The following are known triggers of mast cell degranulation (in addition to IgG activation via pathogen or allergen):[ref] Acetylcholine Complement fragments (C3, C4, C5) Various drugs, environmental toxins (MRGPRX2 receptor, details below) Peptides (including endorphin, leptin, PTH, and more) Physical conditions (cold, heat, pressure, stress, and vibration)
Cham: Springer (2019)
Ye L, Lin C, Wang X, Li Q, Li Y, Wang M, et al
In the study, copper up-regulated genes associated with glycosaminoglycan, collagen, and elastin production while simultaneously suppressing the genes associated with inflammation and tissue breakdown