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The "Hypoallergenic" (Boiled) Peanut

Recent research suggests that the way peanuts are processed may be contributing to their allergenicity—or potential to cause allergy symptoms. Chemistry and food science play a significant role in how food preparation impacts the likelihood of triggering an allergic reaction. In this case, how peanuts are cooked—whether roasted, boiled, or fried—can alter their allergenic proteins and affect allergy rates.


The Science Behind Peanut Allergies

When someone with a peanut allergy eats peanuts, their immune system overreacts, producing IgE antibodies that release histamine and cause symptoms like swelling or difficulty breathing. Typically, cooking food can break down proteins that cause allergies. For example, eggs and milk are less allergenic when baked. (Did you know, 70% of individuals with a milk and egg allergy can tolerated the foods when baked?) Similarly, cooking fresh fruits can reduce the allergy symptoms associated with oral (or pollen food) allergy syndrome.


Roasting vs. Boiling: A Key Difference

In the U.S., peanuts are commonly roasted, which increases their allergenic potential. In contrast, peanuts in China are usually boiled, and research shows that boiling peanuts results in lower levels of allergenic proteins. This difference in preparation helps explain why peanut allergy rates are much higher in the U.S. than in China, even though both countries consume similar amounts of peanuts.

A Possible Solution for Immunotherapy

In addition to reducing allergies in the general population, boiled peanuts could improve oral immunotherapy (OIT), a treatment that helps patients build tolerance to allergens. Many current OIT treatments use roasted peanut flour, which is more allergenic. Early research indicates that using boiled peanuts in OIT could offer a safer and more effective approach.



References

  1. Michael T. Lotze, Angus W. Thomson, “Measuring Immunity: Basic Biology and Clinical Assessment,” 2005, https://doi.org/10.1016/B978-0-12-455900-4.X5260-X

  2. Susan Waserman, Philippe Begin, Wade Watson, “IgE-Mediated Food Allergy,” from Allergy, Asthma & Clinical Immunology Journal, September 12, 2018, https://aacijournal.biomedcentral.com/articles/10.1186/s13223-018-0284-3

  3. Arnau Navinés-Ferrer, Eva Serrano-Candelas, Gustavo-J Molina-Molina, Margarita MartínJay A. Lieberman, MD, “IgE-Related Chronic Diseases and Anti-IgE-Based Treatments” from Hindawi Journal of Immunology Research, 2016, https://www.hindawi.com/journals/jir/2016/8163803/

  4. Thanh D. Dang, Rachel L. Peters, Katrina J. Allen, “Debates in Allergy Medicine: Baked Egg and Milk Do Not Accelerate Tolerance to Egg and Milk” from World Allergy Organ, January 26, 2016, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727327/

  5. Louanne M. Tourangeau, M.D., Hannah H. Walford, M.D., Jenna T. Nguyen, M.D., “Oral Allergy Syndrome (OAS)” from Stanford Health Care; Stanford Medicine, https://stanfordhealthcare.org/content/dam/SHC/clinics/menlo-medicalclinic/docs/Allergy/Oral%20Allergy%20Syndrome.pdf

  6. Kirsten Beyer, M.D., Ellen Morrow, Xiu-Min Li, M.D., Ludmilla Bardina, MS, Gary A. Bannon, PhD, A. Wesley Burks, M.D., Hugh Sampson, M.D., “Effects of cooking methods on peanut allergenicity” from Division of Pediatric Allergy & Immunology and Jaffe Institute for Food Allergy, the Mount Sinai School of Medicine, 2001, https://www.ncbi.nlm.nih.gov/pubmed/11398088

  7. Chung SY, Champagne ET, “Association of End-Product Adducts with Increased IgE Binding of Roasted Peanuts” from the United States Department of Agriculture, Agricultural Research Service, August 2001, https://www.ncbi.nlm.nih.gov/pubmed/11513688

  8. Alison Joanne Lee, Meera Thalayasingam, Bee Wah Lee, “Food Allergy in Asia: How Does it Compare?” from Asia Pacific Allergy, January 2013, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3563019/

  9. Stephen J. Galli and Mindy Tsai, “IgE and Mast Cells in Allergic Disease” from the US National Library of Medicine; National Institutes of Health, May 4, 2012, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3597223/

  10. Blanche Guillon, Herve Bernard, Marie-Francoise Drumare, Stephane Hazebrouck, Karine Adel-Patient, “Heat Processing of Peanut Seed Enhances the Sensitization Potential of the Major Peanut Allergen Ara h 6,” from Molecular Nutrition & Food Research, December 2016, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5213772/

  11. Elissa M. Abrams, Scott H. Sicherer, MD, “Diagnosis and Management of Food Allergy” from Canadian Medical Association Journal, October 18, 2016,  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5056872/

  12. Jelena P. Berglund, PhD, Nicole Szczepanski, BS, Anusha Penumarti, PhD, Ayeshia Beavers, BS, Janelle Kesselring, BS, Kelly Orgel, BS, Bruce Burnett, PhD, A. Wesley Burks, MD, Michael Kulis, PhD, “Preparation and Analysis of Peanut Flour Used in Oral Immunotherapy Clinical Trials” in US National Library of Medicine; National Institutes of Health,  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5503789/

  13. U.S. National Library of Medicine: Clinical Trials, “Boiled Peanut Immunotherapy for the Treatment of Peanut Allergy: A Non-Inferiority Study,” Study start date: April 29, 2019, Completion date: May 2022, https://clinicaltrials.gov/ct2/show/NCT03937726

  14. April Presnell, “Boiled Peanut Oral Immunotherapy Continues to Show Promise as a Safe and Effective Allergy Treatment” from the American Academy of Allergy Asthma & Immunology, https://www.aaaai.org/about/news/news/boiled-peanut




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