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Histamine receptors and pulmonary epithelial permeability
Summary
Histamine and betahistine, but not impromidine, increased lung permeability and narrowed airways in normal and asthmatic subjects. These effects were blocked by an H1-receptor antagonist, confirming H1-receptor mediation.
Area of Science:
- Pulmonary Physiology
- Pharmacology
- Respiratory Medicine
Background:
- Histamine plays a role in respiratory responses.
- Understanding histamine receptor involvement in asthma is crucial.
Purpose of the Study:
- To compare the effects of histamine, betahistine (H1 agonist), and impromidine (H2 agonist) on lung permeability and airflow.
- To determine the histamine receptor subtype mediating these effects in normal and asthmatic subjects.
Main Methods:
- Inhaled histamine, betahistine, and impromidine were administered to normal and asthmatic subjects.
- Pulmonary epithelial permeability was assessed using 99mTc-DTPA lung-to-blood clearance (t1/2LB).
- Peak expiratory flow rate (PEFR) was measured. Terfenadine (H1 antagonist) and cimetidine (H2 antagonist) were used for pretreatment.
Main Results:
- Histamine and betahistine significantly reduced t1/2LB and PEFR in both groups.
- Impromidine had no significant effect on t1/2LB or PEFR.
- Terfenadine, but not cimetidine, blocked histamine-induced changes.
Conclusions:
- Histamine-induced increases in lung permeability and bronchoconstriction are mediated by H1-receptors.
- These findings apply to both normal and asthmatic individuals.