Thoughts on mast cells, histamine release and immunoglobulin E.

It is well known that the polysaccharide, dextran, stimulates rat mast cells to undergo histamine secretion, probably by interaction with cell-fixed IgE. Passive sensitisation with antigens greatly enhances histamine release induced in vitro by dextran, and removal of IgE from the cells by acid pH abolishes this release. The importance of IgE antibodies for histamine release from mast cells by agents other than dextran is also well recorded. For example, acetylcholine induces a non-immunological release which is potentiated by the presence of IgE. A link may also exist between cholinergic agents and substance P, a polypeptide which releases histamine by acting on specific receptors and not through interaction with cell-bound IgE. Attempts are made here to gather together some of the physiological and pathological processes involved.