“…As will be discussed further below, the neuropeptides substance P and calcitonin gene-related peptide (CGRP) stimulate mast cell degranulation and cause cytokine release in vitro, and such mediators are implicated in the ongoing degranulation that is a feature of chronic inflammation at both the light (Walsh et al, 1995) and electron microscope levels (Jontell et al, 1986). There is strong evidence for functional interactions between mast cells and nerves (Blennerhassett et al, 1991;Walsh et al, 1991b;Marshall and Waserman, 1995;Theoharides, 1996), and spatial interactions between mast cells and nerves have been characterized in skin (Church et al, 1989;Walsh et al, 1991a;Murphy, 1993;Pujic et al, 1998), oral mucosa (Walsh et al, 1990c;Zhao et al, 1997;Bartold et al, 2000), and in the respiratory, urogenital, and gastrointestinal tracts (Heine and Forster, 1975;Skofitsch et al, 1985;Bienenstock et al, 1987;Stead et al, 1989;Ferrante et al, 1990;Myers et al, 1991;Undem et al, 1995).…”