Just over a century ago Paul Ehrlich received the Nobel Prize for his studies of immunity. This review describes one of his legacies, the histochemical description of the mast cell, and the research that has ensued since then. After a long period of largely descriptive studies, which revealed little about the biological role of the mast cell, the field was galvanized in the 1950s by the recognition that the mast cell was the main repository of histamine and a key participant in anaphylactic reactions. Although the mast cell was long-viewed in these terms, recent research has now shown that the mast cell also plays a key role in innate and adaptive immune responses, autoimmune disease, and possibly tissue homeostasis by virtue of its expression of a diverse array of receptors and biologically active products. In addition, the responsiveness of mast cells to immunological and pathological stimulants is highly modulated by the tissue cytokine environment and by synergistic, or inhibitory, interactions among the various mast cell receptor systems. This once enigmatic cell of Paul Ehrlich has proved to be both adaptable and multifunctional.Key words: Adaptive immunity . Autoimmune diseases . Innate immunity . Mast cell .Paul Ehrlich
IntroductionThe past year was the 130th anniversary of Paul Ehrlich's presentation of his doctoral thesis at the Medical Faculty of Leipzig University [1] and the 100th anniversary of his Nobel Prize in ''physiology or medicine'' which he shared with Elie Metchnikoff. The work and achievements of Elie Mitchnikoff were described in the December issue of the European Journal of Immunology [2,3]. This review is dedicated to Paul Ehrlich. Among Ehrlich's accomplishments were his descriptions of the tissue mast cell and, sometime later, the blood basophil. Subsequent work by his students and others verified the soundness of Ehrlich's studies but the biological function of the mast cell remained an enigma throughout a period when advances were made in immunity, to which Ehrlich contributed much, and physiological transmitters such as histamine. These advances set the context for studies in the 1950s that culminated in the discoveries that the mast cell was the major repository for histamine and participated in inflammatory allergic diseases.Nevertheless, enigmas remained. Histamine release failed to account for all the symptoms of mast cell activation. Also, the perceived role of mast cells in allergic conditions such as hay fever, asthma, and anaphylactic shock begged the question as to why evolution had endowed mammalian species with a lethal abundance of mast cells in tissues without obvious benefits to the host. These enigmas have been addressed in part by the realization that mast cells play a significant role in both innate and adaptive immunities. The downside is that the mast cell is also responsible, perhaps aberrantly so, for certain autoimmune diseases as well as for allergic phenomena. This review discusses these and other aspects of mast cell function. These include the phenotypic ...