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Significance of Histamine in Enhancement of Contractile Tension During the Atrial Anaphylaxis*1

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Acta med. nagasaki. 9 : 200-211

Significance of Histamine in Enhancement of Contractile

Tension During the Atrial Anaphylaxis*1

Mitsunori YASUDA*2

Department of Pharmacology, Nagasaki University School of

Medicine, Nagasaki

Received for publication, March 5, 1965

Although it has been generally considered that histamine plays a princi- pal role in the anaphylactic reaction, no hypothesis to explain it has been confirmed experimentally. This investigation was attempted to re-examine the significance of histamine in the anaphylactically induced dynamic responses. The results obtained are as follows : Histamine was released from the isolated atrial and ventricular muscle of sensitized guinea pigs in anaphylaxis. Numbers of mast cells in the ventricular muscle are incomp- arablly fewer than in the epi-and pericardium. Therefore histamine released during anaphylaxis would partially come from the muscle cell, that is to suppose that the cardiac muscle cell is sensitized by antigen. Metabolic inhibitors apparently depressed histamine release in atrial anaphylaxis.

Monoiodoacetate (2.15 mM) inhibited histamine release almost completely, but provoked a dynamic response of the atrial anaphylaxis. Sodium arsenite (3.85 mM or more) inhibited completely the dynamic response of the atrial anaphylaxis, while histamine release was not completely reduced by arsenite. These results indicate that released histamine may not be

responsible to dynamic responses in the atrial anaphylaxis.

It was presented by H. H. DALE and P. P. LAIDLAW 6) that the antigen-atibody union in the body causes liberation of histamine which participates in the contractile responses, the so called histamine theory7>.

The theory has been supported by many workers 1)2)4)5)9)26) mostly from agreement in amounts of released histamine and its comparable biolog- ical activities or from similarity of pharmacodynamic action of hista- mine and of anaphylactic reaction. On the other hand, K NAKAMURA23) has made a versatile study on the mode of anaphylactic reaction and claimed the importance of acetylcholine instead of histamine because they

*1 A part of this work was presented at the 17th regional meeting of the Seinan area of the Japanese Pharmacological Society in November 1964.

*2安 田光 則

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1964 HISTAMINE IN ATRIUM ANAPHYLAXIS 201 observed closer similarity in acetylcholine.

Y. NAKAZAWA24) and K. GREEF11) reported the anaphylactic reaction in the atrial preparation of guinea pig, the increase of contractile force and beat rate. F. KIHARA15) have shown that various antihista minicagents did not inhibit atrial anaphylaxis, and he considered that released histamine might not be a substance principally responsible to the anaphylactic reaction in the atrium. The other paper from our laboratory also criticized the role of acetylcholine, noradrenaline and serotonin in atrial dynamic anaphylaxis16)25)

Recentry, Y. NAKAZAWA and A. UEN027) reported that the configur- ation of intracellular action potential of a single proper atrial fiber of guinea pig during anaphylaxis changed similarly as in administration of histamine. M. KIDO14) also observed the changes in the action potential's pattern of specialized fiber in guinea pigs during anaphylaxis in vitro.

An attempt of the present paper was made to evaluate significance of accelerating effects of histamin on contractile response and beat rate

in the atrial anaphylaxis in vitro. For this purpose, the. actual contents of histamine in the atrium and the amounts released during anaphylaxis were measured. And the pharmacodynamic response of histamine was investigated in the concentration which might be released from the tissue into the nutrient solution.

MATERIALS AND METHODS

Male and female guinea pigs weighing between 200g to 300g were used throughout the experiment. Passive sensitization of guinea pigs against egg albumin was mainly carried out by intravenous injection of anti-egg-albumin rabbit serum having 1 x 128 to 1 x 256 antibody titre, 0.3 ml per 100 g body weight, 24 hours prior to the experiment, and active sensitizations were done by parental injection of 2 ml of 2 % egg albumin solution containing potassium alum at 1 % level and neutralized with sodium carbonate divided into half. The one was injected intra- peritoneally and the remainder subcutaneously, 3 to 4 weeks prior to the experiment.

The atria were quickly removed from exsanguinated guinea pigs and placed in 32 °C bath containing 20 ml of Ringer's solution composed NaCI 9.0 g, KCl 0.42 g, CaC12 0.32 g, NaHCO3 0.5 g and glucose 1.0 g per 1 liter of distilled water, and aerated with oxygen through a glass filter at the bottom. And recording of atrial contraction was made in isometric condition with the aid of Shinkoh unbonded strain gauge transducer UL-50-120 or UL-10-120 in connection with a conventional dynamic strain amplifier and pen recorder.

Quantitative determination of histamine in the cardiac tissue was carried out by using the material freshly isolated and survived in oxygen-

a

ted 37'C Ringer's solution. For determination of released histamine,

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202 M. YASUDA Vol. 9.

the bath solution was changed repeatedly several times prior to the experiment in order to reduce previous contamination by spontaneously released histamine. Histamine was extracted by the method of CODE4) and the amount of histamine was determined biologically in a piece of guinea pig ileum at 32'C by comparing with isometric contraction of known amount of histamine.

RESULTS

1. Contents of histamine in the isolated atrium and its release by the specific antigen

The contents of histamine in non-sensitized guinea pig atria were varied in considerable wide range as shown in Table 1- A, i. e., from 3.91 ug/g to 12.42 ug/g, and the average of content was 8.64 ug/g. 10 minutes after addition of eggalbumine at 0.02 % level, the amounts of histamine in the bath solution were estimated. The values were varied from below sensitized to 0.14 ug/g, and 0.05 ug/g in average. The ratio of the amount found in the bath solution to tissue histamine was 0.58 % on the average.

Histamine content in sensitized guinea pig's atrium was 8.17 ug/g and the amount released from the sensitized atrium was 2.23 ug/g as

shown in Table 1- B. The largest value is 6.00 ug/g/20ml bath in

Table 1

Histamine release by egg albumin

10.39

A. Non-sensitized guinea pig released remained histamine histamine ([`g/g) (Pg/g)

0.02 5.50

0.07 12.35

0.00 9.02

0.02 9.71

0.06 8.64

0.02 7.03

0.05 11.77

0.02 5.82

0.05 3.86

0.14

0.05 (a) 8.59 (b)

released ratio a x 100

= 0.58°4

0.87

B. Sensitized guinea pig released remained histamine histamine (1g/g) (fig/g)

1.94 4.26

4.19 10.52

1.33 5.41

2.37 5.12

2.87 6.94

6.00 7.03

1.14 4.56

1.50 6.97

5.80

2.20 1L75

1.01 5.31

1.69 1.41

1.81 2.18

2.23 (a) 5.94 (b)

released ratio (°o) = 27,3

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1964 HISTAMINE IN ATRIUM ANAPHYLAXIS 203 which 0.03 ug/ml is contained. The ratio of anaphylactic ally released histamine to tissue histamine is 27.3% in average.

Although the above values fluctuate largely, average values of histamine contents in both non-sensitized and sensitized atria show no significant difference. However, it is clearly demonstrated that hista- mine amounts released from the guinea pig atrium during anaphylaxis are much more than those from normal one.

2. Amounts of histamine released from ventricular muscle and comparison with those from epi-and pericardium in sensitized

guinea pigs

Amounts of histamine released from the chopped ventricular muscle layer and epi-and pericardium were also determined as shown in Table 2. The average value appeared as 0.41 ug/g in the myocardium and 0.98 ug/g in the eip-and pericardium. The ratio of the former to the latter is 41.8%.

For the purpose of a microscopic observation of mast cells, the car- diac tissue was fixed with a solution of lead subacetate in acidified alcohol and was stained with toluidine blue

20)21)

Numbers of mast cells in both the epi-and pericardium and the myocardium were calculated micro- scopically. There was observed much more mast cells in the epi- and pericardium than in the myoca- rdium (Fig. 1).

Although histamine amount released in the myocardium is 41.8%

of that in the epi-and pericardium, numbers of mast cells in the myo- cardium are incomparablly fewer than those in the epi-and pericar- dium. This discrepancy suggests that the muscle cell would release histamine during anaphylaxis.

3. Effects of metabolic inhibi- tors on the anaphylactic

histamine release

Table 2 Comparison of histamine release by egg albumin from ventrcular muscle and epi-and pericardiuim

ium epi-andmyocard pericardium

0.42 0.56

0.22 0.44

0.20 0.66

0.20 0.38

0.65 4.05

0.50 1.08

0.58 0.73

0.21 0.43

0.13 0.62

0.20 0.34

0.17 0.55

0.29 0.35

0.86 1.07

1.16 2.51

0.41 (a) 0.98 (b)

a/b x 100=41.8%

Monoiodoacetate13)18)29), sodium malonate29), phenobarbital3), 2,4- dinitropheno113)17)18)22)28)29), sodium fluoridel3'18), sodium arsenite10)

and potassium cyanide 18)29) were used at such concentrations as that

dynamic responses in the atrial anaphylaxis were affected, After atria

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204 M. YASUDA Vol. 9.

Fig. 1. Mast cells having metachromatic granules in epicardium and in myocardium of sensitized guinea pig (toluidine

blue stain).

A : Note numerous mast cells distributed though the epicardium, approx. X 150

B : Note few mast cells distributed though the myoca- rdium, approx. X 150

were treated with these inhibitors for 10 minutes, they were removed in Ringer's solution containing antigen (0.02%) and immersed for 10 minutes until released histamine was measured.

Monoiodoacetate : When the atrium was treated with 0.54 mM mono-

iodoacetate, anaphylactically released histamine was 10.2% of the tissue

content. This value is much less than that in the control value (Table

1-B). The histamine release was inhibited by mono iodoacetate. The

higher the drug concentrations, the stronger this inhibition appeared

(Table 3-1),

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1964 IIISTAMINi IN ATRIUM ANAPHYLAXIS 205 Table 3 - 1

Influence of some Metabolic inhibitors on anaphylactic histamine release

Table 3 2 .

Influence of some metabolic inhibitors on anaphylactic histamine release

histamine histamine (MM)

1.90 16.16

0.97 11.98

0.22 12.22

8

2.33 7.21

1.10 8.84

5.68 17.83

0.05 5.62

1.2712.4

0.54 8.9

inhibitors released tissue I A'B x 100

concept. ine (o ohug/g (A) ug/g ($)

Monoiodo- 0.71 8.52

acetate 1.66 15.26

0.54 1.46 14.63

1.46 16.06

0.42 3.48

0 10.2

I aver.

1.08 0.35 5.41

0.44 10.41

0.68 10.99

0.26 6.15

9 6.0aver.

2.15 0.12 9.86

0.06 14.30

0.10 11.69

0.18 11.28

aver. 0.14 11.87 1.2

10.27Sodium 3.-

malonate 1.18 4.14

10.0 -

32.2aver.

100.0 1.25 11.23

1.56 11.62

1.50 9.46

9 I 13.1

aver.

Phenobar- 1.45 10.15

bital 3.27 11.44

1.97 1.30 12.99

0 22.4aver.

19.67 0.57 11.23

0.10 11.53

0.35 6.41

aver. 0.27 8.70 3.1

1.35 10.2

2.93 13.1

histamine °o

80

. 5.68 44.

. 1.17 13.

inhibitors released tissue A/B x 100

concent. histamine (~)

(m M) ug/g (A) ugl g (B)

2,4 dinitro 5.87 14.08

phenol 5.01 10.02

0.0054 5.04 13.93

13.606

aver 12.76 5

0.054 1.48 12.57

0.97 7.79

1.29 10.79

1.42

0 7.0769 6.28

aver 8.90 1

0.27 0.32 11.65

0.42 9.83

0.19 9.93

0.24 9.89

0.24 5.10

0.21 11.53

9.66aver.8

Sodium 2.17 7.36

fluoride 2.04 7.16

0.95

a ver. 2 2.11 7.26 29.1

2.38 1.02 7.41

5.75 17.25

1.81 10.85

11.84aver.2

4.76 0.73 8.07

0.58 6.36

2.19 13.38

1.17 8.19

aver.9.000

9.53 1.80 16.15

0.51 8.58

aver. 1.16 12.37 9.4

0.27 2.

2.86 24.

1.17 13.

Sodium malonate : This agent did not inhibit the histamine release at 10mM concentration but decreased it at 100 mM (Table 3-1).

Phenobarbital : Treatment with phenobarbital at 1.97 mM showed

a little inhibition of the histamine'release. But it was inhibited markedly

at 19.7 mM (Table 3 -1)

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206 M. YASUDA tool. 9.

2,4 - dinitrophenol : The histamine release was . increased by low concentration (0. 0054mM) of 2, 4 -dinitrophenol . But at hig- her concentrations. (0.054 mM or more) it caused a marked inhibi- tion (Table 3-2). It is noticable that 2, 4-dinitrophenol plays dip- hasic.attitude against anaphylactic histamine release.

Sodium. fluoride : Although no change in the histamine release was observed at 0.95 mM, the release was inhibited by this agent at 4.76 mM or more (Table 3 - 2).

Sodum arsenite : The hista- mine release was inhibited by this agent at concentration of 3.85 mM or more (Table 3-3).

Potassium cyanide : This caused also marked inhibition of the histamine release at concentr- ations over 0.77 mM (Table 3-3).

As above mentioned, the me- tabolic inhibitors decreased the histamine release in the atrial tissue during anaphylaxis. The more the concentrations, the more strongly the inhibition appeared.

However, 2,4 - dinitrophenol in- creased only at low concentra- tion the histamine release as sho- wing in Table 4.

Table 3 - 3 Influence of some metabrlic inhibitors on anaphylactic

histamine release

histamine (MM)

--

aver. 1.17 11.11

0.42 5.66

0.21 12.33

1.47 9.95

1.08 14.52

0.23 12.05

histamine

0.77 11.3

0.28 10:9

inhibitors released tissue A/ B x 100

concept. ine (oj

Pg/g (A) tg/g (B)

Sodium 1.11 11.14

arsenite 1.23 11.07

3.85 -

10.5

7.70 1.10 18.01

0.80 10.41

6 6.8aver.

15.40 0.30 9.43

0.22 11.91

0.37 10.00

2 i 2.6

aver.

KCN 1.42 7.09

0.77 1.17 9.58

0.99 6.44

0.81 7.26

06 14.5aver.

1.54 0.64 7.04

0.46 6.19

0.66 10.54

0.41 5.87

0.56 5.20

aver.7 7.7

3.07 0.50 10.00

0.25 12.57

aver. 0.33 11.54 2.9

1.17 8.

0.63 8.1

4. Relationship between released histamine and anaphylactic ally induced dynamic responses in the atrium

a) Significance of histamine in dynamic responses during the atrial anaphylaxis

It is known already that the atrium isolated from a sensitized

guinea pig responds always with acceleration of beat rate and enhance-

ment of contractile tension, and the antigen causes the similar dynamic

action as histamine. It is probable that the dynamic response of atrial

anaphylaxis is due to released histamine. As histamine released during

anaphylaxis amounts to 0.03 ug,-'ml at the largest, as above mentioned,

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1964 HISTAMINE IN ATRIUM ANAPHYLAXIS 207

Table 4

Influence of metabolic inhibitors on anaphylactic histamine release

the same amount of histamine was added into bath in order to observe how responsible for the atrial preparation. However, no change occured in contractile tension and beat rate. This result':., indicates that the amount of histamine released from the atrium during anaphylaxis is not enough to cause a similar dynamic response as in the atrial anaphylaxis.

b) Influences of metabolic inhibitors on the dynamic response in the atrial anaphylaxis

The metabolic inhibitors in higher concentrations inhibited not only anaphylactic release of histamine markedly, but the normal atrial move- ment completely. The dynamic response of the sensitized atrium pretre- ated with the inhibitor was not evoked wholly by the antigen as well as histamine 10 pg/ml and adrenaline 1 pg/ml, but in lower concentrations they did not inhibited the dynamic responses.

Monoiodoacetate (2.15 mM) inhibited almost completely the hista-

mine release during anaphylaxis and depressed contractile tension of

the atrium within 10 minutes, while the dynamic response evoked by

the antigen was demonstrated as shown in Fig. 2. After pretreatment

with sodium arsenite (15.40 mM) application of the antigen to the

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20$ M . YASUDA . Vol. 9.

Fig. 2. Anaphylactically induced dynamic response after pretreatment with monoiodoacetate (2.15 mM).

AL : Administration of egg albumin (0.02 %).

Fig. 3. Anaphylactically induced dynamic response after pretreatmemt with sodium arsenite (3.85 mM).

AL : Administration of egg albumin (0.02 %).

H : Administration of histamine (1 ug/ml).

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1964 HISTAMINE IN ATRIUM ANAPHYLAXIS 209 atrium caused no anaphylactic response at all, and neither histamine (10 pg/ml) nor adrenaline (1 pg/ml) caused any response. Although sodium arsenite at lower concentration (7.70 mM) inhibited both the histamine release and dynamic response in the atrial anaphylaxis it did not inhibit the response of histamine on the atrial contraction. In a low concentration (3.85 mM) the histamine release was decreased to one third, but the dynamic response in the anaphylaxis was inhibited completely as shown in Fig. 3.

The results clearly indicate that released histamine is not essential to the dynamic response of anaphylaxis of the atrium.

DISCUSSION

It has been well known among many investigators" M that histamine is released from living tissue during anaphylaxis. In this experiments the amount of histamine released during anaphylaxis in sensitized guinea pig atrium in vitro is 2.23 ug/g on the average, which is much more than in non-sensitized one (0.05 ug/g). Thus, histamine is liberated by the anaphylactic reaction from the isolated atrium of guinea pig.

On the ocher hand, histamine released from the ventricular muscle of sensitized guinea pigs is about half of that from the epi-and pericar- dium. As it has been already known that histamine released in living tissues comes from mast cells, numbers of mast cells were calculated microscopically in the cardiac tissues. The mast cells in the myocardium are incomparably fewer than those in the epi-and pericardium. Therefore, it is presumed that histamine released during anaphylaxis originate partially from the muscle cell, and antigen-antibody reaction would occur in cardiac muscle as well as plain muscle.

The metabolic inhibitors in .a certain concentration or more inhibited not only anaphylactic release of histamine markedly but normal atrial movement completely. Concerning metabotic inhibitors and anaphylaxis, J. L. MONGAR & H. O. SCHILD18)19) and H. YAMASAKI29) reported the diminution of histamine release by metabolic inhibitors and they pointed out that histamine release from the lung of guinea pigs during anaphy- laxis was related with enzymic systems. It is of interest in this experi- ment that 2, 4 - dinitrophenol - at very . low concentration (0.0054 mM ) increases the anaphylactic histamine release from the atrium, in which oxydative phosphylation might be accelerated 13'1"22'.

Monoiodoacetate (2.15 mM) inhibits almost completely the anaphy-

lactic . histamine release, while the dynamic response of the atrium is

obviously evoked by the antigen. On the contray, the treatment with

sodium arsenite (3.85 mM or more) inhibits 'the dynamic response in

the anaphylactic reaction, but the histamine release during anaphylaxis

is not completely reduced. These results indicate that released histamine

has no close relation with dynamic response of the sensitized atrium

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210 M. YASUDA Vol. 9.

during anaphylaxis. H. H. DALE in 19508) has postulated a speculation that an intrinsic liberation of histamine would occur if the reacting cell should encounter an antigen to which .it had itself become sensitized, and this might be the case in the allergic reaction of some tracts of plain muscle. On the other hand, it has been reported that the anaphy- lactic reactions of the atrium15' and the ileum12)30 of sensitized guinea pigs are not inhibited by pretreatment with various antihistaminics.

From above results and studies in our laboratory it is considered that in the cardiac anaphylaxis not only mast cells liberate histamine reaching the reacting cell, but an intrinsic histamine might play a role of the dynamic response of anaphylaxis, or antigen-antibody reaction on the cell surface might change the membrane functions as Y. NAKAZAWA and A. UENO have pointed out27).

Acknowledgement. The author is grateful to Professor Dr. Y.

NAKAZAWA and assistant Professor A. UENO for their valuable comments and suggestions, and to Dr. T. FUJITA and Miss S. HONDA for their helpful advcie and technical assistance.

REFERENCES

1) ACKERMANN, D. : Z. J. Physiol. Chem. 260 : 155 (1939).

2) B.ARTOSH, R., F+ERDBERG, W. and NACEL, E. : Arch. ges. Physiol. 230 : 129 (1932).

3) BRODY, J. M. and BAIN, J. A. : J. Pharmacol. & Exper. Therap. 110 : 148 (1954).

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Am. J. Physiol. 123: 40 (1938).

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12) HAWKINS, D. F. : Brit. J. Pharmacol. 10 : 230 (1955).

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Ishiyaku co. 191-211 (1956). (Japanese).

14) KIDO, M. : Acta Med. Nagasaki. 9 : 29 (1964).

15) KIHARA, F. : Nagasaki Igakkai Zassi 34 : 1612 (1659). (Japanese).

16) KIHARA, F. : Nissin Igaku 47 : 383 (1960). (Japanese).

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18) MONGAR, J. L. and SCHILD, H. 0. : J. Physiol. 135: 301 (1957).

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J. Physiol. 140: 272 (1958).

20) MOTA, I. : J. Physiol. 147 : 425 (1959).

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1964 HISTAMINE IN ATRIUM ANAPIIYLAXIS 211 21) MOTA, I., BERALDO, W. T. and FERRI, A. G. : Ciba Foundation Sympo-

sium on Histamine p. 47 London Churchill.

22) MURANO, T. : Seitai no Kagaku 10 115 (1959) (Japanese).

23) NAKAMURA, K. : Tap. J. Allergy 5 : 169 (1956) (Japanese).

24) NAKAZAWA, Y. et al : Nissin Igaku 45 : 147 (1958) (Japanese).

25) ODA, T. : Nissin Igaku 48 : 317 (1961) (Japanese).

26) SCHILD, H. O. : J. Physiol. 95 : 393 (1939).

27) UENO, A., MURAKAMI, K. and NAKAZAWA, Y. : Acta Med. Nagasaki. 8 : 41 (1964).

28) WALMOR, C. d. M. : Am. J. Physiol. 196 : 377 (1959).

29) YAMASAKI, H., MURAOKA, S. and Endo, K. : Tap. J. Pharmacol. 10 21 (1960).

30) YAMASAKI, H. : Jap. J. Allergy 10 : 19 (1961) (Japanese).

Fig.  1.  Mast  cells  having  metachromatic  granules  in  epicardium            and in  myocardium of  sensitized guinea  pig  (toluidine
Fig.  3.  Anaphylactically  induced  dynamic  response  after            pretreatmemt with  sodium arsenite (3.85  mM)

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