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Mast Cells

Mastocytus

For medical students2 min readUpdated 2026-10-10

Mast cells (also known as labrocytes or tissue basophils) are specialized cells that serve as the tissue equivalent of circulating blood basophils. They are located predominantly along blood vessels and play a vital role in regulating local homeostasis, acting as key players in the pathogenesis of allergic reactions through degranulation.

Detection methodAzure II-eosin staining (reveals specific granularity)
OriginHematogenous (from blood stem cells)
LocalizationPerivascular (predominantly near blood vessels)
Granule compositionHeparin and histamine
Granule propertyMetachromasia (change in dye color due to heparin)

Origin and Tissue Localization

Mast cells are cellular elements with a proven hematogenous origin. Initially developing from blood stem cells, they migrate and settle in tissues, where they perform functions fully analogous to those carried out by basophils in the peripheral blood. For this reason, they are frequently called "tissue basophils."

A key topographical feature of labrocytes is their specific distribution. In histological sections, these cells are clearly observed grouping predominantly perivascularly—meaning they align in close proximity along the walls of blood vessels. This localization is not random; it ensures rapid responses to changes in the vascular bed while serving as an indirect morphological confirmation of their hematopoietic origin.

Microscopic Appearance and Tinctorial Properties

For proper visualization and identification of labrocytes in histology, a classic staining technique identical to standard blood smear processing is applied. A mixture of azure II and eosin is used as the stain.

Under light microscopy, a mast cell demonstrates the following morphological characteristics:

Biochemical Composition of Granules and the Phenomenon of Metachromasia

The large specific granules filling the cytoplasm of labrocytes serve as their primary functional apparatus. These granules contain two critically important biologically active compounds:

The presence of heparin endows mast cell granules with a unique optical-chemical property known in histology as metachromasia. Metachromasia is the ability of cellular structures to change the initial color of a dye upon binding to it. Through this phenomenon, labrocyte granules acquire a specific hue contrasting with surrounding tissues, greatly facilitating their detection.

Functional Significance and Mechanism of Allergic Reactions

The overarching physiological role of mast cells is the precise regulation of local tissue homeostasis. This process is carried out via degranulation—the rapid release of intracellular specific granule contents into the extracellular microenvironment.

The functions of labrocytes are most prominently and clinically significantly manifested during allergic reactions. This process follows a strict cascade of sequential events:

  1. Specialized receptors designed to bind immunoglobulin E (IgE) are permanently present on the outer cell membrane of the mast cell.
  2. When a specific antigen (allergen) enters the tissue, it binds to IgE molecules already fixed on the surface of the labrocyte.
  3. The formation of the immune complex leads to rapid and powerful cell activation.
  4. Degranulation is triggered, during which massive amounts of histamine are released into the surrounding tissues.

Biological Effect of Histamine: Released histamine exerts a pronounced effect on the vascular bed near which mast cells reside. It causes sharp vasodilation combined with a significant increase in vascular wall permeability. This leads to the leakage of the fluid portion of blood into the intercellular space $\rightarrow$ development of edema and formation of a marked inflammatory focus.

Mnemonic

Remember the rule of two "H"s: specific granules contain Heparin and Histamine. Heparin provides metachromasia, while Histamine makes blood vessels "leaky," causing edema and inflammation during allergies.

Frequently asked questions

What biologically active substances are contained in the specific granules of mast cells?

The specific granules of mast cells contain heparin and histamine.

What special stain in histology reveals mast cell metachromasia?

Azure II-eosin staining is used in histology to identify mast cells by their large basophilic granules. The granules exhibit metachromasia due to heparin. A stain exclusively dedicated to metachromasia is not specified; only the general azure II and eosin staining is mentioned.

What are the similarities between mast cells and basophils?

Mast cells are the tissue equivalents of circulating blood basophils. They share a hematogenous origin, contain two types of granules (specific and nonspecific), and stain with azure II-eosin.

Which substance causes the metachromasia of labrocyte granules?

The ability to change dye color (metachromasia) occurs exclusively due to the presence of heparin within the large specific granules of the mast cell.

Where in connective tissue are mast cells located?

Labrocytes are located predominantly perivascularly—meaning they line up along blood vessels, facilitating their regulation of vascular permeability upon histamine release.

What triggers the degranulation process in allergies?

Degranulation begins after a specific antigen binds to class E immunoglobulins (IgE) that are pre-attached to receptors on the mast cell surface.

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