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The PMCHS preprints

The two scientific publications of the PMCHS framework, with DOI and direct access.

What this page covers: the two published preprints of the PMCHS framework, with their DOI. For version history and revisions, see Previous versions / archives.

Published preprints

Preprint · Zenodo / OSF · April 2026

Programmed Mast Cell Hyperreactivity Syndrome (PMCHS): An Epigenetically Programmed Trans-Diagnostic Framework Linking Early Adversity, Mast Cell Dysregulation and Chronic Multisystem Disease

✍️ Elisabeth Silva 🔬 Zenodo · OSF 📅 April 2026 📚 86+ references 👥 N=423 survey data

Full theoretical framework of PMCHS: mechanistic model centred on the NR3C1/KITLG axis, four degranulation phenotypes, international survey data (N=423), transgenerational transmission hypothesis and comorbidity mapping. Not yet peer-reviewed.

Preprint · Zenodo / OSF · June 2026

PMCHS and Primitive Reflexes: Mast Cell Disruption of Synaptic Pruning, Locus Coeruleus and Neonatal Neuromotor Development

✍️ Elisabeth Silva 🔬 Zenodo · OSF 📅 2026 📚 44 references

This preprint formalises the link between transmitted maternal PMCHS terrain, disrupted synaptic pruning via microglial activation, locus coeruleus hyperactivation, and non-integration of primitive reflexes as an early neurodevelopmental marker. Includes the neonatal GIH hypothesis as a third mechanistic pathway to SIDS. Not yet peer-reviewed. A version 4 is in preparation — see the version archive.

See also