The antihistamine olopatadine regulates T cell activation in palladium allergy

Int Immunopharmacol. 2016 Jun:35:70-76. doi: 10.1016/j.intimp.2016.03.021. Epub 2016 Mar 29.

Abstract

Because of its corrosion resistance palladium (Pd) has been widely used in many consumer products ranging from fashion accessories to dental materials. Recently, however, an increase in Pd allergy cases has been reported. Metal allergy is categorized as a Type IV allergy, which is characterized as a delayed-type hypersensitivity reaction in which T cells are known to play an important role; however, the precise mechanism of their action remains unclear. Here we defined the relationship between histamine and the Pd allergic reaction specifically with respect to T cell responses. To verify the effects of histamine on T cells, we examined whether there is a change in IFN-γ production following stimulation of histamine or the antihistamine, olopatadine hydrochloride (OLP), in vitro. In addition, we assessed whether OLP administration affected the degree of footpad swelling or IFN-γ production during the Pd allergy response in mice. We found that histamine stimulation increased IFN-γ production in T cells, specifically enhancing IFN-γ production in CD8(+) T cells compared with CD4(+) T cells. Interestingly, OLP suppressed the production of IFN-γ in CD8(+) T cells, and this compound inhibited footpad swelling and IFN-γ production in mice with Pd allergy. These results suggest that histamine promotes the Type IV allergic reaction and thus, the histamine 1 receptor (H1R) might be useful therapeutic target for treatment of metal allergy.

Keywords: Histamine; Histamine 1 receptor (H1R); Olopatadine hydrochloride (OLP); Palladium allergy.

MeSH terms

  • Allergens / immunology
  • Animals
  • CD4-Positive T-Lymphocytes / drug effects*
  • CD4-Positive T-Lymphocytes / immunology
  • CD8-Positive T-Lymphocytes / drug effects*
  • CD8-Positive T-Lymphocytes / immunology
  • Cells, Cultured
  • Histamine / immunology
  • Histamine H1 Antagonists / therapeutic use*
  • Humans
  • Hypersensitivity, Delayed / drug therapy*
  • Hypersensitivity, Delayed / immunology
  • Interferon-gamma / metabolism
  • Lymphocyte Activation / drug effects
  • Mice
  • Mice, Inbred BALB C
  • Olopatadine Hydrochloride / therapeutic use*
  • Palladium / immunology
  • Receptors, Histamine H1 / metabolism

Substances

  • Allergens
  • Histamine H1 Antagonists
  • Receptors, Histamine H1
  • Olopatadine Hydrochloride
  • Palladium
  • Histamine
  • Interferon-gamma