Comparison of methods for intestinal histamine application: histamine in enterosoluble capsules or via a duodeno-jenunal tube. Influence of fast and histamine-restrictive diet.
The study was conducted to investigate whether introduction of histamine in enterosoluble capsules produced the same amount of urinary histamine metabolites as that found after application of histamine through a duodeno-jejunal tube. Secondly, to examine whether a histamine-restrictive or a fast diet affected the amount of urinary metabolites. Fifteen healthy subjects were challenged four times with 100 mg of histamine. Results were monitored by the urinary recovery of 1,4-methylimidazole acetic acid (MIAA) from 24 h before to 72 h after challenge. Urine was collected in 24-h samples except on the first day after challenge when separation into 0-2h-, 2-4 h- and 4-24 h-fractions was made. MIAA was measured by high performance liquid chromatography (HPLC). The results showed that during the first 2 h after challenge the recovery of MIAA was higher with tubes than with capsules. Measurements from all other intervals did not differ significantly between the two challenge regimens. Fast (water only) and histamine-restrictive diet versus non-restrictive diet did not affect the urinary MIAA. MIAA was significantly higher overall during the first 24 h after challenge than in any other fraction. We conclude that oral administration of enterosoluble capsules is an easy and appropriate method for intestinal histamine challenge. Fast and histamine-restrictive diets are not necessary, but subjects should record unexpected responses in a food and symptom diary.
Vind
S
S
Medical Dept. TTA State University Hospital, Copenhagen, Denmark.
Søondergaard
I
I
Poulsen
L K
LK
Svendsen
U G
UG
Weeke
B
B
D000293:Adolescent; D000328:Adult; D002214:Capsules; D004032:Diet; D005215:Fasting; D005260:Female; D005512:Food Hypersensitivity / Q000175:diagnosis*; D006632:Histamine / Q000008:administration & dosage*; D006801:Humans; D007093:Imidazoles / Q000652:urine; D007441:Intubation, Gastrointestinal; D008297:Male; D008875:Middle Aged
D002214:Capsules; D007093:Imidazoles; D006632:Histamine; C023439:4-methylimidazole