Table 2:
Relevant Vasoactive Mediators Released by Mast Cells and Basophils in Anaphylaxis
Mediator
Action
Histamine Vasodilation, bronchial and gastrointestinal smooth muscle contraction, mucus hypersecretion
Arachidonic acid metabolites, including:
Cysteinyl leukotrienes
Prostaglandins
Platelet-activating factor
Bronchoconstriction, coronary vasoconstriction, increased vascular permeability, mucus hypersecretion, platelet adherence and aggregation, eosinophil activation and recruitment
Proteases, including:
Tryptase
Chymase
Cleavage of complement proteins and neuropeptides, inflammatory-cell chemoattractant, conversion of angiotensin I to angiotensin II, activation of protease-activated receptor-2
Proteoglycans, including:
Heparin
Chondroitin sulfate
Anticoagulation, complement inhibition, eosinophil chemoattractant, kinin activation
Cytokines, including:
IL-3, -4, -5, -6, -10, and -13; granulocyte-macrophage colony-stimulating factor; tumor necrosis factor-α
Eosinophil chemotaxis and activation; inflammatory cell activation and recruitment, induction of IgE-receptor expression, induction of apoptosis
Chemokines, including:
IL-8, MIP-1α
Neutrophil chemotaxis, inflammatory cell recruitment, activation of NADPH oxidase
Nitric oxide Vasodilation, increased vascular permeability
  
Copyright 2004 The Cleveland Clinic Foundation

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