Ichimura K, Jackson R T
Ann Otol Rhinol Laryngol. 1985 May-Jun;94(3):313-8.
This paper documents some of the lesser-known effects of antihistamines on nasal blood vessel smooth muscle. An in vitro muscle tension detecting technique was utilized. Three different H1 receptor antagonists (pyrilamine maleate, chlorpheniramine maleate, promethazine hydrochloride), and the H2 antagonist metiamide were used. Besides their basic antihistaminic effect, H1 antagonists (classical antihistamines) induced a contraction, enhanced norepinephrine- and epinephrine-induced contractions, and relaxed the sustained contraction induced by methoxamine hydrochloride or high concentrations of potassium. Although these effects were quite similar to those induced by histamine, the mechanism of each effect was apparently different. Metiamide did not produce these effects except for the relaxation of the sustained contraction. The actions of histamine antagonists seem to be much more complicated than expected.
本文记录了抗组胺药对鼻血管平滑肌一些鲜为人知的作用。采用了一种体外肌肉张力检测技术。使用了三种不同的H1受体拮抗剂(马来酸氯苯那敏、氯苯那敏、盐酸异丙嗪)和H2拮抗剂甲硫米特。除了其基本的抗组胺作用外,H1拮抗剂(经典抗组胺药)可引起收缩,增强去甲肾上腺素和肾上腺素引起的收缩,并使盐酸甲氧明或高浓度钾引起的持续收缩松弛。尽管这些作用与组胺引起的作用非常相似,但每种作用的机制显然不同。甲硫米特除了能使持续收缩松弛外,不会产生这些作用。组胺拮抗剂的作用似乎比预期的要复杂得多。