Evidence map›Paper›PMID 35288169›Full record

ArticleThe Journal of allergy and clinical immunology2022

A mouse model of the LEAP study reveals a role for CTLA-4 in preventing peanut allergy induced by environmental peanut exposure.

James W Krempski, Jyoti K Lama, Koji Iijima, Takao Kobayashi, Mayumi Matsunaga, Hirohito Kita

Open access · greenAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 27 citations in OpenAlex.

  1. The Role of the Indoor Exposome in Food Allergy Development.Current allergy and asthma reports · 2026
    Review
  2. Review
  3. Oral mucosa effectively protects against peanut allergy in mice.The Journal of allergy and clinical immunology · 2024
    Article
  4. Article
  5. Feast for thought: A comprehensive review of food allergy 2021-2023.The Journal of allergy and clinical immunology · 2024
    Review
  6. Review
  7. A single priming event prevents oral tolerance to peanut.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2023
    Article
  8. Early introduction is not enough: CSACI statement on the importance of ongoing regular ingestion as a means of food allergy prevention.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
    Article
  9. Review
  10. Recent insights into the mechanisms of anaphylaxis.Current opinion in immunology · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. A "LEAP" forward in understanding immune mechanisms of oral tolerance to peanut.The Journal of allergy and clinical immunology · 2022
    Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

James W KrempskiImmunology Program, Mayo Graduate School of Biomedical Sciences, Rochester and Scottsdale; Department of Immunology, Mayo Clinic, Rochester and Scottsdale; Mary H Weiser Food Allergy Center, Department of Pathology, University of Michigan, Ann Arbor, Mich.
Jyoti K LamaImmunology Program, Mayo Graduate School of Biomedical Sciences, Rochester and Scottsdale; Department of Immunology, Mayo Clinic, Rochester and Scottsdale.
Koji IijimaDivision of Allergic Diseases, Asthma and Clinical Immunology, and Department of Medicine, Mayo Clinic, Scottsdale.
Takao KobayashiDivision of Allergic Diseases, Asthma and Clinical Immunology, and Department of Medicine, Mayo Clinic, Scottsdale.
Mayumi MatsunagaDivision of Allergic Diseases, Asthma and Clinical Immunology, and Department of Medicine, Mayo Clinic, Scottsdale.
Hirohito KitaDepartment of Immunology, Mayo Clinic, Rochester and Scottsdale; Division of Allergic Diseases, Asthma and Clinical Immunology, and Department of Medicine, Mayo Clinic, Scottsdale. Electronic address: kita.hirohito@mayo.edu.
Mayo Clinic in Arizona · USUniversity of Michigan · US

Funding

Mechanisms of Allergen-induced Type 2 ImmunityR37AI071106 · NIAID · MAYO CLINIC ROCHESTER · PI Hirohito Kita · 2018 to 2026
$5.2M
NIAID NIH HHS R37 AI071106
6 · The paper itself

Abstract

backgroundA human study, Learning Early About Peanut Allergy (LEAP), showed that early introduction of peanut products decreases the prevalence of peanut allergy among children. However, the immunologic mechanisms mediating the protective effects of consuming peanut products are not well understood.

objectiveThe objective was to develop a mouse model that simulates the LEAP study and investigate the underlying mechanisms for the study observations.

methodsAdult naive BALB/c mice were fed a commercial peanut butter product (Skippy) or buffer control and concomitantly exposed to peanut flour through the airway or skin to mimic environmental exposure. The animals were analyzed for anaphylactic reaction and by molecular and immunologic approaches.

resultsAfter exposure to peanut flour through the airway or skin, naive mice developed peanut allergy, as demonstrated by acute and systemic anaphylaxis in response to challenge with peanut extract. Ingestion of Skippy, however, nearly abolished the increase in peanut-specific IgE and IgG and protected animals from developing anaphylaxis. Skippy-fed mice showed reduced numbers of T follicular helper (Tfh) cells and germinal center B cells in their draining lymph nodes, and single-cell RNA sequencing revealed a CD4

conclusionIngestion of a peanut product protects mice from peanut allergy induced by environmental exposure to peanuts, and the CTLA-4 pathway, which regulates Tfh cell responses, likely plays a pivotal role in this protection.

Indexed as

AnaphylaxisCTLA-4 AntigenPeanut HypersensitivityAllergensAnimalsArachisDisease Models, AnimalEnvironmental ExposureMiceMice, Inbred BALB CAllergensCTLA-4 AntigenCtla4 protein, mouseallergensallergyCTLA-4Follicular T cellsIgEpeanuts

Identifiers

PMID35288169
PMCPMC9378358
OpenAlexW4221013965

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.