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Publication : Intestinal mast cell levels control severity of oral antigen-induced anaphylaxis in mice.

First Author  Ahrens R Year  2012
Journal  Am J Pathol Volume  180
Issue  4 Pages  1535-46
PubMed ID  22322300 Mgi Jnum  J:182002
Mgi Id  MGI:5314564 Doi  10.1016/j.ajpath.2011.12.036
Citation  Ahrens R, et al. (2012) Intestinal mast cell levels control severity of oral antigen-induced anaphylaxis in mice. Am J Pathol 180(4):1535-46
abstractText  Food-triggered anaphylaxis can encompass a variety of symptoms that affect multiple organ systems and can be life threatening. The molecular distinction between non-life-threatening and life-threatening modes of such anaphylaxis has not yet been delineated. In this study, we sought to identify the specific immune functions that regulate the severity of oral antigen-induced anaphylaxis. We thus developed an experimental mouse model in which repeated oral challenge of ovalbumin-primed mice induced an FcepsilonRI- and IgE-dependent oral antigen-triggered anaphylaxis that involved multiple organ systems. Strikingly, the severity of the systemic symptoms of anaphylaxis (eg, hypothermia) positively correlated with the levels of intestinal mast cells (r = -0.53; P < 0.009). In addition, transgenic mice with both increased intestinal and normal systemic levels of mast cells showed increased severity of both intestinal and extra-intestinal symptoms of IgE-mediated passive as well as oral antigen- and IgE-triggered anaphylaxis. In conclusion, these observations indicate that the density of intestinal mast cells controls the severity of oral antigen-induced anaphylaxis. Thus, an awareness of intestinal mast cell levels in patients with food allergies may aid in determining their susceptibility to life-threatening anaphylaxis and may eventually aid in the treatment of food-triggered anaphylaxis.
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