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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.
Background:
There is ample knowledge reported in the literature about the role of oxidative stress in asthma pathogenesis. It is also known that the interaction of reactive oxygen species with DNA may result in DNA strand breaks. The aim of this study was to investigate if montelukast monotherapy affects oxidative stress and DNA damage parameters in a population of pediatric asthma patients.
Methods:
Group I consisted of 31 newly diagnosed asthmatic patients not taking any medication, and group II consisted of 32 patients who had been treated with montelukast for at least 6 months. Forty healthy control subjects were also enrolled in the study. Plasma total oxidant status (TOS) and total antioxidant status (TAS) were measured to assess oxidative stress. DNA damage was assessed by means of alkaline comet assay.
Results:
The patients in both group I and group II had statistically significant higher plasma TOS (13.1 ± 4 and 11.1 ± 4.1 μmol H2O2 equivalent/liter, respectively) and low TAS levels (1.4 ± 0.5 and 1.5 ± 0.5 mmol Trolox equivalent/liter, respectively) compared with the control group (TOS: 6.3 ± 3.5 μmol H2O2 equivalent/liter and TAS: 2.7 ± 0.6 mmol Trolox equivalent/liter; p < 0.05). DNA damage was 18.2 ± 1.0 arbitrary units (a.u.) in group I, 16.7 ± 8.2 a.u. in group II and 13.7 ± 3.4 a.u. in the control group. There were statistically significant differences only between group I and the control group (p < 0.05).
Conclusions:
According to the findings, montelukast therapy makes only minimal but not statistically significant improvement in all TOS, TAS and DNA damage parameters.
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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