Ruchi Biswas, Jamie Moore Fried, Maria A. Curotto de Lafaille
Anaphylaxis is a life-threatening immunoglobulin E (IgE)-mediated type I hypersensitivity reaction with rising prevalence and burden. It involves mast cell degranulation upon cross-linking of antigen on mast cell-bound IgE. Mechanisms of IgE-mediated anaphylaxis remain incompletely understood, particularly the induction of systemic symptoms (hypothermia, hypotension). We consider two hypotheses driving anaphylaxis. In the first case, circulating antigen reaches mast cells systemically, causing widespread degranulation and downstream effects. In a second scenario, a subset of mast cells “view” antigen, initiating local activation and extensive neuronal signaling to activate distal mast cells and trigger tissue responses. Support for systemic antigen is evident in food allergy, with allergenicity determined by antigen stability in the face of digestion, and antigen translocation across the gut epithelium and within circulation, possibly through chylomicrons. Emerging research implicates neuronal signaling in modulating systemic responses, with mast cells communicating bidirectionally with neurons via released mediators. These interactions lower activation thresholds, amplify inflammation, and engage key downstream receptors and pathways. In vivo models demonstrate such mast cell neuromodulation underlying systemic manifestations of IgE-mediated anaphylaxis, including pruritus and hypothermia. The evidence suggests that both scenarios are likely at play in anaphylaxis, warranting further investigation.
{"title":"Expanding the Immunologic and Neuronal Landscape of IgE-Mediated Anaphylaxis","authors":"Ruchi Biswas, Jamie Moore Fried, Maria A. Curotto de Lafaille","doi":"10.1111/imr.70078","DOIUrl":"10.1111/imr.70078","url":null,"abstract":"<p>Anaphylaxis is a life-threatening immunoglobulin E (IgE)-mediated type I hypersensitivity reaction with rising prevalence and burden. It involves mast cell degranulation upon cross-linking of antigen on mast cell-bound IgE. Mechanisms of IgE-mediated anaphylaxis remain incompletely understood, particularly the induction of systemic symptoms (hypothermia, hypotension). We consider two hypotheses driving anaphylaxis. In the first case, circulating antigen reaches mast cells systemically, causing widespread degranulation and downstream effects. In a second scenario, a subset of mast cells “view” antigen, initiating local activation and extensive neuronal signaling to activate distal mast cells and trigger tissue responses. Support for systemic antigen is evident in food allergy, with allergenicity determined by antigen stability in the face of digestion, and antigen translocation across the gut epithelium and within circulation, possibly through chylomicrons. Emerging research implicates neuronal signaling in modulating systemic responses, with mast cells communicating bidirectionally with neurons via released mediators. These interactions lower activation thresholds, amplify inflammation, and engage key downstream receptors and pathways. In vivo models demonstrate such mast cell neuromodulation underlying systemic manifestations of IgE-mediated anaphylaxis, including pruritus and hypothermia. The evidence suggests that both scenarios are likely at play in anaphylaxis, warranting further investigation.</p>","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":"337 1","pages":""},"PeriodicalIF":8.3,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12672986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145660080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The immune system is tasked with mounting effective responses to pathogens while preventing inflammation triggered by innocuous antigens, including those derived from self, food, and commensal microbes. This balance is especially critical in the intestine, where dietary and microbial antigens are constantly encountered. Peripherally induced regulatory T cells (pTreg or iTreg) play a key role in suppressing inappropriate immune activation and maintaining gut homeostasis. Elucidating how pTreg cells are generated along the gastrointestinal tract is therefore critical to understanding peripheral tolerance. Recent studies have revealed that intestinal antigen-specific pTreg cell differentiation is induced by a distinct lineage of antigen-presenting cells (APCs) requiring expression of the transcription factors RORγt and PRDM16. Genetic perturbation of these APCs results not only in microbiota-specific proinflammatory T cell responses but also in the breakdown of oral tolerance, which in turn predisposes to allergic inflammation. In this review, we summarize the discovery of these tolerance-inducing APCs, highlight their role in instructing pTreg cell differentiation in response to microbiota and dietary antigens, and discuss the regulatory networks that support their function during intestinal immune tolerance.
{"title":"Specialized Dendritic Cells Mediating Peripheral Tolerance to Intestinal Antigens","authors":"Liuhui Fu, Dan R. Littman","doi":"10.1111/imr.70082","DOIUrl":"10.1111/imr.70082","url":null,"abstract":"<p>The immune system is tasked with mounting effective responses to pathogens while preventing inflammation triggered by innocuous antigens, including those derived from self, food, and commensal microbes. This balance is especially critical in the intestine, where dietary and microbial antigens are constantly encountered. Peripherally induced regulatory T cells (pTreg or iTreg) play a key role in suppressing inappropriate immune activation and maintaining gut homeostasis. Elucidating how pTreg cells are generated along the gastrointestinal tract is therefore critical to understanding peripheral tolerance. Recent studies have revealed that intestinal antigen-specific pTreg cell differentiation is induced by a distinct lineage of antigen-presenting cells (APCs) requiring expression of the transcription factors RORγt and PRDM16. Genetic perturbation of these APCs results not only in microbiota-specific proinflammatory T cell responses but also in the breakdown of oral tolerance, which in turn predisposes to allergic inflammation. In this review, we summarize the discovery of these tolerance-inducing APCs, highlight their role in instructing pTreg cell differentiation in response to microbiota and dietary antigens, and discuss the regulatory networks that support their function during intestinal immune tolerance.</p>","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":"337 1","pages":""},"PeriodicalIF":8.3,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12670995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145653258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eli C. Olson, Adam Williams, Stephanie C. Eisenbarth
Immune surveillance of tissues is primarily carried out by dendritic cells (DCs), which act as sentinels for the adaptive immune system. To accomplish this task, DCs migrate from tissues to regional lymph nodes, or from blood-exposed regions of the spleen to the white pulp, to prime T cell responses. DC migration is a tightly regulated process that occurs at both steady state and during inflammation, and is dependent on sensing a wide array of chemoattractant molecules. Migration involves dynamic cytoskeletal rearrangement after signaling from chemotactic receptors, followed by rapid chemotaxis to specific regions of lymphoid tissues along gradients of chemoattractant molecules. In this review, we explore how DCs regulate the process of migration at the level of activation and receptor expression, chemoattractant sensing, and signaling to induce cytoskeletal rearrangement. We discuss differences in how DC subsets migrate, including the different regions these subsets localize to within lymphoid tissues and how these differences impact T cell responses. We also examine DC migration in the context of diverse tissue environments, with a focus on barrier sites. This comparison contributes to a holistic understanding of the common ways DC migration is regulated, as well as key differences that contribute to divergent adaptive immune responses.
{"title":"Dendritic Cell Migration: An Essential Step in Initiating Adaptive Immunity Across Tissues","authors":"Eli C. Olson, Adam Williams, Stephanie C. Eisenbarth","doi":"10.1111/imr.70080","DOIUrl":"10.1111/imr.70080","url":null,"abstract":"<p>Immune surveillance of tissues is primarily carried out by dendritic cells (DCs), which act as sentinels for the adaptive immune system. To accomplish this task, DCs migrate from tissues to regional lymph nodes, or from blood-exposed regions of the spleen to the white pulp, to prime T cell responses. DC migration is a tightly regulated process that occurs at both steady state and during inflammation, and is dependent on sensing a wide array of chemoattractant molecules. Migration involves dynamic cytoskeletal rearrangement after signaling from chemotactic receptors, followed by rapid chemotaxis to specific regions of lymphoid tissues along gradients of chemoattractant molecules. In this review, we explore how DCs regulate the process of migration at the level of activation and receptor expression, chemoattractant sensing, and signaling to induce cytoskeletal rearrangement. We discuss differences in how DC subsets migrate, including the different regions these subsets localize to within lymphoid tissues and how these differences impact T cell responses. We also examine DC migration in the context of diverse tissue environments, with a focus on barrier sites. This comparison contributes to a holistic understanding of the common ways DC migration is regulated, as well as key differences that contribute to divergent adaptive immune responses.</p>","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":"337 1","pages":""},"PeriodicalIF":8.3,"publicationDate":"2025-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12665179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145627335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}