“…The binding of multivalent antigen to the V-region of receptoroccupied IgE causes the aggregation of adjacent receptors. Mast cells and basophils respond by secretion of a wide spectrum of diverse proinflammatory mediators, including histamine, prostaglandins, leukotrienes, cytokines (including interleukins [IL]-3, -4, -5, -6, -10, -13, tumor necrosis factoralpha (TNF-a), granulocyte/macrophage colonystimulating factor (GM-CSF), and several serine proteases, the function of which is uncertain (16)(17)(18). These mediators not only cause the acute phase of the allergic response but also play an important role in the selective activation of inflammatory cell subpopulations.…”