Although low doses of
histamine (less than 150 nM/kg.hr) stimulate
pepsin secretion, higher doses inhibit
pepsin secretion in a dose-dependent manner. To better
histamine stimulation of
pepsin,
histamine was used at doses at the lower end of the dose-response scale in five dogs with
gastric fistula. Five doses of
histamine below the ED50 for
acid, viz, 9, 22.5, 67.5, 90 and 112 nM/kg.hr in 45-min steps, provided values for
pepsin secretion from which Ed50 = 11.4 nmol/kg.hr (i.e., about 1/12 the ED50 for
acid) and calculated maximum 22,600 peptic U/30 min were calculated. To document the inhibition,
pepsin secretion was first stimulated by an infusion of
bethanechol (0.4 mumol/kg.hr). A super-added injection of the
histamine H-2 agonist
4-methylhistamine (0.4 or 0.8 mumol/kg) produced strong additional
acid stimulation and immediate 40% suppression of
pepsin secretion. The ratio
pepsin/
acid was reduced to one-third of control for the 90 min after
4-methylhistamine. The most specific H-2 agonist
impromidine had the same effects, whereas
pentagastrin (1.95 nmol/kg) inhibited both
acid and
pepsin secretion stimulated by
bethanechol. The specificity of H-2 effect of
impromidine was confirmed by simultaneous
tachycardia and
hypotension;
pentagastrin did not produce cardiovascular effects. These studies confirm the unique effect of
histamine on the peptic cell of the dog in which both stimulation and inhibition are H-2 receptor-mediated effects.