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  4. The Histamine H4 Receptor Participates in the Neuropathic Pain-Relieving Activity of the Histamine H3 Receptor Antagonist GSK189254

The Histamine H4 Receptor Participates in the Neuropathic Pain-Relieving Activity of the Histamine H3 Receptor Antagonist GSK189254

Int. J. Mol. Sci., 2022 · DOI: 10.3390/ijms232214314 · Published: November 18, 2022

PharmacologyImmunologyPain Management

Simple Explanation

This study investigates how the histamine H4 receptor (H4R) contributes to the pain-relieving effects of a histamine H3 receptor (H3R) antagonist called GSK189254 in mice with neuropathic pain. The research found that GSK189254, which blocks H3R, reduces pain in mice with nerve injury (SNI model). This pain relief is dependent on the activation of H4R. The findings suggest that H4R plays a key role in how H3R antagonists alleviate neuropathic pain, potentially opening new avenues for developing treatments.

Study Duration
28 days
Participants
Male BALB/C wild type (WT) and histamine H4R knockout (H4−/−) (16–18 g) mice
Evidence Level
Not specified

Key Findings

  • 1
    GSK189254 reversed mechanical and thermal allodynia in SNI mice, but this effect was prevented by blocking H4R with JNJ 10191584.
  • 2
    GSK189254 lacked anti-hyperalgesic effect in H4R deficient mice compared to wild type mice, confirming H4R involvement.
  • 3
    Direct administration of histamine or a H4R agonist into the spinal cord also reduced pain, an effect blocked by an H4R antagonist.

Research Summary

The study aimed to investigate the role of H4R in the anti-hyperalgesic action of the H3R antagonist GSK189254 in the spared nerve injury (SNI) model in mice. The results showed that GSK189254 attenuated pain hypersensitivity in SNI mice through H4R activation, as its effects were blocked by an H4R antagonist and absent in H4R-deficient mice. The findings suggest that H4R plays a crucial role in the pain-relieving mechanism of H3R antagonists in neuropathic pain conditions, offering insights for future therapeutic interventions.

Practical Implications

Therapeutic Target Identification

H4R can be considered a potential therapeutic target for neuropathic pain management.

Drug Development

Development of drugs targeting both H3R and H4R may provide enhanced pain relief in neuropathic conditions.

Personalized Medicine

Understanding the role of histamine receptors in pain modulation may lead to personalized treatment strategies based on individual histamine system profiles.

Study Limitations

  • 1
    The study was conducted only on mice.
  • 2
    The precise neuronal localization of H4R has not been fully elucidated.
  • 3
    The study did not investigate the long-term effects of H3R and H4R modulation on neuropathic pain.

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