“…In non-IgE-mediated anaphylactoid reactions, various components (IgG, complement components, neuropeptides, cytokines, chemokines, and other inflammatory products) [26,27,28,29,30] directly stimulate the degranulation of mast cells and the selective release of mediators. Besides these endogenous stimuli, some exogenous molecules, which cause drug side effects can also directly activate mast cells [31], such as a vitamin K 1 injection or a Qingkailing injection [32,33]. Different from IgE-mediated allergy, which is mediated by cell-surface receptors, the drugs are able to induce mast cell degranulation and alter enzymatic activity through various pathways [34,35].…”