Institute for Pharmacology, Toxicology and Pharmacy, University of Veterinary Medicine, Hannover, Germany.
Division of Immunodermatology and Allergy Research, Department of Dermatology and Allergy, Hannover Medical School, Hannover, Germany.
Allergy. 2016 Feb;71(2):189-97. doi: 10.1111/all.12779. Epub 2015 Nov 13.
The histamine H4 receptor (H4R) was brought into focus as a new therapeutic target for the treatment of allergic disorders such as atopic dermatitis (AD). H4R antagonists have already been tested in several animal models of AD, but these studies have yielded conflicting results.
The development of ovalbumin-induced AD-like skin lesions was analysed in H4R(-/-) mice and in H4R antagonist (JNJ28307474)-treated mice.
H4R(-/-) mice showed a clear amelioration of the skin lesions, with a diminished influx of inflammatory cells and a reduced epidermal hyperproliferation at lesional skin sites. H4R(-/-) mice had a reduced amount of ovalbumin-specific IgE, a reduced number of splenocytes and lymph node cells with a decreased number of CD4+ T cells. The H4R modulated the cytokine secretion of CD4+ T cells and splenocytes and altered the cellular profile in the lymph nodes. The anti-inflammatory effect could only partially be mimicked by JNJ28307474 and only when the H4R antagonist was given during sensitization and challenge and not when JNJ28307474 was only given during the provocation phase of the allergic reaction.
The H4R modulates inflammation in a chronic allergic dermatitis setting. However, results of this study indicate that it is necessary to block the H4R during ontogeny and development of the allergic inflammation.
组氨酸 H4 受体(H4R)作为一种治疗过敏疾病(如特应性皮炎(AD))的新治疗靶点受到关注。H4R 拮抗剂已在几种 AD 动物模型中进行了测试,但这些研究结果相互矛盾。
分析了 H4R(-/-)小鼠和 H4R 拮抗剂(JNJ28307474)治疗小鼠的卵清蛋白诱导的 AD 样皮肤损伤的发展。
H4R(-/-)小鼠的皮肤损伤明显改善,炎症细胞浸润减少,病变皮肤部位表皮过度增殖减少。H4R(-/-)小鼠的卵清蛋白特异性 IgE 减少,脾细胞和淋巴结细胞数量减少,CD4+T 细胞数量减少。H4R 调节 CD4+T 细胞和脾细胞的细胞因子分泌,并改变淋巴结中的细胞表型。抗炎作用只能部分被 JNJ28307474 模拟,并且只有在致敏和激发阶段给予 H4R 拮抗剂时才会出现,而在过敏反应的激发阶段仅给予 JNJ28307474 时则不会出现。
H4R 调节慢性过敏性皮炎中的炎症。然而,本研究结果表明,有必要在过敏炎症的发生和发展过程中阻断 H4R。