PMID- 36858572 OWN - NLM STAT- MEDLINE DCOM- 20230303 LR - 20230303 IS - 1347-5215 (Electronic) IS - 0918-6158 (Linking) VI - 46 IP - 3 DP - 2023 TI - Lipopolysaccharide Priming Exacerbates Anaphylatoxin C5a-Induced Anaphylaxis in Mice. PG - 432-439 LID - 10.1248/bpb.b22-00766 [doi] AB - Anaphylaxis is a serious allergic or hypersensitivity reaction with a sudden onset that can be life-threatening or fatal. Previous studies have highlighted two pathways of anaphylaxis in mice. One is the classical immunoglobulin E (IgE)-mediated pathway that involves mast cells and histamine. The other is an alternative IgG-mediated pathway that involves basophils, monocytes/macrophages, neutrophils, and the platelet-activating factor (PAF). However, little is known about the mechanism by which complement anaphylatoxins contribute to the induction of anaphylaxis. Infection is a cofactor that potentially amplifies the risk of anaphylaxis. Here, we showed that priming with a lipopolysaccharide (LPS), which mimics bacterial infection, exacerbates anaphylatoxin C5a-induced anaphylaxis in mice. LPS plus C5a-induced anaphylaxis was mediated by histamine and lipid mediators, especially PAF. Cell depletion experiments demonstrated that LPS plus C5a-induced anaphylaxis depended on monocytes/macrophages, basophils, and neutrophils. These results suggest that C5a is a potent inducer of anaphylaxis in bacterial infections. Remarkably, the molecular and cellular mediators of LPS plus C5a-induced anaphylaxis are mostly shared with IgE- and IgG-mediated anaphylaxis. Therefore, combined inhibition of histamine and PAF may be beneficial as a second-line treatment for severe anaphylaxis. FAU - Yasuda, Makoto AU - Yasuda M AD - Division of Dento-oral Anesthesiology, Tohoku University Graduate School of Dentistry. FAU - Tanaka, Yukinori AU - Tanaka Y AD - Division of Dento-oral Anesthesiology, Tohoku University Graduate School of Dentistry. FAU - Bando, Kanan AU - Bando K AD - Division of Orthodontics and Dentofacial Orthopedics, Tohoku University Graduate School of Dentistry. FAU - Sugawara, Shunji AU - Sugawara S AD - Division of Oral Immunology, Tohoku University Graduate School of Dentistry. FAU - Mizuta, Kentaro AU - Mizuta K AD - Division of Dento-oral Anesthesiology, Tohoku University Graduate School of Dentistry. LA - eng PT - Journal Article PL - Japan TA - Biol Pharm Bull JT - Biological & pharmaceutical bulletin JID - 9311984 RN - 0 (Lipopolysaccharides) RN - 820484N8I3 (Histamine) RN - 0 (Anaphylatoxins) RN - 37341-29-0 (Immunoglobulin E) RN - 0 (Immunoglobulin G) SB - IM MH - Animals MH - Mice MH - *Anaphylaxis MH - Lipopolysaccharides MH - Histamine MH - Anaphylatoxins MH - Immunoglobulin E MH - Immunoglobulin G OTO - NOTNLM OT - anaphylatoxin C5a OT - anaphylaxis OT - histamine OT - lipid mediator OT - lipopolysaccharide priming OT - mouse model EDAT- 2023/03/02 06:00 MHDA- 2023/03/04 06:00 CRDT- 2023/03/01 20:53 PHST- 2023/03/01 20:53 [entrez] PHST- 2023/03/02 06:00 [pubmed] PHST- 2023/03/04 06:00 [medline] AID - 10.1248/bpb.b22-00766 [doi] PST - ppublish SO - Biol Pharm Bull. 2023;46(3):432-439. doi: 10.1248/bpb.b22-00766.