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Mechanical Skin Injury Promotes Food Anaphylaxis by Driving Intestinal Mast Cell Expansion.

Immunity | 2019

Mast cell (MC) mediator release after crosslinking of surface-bound IgE antibody by ingested antigen underlies food allergy. However, IgE antibodies are not uniformly associated with food allergy, and intestinal MC load is an important determinant. Atopic dermatitis (AD), characterized by pruritis and cutaneous sensitization to allergens, including foods, is strongly associated with food allergy. Tape stripping mouse skin, a surrogate for scratching, caused expansion and activation of small intestinal MCs, increased intestinal permeability, and promoted food anaphylaxis in sensitized mice. Tape stripping caused keratinocytes to systemically release interleukin-33 (IL-33), which synergized with intestinal tuft-cell-derived IL-25 to drive the expansion and activation of intestinal type-2 innate lymphoid cells (ILC2s). These provided IL-4, which targeted MCs to expand in the intestine. Duodenal MCs were expanded in AD. In addition to promoting cutaneous sensitization to foods, scratching may promote food anaphylaxis in AD by expanding and activating intestinal MCs.

Pubmed ID: 31027995 RIS Download

Associated grants

  • Agency: NIAID NIH HHS, United States
    Id: U01 AI147462
  • Agency: NIAID NIH HHS, United States
    Id: R01 AI113294
  • Agency: NIAID NIH HHS, United States
    Id: T32 AI007512
  • Agency: NIAID NIH HHS, United States
    Id: R01 AI130019
  • Agency: NIDDK NIH HHS, United States
    Id: P30 DK034854
  • Agency: NIAID NIH HHS, United States
    Id: U19 AI117673
  • Agency: NCCIH NIH HHS, United States
    Id: DP2 AT009499

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