1. Recombinant human diamine oxidase prevents hemodynamic effects of continuous histamine infusion in guinea pigs.
- Author
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Weiss-Tessbach, Matthias, Reiter, Birgit, Gludovacz, Elisabeth, Boehm, Thomas, Jilma, Bernd, and Rager-Resch, Marlene
- Subjects
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GUINEA pigs , *HISTAMINE , *HEMODYNAMICS , *HEART beat , *BODY temperature - Abstract
Objective: To test whether recombinant human diamine oxidase (rhDAO) with a mutated heparin-binding motif (mHBM), which shows an increased alpha-distribution half-life, prevents histamine-induced hemodynamic effects. Material: Thirty-eight female guinea pigs were either pretreated with rhDOA_mHBM or buffer. Treatment and methods: Guinea pigs received a continuous infusion of histamine. Heart rate (HR), body core temperature and mean arterial pressure (MAP) were measured and blood was collected. Results: Continuous intravenous infusion of 8 µg/kg/min histamine increased mean peak plasma histamine levels from 5 (± 0.3 SEM) to 28 ng/mL (± 4.9 SEM) after 30 min but had no effect on oxygen saturation. Guinea pigs pretreated with 4 mg/kg rhDAO_mHBM showed lower mean HR (p = 0.008), histamine plasma concentrations (p = 0.002), and higher body core temperatures at the end of the histamine challenge (p = 0.02) compared to controls. Cessation of histamine infusion led to a rebound increase in MAP, but this hemodynamic instability was prevented by rhDAO_mHBM. Pretreatment with 4 mg/kg rhDAO_mHBM reduced urinary histamine (p = 0.004) and 1-Methylhistamine (p < 0.0001) concentrations compared to controls. Conclusions: Prophylactic infusion of rhDAO_mHBM prevents hemodynamic effects in a guinea pig model of continuous histamine infusion. These findings might help in the translation from animals to humans and in the selection of the optimal dosing of rhDAO_mHBM during human histamine challenge studies. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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