Effect of montelukast on bacterial sinusitis in allergic mice

Paneez Khoury1, Fuad M Baroody, James J Klemens

  • 1Department of Surgery, Section of Otolaryngology-Head and Neck Surgery, The University of Chicago, Illinois 60637, USA.

Abstract

Insights

Montelukast reduced allergic rhinitis symptoms in mice but unexpectedly increased bacterial growth in infected mice. This suggests cysteinyl leukotrienes influence the innate immune response to bacterial infections.

Area of Science:

  • Immunology
  • Pharmacology
  • Microbiology

Background:

  • Allergic rhinitis exacerbates Streptococcus pneumoniae infection and inflammation in mice.
  • Cysteinyl leukotrienes play a role in allergic inflammation.

Purpose of the Study:

  • To investigate the impact of cysteinyl leukotriene antagonism on bacterial infection severity.
  • To evaluate montelukast's effect on allergic rhinitis and S. pneumoniae infection in mice.

Main Methods:

  • Three placebo-controlled experiments were conducted in mice: allergic inflammation, bacterial infection, and combined allergic and infected models.
  • Mice received montelukast treatment, were infected with S. pneumoniae, and assessed for nasal hypersensitivity, bacterial counts, and inflammatory cell infiltration.

Main Results:

  • Montelukast significantly decreased eosinophil and T-lymphocyte counts in all treatment groups.
  • In allergic and infected mice, montelukast treatment led to significantly higher bacterial counts.
  • Infection-only groups showed a trend toward increased bacterial counts with montelukast treatment.

Conclusions:

  • Montelukast effectively reduces allergic rhinitis manifestations in a mouse model.
  • Montelukast treatment surprisingly increased bacterial growth in infected mice, indicating a role for cysteinyl leukotrienes in innate immunity.
  • Further research is needed to elucidate the precise mechanisms by which cysteinyl leukotrienes modulate the response to bacterial pathogens.