We previously reported that
hypothalamic tumor necrosis factor-alpha (TNF-α)
mRNA expression via
histamine H4 receptors contributes to the development of
cisplatin-induced
anorexia; however, its precise mechanisms remain unclear. It has been reported that chemotherapeutic agents induce the suppression of
orexin neuron activity, and the administration of
orexin inhibits chemotherapeutic agent-induced gastric discomfort. Other studies demonstrated that the central administration of TNF-α impairs the orexinergic system, and that
orexin excites the histaminergic system. We investigated the involvement of orexinergic and histaminergic systems in the
therapeutic effect of an H4 receptor antagonist against
cisplatin-induced
anorexia.
Cisplatin decreased the expression of prepro-
orexin mRNA, which encodes precursors of
orexin, in the hypothalamus of mice. The period of expression decreased in parallel with the onset of
anorexia, and treatment with an H4 receptor antagonist (
JNJ7777120, 10 mg/kg) inhibited the decrease in expression. The effect of the H4 receptor antagonist on
cisplatin-induced
anorexia in mice was antagonized by an
orexin OX2 receptor antagonist (
JNJ10397049, 5 mg/kg) rather than an
orexin OX1 receptor antagonist (
SB408124, 30 mg/kg). Although an
OX2 receptor agonist (YNT-185, 20 mg/kg) or a
histamine H3 receptor inverse agonist (
ciproxifan, 1 mg/kg) inhibited the
cisplatin-induced
anorexia, the inhibitory effect of the
OX2 receptor agonist was antagonized by an
H3 receptor silent antagonist (VUF5681, 5 mg/kg). The combination of
JNJ7777120 (10 mg/kg) and
ciproxifan (0.5 mg/kg) completely resolved the
cisplatin-induced
anorexia. These results suggest that activation of the orexinergic and histaminergic pathway is involved in the
therapeutic effect of an H4 receptor antagonist against
cisplatin-induced
anorexia.