PMID- 34831128 OWN - NLM STAT- MEDLINE DCOM- 20220113 LR - 20220113 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 10 IP - 11 DP - 2021 Oct 27 TI - Therapeutic Potential of MRGPRX2 Inhibitors on Mast Cells. LID - 10.3390/cells10112906 [doi] LID - 2906 AB - Mast cells (MCs) act as primary effectors in inflammatory and allergic reactions by releasing intracellularly-stored inflammatory mediators in diseases. The two major pathways for MC activation are known to be immunoglobulin E (IgE)-dependent and -independent. Although IgE-dependent signaling is the main pathway to MC activation, IgE-independent pathways have also been found to serve pivotal roles in the pathophysiology of various inflammatory conditions. Recent studies have shown that human and mouse MCs express several regulatory receptors such as toll-like receptors (TLRs), CD48, C300a, and GPCRs, including mas-related GPCR-X2 (MRGPRX2). MRGPRX2 has been reported as a novel GPCR that is expressed in MCs activated by basic secretagogues, neurokinin peptides, host defense antimicrobial peptides, and small molecule compounds (e.g., neuromuscular blocking agents) and leads to MC degranulation and eicosanoids release under in vitro experimental condition. Functional analyses of MRGPRX2 and Mrgprb2 (mouse ortholog) indicate that MRGPRX2 is involved in MC hypersensitivity reactions causing neuroinflammation such as postoperative pain, type 2 inflammation, non-histaminergic itch, and drug-induced anaphylactic-like reactions. In this review, we discuss the roles in innate immunity through functional studies on MRGPRX2-mediated IgE-independent MC activation and also the therapeutic potential of MRGPRX2 inhibitors on allergic and inflammatory diseases. FAU - Ogasawara, Hiroyuki AU - Ogasawara H AUID- ORCID: 0000-0003-2193-4868 AD - Pharmaceutical Frontier Research Laboratories, Central Pharmaceutical Research Institute, Japan Tobacco Inc., Yokohama 236-0004, Japan. FAU - Noguchi, Masato AU - Noguchi M AUID- ORCID: 0000-0002-3092-0946 AD - Pharmaceutical Frontier Research Laboratories, Central Pharmaceutical Research Institute, Japan Tobacco Inc., Yokohama 236-0004, Japan. AD - Office of Research Development and Sponsored Projects, Shinanomachi Campus, Keio University, Tokyo 160-8582, Japan. LA - eng PT - Journal Article PT - Review DEP - 20211027 PL - Switzerland TA - Cells JT - Cells JID - 101600052 RN - 0 (Receptors, G-Protein-Coupled) SB - IM MH - Animals MH - Humans MH - Mast Cells/*metabolism MH - Models, Biological MH - Neurogenic Inflammation/pathology MH - Receptors, G-Protein-Coupled/*antagonists & inhibitors MH - Signal Transduction PMC - PMC8616451 OTO - NOTNLM OT - MRGPRX2 OT - MRGPRX2 inhibitor OT - host defense OT - mast cell activation OT - neurogenic inflammation OT - non-histaminergic itch OT - pseudoallergic reaction OT - type 2 inflammation COIS- The authors declare no competing interests. EDAT- 2021/11/28 06:00 MHDA- 2022/01/14 06:00 PMCR- 2021/10/27 CRDT- 2021/11/27 01:14 PHST- 2021/09/29 00:00 [received] PHST- 2021/10/21 00:00 [revised] PHST- 2021/10/25 00:00 [accepted] PHST- 2021/11/27 01:14 [entrez] PHST- 2021/11/28 06:00 [pubmed] PHST- 2022/01/14 06:00 [medline] PHST- 2021/10/27 00:00 [pmc-release] AID - cells10112906 [pii] AID - cells-10-02906 [pii] AID - 10.3390/cells10112906 [doi] PST - epublish SO - Cells. 2021 Oct 27;10(11):2906. doi: 10.3390/cells10112906.