Histamine

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  • synthesised in enterochromaffin-like cells of gastric mucosa
  • release stimulated by acetylcholine or gastrin (major response to gastrin may be gastrin-stimulated histamine release)
  • binds to H2 receptors on parietal cells
    • acts through stimualtory G-protein to raise cAMP levels therbey activating basal K+ and apical Cl- channels
    • also inserts more H+K+ ATPases into apical membrane
  • can be antagonised by cimetidine, ranitidine as treartment for gastric ulcer

14.6.2 Histamine

ECL cells of body of stomach
actions: to stimulate gastric acid via H2; relationship to gastrin and ACh from vagus
pharmacology: H2 antagonists in gastric ulceration (see 9.3.3.1)
 

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