A mast cell receptor mediates post-stroke brain inflammation via a dural-brain axis

Ruchita Kothari1, Mostafa W Abdulrahim2, Hyun Jong Oh1

  • 1The Solomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.

Cell
|July 25, 2025
PubMed

Insights

Mast cells in the brain

Area of Science:

  • Neuroimmunology
  • Inflammation Biology
  • Stroke Research

Background:

  • The brain's immune environment is crucial for injury response.
  • Ischemic stroke disrupts this balance, causing unclear inflammatory mechanisms.

Purpose of the Study:

  • To elucidate the mechanism of post-stroke brain inflammation.
  • To identify key regulators of immune cell migration into the brain.

Main Methods:

  • Investigated the role of mast cell receptor Mrgprb2 in a mouse stroke model.
  • Analyzed mast cell degranulation, neutrophil recruitment, and semaphorin 3a cleavage.
  • Examined human MRGPRX2 expression and activation by substance P.

Main Results:

  • Mrgprb2 mediates meningeal mast cell degranulation post-stroke.
  • This recruits neutrophils from skull bone marrow into the brain via dura mater.
  • Inhibition of Mrgprb2 reduced inflammation and improved outcomes in mice.

Conclusions:

  • Mrgprb2 acts as a meningeal gatekeeper controlling immune cell entry into the brain after stroke.
  • MRGPRX2 is the human ortholog, activated by substance P.
  • Targeting Mrgprb2 offers a potential therapeutic strategy for stroke.