Possible Role of Histamine Receptors in the Central Regulation of Immune Responses
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Indian J Physiol Pharmacol 2000; 44 (2): 153-160 POSSIBLE ROLE OF HISTAMINE RECEPTORS IN THE CENTRAL REGULATION OF IMMUNE RESPONSES A. K. MOHARANA, S. K. BHATTACHARYA, P. K. MEDIRATTA AND K. K. SHARMA* Department of Pharmacology, UniversitY College of Medical Sciences & GTE Hospital, Shahdara, Delhi - 110 095 ( Received on April 24, 1999 ) Abstract: The present study was designed to delineate the role of H1- and - H2 histamine receptors in the neuro-immune regulation in rats. The effects - of H1 and Hz-receptor antagonists on humoral and cell-mediated immune (HI and CM!) responses were investigated after intraperitoneal (ip) and intra-cerebroventricular (icv) administration. HI response was assayed by anti-sheep red blood cell (SRBC) antibody titre in presence and absence of 2-mercaptoethanol (2-ME). The CMI responses were evaluated by delayed type hypersensitivity (DTH) reaction (in vivo), i.e., measurement of footpad thickness, and lymphokine activity such as leucocyte migration inhibition (LM!) test (in uitro). On ip administration, both H)- (pheniramine and astemizole) and H2-receptor antagonists (ranitidine and cimetidine) were observed to produce significant enhancement of anti-SRBC antibody - response. However, only H2 and not H)-receptor blockers were observed to stimulate CMI response significantly. When administered by icv route, only H2-receptor antagonists caused a statistically significant increase in both HI and CMI responses, while the H)-receptor blockers failed to modify the same. Thus, H2-receptors appear to playa major role in the histaminergic mechanisms involved in immunomodulation both at the level of immunocompetent cells active in the peripheral tissues as well as through the central nervous system structures involved in the central regulation of neuro-immune interaction. Key words: histamine receptors humoral immune response neuro-immune interaction cell-mediated immune response INTRODUCTION to have immunosuppressive effect on both the CMI and HI responses (4). These Several studies have pointed out a close inhibitory effects are mediated through both link between the brain, endocrine and the H)- and/or H2-histamine receptors in immune mechanisms (1, 2). Thus, either animals and human (5-8). As a increasing the synthesis or depleting the neurotransmitter, functions of histamine in central neurotransmitters have affected both various neural processes are well established humoral- and cell-mediated immune (HI and (9-10), But though the peripheral role of CMI, respectively) responses (3). Histamine, histamine at various levels of immune one of the biogenic amines has been observed interactions has been explored extensively, *Corresponding Author 154 Moharana et al Indian J Physiol Pharmacol 2000; 44(2) its role in the CNS-mediated immune Hoechst, Bombay), ranitidine and cimetidine mechanisms remains largely unanswered. (Torrent Pharmaceutical Ltd, Ahmedabad) The important integrative regions of the were used. Pilot experiments were brain associated with immune system appear performed to find out the effective ip to be the hypothalamus and hippocampus. and icv doses based on earlier studies Most histaminergic fibres, that project to (14-17). the cortex, originate from cell bodies in these ihtegrative areas (10-12). Various EXPERIMENTAL DESIGN AND TREATMENT stressful conditions are associated with SCHEDULE FOR PERIPHERAL (lP) STUDIES: diminished immunity and central Assessment of humoral immune response histaminergic mechanisms observed to regulate different stress responses, Haemagglutination titre: Sheep red blood in experimental animal models, may corpuscles (SRBC) washed thoroughly and influence various immune interactions finally suspended in normal saline (0.9%), (10-13). In view of the above, the were injected in rats ip in 0.1 ml doses present study was designed to explore (25 x 106 cells) on 1st day. HI-blockers the role of histamine in- CNS-controlled (pheniramine maleate 10, 20 mg/kg, immune responses and the effects of astemizole 5, 10 mg/kg) and H2-receptor both H - and H -receptor blockers on HI 1 2 antagonists (r a n it idin e 10, 20 mg/kg, and CMI responses after intraperitoneal cimetidine 10, 20 mg/kg) were administered (i p ) and intra-cerebroventricular (i cv ) ip from day 2-6. A control group was administration were investigated. maintained with ip normal saline. On t» day rats were mildly anaesthetized with ether METHODS and blood was collected from retro-orbital plexus by using micro capillary technique. Animals The serum was separated and anti-SRBC antibody titre was measured by Adult male Wi star rats (150-200 g) haem agglutination technique according to bred in the Central Animal House of Herbert (18). Titration was also carried out the Institution were housed in controlled with antisera preincubated with O.lM 2- light (12th light - 12h dark cycle) and mercaptoethanol (2-ME) at 37°C for 60 temperature (22 ± 2°C) conditions with minutes for the estimation of 7S type of free access to food and water. The antibodies. The antibody titres were animals were assigned' to groups of expressed as log, of the reciprocal of the first eight rats/group and two animals were kept dilution where no visible agglutination was in one cage during the whole period of observed. experiment. Assessment of cell-mediated immune response Drugs and Doses Foot pad thickness: For the determination Astemizole (Ln d a ca Remedies Ltd, of delayed type hypersensitivity (DTH), after Bombay), ph en ir a m in e maleate CAvil, immunization with 1 x 108 SRBC ip on 1st Indian J Physiol Pharmacol 2000; 44(2) eNS Histamine Receptors in Immune Regulation 155 day, test groups of rats were treated with EXPERIMENTAL DESIGN AND TREATMENT the HI-blockers (pheniramine and astemizole) SCHEDULE FOR CENTRAL (lCV) STUDIES and H2-blockers (ranitidine and cimetidine) in the same doses as used for evaluation of A polyethylene cannula was fixed HI responses from day 2-6. Control stereotaxically in the right lateral ventricle groups treated with ip 0.9% saline were of rats under pentobarbitone sodium (40 mg/ run parallel with the test groups. On kg, ip) anaesthesia for icv administration of 7th day, the rats were challenged with 1 x 108 drugs. A post-operative recovery period of SRBC in the right hind foot-pad, whereas seven days was allowed prior to any further normal saline was injected in left hind experimental procedures. The correct foot pad (19). The increase in foot-pad position of cannula in the ventricle was thickness was measured 24 h after the ascertained at the time· of termination of challenge with the help of dial caliper experiment by injecting Evan's blue dye (21). (Mitutoyo, Japan). Starting from the day of immunization, the number of days of drug treatment and Leucocyte migration inhibition test: Rats procedures for measurement of immune were sensitized sc with 0.5 ml of egg albumin responses after icv administration were (25 mg/ml) mixed with equal volume same as described for peripheral of Freund's complete adjuvant on 1st administration, except the doses of drugs day. Test group animals were treated used for icv administration. The doses for HI-blockers used were: pheniramine 10, with different doses of HI-and H2-receptor blockers from day 2 to 14 after sensitization. 20 ug/r at, astemizole 5, 10 ug/rat, and for Blood was collected on 14th day after H2-blockers, ranitidine 10, 20 u g/r a t , cardiac puncture for the test. Viable cimetidine 10, 20 ug/r at. leucocytes were packed in heparinized capillary tubes and stubs of packed cells Statistical Analysis were made (20). The tubes were then placed on migration wells (chambers) loaded The results are presented as with growth medium with or without antigen. mean ± S.D. The data were analysed The wells were finally covered using Student's 't' test, Mann-Whitney with cov er slips and incubated for 20 h U test and Analysis of variance (ANOVA) at 37°C. Area of migration in control as followed by F-test wherever applicable. well as antigen chambers was recorded P values less than 0.05 were considered on a centimeter graph sheet with the significant. aid of an overhead proj ector and percent leucocyte migration inhibition RESULTS (% LMI) was calculated by the following formula: - - Effect of ip administratin of H1 and H2 blockers on the humoral and cell-mediated 01 LMI _ (1 Area of migration in antigen chamber 10 - - ) x 100 immune responses: Significantly higher Area of migration in control chamber values of anti~SRBC antibody titre (P<0.05) 156 Moharana et al Indian J Physiol Pharmacol 2000; 44(2) 12 r-----------------------------------------~ were observed with Hj-blockers, albeit at higher doses (astemizole 10 mg/kg and '0 pheniramine 20 mg/kg) used, in comparison to the control (6.50 ± 1.41). Rats exposed to H2-blockers were found to have raised ::: ,,, '" '" o o • t'jllwli,lin •• (mw'kK) • Fig. 2: Effect of H,- and H"-receptor antagonists (i p) on anti-SRBC antibody titre in presence of Fig. 1: Effect of H,- and H2-receptor antagonists (i p) on anti-SRBC antibody titre in rats. Results 2-ME in rats. Results are expressed as -Iog, are expressed as -Iog, titre. Height of the bar titre. Height of the bar represents mean ± SD represents mean ± sb (n e S). (n e S). *P<0.05,**P<0.02 as compared to the control *P<0.05,**P<0.02 as compared to the control group. group. TABLE I: Effect of H,- and H2-receptor antagonists (ip) on cell-mediated immune response. Treatment % Increase in footpad % LeucocYte migra.tion (mg / kg, ipJ thickness inhibition Control (Saline) 21.43±2.26 36.45±6.12 Astemizole (5) 20.37±1.75 44.2G±9.20 Astemizole (10) 21.45±2.45 45.61±8.13 Pheniramine (10) 18.87±3.74 35.20±5.85 Pheniramine (20) 20.05±4.23 40.78±6.00 Ranitidine (10) 22.41±3.29 48.61±6.85 Ranitidine (20) 24.66± 1.97* 54.65±7.00* Cimetidine (10) 26.42±4.22* 53.26±5.75* Cimetidine (20) 27.71±3.15** 58.38±5.14** P<0.05; **<0.005 as compared to the control group.