Neutrophil-platelet interactions are responsible for
thrombosis as well as inflammatory responses following acute
myocardial infarction (AMI). While
histamine has been shown to play a crucial role in many physiological and
pathological processes, its effects on neutrophil-platelet interactions in thromboinflammatory complications of AMI remain elusive. In this study, we show a previously unknown mechanism by which neutrophil-derived
histamine protects the infarcted heart from excessive neutrophil-platelet interactions and redundant arterial
thrombosis. Using
histamine-deficient (
histidine decarboxylase knockout, HDC-/- ) and wild-type murine AMI models, we demonstrate that
histamine deficiency increases the number of microthrombosis after AMI, in accordance with depressed cardiac function.
Histamine-producing myeloid cells, mainly Ly6G+ neutrophils, directly participate in arteriole
thrombosis.
Histamine deficiency elevates platelet activation and aggregation by enhancing Akt phosphorylation and leads to dysfunctional characteristics in neutrophils which was confirmed by high levels of
reactive oxygen species production and CD11b expression. Furthermore, HDC-/- platelets were shown to elicit neutrophil extracellular
nucleosomes release, provoke neutrophil-platelet interactions and promote HDC-expressing neutrophils recruitment in arteriole
thrombosis in vivo. In conclusion, we provide evidence that
histamine deficiency promotes coronary microthrombosis and deteriorates cardiac function post-AMI, which is associated with the enhanced platelets/neutrophils function and neutrophil-platelet interactions.