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Published on: April 13, 2010
The effect of Cys LT1 receptor blockade on airway responses to allergen
L Hendeles1, D Davison, E Harman
1College of Pharmacy and The Department of Pediatrics, University of Florida, Gainesville 32610-0486, USA.
Study Objective:
To evaluate the effect of a potent experimental leukotriene receptor antagonist, MK-571, on airway responses to inhaled allergen.
Design:
Randomized, double-blind, placebo-controlled, crossover trial.
Setting:
Clinical research center.
Subjects:
Eight male volunteers with allergic asthma.
Interventions:
An intravenous loading dose was followed by an 8-hour infusion of MK-571 or placebo, with a 7- to 14-day washout between treatments. Allergen challenge was performed after the loading dose and a histamine challenge was performed before and 24 hours after allergen.
Measurements And Main Results:
Forced expiratory volume in 1 second was measured serially. MK-571 provided about 50% protection during maximum early and late responses compared with placebo (p=0.005), but airway obstruction persisted 8-24 hours after allergen on both treatment days. Airway responsiveness to histamine was not significantly attenuated at 24 hours.
Conclusion:
Blocking Cys LT1 receptors for 8 hours attenuated the early and late responses but did not interrupt the cascade of events leading to subsequent allergen-induced airway obstruction and hyperreactivity.
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