histamine, organic compound derived in the body from the amino acid histidine by the removal of a carboxyl group (COOH). Although found in many plant and animal tissues, histamine is specifically important in human physiology because it is one of the chemicals released from certain cells (particularly mast cells) upon tissue injury or during the neutralization of foreign material (antigens) by certain types of antibodies. Released histamine tends to dilate blood capillaries, often causing the skin to appear red and feel warm, and makes the capillaries more permeable, allowing fluid to escape into the tissues. This causes edema (swelling), usually manifested as acute urticaria (rapidly appearing hives, accompanied by severe itching). This sort of reaction is common to many allergies, such as food allergies, and the symptoms can often be controlled well with antihistamines. Unfortunately, histamine is not the only substance released under these conditions, and some allergies, particularly chronic ones such as asthma, are relatively resistant to antihistamine therapy.

Organic compound found in nearly all animal tissues, in microorganisms, and in some plants. Its release stimulates many smooth muscles to contract, such as those in the gastrointestinal tract, uterus, and the bronchi. It causes fine blood vessels to dilate and become more permeable, causing the runny nose, watery eyes, and tissue swelling of hay fever and some other allergies. Histamine appears to have a physiological role in the body's defenses against a hostile environment, since it may be released when the body is subjected to trauma, infection, or some drugs. Under extreme circumstances, the effects of histamine lead to exaggerated responses with distressing results, as may occur in some allergic conditions (see anaphylaxis). Stinging nettles and certain insect venoms contain histamine. In humans, histamine is formed by removal of a carboxyl group from histidine. Its effects are counteracted by antihistamines.

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Histamine is a biogenic amine involved in local immune responses as well as regulating physiological function in the gut and acting as a neurotransmitter. It is found in virtually all animal body cells. New evidence also indicates that histamine plays an important role in chemotaxis of white blood cells.

Properties

Histamine forms colorless hygroscopic crystals that melt at 84°C, and are easily dissolved in water or ethanol, but not in ether. In aqueous solution histamine exists in two tautomeric forms, N^π-H-histamine und N^τ-H-histamine.

Histamine has two basic centres, namely the aliphatic amino group and whichever nitrogen atom of the imidazole ring does not already have a proton. Under physiological conditions, the aliphatic amino group (having a pK_a around 9.4) will be protonated, whereas the second nitrogen of the imidazole ring (pK_a ≈ 5.8) will not be protonated. Thus, histamine is normally protonated to a singly-charged cation.

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.

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 the body is generated in granules in mast cells (see figure) or in white blood cells called 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.

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 and alkaloids, including such drugs as morphine, and curare alkaloids, can displace histamine in granules and cause its release. Antibiotics like polymyxin are also found to be stimulating histamine 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 basophils and in the bone marrow. It is also found on thymus, small intestine, spleen, and colon.	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.

Schizophrenia

It has been found that about half the patients classified as suffering from schizophrenia have low histamine levels in the blood. 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

As an integral part of the immune system, histamine 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

• Scombroid food poisoning

References

Histamine and Histamine intolerance

External links