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Volume 10,Issue 1

Fall 2025

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27 December 2024

Research Progress of Histamine and Its Receptors in Heart Diseases

Zhonghua Sun1 Chen Qu1*
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1 Department of Geriatrics, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China
APM 2024 , 9(2), 20–25; https://doi.org/10.18063/apm.v8i27777
© 2024 by the Author(s). Licensee Whioce Publishing, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Cardiovascular diseases are the leading cause of mortality and are increasing in prevalence. These diseases encompass a range of conditions affecting cardiac structure and function, impairing blood supply, myocardial activity, electrical conduction, and valve performance, posing significant health risks. Histamine, traditionally used in gastric secretion testing and desensitization therapies, along with its receptor antagonists, such as H1 (H1R) and H2 (H2R) receptors, has gained attention for its role in cardiac remodeling and heart failure. This review explores the involvement of histamine and its receptors in myocarditis, myocardial infarction, heart failure, and myocardial fibrosis. H1R and H2R contribute to cardiomyopathy, hypertension, and heart failure through mechanisms like immune cell modulation, inflammatory mediator release, and cardiomyocyte regulation. H3R and H4R potentially affect cardiac function by modulating neurotransmitter release and influencing sympathetic and parasympathetic activity. While the role of H4R remains unclear, its connection to immunity and inflammation suggests promising therapeutic potential. Histamine receptors represent critical factors in the progression of heart diseases, offering insights into their pathophysiology and therapeutic applications. Despite recent advances, further research is needed to clarify their specific mechanisms and therapeutic targets. Understanding histamine receptor pathways could pave the way for innovative strategies in preventing and treating heart diseases, addressing a significant global health challenge.

Keywords
Histamine
Heart disease
Myocarditis
Myocardial infarction
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Conflict of interest
The authors declare no conflict of interest.
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