Evidence map›Paper›PMID 37437951›Full record

ArticleClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2023

A single priming event prevents oral tolerance to peanut.

Johanna M Smeekens, Robert M Immormino, Janelle R Kesselring, Andrew V Turner, Michael D Kulis, Timothy P Moran

Open access · bronzeAbstract read
In one paragraph

Article in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 5 citations in OpenAlex.

  1. The Role of the Indoor Exposome in Food Allergy Development.Current allergy and asthma reports · 2026
    Review
  2. Article
  3. Allergens in Atopic Dermatitis.Clinical reviews in allergy & immunology · 2025
    Review
  4. Review
  5. Article
  6. Article
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

6 authors at 1 institution in 1 country.

Johanna M SmeekensDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0000-0001-9651-3852
Robert M ImmorminoDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0000-0003-1998-1307
Janelle R KesselringDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina, USA.
Andrew V TurnerDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina, USA.
Michael D KulisDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0000-0001-8092-7444
Timothy P MoranDepartment of Pediatrics, UNC School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0000-0002-6832-9772
University of North Carolina Health Care · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David Darr · 1985 to 2026
$201.5M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
Role of the indoor exposome in peanut allergy developmentR01ES032544 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Timothy Moran · 2022 to 2026
$2.4M
NCI NIH HHS P30 CA016086NIAID NIH HHS P30 AI050410NIEHS NIH HHS P30 ES010126NIEHS NIH HHS R01 ES032544
6 · The paper itself

Abstract

backgroundIndoor dust (ID) is a source of peanut proteins and immunostimulatory adjuvants (e.g. LPS) that can promote airway sensitization to peanut. We aimed to determine whether a single airway exposure to peanut plus adjuvant is sufficient to prevent oral tolerance.

methodsTo determine the effect of a single priming event, C57BL/6J mice were exposed once to peanut plus adjuvant through the airway, followed by either airway or low-dose oral exposure to peanut, and assessed for peanut allergy. Oral tolerance was investigated by feeding high-dose peanut followed by airway sensitization. To determine whether a single priming could prevent oral tolerance, the high-dose peanut regimen was applied after a single airway exposure to peanut plus adjuvant. Peanut-specific IgE and IgG1 were quantified, and mice were challenged to peanut to assess allergy. Peanut-specific CD4

resultsMice co-exposed to peanut with LPS or ID through the airway were primed to develop peanut allergy after subsequent low-dose oral or airway exposures to peanut. Oral tolerance was induced in mice fed high-dose peanut prior to airway sensitization. In contrast, mice fed high-dose peanut following a single airway exposure to peanut plus adjuvant led to allergy. Peanut-specific CD4

conclusionsA single airway exposure to peanut plus adjuvant is sufficient to prime the immune system to develop allergy following subsequent high-dose oral exposure. These results highlight the importance of introducing peanut as early as possible to prevent sensitization through a non-oral priming event.

Indexed as

ArachisPeanut HypersensitivityAdjuvants, ImmunologicAllergensAnimalsCytokinesDustImmune ToleranceLipopolysaccharidesMiceMice, Inbred C57BLAdjuvants, ImmunologicAllergensCytokinesDustLipopolysaccharidesairway sensitizationCD154 T cellsfood allergyLPSmouse modeloral tolerancepeanut allergy

Identifiers

PMID37437951
PMCPMC10528191
OpenAlexW4384007485

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.