Microbial metabolism of food allergens determines the severity of IgE-mediated anaphylaxis
Highlights • Human saliva and small intestine harbor peanut (PN) allergen-degrading bacteria • Microbes degrade immunodominant PN allergens, reducing IgE binding • Microbial PN metabolism alters allergen absorption, mast cell activity, and anaphylaxis • PN-degrading Rothia abundance is linked to higher PN threshold in patients