首页 > 最新文献

World Allergy Organization Journal最新文献

英文 中文
Increased LOXL2 facilitates tissue remodeling in eosinophilic chronic rhinosinusitis with nasal polyps LOXL2增加促进嗜酸性慢性鼻窦炎伴鼻息肉的组织重塑
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2025-10-01 DOI: 10.1016/j.waojou.2025.101126
Changcan Jiang MD, Xiaoqiong Wang MD, Ruoqi Li MD, Liyan Ni MD, Xuejun Liu PhD

Objective

Eosinophilic chronic rhinosinusitis with nasal polyps (eCRSwNP) involves extensive tissue remodeling, but its underlying mechanisms remain unclear. This study aimed to identify key regulatory proteins contributing to this process.

Methods

Proteomic analysis was conducted on nasal tissues from 8 eCRSwNP patients, 8 non-eosinophilic CRSwNP (neCRSwNP) patients, and 8 healthy controls. Differentially expressed proteins (DEPs) were selected based on the top 50 overlapping DEPs from both comparison groups. Selected candidates were validated using Western blotting, immunofluorescence, and qRT-PCR in an independent cohort. Correlations with eosinophil infiltration and remodeling markers were assessed. Human nasal epithelial cells (HNECs) were used to explore functional mechanisms in vitro.

Result

Proteomic profiling revealed a distinct protein expression signature in the eCRSwNP group compared to both neCRSwNP and control groups. By intersecting the top 50 DEPs from both comparisons, 4 candidate proteins were identified, among which lysyl oxidase-like protein 2 (LOXL2) exhibited the most prominent upregulation. Validation in an independent cohort confirmed significantly elevated LOXL2 expression in eCRSwNP, predominantly localized to the nasal epithelial region (P < 0.001). LOXL2 mRNA levels were strongly correlated with eosinophil infiltration in nasal tissues (r = 0.349, P = 0.006), and ROC curve analysis supported its high diagnostic utility for eCRSwNP (AUC = 0.746, P = 0.001). Furthermore, the expression of EMT markers including vimentin, α-smooth muscle actin (α-SMA), and N-cadherin was markedly increased in eCRSwNP tissues (all P < 0.01) and positively associated with LOXL2 expression (all P < 0.05). In vitro, stimulation of HNECs with recombinant LOXL2 induced TGF-β1 and EMT marker expression, while co-treatment with the TGF-β1/Smad signaling inhibitor LY364947 significantly attenuated these effects and inhibited Smad2/3 phosphorylation.

Conclusion

Our findings revealed a disease-specific protein profile in eCRSwNP, characterized by selective upregulation of LOXL2 in the nasal epithelium and strong association with eosinophilic inflammation. Functional studies suggest that LOXL2 promotes EMT and may drive tissue remodeling in eCRSwNP via the TGF-β1/Smad signaling pathway.
目的嗜酸性慢性鼻窦炎伴鼻息肉(eCRSwNP)涉及广泛的组织重塑,但其潜在机制尚不清楚。本研究旨在确定参与这一过程的关键调节蛋白。方法对8例eCRSwNP患者、8例非嗜酸性CRSwNP (neCRSwNP)患者和8例健康对照者的鼻腔组织进行蛋白质组学分析。根据两组差异表达蛋白中重叠最多的50个,选择差异表达蛋白(DEPs)。在一个独立的队列中,使用Western blotting、免疫荧光和qRT-PCR验证选定的候选者。评估与嗜酸性粒细胞浸润和重塑标志物的相关性。以人鼻上皮细胞(HNECs)为研究对象,探讨其体外功能机制。结果蛋白质组学分析显示,与neCRSwNP组和对照组相比,eCRSwNP组具有明显的蛋白质表达特征。通过交叉两种比较的前50个dep,鉴定出4个候选蛋白,其中赖氨酸氧化酶样蛋白2 (LOXL2)表现出最显著的上调。独立队列验证证实,eCRSwNP中LOXL2表达显著升高,主要局限于鼻上皮区域(P < 0.001)。LOXL2 mRNA水平与鼻组织嗜酸性粒细胞浸润密切相关(r = 0.349, P = 0.006), ROC曲线分析支持其对eCRSwNP的高诊断价值(AUC = 0.746, P = 0.001)。EMT标志物vimentin、α-平滑肌肌动蛋白(α-SMA)、N-cadherin在eCRSwNP组织中的表达显著升高(P < 0.01),与LOXL2表达呈正相关(P < 0.05)。在体外,用重组LOXL2刺激HNECs诱导TGF-β1和EMT标记物表达,而与TGF-β1/Smad信号抑制剂LY364947共同处理可显著减弱这些作用,并抑制Smad2/3磷酸化。结论:我们的研究结果揭示了eCRSwNP中的疾病特异性蛋白谱,其特征是鼻上皮中LOXL2的选择性上调,并与嗜酸性粒细胞炎症密切相关。功能研究表明LOXL2促进EMT,并可能通过TGF-β1/Smad信号通路驱动eCRSwNP的组织重塑。
{"title":"Increased LOXL2 facilitates tissue remodeling in eosinophilic chronic rhinosinusitis with nasal polyps","authors":"Changcan Jiang MD,&nbsp;Xiaoqiong Wang MD,&nbsp;Ruoqi Li MD,&nbsp;Liyan Ni MD,&nbsp;Xuejun Liu PhD","doi":"10.1016/j.waojou.2025.101126","DOIUrl":"10.1016/j.waojou.2025.101126","url":null,"abstract":"<div><h3>Objective</h3><div>Eosinophilic chronic rhinosinusitis with nasal polyps (eCRSwNP) involves extensive tissue remodeling, but its underlying mechanisms remain unclear. This study aimed to identify key regulatory proteins contributing to this process.</div></div><div><h3>Methods</h3><div>Proteomic analysis was conducted on nasal tissues from 8 eCRSwNP patients, 8 non-eosinophilic CRSwNP (neCRSwNP) patients, and 8 healthy controls. Differentially expressed proteins (DEPs) were selected based on the top 50 overlapping DEPs from both comparison groups. Selected candidates were validated using Western blotting, immunofluorescence, and qRT-PCR in an independent cohort. Correlations with eosinophil infiltration and remodeling markers were assessed. Human nasal epithelial cells (HNECs) were used to explore functional mechanisms in vitro.</div></div><div><h3>Result</h3><div>Proteomic profiling revealed a distinct protein expression signature in the eCRSwNP group compared to both neCRSwNP and control groups. By intersecting the top 50 DEPs from both comparisons, 4 candidate proteins were identified, among which lysyl oxidase-like protein 2 (LOXL2) exhibited the most prominent upregulation. Validation in an independent cohort confirmed significantly elevated LOXL2 expression in eCRSwNP, predominantly localized to the nasal epithelial region (P &lt; 0.001). LOXL2 mRNA levels were strongly correlated with eosinophil infiltration in nasal tissues (r = 0.349, P = 0.006), and ROC curve analysis supported its high diagnostic utility for eCRSwNP (AUC = 0.746, P = 0.001). Furthermore, the expression of EMT markers including vimentin, α-smooth muscle actin (α-SMA), and N-cadherin was markedly increased in eCRSwNP tissues (all P &lt; 0.01) and positively associated with LOXL2 expression (all P &lt; 0.05). In vitro, stimulation of HNECs with recombinant LOXL2 induced TGF-β1 and EMT marker expression, while co-treatment with the TGF-β1/Smad signaling inhibitor LY364947 significantly attenuated these effects and inhibited Smad2/3 phosphorylation.</div></div><div><h3>Conclusion</h3><div>Our findings revealed a disease-specific protein profile in eCRSwNP, characterized by selective upregulation of LOXL2 in the nasal epithelium and strong association with eosinophilic inflammation. Functional studies suggest that LOXL2 promotes EMT and may drive tissue remodeling in eCRSwNP via the TGF-β1/Smad signaling pathway.</div></div>","PeriodicalId":54295,"journal":{"name":"World Allergy Organization Journal","volume":"18 10","pages":"Article 101126"},"PeriodicalIF":4.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The respiratory allergy patient's healthcare journey: An international qualitative survey employing an ethnographic approach 呼吸道过敏患者的医疗保健之旅:一项采用民族志方法的国际定性调查
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2025-10-01 DOI: 10.1016/j.waojou.2025.101111
Julien Cottet MD , Sarah Court-Devilliers MD , Cristiano Caruso MD , Léa Ahmed MSc , Arianna Delfino Spiga MD , Ludovica Fabbroni MD , Oana Tuca Radu MSc , Silvia Scurati PhD , Natalija Novak MD
Respiratory allergy (RA), one of the most prevalent global chronic diseases, is often suboptimally managed by both patients and healthcare professionals (HCPs). This qualitative survey investigated the RA healthcare journey from the patient perspective to better understand the challenges faced at key stages and the unmet needs for potential improvements in physician-patient relationship, shared decision-making and patient quality of life outcomes.
The survey employed an ethnographic approach consisting of getting rid of any preconceived ideas and adopting an attitude of listening and empathy devoid of any prejudices. It involved 105 participants distributed across 3 countries (France, Germany, and Italy) who took part in a 2-h interview. All were diagnosed with intermittent or persistent RA and were at different stages of the journey/treatment (without treatment, antihistamine, undergoing Allergen Immunotherapy [AIT], completed AIT, reluctant to AIT, or discontinued AIT). Regional differences and variations related to medical subspecialties are considered, offering a comprehensive and nuanced perspective on RA management at an international level.
The examination of a complex and lengthy journey revealed 4 key stages and explored the corresponding emotional experiences. Physician-patient communication, clinical and emotional support and timing are found to be crucial factors in treatment choice, adherence and the psychological impact of the journey. Additionally, the data collected identified 4 distinct profiles related to AIT, based on their approach to managing RA and their level of access to treatment information: the “skeptic”, the “skittish”, the “determined”, and the “convinced”. This patient stratification can help physicians tailor their strategies and adopt more personalized approaches.
呼吸道过敏(RA)是全球最普遍的慢性疾病之一,患者和医疗保健专业人员(HCPs)往往管理不善。这项定性调查从患者的角度调查了类风湿性关节炎的医疗历程,以更好地了解在关键阶段面临的挑战,以及在医患关系、共同决策和患者生活质量结局方面未满足的潜在改善需求。这项调查采用了人种学的方法,包括摆脱任何先入为主的想法,采取一种没有任何偏见的倾听和同理心的态度。该研究涉及来自3个国家(法国、德国和意大利)的105名参与者,他们参加了为期2小时的采访。所有患者均被诊断为间歇性或持续性RA,且处于治疗过程/治疗的不同阶段(未治疗、抗组胺药、接受过敏原免疫治疗、完成AIT、不愿进行AIT或停止AIT)。考虑到与医学亚专科相关的区域差异和变化,提供了国际层面上RA管理的全面和细致的视角。对一段复杂而漫长的旅程的考察揭示了四个关键阶段,并探索了相应的情感体验。研究发现,医患沟通、临床和情感支持以及时机选择是影响治疗选择、依从性和心理影响的关键因素。此外,根据他们管理RA的方法和获得治疗信息的程度,收集的数据确定了与AIT相关的4种不同的类型:“怀疑型”、“易动摇型”、“坚定型”和“确信型”。这种患者分层可以帮助医生调整他们的策略并采用更个性化的方法。
{"title":"The respiratory allergy patient's healthcare journey: An international qualitative survey employing an ethnographic approach","authors":"Julien Cottet MD ,&nbsp;Sarah Court-Devilliers MD ,&nbsp;Cristiano Caruso MD ,&nbsp;Léa Ahmed MSc ,&nbsp;Arianna Delfino Spiga MD ,&nbsp;Ludovica Fabbroni MD ,&nbsp;Oana Tuca Radu MSc ,&nbsp;Silvia Scurati PhD ,&nbsp;Natalija Novak MD","doi":"10.1016/j.waojou.2025.101111","DOIUrl":"10.1016/j.waojou.2025.101111","url":null,"abstract":"<div><div>Respiratory allergy (RA), one of the most prevalent global chronic diseases, is often suboptimally managed by both patients and healthcare professionals (HCPs). This qualitative survey investigated the RA healthcare journey from the patient perspective to better understand the challenges faced at key stages and the unmet needs for potential improvements in physician-patient relationship, shared decision-making and patient quality of life outcomes.</div><div>The survey employed an ethnographic approach consisting of getting rid of any preconceived ideas and adopting an attitude of listening and empathy devoid of any prejudices. It involved 105 participants distributed across 3 countries (France, Germany, and Italy) who took part in a 2-h interview. All were diagnosed with intermittent or persistent RA and were at different stages of the journey/treatment (without treatment, antihistamine, undergoing Allergen Immunotherapy [AIT], completed AIT, reluctant to AIT, or discontinued AIT). Regional differences and variations related to medical subspecialties are considered, offering a comprehensive and nuanced perspective on RA management at an international level.</div><div>The examination of a complex and lengthy journey revealed 4 key stages and explored the corresponding emotional experiences. Physician-patient communication, clinical and emotional support and timing are found to be crucial factors in treatment choice, adherence and the psychological impact of the journey. Additionally, the data collected identified 4 distinct profiles related to AIT, based on their approach to managing RA and their level of access to treatment information: the “skeptic”, the “skittish”, the “determined”, and the “convinced”. This patient stratification can help physicians tailor their strategies and adopt more personalized approaches.</div></div>","PeriodicalId":54295,"journal":{"name":"World Allergy Organization Journal","volume":"18 10","pages":"Article 101111"},"PeriodicalIF":4.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Probiotic supplementation during pregnancy or infancy for the prevention of allergic rhinitis in infants: A systematic review and meta-analysis of Randomized controlled trials 孕期或婴儿期补充益生菌预防婴儿变应性鼻炎:随机对照试验的系统回顾和荟萃分析
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2025-10-01 DOI: 10.1016/j.waojou.2025.101124
Zhengxiu Xiao BSN , Haiqin Luo BSN , Hao Liu MSc , Hui Chen BSN , Jun Bai MSc , Wang Liao MSc , Shi Wu Wen PhD , Daniel Krewski PhD , Huiling Shang PhD , Rihua Xie PhD

Background

Early-life gut microbial colonization is crucial for immune system development, but the efficacy of probiotic interventions during pregnancy or infancy in preventing allergic rhinitis (AR) and atopic sensitization (AS) remains unclear. This systematic review synthesized evidence from randomized controlled trials (RCTs) assessing probiotics for AR and AS prevention.

Methods

Seven English and Chinese databases were systematically searched up to February 13, 2025. Eligible studies were RCTs with clearly defined probiotic interventions and specified AR or AS outcomes. Risk of bias was assessed using the Cochrane tool. Odds ratios (ORs) with 95% confidence intervals (CIs) were pooled using fixed-effects models.

Results

Fourteen RCTs involving 5886 children were included. Probiotics did not significantly reduce the odds of AR at any age (≤ 1 year: ORp = 0.73, 95% CI = 0.46–1.15, P = 0.17; > 1 year: ORp = 0.95, 95% CI = 0.83–1.09, P = 0.46). However, probiotics significantly reduced AS odds in children over 1 year (ORp = 0.87, 95% CI = 0.76–0.99, P = 0.04). Subgroup analyses revealed greater reductions in AS odds for postnatal interventions initiated after 6 months of age (ORp = 0.82, 95% CI = 0.68–0.99, P = 0.04) and for combined prenatal-postnatal supplementation (ORp = 0.85, 95% CI = 0.74–0.98, P = 0.03). Probiotics were also associated with transient increases in the abundance of targeted gut microbial strains.

Conclusion

Probiotics during pregnancy and/or infancy may reduce AS odds in children over 1 year and correlate with age-related changes in gut microbial composition but failed to reduce AR odds at any age.
早期肠道微生物定植对免疫系统发育至关重要,但孕期或婴儿期益生菌干预在预防过敏性鼻炎(AR)和特应性致敏(AS)方面的功效尚不清楚。本系统综述综合了评估益生菌预防AR和AS的随机对照试验(rct)的证据。方法系统检索截至2025年2月13日的7个中英文数据库。符合条件的研究是具有明确定义的益生菌干预和指定的AR或AS结果的随机对照试验。使用Cochrane工具评估偏倚风险。比值比(ORs)和95%置信区间(ci)采用固定效应模型进行汇总。结果共纳入14项随机对照试验,涉及儿童5886名。益生菌没有显著降低任何年龄段的AR发生率(≤1岁:ORp = 0.73, 95% CI = 0.46 - 1.15, P = 0.17; 1岁:ORp = 0.95, 95% CI = 0.83-1.09, P = 0.46)。然而,益生菌显著降低1岁以上儿童AS的发生率(ORp = 0.87, 95% CI = 0.76-0.99, P = 0.04)。亚组分析显示,6个月后开始的产后干预(ORp = 0.82, 95% CI = 0.68-0.99, P = 0.04)和产前-产后联合补充(ORp = 0.85, 95% CI = 0.74-0.98, P = 0.03)降低了AS的几率。益生菌也与目标肠道微生物菌株丰度的短暂增加有关。结论妊娠期和/或婴儿期益生菌可降低1岁以上儿童AS的发生率,并与肠道微生物组成的年龄相关变化相关,但不能降低任何年龄段的AR发生率。
{"title":"Probiotic supplementation during pregnancy or infancy for the prevention of allergic rhinitis in infants: A systematic review and meta-analysis of Randomized controlled trials","authors":"Zhengxiu Xiao BSN ,&nbsp;Haiqin Luo BSN ,&nbsp;Hao Liu MSc ,&nbsp;Hui Chen BSN ,&nbsp;Jun Bai MSc ,&nbsp;Wang Liao MSc ,&nbsp;Shi Wu Wen PhD ,&nbsp;Daniel Krewski PhD ,&nbsp;Huiling Shang PhD ,&nbsp;Rihua Xie PhD","doi":"10.1016/j.waojou.2025.101124","DOIUrl":"10.1016/j.waojou.2025.101124","url":null,"abstract":"<div><h3>Background</h3><div>Early-life gut microbial colonization is crucial for immune system development, but the efficacy of probiotic interventions during pregnancy or infancy in preventing allergic rhinitis (AR) and atopic sensitization (AS) remains unclear. This systematic review synthesized evidence from randomized controlled trials (RCTs) assessing probiotics for AR and AS prevention.</div></div><div><h3>Methods</h3><div>Seven English and Chinese databases were systematically searched up to February 13, 2025. Eligible studies were RCTs with clearly defined probiotic interventions and specified AR or AS outcomes. Risk of bias was assessed using the Cochrane tool. Odds ratios (ORs) with 95% confidence intervals (CIs) were pooled using fixed-effects models.</div></div><div><h3>Results</h3><div>Fourteen RCTs involving 5886 children were included. Probiotics did not significantly reduce the odds of AR at any age (≤ 1 year: OR<sub>p</sub> = 0.73, 95% CI = 0.46–1.15, <em>P</em> = 0.17; &gt; 1 year: OR<sub>p</sub> = 0.95, 95% CI = 0.83–1.09, <em>P</em> = 0.46). However, probiotics significantly reduced AS odds in children over 1 year (OR<sub>p</sub> = 0.87, 95% CI = 0.76–0.99, <em>P</em> = 0.04). Subgroup analyses revealed greater reductions in AS odds for postnatal interventions initiated after 6 months of age (OR<sub>p</sub> = 0.82, 95% CI = 0.68–0.99, <em>P</em> = 0.04) and for combined prenatal-postnatal supplementation (OR<sub>p</sub> = 0.85, 95% CI = 0.74–0.98, <em>P</em> = 0.03). Probiotics were also associated with transient increases in the abundance of targeted gut microbial strains.</div></div><div><h3>Conclusion</h3><div>Probiotics during pregnancy and/or infancy may reduce AS odds in children over 1 year and correlate with age-related changes in gut microbial composition but failed to reduce AR odds at any age.</div></div>","PeriodicalId":54295,"journal":{"name":"World Allergy Organization Journal","volume":"18 10","pages":"Article 101124"},"PeriodicalIF":4.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Molecular allergens drive risk stratification and immunotherapy in Hymenoptera venom allergy 膜翅目毒液过敏的分子过敏原驱动风险分层和免疫治疗
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2025-10-01 DOI: 10.1016/j.waojou.2025.101128
Enrico Scala MD , Valeria Villella PhD , Damiano Abeni MD, MPH , Mauro Giani MD , Emma Cristina Guerra MD , Maria Locanto MD , Giorgia Meneguzzi MD , Lia Pirrotta MD , Donato Quaratino MD , Alessandra Zaffiro MD , Elisabetta Caprini PhD , Riccardo Asero MD , Lorenzo Cecchi MD , Danilo Villalta MD , Valerio Pravettoni MD

Background

Hymenoptera venom allergy is a major cause of life-threatening anaphylaxis. Molecular diagnostics have improved the characterisation of sensitisation patterns, although the clinical role of cross-reactive allergens such as DPPIV and hyaluronidases remains unclear.

Objective

To define IgE sensitisation to venom components, examine associations with clinical phenotypes, and assess the immunological impact of venom immunotherapy (VIT) in an Italian cohort.

Methods

In this monocentric study, 378 patients with documented Hymenoptera adverse reactions underwent extract-based and component-resolved diagnostics. A prospective subset (n = 113) was followed during VIT. Commercial venom extracts were characterised by inhibition assays.

Results

Systemic reactions occurred in 36% of patients, predominantly males, while large local reactions were more common in females. Sensitisation to Vespula spp. (52%) and Polistes dominula (48%) exceeded Apis mellifera (26%). Api m 1/3/10 and Ves v 5/Pol d 5 were the most relevant allergens. Multivariate analysis identified IgE to Api m 1, Api m 3, Ves v 1, and Ves v 5 as independent predictors of systemic reactions. Mixed-effect models revealed a progressive decline of species-specific IgE during VIT, with an earlier progressive reduction of Ves v 1 and Ves v 5 and a delayed decrease of Api m 1, while IgE to panallergens remained stable.

Conclusion

Molecular diagnostics refine risk stratification and monitoring of VIT. Species-specific allergens provide reliable clinical markers, whereas panallergens help distinguish true double sensitisation from cross-reactivity. VIT induces a progressive but differential reduction in specific IgE and confers protection, supporting precision allergy care.
膜翅目毒液过敏是危及生命的过敏反应的主要原因。分子诊断改善了致敏模式的特征,尽管交叉反应性过敏原如DPPIV和透明质酸酶的临床作用尚不清楚。目的在意大利队列中确定IgE对毒液成分的致敏,检查与临床表型的关联,并评估毒液免疫治疗(VIT)的免疫学影响。方法在这项单中心研究中,378名有膜翅目不良反应记录的患者进行了基于提取物和成分分解的诊断。在VIT期间随访前瞻性子集(n = 113)。商业毒液提取物通过抑制试验进行表征。结果36%的患者发生全身反应,以男性为主,而大面积局部反应在女性中更为常见。对Vespula spp(52%)和Polistes dominula(48%)的敏感性高于蜜蜂(26%)。Api m 1/3/10和vesv 5/ pold 5是最相关的过敏原。多变量分析表明,IgE对Api m1、Api m3、vesv 1和vesv 5是全身反应的独立预测因子。混合效应模型显示,在VIT过程中,物种特异性IgE逐渐下降,Ves v1和Ves v5较早逐渐下降,Api m1下降较晚,而对pan过敏原的IgE保持稳定。结论分子诊断可完善VIT的风险分层和监测。物种特异性过敏原提供可靠的临床标记,而泛过敏原有助于区分真正的双重致敏和交叉反应。VIT诱导特异性IgE的进行性但差异性降低,并提供保护,支持精确的过敏护理。
{"title":"Molecular allergens drive risk stratification and immunotherapy in Hymenoptera venom allergy","authors":"Enrico Scala MD ,&nbsp;Valeria Villella PhD ,&nbsp;Damiano Abeni MD, MPH ,&nbsp;Mauro Giani MD ,&nbsp;Emma Cristina Guerra MD ,&nbsp;Maria Locanto MD ,&nbsp;Giorgia Meneguzzi MD ,&nbsp;Lia Pirrotta MD ,&nbsp;Donato Quaratino MD ,&nbsp;Alessandra Zaffiro MD ,&nbsp;Elisabetta Caprini PhD ,&nbsp;Riccardo Asero MD ,&nbsp;Lorenzo Cecchi MD ,&nbsp;Danilo Villalta MD ,&nbsp;Valerio Pravettoni MD","doi":"10.1016/j.waojou.2025.101128","DOIUrl":"10.1016/j.waojou.2025.101128","url":null,"abstract":"<div><h3>Background</h3><div>Hymenoptera venom allergy is a major cause of life-threatening anaphylaxis. Molecular diagnostics have improved the characterisation of sensitisation patterns, although the clinical role of cross-reactive allergens such as DPPIV and hyaluronidases remains unclear.</div></div><div><h3>Objective</h3><div>To define IgE sensitisation to venom components, examine associations with clinical phenotypes, and assess the immunological impact of venom immunotherapy (VIT) in an Italian cohort.</div></div><div><h3>Methods</h3><div>In this monocentric study, 378 patients with documented Hymenoptera adverse reactions underwent extract-based and component-resolved diagnostics. A prospective subset (n = 113) was followed during VIT. Commercial venom extracts were characterised by inhibition assays.</div></div><div><h3>Results</h3><div>Systemic reactions occurred in 36% of patients, predominantly males, while large local reactions were more common in females. Sensitisation to <em>Vespula</em> spp. (52%) and <em>Polistes dominula</em> (48%) exceeded <em>Apis mellifera</em> (26%). Api m 1/3/10 and Ves v 5/Pol d 5 were the most relevant allergens. Multivariate analysis identified IgE to Api m 1, Api m 3, Ves v 1, and Ves v 5 as independent predictors of systemic reactions. Mixed-effect models revealed a progressive decline of species-specific IgE during VIT, with an earlier progressive reduction of Ves v 1 and Ves v 5 and a delayed decrease of Api m 1, while IgE to panallergens remained stable.</div></div><div><h3>Conclusion</h3><div>Molecular diagnostics refine risk stratification and monitoring of VIT. Species-specific allergens provide reliable clinical markers, whereas panallergens help distinguish true double sensitisation from cross-reactivity. VIT induces a progressive but differential reduction in specific IgE and confers protection, supporting precision allergy care.</div></div>","PeriodicalId":54295,"journal":{"name":"World Allergy Organization Journal","volume":"18 10","pages":"Article 101128"},"PeriodicalIF":4.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring trends and predictors of long-term asthma remission 探索长期哮喘缓解的趋势和预测因素
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2025-10-01 DOI: 10.1016/j.waojou.2025.101127
Vera Veith PhD , Frauke Pedersen PhD , Henrik Watz MD PhD , Anne-Marie Kirsten MD , Folke Brinkmann MD (Prof) , Matthias V. Kopp MD (Prof) , Anna-Maria Dittrich MD (Prof) , Gesine Hansen MD (Prof) , Nicole Maison MD , Bianca Schaub MD (Prof) , Erika von Mutius MD (Prof) , Klaus F. Rabe MD (Prof) , Thomas Bahmer MD (Prof) , Mustafa Abdo MD PhD , the ALLIANCE Study Group

Rationale

Asthma remission is a state of low to no disease activity. To date, little is known about predictors and the achievability of long-term asthma remission.

Objective

To identify clinical predictors and trends of long-term remission in a cohort of adults with mild to severe asthma.

Methods

This study included 203 adults with mild to severe asthma from the All Age Asthma Cohort, followed over 6 years. Participants attended 5 visits, during which type 2 inflammation markers (blood and sputum eosinophils, fractional exhaled nitric oxide), lung function measurements (oscillometry, spirometry), atopy and systemic comorbidities were assessed. Clinical remission was defined by an Asthma Control Test score of ≥20 plus the absence of both severe exacerbations and systemic corticosteroid use in the past 12 months, and normal or stable lung function. Long-term remission was defined as remission lasting at least 3 consecutive years, while short-term remission lasted 1 or 2 consecutive years.

Results

The frequencies of long-term, short-term, and no remission were 27%, 34%, and 39%, respectively. 16% of all patients with severe asthma achieved long-term remission, compared to 65% of those with mild-to-moderate disease. Over one-third of all patients never achieved remission and had persistent T2 markers despite high-dose ICS. Predictors of no asthma remission included number of persistent T2-markers (OR:0.26, CI: 0.11, 0.61), frequency dependence of resistance (FDR, R5-R20Hz; OR:0.36, CI: 0.15, 0.82), FEV1/FVC (OR:0.16, CI: 0.06, 0.37), GERD (OR:0.23, CI: 0.1, 0.5), CVD (OR:0.44, CI: 0.22, 0.87), dyslipidemia (OR:0.38, CI: 0.13, 1.05), whereas sensitization to house dust mite was associated with a higher remission rate (OR:2.06, CI: 1.03, 4.17). During long-term follow-up, significant adjusted predictors of no remission were sputum eosinophils, small airway dysfunction, and airflow obstruction.

Conclusion

This study highlights a substantial unmet need in achieving long-term remission, particularly in patients with persistent type 2 inflammation and impaired lung function, prompting re-evaluation of targeting T2 inflammation earlier to prevent lung function impairment.
哮喘缓解是一种低至无疾病活动的状态。迄今为止,对预测因素和长期哮喘缓解的可实现性知之甚少。目的探讨成人轻至重度哮喘患者长期缓解的临床预测因素和趋势。方法本研究纳入203例轻度至重度哮喘成人,来自全年龄哮喘队列,随访6年。参与者参加了5次访问,在此期间评估2型炎症标志物(血液和痰嗜酸性粒细胞,分数呼出一氧化氮),肺功能测量(振荡测定法,肺活量测定法),特应性和系统性合并症。临床缓解的定义是哮喘控制测试得分≥20,加上过去12个月内没有严重恶化和全身皮质类固醇使用,肺功能正常或稳定。长期缓解定义为缓解持续至少3年,而短期缓解持续1年或2年。结果长期缓解率为27%,短期缓解率为34%,无缓解率为39%。16%的严重哮喘患者实现了长期缓解,而65%的轻中度哮喘患者实现了长期缓解。超过三分之一的患者从未达到缓解,尽管高剂量ICS仍有持续的T2标记物。哮喘无缓解的预测因子包括持续t2标记物数量(OR:0.26, CI: 0.11, 0.61)、耐药频率依赖性(FDR, R5-R20Hz; OR:0.36, CI: 0.15, 0.82)、FEV1/FVC (OR:0.16, CI: 0.06, 0.37)、GERD (OR:0.23, CI: 0.1, 0.5)、CVD (OR:0.44, CI: 0.22, 0.87)、血脂异常(OR:0.38, CI: 0.13, 1.05),而室内尘螨致敏与较高的缓解率相关(OR:2.06, CI: 1.03, 4.17)。在长期随访中,痰嗜酸性粒细胞、小气道功能障碍和气流阻塞是无缓解的重要调整预测因子。本研究强调了实现长期缓解的大量未满足需求,特别是对于持续性2型炎症和肺功能受损的患者,促使重新评估早期靶向T2炎症以预防肺功能损害。
{"title":"Exploring trends and predictors of long-term asthma remission","authors":"Vera Veith PhD ,&nbsp;Frauke Pedersen PhD ,&nbsp;Henrik Watz MD PhD ,&nbsp;Anne-Marie Kirsten MD ,&nbsp;Folke Brinkmann MD (Prof) ,&nbsp;Matthias V. Kopp MD (Prof) ,&nbsp;Anna-Maria Dittrich MD (Prof) ,&nbsp;Gesine Hansen MD (Prof) ,&nbsp;Nicole Maison MD ,&nbsp;Bianca Schaub MD (Prof) ,&nbsp;Erika von Mutius MD (Prof) ,&nbsp;Klaus F. Rabe MD (Prof) ,&nbsp;Thomas Bahmer MD (Prof) ,&nbsp;Mustafa Abdo MD PhD ,&nbsp;the ALLIANCE Study Group","doi":"10.1016/j.waojou.2025.101127","DOIUrl":"10.1016/j.waojou.2025.101127","url":null,"abstract":"<div><h3>Rationale</h3><div>Asthma remission is a state of low to no disease activity. To date, little is known about predictors and the achievability of long-term asthma remission.</div></div><div><h3>Objective</h3><div>To identify clinical predictors and trends of long-term remission in a cohort of adults with mild to severe asthma.</div></div><div><h3>Methods</h3><div>This study included 203 adults with mild to severe asthma from the All Age Asthma Cohort, followed over 6 years. Participants attended 5 visits, during which type 2 inflammation markers (blood and sputum eosinophils, fractional exhaled nitric oxide), lung function measurements (oscillometry, spirometry), atopy and systemic comorbidities were assessed. Clinical remission was defined by an Asthma Control Test score of ≥20 plus the absence of both severe exacerbations and systemic corticosteroid use in the past 12 months, and normal or stable lung function. Long-term remission was defined as remission lasting at least 3 consecutive years, while short-term remission lasted 1 or 2 consecutive years.</div></div><div><h3>Results</h3><div>The frequencies of long-term, short-term, and no remission were 27%, 34%, and 39%, respectively. 16% of all patients with severe asthma achieved long-term remission, compared to 65% of those with mild-to-moderate disease. Over one-third of all patients never achieved remission and had persistent T2 markers despite high-dose ICS. Predictors of no asthma remission included number of persistent T2-markers (OR:0.26, CI: 0.11, 0.61), frequency dependence of resistance (FDR, R5-R20Hz; OR:0.36, CI: 0.15, 0.82), FEV1/FVC (OR:0.16, CI: 0.06, 0.37), GERD (OR:0.23, CI: 0.1, 0.5), CVD (OR:0.44, CI: 0.22, 0.87), dyslipidemia (OR:0.38, CI: 0.13, 1.05), whereas sensitization to house dust mite was associated with a higher remission rate (OR:2.06, CI: 1.03, 4.17). During long-term follow-up, significant adjusted predictors of no remission were sputum eosinophils, small airway dysfunction, and airflow obstruction.</div></div><div><h3>Conclusion</h3><div>This study highlights a substantial unmet need in achieving long-term remission, particularly in patients with persistent type 2 inflammation and impaired lung function, prompting re-evaluation of targeting T2 inflammation earlier to prevent lung function impairment.</div></div>","PeriodicalId":54295,"journal":{"name":"World Allergy Organization Journal","volume":"18 10","pages":"Article 101127"},"PeriodicalIF":4.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply to comment on “Total IgE levels in patients with hematologic malignancies” 回复关于“血液恶性肿瘤患者总IgE水平”的评论
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2025-09-26 DOI: 10.1016/j.waojou.2025.101122
Parisa Amjadi PhD , Fatemehsadat Hosseini MD , Ehsan Zaboli MD , Mohammad Eslami-Jouybari MD , Hossein Asgarian-Omran PhD , Akbar Hedayatizadeh-Omran MD, PhD , Versa Omrani-Nava MSc , Reza Alizadeh-Navaei MD, PhD
{"title":"Reply to comment on “Total IgE levels in patients with hematologic malignancies”","authors":"Parisa Amjadi PhD ,&nbsp;Fatemehsadat Hosseini MD ,&nbsp;Ehsan Zaboli MD ,&nbsp;Mohammad Eslami-Jouybari MD ,&nbsp;Hossein Asgarian-Omran PhD ,&nbsp;Akbar Hedayatizadeh-Omran MD, PhD ,&nbsp;Versa Omrani-Nava MSc ,&nbsp;Reza Alizadeh-Navaei MD, PhD","doi":"10.1016/j.waojou.2025.101122","DOIUrl":"10.1016/j.waojou.2025.101122","url":null,"abstract":"","PeriodicalId":54295,"journal":{"name":"World Allergy Organization Journal","volume":"18 10","pages":"Article 101122"},"PeriodicalIF":4.3,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comment on "Total IgE and hematologic malignancy development" 对“总IgE与血液恶性肿瘤发展”的评论
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2025-09-23 DOI: 10.1016/j.waojou.2025.101119
Öner Özdemir MD
{"title":"Comment on \"Total IgE and hematologic malignancy development\"","authors":"Öner Özdemir MD","doi":"10.1016/j.waojou.2025.101119","DOIUrl":"10.1016/j.waojou.2025.101119","url":null,"abstract":"","PeriodicalId":54295,"journal":{"name":"World Allergy Organization Journal","volume":"18 10","pages":"Article 101119"},"PeriodicalIF":4.3,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response to Letter to the Editor: “Comment on ‘Evaluating vaccination dosing strategies for SARS-CoV-2 in patients at high-risk for allergic reactions: Insights from vaccination campaign’” 回复致编辑的信:《对过敏反应高危患者评估SARS-CoV-2疫苗接种剂量策略的评论:来自疫苗接种运动的见解》
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2025-09-23 DOI: 10.1016/j.waojou.2025.101118
Stefania Nicola MD , Iuliana Badiu MD , Nicolo Rashidy MD , Elena Saracco MD , Erika Montabone MD , Luca Lo Sardo MD , Marzia Boem MD , Valentina Marmora MD , Federica Corradi MD , Andrea Ricotti MSc, MPH , Richard Borrelli MD , Giovanni Rolla MD , Simone Negrini MD , Luisa Brussino MD
{"title":"Response to Letter to the Editor: “Comment on ‘Evaluating vaccination dosing strategies for SARS-CoV-2 in patients at high-risk for allergic reactions: Insights from vaccination campaign’”","authors":"Stefania Nicola MD ,&nbsp;Iuliana Badiu MD ,&nbsp;Nicolo Rashidy MD ,&nbsp;Elena Saracco MD ,&nbsp;Erika Montabone MD ,&nbsp;Luca Lo Sardo MD ,&nbsp;Marzia Boem MD ,&nbsp;Valentina Marmora MD ,&nbsp;Federica Corradi MD ,&nbsp;Andrea Ricotti MSc, MPH ,&nbsp;Richard Borrelli MD ,&nbsp;Giovanni Rolla MD ,&nbsp;Simone Negrini MD ,&nbsp;Luisa Brussino MD","doi":"10.1016/j.waojou.2025.101118","DOIUrl":"10.1016/j.waojou.2025.101118","url":null,"abstract":"","PeriodicalId":54295,"journal":{"name":"World Allergy Organization Journal","volume":"18 10","pages":"Article 101118"},"PeriodicalIF":4.3,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrated multi-omics profiling reveals shared mechanistic pathways in asthma-allergic rhinitis comorbidity: A hybrid machine learning framework leveraging Mendelian randomization for precision diagnostics 综合多组学分析揭示哮喘-变应性鼻炎共病的共同机制途径:利用孟德尔随机化进行精确诊断的混合机器学习框架
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2025-09-22 DOI: 10.1016/j.waojou.2025.101120
Hehe Wang PhD , Jiali Tu MMed , Junge Zhang MMed , Wenxin Wang MMed , Ziyi Yuan MMed , Chunlin Li MMed , Yaowen Wang MD

Background

Asthma (AS) and allergic rhinitis (AR), though sharing Th2-driven inflammation, exhibit distinct clinical trajectories, with molecular mechanisms underlying their comorbidity remaining poorly characterized. This study aimed to delineate conserved and divergent immunometabolic pathways and develop a blood-based diagnostic framework integrating multi-omics biomarkers.

Methods

We harmonized 8 peripheral blood transcriptomic cohorts (n = 1,073) using ComBat correction, performed Mendelian randomization (MR) across 5 asthma cohorts (FinnGen Release 12), and constructed a combinatorial machine learning model (113 configurations) validated in 5 independent cohorts.

Results

Bidirectional regulation of the Y-chromosomal gene RPS4Y1 (upregulated in AR, downregulated in AS) was linked to disease-specific immunometabolic reprogramming (P < 0.001). MR identified 7 causal plasma proteins (GRAMD1C, GSTO1, IL1RAP, MMP9, PDXK, SAT2, SIGLEC12) intersecting transcriptomic signatures, implicating oxidative stress as a shared mechanism. The glmBoost-RF diagnostic model integrating these biomarkers achieved superior accuracy (AUC >95% in 4/5 cohorts), outperforming conventional classifiers reliant on IgE or eosinophils. Immune profiling revealed AR-specific native B-cell expansion and Treg depletion versus AS-associated CD4+ T/NK cell activation (P < 0.05). Coordinated dysregulation of Y-chromosomal genes (EIF1AY, KDM5D) suggested sex-dimorphic immune modulation.

Conclusions

This integrative analysis establishes RPS4Y1 as a central regulator of allergic inflammation dimorphism and delivers a validated multi-omics classifier for precision diagnostics. The findings bridge molecular sex differences, metabolic-immune crosstalk, and clinical heterogeneity, advancing phenotype-specific therapeutic strategies.
背景:哮喘(AS)和变应性鼻炎(AR)虽然共享th2驱动的炎症,但表现出不同的临床轨迹,其合并症的分子机制尚不清楚。本研究旨在描述保守的和不同的免疫代谢途径,并开发一种基于血液的诊断框架,整合多组学生物标志物。方法采用ComBat correction对8个外周血转录组学队列(n = 1,073)进行协调,在5个哮喘队列中进行孟德尔随机化(MR) (FinnGen Release 12),并构建了一个组合机器学习模型(113个配置),该模型在5个独立队列中得到验证。结果y染色体基因RPS4Y1的双向调控(在AR中上调,在AS中下调)与疾病特异性免疫代谢重编程有关(P < 0.001)。MR鉴定出7种血浆致病蛋白(GRAMD1C、GSTO1、IL1RAP、MMP9、PDXK、SAT2、SIGLEC12)交叉转录组特征,暗示氧化应激是一种共享机制。整合这些生物标志物的glmBoost-RF诊断模型获得了更高的准确性(4/5队列中的AUC >;95%),优于依赖IgE或嗜酸性粒细胞的传统分类器。免疫分析显示ar特异性天然b细胞扩增和Treg消耗与as相关CD4+ T/NK细胞活化(P < 0.05)。y染色体基因(EIF1AY, KDM5D)的协调失调提示性别二态免疫调节。结论该综合分析确定了RPS4Y1是过敏性炎症二态性的中心调节因子,并为精确诊断提供了一种有效的多组学分类器。这些发现弥合了分子性别差异、代谢免疫串扰和临床异质性,推进了表型特异性治疗策略。
{"title":"Integrated multi-omics profiling reveals shared mechanistic pathways in asthma-allergic rhinitis comorbidity: A hybrid machine learning framework leveraging Mendelian randomization for precision diagnostics","authors":"Hehe Wang PhD ,&nbsp;Jiali Tu MMed ,&nbsp;Junge Zhang MMed ,&nbsp;Wenxin Wang MMed ,&nbsp;Ziyi Yuan MMed ,&nbsp;Chunlin Li MMed ,&nbsp;Yaowen Wang MD","doi":"10.1016/j.waojou.2025.101120","DOIUrl":"10.1016/j.waojou.2025.101120","url":null,"abstract":"<div><h3>Background</h3><div>Asthma (AS) and allergic rhinitis (AR), though sharing Th2-driven inflammation, exhibit distinct clinical trajectories, with molecular mechanisms underlying their comorbidity remaining poorly characterized. This study aimed to delineate conserved and divergent immunometabolic pathways and develop a blood-based diagnostic framework integrating multi-omics biomarkers.</div></div><div><h3>Methods</h3><div>We harmonized 8 peripheral blood transcriptomic cohorts (n = 1,073) using ComBat correction, performed Mendelian randomization (MR) across 5 asthma cohorts (FinnGen Release 12), and constructed a combinatorial machine learning model (113 configurations) validated in 5 independent cohorts.</div></div><div><h3>Results</h3><div>Bidirectional regulation of the Y-chromosomal gene RPS4Y1 (upregulated in AR, downregulated in AS) was linked to disease-specific immunometabolic reprogramming (P &lt; 0.001). MR identified 7 causal plasma proteins (GRAMD1C, GSTO1, IL1RAP, MMP9, PDXK, SAT2, SIGLEC12) intersecting transcriptomic signatures, implicating oxidative stress as a shared mechanism. The glmBoost-RF diagnostic model integrating these biomarkers achieved superior accuracy (AUC &gt;95% in 4/5 cohorts), outperforming conventional classifiers reliant on IgE or eosinophils. Immune profiling revealed AR-specific native B-cell expansion and Treg depletion versus AS-associated CD4<sup>+</sup> T/NK cell activation (P &lt; 0.05). Coordinated dysregulation of Y-chromosomal genes (EIF1AY, KDM5D) suggested sex-dimorphic immune modulation.</div></div><div><h3>Conclusions</h3><div>This integrative analysis establishes RPS4Y1 as a central regulator of allergic inflammation dimorphism and delivers a validated multi-omics classifier for precision diagnostics. The findings bridge molecular sex differences, metabolic-immune crosstalk, and clinical heterogeneity, advancing phenotype-specific therapeutic strategies.</div></div>","PeriodicalId":54295,"journal":{"name":"World Allergy Organization Journal","volume":"18 10","pages":"Article 101120"},"PeriodicalIF":4.3,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comment on “Evaluating vaccination dosing strategies for SARS-CoV-2 in patients at high-risk for allergic reactions: Insights from vaccination campaign” 对《评估过敏反应高危患者的SARS-CoV-2疫苗接种剂量策略:来自疫苗接种运动的见解》的评论
IF 4.3 2区 医学 Q2 ALLERGY Pub Date : 2025-09-22 DOI: 10.1016/j.waojou.2025.101121
Hinpetch Daungsupawong PhD , Viroj Wiwanitkit MD
{"title":"Comment on “Evaluating vaccination dosing strategies for SARS-CoV-2 in patients at high-risk for allergic reactions: Insights from vaccination campaign”","authors":"Hinpetch Daungsupawong PhD ,&nbsp;Viroj Wiwanitkit MD","doi":"10.1016/j.waojou.2025.101121","DOIUrl":"10.1016/j.waojou.2025.101121","url":null,"abstract":"","PeriodicalId":54295,"journal":{"name":"World Allergy Organization Journal","volume":"18 10","pages":"Article 101121"},"PeriodicalIF":4.3,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
World Allergy Organization Journal
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1