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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2014.3073</article-id>
<article-id pub-id-type="publisher-id">mmr-11-04-2624</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Identification of histamine receptor subtypes in skeletal myogenesis</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>CHEN</surname><given-names>YAN</given-names></name><xref rid="af1-mmr-11-04-2624" ref-type="aff">1</xref><xref rid="af2-mmr-11-04-2624" ref-type="aff">2</xref><xref rid="af3-mmr-11-04-2624" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>STEGAEV</surname><given-names>VASILY</given-names></name><xref rid="af1-mmr-11-04-2624" ref-type="aff">1</xref><xref rid="af2-mmr-11-04-2624" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>KOURI</surname><given-names>VESA-PETTERI</given-names></name><xref rid="af1-mmr-11-04-2624" ref-type="aff">1</xref><xref rid="af2-mmr-11-04-2624" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>SILLAT</surname><given-names>TARVO</given-names></name><xref rid="af1-mmr-11-04-2624" ref-type="aff">1</xref><xref rid="af2-mmr-11-04-2624" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>CHAZOT</surname><given-names>PAUL L.</given-names></name><xref rid="af4-mmr-11-04-2624" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>STARK</surname><given-names>HOLGER</given-names></name><xref rid="af5-mmr-11-04-2624" ref-type="aff">5</xref></contrib>
<contrib contrib-type="author">
<name><surname>WEN</surname><given-names>JIAN GUO</given-names></name><xref rid="af3-mmr-11-04-2624" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>KONTTINEN</surname><given-names>YRJ&#x000D6; T.</given-names></name><xref rid="af1-mmr-11-04-2624" ref-type="aff">1</xref><xref rid="af6-mmr-11-04-2624" ref-type="aff">6</xref><xref rid="af7-mmr-11-04-2624" ref-type="aff">7</xref><xref ref-type="corresp" rid="c1-mmr-11-04-2624"/></contrib></contrib-group>
<aff id="af1-mmr-11-04-2624">
<label>1</label>Department of Medicine, Institute of Clinical Medicine, University of Helsinki, Biomedicum 1, Helsinki 00029, Finland</aff>
<aff id="af2-mmr-11-04-2624">
<label>2</label>Department of Anatomy, University of Helsinki, Biomedicum 1, Helsinki 00029, Finland</aff>
<aff id="af3-mmr-11-04-2624">
<label>3</label>Department of Urology, Pediatric Urodynamic Center, Institute of Clinical Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, P.R. China</aff>
<aff id="af4-mmr-11-04-2624">
<label>4</label>School of Biological and Biomedical Sciences, Durham University, Durham DH1 3LE, UK</aff>
<aff id="af5-mmr-11-04-2624">
<label>5</label>Institute of Pharmaceutical Chemistry, Goethe University, Frankfurt D-60438, Germany</aff>
<aff id="af6-mmr-11-04-2624">
<label>6</label>ORTON Orthopedic Hospital of the ORTON Foundation, Helsinki 00280, Finland</aff>
<aff id="af7-mmr-11-04-2624">
<label>7</label>COXA Hospital for Joint Replacement, Tampere 33520, Finland</aff>
<author-notes>
<corresp id="c1-mmr-11-04-2624">Correspondence to: Professor Yrj&#x000F6; T. Konttinen, Department of Medicine, Institute of Clinical Medicine, University of Helsinki, Biomedicum 1, PO Box 700 (Haartmaninkatu 8), Helsinki 00029, Finland, E-mail: <email>yrjo.konttinen@helsinki.fi</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>4</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>10</day>
<month>12</month>
<year>2014</year></pub-date>
<volume>11</volume>
<issue>4</issue>
<fpage>2624</fpage>
<lpage>2630</lpage>
<history>
<date date-type="received">
<day>04</day>
<month>06</month>
<year>2014</year></date>
<date date-type="accepted">
<day>20</day>
<month>11</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2015, Spandidos Publications</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>To date, conventional and/or novel histamine receptors (HRs) have not been investigated in mouse skeletal myogenesis. Therefore, the present study aimed to investigate the HR-subtypes in skeletal myogenesis. The myogenesis of C2C12 skeletal myoblasts was evaluated using desmin, myogenin and myosin heavy chain (Myh) as early, intermediate and late differentiation markers, respectively. Reverse transcription-quantitative polymerase chain reaction and immunostaining were performed and the messenger RNA (mRNA) expression levels of the HR-subtypes and markers were determined. H<sub>1</sub>R mRNA was found to be highly expressed in myoblasts at day 0; however, the expression levels were reduced as differentiation progressed. By contrast, H<sub>2</sub>R mRNA expression remained constant, while H<sub>3</sub>R mRNA expression increased by 28-, 103- and 198-fold at days 2, 4 and 6 compared with the baseline level (day 0), respectively. In addition, Myh expression increased by 7,718-, 94,487- and 286,288-fold on days 2, 4 and 6 compared with the baseline expression level (day 0). Weak positive staining of the cells for H<sub>3</sub>R protein was observed on day 2, whereas highly positive staining was observed on days 4 and 6. HR expression during myogenesis was, in part, regulated by the stage of differentiation. These results along with previous findings indicated possible involvement of H<sub>1</sub>R in the regulation of progenitor cell mitogenesis and of H<sub>2</sub>R in the relaxation of acetylcholine-stimulated contraction of muscle cells, following the activation of professional histamine-producing cells, including mast cells. By contrast, H<sub>3</sub>R may participate in the regulation of specialized myocyte functions, potentially by maintaining the relaxed state under the influence of constitutive H<sub>3</sub>R activity and low histamine concentrations, locally produced/released by non-professional histamine-producing cells.</p></abstract>
<kwd-group>
<kwd>myogenesis</kwd>
<kwd>differentiation</kwd>
<kwd>histamine receptor type 3</kwd>
<kwd>histamine</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Histamine is a well-known biogenic and cationic amine, which is synthesized, stored and released by professional histamine-synthesizing cells. Mast cells, basophils and enterochromaffin cells contain the endoplasmic 54 kDa histidine decarboxylase (HDC), which converts L-histidine to histamine (<xref rid="b1-mmr-11-04-2624" ref-type="bibr">1</xref>). Histamine is released into and stored within storage granules, prior to regulated release (<xref rid="b1-mmr-11-04-2624" ref-type="bibr">1</xref>). Following activation of professional histamine-producing cells, a burst release results in a transient high histamine concentration in the extracellular space. These transient histamine concentrations are sufficient to stimulate the conventional histamine receptors, histamine receptor type 1 &#x0005B;H<sub>1</sub>R; binding affinity (pK<sub>i</sub>) = 4.2&#x0005D; and histamine receptor type 2 (H<sub>2</sub>R; pK<sub>i</sub> = 4.3) (<xref rid="b2-mmr-11-04-2624" ref-type="bibr">2</xref>). Smooth muscle cells (<xref rid="b3-mmr-11-04-2624" ref-type="bibr">3</xref>,<xref rid="b4-mmr-11-04-2624" ref-type="bibr">4</xref>), cardiomyocytes (<xref rid="b5-mmr-11-04-2624" ref-type="bibr">5</xref>,<xref rid="b6-mmr-11-04-2624" ref-type="bibr">6</xref>) and skeletal muscle tissue (<xref rid="b7-mmr-11-04-2624" ref-type="bibr">7</xref>) express these conventional histamine receptors, which regulate cellular proliferation and the contraction state of the cells stimulated via the histamine/H<sub>1</sub>R or H<sub>2</sub>R axes (<xref rid="b3-mmr-11-04-2624" ref-type="bibr">3</xref>&#x02013;<xref rid="b6-mmr-11-04-2624" ref-type="bibr">6</xref>).</p>
<p>A previous study identified that the cytoplasmic 73 kDa &#x02018;pro-form&#x02019; of HDC produced histamine, however, at a 100&#x02013;1,000-fold lower rate compared with the typical enzyme isoform of the professional histamine-synthesizing cells (<xref rid="b1-mmr-11-04-2624" ref-type="bibr">1</xref>). In non-professional histamine-producing cells, histamine is released into the cellular cytoplasm rather than being stored, and is therefore not subjected to regulated burst release (<xref rid="b8-mmr-11-04-2624" ref-type="bibr">8</xref>). These cells contain organic cation transporters, which are equilibrative uniporters and transport the intracellularly synthesized histamine from the non-professional histamine synthesizing cells along the histamine concentration gradient to the extracellular space (<xref rid="b8-mmr-11-04-2624" ref-type="bibr">8</xref>). Histamine concentrations achieved in this manner are not sufficient to stimulate conventional histamine receptors. Therefore, this mechanism was hypothesized to represent an ancestral vestigium of a function that had become obsolete during phylogenesis. However, studies conducted within the last decade that focus on G-protein coupled receptors have revealed novel members of the histamine receptor family (<xref rid="b2-mmr-11-04-2624" ref-type="bibr">2</xref>). These novel histamine receptors, histamine receptor type 3 (H<sub>3</sub>R; pK<sub>i</sub> = 8.0) and histamine receptor type 4 (H<sub>4</sub>R; pK<sub>i</sub> = 8.2), have &gt;10,000-fold greater affinity for histamine compared with the conventional receptors (<xref rid="b2-mmr-11-04-2624" ref-type="bibr">2</xref>). In addition, the low basal levels of histamine produced by non-professional histamine-producing cells, including dendritic cells (<xref rid="b9-mmr-11-04-2624" ref-type="bibr">9</xref>) and lymphocytes (<xref rid="b10-mmr-11-04-2624" ref-type="bibr">10</xref>,<xref rid="b11-mmr-11-04-2624" ref-type="bibr">11</xref>), have been demonstrated to be sufficient in order to bind to and regulate cells equipped with these novel, high-affinity histamine receptors. The role of high histamine concentration in the regulation of muscle cell tone was investigated in previous studies (<xref rid="b3-mmr-11-04-2624" ref-type="bibr">3</xref>&#x02013;<xref rid="b6-mmr-11-04-2624" ref-type="bibr">6</xref>). Studies using histamine receptor agonists and/or antagonists have suggested that novel histamine receptors may also be present and functional in the bronchial smooth muscle cells at least (<xref rid="b3-mmr-11-04-2624" ref-type="bibr">3</xref>). However, to date, no studies indicating the presence of histamine receptors at the messenger RNA (mRNA) and protein level in myoblasts, myocytes or myotubes during skeletal myogenesis have been reported. Due to the presence and role of H<sub>1</sub>R, H<sub>2</sub>R and H<sub>3</sub>R in the function of other muscle cell types, the present study aimed to assess whether striated muscle cells synthesize and express the histamine receptors, H<sub>3</sub>R and H<sub>4</sub>R. In addition, the current study investigated whether these receptors are developmentally regulated during myogenesis in association with various markers of myogenic maturation.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture</title>
<p>The present study was approved by the institutional Medical Ethics Committee of the Institue of Clinical Medicine, University of Helsinki (Helsinki, Finland) and was performed in accordance with the 1983 Declaration of Helsinki. Mouse C2C12 myoblasts were obtained from the Turku Center for Biotechnology, University of Turku (Turku, Finland) (<xref rid="b12-mmr-11-04-2624" ref-type="bibr">12</xref>), and maintained in growth medium comprising Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM; Lonza/BioWhittaker, Walkersville, MD, USA) supplemented with 10&#x00025; fetal bovine serum (FBS; HyClone, GE Healthcare Life Sciences, Little Chalfont, UK), antibiotics (100 U/ml penicillin and 100 &#x003BC;g/ml streptomycin; Lonza) and 200 mM L-glutamine (Lonza) at 37&#x000B0;C in a humidified 5&#x00025; CO<sub>2</sub> atmosphere. The composition of the differentiation medium was similar to the growth medium, with the exception of FBS, which was reduced from 10&#x00025; to 1&#x00025;. The cells were passaged using trypsinization (0.5&#x00025; trypsin in 0.5 mM EDTA; Gibco-BRL Life Technologies, Carlsbad, CA, USA) from the culture plate at 80&#x00025; confluence.</p></sec>
<sec>
<title>Reverse transcription-quantitative polymerase chain reaction (RT-qPCR)</title>
<p>To investigate the expression of histamine receptors in C2C12 myogenesis, 50,000 cells/well were seeded in 12-well plates (CellStar; Greiner Bio-One, Frickenhausen, Germany). The cells were initially grown in growth medium for two days to reach 80&#x00025; confluence. Next, the medium was exchanged with differentiation medium to induce myogenesis. Total RNA was isolated from the cells at days 0, 2, 4 and 6 using an RNeasy Mini kit (Qiagen, D&#x000FC;sseldorf, Germany) according to the manufacturer&#x02019;s instructions. Total RNA (1 &#x003BC;g) was reverse transcribed using iScript cDNA Synthesis kit (Bio-Rad Laboratories, Inc., Hercules, CA, USA). RT-qPCR was performed with 100 ng first-strand cDNA using iQ SYBR<sup>&#x000AE;</sup> Green Supermix (Bio-Rad Laboratories, Inc.) in an iCycler iQ5 Multicolor Real-Time PCR Detection system (Bio-Rad Laboratories, Inc.). Primers for mouse desmin (Des), myogenin (Myog), myosin heavy chain IIa (Myh2), H<sub>1</sub>R, H<sub>2</sub>R, H<sub>3</sub>R, H<sub>4</sub>R and porphobilinogen deaminase (PBGD) genes were designed using the National Center for Biotechnology Information Primer-Blast tool (<xref rid="tI-mmr-11-04-2624" ref-type="table">Table I</xref>; <ext-link xlink:href="http://www.ncbi.nlm.nih.gov/tools/primer-blast/" ext-link-type="uri">http://www.ncbi.nlm.nih.gov/tools/primer-blast/</ext-link>; accessed: 01/03/2012). The mRNA copy numbers of the samples analyzed were determined in triplicate and normalized against the PBGD gene.</p></sec>
<sec>
<title>Immunofluorescence staining</title>
<p>The C2C12 cells were seeded at 2&#x000D7;10<sup>4</sup> cells/well in 24-well plates (CellStar) on coverslips and grown in growth medium for two days to reach 80&#x00025; confluence, followed by culturing in differentiation medium to induce myogenesis. Differentiated cells from days 0, 2, 4 and 6 were fixed for 15&#x02013;20 min in 4&#x00025; paraformaldehyde (Sigma-Aldrich, St. Louis, MO, USA) with phosphate-buffered saline (PBS; 10mM phosphate buffer, 140 mM saline; pH 7.4), washed three times in PBS (5 min each time) and in 0.5&#x00025; Triton X-100 (Thermo Fisher Scientific, Fair Lawn, NJ, USA)/PBS for 15 min to permeabilize the cells. Subsequently, the cells were cultured under the following conditions sequentially: i) 10&#x00025; normal donkey serum (Jackson Immunoresearch Laboratories, Inc., West Grove, PA, USA) for 1 h; ii) 1 &#x003BC;g/ml polyclonal peptide affinity purified rabbit anti-human desmin (1:200), myogenin (1:400) or myosin heavy chain (Myh) immunoglobulin G (IgG; 1:400) antibodies (obtained from Dr John E. Erikson, University of Turku, Turku, Finland) (<xref rid="b12-mmr-11-04-2624" ref-type="bibr">12</xref>), or rabbit anti-human H<sub>3</sub>R polyclonal antibodies (1:1,000; LS-A476; MBL International, Woburn, MA, USA) at 4&#x000B0;C overnight and washed three times in PBS (5 min each time). Non-immune rabbit IgG (1:1,000; 1 &#x003BC;g/ml; R&amp;D Systems, Minneapolis, MN, USA), was used at the same concentration as the primary antibodies as a negative staining control; iii) secondary antibody AlexaFluor<sup>&#x000AE;</sup>488-conjugated monoclonal donkey anti-rabbit IgG (1:400; Invitrogen Life Technologies, Carlsbad, CA, USA) in 0.1&#x00025; bovine serum albumin (Sigma-Aldrich)-PBS for 1 h and washed three times in PBS (5 min each time); iv) DAPI dye (Sigma-Aldrich; 1:2,000 in distilled water) for 5 min. The coverslips were washed twice in PBS and distilled water for 10 min, prior to mounting with Vectashield medium (Vector Laboratories, Inc., Burlingame, CA, USA). Labeled slides were analyzed and photographed using a Leica DM 6000 B/M fluorescence microscope, with a motorized Leica XY-stage connected to a Leica DFC 420 digital camera, and analyzed using the Leica Application Suite Advanced Fluorescence 2.5.0.6735 software (Leica Microsystems GmbH, Wetzlar, Germany).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>SPSS software, version 17.0 (SPSS, Inc., Chicago, IL, USA) was used to perform statistical analyses in addition to Matlab (MathWorks, Inc., Natick, MA, USA), which was used to perform the Mann-Whitney U test. All values are presented as the mean &#x000B1; standard error of the mean. P&lt;0.05 was considered to indicate a statistically significant difference between values.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Myogenesis of C2C12 cells</title>
<p>RT-qPCR was used to detect the mRNA expression levels of the early, intermediate and late myogenesis markers, desmin, myogenin and Myh2, respectively, during differentiation. On day 0, desmin was expressed in myoblasts at significantly higher levels compared with the myogenin or Myh (<xref rid="f1-mmr-11-04-2624" ref-type="fig">Fig. 1A</xref>). The desmin expression levels increased during myogenesis, reaching 12-, 68- and 60-fold over the baseline level (day 0), on days 2, 4 and 6, respectively (<xref rid="f1-mmr-11-04-2624" ref-type="fig">Fig. 1B</xref>). On day 0, the myogenin mRNA exxpression levels were low; however, the mRNA expression levels increased by 631-, 1,408- and 914-fold at days 2, 4 and 6, respectively (<xref rid="f1-mmr-11-04-2624" ref-type="fig">Fig. 1C</xref>). Desmin and myogenin expression levels peaked on day 4, whereas the expression of Myh, a late myogenesis marker, continued to increase over the entire study period, reaching 7,718-, 94,487- and 286,288-fold higher expression levels at days 2, 4 and 6, respectively, compared with the baseline level (<xref rid="f1-mmr-11-04-2624" ref-type="fig">Fig. 1D</xref>).</p>
<p>Indirect immunofluorescence staining of the myogenesis marker proteins revealed positive staining of the early marker, desmin, at day 0 (<xref rid="f2-mmr-11-04-2624" ref-type="fig">Fig. 2A</xref>); however, no staining was observed for the intermediate marker, myogenin (<xref rid="f2-mmr-11-04-2624" ref-type="fig">Fig. 2B</xref>), or the late marker, Myh (data not shown). On day 2, staining for myogenin was found to be positive (<xref rid="f3-mmr-11-04-2624" ref-type="fig">Fig. 3A</xref>), whereas staining for Myh remained negative (<xref rid="f3-mmr-11-04-2624" ref-type="fig">Fig. 3B</xref>). On days 4 (data not shown) and 6, positive staining for myogenin (<xref rid="f4-mmr-11-04-2624" ref-type="fig">Fig. 4A</xref>) and Myh (<xref rid="f4-mmr-11-04-2624" ref-type="fig">Fig. 4B</xref>) was detected.</p></sec>
<sec>
<title>Expression of histamine receptors</title>
<p>RT-qPCR was used to detect the mRNA expression levels of histamine receptors associated with the differentiation stages (<xref rid="f5-mmr-11-04-2624" ref-type="fig">Fig. 5</xref>). H<sub>1</sub>R mRNA was found to be highly expressed in C2C12 myoblasts (day 0), whereas expression was decreased during the differentiation process (<xref rid="f5-mmr-11-04-2624" ref-type="fig">Fig. 5A and B</xref>). By day 6, the expression level decreased to ~25&#x00025; of the baseline level (day 0). H<sub>2</sub>R mRNA was also expressed in C2C12 cells and the expression levels remained relatively constant throughout the differentiation process (<xref rid="f5-mmr-11-04-2624" ref-type="fig">Fig. 5A and C</xref>). The expression of H<sub>3</sub>R was found to be low in C2C12 myoblasts; however, following differentiation, the expression levels increased by 28-, 103- and 198-fold over the baseline level on days 2, 4 and 6, respectively (<xref rid="f5-mmr-11-04-2624" ref-type="fig">Fig. 5A and D</xref>). H<sub>4</sub>R mRNA expression was not detected at any time-point.</p>
<p>Indirect immunofluorescence staining for H<sub>3</sub>R protein during the myogenesis of C2C12 cells revealed almost negative staining at day 0 (<xref rid="f2-mmr-11-04-2624" ref-type="fig">Fig. 2C</xref>), weakly positive staining on day 2 (<xref rid="f3-mmr-11-04-2624" ref-type="fig">Fig 3C</xref>) and strongly positive staining on days 4 (data not shown) and 6 (<xref rid="f4-mmr-11-04-2624" ref-type="fig">Fig. 4C</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>To the best of our knowledge, the present study demonstrated for the first time that striated muscle cells expressed H<sub>1</sub>R, H<sub>2</sub>R and H<sub>3</sub>R-coding mRNA and corresponding receptor proteins, but lacked receptor, H<sub>4</sub>R. The lack of H<sub>4</sub>R in striated muscle cells may be due to the fact that H<sub>4</sub>R(+) cells have been previously been identified in the bone marrow, thymus and spleen, as well as at the cellular level in bone marrow-derived cells, including mast cells, basophils, eosinophils, neutrophils, dendritic cells and lymphocytes (<xref rid="b13-mmr-11-04-2624" ref-type="bibr">13</xref>).</p>
<p>Investigation of the early, intermediate and late phases of myogenesis was performed using desmin, myogenin and Myh as markers, respectively. The results indicated that histamine receptors were dynamically regulated during differentiation, suggesting that they may have distinct regulatory functions. H<sub>1</sub>R presented the highest expression in myoblasts on day 0, compared with the other receptors; however, the expression levels of H<sub>1</sub>R were subsequently decreased during myogenesis. H<sub>2</sub>R expression was found to be low on day 0 and remained relatively constant throughout all the phases of myogenesis. By contrast, H<sub>3</sub>R showed the lowest expression in myoblasts on day 0; however, the H<sub>3</sub>R expression levels were subsequently increased, and continued to increase throughout myogenesis.</p>
<p>The low affinity of H<sub>1</sub>Rs for histamine requires burst release from professional histamine-synthesizing cells in order to induce target cell effects. Notably, in cardiomyocyte precursor cells, H<sub>1</sub>Rs are abundant and regulate Ca<sup>2+</sup> oscillation and frequency. In such progenitor cells, this process is coupled with the entry of cells into the cell cycle and bromodeoxyuridine incorporation (<xref rid="b5-mmr-11-04-2624" ref-type="bibr">5</xref>). The results of the present study, which revealed high levels of H<sub>1</sub>R expression during early myogenesis, along with the aforementioned previous observations, suggested that high histamine levels may stimulate myoblast proliferation during the early phases of differentiation. This hypothesis is further supported by the observations of a previous study, which demonstrated that mast cell precursors migrated from bone marrow to skeletal muscle tissue in 17 to 20-day-old rat fetuses, indicating interactions between the professional histamine-producing mast cells and skeletal muscle cells in proliferation or differentiation (<xref rid="b14-mmr-11-04-2624" ref-type="bibr">14</xref>).</p>
<p>In the present study, H<sub>2</sub>R expression remained constant throughout all the phases of myogenesis, and thus, may be involved in the maintenance of relaxation following burst release of histamine (since H<sub>2</sub>R stimulation requires high histamine concentrations), with a curare-like effect (which is a competitive antagonist of the nicotinic acetylcholine receptor) (<xref rid="b15-mmr-11-04-2624" ref-type="bibr">15</xref>). By contrast, H<sub>2</sub>R antagonists have been demonstrated to possess an anti-cholinesterase activity (<xref rid="b16-mmr-11-04-2624" ref-type="bibr">16</xref>).</p>
<p>Due to the high affinity of H<sub>3</sub>R for histamine, the non-professional histamine-producing cells are able to stimulate H<sub>3</sub>R-expressing cells. The levels of histamine released by the non-professional histamine-producing cells are not sufficient to activate the conventional, low-affinity receptors (<xref rid="b2-mmr-11-04-2624" ref-type="bibr">2</xref>). Furthermore, in contrast to the conventional H<sub>1</sub>R and H<sub>2</sub>R, H<sub>3</sub>R has a relatively high constitutive activity level, which is ~25&#x00025; active in the absence of H<sub>3</sub>R-ligands (<xref rid="b17-mmr-11-04-2624" ref-type="bibr">17</xref>,<xref rid="b18-mmr-11-04-2624" ref-type="bibr">18</xref>). According to the two-state model of receptor activation, G-protein coupled receptors exist in equilibrium between an active and inactive receptor state. Upon ligand binding, the G-protein becomes activated (R<sup>*</sup>) and begins to &#x02018;couple&#x02019; and transduce the extracellular stimulus into an intracellular signal, while ligand-free G-protein coupled receptors exist in a passive, uncoupled conformation. However, H<sub>3</sub>R spontaneously acquires the R<sup>*</sup> state, which promotes G-protein-mediated signaling in the absence of an agonist. Therefore, H<sub>3</sub>R is hypothesized to have significant constitutive functions in mature myocytes and myotubes, which are independent of burst release (cellular emergencies) and driven by the low histamine concentrations generated by non-professional histamine-producing cells and by their constitutive activity (<xref rid="b17-mmr-11-04-2624" ref-type="bibr">17</xref>,<xref rid="b18-mmr-11-04-2624" ref-type="bibr">18</xref>).</p>
<p>High histamine concentrations are known to mediate the pathological contraction of smooth muscles cells in the bronchiolar walls, including during acute attacks of asthma and anaphylactic reactions mediated by H<sub>1</sub>R. H<sub>1</sub>R is coupled to G&#x003B1;<sub>q/11</sub> protein, which cleaves phosphatidylinositol 4,5-bisphosphate to diacylglycerol and inositol 1,4,5-trisphosphate, via the activation of phospholipase C. This results in Ca<sup>2+</sup> influx and initiates smooth muscle contraction (<xref rid="b3-mmr-11-04-2624" ref-type="bibr">3</xref>). Notably, low histamine concentrations act as potent relaxant agents for pre-contracted smooth muscle cells via H<sub>3</sub>Rs (3). In the present study, the time course of H<sub>3</sub>R expression during myogenesis indicated that H<sub>3</sub>R may have long-term, constitutive effects on mature skeletal muscles cells, rather than being activated under exceptional circumstances that results in burst release of the histamine stores from mast cells and basophils. Based on the findings of Cardell and Edvinsson (<xref rid="b3-mmr-11-04-2624" ref-type="bibr">3</xref>) and the long-term low histamine level-induced and constitutive H<sub>3</sub>R function, H<sub>3</sub>R was hypothesized to maintain the relaxed state of mature skeletal muscle cells.</p>
<p>In conclusion, further studies are required in order to determine the functions and potential signalling pathways by which the expression of the three histamine receptor subtypes, examined in the present study, are regulated during myogenesis in skeletal muscle cells. Future research may elucidate novel information regarding the etiology and potential treatment of skeletal muscle diseases.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The work of Drs Chen, Stegaev, Sillat, Kouri and Konttinen was supported by the Finska L&#x000E4;kares&#x000E4;llskapet, Orion-Farmos Foundation, Sigrid Jus&#x000E9;lius Foundation, ORTON Invalid Foundation, HUS evo-grants, Academy of Finland, Center for International Mobility CIMO and the Danish Council for Strategic Research and Regenerative Medicine RNP of the European Science Foundation. The work of Dr Stark was supported by the Hesse LOEWE programs OSF, NeFF, AFA and the TRIP. The work of Dr Chazot was supported by the Royal College of Anaesthesia, BBSRC (UK). This study was supported by the EU COST Action BM0806.</p>
<p>The authors would like to thank Professor John E. Eriksson at the Turku Center for Biotechnology, Department of Biosciences, University of Turku and &#x000C5;bo Akademi University (Turku, Finland) for providing the cells and antibodies.</p></ack>
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<floats-group>
<fig id="f1-mmr-11-04-2624" position="float">
<label>Figure 1</label>
<caption>
<p>Myogenesis differentiation marker expression levels, determined by reverse transcription-quantitative polymerase chain reaction. (A) Relative expression levels of myogenic differentiation markers desmin (early marker), myogenin (intermediate marker) and Myh (late marker) in C2C12 cells at day 0, and relative expression level variations in (B) desmin, (C) myogenin and (D) Myh during myogenesis at days 2, 4 and 6. The data are expressed as the mean &#x000B1; standard deviation. Myh, myosin heavy chain; mRNA, messenger RNA; D, day.</p></caption>
<graphic xlink:href="MMR-11-04-2624-g00.gif"/></fig>
<fig id="f2-mmr-11-04-2624" position="float">
<label>Figure 2</label>
<caption>
<p>Immunofluorescent staining (green) of (A) desmin, (B) myogenin, (C) histamine receptor type 3 and (D) negative control at day 0 in undifferentiated C2C12 cells. Staining of the late myogenic marker myogenin heavy chain was negative (not shown). DAPI was used for nuclear counterstaining (blue color). Scale bar, 50 &#x003BC;m.</p></caption>
<graphic xlink:href="MMR-11-04-2624-g01.gif"/></fig>
<fig id="f3-mmr-11-04-2624" position="float">
<label>Figure 3</label>
<caption>
<p>Immunofluorescent staining (green) of (A) myogenin, (B) myosin heavy chain, (C) histamine receptor type 3 and (D) negative control at day 2 in differentiated C2C12 cells. DAPI was used for nuclear counterstaining (blue color). Scale bar, 50 &#x003BC;m.</p></caption>
<graphic xlink:href="MMR-11-04-2624-g02.gif"/></fig>
<fig id="f4-mmr-11-04-2624" position="float">
<label>Figure 4</label>
<caption>
<p>Immunofluorescent staining (green) of (A) myogenin, (B) myosin heavy chain, (C) histamine receptor type 3 and (D) negative control at day 6 in differentiated C2C12 cells. DAPI was used as a nuclear counterstain (blue color). Scale bar, 50 &#x003BC;m.</p></caption>
<graphic xlink:href="MMR-11-04-2624-g03.gif"/></fig>
<fig id="f5-mmr-11-04-2624" position="float">
<label>Figure 5</label>
<caption>
<p>Histamine receptor subtype expression levels, determined by reverse transcription-quantitative polymerase chain reaction. (A) Relative expression levels of H<sub>1</sub>R, H<sub>2</sub>R and H<sub>3</sub>R in C2C12 cells at day 0, and relative expression level variations of (B) H<sub>1</sub>R, (C) H<sub>2</sub>R and (D) H<sub>3</sub>R during myogenesis (days 0&#x02013;6). The data are expressed as the mean &#x000B1; standard deviation. mRNA, messenger RNA; H<sub>n</sub>R, histamine receptor type n (where n=1, 2 or 3).</p></caption>
<graphic xlink:href="MMR-11-04-2624-g04.gif"/></fig>
<table-wrap id="tI-mmr-11-04-2624" position="float">
<label>Table I</label>
<caption>
<p>Primer sequences used in reverse transcription-quantitative polymerase chain reaction and the corresponding amplicon lengths.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">Gene</th>
<th valign="bottom" align="center">Forward primer</th>
<th valign="bottom" align="center">Reverse primer</th>
<th valign="bottom" align="center">Length (bp)</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">Des</td>
<td valign="top" align="left">5&#x02032;-GCCCTCAAGGGCACCAACGA-3&#x02032;</td>
<td valign="top" align="left">5&#x02032;-TTGCTCGGGGCTGGTTTCTCG-3&#x02032;</td>
<td valign="top" align="center">297</td></tr>
<tr>
<td valign="top" align="left">Myog</td>
<td valign="top" align="left">5&#x02032;-CCCAACCAGCGGCTGCCTAA-3&#x02032;</td>
<td valign="top" align="left">5&#x02032;-GTAGGGTCAGCCGCGAGCAA-3&#x02032;</td>
<td valign="top" align="center">245</td></tr>
<tr>
<td valign="top" align="left">Myh2</td>
<td valign="top" align="left">5&#x02032;-AGCTGCACCTTCTCGTTTGCCA-3&#x02032;</td>
<td valign="top" align="left">5&#x02032;-CGGTCAGGGTCGCTCCTGCT-3&#x02032;</td>
<td valign="top" align="center">261</td></tr>
<tr>
<td valign="top" align="left">H<sub>1</sub>R</td>
<td valign="top" align="left">5&#x02032;-CACTGGAGGCTGCCCTTGTGC-3&#x02032;</td>
<td valign="top" align="left">5&#x02032;-CACCAGCAGGTTGAGGCCCAC-3&#x02032;</td>
<td valign="top" align="center">167</td></tr>
<tr>
<td valign="top" align="left">H<sub>2</sub>R</td>
<td valign="top" align="left">5&#x02032;-TCCTAAGCGACCCGGTACAGC-3&#x02032;</td>
<td valign="top" align="left">5&#x02032;-ATGGAGACTGAGGCACTGCTGG-3&#x02032;</td>
<td valign="top" align="center">208</td></tr>
<tr>
<td valign="top" align="left">H<sub>3</sub>R</td>
<td valign="top" align="left">5&#x02032;-TTCGAGCCTCCGCACCCAGAA-3&#x02032;</td>
<td valign="top" align="left">5&#x02032;-GGTCCAACGGCCGGTCAGC-3&#x02032;</td>
<td valign="top" align="center">118</td></tr>
<tr>
<td valign="top" align="left">H<sub>4</sub>R</td>
<td valign="top" align="left">5&#x02032;-TGCTCAGGTCCCCTTGGCATTT-3&#x02032;</td>
<td valign="top" align="left">5&#x02032;-ACGTGAGGGATGTACAGAGGAATGG-3&#x02032;</td>
<td valign="top" align="center">189</td></tr>
<tr>
<td valign="top" align="left">PBGD</td>
<td valign="top" align="left">5&#x02032;-AAAGTGCCGTGGGAACCAGC-3&#x02032;</td>
<td valign="top" align="left">5&#x02032;-CAGCCACAGCCAGGACGATG-3&#x02032;</td>
<td valign="top" align="center">156</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-mmr-11-04-2624">
<p>Des, desmin; Myog, myogenin; Myh2, myosin heavy chain IIa; H<sub>n</sub>R, histamine receptor type n (n=1&#x02013;4); PBGD, porphobilinogen deaminase.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
