Mast Cell Stabilizer Ketotifen Inhibits Gouty Inflammation in Rats

Dur-Zong Hsu1, Pei-Yi Chu, Si-Jin Chen

  • 11Departments of Environmental and Occupational Health, National Cheng Kung University Medical College, Tainan, Taiwan; and 2Sustainable Environment Research Centre, National Cheng Kung University, Tainan, Taiwan.

Insights

Ketotifen, a mast cell stabilizer, reduces acute inflammation caused by monosodium urate (MSU) crystals in rats. This study suggests ketotifen may be a potential treatment for gouty inflammation by inhibiting mast cell activation and leukocyte infiltration.

Area of Science:

  • Pharmacology
  • Immunology
  • Rheumatology

Background:

  • Gout is a painful inflammatory arthritis caused by monosodium urate (MSU) crystals.
  • Mast cell activation plays a role in the inflammatory response during gout attacks.

Purpose of the Study:

  • To investigate the therapeutic effect of ketotifen, a mast cell stabilizer, on MSU crystal-induced acute inflammation.
  • To evaluate ketotifen's impact on inflammatory mediators and cellular infiltration in a rat model of gout.

Main Methods:

  • Male Wistar rats were injected with MSU crystals into an air pouch.
  • Ketotifen was administered at various doses (0, 0.1, 0.3, 1 mg/kg) one hour prior to MSU injection.
  • Histamine, leukocyte counts, mast cell activation, nitric oxide, and proinflammatory cytokines (IL-1β, IL-6) were measured 12 hours post-injection.

Main Results:

  • Ketotifen significantly inhibited MSU-induced mast cell activation and histamine release.
  • A dose-dependent reduction in leukocyte infiltration into the air pouch was observed with ketotifen treatment.
  • Ketotifen significantly decreased the production of nitric oxide, interleukin-1β, and interleukin-6 in MSU-treated rats.

Conclusions:

  • Ketotifen attenuates MSU crystal-induced acute inflammation in rats by inhibiting mast cell activation and leukocyte infiltration.
  • Ketotifen demonstrates potential as a novel therapeutic approach for managing gouty inflammation.

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