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* Faculty of Agriculture, Department of Veterinary Clinic, Tokyo University of Agriculture and Technology, and
Department of Health Chemistry, Graduate School of Pharmaceutical Sciences, University of Tokyo, Tokyo, Japan; and
Faculty of Agriculture, Department of Veterinary Anatomy, Yamaguchi University, Yamaguchi, Japan
| Abstract |
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| Introduction |
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Mast cells are often abundant along blood vessels, and generate and
release a number of vasoactive mediators including histamine, serotonin
(5-hydroxytriptamine; 5-HT), and leukotrienes by cross-linking of
Fc
RI-IgE with its specific Ag (22). In addition to the
immunological stimulation, intradermal or s.c. administration of NGF to
rats causes immediate vasodilatory responses characterized by the
degranulation of local mast cells (23, 24). In contrast
with the in vivo reports, NGF alone is insufficient to induce chemical
mediator release from rat peritoneal mast cells (PMC) and the addition
of exogenous phosphatidylserine (PS) or lysoPS, a deacylated PS
derivative, to NGF is necessary for the mast cell activation (8, 25, 26). However, the mechanisms by which NGF and
serinephospholipids induce mast cell activation and their
pathophysiological roles have been poorly understood.
PS is a membrane phospholipid component normally distributed at the internal side of the plasma membrane. Activation of platelets by thrombin or calcium ionophore results in loss of membrane asymmetry and expression of PS and/or lysoPS on their cell surface, which is provided to catalyze hemostatic plug formation and blood coagulation (27, 28). In the tissue repair process, circulating platelets rapidly adhere to the subendothelial connective tissue exposed by vascular injury. Following this event, attached platelets are activated by a perivascular matrix (27, 28). Activated platelets most likely provide the phospholipid molecules at the affected sites. Therefore, we speculated that NGF may interact with platelets accumulating at the site of injured blood vessels, where mast cells locate abundantly, resulting in mast cell activation in vivo. To examine this hypothesis, we investigated whether activation of mast cells was modulated by NGF and platelets in vitro, by measuring 5-HT release from rat PMC. We report herein a novel collaborative interaction between NGF and surface lysoPS on activated platelets, thereby leading to mediator release from mast cells in vitro and in vivo.
| Materials and Methods |
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2.5S NGF purified from murine submaxillary glands was a gift from A. M. Stanisz and J. Bienenstock (McMaster University, Hamilton, Canada). Neurotrophic activity of the NGF preparations was determined as described previously (12). Cytochrome c and busulfan were purchased from Sigma-Aldrich (St. Louis, MO). PS, lysoPS, lysophosphatidylic acid (lysoPA), lysophosphatydylcholine (lysoPC), lysophosphatidylethanolamine, and lysophosphatidylinositol were purchased from Avanti Polar Lipids (Alabaster, AL). We also used K252a (Calbiochem, La Jolla, CA), PD98059 (New England Biolabs, Beverly, MA), and LY294002 (Calbiochem). PS-specific phospholipase A1 (PS-PLA1) was purified as described previously (29). Unless otherwise indicated, all chemicals and Abs were purchased from Sigma-Aldrich.
Isolation of rat PMC
Outbread male Wistar rats (816 wk of age) (Clea Japan, Tokyo, Japan) were kept in our laboratory provided with food and water ad libitum >1 wk before they were sacrificed. PMC were purified by Percoll solution (Pharmacia Biotech, Uppsala, Sweden) as described previously (18). Sedimented PMC (>96% purity and 98% viability) were washed twice and resuspended at a concentration of 105 cells/ml in DMEM supplemented with 10% FCS.
Preparation of platelets
Whole-blood anticoagulated with 0.38% of trisodium citrate was collected from the exposed external jugular vein of normal rats under ether anesthesia. Platelet-rich plasma was prepared by centrifugation of blood samples at 120 x g for 13 min. To activate platelets, platelet-rich plasma was incubated with 1 µM calcium ionophore A23187 at 37°C for 30 min without agitation, and washed twice with PBS containing 0.1% BSA and 300 ng/ml PGI2 (Ono Pharmaceutical, Tokyo, Japan). Washed platelets were resuspended at a concentration of 2 x 108 cells/ml in prewarmed DMEM supplemented with 10% FCS. In some experiments, we used platelets fixed with 1% paraformaldehyde in PBS at 4°C for 20 min following the stimulation with 1 µM calcium ionophore A23187 or 0.2 U/ml thrombin. After the fixation, platelets were washed three times with PBS. Platelets showed no aggregation in the process of the treatment indicated above.
[3H]5-HT release from PMC
5-HT release was determined as described previously
(9). Briefly, purified PMC (105
cells/ml) resuspended in DMEM supplemented with 10% FCS were incubated
at 37°C for 1 h with 1 µCi/ml of
[3H]5-HT (specific activity: 26.3 Ci/mM; New
England Nuclear, Boston, MA). The cells were washed five times with
ice-cold PBS containing 0.1% BSA to remove unincorporated
[3H]5-HT. A total of 105
radiolabeled PMC were incubated in 1 ml of DMEM with or without various
concentrations of NGF, various numbers of platelets, and/or various
aminophospholipids at 37°C for 30 min, unless especially indicated.
After centrifugation for 5 min at 800 x g, aliquots
(200 µl) of the supernatants were dissolved in 3 ml of a
scintillation mixture (Ready Protein; Beckman Coulter, Fullerton, CA)
and counted for
emissions in a scintillation counter (LS500;
Beckman Coulter). Total incorporated cpm of PMC were obtained from cell
pellets lysed with 1 ml of 1% Triton X-100 for 30 min on ice. The
percentage of [3H]5-HT release was calculated
as: supernatant cpm/total cpm x 100. The percentage of release of
unstimulated PMC was <10%.
Treatment of RBC with calcium ionophore
Venous blood obtained from healthy volunteers was diluted with an equal volume of PBS, and centrifuged in Percoll solution as described above. Sedimented RBC were resuspended at a 30% packed-cell volume in buffer containing 70 mM NaCl, 80 mM KCl, and 10 mM HEPES, and 1 mM CaCl2 (pH 7.4), and then stimulated with 10 µM A23187 at 37°C for 23 h (30). After stimulation, PS expressed on the surface of RBC was assessed with FITC-conjugated annexin V (BD PharMingen, San Diego, CA) according to the manufacturers instruction. By this procedure, >65% cells expressed PS on their surface. To prepare surface lysoPS "positive" RBC, PS-expressing RBC were treated at 37°C for 10 min with PS-PLA1, which is capable of allowing to accumulate lysoPS on the RBC surface (29). The RBC preparations were washed and fixed with 1% paraformaldehyde for 10 min.
Intracellular calcium mobilization
Freshly isolated PMC were incubated with 2 µM fura 2 acetoxymethyl ester (Dojin, Tokyo, Japan) in Tyrodes buffer (130 mM NaCl, 5 mM KCl, 1.4 mM CaCl2, 1 mM MgCl2, 5.6 mM glucose, 0.1% BSA, and 10 mM HEPES (pH 7.4)) at 37°C for 1 h, and then resuspended in 500 µl (106 cells) of the same buffer in a stirring cuvette. Following stimulation with 50 ng/ml NGF in the presence of 5 µM lysoPS or 108 activated platelets, cytosolic calcium of PMC was measured by monitoring fluorescence intensity at an emission wavelength of 510 nm, and excitation wavelengths of 340 and 380 nm using a CAF-110 (JACS, Tokyo, Japan) with a 8100 V3.0 software program.
Pretreatment of PMC with signal transduction inhibitors
Before a 5-HT release assay, PMC were preincubated for 1 h with the following inhibitors: 50 ng/ml K252a, a TrkA inhibitor (31); 100 µM PD98059, a mitogen-activated protein kinase (MAPK) kinase inhibitor (32); or 50 µM LY294002, a phosphatidylinositol 3-kinase (PI3K) inhibitor (33). The PMC were pretreated with inhibitors or a diluent solution, resuspended in DMEM, and allowed to demonstrate activating effect of NGF and platelets.
Western blot analysis of phosphorylated proteins
Autophosphorylation of TrkA, MAPK, PI3K, and phospholypase C-
(PLC
) was examined by using a modification of the method described
previously (18). Briefly, PMC were suspended in serum-free
medium at a density of 2 x 106 cells/ml and
followed by stimulation with NGF (50 ng/ml), lysoPS (5 µM), and/or
activated platelets (108 cells/ml) at 37°C for
5 or 30 min. Cells were lysed with lysis buffer (1.0% Nonidet P-40, 50
mM Tris (pH 7.5), 150 mM NaCl, 5 mM EDTA, 1 mM sodium orthovanadate, 1
mM PMSF, 10 µg/ml aprotinin, and 1 µg/ml leupeptin) for 5 min, and
then frozen and thawed three times. Lysates were centrifuged at 15,000
rpm for 20 min, and supernatants were incubated with anti-PI3K Ab
(Upstate Biotechnology, Lake Placid, NY) or anti-PLC
1 (Santa
Cruz Biotechnology, Santa Cruz, CA) conjugated with protein-A
beads at 4°C overnight with gentle rotation. The boiled immunocomplex
samples were subjected to 10% SDS-PAGE and electrically transferred to
a membrane (Immobilon-P; Millipore, Bedford, MA). The membrane was
incubated at 4°C overnight with the anti-phosphotyrosine mAb and
followed to reincubate with peroxidase-conjugated second Ab. For
detection of phosphorylated TrkA and MAPK, equal amounts of whole-cell
lysates were resolved by SDS-PAGE. The phosphorylation of TrkA or MAPK
in each sample was assessed using rabbit polyclonal Ab (Cell Signaling
Technology, Beverly, MA) that recognize the two different
phosphorylated forms of each protein. The immunoreactive bands were
visualized with an enhanced chemiluminescent detection reagent
(Amersham, Arlington Heights, IL).
Plasma extravasation assay
Rats anesthetized with pentobarbital sodium were intradermally injected with 50 µl of 100 ng/ml NGF with or without 5 x 106 activated or resting platelets fixed with paraformaldehyde into the shaved dorsal skin, followed by i.v. injection of 1.0% Evans blue dye. The same concentration of cytochrome c was served as a same m.w. control. Injection sites were marked on the skin for orientation. Thirty minutes later, the dorsal skin was removed, and OD of dye infiltration were digitalized by using Gel Print 200i/VGA and Basic Quantifier (Genomic Solutions, Ann Arbor, MI).
In vivo pretreatment with busulfan
To induce thrombocytopenia, rats were pretreated with busulfan according to the method reported previously (34). Briefly, rats were injected i.p. with busulfan (20 mg/kg body weight) twice 10 and 13 days before the plasma extravasation assay. The number of platelets in blood collected from the retro-orbital plexus were counted.
Real-time PCR quantification of rat cytokines
A quantitative RT-PCR was used to determine mRNA levels of
cytokines in rat basophilic leukemia cells (RBL-2H3 cells;
Health Science Research Resources Bank, Osaka, Japan). Total RNA was
isolated from 5 x 105 cells stimulated with
50 ng/ml NGF, 5 x 108 activated platelets,
and/or 5 µM lysoPS using a TRIzol reagent (Life Technologies,
Rockville, MD), according to the manufacturers instruction. A total
of 1 µg of total RNA was reverse-transcribed into cDNA by using
Moloney murine leukemia virus reverse transcriptase (Superscript II;
Life Technologies) and an oligo(dT) primer. Specific primers for
amplification were based on published sequences for IL-3, IL-4, IL-10,
TNF-
, IFN-
, GM-CSF, and
-actin (35, 36). A
quantitative PCR was performed using a SYBR Green PCR core reagent kit
(PE Applied Biosystems, Tokyo, Japan) following the thermal cycling
programs: stage 1, 50°C for 3 min; stage 2, 95°C for 10 min; stage
3, 40 cycles of 95°C for 15 s followed by 60°C for 30 s.
Fluorescence intensity was measured in real-time during extension steps
for a SYBR Green assay by using a Nippon Bio-Rad thermal cycler
(iCycler iQ detection system; Nippon Bio-Rad Laboratories, Tokyo,
Japan). The no-template control was not amplified in the 40-cycle
PCR.
Statistical analysis
Two-tailed Students t test was done for statistical analysis of the data, and p < 0.05 was taken as the level of significance.
| Results |
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We examined 5-HT release from PMC (105)
cultured with a suboptimal dose of NGF (50 ng/ml) and platelets
(109) for 30 min at 37°C. As shown in Fig. 1
A, neither NGF nor platelets
alone could induce mediator release from mast cells. However, striking
augmentation of 5-HT release (63.8%) was observed when PMC were
cultured with 109 A23187-activated platelets and
50 ng/ml NGF simultaneously. These data indicated that NGF and
platelets had synergistic effect on in vitro mast cell activation
without requiring exogenous serinephospholipids. Whereas coincubation
of PMC with unstimulated resting platelets showed little enhancement of
NGF-induced 5-HT release, the effect of activated platelets was a
nearly 3-fold increase than that of resting platelets. Calcium
ionophore is well-known to act as a strong secretagogue for mast cells.
To eliminate the possibility that the small amount of A23187 was
contaminated in the platelet suspension, we examined the releaseability
of the second washing from the activated platelets. The supernatants
had no effect on 5-HT release from PMC in the presence or absence of 50
ng/ml NGF (3.5 and 4.3%, respectively). Hence, we used activated
platelets for following experiments.
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Effect of fixation of activated platelets on NGF-induced 5-HT release
Activated platelets secrete chemical mediators which are capable
of stimulating mast cells. Therefore, we conducted experiments with
platelets fixed with paraformaldehyde to clarify whether some soluble
factors released from platelets might be involved in mast cell
activation in our in vitro system. Platelets were fixed with 1%
paraformaldehyde after stimulation with calcium ionophore A23187
or thrombin. The fixed activated platelets to 50 ng/ml NGF led to
significant 5-HT release and marked degranulation of mast cells (Fig. 2
, A and B). Thus,
we concluded that the fixation of activated platelets did not
substantially alter their ability to modulate the NGF-dependent mast
cell activation.
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Previous studies show that NGF-mediated mediator release from mast
cells requires the presence of exogenous serinephospholipids such as PS
or lysoPS (8, 25, 26). PS is a membrane component that is
normally distributed in an inner leaflet of a phospholipid bilayer.
Activation of platelets by calcium ionophore leads to not only surface
expression of membrane PS, but also accumulation of lysoPS by the
subsequent degradation (28, 37, 38). Therefore, we
examined the effect of either PS, lysoPA, lysoPC,
lysolysophosphatidylethanolamine, lysophosphatidylinositol, or lysoPS
on NGF-induced mast cell activation. As shown in Fig. 3
, lysoPS induced significant 5-HT
release from mast cells in the presence of NGF, but the other
aminophospholipids did not.
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Because NGF-dependent histamine release of mast cells is inhibited
by EDTA (25), we measured cytosolic calcium mobilization
of mast cells loaded with fura 2 acetoxymethyl ester in response to
addition of NGF and activated platelets. A very slight increase of
intracellular calcium levels was observed in single addition of 50
ng/ml NGF, 5 µM lysoPS, or 108 activated
platelets, respectively (Fig. 5
). In
contrast, simultaneous addition of NGF and A23187-activated platelets
led to a marked increase of intracellular calcium levels, which reached
the maximum levels within 200 msec; and the combination of NGF and
lysoPS also significantly increased calcium influx (Fig. 5
).
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The biological effects of NGF on target cells are mediated by
specific cell surface receptors with different affinities: p75 and TrkA
(4, 5). We recently demonstrated that rat PMC expressed
the latter alone, the NGF high-affinity receptor with a tyrosine kinase
domain, whose activation prevented apoptosis and initiated chemotactic
movement of mast cells through both MAPK and PI3K signal pathways
following tyrosine-phosphorylation of TrkA (9, 18).
Therefore, we attempted to determine whether 5-HT release from PMC
induced by NGF and A23187-activated platelets was influenced by
blockage of TrkA, MAPK kinase, and PI3K by using specific inhibitors
K-252a, PD98059, and LY294002, respectively. When PMC were pretreated
with 50 ng/ml K-252a for 1 h, the NGF-induced 5-HT release was
completely inhibited (Fig. 6
).
Pretreatment with 100 µM PD98059 and 10 µM LY294002 reduced the
NGF-induced 5-HT release by 69 and 62%, respectively. The combination
of both inhibitors markedly suppressed 5-HT release from PMC that was
comparable to the inhibitory effect induced by the pretreatment with
K-252a (Fig. 6
). To obtain more insight into the mechanism of
NGF-induced mast cell activation in the presence of activated
platelets, we next examined the possible involvement of lysoPS or
A23187-activated platelets in TrkA, MAPK, PI3K, and PLC
signaling
pathways. NGF treatment induced tyrosine phosphorylation of TrkA, MAPK,
and PI3K, but not that of PLC
(Fig. 7
). In contrast, no phosphorylation of
the tyrosine residues was detected for individual signal molecules
after treatment with either lysoPS or activated platelets. Simultaneous
addition of lysoPS or activated platelets with NGF did not change the
phosphorylation levels of all the signal molecules (Fig. 7
).
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We next attempted to determine a dye extravasation after
intradermal injection of NGF to assess a cooperative effect of NGF and
activated platelets on mast cell activation in vivo. As shown in Fig. 8
A, markedly increased
extravasation was observed at the injection site of the skin when a
mixture of 5 ng NGF and 5 x 106 platelets
activated with A23187 or thrombin was administered, whereas injection
of NGF alone induced a mild vasodilative response. In controls with PBS
vehicle, 5 ng cytochrome c, or activated platelets alone, no
or slight response was noted. To evaluate a role of circulating
platelets in NGF-induced mast cell activation in vivo, busulfan was
injected into rats before intradermal injection with NGF and activated
platelets. The injection was induced marked reduction in the number of
circulating platelets (<2.0%) 13 days later. Pretreatment with
busulfan suppressed the NGF-induced vasodilative response by
about half level as compared with that in control rats (Fig. 8
B).
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Because NGF increases mRNA levels of several cytokines in mast
cells (35), we next examined an effect of activated
platelets or lysoPS on NGF-mediated cytokine production by real-time
PCR quantification. We used rat basophilic leukemia cell line RBL-2H3
instead of rat PMC. As detected in rat PMC, simultaneous stimulation by
NGF and activated platelets caused significant degranulation response
in RBL-2H3 cells (data not shown). Treatment with NGF alone induced a
marked increase in mRNA expression of IL-3, IL-4, TNF-
, IFN-
, and
GM-CSF, whereas a slight, but not significant, increase in mRNA
expression of IL-10 was detected (Fig. 9
). However, neither lysoPS nor activated
platelets substantially modulated the NGF effect on cytokine gene
expression.
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| Discussion |
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Recently, lysophospholipids such as lysoPS, lysoPA, and lysoPC have been reported to induce a transient increase of cytosolic calcium levels in a human T cell line (42), suggesting the presence of the same receptor for the lysophospholipids on the target cell surface. In PMC, lysoPS, unlike the other lysophospholipids, triggered NGF-induced 5-HT release, whereas it led little calcium influx, suggesting that mast cells might express receptors which are capable of recognizing lysoPS. However, because isotope-labeled lysoPS failed to bind to CD36 expressed on rat macrophages (data not shown), a signal of lysoPS might be mediated through some receptors different from CD36.
Binding of NGF to TrkA on PMC rapidly induces autophosphorylation of tyrosine residue of the receptor, which leads to activation of downstream signal cascades including MAPK and PI3K, thereby resulting in chemotactic movement (9, 18). Simultaneous addition of MAPK kinase and PI3K inhibitors completely blocked NGF-induced 5-HT release from PMC even in the presence of activated platelets, suggesting that 5-HT release may be mediated through both the signal transduction cascades. However, because activated platelets did not influence tyrosine phosphorylation of the individual signal molecules even in the presence of NGF, and because NGF alone was not capable of releasing 5-HT despite leading to phosphorylation of both MAPK and PI3K molecules, the signaling mechanisms by which lysoPS-expressing platelets exert its effect have been unclear.
NGF stimulation in the presence of lysoPS not only induces
degranulation of mast cells but also increases the production of
several cytokines including TNF-
(35). Therefore, we
examined the effect of activated platelets and lysoPS on NGF-inducible
inflammatory cytokine mRNA expression by quantitative real-time PCR.
The mRNA levels of IL-3, IL-4, IL-10, TNF-
, IFN-
, and GM-CSF were
increased in response to NGF, but those were not modulated by addition
of lysoPS or activated platelets. Thus, NGF and activated platelets may
act collaboratory on 5-HT release, but not on cytokine gene expression.
However, as NGF does not significantly increase the production of
TNF-
protein even in the presence of lysoPS (43), the
NGF-mediated effect on cytokine production might be limited to the gene
expression level.
We confirmed the collaborative action of NGF and activated platelets on mediator release from residential tissue mast cells in rat skin by in vivo extravasation assay. This result implies that the novel activation pathway to mast cells presented here may occur in the pathophysiological condition. NGF alone showed slight effect of vascular permeability. It may be caused by the interaction between circulating platelets probably activated in the injection site and injected NGF because rats with thrombocytopenia manifested significant reduction in NGF-induced vascular permeability. NGF is rapidly released from salivary glands into blood stream in response to fighting stress in rats and mice and serum levels of NGF were increased up to 300 ng/ml (44). In humans, NGF is detected in peripheral blood after parachute diving stress (45). If circulating naive platelets could induce mast cell activation together with NGF, an increase in serum levels of NGF in such conditions would cause fatal systemic shock by massive mast cell degranulation. We consider that the collaborative interaction between NGF and activated platelets demonstrated in this study may occur in the presence of endothelial cell denudation, particularly in the microvasculature at local damaged and inflamed tissues. We found that skin wound led to rapid increase in NGF levels in peripheral blood and affected sites of mice, and that local application of NGF accelerated the wound healing process (21). Correspondingly, increased levels of NGF in local inflammatory tissues or peripheral blood have been found in patients with systemic sclerosis, multiple sclerosis, chronic arthritis, and vernal keratoconjunctivitis (46, 47, 48, 49, 50). Platelets circulating in blood immediately accumulate at the site of injury or hemorrhage leading to their morphological change and biochemical activation. In contrast, mast cells are residential cells adjacent to the endothelium in the normal connective and mucosal tissues. Therefore, NGF locally and/or systemically produced in response to inflammatory stimuli may act with activated platelets recruited to injured sites to modulate the functions of mast cells in vivo. Our results strongly support this hypothesis, and suggest a possible role for NGF in many pathophysiological conditions that lead to mast cell activation. Activation of mast cells induces the release of histamine, leukotrienes, and produces inflammatory cytokines, resulting in the recruitment and activation of circulating leukocytes to the area of allergic and nonallergic inflammation. Mast cells also contribute to innate immunity to bacterial infection (51, 52, 53). The striking cooperative effect of NGF with platelets on mast cell activation may contribute to development of acute and chronic inflammations and wound healing process at damaged tissues.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Hiroshi Matsuda, Laboratory of Clinical Immunology, Faculty of Agriculture, Department of Veterinary Clinic, Tokyo University of Agriculture and Technology, 3-5-8 Saiwai-cho, Fuchu, Tokyo 183-8509, Japan. E-mail address: hiro{at}cc.tuat.ac.jp ![]()
3 Abbreviations used in this paper: NGF, nerve growth factor; TrkA, high affinity receptor for NGF; 5-HT, 5-hydroxytriptamine; PMC, peritoneal mast cell; PS, phosphatidylserine; PA, phosphatidylic acid; PC, phosphatydylcholine; PS-PLA1, PS-specific phospholipase A1; MAPK, mitogen-activated protein kinase; PI3K, phosphatidylinositol 3-kinase; PLC
, phospholipase C-
; RBL-2H3 cell, rat basophilic leukemia cell. ![]()
Received for publication October 5, 2001. Accepted for publication April 8, 2002.
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