Effect of an inhaled histamine H3-receptor agonist on airway responses to sodium metabisulphite in asthma

Br J Clin Pharmacol. 1993 Jan;35(1):55-7. doi: 10.1111/j.1365-2125.1993.tb05671.x.

Abstract

Histamine H3-receptor agonists inhibit excitatory neuro-transmission in human and guinea-pig airways. Since neural bronchoconstriction may be important in asthma we have studied the effect of a specific H3-receptor agonist R-alpha-methylhistamine (alpha MeHA) on bronchoconstriction induced by the inhaled irritant sodium metabisulphite (MBS) in six mild asthmatic subjects in a randomised double-blind crossover study. Subjects received either alpha MeHA, 10 mg (as a chloride salt) or matched placebo (P) and were then challenged with doubling concentrations of MBS (0.3-80 mg ml-1) nebulised from a dosimeter at 5 min intervals with measurement of specific airway conductance (sGaw) and FEV1 at 2 and 4 min respectively after each inhalation. There was no effect of alpha MeHA on baseline airway calibre and the log concentrations of MBS required to lower sGaw by 50% (log PC50) and FEV1 by 20% (log PC20) were not significantly different after alpha MeHA when compared with placebo, suggesting that selective stimulation of airway H3-receptors does not inhibit MBS-induced bronchoconstriction.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Administration, Inhalation
  • Adult
  • Asthma / physiopathology*
  • Bronchial Provocation Tests
  • Bronchoconstriction / drug effects*
  • Histamine Agonists / administration & dosage
  • Histamine Agonists / pharmacology*
  • Humans
  • Methylhistamines / administration & dosage
  • Methylhistamines / pharmacology*
  • Middle Aged
  • Receptors, Histamine / drug effects*
  • Sulfites

Substances

  • Histamine Agonists
  • Methylhistamines
  • Receptors, Histamine
  • Sulfites
  • sodium metabisulfite
  • alpha-methylhistamine