Histamine drives severity of innate inflammation via histamine 4 receptor in murine experimental colitis

Mucosal Immunol. 2018 May;11(3):861-870. doi: 10.1038/mi.2017.121. Epub 2018 Jan 24.

Abstract

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 KitW-sh/W-sh 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.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Animals
  • Cells, Cultured
  • Colitis / chemically induced
  • Colitis / immunology*
  • Colitis, Ulcerative / immunology*
  • Colon / immunology*
  • Dextran Sulfate
  • Disease Models, Animal
  • Female
  • Histamine / metabolism*
  • Histidine Decarboxylase / genetics
  • Humans
  • Intestinal Mucosa / immunology*
  • Male
  • Mast Cells / physiology*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Middle Aged
  • Neutrophil Infiltration
  • Oxazolone
  • Receptors, Histamine H4 / genetics
  • Receptors, Histamine H4 / metabolism*
  • Young Adult

Substances

  • Receptors, Histamine H4
  • Oxazolone
  • Histamine
  • Dextran Sulfate
  • Histidine Decarboxylase