Antihistamine Medication Blunts Localized-Vibration-Induced Increases in Popliteal Blood Flow

Abstract

Localized vibration (LV) of the lower leg increases arterial blood flow (BF). However, it is unclear how LV causes this increase. Understanding the mechanisms of this response could lead to the optimized future use of LV as a therapy. One possible mechanism of LV-mediated BF is through histamine release by mechanosensitive mast cells. The purpose of this study was to measure the BF response of 21 recreationally active young adults (11 male, 10 female, mean age 22.1 years) after 47 Hz and 10 min LV to the calf, with and without antihistamine medication (180 mg Fexofenadine). Each participant received both control (no antihistamine) and antihistamine (treatment) conditions separated by at least 24 h. BF ultrasound measurements (mean and peak blood velocity, volume flow, popliteal diameter, and heart rate) were taken before LV therapy and periodically for 19 min post LV. Using a cell means mixed model, we found that LV significantly increased the control mean blood velocity immediately post LV but did not significantly increase the antihistamine mean blood velocity immediately post LV. Therefore, we hypothesize that a primary mechanism of LV increase in BF is histamine release from mechano-sensing mast cells, and that this response is force-dependent.