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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.
Abstract:
Gout, an extremely painful arthritis with relapsing inflammatory attacks, is a common inflammatory joint disease in adults. We examined the therapeutic effect of ketotifen, a mast cell stabilizer, on monosodium urate (MSU) crystal-induced acute inflammation. Eight-week-old male Wistar rats were injected with MSU crystals (5 mg per rat) into air pouch. Ketotifen (0, 0.1, 03, and 1 mg/kg) was given 1 hour before MSU crystal injection. Lavage histamine, leukocyte counts, mast cell counts, nitric oxide, and proinflammatory mediator levels were assessed 12 hours after MSU injection. Ketotifen significantly inhibited MSU-induced mast cell activation and histamine concentration in air pouch lavage. Ketotifen dose-dependently inhibited MSU-initiated leukocyte infiltration into the air pouch. Furthermore, ketotifen significantly decreased proinflammatory mediators, including nitric oxide, interleukin-1β, and interleukin-6, production in MSU-treated rats. Ketotifen may attenuate MSU-induced acute inflammation by inhibiting mast cell activation and leukocyte infiltration in rats. Furthermore, ketotifen has the potential to be a new approach in managing patients with gouty inflammation in the future.
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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