Chrostek Lech, Cylwik Bogdan, Szmitkowski Maciej
Akademia Medyczna w Białymstoku, Zakład Diagnostyki Biochemicznej.
Pol Merkur Lekarski. 2007 Sep;23(135):225-30.
Histamine is biogenic amine that exerts the numerous important biological functions. Alcohol affect histamine action because those have common metabolizing enzymes--aldehyde dehydrogenase and aldehyde oxidase. Acetaldehyde can compete with aldehydes derived from histamine metabolism. Increased blood acetaldehyde resulting from abnormalities of alcohol dehydrogenase genotype in the Orientals population can release histamine from mast cells and basophiles, which induces the hypersensitivity reactions (flushing). These reactions may be blocked by antihistamine drugs. H2-receptor antagonists influence on the ethanol metabolism by the inhibition of the activity of alcohol metabolizing enzymes in the stomach and liver. Decreased activity of stomach alcohol dehydrogenase results in an increase in the blood ethanol concentrations, which may impairs the psychomotor skills and exceeds legal limits of driving. There are same evidences that ethanol affects the brain histamine level by the changes in the activity of enzymes involved in the synthesis and metabolism of histamine.
组胺是一种具有多种重要生物学功能的生物胺。酒精会影响组胺的作用,因为它们有共同的代谢酶——乙醛脱氢酶和醛氧化酶。乙醛可与组胺代谢产生的醛类竞争。东方人群中酒精脱氢酶基因型异常导致血液乙醛水平升高,可使肥大细胞和嗜碱性粒细胞释放组胺,从而引发过敏反应(脸红)。这些反应可用抗组胺药物阻断。H2受体拮抗剂通过抑制胃和肝脏中酒精代谢酶的活性来影响乙醇代谢。胃酒精脱氢酶活性降低会导致血液乙醇浓度升高,这可能会损害精神运动技能并超过法定驾驶限值。有证据表明乙醇通过影响参与组胺合成和代谢的酶的活性来影响脑内组胺水平。