The IgE-triggered release of mast cell mediators in response to antige
n is thought to be the primary event in immediate hypersensitivity rea
ctions such as systemic anaphylaxis(1). Although mast cells and basoph
ils can be activated in vitro by non-IgE stimuli(2-5), it is not known
whether these triggers lead to physiological changes in vivo. To inve
stigate this possibility, we generated mice with a homozygous null mut
ation of the CE gene. Such mice make no IgE, but produce other immunog
lobulin isotypes normally. We report that despite the IgE deficiency,
sensitized mutant mice become anaphylactic on antigen challenge and di
splay tachycardia and pulmonary function changes similar to those seen
in wildtype animals. These responses are accompanied by vascular leak
, sharply elevated plasma histamine and rapid death. IgE-independent a
naphylaxis does not depend on complement activation, but, as indicated
in studies using genetically immunodeficient RAG-2(-) and SCID mice,
does require a functional immune system. Such results clearly demonstr
ate that non-IgE pathways for hypersensitivity reactions exist in mice
.