PMID- 37574155 OWN - NLM STAT- Publisher LR - 20231013 IS - 1096-1186 (Electronic) IS - 1043-6618 (Linking) VI - 196 DP - 2023 Oct TI - Stabilization of activated mast cells by ORAI1 inhibitor suppresses peanut-induced anaphylaxis and acute diarrhea. PG - 106887 LID - S1043-6618(23)00243-8 [pii] LID - 10.1016/j.phrs.2023.106887 [doi] AB - Mast cell (MC) activation triggered by immunoglobulin E (IgE)-antigen crosslinking involves intracellular Ca(2+) influx through the ORAI1 channel, which precedes granule exteriorization and de novo synthesis of mediators. Pharmacologically suppressing MCs via the inhibition of the ORAI1 Ca(2+) channel may represent a potential strategy for preventing anaphylaxis. This study demonstrated that peanut-induced anaphylaxis in sensitized mice resulted in significant hypothermia and acute diarrhea. Utilizing the Mcpt5cre-DTA mouse model, we demonstrated that this anaphylactic response was mediated by IgE-antigen-induced MC activation. Prophylactic administration of MC suppressors was an effective means of preventing peanut-induced anaphylaxis. In addition, we observed the potent efficacy of an ORAI1 inhibitor in suppressing the FcepsilonRI-mediated response of murine or human MCs, even when administered concurrently or post-allergen exposure. Mechanistically, the ORAI1 inhibitor was found to prevent the association of Synaptotagmin-2 with the SNARE complex. In an in vivo mouse model of peanut-induced anaphylaxis, the administration of the ORAI1 inhibitor after allergen challenge effectively suppressed allergic acute diarrhea and ameliorated anaphylaxis. Therefore, pharmacological intervention of ORAI1 channel inhibition in MCs represents a promising therapeutic avenue for the treatment of peanut-induced anaphylaxis and acute diarrhea in vivo. CI - Copyright (c) 2023 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Suk, Gyeongseo AU - Suk G AD - Division of Life Sciences, Korea University, Seoul 02841, South Korea. FAU - Kwon, Do Hoon AU - Kwon DH AD - Department of Biochemistry, Duke University Medical Center, Durham, NC 27710, USA. FAU - Roers, Axel AU - Roers A AD - Institute for Immunology, Medical Faculty Carl Gustav Carus, Technische Universitat Dresden, Dresden 01069, Germany. FAU - Abraham, Soman N AU - Abraham SN AD - Department of Pathology, Duke University Medical Center, Durham, NC 27710, USA; Department of Immunology, Duke University Medical Center, Durham, NC 27710, USA; Molecular Genetics & Microbiology, Duke University Medical Center, Durham, NC 27710, USA. FAU - Choi, Hae Woong AU - Choi HW AD - Division of Life Sciences, Korea University, Seoul 02841, South Korea. Electronic address: haewoongchoi@korea.ac.kr. LA - eng PT - Journal Article DEP - 20230811 PL - Netherlands TA - Pharmacol Res JT - Pharmacological research JID - 8907422 SB - IM OTO - NOTNLM OT - Allergy OT - Anaphylaxis OT - Mast cell OT - ORAI1 inhibitor COIS- Declaration of Competing Interest None. EDAT- 2023/08/14 00:43 MHDA- 2023/08/14 00:43 CRDT- 2023/08/13 19:27 PHST- 2023/03/06 00:00 [received] PHST- 2023/08/10 00:00 [revised] PHST- 2023/08/10 00:00 [accepted] PHST- 2023/08/14 00:43 [pubmed] PHST- 2023/08/14 00:43 [medline] PHST- 2023/08/13 19:27 [entrez] AID - S1043-6618(23)00243-8 [pii] AID - 10.1016/j.phrs.2023.106887 [doi] PST - ppublish SO - Pharmacol Res. 2023 Oct;196:106887. doi: 10.1016/j.phrs.2023.106887. Epub 2023 Aug 11.