RT Journal Article T1 Critical Signaling Events in the Mechanoactivation of Human Mast Cells through p.C492Y-ADGRE2 A1 Olivera, Ana A1 Metcalfe, Dean D. A1 Kastner, Daniel L. A1 Boyden, Steven E. A1 Komarow, Hirsh D. A1 Tobío Ageitos, Araceli A1 Smelkinson, Margery G. A1 Bai, Yun A1 Bandara, Geethani A1 Naranjo, Andrea N. AB A role for the adhesion G-protein coupled receptor ADGRE2 or EMR2 in mechanosensing was revealed by the finding of a missense substitution (p.C492Y) associated with familial vibratory urticaria. In these patients, friction of the skin induces mast cell hyper-degranulation through p.C492Y-ADGRE2, causing localized hives, flushing, and hypotension. We have now characterized the responses and intracellular signals elicited by mechanical activation in human mast cells expressing p.C492Y-ADGRE2 and attached to dermatan sulfate, a ligand for ADGRE2. The presence of p.C492Y-ADGRE2 reduced the threshold to activation and increased the extent of degranulation along with the percentage of mast cells responding. Vibration caused phospholipase C activation, transient increases in cytosolic calcium, and downstream activation of phosphoinositide 3-kinase and extracellular signaleregulated kinases 1 and 2 by Gbg, Gaq/11, and Gai/o-independent mechanisms. Degranulation induced by vibration was dependent on phospholipase C pathways, including calcium, protein kinase C, and phosphoinositide 3-kinase but not extracellular signaleregulated kinases 1/2 pathways, along with pertussis toxin-sensitive signals. In addition, mechanoactivation of mast cells stimulated the synthesis and release of prostaglandin D2, to our knowledge a previously unreported mediator in vibratory urticaria, and extracellular signaleregulated kinases 1/2 activation was required for this response together with calcium, protein kinase C, and to some extent, phosphoinositide 3-kinase. Our studies thus identified critical molecular events initiated by mechanical forces and potential therapeutic targets for patients with vibratory urticaria. PB Elsevier SN 0022-202X YR 2020 FD 2020 LK http://hdl.handle.net/10347/31927 UL http://hdl.handle.net/10347/31927 LA eng NO Naranjo, A.N., Bandara, G., Bai, Y., Smelkinson, M.G., Tobío, A. Komarow, H.D., Boyden, S.E., Kastner, D.L., Metcalfe, D.D., Olivera, A. (2020). Critical Signaling Events in the Mechanoactivation of Human Mast Cells through p.C492Y-ADGRE2. Journal of Investigative Dermatology, 140 (11), pp 2210-2220.e5 NO This work was supported by the Division of Intramural Research within the National Institute of Allergy and Infectious Diseases and the National Human Genome Research Institute at the National Institutes of Health. DS Minerva RD 22 abr 2026