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Isolation of Functional Cardiac Immune Cells
Published on: December 5, 2011
Human cardiac mast cells in anaphylaxis
Chemical Immunology and Allergy
|June 4, 2010
Summary
Human heart mast cells (HHMC) are key players in anaphylaxis, releasing mediators that affect heart function. These cells can be activated by allergens and medical agents, potentially causing anaphylactoid reactions.
Area of Science:
- Immunology
- Cardiology
- Cell Biology
Background:
- Human heart mast cells (HHMC) are implicated as primary effector cells in anaphylaxis.
- These cells are located perivascularly, near myocytes, and in the arterial intima of human heart tissue.
- HHMC express high-affinity IgE (FcepsilonRI) and C5a receptors.
Purpose of the Study:
- To investigate the role and activation mechanisms of human heart mast cells in anaphylaxis.
- To determine the mediators released by HHMC upon activation.
- To assess the potential of HHMC to mediate anaphylactoid reactions.
Main Methods:
- Isolation and in vitro activation of human heart mast cells (HHMC).
- Stimulation of HHMC using anti-IgE, anti-FcepsilonRI, and C5a.
- Measurement of preformed and newly synthesized mediators (histamine, tryptase, LTC4, PGD2).
- Evaluation of HHMC activation by therapeutic and diagnostic agents.
Main Results:
- HHMC activation released preformed mediators (histamine, tryptase, chymase, renin) and synthesized LTC4 and PGD2.
- C5a induced rapid release of histamine and tryptase from HHMC.
- HHMC were activated in vitro by general anesthetics, protamine, and radiocontrast media.
- Histamine and cysteinyl leukotrienes caused significant hemodynamic effects in subjects.
Conclusions:
- Human heart mast cells play a significant role in anaphylactic and anaphylactoid reactions.
- HHMC activation by various agents can lead to mediator release with hemodynamic consequences.
- These findings highlight the importance of HHMC in cardiovascular responses during anaphylaxis.
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