Can histamine be part of the reason why there is such a variability in immune response? If so, then we can prime patients with a potent type 1 histamine receptor blocker which will decrease inflammation and allow more activation of immunosuppressing type 2 receptors. The medication is levocetirizine and it had been shown to protect rats from lung damage in a 2018 LPS model study. The drug is currently cheap and over the counter but most hospitals don't carry it because they have never had a need for it.
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Michael Johnson
PA (prior neurology research associate for UVA)
Mary Washington Healthcare
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