Pollinosis is a seasonal allergic rhinitis caused by hypersensitivity to tree or grass pollens, which affects more than 36 million people in the U.S. and about 16% of the Japanese population (1, 2). Histamine is a major chemical mediator involved in allergic reactions. Its actions are mainly mediated by the histamine H 1 receptor (H1R) and H1R activation results in the symptoms of allergic rhinitis.It has been reported that expression of H1R mRNA is increased in patients with allergic rhinitis (3,4). We have demonstrated that intranasal application of toluene-2,4-diisocyanate (TDI) induces histamine release from mast cells via neurogenic inflammation and causes nasal hypersensitivity in rats (5), with H1R expression being up-regulated at both the mRNA and protein levels in the nasal mucosa of TDI-sensitized rats (6). We have also demonstrated that the level of H1R expression is strongly correlated with the severity of allergy symptoms in TDIsensitized rats and in patients with pollinosis (7), while agents that suppress H1R gene up-regulation alleviate allergy symptoms (8, 9). These findings, combined with the report that the strength of H1R signaling depends on the level of expression of this receptor (10), suggest that H1R is an allergy-sensitive gene and that its expression influences the severity of allergy symptoms. Therefore, drugs targeting the signaling pathway involved in histamine-induced up-regulation of H1R gene expression could be useful for treating allergic diseases.Antihistamines are widely employed as the first-line treatment for nasal symptoms of pollinosis because these drugs are thought to antagonize histamine and prevent it from binding to the H1R. According to the two-state model, however, the active and inactive states of a receptor exist in equilibrium, so antihistamines could act as inverse agonists that combine with and stabilize the inactive form of H1R to shift the equilibrium toward the inactive state and down-regulate constitutive receptor activity, even in the absence of histamine (11). Therefore, antihistamines might not only antagonize histamine by blocking its binding with the H1R, but could also suppress constitutive H1R activity. Although the clinical importance of constitutive activity has not been clarified, it can be hypothesized that inverse agonists would more potently alleviate allergic symptoms than neutral antagonists by inhibiting constitutive activity. However, the influence of the inverse agonistic activity of antihistamines on H1R gene expression has not been evaluated.We previously demonstrated that histamine stimulates up-regulation of H1R gene expression in HeLa cells that endogenously express this receptor (6). In the present study, we examined the effect of inverse agonists on upregulation of H1R gene expression by HeLa cells. Our Tokushima 770-8505, Japan Received September 29, 2011; Accepted November 15, 2011 Abstract. Histamine H 1 receptor (H1R) expression influences the severity of allergy symptoms. We examined the effect of inverse agonists on H1R g...