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diamine oxidase (DAO) It is one of the important enzymes that participates in the breakdown of histamine received with food, that is, it is a natural mechanism of protection against histamine.
Diamine oxidase is synthesized in the small intestine. Certain foods, medications, or supplements can inhibit this process.
A hypersensitivity reaction develops if the level of histamine received from the environment (in the form of food) or produced in the body exceeds the activity of diamine oxidase.
Diamine oxidase deficiency Associated with the development of such symptoms and pathological conditions as:
Migraine and other types of headache
Dizziness, nausea, vomiting
Chronic fatigue syndrome
Skin rash, eczema, psoriasis symptoms, urticaria
Swelling of the nasal mucosa, asthma, bronchospasm
Gastrointestinal disorders, irritable bowel syndrome, diarrhea, flatulence, spasmodic abdominal pain
Dysmenorrhea, premenstrual syndrome, estrogen dominance
Arrhythmia, hyper or hypotension
Anaphylaxis
Fibromyalgia
Violation of the day-night circadian rhythm
Violation of body temperature regulation, memory and thinking problems
Mood disorders, anxiety or depression
The symptoms of diamine oxidase deficiency are similar to those caused by histamine excess (because diamine oxidase is involved in the metabolism and breakdown of histamine).
Patients with Crohn's disease, urticaria, celiac disease, and others have low blood levels of diamine oxidase.
The association of diamine oxidase deficiency with allergic rhinitis is important. Allergic rhinitis is caused by immune inflammation caused by contact with an antigen. Histamine is the main mediator that causes the development of the immune reaction and related symptoms.
Since diamine oxidase is synthesized in the gastrointestinal system, its low serum level is an indicator of gastrointestinal dysfunction.
The determination of diamine oxidase in serum is important for the diagnostics of impaired tolerance to histamine.
Under normal conditions, diamine oxidase forms an enzyme barrier in the cells of the small intestine, which is an additional protective mechanism to avoid resorption of histamine received with food.
which foods increase histamine activity?
There are a number of products that contain histamine or participate in its release processes. these are:
Alcoholic drinks, especially red and sparkling wines
cheese
Sausages (salami, ham, chorizo)
Fish, seafood and sauces
Vegetables - eggplant, tomato, spinach
Fruits - strawberries, bananas, pineapples
chocolate
etc
Medicines that reduce the activity of diamine oxidase:
Analgesics
Anti-histamines
diuretics
Antibiotics
Antiarrhythmic
anti-asthma
Mucolytics
Antidepressants
Antirheumatoid drugs
Tranquilizers
When histamine accumulates in the body due to diamine oxidase deficiency, symptoms related to histamine excess develop.
The diamine oxidase test is a diagnostic tool for evaluating its activity in serum.
Diamine oxidase activity is lower in women than in men.
During pregnancy, the concentration of diamine oxidase can increase up to 500 times, because it is also synthesized by the placenta. This can explain, for example, migraine remission in pregnant women.
Study material: Venous blood
It is recommended to stop taking drugs that inhibit diamine oxidase synthesis at least 8 hours before the study.
Reference norms and interpretation of results
DAO = 45
Normal activity of diamine oxidase (DAO)
DAO = 37 – 43
Diamine oxidase (DAO) activity is at the lower limit of normal
DAO = 26 – 36
Diamine oxidase activity is slightly decreased
DAO = 10 – 24
Reduced diamine oxidase (DAO) activity
DAO < 5
Reduced diamine oxidase (DAO) activity. Genetic testing for DAO is recommended to differentiate between primary (genetic) DAO deficiency and the secondary reversible form.
DAO = 66
Diamine oxidase (DAO) activity is increased. This may indicate increased synthesis of the enzyme, for example, during an active allergic process.
DAO can be increased during pregnancy
The rate is therefore not recommended for pregnant patients
conduct a test.
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