Helical strips of human coronary arteries contracted in response to histamine concentration dependently, they relaxed with low concentrations and contracted with high concentrations. Treatment with cimetidine potentiated contraction in the strips with intact and damaged endothelium to a similar extent and attenuated relaxation. Removal of endothelium abolished relaxation and potentiated contraction in the cimetidine-treated strips. Methylene blue increased the contractile response to histamine in the strips with endothelium but did not alter the response in the damaged-endothelium strips. Histamine-induced relaxations in the intact strips were suppressed or abolished by treatment with ETYA, AA861, a lipoxygenase inhibitor, and by chlorpheniramine but were unaffected by indomethacin. Chlorpheniramine also abolished amine-induced contraction. It may be concluded that histamine-induced contraction in human coronary arteries is mediated by H, receptors in smooth muscle, and relaxation is mediated by H 2 receptors in smooth muscle and H, receptors in endothelium. while human coronary arteries respond with contractions. 4 Histamine constricts proximal middle cerebral arteries from dogs but dilates the distal arteries.6 These differing actions may be derived from the ability of histamine to activate histaminergic H, and H 2 receptors in vascular smooth muscle and to also activate H, receptors in endothelium, which possibly mediate the release of prostaglandin (PG) I 2 7 " or endothelium-derived relaxing factor.
3910Intravenous injections of histamine provokes coronary vasospasm in patients with variant angina," and endogenous histamine is regarded as one candidate for the genesis of the vasospasm.12 Large amount of histamine may be released by antigen-antibody reactions 13 as well as by many clinical drugs commonly used, such as morphine and d-tubocurarine.14 Similar coronary vasospasm is also produced by the amine in miniature swine in which the coronary artery is denuded and the high cholesterol diet is fed." However, the mechanism of histamine action in human coronary arteries has not yet been determined.From the Department of Pharmacology. Shiga University of Medical Sciences, Seta, Ohtsu, Japan.This paper was presented in part at the Symposium on Vasodilatation, July 1986, in Rochester, Minnesota.Address for correspondence: Dr. Noboru Toda, Department of Pharmacology, Shiga University of Medical Sciences, Seta, Ohtsu 520-21, Japan.Received June 13, 1986; accepted March 18, 1987. Therefore, the present study was undertaken to further clarify the response to histamine of coronary arteries isolated from human cadavers and to pharmacologically analyze the mechanism of its action in relation to vascular endothelium and H, and H 2 receptors.
Materials and MethodsVentral, interventricular, and circumflex branches of the left coronary artery were isolated from human hearts (17 males, aged 54 to 84, and 9 females, aged 26 to 68) during autopsy up to 6 hours after death. Causes of death were stomach, rectum, lung, pharyn...