Evidence map›Paper›PMID 41559442›Full record

ReviewArchives of toxicology2026

Immune effects of trichloroethylene: key findings of occupational hypersensitivity syndrome and its pathogenesis.

Tamie Nakajima, Yuki Ito, Hisao Naito, Hailan Wang, Michihiro Kamijima

Abstract readReview
PubMed Publisher
In one paragraph

Review in Archives of toxicology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tamie NakajimaCollege of Life and Health Sciences, Chubu University, 1200 Matsumoto-cho, Kasugai, Aichi, 487-8501, Japan. tnasu23@med.nagoya-u.ac.jp.ORCID 0000-0002-0474-7019
Yuki ItoDepartment of Occupational and Environmental Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Hisao NaitoCollege of Human Life and Environment, Kinjo Gakuin University, Nagoya, Japan.
Hailan WangGuangdong Province Hospital for Occupational Disease Prevention and Treatment, Guangzhou, People's Republic of China.
Michihiro KamijimaDepartment of Occupational and Environmental Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

Funding

Japan Society for the Promotion of Science 16K15383Japan Society for the Promotion of Science 18K19691
6 · The paper itself

Abstract

Trichloroethylene (TCE) remains a versatile organic solvent used globally. In recent years, immunological occupational diseases such as hypersensitivity syndrome (HS) and systemic sclerosis (SSc) have attracted attention in terms of the number of patients and the life-threatening consequences. This review summarizes mechanisms underlying HS pathogenesis based on the available literature. TCE-HS is a disease attributable to anti-CYP2E1 autoantibodies and HLA-B13:01 as susceptibility gene and is characterized by systemic skin lesions, severe-to-moderate liver damage, fever above 38 °C, leukocytosis, lymphadenopathy, and human herpesvirus 6 (HHV6) reactivation with elevated inflammatory cytokines, which are all similar to the characteristics of drug-induced HS. TCE-HS occurs on average 1 month after the commencement of exposure to TCE, which is shorter than the corresponding period for SSc. Recent epidemiological and animal studies have clarified the mechanism of pathogenesis: the oxidative metabolites chloral hydrate, dichloroacetyl chloride, and trichloroethanol, which are produced by CYP2E1, amplify the methylation of CD4

Indexed as

Drug Hypersensitivity SyndromeOccupational DiseasesOccupational ExposureSolventsTrichloroethyleneAnimalsAutoantibodiesCytochrome P-450 CYP2E1CytokinesHerpesvirus 6, HumanHumansAutoantibodiesCytochrome P-450 CYP2E1CytokinesSolventsTrichloroethyleneAdverse effect on immune systemCytochrome P450 2E1HHV6 reactivationHypersensitivity syndromeT cell activationTrichloroethylene

Identifiers

What Socratic holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.