PMID- 30984191 OWN - NLM STAT- MEDLINE DCOM- 20200804 LR - 20200804 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 10 DP - 2019 TI - Autoimmune Theories of Chronic Spontaneous Urticaria. PG - 627 LID - 10.3389/fimmu.2019.00627 [doi] LID - 627 AB - Urticaria (hives) is a highly prevalent skin disorder that can occur with or without associated angioedema. Chronic spontaneous urticaria (CSU) is a condition which persists for more than 6 weeks in duration and occurs in the absence of an identifiable provoking factor. CSU results from pathogenic activation of mast cells and basophils, which gives rise to the release of proinflammatory mediators that support the generation of urticaria. Several theories have been put forth regarding the pathogenesis of CSU with much evidence pointing toward a potential autoimmune etiology in up to 50% of patients with this condition. In this review, we highlight the evidence surrounding the autoimmune pathogenesis of chronic urticaria including recent data which suggests that CSU may involve contributions from both immunoglobin G (IgG)-specific and immunoglobulin E (IgE)-specific autoantibodies against a vast array of antigens that can span beyond those found on the surface of mast cells and basophils. FAU - Bracken, Sonali J AU - Bracken SJ AD - Department of Internal Medicine, Duke University School of Medicine, Durham, NC, United States. FAU - Abraham, Soman AU - Abraham S AD - Department of Pathology, Duke University Medical Center, Durham, NC, United States. AD - Department of Immunology, Duke University Medical Center, Durham, NC, United States. FAU - MacLeod, Amanda S AU - MacLeod AS AD - Department of Immunology, Duke University Medical Center, Durham, NC, United States. AD - Department of Dermatology, Duke University Medical Center, Durham, NC, United States. LA - eng GR - R01 AI139207/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20190329 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Immunoglobulin G) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Animals MH - Basophils/*immunology/pathology MH - Chronic Urticaria/*immunology/pathology MH - Humans MH - Immunoglobulin E/*immunology MH - Immunoglobulin G/*immunology MH - Mast Cells/*immunology/pathology MH - *Models, Immunological PMC - PMC6450064 OTO - NOTNLM OT - anti-FcepsilonR1 OT - anti-IgE OT - anti-TPO OT - autoallergy OT - autoimmune urticaria OT - chronic idiopathic urticaria OT - chronic spontaneous urticaria EDAT- 2019/04/16 06:00 MHDA- 2020/08/05 06:00 PMCR- 2019/01/01 CRDT- 2019/04/16 06:00 PHST- 2019/01/23 00:00 [received] PHST- 2019/03/08 00:00 [accepted] PHST- 2019/04/16 06:00 [entrez] PHST- 2019/04/16 06:00 [pubmed] PHST- 2020/08/05 06:00 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2019.00627 [doi] PST - epublish SO - Front Immunol. 2019 Mar 29;10:627. doi: 10.3389/fimmu.2019.00627. eCollection 2019.