Effect of montelukast monotherapy on oxidative stress parameters and DNA damage in children with asthma

Fatih Dilek1, Emin Ozkaya, Abdurrahim Kocyigit

  • 1Divisions of Pediatric Allergy and Immunology, Department of Pediatrics, Bezmialem Vakif University Medical Faculty, Istanbul, Turkey.

Abstract

Insights

Montelukast monotherapy showed minimal impact on oxidative stress and DNA damage in pediatric asthma patients. While some parameters slightly improved, the changes were not statistically significant compared to untreated patients.

Area of Science:

  • Pediatric Pulmonology
  • Biochemistry
  • Molecular Biology

Background:

  • Oxidative stress is implicated in asthma pathogenesis.
  • Reactive oxygen species can cause DNA strand breaks.
  • Understanding treatment effects on these markers is crucial.

Purpose of the Study:

  • To investigate the effect of montelukast monotherapy on oxidative stress and DNA damage in children with asthma.
  • To compare oxidative stress and DNA damage markers between untreated asthmatic children, montelukast-treated children, and healthy controls.

Main Methods:

  • Plasma total oxidant status (TOS) and total antioxidant status (TAS) were measured.
  • DNA damage was assessed using the alkaline comet assay.
  • Study included newly diagnosed asthmatics, montelukast-treated asthmatics, and healthy controls.

Main Results:

  • Asthmatic patients (both groups) exhibited significantly higher TOS and lower TAS than controls.
  • DNA damage was significantly higher in untreated asthmatic patients compared to controls.
  • Montelukast-treated patients showed no statistically significant improvement in TOS, TAS, or DNA damage compared to untreated patients.

Conclusions:

  • Montelukast monotherapy demonstrated a minimal, non-statistically significant effect on oxidative stress and DNA damage markers in pediatric asthma.
  • Further research may be needed to explore the therapeutic potential of montelukast concerning oxidative stress and DNA damage in asthma.

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