Pediatric food allergy prevalence and trends by race and ethnicity

Background: In the United States, food allergies (FAs) disproportionately affect children based on their racial or ethnic heritage, though there are some gaps and discrepancies in the literature about the prevalence of FAs among different groups. Objective: The objective was to analyze clinical data to determine how FA prevalence varies based on race and ethnicity […]

Kinetics of early peanut allergy development and resolution in the EAT, LEAP, and PAS cohorts

Background: Little is known about the development and resolution of early peanut allergy (PA). Objective: We examined the natural history and biomarkers of PA longitudinally in 3 cohorts. Methods: PA development was examined in the Enquiring About Tolerance (EAT), Learning Early About Peanut (LEAP), and Peanut Allergy Sensitization (PAS) cohorts. Early PA was defined by […]

Infant Diet Recommendations Reduce IgE-Mediated Egg, Peanut, and Cow’s Milk Allergies

Background: Meta-analyses of randomized controlled trials have found that introducing eggs and peanuts earlier during infancy reduced egg and peanut allergy risk. Hence, infant feeding advice has dramatically changed from previous recommendations of avoidance to current recommendations of inclusion of common food allergens in infant diets. Objective: To compare the prevalence of IgE-mediated food allergies […]

Convergent monoclonal IgE antibodies from peanut allergic patients are multispecific to immunodominant epitopes of unrelated major peanut and tree nut allergens

Background: Convergent selection has been identified in the IgE antibody repertoires of peanut-allergic individuals, primarily targeting the 2S albumin Ara h 2 and cross-reacting with two other major allergens, the vicilin Ara h 1 and the legumin Ara h 3. In this study, we aimed to investigate the structural and functional basis of this cross-reactivity […]

Germline-encoded recognition of peanut underlies development of convergent antibodies in humans

Humans develop immunoglobulin G (IgG) antibodies to the foods they consume. In the context of food allergy, allergen-specific IgG antibodies can sequentially class-switch to pathogenic IgE. However, the mechanism underlying the antigenicity of food proteins remains uncharacterized. Here, we identified convergent antibodies arising from different antibody gene rearrangements that bind to the immunodominant peanut allergen […]

Infant diet recommendations reduce IgE-mediated egg, peanut and cow’s milk allergies

Background: Meta-analyses of randomized controlled trials have found that introducing eggs and peanuts earlier during infancy reduced egg and peanut allergy risk. Hence, infant feeding advice has dramatically changed from previous recommendations of avoidance to current recommendations of inclusion of common food allergens in infant diets. Objective: To compare the prevalence of IgE-mediated food allergies […]

The kinetics of epitope-specific IgE and IgG4 in early peanut allergy development and resolution

Background: The development and resolution of peanut allergy (PA) was evaluated in children enrolled or screened for the LEAP intervention trial. The development of epitope-specific-immunoglobulin(es-Ig)E and es-IgG4 antibodies was evaluated in a subset of these children to determine whether their PA status could be predicted at 4-11 months of age. Methods: Sera from 386children enrolled […]