Expanding the scope of mast cell disease: Does mast cell‐derived TNF play a role in immune‐mediated chronic illness and autoimmunity?

Abstract Increasing evidence underscores the vital significance of diverse mast cell mediators in inflammatory illness, yet diagnostic criteria for mast cell activation syndrome still focus predominantly on a solitary mediator, tryptase. Therapeutic interventions, conversely, tend to prioritize hist...

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Main Authors: Rachel da Silveira Gorman, Iffath Unissa Syed
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Rheumatology & Autoimmunity
Subjects:
Online Access:https://doi.org/10.1002/rai2.12151
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author Rachel da Silveira Gorman
Iffath Unissa Syed
author_facet Rachel da Silveira Gorman
Iffath Unissa Syed
author_sort Rachel da Silveira Gorman
collection DOAJ
description Abstract Increasing evidence underscores the vital significance of diverse mast cell mediators in inflammatory illness, yet diagnostic criteria for mast cell activation syndrome still focus predominantly on a solitary mediator, tryptase. Therapeutic interventions, conversely, tend to prioritize histamine, prostaglandins, and leukotrienes. This article, via a review of both experimental and clinical findings, spotlights the mechanisms of action of an important mast cell mediator – tumor necrosis factor (TNF), and elucidates the intricate linkages between mast cell dysfunction, chronic illness, and autoimmunity. After providing an overview of the role of mast cell‐derived TNF in inflammatory illnesses and viral infections, we hypothesize the interplay between mast cell‐derived TNF and mitochondrial dysfunction, microglial activation, and the hypothalamic‐pituitary‐adrenal axis and the pathways of action on mast cells of treatments such as high‐dose melatonin and low‐dose naltrexone.
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spelling doaj-art-8f7b723a4b004acb8d7a2b28eb60a04c2025-08-20T02:52:49ZengWileyRheumatology & Autoimmunity2767-14102767-14292024-12-014421822510.1002/rai2.12151Expanding the scope of mast cell disease: Does mast cell‐derived TNF play a role in immune‐mediated chronic illness and autoimmunity?Rachel da Silveira Gorman0Iffath Unissa Syed1School of Health Policy and Management York University Toronto Ontario CanadaDepartment of Health Policy and Administration The Pennsylvania State University Sharon Pennsylvania USAAbstract Increasing evidence underscores the vital significance of diverse mast cell mediators in inflammatory illness, yet diagnostic criteria for mast cell activation syndrome still focus predominantly on a solitary mediator, tryptase. Therapeutic interventions, conversely, tend to prioritize histamine, prostaglandins, and leukotrienes. This article, via a review of both experimental and clinical findings, spotlights the mechanisms of action of an important mast cell mediator – tumor necrosis factor (TNF), and elucidates the intricate linkages between mast cell dysfunction, chronic illness, and autoimmunity. After providing an overview of the role of mast cell‐derived TNF in inflammatory illnesses and viral infections, we hypothesize the interplay between mast cell‐derived TNF and mitochondrial dysfunction, microglial activation, and the hypothalamic‐pituitary‐adrenal axis and the pathways of action on mast cells of treatments such as high‐dose melatonin and low‐dose naltrexone.https://doi.org/10.1002/rai2.12151autoimmune diseasechronic illnessmast cellsmast cell activation syndromemitochondrial dysfunctiontumor necrosis factor
spellingShingle Rachel da Silveira Gorman
Iffath Unissa Syed
Expanding the scope of mast cell disease: Does mast cell‐derived TNF play a role in immune‐mediated chronic illness and autoimmunity?
Rheumatology & Autoimmunity
autoimmune disease
chronic illness
mast cells
mast cell activation syndrome
mitochondrial dysfunction
tumor necrosis factor
title Expanding the scope of mast cell disease: Does mast cell‐derived TNF play a role in immune‐mediated chronic illness and autoimmunity?
title_full Expanding the scope of mast cell disease: Does mast cell‐derived TNF play a role in immune‐mediated chronic illness and autoimmunity?
title_fullStr Expanding the scope of mast cell disease: Does mast cell‐derived TNF play a role in immune‐mediated chronic illness and autoimmunity?
title_full_unstemmed Expanding the scope of mast cell disease: Does mast cell‐derived TNF play a role in immune‐mediated chronic illness and autoimmunity?
title_short Expanding the scope of mast cell disease: Does mast cell‐derived TNF play a role in immune‐mediated chronic illness and autoimmunity?
title_sort expanding the scope of mast cell disease does mast cell derived tnf play a role in immune mediated chronic illness and autoimmunity
topic autoimmune disease
chronic illness
mast cells
mast cell activation syndrome
mitochondrial dysfunction
tumor necrosis factor
url https://doi.org/10.1002/rai2.12151
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