Institute of Pharmacology, Hannover Medical School, Hannover, Germany.
PLoS One. 2012;7(1):e30285. doi: 10.1371/journal.pone.0030285. Epub 2012 Jan 17.
Histamine is detected in high concentrations in the airways during an allergic asthma response. In a murine model of allergic asthma, JNJ 7777120, an antagonist at the histamine H(4) receptor, reduces asthmatic symptoms, while the histamine H(1) receptor-selective antagonist mepyramine is virtually without effect. In the present study, we analyzed the effect of combined antagonism at the histamine H(1) and H(4) receptors in a murine asthma model in relation to the timing of their application, i.e. sensitization or provocation.
METHODOLOGY/PRINCIPAL FINDINGS: Asthma was induced in mice by sensitization and provocation with ovalbumin. JNJ 7777120 and/or mepyramine were injected subcutaneously either during sensitization or during provocation, and typical asthma parameters were analyzed. JNJ 7777120, but not mepyramine, reduced serum concentrations of anti-OVA IgE, inflammatory infiltrations in lung tissue, and eosinophilia in bronchoalveolar-lavage (BAL)-fluids independently of the timing of application. Upon application of JNJ 7777120 plus mepyramine in combination during provocation, mepyramine inhibited the effects of JNJ 7777120. In contrast, when applied during sensitization, mepyramine enhanced the disease-ameliorating effects of JNJ 7777120.
CONCLUSIONS/SIGNIFICANCE: Our study indicates that both histamine H(1) and H(4) receptors play important roles in the course of murine experimental asthma. Unexpectedly, the contribution of these receptors to the pathogenesis differs between the two phases, sensitization or provocation. Since in human asthma, repeated contact to the allergen is not only provocation but also a boost of sensitization, a combined pharmacological targeting of histamine H(1) and H(4) receptors could be taken into consideration as an option for the prevention of asthma and maybe other allergic diseases.
在过敏哮喘反应期间,气道中会检测到高浓度的组胺。在过敏性哮喘的小鼠模型中,组胺 H(4) 受体拮抗剂 JNJ 7777120 可减轻哮喘症状,而组胺 H(1) 受体选择性拮抗剂甲吡嘧啶则几乎没有效果。在本研究中,我们分析了组胺 H(1)和 H(4)受体联合拮抗作用在小鼠哮喘模型中的作用,以及它们应用的时间,即致敏或激发。
方法/主要发现:通过卵清蛋白致敏和激发诱导小鼠哮喘。JNJ 7777120 和/或甲吡嘧啶在致敏或激发时皮下注射,分析典型的哮喘参数。JNJ 7777120 可降低血清抗 OVA IgE 浓度、肺组织炎症浸润和支气管肺泡灌洗液(BAL)中的嗜酸性粒细胞,而甲吡嘧啶则不能,且这种作用不依赖于应用时间。当在激发时联合应用 JNJ 7777120 和甲吡嘧啶时,甲吡嘧啶抑制了 JNJ 7777120 的作用。相比之下,当在致敏时应用时,甲吡嘧啶增强了 JNJ 7777120 的疾病缓解作用。
结论/意义:本研究表明,组胺 H(1)和 H(4)受体在小鼠实验性哮喘的发病过程中均发挥重要作用。出乎意料的是,这些受体在致敏和激发两个阶段的发病机制中作用不同。由于在人类哮喘中,反复接触过敏原不仅是激发,也是致敏的增强,因此联合使用组胺 H(1)和 H(4)受体的药理学靶向治疗可能被考虑作为预防哮喘和其他过敏性疾病的一种选择。