PMID- 17498052 OWN - NLM STAT- MEDLINE DCOM- 20070716 LR - 20210105 IS - 0105-2896 (Print) IS - 0105-2896 (Linking) VI - 217 DP - 2007 Jun TI - Differential release of mast cell mediators and the pathogenesis of inflammation. PG - 65-78 AB - Mast cells are well known for their involvement in allergic and anaphylactic reactions, during which immunoglobulin E (IgE) receptor (Fc epsilon RI) aggregation leads to exocytosis of the content of secretory granules (1000 nm), commonly known as degranulation, and secretion of multiple mediators. Recent findings implicate mast cells also in inflammatory diseases, such as multiple sclerosis, where mast cells appear to be intact by light microscopy. Mast cells can be activated by bacterial or viral antigens, cytokines, growth factors, and hormones, leading to differential release of distinct mediators without degranulation. This process appears to involve de novo synthesis of mediators, such as interleukin-6 and vascular endothelial growth factor, with release through secretory vesicles (50 nm), similar to those in synaptic transmission. Moreover, the signal transduction steps necessary for this process appear to be largely distinct from those known in Fc epsilon RI-dependent degranulation. How these differential mast cell responses are controlled is still unresolved. No clinically available pharmacological agents can inhibit either degranulation or mast cell mediator release. Understanding this process could help develop mast cell inhibitors of selective mediator release with novel therapeutic applications. FAU - Theoharides, Theoharis C AU - Theoharides TC AD - Laboratory of Molecular Immunopharmacology and Drug Discovery, Department of Pharmacology and Experimental Therapeutics, Tufts University School of Medicine, Tufts - New England Medical Center, Boston, MA, USA. theoharis.theoharides@tufts.edu FAU - Kempuraj, Duraisamy AU - Kempuraj D FAU - Tagen, Michael AU - Tagen M FAU - Conti, Pio AU - Conti P FAU - Kalogeromitros, Dimitris AU - Kalogeromitros D LA - eng GR - DK42409/DK/NIDDK NIH HHS/United States GR - DK55681/DK/NIDDK NIH HHS/United States GR - AR47652/AR/NIAMS NIH HHS/United States GR - NS55681/NS/NINDS NIH HHS/United States GR - R01 AR047652/AR/NIAMS NIH HHS/United States GR - DK62861/DK/NIDDK NIH HHS/United States GR - NS38326/NS/NINDS NIH HHS/United States GR - DK44816/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review PL - England TA - Immunol Rev JT - Immunological reviews JID - 7702118 RN - 0 (Biogenic Monoamines) RN - 0 (Enzymes) RN - 0 (Inflammation Mediators) RN - 0 (Peptides) SB - IM EIN - Immunol Rev. 2007 Oct;219:204 MH - Biogenic Monoamines/metabolism MH - Enzymes/metabolism MH - Humans MH - Inflammation/*immunology MH - Inflammation Mediators/metabolism MH - Mast Cells/*immunology MH - Multiple Sclerosis/*immunology MH - Peptides/metabolism RF - 194 EDAT- 2007/05/15 09:00 MHDA- 2007/07/17 09:00 CRDT- 2007/05/15 09:00 PHST- 2007/05/15 09:00 [pubmed] PHST- 2007/07/17 09:00 [medline] PHST- 2007/05/15 09:00 [entrez] AID - IMR519 [pii] AID - 10.1111/j.1600-065X.2007.00519.x [doi] PST - ppublish SO - Immunol Rev. 2007 Jun;217:65-78. doi: 10.1111/j.1600-065X.2007.00519.x.