Evidence map›Paper›PMID 41493009›Full record

ArticleAllergy2026

Autoclaved Peanuts Exhibit Reduced Immunoglobulin E Binding and Improved Oral Tolerability.

Casey G Cohen, Diana Toscano-Rivero, Eisha A Ahmed, Adnan Al Ali, Wei Zhao, Danbing Ke, Duncan Lejtenyi, Liane Beaudette, Hana Chazbey, Abdulaziz S Alrafiaah and 8 more

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

18 authors.

Casey G CohenDivision of Experimental Medicine, Department of Medicine, McGill University and the Research Institute of the McGill University Health Centre (RI-MUHC), Montreal, Canada.ORCID https://orcid.org/0000-0001-5095-7634
Diana Toscano-RiveroDivision of Experimental Medicine, Department of Medicine, McGill University and the Research Institute of the McGill University Health Centre (RI-MUHC), Montreal, Canada.
Eisha A AhmedDivision of Experimental Medicine, Department of Medicine, McGill University and the Research Institute of the McGill University Health Centre (RI-MUHC), Montreal, Canada.
Adnan Al AliDepartment of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.
Wei ZhaoDivision of Experimental Medicine, Department of Medicine, McGill University and the Research Institute of the McGill University Health Centre (RI-MUHC), Montreal, Canada.
Danbing KeDivision of Allergy and Immunology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, Canada.
Duncan LejtenyiDivision of Allergy and Immunology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, Canada.
Liane BeaudetteDivision of Allergy and Immunology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, Canada.
Hana ChazbeyDivision of Allergy and Immunology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, Canada.
Abdulaziz S AlrafiaahDivision of Allergy and Immunology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, Canada.
Carmen H LiTranslational Medicine Program, Research Institute, The Hospital for Sick Children, Toronto, Canada.
Kurt DejgaardDepartment of Biochemistry, McGill University, Montreal, Canada.
Albert M BerghuisDepartment of Biochemistry, McGill University, Montreal, Canada.ORCID https://orcid.org/0000-0002-2663-025X
Bertrand J Jean-ClaudeDivision of Experimental Medicine, Department of Medicine, McGill University and the Research Institute of the McGill University Health Centre (RI-MUHC), Montreal, Canada.
Christine McCuskerDivision of Experimental Medicine, Department of Medicine, McGill University and the Research Institute of the McGill University Health Centre (RI-MUHC), Montreal, Canada.
Thomas EiweggerTranslational Medicine Program, Research Institute, The Hospital for Sick Children, Toronto, Canada.ORCID https://orcid.org/0000-0002-2914-7829
Moshe Ben-ShoshanDivision of Experimental Medicine, Department of Medicine, McGill University and the Research Institute of the McGill University Health Centre (RI-MUHC), Montreal, Canada.
Bruce D MazerDivision of Experimental Medicine, Department of Medicine, McGill University and the Research Institute of the McGill University Health Centre (RI-MUHC), Montreal, Canada.

Funding

AllerGEN NCEChildren's Hospital FoundationCIHRFondation de l'Hôpital de Montréal pour enfantsMcGill University Health Centre
6 · The paper itself

Abstract

backgroundMajor peanut allergens are stable and resistant to denaturation under standard cooking conditions, contributing to allergenicity and low rates of developing natural tolerance in allergic individuals. We evaluated the effects of heat and pressure autoclaving on peanut proteins, IgE binding, and oral tolerability.

methodsRaw, roasted, and autoclaved peanut protein extracts were evaluated by Bradford assay, ELISA, and mass spectrometry-proteomics to compare relative amounts of protein, specific IgE binding, and allergen fragmentation. To assess changes in clinical reactivity, we performed skin prick testing (SPT) in 41 subjects using standard and autoclaved peanut extracts. We also performed double-blind oral food challenges (OFC) in 10 peanut-allergic subjects with standard and autoclaved peanuts.

resultsAutoclaving at 130°C, 2.4 atm, for 30 min significantly degraded allergens Ara h 1 and 2, and completely degraded Ara h 8. Mass spectrometry-proteomics analysis of size-filtered extracts (< 10 kDa) showed greater numbers and diversity of peptides from peanut proteins and allergens in autoclaved extracts. Autoclaving fragmented proteins into shorter peptides, against which sera from highly allergic patients exhibited a 74% reduction in IgE binding compared to raw peanuts. SPT demonstrated significant decreases in wheal diameters using autoclaved peanut extract (median [IQR] = 5 mm [2, 9]) compared to commercial extract (10 mm [6, 15]; p < 0.001). All OFC subjects tolerated the maximum cumulative autoclaved peanut dose (444 mg) versus standard peanut (median: 9 mg, range: [1, 44]).

conclusionsAutoclaving peanuts induces important chemical changes including fragmentation, leading to decreased peanut allergenicity and consequently increased tolerability. This has the potential for novel immunotherapeutic approaches with more favorable side effect profiles.

Indexed as

AllergensArachisImmunoglobulin EPeanut HypersensitivityAdministration, OralAdolescentAdultAntigens, PlantFemaleHot TemperatureHumansMalePlant ProteinsProtein BindingSkin TestsYoung AdultAllergensAntigens, PlantImmunoglobulin EPlant ProteinsautoclaveIgE bindingoral food challengeoral tolerancepeanut allergy

Identifiers

PMID41493009
PMCPMC13256263

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.