Histamine

You don't need to be Editor-In-Chief to add or edit content to WikiDoc. You can begin to add to or edit text on this WikiDoc page by clicking on the edit button at the top of this page. Next enter or edit the information that you would like to appear here. Once you are done editing, scroll down and click the Save page button at the bottom of the page.

Jump to: navigation, search

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-525-6884

Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.

Overview

Histamine
IUPAC name 2-(3H-imidazol-4-yl)ethanamine
Identifiers
CAS number 51-45-6
PubChem 774
MeSH Histamine
SMILES C1=C(NC=N1)CCN
Properties
Molecular formula C5H9N3
Molar mass 111.145
Melting point

83.5 °C (182.3 °F)

Boiling point

209.5 °C (409.1 °F)

Except where noted otherwise, data are given for
materials in their standard state
(at 25 °C, 100 kPa)

Infobox disclaimer and references

WikiDoc Resources for

Histamine

Articles

Most recent articles on Histamine

Most cited articles on Histamine

Review articles on Histamine

Articles on Histamine in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Histamine

Images of Histamine

Photos of Histamine

Podcasts & MP3s on Histamine

Videos on Histamine

Evidence Based Medicine

Cochrane Collaboration on Histamine

Bandolier on Histamine

TRIP on Histamine

Clinical Trials

Ongoing Trials on Histamine at Clinical Trials.gov

Trial results on Histamine

Clinical Trials on Histamine at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Histamine

NICE Guidance on Histamine

NHS PRODIGY Guidance

FDA on Histamine

CDC on Histamine

Books

Books on Histamine

News

Histamine in the news

Be alerted to news on Histamine

News trends on Histamine

Commentary

Blogs on Histamine

Definitions

Definitions of Histamine

Patient Resources / Community

Patient resources on Histamine

Discussion groups on Histamine

Patient Handouts on Histamine

Directions to Hospitals Treating Histamine

Risk calculators and risk factors for Histamine

Healthcare Provider Resources

Symptoms of Histamine

Causes & Risk Factors for Histamine

Diagnostic studies for Histamine

Treatment of Histamine

Continuing Medical Education (CME)

CME Programs on Histamine

International

Histamine en Espanol

Histamine en Francais

Businness

Histamine in the Marketplace

Patents on Histamine

Experimental / Informatics

List of terms related to Histamine

Histamine is a biogenic amine involved in local immune responses as well as regulating physiological function in the gut and acting as a neurotransmitter.[1] New evidence also indicates that histamine plays a role in chemotaxis of white blood cells.

Synthesis and metabolism

Histamine is derived from the decarboxylation of the amino acid histidine, a reaction catalyzed by the enzyme L-histidine decarboxylase. It is a hydrophilic vasoactive amine.

Conversion of histidine to histamine by histidine decarboxylase
Conversion of histidine to histamine by histidine decarboxylase

Once formed, histamine is either stored or rapidly inactivated. Histamine released into the synapses is broken down by acetaldehyde dehydrogenase. It is the deficiency of this enzyme that triggers an allergic reaction as histamines pool in the synapses. Histamine is broken down by histamine-N-methyltransferase and diamine oxidase. Some forms of foodborne disease, so-called "food poisonings," are due to conversion of histidine into histamine in spoiled food, such as fish.

Storage and release

Most histamine in body tissue is found in granules in mast cells (see figure) or basophils. Mast cells are especially numerous at sites of potential injury - the nose, mouth, and feet; internal body surfaces; and blood vessels. Non-mast cell histamine is found in several tissues, including the brain, where it functions as a neurotransmitter. Another important site of histamine storage and release is the enterochromaffin-like (ECL) cell of the stomach.

Mast cells
Mast cells

The most important pathophysiologic mechanism of mast cell and basophil histamine release is immunologic. These cells, if sensitized by IgE antibodies attached to their membranes, degranulate when exposed to the appropriate antigen. Certain amines, including such drugs as morphine and tubocurarine, can displace histamine in granules and cause its release.

Mechanism of action

Histamine exerts its actions by combining with specific cellular histamine receptors. The four histamine receptors that have been discovered are designated H1 through H4.

Type Location Function
H1 histamine receptor Found on smooth muscle, endothelium, and central nervous system tissue Causes vasodilation, bronchoconstriction, smooth muscle activation, separation of endothelial cells (responsible for hives), and pain and itching due to insect stings; the primary receptors involved in allergic rhinitis symptoms and motion sickness.
H2 histamine receptor Located on parietal cells Primarily stimulate gastric acid secretion
H3 histamine receptor - Decreased neurotransmitter release: histamine, acetylcholine, norepinephrine, serotonin
H4 histamine receptor Found primarily in the thymus, small intestine, spleen, and colon. It is also found on basophils and in the bone marrow. Unknown physiological role.

Roles in the body

Sleep regulation

Histamine is released as a neurotransmitter. The cell bodies of neurons which release histamine are found in the posterior hypothalamus, in various tuberomammillary nuclei. From here, these histaminergic neurons project throughout the brain, to the cortex through the medial forebrain bundle. Histaminergic action is known to modulate sleep. Classically, antihistamines (H1 histamine receptor antagonists) produce sleep. Likewise, destruction of histamine releasing neurons, or inhibition of histamine synthesis leads to an inability to maintain vigilance. Finally, H3 receptor antagonists (which stimulate histamine release) increase wakefulness.

It has been shown that histaminergic cells have the most wakefulness-related firing pattern of any neuronal type thus far recorded. They fire rapidly during waking, fire more slowly during periods of relaxation/tiredness and completely stop firing during REM and NREM (non-REM) sleep. Histaminergic cells can be recorded firing just before an animal shows signs of waking.

Sexual response

Research has shown that histamine is released as part of the human orgasm from mast cells in the genitals. If this response is lacking this may be a sign of histapenia (histamine deficiency). In such cases, a doctor may prescribe diet supplements with folic acid and niacin (which used in conjunction can increase blood histamine levels and histamine release), or L-histidine. Conversely, men with high histamine levels may suffer from premature ejaculations.

Schizophrenia

It has been found that about half the patients classified as suffering from schizophrenia have low histamine levels in the blood.[1] This may be because of antipsychotics that have unwanted effect on histamine, such as Quetiapine. Although, in these cases, as histamine levels were increased, their health improved.

Disorders

High or low histamine levels are considered by some of the alternative medicine community to be health issues; this is not accepted by the mainstream medical community. However, as an integral part of the immune system it may be involved in immune system disorders and allergies.

Nomenclature

"H substance" or "substance H" are occasionally used in medical literature for histamine or a hypothetical histamine-like diffusible substance released in allergic reactions of skin and in the responses of tissue to inflammation.

See also

References


External links


cs:Histamin

da:Histamin de:Histaminfr:Histamine it:Istamina he:היסטמין lt:Histaminas nl:Histamine ja:ヒスタミン no:Histaminsk:Histamín fi:Histamiini sv:Histaminuk:Гістамін


WikiDoc Help Menu

Quick Start..

Editing basics

Advanced editing

Communicating your edits

Help Videos You Can Watch


Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

Personal tools