A subpopulation of axons was labeled with antiserum to histamine in the macaque retina. The extensive arbors of these axons were characteristic of retinopetal axons that originate from areas other than the isthmo-optic nucleus.
22 These axons ran from the optic disc to the temporal side of the parafovea, where they made numerous collateral branches. The collaterals ran back around the fovea to the optic disc and left the retina. It is uncertain where these axons terminate, but histamine-IR axons are known to be present in the lateral geniculate nucleus and superior colliculus of macaques.
20 Axons with this unusual course have never been described previously in mammals, but in turtle retinas centrifugal axons containing immunoreactive nitric oxide synthase and NADPH diaphorase activity ran from the optic nerve head, into the central retina, and then back.
23The histamine-IR varicosities in the IPL might be sites of synaptic contact or sites of histamine release without postsynaptic specializations. After lesions of the optic nerve, degenerating terminals making synapses were observed in the IPL of macaques and cats.
9, 24 However, four previous studies have examined the ultrastructure of axons containing histamine or the synthetic enzyme histidine decarboxylase (HDC) in mammalian brains, and they found that these axons made very few, if any, synapses. In the lateral geniculate nucleus of the cat, appositions between histamine-IR axons and other processes were observed, but there were no obvious synaptic densities.
25 Another group used an antiserum to HDC in the rat brain and found some varicosities that made small asymmetrical synapses, but most varicosities made no synapses at all.
26, 27 Synapses from HDC-IR axons onto neuronal perikarya have also been observed in the mesencephalic nucleus of the trigeminal nerve in the rat brain.
28 In this respect, the histamine-IR axons are similar to central catecholaminergic neurons, which often make unspecialized contacts.
29 In a recent study of dopaminergic terminals in the rat neostriatum, for example, only 30% to 40% of the varicosities made synapses.
30A number of studies of histamine synthesis, its physiological effects, and its catabolism suggest that histamine acts as a neurotransmitter or neuromodulator in the mammalian retina. Histamine has been detected in the retinas of macaques and humans at levels comparable to that detected in the brain.
31 Histamine does not cross the blood-retinal barrier, and HDC activity has been detected in macaque retinas.
32 Mast cells, another possible source of histamine, are not present in the retina.
33 The histamine in the retina is, therefore, likely to originate from neurons. Horizontal cells have also been proposed as the source of histamine in the guinea pig retina.
34 However, it is possible that the HDC antiserum used in that study recognized an unknown decarboxylase in horizontal cells because it also labeled dopaminergic cells containing dopa decarboxylase. When the guinea pig retina was studied using a histamine antiserum, only axons were labeled,
12 as we found in the macaque retina.
Histamine release from the retina has not been studied directly, but there is indirect evidence that histaminergic neurons in the macaque hypothalamus are active during the day. The levels of histamine metabolites in the ventricular cerebral spinal fluid increase more than threefold after the onset of light and remain significantly higher than during darkness.
35 In rabbits, retinal histamine content is decreased by light stimulation,
36 a finding consistent with histamine release in the light.
The retina can remove histamine from the extracellular space by two mechanisms. Mammalian retinas contain histamine methyltransferase, which inactivates histamine via methylation.
36 Rabbit retinas also take up
3H-histamine, and this uptake decreases in a dose-dependent manner by ouabain.
37 An autoradiographic study of histamine uptake in rabbit retinas found only diffuse radioactivity throughout the retina, however.
38 This discrepancy may be attributable to differences between the two studies in the lighting and other physiological conditions. It is also possible that uptake into the sparsely distributed centrifugal axons in the rabbit retina
39 was difficult to detect in the vertical sections of the retina used in the autoradiographic study.
H
1 receptors with a high affinity for histamine have been detected in the human retina using
3H-mepyramine,
40 and some H
1 antagonists decrease the critical flicker fusion frequency in humans.
41–44 Because the responses of magnocellular-projecting retinal ganglion cells in macaques to luminance flicker are identical to those of human subjects under the same conditions,
45 it is possible that these ganglion cells are affected by the H
1 antagonists. These drugs might be acting at any level in the visual system, however, and their effects on retinal ganglion cells have not been reported. Several effects of histamine and its antagonists have been described in other mammalian retinas. One histamine effect is similar to that of dopamine, which is released by light stimulation from macaque retinas
46; histamine increased the current through γ-aminobutyric acid (GABA
A) receptor-activated chloride channels in isolated rat amacrine cells.
47 One possible interpretation of these findings is that dopamine and histamine act synergistically to enhance the responses of the retina to rapidly changing stimuli at high ambient light levels.
Other reported effects of histamine in mammalian retinas are the opposite of those produced by dopamine, however. Histamine inhibited the forskolin-induced increase in cAMP in the rabbit retina,
48 and the H
1 antagonist mepyramine reduced the amplitude of the b-wave of the electroretinogram in sheep.
49 In addition, histamine decreased norepinephrine release from the pig retina
50 and stimulated the influx of calcium into dissociated rabbit retinal cells.
51 Histamine might exert some of its effects in the retina via receptors for GABA. In the brain, endogenous histamine can be oxidized to form imidazole acetic acid,
52 a potent antagonist of GABA
C receptors in the retina.
53,54 In the macaque retina, this histamine metabolite would be expected to act on axon terminals of bipolar cells because GABA
C receptors have been localized there.
55Another function of the centrifugal axons may be regulation of retinal blood flow and capillary permeability. We observed close appositions between histamine-IR axons and blood vessels in the macaque retina similar to the ones described previously in the hypothalamus,
56 but we cannot rule out the possibility that glial processes intervened between the axons and the vessel walls. In the striatum, HDC-IR axons have also been seen in close proximity to cerebral blood vessels, but the thin processes of glial cells always separated the axons from the vessel walls.
27 Varicosities and terminals in the OFL of the central retina may also be sites of histamine release, and, if so, they might influence blood vessels in that layer. Thus, it is possible that the axons passing through the retina have effects on retinal blood flow even though they do not innervate the peripheral retina.
The histamine-IR axons that contact retinal blood vessels might play a role in the etiology of diabetic retinopathy. Centrifugal axons are reported to be abnormal in retinas from diabetic donors, resembling axons undergoing pathologic regeneration. The centrifugal axons that supplied retinal blood vessels appeared to proliferate and surround microaneurysms.
57 In rats, exogenous histamine increases the permeability of retinal blood vessels when it is applied intravitreally
58; therefore, it is possible that the histamine released from centrifugal axons has the same effect on blood vessels in primate retinas. If so, this may account for the therapeutic effects of antihistamines on leakage from retinal blood vessels in diabetic patients.
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