Antagonism of histamine H4 receptors exacerbates clinical and pathological signs of experimental autoimmune encephalomyelitis

Br J Pharmacol. 2013 Sep;170(1):67-77. doi: 10.1111/bph.12263.

Abstract

Background and purpose: The histamine H4 receptor has a primary role in inflammatory functions, making it an attractive target for the treatment of asthma and refractory inflammation. These observations suggested a facilitating action on autoimmune diseases. Here we have assessed the role of H4 receptors in experimental autoimmune encephalomyelitis (EAE) a model of multiple sclerosis (MS).

Experimental approach: We induced EAE with myelin oligodendrocyte glycoprotein (MOG35-55 ) in C57BL/6 female mice as a model of MS. The histamine H4 receptor antagonist 5-chloro-2-[(4-methylpiperazin-1-yl)carbonyl]-1H-indole (JNJ7777120) was injected i.p. daily starting at day 10 post-immunization (D10 p.i.). Disease severity was monitored by clinical and histopathological evaluation of inflammatory cells infiltrating into the spinal cord, anti-MOG35-55 antibody production, assay of T-cell proliferation by [(3) H]-thymidine incorporation, mononucleate cell phenotype by flow cytometry, cytokine production by elisa assay and transcription factor quantification of mRNA expression.

Key results: Treatment with JNJ7777120 exacerbated EAE, increased inflammation and demyelination in the spinal cord of EAE mice and increased IFN-γ expression in lymph nodes, whereas it suppressed IL-4 and IL-10, and augmented expression of the transcription factors Tbet, FOXP3 and IL-17 mRNA in lymphocytes. JNJ7777120 did not affect proliferation of anti-MOG35-55 T-cells, anti-MOG35-55 antibody production or mononucleate cell phenotype.

Conclusions and implications: H4 receptor blockade was detrimental in EAE. Given the interest in the development of H4 receptor antagonists as anti-inflammatory compounds, it is important to understand the role of H4 receptors in immune diseases to anticipate clinical benefits and also predict possible detrimental effects.

Keywords: JNJ7777120; autoimmune diseases; histamine receptors; histamine system; inflammation; multiple sclerosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibody Formation
  • Cytokines / metabolism
  • Disease Models, Animal
  • Encephalomyelitis, Autoimmune, Experimental / physiopathology*
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Flow Cytometry
  • Gene Expression Regulation / drug effects
  • Histamine Antagonists / pharmacology*
  • Indoles / pharmacology
  • Inflammation / physiopathology
  • Mice
  • Mice, Inbred C57BL
  • Multiple Sclerosis / physiopathology*
  • Myelin-Oligodendrocyte Glycoprotein / administration & dosage
  • Piperazines / pharmacology
  • RNA, Messenger / metabolism
  • Receptors, G-Protein-Coupled / antagonists & inhibitors*
  • Receptors, G-Protein-Coupled / metabolism
  • Receptors, Histamine / metabolism
  • Receptors, Histamine H4
  • Severity of Illness Index
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / metabolism

Substances

  • Cytokines
  • Histamine Antagonists
  • Hrh4 protein, mouse
  • Indoles
  • Myelin-Oligodendrocyte Glycoprotein
  • Piperazines
  • RNA, Messenger
  • Receptors, G-Protein-Coupled
  • Receptors, Histamine
  • Receptors, Histamine H4
  • 1-((5-chloro-1H-indol-2-yl)carbonyl)-4-methylpiperazine