Mast cell activation in the context of elevated basal serum tryptase: genetics and presentations.

Abstract:

PURPOSE OF REVIEW:To describe inherited and acquired genetic variants and clinical entities associated with increased basal serum tryptase (BST), distinguish these levels from those which acutely rise due to mast cell activation, and finally to characterize the association between chronically elevated basal serum tryptase and episodic mast cell activation. RECENT FINDINGS:Hereditary alpha-tryptasemia is a commonly inherited genetic cause for basally elevated serum tryptase and explains elevated BST in many individuals who do not have evidence of clonal myeloid or mast cell disease. When clonal myeloid disease is present, BST may be elevated and can be a biomarker of a number of disparate disorders of the myeloid compartment. Elevated BST is most commonly caused by hereditary alpha tryptasemia but may also be indicative of clonal myeloid disease. Clinical reports suggest that elevated BST is associated with increased risk for more severe systemic allergic reactions to a number of eliciting agents and exposures. Additional studies are needed to determine the role that inherited or acquired genetic variants associated with elevated BST and clonal or non-clonal myeloid diseases may play in these reactions.

authors

Khoury P,Lyons JJ

doi

10.1007/s11882-019-0887-x

subject

Has Abstract

pub_date

2019-11-27 00:00:00

pages

55

issue

12

eissn

1529-7322

issn

1534-6315

pii

10.1007/s11882-019-0887-x

journal_volume

19

pub_type

杂志文章,评审
  • What Ancestry Can Tell Us About the Genetic Origins of Inter-Ethnic Differences in Asthma Expression.

    abstract::Differences in asthma prevalence have been described across different populations, suggesting that genetic ancestry can play an important role in this disease. In fact, several studies have demonstrated an association between African ancestry with increased asthma susceptibility and severity, higher immunoglobulin E l...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-016-0635-4

    authors: Hernandez-Pacheco N,Flores C,Oh SS,Burchard EG,Pino-Yanes M

    更新日期:2016-07-01 00:00:00

  • Allergic Inflammation in Aspergillus fumigatus-Induced Fungal Asthma.

    abstract::Although fungi are pervasive in many environments, few cause disease in humans. Of these, Aspergillus fumigatus is particularly well suited to be a pathogen of the human lung. Its physical and biological characteristics combine to provide an organism that can cause tremendous morbidity and high mortality if left unche...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-015-0561-x

    authors: Ghosh S,Hoselton SA,Schuh JM

    更新日期:2015-10-01 00:00:00

  • Role of leukotrienes in exercise-induced bronchoconstriction.

    abstract::Exercise-induced bronchoconstriction (EIB) refers to acute airflow obstruction that is triggered by a period of physical exertion. EIB occurs mainly in individuals with other features of asthma but is especially prominent in a subset of asthmatics with pronounced indirect airway hyperresponsiveness. Leukotrienes (LTs)...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章

    doi:10.1007/s11882-009-0003-8

    authors: Hallstrand TS,Henderson WR Jr

    更新日期:2009-01-01 00:00:00

  • Challenges for allergy diagnosis in regions with complex pollen exposures.

    abstract::Over the past few decades, significant scientific progress has influenced clinical allergy practice. The biological standardization of extracts was followed by the massive identification and characterization of new allergens and their progressive use as diagnostic tools including allergen micro arrays that facilitate ...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-014-0496-7

    authors: Barber D,Díaz-Perales A,Villalba M,Chivato T

    更新日期:2015-02-01 00:00:00

  • Allergen immunotherapy extract treatment set preparation: making a safer and higher quality product for patients.

    abstract::The best possible allergen immunotherapy clinical outcomes require the provision of high quality and safe allergen immunotherapy extract preparations. Evolving national guidelines and regulatory bodies have devoted special attention to the safe compounding of sterile products, including allergen extracts. It is incumb...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-013-0362-z

    authors: Nelson MR,Petersen MM,Wolverton WO,Mikita CP

    更新日期:2013-08-01 00:00:00

  • Susceptibility genes in asthma and allergy.

    abstract::Genome-wide screens for asthma and atopy susceptibility loci have been completed in six population samples. Despite the extensive clinical heterogeneity associated with these phenotypes, 20 chromosomal regions show evidence of linkage (P < 0.01) in three or more population samples. Thus, this survey suggests that at l...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-001-0085-4

    authors: Ober C

    更新日期:2001-03-01 00:00:00

  • Epinephrine autoinjector refill history in an HMO.

    abstract::Epinephrine can be lifesaving in episodes of anaphylaxis, yet it is underprescribed and underused. Tracking of epinephrine refills over time for patients with a diagnosis of anaphylaxis has not been reported. This study reports on the refill history of 14,677 patients in a large HMO who received an initial dispensing ...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章

    doi:10.1007/s11882-010-0155-6

    authors: Kaplan MS,Jung SY,Chiang ML

    更新日期:2011-02-01 00:00:00

  • Vascular endothelial growth factor as a key inducer of angiogenesis in the asthmatic airways.

    abstract::Asthma is a chronic inflammatory disease of the airways characterized by structural airway changes, which are known as airway remodeling, including smooth muscle hypertrophy, goblet cell hyperplasia, subepithelial fibrosis, and angiogenesis. Vascular remodeling in asthmatic lungs results from increased angiogenesis, w...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-012-0317-9

    authors: Meyer N,Akdis CA

    更新日期:2013-02-01 00:00:00

  • Differential diagnosis of eosinophilic chronic rhinosinusitis.

    abstract::Eosinophilic chronic rhinosinusitis (ECRS) encompasses a wide variety of etiologies. To date, a unifying pathophysiologic mechanism remains elusive. Eosinophilia is frequently, but not exclusively, caused by immunoglobulin (Ig)E-mediated hypersensitivity and is dominated by the associated cytokine milieu of Th2 inflam...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-006-0036-1

    authors: Sok JC,Ferguson BJ

    更新日期:2006-05-01 00:00:00

  • Experimental autoimmune encephalomyelitis: cytokines, effector T cells, and antigen-presenting cells in a prototypical Th1-mediated autoimmune disease.

    abstract::Experimental autoimmune encephalomyelitis (EAE) is widely depicted as the prototypical CD4+ Th1-mediated autoimmune disease. Microglia and perivascular macrophages are believed to act as antigen-presenting cells during the effector phase of EAE. In this article, recent data that challenge these conceptions are reviewe...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-003-0017-6

    authors: Segal BM

    更新日期:2003-01-01 00:00:00

  • Changing pollen types/concentrations/distribution in the United States: fact or fiction?

    abstract::The buildup of greenhouse gases in the atmosphere has resulted in global climate change that is having a significant effect on many allergenic plants through increases in plant productivity and pollen allergenicity and shifts in plant phenology. Based on experimental studies, increased atmospheric levels of carbon dio...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-008-0081-z

    authors: Levetin E,Van de Water P

    更新日期:2008-09-01 00:00:00

  • Antibiotic theory in otitis media.

    abstract::Otitis media is currently the most common diagnosis made by clinicians, which has a major impact on managed care. The emergence of resistant bacterial pathogens has caused controversy over the use of antibiotics when acute otitis media (AOM) is diagnosed. All infants with AOM and all older children with severe AOM sho...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-001-0050-2

    authors: Gungor A,Bluestone CD

    更新日期:2001-07-01 00:00:00

  • Update on side effects from common vaccines.

    abstract::Vaccines have had a tremendous impact on public health by reducing morbidity and mortality from a variety of virulent pathogens. However, unintended side effects continue to pose a potential risk that may outweigh the vaccine's protective attributes. In this review, we discuss recent articles and controversies pertain...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-004-0010-8

    authors: Song BJ,Katial RK

    更新日期:2004-11-01 00:00:00

  • Food allergy and quality of life: what have we learned?

    abstract::Health-related quality of life (HRQL) has become an emerging focus of interest in food allergy. Food allergy is a disease characterized by low mortality and symptoms which only occur during an allergic reaction. However, food-allergic patients continuously need to be alert when eating in order to prevent potentially s...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-013-0391-7

    authors: van der Velde JL,Dubois AE,Flokstra-de Blok BM

    更新日期:2013-12-01 00:00:00

  • Bronchial thermoplasty for the treatment of asthma.

    abstract::Asthma is an increasingly prevalent disease, particularly in industrialized countries. With modern treatment, many patients can expect good asthma control; however, a significant minority continue to have excessive symptoms. Bronchial thermoplasty is a novel approach to treating asthma in which the hypertrophied airwa...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-009-0013-6

    authors: Martin N,Pavord ID

    更新日期:2009-01-01 00:00:00

  • T cells in drug allergy.

    abstract::In recent years, increasing evidence has indicated an important role for T cells in various drug-induced diseases. A detailed analysis of patients with various drug allergies revealed the existence of drug-specific T cells in the circulation or in eluate from skin infiltration in bullous, pustular, and maculopapular d...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-002-0032-z

    authors: Pichler WJ

    更新日期:2002-01-01 00:00:00

  • Sublingual immunotherapy in pediatric allergic rhinitis and asthma: efficacy, safety, and practical considerations.

    abstract::Specific allergen immunotherapy (SIT) is the only disease-modifying treatment for allergic rhinitis and asthma. Subcutaneous immunotherapy (SCIT) is the only method with a US Food and Drug Administration (FDA)-approved formulation, but safety concerns limit administration to medical facilities. Sublingual immunotherap...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-007-0063-6

    authors: Cox L

    更新日期:2007-11-01 00:00:00

  • New approaches to modulating idiopathic pulmonary fibrosis.

    abstract::Until recently, idiopathic pulmonary fibrosis (IPF) has been a devastating and generally fatal disease with no effective therapeutic. New developments in understanding the biology of the disease include a growing consensus that the lesions are mainly composed of cells that originated from resident fibroblasts. New dev...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-013-0377-5

    authors: Gomer RH

    更新日期:2013-12-01 00:00:00

  • Administering a Telemedicine Program.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to describe the process of administering a telemedicine program including reviewing telemedicine guidelines; discussing licensing, credentialing, and privileging of providers; outlining scheduling and recruitment of patients; and measuring outcomes of a telemedicine progr...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-018-0812-8

    authors: Taylor L,Capling H,Portnoy JM

    更新日期:2018-09-15 00:00:00

  • Hypoallergenic Proteins for the Treatment of Food Allergy.

    abstract:PURPOSE OF REVIEW:Food allergy is a growing health problem worldwide that impacts millions of individuals. Current treatment options are limited and strict dietary avoidance remains the standard of care. Immunotherapy using whole, native allergens is under active clinical investigation but harbors the risk of severe si...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-019-0846-6

    authors: Yang L,Kulis M

    更新日期:2019-02-22 00:00:00

  • Potential roles in rhinitis for protease and other enzymatic activities of allergens.

    abstract::Exposure to airborne pollen, fungal allergens, and dust mite allergens is associated with the development of allergic rhinitis. Biologic function of allergens is considered to be a key determinant for allergenicity, and many clinically important allergens have been shown to possess enzymatic activity. It is proposed t...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-005-0041-9

    authors: Sehgal N,Custovic A,Woodcock A

    更新日期:2005-05-01 00:00:00

  • Update on Aspirin-Exacerbated Respiratory Disease.

    abstract::Aspirin-exacerbated respiratory disease (AERD) is an acquired disease characterized by chronic eosinophilic airway inflammation with underlying dysregulation of arachidonic acid metabolism. The purpose of this paper is to review the latest developments in our understanding of the underlying pathophysiology including t...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-017-0673-6

    authors: Woessner KM

    更新日期:2017-01-01 00:00:00

  • Physical urticaria.

    abstract::The physical urticarias are a heterogeneous subgroup of chronic urticarias in which wheals can be reproducibly induced by different specific physical stimuli such as cold, heat, pressure, vibration, or sunlight. Physical urticarias comprise up to 25 % of chronic urticarias and occur more frequently in young adults. Sy...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-012-0269-0

    authors: Abajian M,Młynek A,Maurer M

    更新日期:2012-08-01 00:00:00

  • House Dust Mite-Shrimp Allergen Interrelationships.

    abstract:PURPOSE OF REVIEW:Focusing on the strict relationship between house dust mites and crustaceans from the allergenic point of view. RECENT FINDINGS:The well-known tropomyosin was considered for years as the cross-reacting allergen between shrimp and house dust mites. In the last few years, several allergens not only in ...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-020-0902-2

    authors: Asero R,Pravettoni V,Scala E,Villalta D

    更新日期:2020-03-06 00:00:00

  • Eosinophilic Esophagitis and Gastroenteritis.

    abstract::Eosinophilic gastrointestinal disease (EGID) can be classified as eosinophilic esophagitis (EoE) when the eosinophilia is limited to the esophagus or as eosinophilic gastritis (EG) if it is limited to the gastric tract, eosinophilic colitis (EC) if it is limited to the colon, and eosinophilic gastroenteritis (EGE) if ...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-015-0558-5

    authors: Cianferoni A,Spergel JM

    更新日期:2015-09-01 00:00:00

  • The role of CT and MRI in the diagnosis of chronic rhinosinusitis.

    abstract::Chronic rhinosinusitis (CRS) is one of the most common chronic disease conditions in the United States. Currently, diagnosis is based initially on clinical symptomatology and signs, but the final diagnosis of CRS should be confirmed by objective measures. CT of the paranasal sinuses is the most commonly obtained test ...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章

    doi:10.1007/s11882-010-0103-5

    authors: Bhattacharyya N

    更新日期:2010-05-01 00:00:00

  • The role of lipid transfer proteins in allergic diseases.

    abstract::Nonspecific lipid transfer proteins (LTPs) are important allergens in fruits, vegetables, nuts, pollen, and latex. Despite their wide distribution throughout the plant kingdom, their clinical relevance is largely confined to the Mediterranean area. As they can sensitize via the gastrointestinal tract, LPTs are conside...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-010-0128-9

    authors: Egger M,Hauser M,Mari A,Ferreira F,Gadermaier G

    更新日期:2010-09-01 00:00:00

  • DiGeorge syndrome/chromosome 22q11.2 deletion syndrome.

    abstract::DiGeorge syndrome is characterized by conotruncal cardiac defects, hypocalcemia, and a hypoplastic thymus. Many, but not all, patients have a heterozygous deletion of chromosome 22q11.2. In its most severe form, it represents a devastating syndrome with high mortality. Patients with severe immunodeficiency are candida...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-001-0029-z

    authors: Sullivan KE

    更新日期:2001-09-01 00:00:00

  • The asthma COPD overlap syndrome (ACOS).

    abstract::Asthma and chronic obstructive pulmonary disease (COPD) have traditionally been viewed as distinct clinical entities. Recently, however, much attention has been focused on patients with overlapping features of both asthma and COPD: those with asthma COPD overlap syndrome (ACOS). Although no universal definition criter...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-014-0509-6

    authors: Bujarski S,Parulekar AD,Sharafkhaneh A,Hanania NA

    更新日期:2015-03-01 00:00:00

  • Sulfonamide allergy and cross-reactivity.

    abstract::Concerns about cross-allergenicity between sulfonamide antibiotics and nonantibiotic sulfonamide-containing drugs continue to complicate pharmacotherapy. Several elegant investigations have demonstrated unequivocal lack of interaction between the sulfonamide group and either cellular or humoral immunity. The immunolog...

    journal_title:Current allergy and asthma reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11882-007-0029-8

    authors: Brackett CC

    更新日期:2007-04-01 00:00:00