It is demonstrated in vitro that X-ray contrast media cause the release of histamine from rabbit basophilic leukocytes in a dose-dependent manner at 37~ They are arranged in the following order of decreasing ability to induce the release of histamine: bilignost-triombrast>peritrast~ultravist>melitrast-omnipaque. The extent to which basophils in whole blood are degranulated during incubation with any of these media is about 40% higher than that upon incubation of isolated leukocytes with these media. The release of histamine under the action of the contrast media is a Ca>-dependent process.
Key Words: X-ray contrast media; histamine; calciumMost of side effects produced by contrast media are due to degranulation of mast ceils and basophilic leukocytes with the release of histamine and other biologically active substances into extracellular fluids [3,7,11]. Free histamine appearing in tissue fluids and blood after administration of a contrast medium contributes to various adverse reactions such as itching eruption, erythema, urticaria, and spasms and edemas of the airways and lungs [3]. However, the mechanisms of these reactions have not been elucidated, and the role of Ca ~- § is unclear, although calcium is the key second messenger in the transmission of specific transmembrane signals [8].This study was designed to find out how the histamine-releasing activity of contrast media depends on their structure and to evaluate the significance of Ca>in this activity.
MATERIALS AND METHODSThe ionic contrast media bilignost and triombrast (manufactured at the Lomonosov Chemical-PharmaDepartment of Molecular Pharmacology and Radiobiology, Russian State Medical University, Moscow ceutical Factory, Ukraine) and peritrast (Dr. Kohler Chemic) and the nonionic media omnipaque (Nycomed), melitrast (Dr. Kohler Chemic), and ultravist (Schering) were incubated for 30 min at room temperature with whole blood or leukocyte suspension at final concentrations of 0.03, 0.3, 3, and 30 mg iodine/mI (mg I/ml). In control tests, the same volumes of isotonic physiological solution were added to the samples.Basophilic leukocytes were isolated and counted by the standard procedure [12]. Heparin (0.1 ml, 1000 U/ml), dextran glucose (2 ml), and peripheral venous blood (10 ml) were thoroughly mixed in a 20 ml syringe. Erythrocytes were sedimented in a vertically positioned syringe for 50 min at room temperature. Leukocytes from the decanted plasma layer were obtained by centrifugation at 150g for 8 min. The cells were washed twice with cold Trisalbumin buffer (150g, 8 min) and resuspended in Tris-AMS buffer. Basophils were counted in suspension under a light microscope after staining with 0.1% neutral red in ethanol (v/v,=l/50). Basophil count in a sample incubated with contrast medium was equal to that in whole blood. These procedures were carried out at 4~