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Inhibitory effect of azelastine hydrochloride on synthesis and release of platelet activating factor from human

K Shindo1, M Machida, Y Hirai

  • 1The First Department of Internal Medicine, Yokohama City University School of Medicine, Yokohama, Japan.

Insights

Azelastine hydrochloride significantly reduces platelet-activating factor (PAF) synthesis and release in both asthmatic and non-asthmatic macrophages. This study demonstrates azelastine

Area of Science:

  • Immunology
  • Pharmacology
  • Respiratory Medicine

Background:

  • Platelet-activating factor (PAF) plays a key role in inflammatory responses, particularly in asthma.
  • Alveolar macrophages (AMs) are crucial immune cells in the lungs involved in PAF production.
  • Asthma involves heightened inflammatory responses, potentially linked to increased PAF activity.

Purpose of the Study:

  • To investigate the effect of azelastine hydrochloride on PAF synthesis and release.
  • To compare azelastine's effects on PAF activity in macrophages from asthmatic versus non-asthmatic individuals.
  • To determine if azelastine exhibits a dose-dependent inhibition of PAF activity.

Main Methods:

  • Alveolar macrophages (AMs) were isolated from asthmatic and non-asthmatic subjects.
  • AMs were preincubated with varying concentrations of azelastine (10⁻⁸ to 10⁻⁴ M).
  • Cells were stimulated with f-Met-Leu-Phe (fMLP) and PAF activity was measured in supernatants and cell pellets using guinea pig platelet aggregation.

Main Results:

  • Azelastine hydrochloride significantly inhibited both intracellular and extracellular PAF activity in a dose-dependent manner.
  • The inhibitory effect of azelastine on PAF activity was observed in macrophages from both asthmatic and non-asthmatic subjects.
  • PAF activity was reduced in both cell pellets and supernatants following azelastine preincubation.

Conclusions:

  • Azelastine hydrochloride effectively inhibits PAF synthesis and release from human alveolar macrophages.
  • The findings suggest azelastine may be a beneficial therapeutic agent for managing inflammatory conditions like asthma.
  • The drug's mechanism involves reducing PAF production, impacting inflammatory pathways in the airways.

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