Objectives: To resolve the question whether histamine, like some cytok
ines, is actively synthesized during storage of platelet concentrates.
Methods: We prepared conventional buffy coat platelet concentrates an
d stored them in the usual way at 22 degrees C. Disodium cromoglycate
was added to one series, saline to the controls. Samples were taken at
intervals, to be tested for histamine and interleukin-6 (IL-6). Resul
ts: The plasma histamine level increased from a median of 1.02 ng/ml (
range 0.11-3.27) to 12.9 ng/ml (range 4.30-32.9) whereas the total his
tamine content of the platelet concentrates remained unchanged during
the 5-day storage period. In contrast, the total content of IL-6 incre
ased rapidly. Conclusion: Histamine is not synthesized during storage
of platelets, whereas IL-6 is. The addition of disodium cromoglycate,
a substance that inhibits granulocyte activation, had no effect on the
release of histamine or on the total histamine content at various sto
rage times.