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Updated: Aug 8, 2026

Investigating Mast Cell Secretory Granules; from Biosynthesis to Exocytosis
Published on: January 26, 2015
[Mast cells in chronic gastritis of children]
Insights
Mast cells are more numerous in children with chronic gastritis, especially those infected with Helicobacter pylori. These cells may significantly contribute to gastritis pathogenesis.
Area of Science:
- Pediatric Gastroenterology
- Immunology
- Pathology
Background:
- Chronic gastritis is a common condition in children.
- Mast cells are immune cells implicated in inflammatory processes.
- Helicobacter pylori infection is a major cause of pediatric gastritis.
Purpose of the Study:
- To investigate the role of mast cells in pediatric chronic gastritis.
- To compare mast cell density in children with and without H. pylori infection.
- To assess mast cell degranulation in relation to H. pylori status.
Main Methods:
- Histological analysis of gastric biopsies using toluidine blue and anti-human mast cell tryptase.
- Evaluation of mast cell density in antrum and corpus.
- Electron microscopy to assess mast cell degranulation.
- Comparison of mast cell counts before and after H. pylori eradication.
Main Results:
- Significantly increased mast cell density was observed in children with chronic gastritis, irrespective of H. pylori infection, compared to controls.
- Mast cell degranulation was evident in children with H. pylori-positive chronic gastritis.
- Mast cell density decreased after successful H. pylori eradication.
Conclusions:
- Mast cells are significantly implicated in the pathogenesis of chronic gastritis in children.
- Helicobacter pylori infection exacerbates mast cell involvement in pediatric gastritis.
- Targeting mast cell mediators could be a therapeutic strategy for childhood chronic gastritis.
Abstract:
Mast cell involvement in chronic gastritis in children was analyzed. 25 children with normal mucosa (controls), 20 children with chronic gastritis and 28 children with chronic gastritis and infected Helicobacter pylori were included to the study. Bioptic material from antrum and corpus of the stomach were stained with toluidine blue and anti-human mast cell tryptase to evaluate mast cell density. Changes in mast cells number were also estimated in 7 children before and after successful eradication of Helicobacter pylori infection. Mast cell density was significantly greater in children with chronic gastritis with or without Helicobacter pylori infection when compared to the controls. Mast cell degranulation was demonstrated by electron microscopy in children with chronic gastritis and infected Helicobacter pylori. Mast cell through it's numerous mediators may play a key role in chronic gastritis especially when Helicobacter pylori infection is present.
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