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The Journal of Immunology, 2006, 176: 17-26.
Copyright © 2006 by The American Association of Immunologists

A Key Regulatory Role for Histamine in Experimental Autoimmune Encephalomyelitis: Disease Exacerbation in Histidine Decarboxylase-Deficient Mice1

Silvia Musio*, Barbara Gallo*, Stefano Scabeni*, Marilena Lapilla*, Pietro L. Poliani{dagger}, Giuseppe Matarese{ddagger}, Hiroshi Ohtsu§, Stephen J. Galli,#, Renato Mantegazza*, Lawrence Steinman||,# and Rosetta Pedotti2,*

* Immunology and Muscular Pathology Unit, National Neurological Institute "C. Besta," Milan, Italy; {dagger} Department of Pathology, University of Brescia Medical School, Brescia, Italy; {ddagger} Gruppo di ImmunoEndocrinologia, Istituto di Endocrinologia e Oncologia Sperimentale, Consiglio Nazionale delle Ricerche, Napoli, Italy; § Applied Quantum Medical Engineering, Graduate School of Engineering, Tohoku University, Sendai, Japan; and Department of Pathology, || Department of Neurology and Neurological Sciences, and # Interdepartmental Program in Immunology, Stanford University, Stanford, CA 94305

Histamine can modulate the cytokine network and influence Th1 and Th2 balance and Ab-isotype switching. Thus, pharmacological blockade or genetic deletion of specific histamine receptors has been shown to reduce the severity of experimental autoimmune encephalomyelitis (EAE), a prototypic Th1-mediated disease with similarities to human multiple sclerosis. To study the comprehensive contribution of endogenous histamine to the expression of EAE, we attempted to induce EAE in histidine decarboxylase-deficient mice, which are genetically unable to make histamine. In this study, we show that EAE is significantly more severe in HDC–/–, histamine-deficient mice, with diffuse inflammatory infiltrates, including a prevalent granulocytic component, in the brain and cerebellum. Unlike splenocytes from wild-type mice, splenocytes from HDC–/– mice do not produce histamine in response to the myelin Ag, whereas production of IFN-{gamma}, TNF, and leptin are increased in HDC–/– splenocytes in comparison to those from wild-type mice. Endogenous histamine thus appears to regulate importantly the autoimmune response against myelin and the expression of EAE, in this model, and to limit immune damage to the CNS. Understanding which receptor(s) for histamine is/are involved in regulating autoimmunity against the CNS might help in the development of new strategies of treatment for EAE and multiple sclerosis.




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