A SUBSTANTIAL amount of evidence has been gathered to suggest that an increase in the intracellular formation and release of histamine is involved in tissue and organ allograft rejection 8,10,12,13,15,19 and that pharmacologic measures to control these processes may lead to a prolongation of allograft survival and to a reduction of antibody formation in experimental situations. 4-7, 11, 14, 18 In 1968, the senior author, with Chang and Hume,9 reported the results of 65 random spot-checks of the 24-hour urinary excretion of histamine in 33 renal transplant patients. The studies were carried out from 7 days to 49 months after transplantation. These determinations were carried out too infrequently per patient and were too widely separated in time to indicate a trend in dynamic functional changes as related to the metabolism of this vaso-active amine. Nonetheless, the levels of urinary excretion of histamine did appear in the majority of patients to be lower than normal. Poorer renal function was associated with lower levels of excretion.In the present study, frequent determinations of both blood and urinary levels of histamine were obtained in a smaller group of renal transplant patients and were concentrated largely in the initial month after transplantation.Submitted for publication June 8, 1970. Supported by a grant from the John A. Hartford Foundation.
381Method of Study Eighty-five blood histamine determinations and 131 24-hour urinary excretions of histamine were obtained in ten patients in the comparatively early period after renal transplantation. Three of the transplants were from related living donors and seven kidneys were cadaveric in origin. Three of the cadaveric kidneys were harvested elsewhere on the basis of cardiac death and had longer periods of shock and warm ischemia and four were harvested at this institution on the basis of neurological death with virtually no warm ischemia and very limited periods of cold ischemia.From five to 30 urinary excretions of histamine studies and from three to 36 blood histamine levels were obtained per patient. Blood histamine levels were determined by the method of Shore, Burkhalter and Cohn.17 Twenty-four hour urine specimens were collected in 10 ml. of six normal HC1 and were assayed for histamine by the ion-exchange butanol extraction method of Oates, Marsh and Sjoerdsma.16 The findings were placed on data flow sheets and correlated with other biochemical and physiological changes.The senior author and associates, in the earlier study, found the normal range for the 24-hour urinary excretion of histamine to be from 30 to 85 uAg. with an average of 49 ,ug. per 24 hours. Studies of 24-hour human urinary excretion of histamine, using this same method of Oates, Marsh and