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Review

Beyond the “Master” Role in Allergy: Insights into Intestinal Mast Cell Plasticity and Gastrointestinal Diseases

Department of Molecular Medicine, Laboratory Affiliated to Istituto Pasteur Italia-Fondazione Cenci Bolognetti, Sapienza University of Rome, 00161 Rome, Italy
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Author to whom correspondence should be addressed.
Biomedicines 2025, 13(2), 320; https://doi.org/10.3390/biomedicines13020320
Submission received: 20 December 2024 / Revised: 10 January 2025 / Accepted: 27 January 2025 / Published: 29 January 2025

Abstract

Mast cells (MCs) are essential components of the immune system that enter the circulation as immature bone marrow progenitors and differentiate in peripheral organs under the influence of microenvironment factors. As tissue-resident secretory immune cells, MCs rapidly detect the presence of bacteria and parasites because they harbor many surface receptors, which enable their activation via a multitude of stimuli. MC activation has been traditionally linked to IgE-mediated allergic reactions, but MCs play a pivotal role in different physiological and pathological processes. In gut, MCs are essential for the maintenance of gastrointestinal (GI) barrier function, and their interactions with neurons, immune cells, and epithelial cells have been related to various GI disorders. This review recapitulates intestinal MC roles in diseases with a main focus on inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS). Emerging therapies targeting MCs and their mediators in clinical practices will also be discussed.
Keywords: intestinal mast cells; homeostasis; gut inflammation intestinal mast cells; homeostasis; gut inflammation

Share and Cite

MDPI and ACS Style

Molfetta, R.; Carnevale, A.; Marangio, C.; Putro, E.; Paolini, R. Beyond the “Master” Role in Allergy: Insights into Intestinal Mast Cell Plasticity and Gastrointestinal Diseases. Biomedicines 2025, 13, 320. https://doi.org/10.3390/biomedicines13020320

AMA Style

Molfetta R, Carnevale A, Marangio C, Putro E, Paolini R. Beyond the “Master” Role in Allergy: Insights into Intestinal Mast Cell Plasticity and Gastrointestinal Diseases. Biomedicines. 2025; 13(2):320. https://doi.org/10.3390/biomedicines13020320

Chicago/Turabian Style

Molfetta, Rosa, Alessia Carnevale, Caterina Marangio, Erisa Putro, and Rossella Paolini. 2025. "Beyond the “Master” Role in Allergy: Insights into Intestinal Mast Cell Plasticity and Gastrointestinal Diseases" Biomedicines 13, no. 2: 320. https://doi.org/10.3390/biomedicines13020320

APA Style

Molfetta, R., Carnevale, A., Marangio, C., Putro, E., & Paolini, R. (2025). Beyond the “Master” Role in Allergy: Insights into Intestinal Mast Cell Plasticity and Gastrointestinal Diseases. Biomedicines, 13(2), 320. https://doi.org/10.3390/biomedicines13020320

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