Imidazolidinyl urea (IU) is used as an antimicrobial preservative in cosmetic and
pharmaceutical products. IU induces
allergic contact dermatitis, however, the mechanism has not yet been elucidated. Mas-related
G protein-coupled receptor-X2 (MRGPRX2) triggers
drug-induced pseudo-
allergic reactions. The aims of this study were to determine whether IU activated mast cells through MRGPRX2 to further trigger
contact dermatitis. Wild-type (WT) and KitW-sh/HNihrJaeBsmJNju (MUT) mice were treated with IU to observe its effects on local
inflammation and mast cells degranulation in vivo. Laboratory of allergic disease 2 cells were used to detect
calcium mobilization and release of inflammatory mediators in vitro. WT mice showed a severe local inflammatory response and
contact dermatitis, whereas only slight inflammatory infiltration was observed in MUT mice. Thus, MRGPRX2 mediated the IU-induced activation of mast cells. However,
histamine, a typical
allergen, was not involved in this process.
Tryptase expressed by mast cells was the major non-histaminergic inflammatory mediator of
contact dermatitis. IU induced
anaphylactic reaction via MRGPRX2 and further triggering non-histaminergic
contact dermatitis, which explained why
antihistamines are clinically ineffective against some chronic
dermatitis.