Evidence map›Paper›PMID 41035191›Full record

ArticleAllergy2026

Secretion of Peanut Protein With IgE Crosslinking Capacity in Human Milk.

Amy D Burris, Nichole Diaz, Jon B Meddings, Bijoya Karmakar, Tarun Keswani, Sarita U Patil, Antti E Seppo, Kirsi M Järvinen

Abstract read
In one paragraph

Article in Allergy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Maternal characteristics associated with ovalbumin concentrations in breast milk.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Trial
  2. Review
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

8 authors.

Amy D BurrisDivision of Pediatric Allergy and Immunology, Department of Pediatrics, University of Rochester Medical Center, Rochester, New York, USA.ORCID https://orcid.org/0009-0008-2942-9376
Nichole DiazDivision of Pediatric Allergy and Immunology, Department of Pediatrics, University of Rochester Medical Center, Rochester, New York, USA.
Jon B MeddingsCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Bijoya KarmakarCenter for Immunology and Inflammatory Diseases, Massachusetts General Hospital, Boston, Massachusetts, USA.
Tarun KeswaniCenter for Immunology and Inflammatory Diseases, Massachusetts General Hospital, Boston, Massachusetts, USA.
Sarita U PatilCenter for Immunology and Inflammatory Diseases, Massachusetts General Hospital, Boston, Massachusetts, USA.
Antti E SeppoDivision of Pediatric Allergy and Immunology, Department of Pediatrics, University of Rochester Medical Center, Rochester, New York, USA.ORCID https://orcid.org/0000-0001-5757-5268
Kirsi M JärvinenDivision of Pediatric Allergy and Immunology, Department of Pediatrics, University of Rochester Medical Center, Rochester, New York, USA.ORCID https://orcid.org/0000-0003-1548-6712

Funding

Structural and functional characterization of protective antibodies induced in peanut oral immunotherapyR01AI155630 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Sarita U Patil · 2021 to 2026
$3.1M
Impact of Maternal Diet and Supplements on Breast Milk CompositionU01AI131344 · NIAID · UNIVERSITY OF ROCHESTER · PI JARVINEN-SEPPO, KIRSI · 2017 to 2021
$3.0M
Expecting Mothers' Study of Consumption or Avoidance of Peanut and Egg (ESCAPE)U01AI173032 · NIAID · UNIVERSITY OF ROCHESTER · PI Kirsi Jarvinen-Seppo · 2023 to 2026
$3.0M
Convergent allergen-specific antibodies in food allergyR01AI182001 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Sarita U Patil · 2024 to 2026
$2.5M
Role of B. infantis in Development of Atopic DiseasesR21AI163571 · NIAID · UNIVERSITY OF ROCHESTER · PI JARVINEN-SEPPO, KIRSI · 2021 to 2022
$477k
Detection of Food Allergens in Human MilkR03AI151965 · NIAID · UNIVERSITY OF ROCHESTER · PI SEPPO, ANTTI · 2020 to 2021
$154k
Food Allergy Science Initiative (FASI)National Institute of Allergy and Infectious Diseases 1R01AI155630National Institute of Allergy and Infectious Diseases 1R01AI182001National Institute of Allergy and Infectious Diseases R01AI163571National Institute of Allergy and Infectious Diseases U01AI131344NIAID NIH HHS R01 AI155630NIAID NIH HHS R01 AI182001NIAID NIH HHS R03 AI151965NIAID NIH HHS R21 AI163571NIAID NIH HHS U01 AI131344NIAID NIH HHS U01 AI173032
6 · The paper itself

Abstract

backgroundHuman milk provides an infant one of the first routes of exposure to dietary antigens. A better understanding of the levels and functional capacity of maternal dietary proteins in human milk (HM) and their impact on infant food allergy (FA) is needed.

objectiveTo measure the quantity and biologic activity of maternal dietary proteins in HM and determine factors associated with their presence.

methodsHM samples from mothers of infants with or without FA were collected before and serially after consumption of a meal with prespecified amounts of peanut, egg, and cow's milk protein. Ara h 2 from peanut, egg ovalbumin, and bovine β-lactoglobulin in HM was detected using ELISA. IgE-crosslinking capacity of Ara h 2 was assessed by the basophil activation test (BAT). Maternal intestinal permeability was measured with the lactulose/mannitol test.

resultsThirty-nine mothers were included and 69% had measurable Ara h 2 in HM. Secretion of food allergens was variable between different mothers and across allergens, but did not correlate with intestinal permeability. Atopic mothers' milk had a higher peak Ara h 2 concentration (median 246 pg/mL, range 2.0-1634) than nonatopic mothers (median 0 pg/mL, range 0-135, p = 0.017). In samples with the most BAT reactivity, there was a significant correlation between BAT reactivity and Ara h 2 level (R = 0.72, p = 2 × 10

conclusionAra h 2 is secreted in HM as intact protein or significant parts of it that are capable of IgE-crosslinking, found in higher levels in atopic mothers. HM levels of peanut lack correlation with other dietary proteins, which suggests antigen specificity of the secretion of dietary protein into HM.

Indexed as

2S Albumins, PlantAntigens, PlantImmunoglobulin EMilk, HumanAdultAllergensArachisFemaleGlycoproteinsHumansInfantMalePeanut Hypersensitivity2S Albumins, PlantAllergensAntigens, PlantAra h 2 allergen, Arachis hypogaeaGlycoproteinsImmunoglobulin EAra h 2basophil activation testbreast milkfood allergyhuman milk

Identifiers

PMID41035191
PMCPMC12954568

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Registered trials

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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.