Mast Cell Activation by MRGPRX2 Activation of MRGPRX2 receptors results in the rapid synthesis of prostaglandins as well as mast cell release of storage granules containing many pre-formed inflammatory and vasoactive substances including: histamine serotonin proteolytic enzymes (chmyotrypic protease, tryptase, kininogenase) glycosaminoglycans cytokines (TNF, TNF, Leukotrienes, Interleukins) These mediators cause neurogenic inflammation, flushing, itching, hypotension and other pseudo-allergic reactions (Figures 1 & 2)(Lazki-Hagenbach et al, 2021)
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