PMID- 36848746 OWN - NLM STAT- MEDLINE DCOM- 20230320 LR - 20240402 IS - 1879-0372 (Electronic) IS - 0952-7915 (Print) IS - 0952-7915 (Linking) VI - 81 DP - 2023 Apr TI - Recent insights into the mechanisms of anaphylaxis. PG - 102288 LID - S0952-7915(23)00007-9 [pii] LID - 10.1016/j.coi.2023.102288 [doi] AB - Anaphylaxis is an acute life-threatening systemic allergic reaction that can have a wide range of clinical manifestations. The most common triggers for anaphylaxis include food, medication, and venom. What is curious regarding anaphylaxis is how so many different agents can induce a severe systemic clinical response but only in a select subgroup of patients. Over the past decade, several important advances have been made in understanding the underlying cellular and molecular mechanisms contributing to anaphylaxis, with mast cells (MCs) being an essential component. Classically, cross-linked immunoglobulin E (IgE) bound to its high- affinity receptor induces MC mediator release. However, toll-like, complement, or Mas-related G-protein-coupled receptors also activate mouse and human MCs. While anaphylaxis secondary to foods historically has been more extensively characterized clinically and mechanistically, more recent studies have shifted focus toward understanding drug-induced anaphylaxis. The focus of this review is to highlight recent basic science developments and compare what is currently known regarding anaphylaxis to food, medications, and venom. CI - Copyright (c) 2023 Elsevier Ltd. All rights reserved. FAU - Stevens, Whitney W AU - Stevens WW AD - Division of Allergy and Immunology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Electronic address: whitney-stevens@northwestern.edu. FAU - Kraft, Magdalena AU - Kraft M AD - Division of Allergy and Immunology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. FAU - Eisenbarth, Stephanie C AU - Eisenbarth SC AD - Division of Allergy and Immunology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Electronic address: stephanie.eisenbarth@northwestern.edu. LA - eng GR - K23 AI141694/AI/NIAID NIH HHS/United States GR - R01 AI136942/AI/NIAID NIH HHS/United States GR - R56 AI155497/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20230226 PL - England TA - Curr Opin Immunol JT - Current opinion in immunology JID - 8900118 RN - 37341-29-0 (Immunoglobulin E) RN - 0 (Receptors, G-Protein-Coupled) RN - 0 (Allergens) SB - IM MH - Humans MH - Mice MH - Animals MH - *Anaphylaxis/metabolism MH - Immunoglobulin E/metabolism MH - *Drug Hypersensitivity/metabolism MH - Mast Cells MH - Receptors, G-Protein-Coupled/metabolism MH - Allergens PMC - PMC10023498 MID - NIHMS1871697 COIS- Conflict of Interest Disclosure: W. Stevens has served as an advisor to GlaxoSmithKline, Bristol Myers Squibb, Genentech, and Regeneron. M. Kraft reports travel support from ALK-Abello and speaker honoraria from Bencard Allergie GmbH, outside the submitted work. Magdalena Kraft and Stephanie Eisenbarth have nothing to report. EDAT- 2023/02/28 06:00 MHDA- 2023/03/21 06:00 PMCR- 2024/04/01 CRDT- 2023/02/27 18:19 PHST- 2022/11/10 00:00 [received] PHST- 2023/01/24 00:00 [revised] PHST- 2023/01/25 00:00 [accepted] PHST- 2023/02/28 06:00 [pubmed] PHST- 2023/03/21 06:00 [medline] PHST- 2023/02/27 18:19 [entrez] PHST- 2024/04/01 00:00 [pmc-release] AID - S0952-7915(23)00007-9 [pii] AID - 10.1016/j.coi.2023.102288 [doi] PST - ppublish SO - Curr Opin Immunol. 2023 Apr;81:102288. doi: 10.1016/j.coi.2023.102288. Epub 2023 Feb 26.