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Chapter category: Autoimmunity

Role of Mast Cells and Eosinophils in Neuroimmune Interactions Regulating Mucosal Inflammatory in Inflammatory Bowel Disease

This chapter appears in the following book:

Immune Mechanisms in Inflammatory
Bowel Disease

Edited by: Richard S. Blumberg and Markus F. Neurath
ISBN: 0-387-30831-8
» Get more information about this book at landesbioscience.com «

Chapter authors:
Stephan C. Bischoff and Thomas Gebhardt

The nervous and the immune systems are the body’s “supersystems” permanently sensing, processing and responding to changes of the external and internal micro- and macro-environment. Together, both systems provide function, integrity, and homeostasis of the organism, and it is supposed that they do so by bi-directionally interacting with each other at different levels. Indeed, there is a growing body of evidence for neural regulation of immune functions and, vice versa, for impact of immune activation on the function of the nervous system.1 Mechanistically, this is mainly brought about by the shared use of several ligands and receptors in cell types of both neural and immunological origin. Furthermore, it is supposed that dysregulation of neuroimmune cross-talk occurs during or even might cause various chronic inflammatory conditions.1,2 Based on several morphologic and functional studies, tissue mast cells (MC) and, albeit to lesser extent, eosinophils (Eo) are known as key players in neuroimmune interactions at barrier locations such as gut, lung, or skin.1,3-5 Whereas MC-nerve interactions have been reported in many different studies, evidence for Eo-nerve interaction in the gut is rather limited. Intestinal MCs, for instance, interact with nerves and epithelial cells to regulate various physiologic processes such as intestinal motility, intestinal permeability, or ion and fluid secretion. Furthermore, intestinal MCs and Eos exert proinflammatory and immuno-modulatory properties and are involved in intestinal inflammation, e.g., in the course of allergic enteritis or inflammatory bowel disease (IBD). These observations led to the hypothesis that activation of MCs and possibly also Eos may be closely related to a dysregulated neural coordination of gut function as observed in chronically inflammed tissue. In this chapter, we will review current knowledge about the regulation and function of human intestinal MCs and Eos and their role in intestinal inflammation, particularly in ulcerative colitis and Crohn’s disease. Moreover, we will try to summarize several studies providing evidence for a crosstalk between nerves and intestinal MCs and Eos, respectively, and we will discuss the possible role of such interaction in the pathogenesis of IBD.

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