In a breakthrough study, researchers show that it’s not only possible to tamp down allergic reactions to peanuts, but by eating small amounts of them infants can avoid getting allergic in the first place
Lack and his senior co-investigator George Du Toit, a pediatric allergy consultant at the College, conducted their study on 640 infants with severe eczema or egg allergy. These babies were chosen because of their increased risk of developing other food allergies, including to peanuts, and were enrolled when they were between four months and 11 months old. That’s an important window of opportunity, says Lack, to intervene and retrain the immune system to become tolerant to peanuts.“We are actually preventing the immune response from going along a pathway that leads to clinical reactivity, and it’s like, wow,” says Dr. Rebecca Gruchalla, professor of medicine and pediatrics at University of Texas Southwestern Medical Center who wrote an accompanying editorial. “It’s pretty cool to actually divert and keep the immune system from developing along a pathway that we don’t want it to go.”More studies hint that it’s possible to “train” the immune system to tolerate peanuts even if it doesn’t want to by giving children with peanut allergies small amounts of peanuts over a period of time. But researchers now report that it may be possible to prevent peanut allergies altogether. In a study published Monday in the New England Journal of Medicine, researchers led by Gideon Lack, a professor of pediatric allergy at King’s College London and Guy’s and St. Thomas’ Hospital, found that non-allergic young infants who ate small amounts of peanuts at an early age had a much lower rate of peanut allergy than those who avoided nuts altogether for five years.