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MRGPRX2 was recently uncovered as the "missing link" in clinically relevant mast cell (MC) activation explaining previously puzzling phenomena. It is the receptor for various endogenous ligands and exogenous compounds alike, whose binding evokes rapid degranulation much like allergen‐mediated exocytosis. While the perceivable outcomes are similar, the two activation routes differ regarding mechanism and regulation. We recently reported that acute SCF administration curbs responses evoked by MRGPRX2 in human skin MCs. Maintenance of MCs in culture requires the presence of MC supportive factors and renders the cells functionally and molecularly unequal to ex vivo counterparts. Here, we asked whether expansion in culture impacts the pseudo‐allergic route, and if so, what contribution SCF and IL‐4 play in this scenario. We report that the in vitro micromilieu dampens (but does not erase) pseudo‐allergic responses and that this is accompanied by strongly reduced MRGPRX2 expression. Withdrawal of SCF or IL‐4 individually, but most potently of both collectively, partially reinstates the MRGPRX2 pathway, revealing that SCF and IL‐4 make negative adjustments to the pseudo‐allergic pathway. Under all conditions, the FcεRI‐triggered route showed the inverse pattern of regulation, substantiating that allergic and pseudo‐allergic MC activation can obey opposite rules, hinting at possible competition between them. [ABSTRACT FROM AUTHOR]

The article offers information on the characteristics of mast cells in skin tissues and discusses the variability in them in different cohorts through an analysis. Topics discussed include the morphology of the cells, the granules in mast cells, and the differences in mast cells based on the location of the skin on the body.

The article discusses a study which examines the applicability of human skin mast cells (skMCs) for pharmacological studies of anti-allergic drugs. Findings of the study reveal that long-term skMCs demonstrated profound responsiveness towards high affinity IgE receptor cross-linking. It concludes that skMCs can be useful in pre-clinical testing of anti-allergic agents.