a comprehensive analysis of EV miRNA profiling and in vitro experiments using MDM, the identified EV-specific miRNAs (upregulated miR-125a and let-7 family) enriched in N-ERD sp","PeriodicalId":10334,"journal":{"name":"Clinical and Translational Allergy","volume":"15 2","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/clt2.70028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143404463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<p>To the Editor,</p><p>Allergen sensitization occurs in most patients with asthma. Our previous article had demonstrated that house dust mite remained the most important allergen in Chinese individuals with asthma.<span><sup>1</sup></span> A raised serum IgE against Aspergillus antigens usually occurred in bronchial asthma, especially a value ≥1000 IU/mL was recommended as the serum total IgE (tIgE) cut-off to diagnose Allergic bronchopulmonary aspergillosis (ABPA).<span><sup>2</sup></span> Therefore, we aim to describe the prevalence of sensitization to common allergens among asthmatic patients with serum tIgE >1000 IU/mL, the extent to which allergy accounts for these individuals is controversial.</p><p>We retrospectively analyzed the laboratory records of 1367 physician-diagnosed asthma patients at the Department of Allergy and Clinical Immunology and Respiratory Medicine, the First Affiliated Hospital of Guangzhou Medical University, who had serum IgE test with a battery of common allergens performed (ImmunoCAP, ThermoFisher) during a 5-year period from January, 2018 through October, 2024. All the patients analyzed had a blood tIgE level >1000 IU/mL. The allergens tested were house dust mite (<i>Dermatophagoides pteronyssimus</i>), grass pollen mix, food mix, cat, dog, <i>Alternaria alternata</i>, Aspergillus and <i>Penicillium notatum</i>. For patients who had multiple measurements performed during the study period, only the first time total serum IgE and specific IgE value were included for analysis. The criteria were excluded for patients with chronic obstructive pulmonary disease, helminth infection, rheumatic disease and tumors. This study was approved by the hospital ethics committee and the need for informed consent was waived.</p><p>Our study showed that all the patients were sensitized to at least two allergens and 734 (53.7%) individuals sensitized to more than 5 allergens. Allergic multimorbidities were very commonly found in nearly 98% of all patients’ allergies. Details about the baseline characteristics for patients are in Appendix S1. <i>Dermatophagoides pteronyssimus</i> (69.4%), <i>Aspergillus fumigatus</i> (29.7%), and cat (24.9%) were the three most common positive reactions in the tIgE >1000 individuals. Sensitization to inhalant allergens was significantly common (97.8%) as compared with food allergens (2.2%). The respective proportions for grass pollen, dog, <i>A. alternata</i> and <i>P. notatum</i> were 7.3%, 10.3%, 17.6% and 4.9% (Figure 1). In addition, a graded effect was observed with the serum tIgE level in these patients increasing with the number of positive allergens (<i>r</i> = 0.34, <i>p</i> = 0.047), and the <i>D. pteronyssimus</i> sIgE level (<i>r</i> = 0.52, <i>p</i> = 0.036). However, there was no statistically significant correlation between serum tIgE and Aspergillus sIgE level (Appendix S2).</p><p>Our study focused on whether a fungal allergy must be present in asthma with elevated tIgE, and f
{"title":"Prevalence of allergen sensitization among asthmatic patients with serum total IgE >1000 IU/mL","authors":"Wanjun Wang, Lulu Wu, Jing Li, Qiurong Hu","doi":"10.1002/clt2.70034","DOIUrl":"https://doi.org/10.1002/clt2.70034","url":null,"abstract":"<p>To the Editor,</p><p>Allergen sensitization occurs in most patients with asthma. Our previous article had demonstrated that house dust mite remained the most important allergen in Chinese individuals with asthma.<span><sup>1</sup></span> A raised serum IgE against Aspergillus antigens usually occurred in bronchial asthma, especially a value ≥1000 IU/mL was recommended as the serum total IgE (tIgE) cut-off to diagnose Allergic bronchopulmonary aspergillosis (ABPA).<span><sup>2</sup></span> Therefore, we aim to describe the prevalence of sensitization to common allergens among asthmatic patients with serum tIgE >1000 IU/mL, the extent to which allergy accounts for these individuals is controversial.</p><p>We retrospectively analyzed the laboratory records of 1367 physician-diagnosed asthma patients at the Department of Allergy and Clinical Immunology and Respiratory Medicine, the First Affiliated Hospital of Guangzhou Medical University, who had serum IgE test with a battery of common allergens performed (ImmunoCAP, ThermoFisher) during a 5-year period from January, 2018 through October, 2024. All the patients analyzed had a blood tIgE level >1000 IU/mL. The allergens tested were house dust mite (<i>Dermatophagoides pteronyssimus</i>), grass pollen mix, food mix, cat, dog, <i>Alternaria alternata</i>, Aspergillus and <i>Penicillium notatum</i>. For patients who had multiple measurements performed during the study period, only the first time total serum IgE and specific IgE value were included for analysis. The criteria were excluded for patients with chronic obstructive pulmonary disease, helminth infection, rheumatic disease and tumors. This study was approved by the hospital ethics committee and the need for informed consent was waived.</p><p>Our study showed that all the patients were sensitized to at least two allergens and 734 (53.7%) individuals sensitized to more than 5 allergens. Allergic multimorbidities were very commonly found in nearly 98% of all patients’ allergies. Details about the baseline characteristics for patients are in Appendix S1. <i>Dermatophagoides pteronyssimus</i> (69.4%), <i>Aspergillus fumigatus</i> (29.7%), and cat (24.9%) were the three most common positive reactions in the tIgE >1000 individuals. Sensitization to inhalant allergens was significantly common (97.8%) as compared with food allergens (2.2%). The respective proportions for grass pollen, dog, <i>A. alternata</i> and <i>P. notatum</i> were 7.3%, 10.3%, 17.6% and 4.9% (Figure 1). In addition, a graded effect was observed with the serum tIgE level in these patients increasing with the number of positive allergens (<i>r</i> = 0.34, <i>p</i> = 0.047), and the <i>D. pteronyssimus</i> sIgE level (<i>r</i> = 0.52, <i>p</i> = 0.036). However, there was no statistically significant correlation between serum tIgE and Aspergillus sIgE level (Appendix S2).</p><p>Our study focused on whether a fungal allergy must be present in asthma with elevated tIgE, and f","PeriodicalId":10334,"journal":{"name":"Clinical and Translational Allergy","volume":"15 2","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/clt2.70034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adriano Vaghi, Raffaele Antonelli Incalzi, Simona Barbaglia, Maria Beatrice Bilò, Francesco Bini, Mauro Carone, Lorenzo Cecchi, Alfredo Antonio Chetta, Andrea Claudio Comel, Fausto De Michele, Giuseppe Insalaco, Antonino Musarra, Giovanni Pomponio, Antonio Spanevello, Silvia Tognella, Alessandro Vatrella, Lina Zuccatosta, Claudio Micheletto
Background
Despite the availability of numerous guidelines for asthma management, their recommendations are not consistently implemented in clinical practice. This discrepancy between guidelines and real-world practice among Italian healthcare professionals was explored during the “Revolution in Asthma” training program, which identified “gray areas” and barriers preventing clinicians from adopting guideline-based approaches.
Objective
This study aims to analyze the key challenges in asthma management and provide evidence-based solutions to improve adherence to guidelines in clinical practice.
Methods
A group of experts from the Scientific Committee of the Revolution in Asthma project reviewed the program's findings, focusing on three main areas of asthma management: diagnosis, control, and treatment. The experts summarized clinicians' main needs and questions for each area and provided evidence-based responses and practical recommendations.
Results
The study highlights critical challenges in asthma treatment, addressing two key questions: (a) What are the possible uses and indications for short-acting β-agonists in asthma patients? (b) How should asthma treatment be initiated and adjusted based on asthma control? The expert panel developed practical, operational tools to support general practitioners and specialists (pulmonologists and allergists) in optimizing asthma management.
Conclusion
This paper serves as a knowledge co-creation initiative, bridging the gap between clinical guidelines and daily practice. By offering concrete recommendations, it aims to enhance the application of guideline-based asthma management among healthcare professionals.
{"title":"Expert opinion on gray areas in asthma management: A lesson from the innovative project “revolution in asthma” of the Italian thoracic society (AIPO-ITS)","authors":"Adriano Vaghi, Raffaele Antonelli Incalzi, Simona Barbaglia, Maria Beatrice Bilò, Francesco Bini, Mauro Carone, Lorenzo Cecchi, Alfredo Antonio Chetta, Andrea Claudio Comel, Fausto De Michele, Giuseppe Insalaco, Antonino Musarra, Giovanni Pomponio, Antonio Spanevello, Silvia Tognella, Alessandro Vatrella, Lina Zuccatosta, Claudio Micheletto","doi":"10.1002/clt2.70037","DOIUrl":"https://doi.org/10.1002/clt2.70037","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite the availability of numerous guidelines for asthma management, their recommendations are not consistently implemented in clinical practice. This discrepancy between guidelines and real-world practice among Italian healthcare professionals was explored during the “Revolution in Asthma” training program, which identified “gray areas” and barriers preventing clinicians from adopting guideline-based approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to analyze the key challenges in asthma management and provide evidence-based solutions to improve adherence to guidelines in clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A group of experts from the Scientific Committee of the Revolution in Asthma project reviewed the program's findings, focusing on three main areas of asthma management: diagnosis, control, and treatment. The experts summarized clinicians' main needs and questions for each area and provided evidence-based responses and practical recommendations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study highlights critical challenges in asthma treatment, addressing two key questions: (a) What are the possible uses and indications for short-acting <i>β</i>-agonists in asthma patients? (b) How should asthma treatment be initiated and adjusted based on asthma control? The expert panel developed practical, operational tools to support general practitioners and specialists (pulmonologists and allergists) in optimizing asthma management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This paper serves as a knowledge co-creation initiative, bridging the gap between clinical guidelines and daily practice. By offering concrete recommendations, it aims to enhance the application of guideline-based asthma management among healthcare professionals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10334,"journal":{"name":"Clinical and Translational Allergy","volume":"15 2","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/clt2.70037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Childhood asthma is a heterogeneous disease that exhibits different characteristics and varying severity; however, the metabolite alterations underlying the difference in asthma severity, especially in severe asthma, are not well understood. The aim of this study was to identify the plasma metabolic profile of children with different asthma severity and explore the potential intervention targets in severe asthma and glucocorticoid resistance.
Methods
Untargeted liquid chromatography mass spectrometry was utilized to analyze plasma metabolites in 54 children with mild-to-moderate asthma, 50 children with severe asthma and 39 healthy controls. Multivariate statistical analyses were used to explore plasma metabolic alterations that were strongly associated with asthma severity. Meanwhile, the severe allergic airway inflammation mice with glucocorticoid resistance were constructed to validate the potential therapeutic capacity of metabolites.
Results
The plasma metabolic profiles of children with mild to moderate asthma and severe asthma exhibited significant alterations. The distinct plasma metabolite shifts were accompanied by functional alterations in lipid metabolism, particularly choline metabolism, glycerophospholipids and sphingolipid metabolism. 11-cis-retinol, LysoPC (20:4 [8Z,11Z,14Z,17Z]), and glycerophosphatidylcholine were associated with exacerbated airway inflammation and lung function. Furthermore, 2-Hydroxyestradiol, LysoPC (18:3 [6Z,9Z,12Z]), zeaxanthin, and betaine were shifted exclusively in the severe asthma group and may serve as potential biomarkers. Subsequent in vivo studies demonstrated that betaine supplementation partially improved glucocorticoid resistance.
Conclusions
Overall, children with different asthma severity displayed distinct plasma metabolic patterns. These may contribute to the difference in response to glucocorticoids in childhood asthma and could be potential targets and interventions.
{"title":"Improvement of glucocorticoid sensitivity and attenuation of pulmonary allergic reactions by exogenous supplementation with betaine in HDM and LPS-induced allergic mouse model","authors":"Qing Wang, Wen He, Yufeng Zhou, Yun Liu, Xiaoling Li, Yingwen Wang, Jiayu Wang, Xiao Han, Xiaobo Zhang","doi":"10.1002/clt2.70039","DOIUrl":"https://doi.org/10.1002/clt2.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Childhood asthma is a heterogeneous disease that exhibits different characteristics and varying severity; however, the metabolite alterations underlying the difference in asthma severity, especially in severe asthma, are not well understood. The aim of this study was to identify the plasma metabolic profile of children with different asthma severity and explore the potential intervention targets in severe asthma and glucocorticoid resistance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Untargeted liquid chromatography mass spectrometry was utilized to analyze plasma metabolites in 54 children with mild-to-moderate asthma, 50 children with severe asthma and 39 healthy controls. Multivariate statistical analyses were used to explore plasma metabolic alterations that were strongly associated with asthma severity. Meanwhile, the severe allergic airway inflammation mice with glucocorticoid resistance were constructed to validate the potential therapeutic capacity of metabolites.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The plasma metabolic profiles of children with mild to moderate asthma and severe asthma exhibited significant alterations. The distinct plasma metabolite shifts were accompanied by functional alterations in lipid metabolism, particularly choline metabolism, glycerophospholipids and sphingolipid metabolism. 11-cis-retinol, LysoPC (20:4 [8Z,11Z,14Z,17Z]), and glycerophosphatidylcholine were associated with exacerbated airway inflammation and lung function. Furthermore, 2-Hydroxyestradiol, LysoPC (18:3 [6Z,9Z,12Z]), zeaxanthin, and betaine were shifted exclusively in the severe asthma group and may serve as potential biomarkers. Subsequent in vivo studies demonstrated that betaine supplementation partially improved glucocorticoid resistance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Overall, children with different asthma severity displayed distinct plasma metabolic patterns. These may contribute to the difference in response to glucocorticoids in childhood asthma and could be potential targets and interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10334,"journal":{"name":"Clinical and Translational Allergy","volume":"15 2","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/clt2.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melba Muñoz, Nicole Schoepke, Sabine Altrichter, Petra Staubach, Clara Geppert-Steidl, Leslie Durner, Jonathan A. Bernstein, Marcus Maurer, Karsten Weller
Background
Symptomatic Dermographism (SD), also known as “urticaria factitia”, is the most common subtype of chronic inducible urticaria. Affected patients develop itch and strip-shaped wheals that usually last for 30 min after minor stroking, rubbing, or scratching of the skin. The quality of life (QoL) of patients with SD is often strongly affected. However, a QoL instrument to properly assess this impairment is not yet available.
Objective
The aim of this study was to develop the first disease-specific patient reported outcome measure|patient reported outcome measures (PROM) to evaluate QoL impairment in SD patients, the Symptomatic Dermographism Quality of Life Questionnaire (SD-QoL).
Methods
SD-QoL was developed following current guidelines for PROM development. We first generated a hypothetical conceptional framework of the SD-QoL, followed by an item generation and an item selection/reduction phase.
Results
During the item generation phase, 69 potential items of the SD-QoL were generated by applying a combined approach consisting of literature review, expert input as well as semi-structured interviews with affected patients. During the item selection phase, we reduced this long list of items to a final 13-item set by means of impact analysis, inter-item correlation, and additional criteria for item reduction, including an expert review for content (face) validity. Finally, a US-American-English version of the SD-QoL was developed using a structured translation process.
Conclusions and Clinical Relevance
The SD-QoL is the first disease-specific-QoL instrument for SD with a recall period of 7 days that allows the assessment of QoL in SD patients. A subsequent validation study will determine its validity and reliability.
{"title":"Development of the symptomatic dermographism quality of life questionnaire","authors":"Melba Muñoz, Nicole Schoepke, Sabine Altrichter, Petra Staubach, Clara Geppert-Steidl, Leslie Durner, Jonathan A. Bernstein, Marcus Maurer, Karsten Weller","doi":"10.1002/clt2.70038","DOIUrl":"10.1002/clt2.70038","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Symptomatic Dermographism (SD), also known as “urticaria factitia”, is the most common subtype of chronic inducible urticaria. Affected patients develop itch and strip-shaped wheals that usually last for 30 min after minor stroking, rubbing, or scratching of the skin. The quality of life (QoL) of patients with SD is often strongly affected. However, a QoL instrument to properly assess this impairment is not yet available.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The aim of this study was to develop the first disease-specific patient reported outcome measure|patient reported outcome measures (PROM) to evaluate QoL impairment in SD patients, the Symptomatic Dermographism Quality of Life Questionnaire (SD-QoL).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>SD-QoL was developed following current guidelines for PROM development. We first generated a hypothetical conceptional framework of the SD-QoL, followed by an item generation and an item selection/reduction phase.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>During the item generation phase, 69 potential items of the SD-QoL were generated by applying a combined approach consisting of literature review, expert input as well as semi-structured interviews with affected patients. During the item selection phase, we reduced this long list of items to a final 13-item set by means of impact analysis, inter-item correlation, and additional criteria for item reduction, including an expert review for content (face) validity. Finally, a US-American-English version of the SD-QoL was developed using a structured translation process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Clinical Relevance</h3>\u0000 \u0000 <p>The SD-QoL is the first disease-specific-QoL instrument for SD with a recall period of 7 days that allows the assessment of QoL in SD patients. A subsequent validation study will determine its validity and reliability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10334,"journal":{"name":"Clinical and Translational Allergy","volume":"15 2","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号