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Updated: Aug 5, 2026

Basophil Activation Test for Allergy Diagnosis
Published on: May 31, 2021
Mast Cell/Basophil-Nerve Crosstalk: Autonomic Signals and Sensory Circuits
Soichiro Yoshikawa1,2, Kei Nagao1, Sumika Toyama1,2
1Juntendo Itch Research Center (JIRC), Institute for Environmental and Gender-Specific Medicine, Juntendo University Graduate School of Medicine, 279-0021 Urayasu, Japan.
Mast cells and basophils are distinct immune cells. Stress impacts these cells, influencing allergic responses and inflammation through neuroimmune crosstalk, offering targets for new therapies.
Area of Science:
- Immunology
- Neuroscience
- Allergy Research
Background:
- Mast cells and basophils, though similar, have distinct roles in IgE-mediated allergy and type 2 inflammation.
- Both cell types express receptors for neurotransmitters, making them targets for neuronal modulation.
- Psychological stress influences mast cells and basophils via catecholamines and glucocorticoids, affecting immune responses.
Purpose of the Study:
- To review neuroimmune interactions involving mast cells and basophils.
- To explore how stress impacts these immune cells and their signaling pathways.
- To identify potential therapeutic targets for stress-related immune exacerbations.
Main Methods:
- Literature review synthesizing current evidence on mast cell/basophil receptors for neural mediators.
- Analysis of signaling pathways between nerves and immune cells.
- Examination of bidirectional communication loops in barrier tissues.
Main Results:
- Mast cells and basophils possess distinct receptor repertoires for autonomic and sensory mediators.
- Neuronal mediators modulate mast cell and basophil activation and effector functions.
- Mediators from mast cells and basophils can activate peripheral sensory neurons, causing itch and inflammation.
Conclusions:
- Bidirectional neuroimmune signaling integrates stress with immune reactivity at barrier tissues.
- Understanding these neuroimmune interfaces is crucial for explaining disease exacerbation.
- Targeted interventions can be developed based on these mechanistic frameworks.
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