Research Advances in Mast Cell Biology and Their Translation Into Novel Therapies for Anaphylaxis

Melanie C. Dispenza, Dean D. Metcalfe, Ana Olivera

Research output: Contribution to journalArticlepeer-review

Abstract

Anaphylaxis is an acute, potentially life-threatening systemic allergic reaction for which there are no known reliable preventative therapies. Its primary cell mediator, the mast cell, has several pathophysiologic roles and functions in IgE-mediated reactions that continue to be poorly understood. Recent advances in the understanding of allergic mechanisms have identified novel targets for inhibiting mast cell function and activation. The prevention of anaphylaxis is within reach with new drugs that could modulate immune tolerance, mast cell proliferation and differentiation, and IgE regulation and production. Several US Food and Drug Administration–approved drugs for chronic urticaria, mastocytosis, and cancer are also being repurposed to prevent anaphylaxis. New therapeutics have not only shown promise in potential efficacy for preventing IgE-mediated reactions, but in some cases, they are able to inform us about mast cell mechanisms in vivo. This review summarizes the most recent advances in the treatment of anaphylaxis that have arisen from new pharmacologic tools and our current understanding of mast cell biology.

Original languageEnglish (US)
Pages (from-to)2032-2042
Number of pages11
JournalJournal of Allergy and Clinical Immunology: In Practice
Volume11
Issue number7
DOIs
StatePublished - Jul 2023

ASJC Scopus subject areas

  • Immunology and Allergy

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