Abstract

Anaphylaxis is a severe systemic allergic reaction which is rapid in onset and potentially fatal, caused by excessive release of mediators including histamine and cytokines/chemokines from mast cells and basophils upon allergen/IgE stimulation. Increased prevalence of anaphylaxis in industrialized countries requires urgent needs for better understanding of anaphylaxis. However, the pathophysiology of the disease is not fully understood. Here we report that the circadian clock may be an important regulator of anaphylaxis. In mammals, the central clock located in the suprachiasmatic nucleus (SCN) of the hypothalamus synchronizes and entrains peripheral circadian clock present in virtually all cell types via neural and endocrine pathways, thereby driving the daily rhythms in behavior and physiology. We found that mechanical disruption of the SCN resulted in the absence of a time of day-dependent variation in passive systemic anaphylactic (PSA) reaction in mice, associated with loss of daily variations in serum histamine, MCP-1 (CCL2), and IL-6 levels. These results suggest that the central SCN clock controls the time of day-dependent variation in IgE-mediated systemic anaphylactic reaction, which may provide a novel insight into the pathophysiology of anaphylaxis.

Highlights

  • Anaphylaxis is a rapid, potentially fatal, multiorgan system, allergic reaction caused by the excessive release of mediators including histamine and cytokines/chemokines from mast cells and basophils upon allergen/IgE stimulation [1]

  • We have recently shown that a passive systemic anaphylactic (PSA) reaction in mice exhibits a time of daydependent variation, relying on the normal activity of a key clock gene, Period2 (Per2) [6], suggesting that the canonical clock gene is required for the daily rhythm generation observed in PSA reaction

  • In order to clarify the precise role of the circadian clock system in the generation of daily rhythms in systemic anaphylactic reaction, we examined the effects of suprachiasmatic nucleus (SCN) ablation on a time of day-dependent variations in passive systemic anaphylactic (PSA) reaction in mice, which is a representative model of anaphylaxis

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Summary

Introduction

Anaphylaxis is a rapid, potentially fatal, multiorgan system, allergic reaction caused by the excessive release of mediators including histamine and cytokines/chemokines from mast cells and basophils upon allergen/IgE stimulation [1]. We examined the effects of SCN ablation on the time of day-dependent variations in PSA reaction since SCN ablation reliably eliminates the normal activity of the circadian clock system [4, 5]. In order to clarify the precise role of the circadian clock system in the generation of daily rhythms in systemic anaphylactic reaction, we examined the effects of SCN ablation on a time of day-dependent variations in passive systemic anaphylactic (PSA) reaction in mice, which is a representative model of anaphylaxis.

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