Abstract
Mast cells play a central role in innate immunity and in orchestrating the asthmatic response. Current medication relies on β-agonists to relieve bronchoconstriction and steroids to reduce inflammation. However, recently drugs such as leukotriene-receptor antagonists and anti-immunoglobulin E have come on to the market. In this paper, a number of potential targets for modifying mast cell activation in asthma are reviewed. Some are already under study, including clinical trials (eg, tryptase inhibitors); others are more speculative (eg, inhibitors of 3-hydroxy-3-methylglutaryl coenzyme A reductase activity). In each case, where data are available, the action of the agents on human lung mast cells is described.
Similar content being viewed by others
References and Recommended Reading
Global Initiative for Asthma Global Strategy for Asthma Management and Prevention: (Updated 05). http:// www.ginasthma.com/. Accessed December 15, 2006. Up-to-date key source on information about asthma covering all aspects, including definitions, burden of asthma, risk factors, mechanisms of asthma, diagnosis and classification, education and delivery of care, and asthma management.
Scola AM, Chong LK, Suvarna SK, et al.: Desensitisation of mast cell beta2-adrenoceptor-mediated responses by salmeterol and formoterol. Br J Pharmacol 2004, 141:163- 171.
Da Silva CA, Frossard N: Potential role of stem cell factor in the asthma control by glucocorticoids. Chem Immunol Allergy 2005, 87:154–162.
Cohan VL, Undem BJ, Fox CC, et al.: Dexamethasone does not inhibit the release of mediators from human mast cells residing in airway, intestine, or skin. Am Rev Respir Dis 1989, 140:951–954.
Zhao Y, Leung PC, Woo KS, et al.: Inhibitory effects of budesonide, desloratadine and dexamethasone on cytokine release from human mast cell line (HMC-1). Inflamm Res 2004, 53:664–669.
Pearce FL, Ali H, Barrett KE, et al.: Functional characteristics of mucosal and connective tissue mast cells of man, the rat and other animals. Int Arch Allergy Appl Immunol 1985, 77:274–276.
Leung KB, Flint KC, Brostoff J, et al.: Effects of sodium cromoglycate and nedocromil sodium on histamine secretion from human lung mast cells. Thorax 1988, 43:756–761.
Cushley MJ, Tattersfield AE, Holgate ST: Inhaled adenosine and guanosine on airway resistance in normal and asthmatic subjects. Br J Clin Pharmacol 1983, 15:161–165.
Fozard JR: The case for a role for adenosine in asthma: almost convincing? Curr Opin Pharmacol 2003, 3:264–269. Careful discussion of the evidence for a role of adenosine in asthma.
Holgate ST: The identification of the adenosine A2B receptor as a novel therapeutic target in asthma. Br J Pharmacol 2005, 145:1009–1015.
Livingston M, Heaney LG, Ennis M: Adenosine, inflammation and asthma-a review. Inflamm Res 2004, 53:171–178.
Richards R, Phillips GD, Holgate ST: Nedocromil sodium is more potent than sodium cromoglycate against AMP induced bronchoconstriction in atopic asthmatic subjects. Clin Exp Allergy 1989, 19:285–291.
Hughes PJ, Holgate ST, Church MK: Adenosine inhibits and potentiates IgE-dependent histamine release from human lung mast cells by an A2-purinoceptor mechanism. Biochem Pharmacol 1984, 33:3847–3852.
Peachell PT, Columbo M, Kagey-Sobotka A, et al.: Adenosine potentiates mediator release from human lung mast cells. Am Rev Respir Dis 1988, 138:1143–1151.
Forsythe P, Mc Garvey LPA, Heaney LG, et al.: Adenosine induces histamine release from human bronchoalveolar lavage mast cells. Clin Sci 1999, 96:349–355.
Feoktistov I, Biaggioni I: Adenosine A2b receptors evoke interleukin-8 secretion in human mast cells. An enprofylline-sensitive mechanism with implications for asthma. J Clin Invest 1995, 96:1979–1986.
Zhong H, Chunn JL, Volmer JB, et al.: Adenosine-mediated mast cell degranulation in adenosine deaminase-de.- cient mice. J Pharmacol Exp Ther 2001, 298:433–440.
Chunn JL, Young HW, Banerjee SK, et al.: Adenosine-dependent airway inflammation and hyperresponsiveness in partially adenosine deaminase-deficient mice. J Immunol 2001, 167:4676–4685.
Hart PH: Regulation of the Inflammatory response in asthma by mast cell products. Immunol Cell Biol 2001, 79:149–153.
He S, Aslam A, Gaca MD, et al.: Inhibitors of tryptase as mast cell-stabilizing agents in the human airways: effects of tryptase and other agonists of proteinase-activated receptor 2 on histamine release. J Pharmacol Exp Ther 2004, 309:119–126.
Schmidlin F, Amadesi S, Vidil R, et al.: Expression and function of proteinase-activated receptor 2 in human bronchial smooth muscle. Am J Respir Crit Care Med 2001, 164:1276–1281.
Knight DA, Lim S, Scaffidi AK, et al.: Protease-activated receptors in human airways: upregulation of PAR-2 in respiratory epithelium from patients with asthma. J Allergy Clin Immunol 2001, 108:797–803.
Schmidlin F, Amadesi S, Dabbagh K, et al.: Protease-activated receptor 2 mediates eosinophil infiltration and hyperreactivity in allergic inflammation of the airway. J Immunol 2002, 169:5315–5321.
Cairns JA: Inhibitors of mast cell tryptase beta as therapeutics for the treatment of asthma and Inflammatory disorders. Pulm Pharmacol Ther 2005, 18:55–66. Excellent overview of tryptase and description of many tryptase inhibitors undergoing preclinical and clinical investigation.
Brightling CE, Bradding P, Symon FA, et al.: Mast-cell infiltration of airway smooth muscle in asthma. N Engl J Med 2002, 346:1699–1705.
Carroll NG, Mutavdzic S, James AL: Distribution and degranulation of airway mast cells in normal and asthmatic subjects. Eur Respir J 2002, 19:879–885.
Amin K, Janson C, Boman G, et al.: The extracellular deposition of mast cell products is increased in hypertrophic airways smooth muscles in allergic asthma but not in non-allergic asthma. Allergy 2005, 60:1241–1247.
Berger P, Girodet PO, Begueret H, et al.: Tryptase-stimulated human airway smooth muscle cells induce cytokine synthesis and mast cell chemotaxis. FASEB J 2003, 17:2139–2141.
Brightling CE, Kaur D, Berger P, et al.: Differential expression of CCR3 and CXCR3 by human lung and bone marrow-derived mast cells: implications for tissue mast cell migration. J Leuk Biol 2005, 77:S759-S66.
Brightling CE, Ammit AJ, Kaur D, et al.: The CXCL10/ CXCR3 axis mediates human lung mast cell migration to asthmatic airway smooth muscle. Am J Respir Crit Care Med 2005, 171:1103–1108.
Amin K, Janson C, Harvima I, et al.: CC chemokine receptors CCR1 and CCR4 are expressed on airway mast cells in allergic asthma. J Allergy Clin Immunol 2005, 116:1383–1385.
Scott K, Bradding P: Human mast cell chemokines receptors: implications for mast cell tissue localization in asthma. Clin Exp Allergy 2005, 35:693–697.
Johnston SL: Viruses and asthma. Allergy 1998, 53:922–932.
Chaudhuri N, Dower SK, Whyte MK, et al.: Toll-like receptors and chronic lung disease. Clin Sci (Lond) 2005, 109:125–133.
Kulka M, Metcalfe DD: TLR3 activation inhibits human mast cell attachment to fibronectin and vitronectin. Mol Immunol 2005, [Epub ahead of print].
Marone G, Rossi FW, Bova M, et al.: Superallergens: a novel mechanism of IgE-mediated activation of human basophils and mast cells. Clin Exp Allergy Reviews 2004, 4:64–75.
Varadaradjalou S, Feger F, Thieblemont N, et al.: Toll-like receptor 2 (TLR2) and TLR4 differentially activate human mast cells. Eur J Immunol 2003, 33:899–906.
Kulka M, Alexopoulou L, Flavell RA, et al.: Activation of mast cells by double-stranded RNA: evidence for activation through Toll-like receptor 3. J Allergy Clin Immunol 2004, 114:174–182.
Okumura S, Kashiwakura J-I, Tomita H, et al.: Identification of specific gene expression profiles in human mast cells mediated by Toll-like receptor 4 and FcepsilonRI. Blood 2003, 102:2547–2554.
Shakarjian MP, Eiseman E, Penhallow RC, et al.: 3-Hydroxy- 3-methylglutaryl-coenzyme A reductase inhibition in a rat mast cell line. Impairment of tyrosine kinase-dependent signal transduction and the subsequent degranulation response. J Biol Chem 1993, 268:15252–15259.
Roche CM, Trimble ER, Ennis M: Effect of in vivo and in vitro lovastatin treatment on mast cell activation. Int Arch Allergy Immunol 1995, 108:240–246.
Veillard NR, Braunersreuther V, Arnaud C, et al.: Simvastatin modulates chemokine and chemokine receptor expression by geranylgeranyl isoprenoid pathway in human endothelial cells and macrophages. Atherosclerosis 2005, [Epub ahead of print].
Lee JH, Lee DS, Kim EK, et al.: Simvastatin inhibits cigarette smoking-induced emphysema and pulmonary hypertension in rat lungs. Am J Respir Crit Care Med 2005, 172:987–993.
Jacobson JR, Barnard JW, Grigoryev DN, et al.: Simvastatin attenuates vascular leak and inflammation in murine Inflammatory lung injury. Am J Physiol Lung Cell Mol Physiol 2005, 288:L1026-L1032.
McKay A, Leung BP, McInnes IB, et al.: A novel anti-Inflammatory role of simvastatin in a murine model of allergic asthma. J Immunol 2004, 172:2903–2908.
Weitz-Schmidt G: Statins as anti-Inflammatory agents. Trends Pharmacol Sci 2002, 10:482–486.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ennis, M. New targets for modifying mast cell activation in asthma. Curr Allergy Asthma Rep 6, 247–251 (2006). https://doi.org/10.1007/s11882-006-0042-3
Issue Date:
DOI: https://doi.org/10.1007/s11882-006-0042-3