Enzymes

HNMT

Histamine N-methyltransferase - intracellular enzyme that methylates histamine for degradation in brain and tissues.

HNMT pathway diagram

HNMT (histamine N-methyltransferase) is an intracellular enzyme that methylates histamine to N-methylhistamine using SAMe as the methyl donor. While DAO handles extracellular and dietary histamine, HNMT is the primary pathway for histamine degradation in the brain and intracellular spaces.

The reaction: Histamine + SAMe → N-methylhistamine + SAH. N-methylhistamine is then oxidized by MAO-B to N-methylimidazole acetic acid for excretion. HNMT distribution: Present in most tissues but particularly important in the CNS (where DAO is absent), airways, and skin.

It handles histamine produced intracellularly or released from mast cells. HNMT polymorphisms: The Thr105Ile variant (rs11558538) and others affect enzyme activity. Reduced HNMT function may contribute to: histamine sensitivity, allergic tendencies, asthma, and potentially psychiatric symptoms (brain histamine modulates neurotransmission).

HNMT and methylation: Because HNMT uses SAMe, methylation capacity affects histamine clearance. Those with methylation issues may have impaired HNMT function. Conversely, high histamine loads can deplete SAMe, affecting other methylation reactions.

Supporting HNMT

1

adequate SAMe and methylation support (B12

2

folate

3

B6)

4

managing histamine load (diet

5

mast cells)

6

potentially avoiding HNMT inhibitors.

Unlike DAO supplements, HNMT cannot be taken orally because it works intracellularly.

HNMT Discussion