Department of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, Ann & Robert H. Lurie Children's Hospital of Chicago and Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Department of Medicine, Division of Allergy and Immunology, Northwestern University Feinberg School of Medicine, Chicago, Illinois USA.
Mucosal Immunol. 2018 May;11(3):861-870. doi: 10.1038/mi.2017.121. Epub 2018 Jan 24.
Ulcerative colitis (UC) patients exhibit elevated histamine, but how histamine exacerbates disease is unclear as targeting histamine 1 receptor (H1R) or H2R is clinically ineffective. We hypothesized that histamine functioned instead through the other colon-expressed histamine receptor, H4R. In humans, UC patient biopsies exhibited increased H4R RNA and protein expression over control tissue, and immunohistochemistry showed that H4R was in proximity to immunopathogenic myeloperoxidase-positive neutrophils. To characterize this association further, we employed both the oxazolone (Ox)- and dextran sulfate sodium (DSS)-induced experimental colitis mouse models and also found upregulated H4R expression. Mast cell (MC)-derived histamine and H4R drove experimental colitis, as H4R mice had lower symptom scores, neutrophil-recruitment mediators (colonic interleukin-6 (IL-6), CXCL1, CXCL2), and mucosal neutrophil infiltration than wild-type (WT) mice, as did MC-deficient Kit mice reconstituted with histidine decarboxylase-deficient (HDC) bone marrow-derived MCs compared with WT-reconstituted mice; adaptive responses remained intact. Furthermore, Rag2 × H4R mice had reduced survival, exacerbated colitis, and increased bacterial translocation than Rag2 mice, revealing an innate protective antibacterial role for H4R. Taken together, colonic MC-derived histamine initiates granulocyte infiltration into the colonic mucosa through H4R, suggesting alternative therapeutic targets beyond adaptive immunity for UC.
溃疡性结肠炎(UC)患者表现出组胺升高,但由于靶向组胺 1 受体(H1R)或 H2R 在临床上无效,因此尚不清楚组胺如何加剧疾病。我们假设组胺通过另一种在结肠表达的组胺受体 H4R 发挥作用。在人类中,UC 患者活检显示 H4R RNA 和蛋白表达高于对照组织,免疫组织化学显示 H4R 接近免疫发病的髓过氧化物酶阳性中性粒细胞。为了进一步描述这种关联,我们使用了氧化唑(Ox)和葡聚糖硫酸钠(DSS)诱导的实验性结肠炎小鼠模型,也发现了 H4R 表达上调。肥大细胞(MC)衍生的组胺和 H4R 驱动实验性结肠炎,因为 H4R 小鼠的症状评分、中性粒细胞募集介质(结肠白细胞介素-6(IL-6)、CXCL1、CXCL2)和黏膜中性粒细胞浸润均低于野生型(WT)小鼠,与 WT 重建小鼠相比,用缺乏组氨酸脱羧酶(HDC)的骨髓衍生 MC 重建的 MC 缺陷 Kit 小鼠也较低;适应性反应仍然完整。此外,与 Rag2 小鼠相比,Rag2 × H4R 小鼠的存活率降低、结肠炎加重和细菌易位增加,这表明 H4R 具有先天的抗菌保护作用。总之,结肠 MC 衍生的组胺通过 H4R 引发粒细胞浸润结肠黏膜,这表明 UC 的治疗靶点除了适应性免疫之外还有其他选择。
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