Evidence map›Paper›PMID 19121857›Full record

ArticleThe Journal of allergy and clinical immunology2009

Peanuts can contribute to anaphylactic shock by activating complement.

Marat Khodoun, Richard Strait, Tatyana Orekov, Simon Hogan, Hajime Karasuyama, De'broski R Herbert, Jörg Köhl, Fred D Finkelman

Abstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
7.0field-weighted citation impact, top 2% of its field
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

58 citing papers in PubMed, 128 citations in OpenAlex.

  1. Article
  2. Article
  3. IgE and non-IgE-mediated pathways in anaphylaxis.Seminars in immunopathology · 2025
    Review
  4. Review
  5. Non-IgE-Mediated Immediate Drug-Induced Hypersensitivity Reactions.The journal of allergy and clinical immunology. In practice · 2024
    Article
  6. Mast Cells and Basophils in IgE-Independent Anaphylaxis.International journal of molecular sciences · 2023
    Review
  7. Acute systemic myeloid inflammatory and stress response in severe food allergic reactions.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2023
    Article
  8. Article
  9. Article
  10. New Biomarkers in Anaphylaxis (Beyond Tryptase).Current treatment options in allergy · 2022
    Review
  11. Review
  12. Article
  13. Proteomic and Biological Analysis of anFrontiers in immunology · 2021
    Article
  14. World allergy organization anaphylaxis guidance 2020.The World Allergy Organization journal · 2020
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. The pathophysiology of anaphylaxis.The Journal of allergy and clinical immunology · 2017
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 3 countries.

Marat KhodounCincinnati Veterans Affairs Medical Center, Cincinnati, Ohio; Division of Immunology, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Richard Strait
Tatyana Orekov
Simon Hogan
Hajime Karasuyama
De'broski R Herbert
Jörg Köhl
Fred D Finkelman
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · USTokyo Medical and Dental University · JP

Funding

Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Alexander Miethke · 2007 to 2026
$24.4M
Alternative Macrophage Activation Limits ImmunopathologyR01GM083204 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI HERBERT, DE'BROSKI R · 2007 to 2018
$2.5M
Complement in Allergic Asthma: The role of C3a and C5aR01AI057839 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI KOEHL, JOERG · 2004 to 2008
$1.8M
Molecular regulation of immune complex diseaseR01AI059305 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI KOEHL, JOERG · 2005 to 2009
$1.7M
Cellular targets of IL-4 and IL-13 in worm expulsionR01AI052099 · NIAID · UNIVERSITY OF CINCINNATI · PI FINKELMAN, FRED DOUGLASS · 2003 to 2007
$1.6M
Interleukin-9 In Experimental Intestinal AnaphylaxisR01AI073553 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI HOGAN, SIMON PATRICK · 2008 to 2011
$1.5M
Identification Of Proteins Responsible For Peanut AllergenicityR21AI079947 · NIAID · UNIVERSITY OF CINCINNATI · PI FINKELMAN, FRED DOUGLASS · 2008 to 2009
$429k
Molecular regulation of immune complex diseaseR21AI059305 · NIAID · CHILDREN'S HOSPITAL MED CTR (CINCINNATI) · PI KOEHL, JOERG · 2004 to 2004
$373k
NIAID NIH HHS AI059305NIAID NIH HHS R01 AI052099NIAID NIH HHS R01AI052099NIAID NIH HHS R01 AI057839NIAID NIH HHS R01 AI059305NIAID NIH HHS R01 AI073553NIAID NIH HHS R01AI073553NIAID NIH HHS R21 AI059305NIAID NIH HHS R21 AI079947NIAID NIH HHS R21AI079947NIDDK NIH HHS P30 DK078392NIDDK NIH HHS P30DK078392NIGMS NIH HHS R01 GM083204NIGMS NIH HHS R01GM083204
6 · The paper itself

Abstract

backgroundPeanut allergy is the most common food-related cause of lethal anaphylaxis and, unlike other food allergies, typically persists into adulthood. Resistance to digestion and dendritic cell activation by the major peanut allergen Ara h 1 are reported to contribute to its allergenicity.

objectiveWe sought to evaluate whether peanut molecules might also promote anaphylaxis through an innate immune mechanism.

methodsNaive mice were treated with a beta-adrenergic receptor antagonist and long-acting IL-4 to increase sensitivity to vasoactive mediators and injected with peanut extract (PE). Shock was detected and quantified by means of rectal thermometry. Gene-deficient mice and specific antagonists were used to determine the roles of specific cell types, complement, Fc receptors, and vasoactive mediators in shock pathogenesis.

resultsPE induces dose-dependent shock. PE activates complement in vivo in mice and in vitro in mice and human subjects. C3a and, to a lesser extent, stimulatory immunoglobulin receptors contribute to PE-induced shock. PE-induced shock depends more on macrophages and basophils than on mast cells. Platelet-activating factor and, to a lesser extent, histamine contribute to PE-induced shock. PE induces shock in the absence of the adaptive immune system. LPS contamination is not responsible for PE-induced shock. PE and IgE-mediated mast cell degranulation synergistically induce shock. Tree nuts have similar effects to PE, and skim milk and egg white do not.

conclusionPeanuts can contribute to shock by causing production of C3a, which stimulates macrophages, basophils, and mast cells to produce platelet-activating factor and histamine.

Indexed as

Adrenergic beta-AntagonistsAllergensAnaphylaxisAnimalsArachisBasophilsCell DegranulationChymasesComplement ActivationComplement C3aHistamineHumansImmunoglobulin EInterleukin-4MacrophagesMast CellsAdrenergic beta-AntagonistsAllergensChymasesComplement C3aHistamineImmunoglobulin EInterleukin-4Mcpt1 protein, mousePlatelet Activating FactorPropranololReceptors, IgGToll-Like Receptors

Identifiers

PMID19121857
PMCPMC2670761
OpenAlexW2027639517

What OpenQuestion holds

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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 OpenQuestion graph.