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IN THIS ISSUE: GRAPHICAL ABSTRACTS
EAACI Position Paper
Intranasal corticosteroids in allergic rhinitis in COVID-19 infected patients: An ARIA-EAACI statement
- Pages: 2440-2444
- First Published: 31 March 2020
EAACI POSITION PAPERS
Immunology of COVID-19: Mechanisms, clinical outcome, diagnostics, and perspectives—A report of the European Academy of Allergy and Clinical Immunology (EAACI)
- Pages: 2445-2476
- First Published: 25 June 2020
REVIEW ARTICLES
Hypersensitivities following allergen antigen recognition by unconventional T cells
- Pages: 2477-2490
- First Published: 17 March 2020
Past, present, and future of anti-IgE biologics
- Pages: 2491-2502
- First Published: 06 April 2020
A compendium answering 150 questions on COVID-19 and SARS-CoV-2
- Pages: 2503-2541
- First Published: 14 June 2020
COVID-19 Clinical trials: Quality matters more than quantity
- Pages: 2542-2547
- First Published: 20 May 2020
ORIGINAL ARTICLES
Basic and Translational Allergy Immunology
Integrated mRNA and microRNA transcriptome profiling during differentiation of human nasal polyp epithelium reveals an altered ciliogenesis
- Pages: 2548-2561
- First Published: 06 April 2020

This study provides an insight into the molecular basis of sinonasal mucociliary differentiation. mRNA and microRNA transcriptome profiling reveals an altered ciliogenesis in CRSwNP compared to control-NM. Altered ciliogenesis during mucociliary differentiation may be related to the lack of expression of microRNAs from the mir-34 and mir-449 families in CRSwNP epithelium.
Abbreviations: ALI, air-liquid interface cell culture system; BSCs, basal stem-progenitor cells; control-NM, control nasal mucosa; miR, microRNA; RSwNP, chronic rhinosinusitis with nasal polyps.
Characterization of amoxicillin and clavulanic acid specific T-cell clones from patients with immediate drug hypersensitivity
- Pages: 2562-2573
- First Published: 04 April 2020

AX- and Clav-specific T-cell clones can be generated from the same patient with immediate hypersensitivity, irrespective of whether AX or Clav is the culprit drug in the combination AX-Clav. No cross-reactivity between AX and Clav is detected. Differences in cytokine secretion are observed between T-cell clones generated against the culprit or the alternative drug in the combination AX-Clav.
Abbreviations: AX, amoxicillin; Clav, clavulanic acid.
TCRs with segment TRAV9-2 or a CDR3 histidine are overrepresented among nickel-specific CD4+ T cells
- Pages: 2574-2586
- First Published: 16 April 2020

We find increased frequencies of Nickel-specific memory CD4+ T cells in PBMCs of some nickel allergic individuals, applying a new approach based on CD154 upregulation. High-throughput sequencing of αβ T cell receptors reveals an overrepresentation of α-chain segment TRAV9-2 and CDR3 histidines.
Abbreviations: CDR, complementarity determining region; HTS, high throughput sequencing; MHC, major histocompatibility complex; Ni, nickel; NiSO4, nickel sulfate; PBMCs, peripheral blood mononuclear cells; TCR, T cell receptor; TRAV9-2, TCR α-chain V-segment.
Tnfaip3 expression in pulmonary conventional type 1 Langerin-expressing dendritic cells regulates T helper 2-mediated airway inflammation in mice
- Pages: 2587-2598
- First Published: 23 April 2020

Mice harboring Tnfaip3-deficient cDC1s (Tnfaip3Lg-KO mice) do not develop Th2-driven eosinophilic airway inflammation upon house dust mite exposure but have elevated numbers of pulmonary IFNγ-expressing CD8+ T-cells. In the lungs of Tnfaip3Lg-KO mice, cDC1s have increased IL-12 and PD-L1 expression. Both IL-12 and IFNγ are involved in the reduced Th2-response observed in Tnfaip3Lg-KO mice.
Abbreviations: cDC, conventional dendritic cell; PD-L1, programmed death ligand 1; Tnfaip3, TNF alpha-induced protein 3.
Rhinitis, Sinusitis, and Upper Airway Disease
CD23 expression on switched memory B cells bridges T-B cell interaction in allergic rhinitis
- Pages: 2599-2612
- First Published: 21 March 2020

Circulating memory B cells are increased in AR patients. The enhanced expression of CD23 on switched memory B cells correlates with antigen-specific IgE levels, symptom scores, and allergen immunotherapy efficacy in AR patients. Tfh2 cells from AR patients have a greater capacity to induce CD23 expression on switched memory B cells via IL-4, which is unable to be sufficiently suppressed by AR-associated Tfr cells with defective IL-10 expression.
Abbreviations: AIT, allergen immunotherapy; AR, allergic rhinitis; HC, healthy controls; NSM, nonswitched memory; SM, switched memory; Tfh2, type 2 follicular helper T cells; Tfr, follicular regulatory T cell.
Atopic Dermatitis, Urticaria and Skin Disease
Skin-infiltrating basophils promote atopic dermatitis-like inflammation via IL-4 production in mice
- Pages: 2613-2622
- First Published: 13 May 2020

Basophils infiltrated the OX-induced AD-like skin lesion but barely draining LNs, and they were major IL-4 producers in the affected skin. Basophil-specific IL-4-deficient mice showed ameliorated skin inflammation even though serum levels of IgG1/IgE remained intact. Skin-infiltrating basophils play a crucial role in the development of OX-induced AD-like skin inflammation through local IL-4 production, independently of LN Th2 cell differentiation.
Abbreviations: AD, atopic dermatitis; BAS IL-4 KO, basophil-specific IL-4-deficient mouse; OX, oxazolone.
Food Allergy and Gastrointestinal Diseases
Quality of life of children aged 8-12 years undergoing food allergy oral immunotherapy: Child and parent perspective
- Pages: 2623-2632
- First Published: 29 April 2020

FAQLQ-CF was administered to 103 children aged 8-12 years undergoing OI for food allergy and to 25 food-allergic controls. Children undergoing OIT experienced a significant improvement in quality of life at maintenance and an additional improvement at 6-month follow-up, a time-point representing the real-world impact of the treatment on their lives. This study demonstrates the positive impact of OIT on the quality of life of children and emphasizes the importance of longitudinal studies
Abbreviations: FAQLQ-CF, Food Allergy Quality of Life Questionnaire-Child Form; OD, Odds Ratio; OIT, Oral Immunotherapy.
Food Allergy and Gastrointestinal Disease
Ovomucoid epitope-specific repertoire of IgE, IgG4, IgG1, IgA1, and IgD antibodies in egg-allergic children
- Pages: 2633-2643
- First Published: 11 May 2020

Egg-allergic children have lower levels of epitope-specific (es)IgA1 and esIgG1 but higher esIgE and esIgD compared to the atopic controls. Within the allergic group, children with higher esIgD antibodies have decreased odds of anaphylactic reactions. Network analysis identifies most associations between esIgE with either esIgG4 or esIgD, indicating potentially different origins of IgE.
Drug Allergy, Insect Sting Allergy, and Anaphylaxis
Fatal anaphylaxis in Italy: Analysis of cause-of-death national data, 2004-2016
- Pages: 2644-2652
- First Published: 04 May 2020

The data reported to the National Register of Causes of Death database (2004-2016) were analyzed identifying the ICD-10 codes related to anaphylaxis, divided into “Definite” and “Possible.” The average mortality rate was 0.51 million population/year for definite anaphylaxis, 0.29 for possible, and 0.79 for combined cases. The triggers of definite anaphylaxis were medications (73.7%), unspecified causes (20.7%), and hymenoptera stings (5.6%).
Allergen-Specific Immunotherapy and Biologics
Efficacy of dupilumab in atopic comorbidities associated with moderate-to-severe adult atopic dermatitis
- Pages: 2653-2661
- First Published: 23 April 2020

This study explores the potential benefit of dupilumab in perennial allergic rhinoconjunctivitis (PAR) and perennial allergic asthma (PAA) caused by indoor allergens in adults with moderate-to-severe atopic dermatitis (msAD). These results support the benefits of dupilumab for adult patients with PAR and/or PAA associated with msAD. In addition, dupilumab treatment significantly improves disease severity and quality of life in patients with msAD.
Abbreviations: ACT, asthma control test; EASI, eczema area severity index; msAD, moderate-to-severe atopic dermatitis; PAA, perennial allergic asthma; PAR, perennial allergic rhinoconjunctivitis; QoL, quality of life; RCSS, rhinitis control scoring system.
LETTERS TO THE EDITOR
Pilot study measuring transepidermal water loss (TEWL) in children suggests trilipid cream is more effective than a paraffin-based emollient
- Pages: 2662-2664
- First Published: 16 March 2020
Toll-like receptor signalling has inverted U-shaped response over time with the Western environment
- Pages: 2665-2667
- First Published: 14 March 2020
Highly sensitive ELISA-based assay for quantification of allergen-specific IgE antibody levels
- Pages: 2668-2670
- First Published: 17 April 2020
Description of two anaphylaxis phenotypes in children: The utility of a clustering analysis approach
- Pages: 2671-2674
- First Published: 18 April 2020
Cysteamine prevents asthma development and reduces airway hyperresponsiveness in experimental asthma
- Pages: 2675-2677
- First Published: 20 April 2020
Oscillometry improves earlier than spirometry after benralizumab initiation in severe asthma
- Pages: 2678-2680
- First Published: 27 April 2020
Planned omalizumab discontinuation in CSU management as a sustainable strategy: A 2-year real-life study
- Pages: 2681-2684
- First Published: 29 April 2020
The frequency of CD4 + CD25 + FoxP3 + CD127 − cells in Bet v 1 contiguous overlapping peptide immunotherapy as a putative marker of efficacy
- Pages: 2685-2686
- First Published: 27 April 2020
Treg activation and their role in different subtypes of chronic rhinosinusitis
- Pages: 2687-2689
- First Published: 29 April 2020
Cross-sectional biomarker comparisons in asthma monitoring using a longitudinal design: The eNose premise
- Pages: 2690-2693
- First Published: 16 June 2020
Effectiveness of vacuuming and carpet washing in the removal of the major cat allergen, Fel d 1
- Pages: 2694-2695
- First Published: 08 May 2020
Sensitivity and specificity of lymphocyte transformation test in children with mild delayed hypersensitivity reactions to beta-lactams
- Pages: 2696-2699
- First Published: 11 May 2020
Delayed hypersensitivity associated with amoxicillin-clavulanate
- Pages: 2700-2702
- First Published: 10 May 2020
Low prevalence of bronchial asthma and chronic obstructive lung disease among intensive care unit patients with COVID-19
- Pages: 2703-2704
- First Published: 26 May 2020
COVID-19 in a patient with severe asthma treated with Omalizumab
- Pages: 2705-2708
- First Published: 16 June 2020
NEWS & VIEWS
Legends of Allergy and Immunology
Legends of allergy and immunology: Georg Rajka
- Pages: 2709-2710
- First Published: 19 February 2020
Algorithms in Allergy and Clinical Immunology
Medical algorithm: Diagnosis and treatment of preschool asthma
- Pages: 2711-2712
- First Published: 03 January 2020
Groundbreaking Discoveries in Immunology
Single-cell RNA analysis: Guiding the treatment of DiHS/DRESS
- Pages: 2713-2715
- First Published: 07 July 2020
CORRESPONDENCE
Reply to: Medical algorithm: Diagnosis and treatment of preschool asthma
- Pages: 2716-2717
- First Published: 27 October 2020
Preschool wheeze: Challenges and research prospects reply to: Dr Jartti and Colleagues; in response to our manuscript entitled: Medical algorithm: Diagnosis and treatment of preschool asthma
- Pages: 2718
- First Published: 27 October 2020
CORRIGENDUM
Correction for: Niers et al. The effects of selected probiotic strains on the development of eczema (the PandA study)
- Pages: 2719
- First Published: 27 October 2020