lecture 21: mast cells: friend and foe Flashcards

1
Q

What is the peritoneal mast cell?

A
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2
Q

Who was paul ehrlich?

A
  • mastzellen - well fed cells
  • one of his many observations/advances in immunology
  • nobel prize in 1908
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3
Q

What are mast cells best known for?

A
  • their role in Allergic Diseases
  • elevated allergen-specific immunoglobulin E (IgE) levels - atopy
    • allergic rhinitis (hay fever)
    • asthma
    • allergic dermatitis/urticaria
    • anaphylaxis
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4
Q

Where are mast cells located?

A
  • everywhere!
  • particularly prevalent at body sites in contact with the external environment: Skin/Gut/Lung
  • commonly found close to blood vessels/nerves/glands
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5
Q

What are some of the stimuli that activate mast cells?

A
  • antigen
    • via immunoglobulin E (IgE)
  • complement fragments
  • neuropeptides
  • cytokines/chemokines/growth factors
  • bacterial components
  • physical
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6
Q

What does cell activation produce in the Mast Cell?

A
  • dramatic changes in mast cell surface topography
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7
Q

What is mast cell degranulation?

A
  • compound degranulation (anaphylactic degranulation)
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8
Q

What are some mediators released by mast cells?

A
  • granular
    • histamine
    • tryptase/chymase
    • other protease
    • (cytokines)
  • de novo synthesized
    • LTC4
    • PGD2
  • transcriptional regulation
    • cytokines and chemokines
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9
Q

What are features to consider of the mighty mast cell?

A
  • location
  • reactivity
  • armoury
  • ideally suited to initiating/regulating
    • pathophysiological and physiological (?) processes
  • how is cell activation controlled?
    • focus: IgE-dependent activation
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10
Q

What controls mast cell activation?

A
  • Fc epsilon RI receptor
  • ITAMS: Immuno receptor Tyrosine-based Activation MotifS (have a consensus sequence)
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11
Q

What is FceRI receptor signalling?

A
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12
Q

What is ITAM-mediated signalling?

A
  • commonly found in the major immune regulating receptors (kinases involved will differ according to cell type)
  • examples include:
    • B-cell receptor
    • T-cell receptor
    • Fc receptors for other immunoglobulins
  • also seen in several virally encoded proteins
  • inhibitory version also exists in some receptors - immunoreceptor tyrosine-based inhibitory motif - ITIM
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13
Q

How has the role of mast cell been examined?

A
  • disodium cromoglycate (DSCG) - mast cell ‘stabilising’ drug
  • mast cell deficient mice
    • mutation in stem cell factor system: ligand, receptor, gene promoter
    • also newer transgenics - deletion strategies through gene targeting of mast cells
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14
Q

How may stem cell factor be important to many cells?

A
  • reconstitution of animals with mast cell grown in culture (bone marrow-derived mast cells)
  • look for reversal of phenotype
  • mast cells from KO/transgenic animals can also be used)
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15
Q

In what ways is mast cell a foe?

A
  • allergic disease
  • cardiovascular disease
  • kidney disease
  • rheumatoid arthritis
  • obesity
    • mast cells increased in human white adipose tissue from obese donors
    • enhanced serum levels of tryptase
    • mast cell deficient animals, or those treated with DSCG, gain less weight on Western diet
  • CNS - multiple sclerosis
  • cancer (not just mastocytosis)
  • infectious diseases
  • (still a work in progress)
  • asthma
    • mast cells uniquely elevated in asthmatic airways cw eosinophilic bronchitis
    • found in close proximity to airway smooth muscle cells
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16
Q

How could we get rid of mast cells?

A
  • IgE-Fc portion - binds to FceRI
  • fused with pseudomonas exotoxin A (PE40)
  • this toxin causes cell death
  • means targeting and selectively eliminating mast cells
17
Q

What is the mast cell as a friend?

A
  • immunity to infection
    • certain parasites
    • certain bacteria
    • certain viruses
  • but not just infection
    • envenomation
    • UV skin damage
    • CNS - anxiety
    • cancer
    • (NB: still a work in progress)
18
Q

What is parasite-derived mast cell inhibitor?

A
  • ES-62
  • a glycoprotein secreted by filarial nematodes
19
Q

What is mast cell protection against bacterial infection?

A
  • cecal ligation and puncture (CLP) model of sepsis
  • W/Wv - another mast cell deficient mouse
20
Q

What is envenomation?

A
21
Q

What are ways of targeting mast cells?

A
  • block actions of released mediators (allergic disease)
    • anti-histamines
    • H1 receptor antagonists
  • block the IgE-dependent activation pathway
    • omalizumab (humanised anti-IgE antibody)
    • selective syk kinase inhibitors
22
Q

What are ways of utilising mast cells?

A
  • enhance mast cell activation in immunity as a vaccine adjuvant
  • compound 48/80
23
Q

Who are leading researchers in this area?

A
  • Stephen Galli
    • stanford university, USA
  • soman abraham
    • duke university, USA
  • dean metcalfe
    • NIH, USA
  • melissa brown (CNS)
    • northwestern university, USA
  • petri kovanen (cadiovascular)
    • wihuri research institute, helsinki, finland
      *
24
Q

what are the learning outcomes?

A
  • describe the major locations of mast cells in the body, how they can be activated and mediators that they produce
  • describe in a more detailed fashion IgE/antigen-mediated activation of mast cells and its role in allergic symptoms
  • be familar with the role of ITAM containing receptors in regulating immune cell activation
  • discuss the contribution of mast cells to both acute and chronic aspects of allergic disease
  • discuss how our understanding of the mast cell has been expanded recently from pariah to important contributor in protective immunity
  • discuss strategies to inhibit the activity of mast cells in allergic disease